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	<title>Pain in the Head &#187; neurologist</title>
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	<description>The continuing saga of my cluster headaches...</description>
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		<title>Summer, School, Stuff</title>
		<link>http://www.paininthehead.org/2009/06/23/summer-school-stuff/</link>
		<comments>http://www.paininthehead.org/2009/06/23/summer-school-stuff/#comments</comments>
		<pubDate>Tue, 23 Jun 2009 18:14:50 +0000</pubDate>
		<dc:creator>Artin</dc:creator>
				<category><![CDATA[Headaches]]></category>
		<category><![CDATA[iphone]]></category>
		<category><![CDATA[medications]]></category>
		<category><![CDATA[neurologist]]></category>

		<guid isPermaLink="false">http://www.artin.org/blog/?p=391</guid>
		<description><![CDATA[Been busy the past few weeks and really haven&#8217;t had much to blog about.  I&#8217;ve found that Twitter fills in my need to broadcast to the world more often than writing up a formal post.  Half the time I get through writing a post I realize I&#8217;ve been babbling and end up deleting it. The [...]]]></description>
			<content:encoded><![CDATA[<p>Been busy the past few weeks and really haven&#8217;t had much to blog about.  I&#8217;ve found that Twitter fills in my need to broadcast to the world more often than writing up a formal post.  Half the time I get through writing a post I realize I&#8217;ve been babbling and end up deleting it.</p>
<p>The migraines have been pretty consistent lately.  I get 1-2 attacks a week with most of them responding fairly quickly to over the counter medication.  I talked briefly with my neurologist this week and he said if OTC is doing the job, then we don&#8217;t have to look at going back on to anti-seizure medications any time soon.  I don&#8217;t take enough of the NSAIDs for them to be an issue with my liver at this point.  I&#8217;d like to be on a prophylactic medication but the side effects from the ones I have been on aren&#8217;t really ideal for me.  Topamax had such a positive effect on the migraines but making me turn into a stupid idiot was difficult to handle.</p>
<p>School has been going well over the summer.  I&#8217;ve been making headway on my iPhone migraine diary and may even have something out there by the end of summer.  I have to remember I&#8217;m not doing this to make money on the iTunes store, but rather get a good grade for my graduate Capstone project.  Rushing to get it out to the market isn&#8217;t what I would consider a good idea.  However, if I got real world users to help with the process along the way, that could make for a very good final presentation.  On a good note, my neurologist is totally on board with helping me with the application!</p>
<p>Summer is FINALLY here in Wisconsin and we&#8217;re having our first 90+ degree day.  Can&#8217;t say I&#8217;m thrilled for the heat and high humidity, but it&#8217;s nice to have the body clock reset after a really long winter.</p>
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		<title>The Year Ahead</title>
		<link>http://www.paininthehead.org/2008/12/26/the-year-ahead/</link>
		<comments>http://www.paininthehead.org/2008/12/26/the-year-ahead/#comments</comments>
		<pubDate>Fri, 26 Dec 2008 15:12:28 +0000</pubDate>
		<dc:creator>Artin</dc:creator>
				<category><![CDATA[Headaches]]></category>
		<category><![CDATA[medications]]></category>
		<category><![CDATA[migraine]]></category>
		<category><![CDATA[neurologist]]></category>
		<category><![CDATA[School]]></category>
		<category><![CDATA[weight loss]]></category>

