Yes, this was neuro #5. He seemed pleasant enough, but did cut me off a few times when I was explaining some of the medical history and he also declined a copy of the records I had brought with me.
He asked all the usual questions that I have been asked countless times before and he did a basic neuro exam (similiar to what neuro #2 used to do).
Diagnosis: Chronic headache with migranious tendencies (or chronic migraine w/out aura). I find this amusing b/c I had been told by 4 other neurologists that these headaches aren’t migraines. He is basing it on the fact that when my head hurts I want to lay down and be alone. Doesn’t everyone want to do that when they have a headache? *shrugs*
I mentioned that it might be tied in with my cycles and he wasn’t convinced. (???) and said that regular pills were not advisable at my age (JFC I’m only 35. Oh God I’m 35. Someone prep my headstone now) and that I could try a mini pill, but he didn’t want to add too many things in at once and it will be revisited in 3 months when I go again.
So the plan is…
Continue Venlafaxine in am. Currently continue ativan. Add flunarizine as a preventative at night. For pain, I have to go to get a script for some naproxen/triptan combination which will probably kill me but he said this is a far lower dose than the imitrex that sent me to the ER. He also wants me to stop the ativan. I should be titrated off it, he said. I am concerned about this b/c what happens when I have a debilitating panic attack and have no pharmacological help? He said there was nothing that could be prescribed. So everyone in the UK who has anxiety issues just sits there and takes it? I don’t believe that for a second. I am hoping my GP can assist me in that area. My mom is sick back home (she is doing fine BTW) and I am trying to get my dissertation started. I need help with the anxiety. It isn’t a joke. He al,so said it was harder to come off of ativan than heroin. FUN TIEMS AHEAD. (or not)
Who knows, maybe this new med will be the magic pill . . . . .