A MIRACLE HAS HAPPENED - I GOT TREATED AT THE ER!

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CRANKY 1
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Date Joined Aug 2005
Total Posts : 616
   Posted 10/28/2006 12:47 PM (GMT -7)   
Having been totally cut off my narcotic migraine meds (the only ones that work), I have really been suffering lately whever I get a migraine attack.  Last week I suffered through one without medical attention for four days.  The last medication my PCP gave me was MAXALT, which was a total waste of a lot of money.  Two days ago, I got another migraine when the weather changed and my monthly hormones kicked in, exacerbated by my TMJ.  I was the worst migraine I can remember in a long time.  I held on as long as I can, but finally around Midnight, I called my Dad to take me to the ER.  The last three times I went, I was refused treatment, but I was so miserable I had to take a chance.
 
Well, lo and behold, I actually got an ER doctor who treated me with no problems.  He asked me what had worked before, so I told him Dilauded and Phenergan, and he said someone would be back with a shot shortly.  AND THEY WERE!!! tongue   My headache began to subside and I was released to go home.  Granted, it took 2 1/2 hours, but I got relief!  Guess it never hurts to try.  I think it really boils down to what doctor you get, and some just lie to you about whether OR not they can\will treat you because they CAN .
 
God Bless the Sympathetic Doctors! yeah
 
Leigh Ann cool

"The weather is here, I wish you were beautiful."
                                             - Jimmy Buffett


Annuk
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Date Joined Jan 2006
Total Posts : 1308
   Posted 10/28/2006 1:41 PM (GMT -7)   
Hi Cranky,

So glad you got the treatment you needed. You are probably right about how they can treat you. Most of them seem to make judgements that are not in touch with the reality for some people. They must see an awful lot of 'drug-seekers', and they must get on their nerves, but they should not lump everyone in the same basket. This Doctor you saw obviously didn't lump everyone in the same basket!!!

So glad you are feeling better.

take care

Ann

humbling pains eh
New Member


Date Joined Oct 2006
Total Posts : 12
   Posted 10/29/2006 9:10 AM (GMT -7)   
hello there,

it is quite the phenomenon that people with addictions and i know a few can always seem to get what they want, but tht for all my life i was turned away from help and laballed a drug seeker. im am sorry to hear u rum into the same treatment. when it comes to er visits i got turmed away a thousand or more times. funny thing is i never once asked for pain pills always only for help. never got any till last month or so.

it absolutely true that its all to do with the resident physician at the time of our vistir to er. those pill seekers are draining our health system and damm them i say. freaking see pill addicts buy 80 mg perc and oxicotin but the real sufferes "us" cant get any help.

it is a sad situation that i have to buy percs of the streets, and couldnt get any real help.

HOW DO WE FIX THIS PROBLEM?????????????

JB1363
Regular Member


Date Joined Oct 2006
Total Posts : 67
   Posted 10/29/2006 6:26 PM (GMT -7)   
I'm so glad you got treated Leigh Ann.
I just went last night to the ER and they asked me what works for me too.
I told them Vicodin.
So they gave me some.  No questions asked.
Thank God.
I just hate stressing the whole 3 hrs i'm waiting whether or not i'm going to get a doctor that understands that i'm in pain and i need help.
I had already taken 3 Fiorcet and 2 motrin that day.
Hot packs.
Ice packs.
Bath.
Aromatherapy.
No relief until the vicodin.
Thank God i got an understanding doctor.

AngMichelle
Veteran Member


Date Joined Apr 2006
Total Posts : 932
   Posted 10/31/2006 10:55 PM (GMT -7)   
I understand. I quit going to the ER for migraines. I just cry untill the next morning and go to my PCP, or his FNP. I can't imagine saying, "Diladid usually works" and getting a shot. when they do ask, i say nubain, and it does work, but I know that is something not usually "seekers' ask for(like demerol or diladid). I went to the ER because me "sed rate"(inflamation) was like 100 pts. too high and I had bad abdominal pain. It was amazing when the morphine didn't work, they changed it to demerol. the nurse even noticed how fast it helped in comparison, and they didn't mind a bit. I was in shock. I think the blood results helped though.
I'm so sorry you too have to suffer not only the physical pain, but all the emotional pain too. its rough.
I have one word of advice, IF at all possible, try not to go to the ER between midnight and 4am. I know thats when I just can't stand anymore and go, but for some reason, the doctors treat you worse. Just a thought. I hope you find relief. I now use stadol ns at home(one bottle a month) to use in place of the shots. it works most of the time.