		<guid isPermaLink="false">http://www.artin.org/blog/?p=362</guid>
		<description><![CDATA[I&#8217;m happy to say that I&#8217;m done with school for this semester and got an A in both of the classes.   The software engineering class was difficult and took a lot of time so I&#8217;m glad it was recognized with a good grade.  Next semester I&#8217;m taking a project management course and something with IT [...]]]></description>
			<content:encoded><![CDATA[<p>I&#8217;m happy to say that I&#8217;m done with school for this semester and got an A in both of the classes.   The software engineering class was difficult and took a lot of time so I&#8217;m glad it was recognized with a good grade.  Next semester I&#8217;m taking a project management course and something with IT management over the Internet.  Going to school one night a week will be nice.</p>
<p>The holidays are nearly over and I can&#8217;t believe another year is starting.  Next year I&#8217;ll be turning 30, will have been together with Tazz for 13 years, had our house for 8 years, been diagnosed with migraines for 7 years.  I have typically established goals for myself in writing on this blog, but never really think about them in such a concrete manner again throughout the year.  To sum up this next year&#8217;s goals: be healthy &amp; be happy.  Making a punchlist of dos and don&#8217;ts isn&#8217;t productive, for me at least.  As long as the choices I make maintain my health and happiness, I&#8217;m cool with that.</p>
<p>I&#8217;ve had a rash of migraines over the past month that hopefully I can just attribute to stress.  In the past, I would easily have 5-6 episodes a week that would respond to over the counter medication.  However, now I seem to get more frequent spikes of pain that last a few minutes and then go away for most of the day.  Taking any medication doesn&#8217;t make sense in these cases as the pain will probably subside before the medication has a chance to be absorbed into my system.  The number of instances of migraines that visibly affect my speech or thought processes are also on the rise.  I don&#8217;t normally get overwhelmed with pain to the point where I can&#8217;t think straight but at least once in this month I&#8217;ve had a migraine that made me feel drunk or like I was stroking out.</p>
<p>Next year my employer&#8217;s medical insurance is changing its deductible schedule for physician visits.  My family doctor will increase to $25 a visit and now specialty visits, like to my neurologist, will be increased to $50.  I may see if my family doctor can get my records from my neuro to help with managing the migraines.  I usually only see my neuro once a year but $50 is quite a bit of money to be given the next round of antiseizure medications that help the migraines but put the rest of my body through hell.  I&#8217;m sure everybody is going through this same type of change with their benefits, assuming you even have a job during this next year.</p>
<p>Happy New Year everyone.  Lets hope it brings more balance to our lives and a renewed sense of hope.</p>
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		<item>
		<title>Time For a Tune-Up</title>
		<link>http://www.paininthehead.org/2007/09/26/time-for-a-tune-up/</link>
		<comments>http://www.paininthehead.org/2007/09/26/time-for-a-tune-up/#comments</comments>
		<pubDate>Wed, 26 Sep 2007 14:40:20 +0000</pubDate>
		<dc:creator>Artin</dc:creator>
				<category><![CDATA[Headaches]]></category>
		<category><![CDATA[General Health]]></category>
		<category><![CDATA[medications]]></category>
		<category><![CDATA[MRI]]></category>
		<category><![CDATA[neurologist]]></category>

		<guid isPermaLink="false">http://www.artin.org/blog/2007/09/26/time-for-a-tune-up/</guid>
		<description><![CDATA[Over the past few weeks I&#8217;ve considered going back to my neurologist for a tune-up. The frequency and duration of my headaches has been anything but consistent the past 18 months. I can go a week without any pain and then have a 7-day span that feels like the world is ending and I&#8217;ll never [...]]]></description>
			<content:encoded><![CDATA[<p><img src="http://www.artin.org/blog/wp-content/uploads/2007/09/mechanic.thumbnail.jpg" alt="Mechanic" align="right" />Over the past few weeks I&#8217;ve considered going back to my neurologist for a tune-up.  The frequency and duration of my headaches has been anything but consistent the past 18 months.  I can go a week without any pain and then have a 7-day span that feels like the world is ending and I&#8217;ll never be without the headaches.  I&#8217;m just not quite sure what good is going to come out of seeing him again.</p>
<p>I&#8217;ve been on Topamax, Depakote, verapamil, triptans, melatonin, indomethacin, celebrex to name a few.  None of them really worked.  Is that strange?  I&#8217;m not willing to stay on any more anti-seizure medications.  I was not myself on Topamax and I&#8217;ve realized I&#8217;m probably better off not screwing with my neurotransmitters if I don&#8217;t have to.  Ultimately, coming back to Tylenol and ibuprofen has proven more effective than any $50/month medication.</p>
<p>I&#8217;m not expecting some new miracle cure that developed in the past year to fix it all for me.  I think at least I&#8217;d like to get another MRI done for comparison to the two others I&#8217;ve had.  While I&#8217;ve been assured that nothing like a tumor or clot is responsible for the pain, I&#8217;d like to stay up on it.  Maybe some day I&#8217;ll make a mobile made up of brain scans.  I think that would be pretty.</p>
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