The
doctor asked me a million questions, some I expected (symptoms, family history
of headaches, personal history of headaches, if I eat chocolate or drink
caffeinated beverages, etc.) and some that surprised me (if I get carsick, if I
can read in a moving vehicle). After a neurological exam and all the questions,
she told me that I have chronic migraines. This was not news to me. I’ve know
that for a good long while now. She also told me that I won the genetic lottery
for headaches…not really the kind of lottery anyone wants to win, but there’s
really not much I can do about it. I’ve been doing the headache think for so
long that most of the lifestyle changes she could have recommended have been a
part of my daily existence for a couple of decades now. She did, however, take
the time to talk about sleep. I know that not sleeping enough triggers
headaches for me, and she said that she could not overemphasize how important
it is to get enough sleep. She also said that headache prone brains do not like
change. Huh. Even my gray matter has OCD. Aren’t I the lucky one! (Be sure the
read that last bit with the appropriate sarcasm.)
Right
off the bat, she changed the dosage of my maintenance medication and took me
off the rescue meds I was taking. Apparently one of the ones I was taking was
pretty bad for causing rebound headaches. And the triptan I was taking
(triptans are the class of drugs that treat migraines) was so short lasting
that by the time my body metabolized it and I started to feel relief, it was
already wearing off. She also prescribed some tinted lenses for my glasses to
help with the light sensitivity bit.
Here’s
a bit of background on the whole light issue. I’ve been getting headaches on
grocery shopping day for years and I could not figure out why. About a year ago
I happened to read somewhere that fluorescent lighting can trigger migraines. I
mentioned it to Kev and he suggested I try wearing my sunglasses in the store
to see if it made a difference. It did. I was able to considerably improve my
odds of getting the shopping done without having a headache and over the past
year, I’ve learned to recognize the earliest symptoms of the light triggered
migraines and head them off with my sunglasses. So I was intrigued by the
tinted lenses idea.
It
took a few weeks to get the lenses made and longer than normal to get used to
them (because they are filtering out light, when I’m in a particularly funky
lighting situation I can see the light refracting and get a bit of the “pencil
in a glass of water” effect when I move around), but I’ve already noticed an
improvement. In the very worst of the stores-Walmart (which is only a small
part of the reason I hate Walmart so much) and Joann’s (bad for me but good for
my budget)-I still need to wear my sunglasses. I think the tint would need to
be considerably darker to make everything hunky dory in those places. But in
other stores I don’t seem to have any problems. And it seems to really help
when I’m sitting at the computer. I had gotten to the point where I could only
look at the computer screen for five or ten minutes before I started to feel a
headache coming on and things are significantly better now. (Seriously, there
is a really good reason why I’ve had such a hard time keeping up on my blog in
the past year.)
So
literally having a rosy outlook on life is helping. Changing up the meds seems
to be helping as well. I’m not having a headache nearly every day anymore.
Things aren’t as good as I’d like them to be, but I seem to be on an upward
climb. Hopefully that will continue.