JB1363
Regular Member


Date Joined Oct 2006
Total Posts : 67
   Posted 11/1/2006 12:17 PM (GMT -7)   
Ang
I noticed you said Nubain.
I never hear anyone talk about that at all.
I was given Nuban when i was in constant preterm labor. 
They had to give it to me every night for quite a while in the hosptial w/ 2 out of 3 of my pregnancies.
I didn't know it was something they could give to you for headaches and stuff.
I'm going to read more about that.

AngMichelle
Veteran Member


Date Joined Apr 2006
Total Posts : 932
   Posted 11/1/2006 4:24 PM (GMT -7)   
Nubain is a narcotic pain med. but for me it doesn't cause rebound as bad as Stadol shots. 10mg Nubain with 50 phenergan usually does the trick. But you can only get it in shot, so that is why I use stadol NS at home. It is the "popular" headache shot where I live.

Nicky (coquitlam55)
Veteran Member


Date Joined Jul 2005
Total Posts : 505
   Posted 11/1/2006 4:44 PM (GMT -7)   
Congratulations Leigh Ann,
 
I'm happy for you.
 
I was wondering, have you discussed long term time released narcotics such as MS Contin with your neurologist? My neurologist recommended morphine (in this form - MS Contin) after none of the other regular "migraine" treatments worked. If you have found that narcotics are the only thing that work, then perhaps being on a regular regimen of them would really help. I take a low dose of morphine every day that is slowly released over 12 hours. I have a medication for break through migraines which works very well because I'm already on a pain killer and so it only takes a small amount to fix the migraine.
 
It's a difficult decision to make and many of the myths make it sound like people who take narcotics are addicts. It's not true. A low dosage is prescribed and the patient doesn't get high. The medication is slowly released and stops the ups and downs from the migraines.
 
Just a thought that might help.
 
Nicky
Co-moderator Migraine Forum
 
I'm working everyday to overcome the pain and depression that comes from my chronic resistant migraines.
 
 


LadyPam912
New Member


Date Joined Nov 2006
Total Posts : 1
   Posted 11/1/2006 9:47 PM (GMT -7)   
Hi. I hope someone can help me. I've been suffering from severe migraines for nine weeks now. I can't do anything in my house...just lie with ice on my head. I've tried Imitrex, Zomig, and a new one that I can't remember (supposedly long acting, since mine last 3-5 days, so far). A new, young physician has put me on Zoloft, saying it's one of the three "types" of drugs that can help prevent migraines, but takes about six weeks to work. This is the third week & I've had two bad ones in a week; one lasting three days, this one since yesterday (Tuesday). Pain meds don't work...well, at least the Vicoprofin I have now, but I do use phenergen for the nausea. My father is very ill & dying, but my sisters don't understand that I can't even get ready to make the ten-minute drive to go in & help him. (He has Parkinson's.) Any new ideas that I can tell this new doc or my PCP? Thanks. Pam

Annuk
Veteran Member


Date Joined Jan 2006
Total Posts : 1308
   Posted 11/2/2006 12:41 AM (GMT -7)   
Hi LadyPam912,

Welcome to Healing Well. Sorry you are going through this, I think you need to go back to the Doctor and discuss abortive medication. The Imitrex you have is that in tablet form? You may get more benefit from the Imitrex nasal spray (faster acting) or injections. I have had the injections for years and they have given me a quality of life!!! But all this needs discussing with your Doctor!

Wishing you all the best, please feel free to ask any other questions you may have and please post back and let us know how you get on.

take care

Ann

Nicky (coquitlam55)
Veteran Member


Date Joined Jul 2005
Total Posts : 505
   Posted 11/9/2006 6:45 AM (GMT -7)   

Hello LadyPam912,

Welcome again. tongue

I concur with Annuk, it sounds like you need to discuss abortive medications with your doctor. Or perhaps request to see a neurologist, preferably one who specializes in migraine headaches (if you're not already).

