I'm just coming off a wicked two day migraine, and I'm so pissed off I can't stand it. I've had migraines for over thirty years (I'm 40), and during that time, I've been on or tried virtually every medication used for migraines. I'm currently taking 200mg Topamax as a preventative, Stadol Nasal Spray as an abortive, and whatever I can get my doctor to prescribe for pain management(sometimes Lortab) if she's in the right mood. I get no relief from any pain medication other than something narcotic at this point. This has been the case for a long time. I've been averaging having to get a pain shot (nubain/phenergan) from my doctor's office every 8-10 days, but I have to use the Stadol NS a lot more frequently.
Well, Friday I started fighting off a migraine with the Stadol NS in the afternoon. It kept trying to come back (weather front moving in) all evening and by 3am, I had a full blown migraine. I got my mom to drive me the the doctor's office when they opened at 7:30. The doctor on duty was actually just a nurse practioner, but he's a wimp. He looked through my chart, and I've seen him before for the same problem. He decided I was having a rebound headache (NOT!), and would only give me a shot of Toradol or Ultram. Well, Toradol does nothing for me, and Ultram doesn't work because I take Effexor. I explained this in detail, but got nowhere. That was all he was willing to do. My other choice was to leave and he would refund my appointment charge. Gee, what a guy.
So, off to the ER I went. Of course, it took three hours to get seen by the doctor (but he was HOT!!! ) We had a nice little discussion about my migraines, symptoms, medication history and so forth, and I promptly got a shot of 10mg of morphine and 25mg of phenergan. Unfortunately, it took so long to get some relief, I ended up having to get a second shot of the same thing, which took care of the migraine nicely. He also gave me a prescription for a few percocet, for after the morphine wore off. Good thing, cuz I felt like a horse had kicked me in the back of the head.
It is amazing to me how wide spread the medical profession is on pain management. At the ER, I've been given everything from Nubain to Dilaudid. Some doctors will prescribe narcotic medication for later and some won't. I am having the worst time finding decent pain management. Even the pain clinic here won't prescribe medication to keep me comfortable. Unless my doctor is at the office, I guess I'm stuck going to the ER when I need a shot. Doesn't seem like a great plan to me, but oh well. If I could just find a good neurologist.
Thanks for letting me vent.