Neurologist--try another one?

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New Member

Date Joined Oct 2005
Total Posts : 14
   Posted 10/19/2005 6:45 PM (GMT -6)   
I have suffered for years and I have just seen my first Neurologist.  I filled out paperwork for 30 mins, then waited another 30.  She then spent 15 minutes with me and prescribed me another triptan--I had already been on Imitrex and Maxalt.  She actually just prescribed me another form of Maxalt.  She did not ask me about my triggers, the duration or intensity of my migs, nor did she ask me about any related disorders.  I have a follow-up schedule next week.  Does she sound pretty run-of-the-mill, or should I try another Neurologist? 

New Member

Date Joined Oct 2005
Total Posts : 4
   Posted 10/19/2005 7:03 PM (GMT -6)   
You can either try another neurologist or get more assertive with this one. If you choose to return to her next week my advice is that you go in prepared with a list of questions and an opening statement such as "I realize your busy but I am here to partner with you in developing a managment program for my migraines not just be handed a prescription for a different triptan. There are many combination theraputic approaches presently being used to treat and manage migraines and I would like us to work together to create one for me."
I am a nurse and I know from experience those patient's that demand the physicians attention will get it in most cases and those who don't won't. The is a lot of competition for the physicians time you have to be willing to get in the ring so speak and fight for your share of it.

New Member

Date Joined Sep 2005
Total Posts : 13
   Posted 10/19/2005 7:23 PM (GMT -6)   
That is crazy....

I don't think that is normal, nor do I think that you should put up with that kind of treatment.

The first time I went to my neuro we spent atleast an hour talking about all of my symptoms since childhood..etc....

she diagnosed me with Basilar Artery Migraine and started me on Verapamil, Migreleif, COQ10 and naprosen for the actual migraine pain.

you need to find someone who is going to listen to you and take you seriously. It is a serious disease.

Try an actual headache clinic....

good luck,


Nicky (coquitlam55)
Veteran Member

Date Joined Jul 2005
Total Posts : 505
   Posted 10/21/2005 11:24 PM (GMT -6)   

Hello and welcome!

Typically in a first appointment you may be prescribed another triptan, though it usually comes with an explanation. However, the manner in which you were talked to (or not talked to) doesn't have to be typical.

I like Jen264's answer, your relationship is a partnership with your doctor to figure out a therapy that will work the best for you. We have to remember that doctors are people too who aren't all born with perfect people skills. I have run into my share of "quiet" or "shy" doctors and have found the best way to deal with them is to clearly communicate my needs. Tell the doctor what you are looking for, go with a list of prepared questions, do some research ahead of time and discuss the different options you find. If after trying to talk to the doctor you still find you are not satisfied then it might be time to switch.

As for the time thing, that really gets me going sometimes. I had one doctor that you were guaranteed an hour's wait whenever you went. I don't see her anymore. You could ask the doctor or the receptionist at what times there are short waiting times (i.e first thing in the morning, right after lunch) and make your appointments for those times if you don't want to wait.

Good luck.

The secret of health for both mind and body is not to mourn for the past, not to worry about the future, or not to anticipate troubles, but to live in the present moment wisely and earnestly.   Buddha

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