Do you have any idea what is triggering your migraine?

A naturopath recommended that in addition to ice on your forehead, also putting heat on your lower back at the same time. It's part of cranial sacral therapy and gets the fluids moving in your cranial sacral system.

As Annuk mentioned the triptan medications are availabe in other forms. I used Imitrex in the nasal spray form successfully. I also like Zomig sublingual which melts under my tongue. Zomig also makes a nasal spray.

I'm sorry to hear that your family is having trouble understanding. It can be hard for non-migraine sufferers to understand that we suffer from more than a migraine and yes a ten minute drive and the stress waiting at the other end can be too much. I have been sick for over ten years and my mother still doesn't get it.

My doctor recommended a combination of medications that seems to work when I have a headache that won't break. I take 2 Tylenol 3s (Acetaminophen with Codeine), 2 Toradol, 2 Gravol (or perhaps in your case phenergen) and an Ativan (sub lingual). The Ativan helps me relax. The Gravol settles my stomach. The Toradol relaxes any muscles or stops them from inflaming and finally the Tylenol 3s kill any pain that's left. I find this can be really helpful for those stubborn migraines that won't react to Amerge, Zomig, Imitrex, or any other triptan.

Good luck, let us know how it goes.

 


Nicky
Co-moderator Migraine Forum
 
I'm working everyday to overcome the pain and depression that comes from my chronic resistant migraines.
 
 


CRANKY 1
Veteran Member


Date Joined Aug 2005
Total Posts : 616
   Posted 11/15/2006 4:08 PM (GMT -7)   
UNFORTUNATELY, my good luck getting successful treatment seems to depend on the doctor I get.  My trip to the ER last week took four hours and I only got Torradol and Phenergan.  The Phenergan helps to put me to sleep, but the Torradol doesn't do crap for my migraine pain, but trying to convince a doctor who is against narcotic treatment is pointless.
 
Tonight, I'm going to have to make another trip, cause a major storm front came in and I'm about to lose my mind from the pain.  Hopefully, I won't get the same lousy doctor as last time.
 
Wish me luck, as this is such a crap shoot.
Leigh Ann cool

"The weather is here, I wish you were beautiful."
                                             - Jimmy Buffett


Nicky (coquitlam55)
Veteran Member


Date Joined Jul 2005
Total Posts : 505
   Posted 11/15/2006 4:25 PM (GMT -7)   

Hi Leigh Ann,

I might have asked this before, but have you tried finding a neurologist or family doctor who will prescribe a regular regimen of narcotics such as morphine? Some neurologists will treat chronic migraines as chronic pain and will administer narcotics for daily use so you don't have to go to the hospital. Possibly a pain center would help. Just some thoughts, because you seem to be suffering so much.


Nicky
Co-moderator Migraine Forum
 
I'm working everyday to overcome the pain and depression that comes from my chronic resistant migraines.
 
 


Annuk
Veteran Member


Date Joined Jan 2006
Total Posts : 1308
   Posted 11/15/2006 4:26 PM (GMT -7)   
Hang in there Leigh Ann, and I hope you get the treatment you need tonight!

thinking of you, take care

Ann

CRANKY 1
Veteran Member


Date Joined Aug 2005
Total Posts : 616
   Posted 11/16/2006 1:57 AM (GMT -7)   

Well guys, tonight was another pain in the posterior region.  My PCP had me on two types of narcotics, Stadol Nasal Spray as an abortive, and Lorcet Plus 7.5/650's for breakthrough pain.  Apparently, a new doctor to the practice was staunchly against using narcotics for migraines.  She would not even approve a Nubain/Phenergan shot for a full-blown migraine.  She pitched a fit over this at a staff meeting, and now none of the doctors will prescribe any type of narcotic for my migraines.  I was told I was being referred to a pain clinic, which turned out to be a Detox facility.  After two months of trying to get an appointment, the director pretty much blew me off and stopped returning my calls.  Guess he figured I was already detoxed and didn't need an appointment anymore.  He could have at least called me back and explained. nono  

When I went to the ER tonight, the doctor gave me a huge lecture on smoking (which I barely do now) and asked me what I wanted him to do for me.  I told him that a pain shot of Dilauded and Phenergan worked best for me.  Then the nurse showed up with 1mg of Dilauded and 12.5mg of Phenergan.  What a puny dosage!!!  I was so pissed because it usually takes at least 3mg Dilauded and 50mg of Phenergan to really make an impact on making the migraine go by.  When the nurse came back twenty minutes after my shot, I explained that I had received almost no relief from the shot.  She went back to ask the doctor, but he refused to do anything more.  I swear, if they are not really willing to do what it takes to adequately treat me successfully, I wish they would have the balls to say so to my face.  They always let the nurses catch all the flack.

I'm going to try to hit the hay now.  Hope you guys are having better luck than me.

Leigh Ann cool

 


"The weather is here, I wish you were beautiful."
                                             - Jimmy Buffett


Annuk
Veteran Member


Date Joined Jan 2006
Total Posts : 1308
   Posted 11/16/2006 6:21 AM (GMT -7)   
Hi Leigh Ann,

How are you today?

take care

Ann

CRANKY 1
Veteran Member


Date Joined Aug 2005
Total Posts : 616
   Posted 11/16/2006 1:57 PM (GMT -7)   

Hey Ann,

I'm fairly rotten today.  It took me a boatload of meds to get to sleep last night with my migraine still entrenched.  I did finally get some sleep, but the weather went really bad early this morning which definitely didn't help.  In addition, I'm still fighting a sinus infection and bronchitus, and have a mouthful of infected, bad teeth.  I went to see my new Dentist again today.  He talked options with my mother for about an hour.  He took some more x-rays and decided things weren't as bad as he originally thought.  He is going to spend an entire morning working to fix all my problems, doing fillings and pulling anything that needs a root canal.  I'll end up with a partial denture, but that beats the heck out of full dentures or $30,000 worth of dental implants.  He thinks that my migraines may just improve if I can get all my tooth problems fixed.  That would be great.  Today, again he did a consult, took more x-rays, numbed me up, drilled out a couple of bad roots (I was on Nitrous Oxide, of course) and still didn't charge me anything.  I love this guy!!! And to think that I wasted a year with a bad dentist and paid him $4000 to do basically crappy work that needs to be redone.  ARRRGH!!!

Beware of asking me if I'm OK.  You're liable to get a long response!!!

Thanks for your support.

Leigh Ann cool


"The weather is here, I wish you were beautiful."
                                             - Jimmy Buffett


Annuk
Veteran Member


Date Joined Jan 2006
Total Posts : 1308
   Posted 11/16/2006 3:24 PM (GMT -7)   
Hi Leigh Ann,

When I ask if your ok I do expect you to tell me you know no matter how long it is!!! lol Sorry you have had such a rough day. Sounds as though at least the dental work stands to improve things for you.

Hope you feel better tomorrow.

take care

Ann

Nicky (coquitlam55)
Veteran Member


Date Joined Jul 2005
Total Posts : 505
   Posted 11/16/2006 4:45 PM (GMT -7)   

Hi Leigh Ann,

I'm sorry you're having such a tough time getting the help you need. I'm thinking of you and hope you find a way to solve this.


Nicky
Co-moderator Migraine Forum
 
I'm working everyday to overcome the pain and depression that comes from my chronic resistant migraines.
 
 


hopefulmigrainer
Veteran Member


Date Joined Oct 2006
Total Posts : 902
   Posted 11/16/2006 8:32 PM (GMT -7)   
Hi Leigh Ann, I'm so sorry that you are going through all of this. I will say one thing....rotten dental work can very well be the reason for a lot (if not most) of your migraines. The metals could be seeping into your bloodstream too. You might have a great opportunity here to rid yourself of a lot of your migraines. Wouldn't that be great? I hope you feel better soon!
Talk2Kel 
DX: chronic migraine, cervical degeneration, depression/anxiety 
RX: Wellbutrin, Lexapro, Soma, Immitrex 
"You don't find out that God is all you've got until God is all you've got."

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