#Neurological headache treatment

[boneandbrain]

How To Choose Best Neurologist in Gurgaon?

Finding the right neurologist is a crucial decision when facing a neurological condition, as these experts address complex issues related to the brain, spinal cord, and nerves.

In Gurgaon, with its advanced healthcare facilities, Dr. Nitisha Goyal, the best neurologist doctor in Gurgaon, has emerged as a top choice for comprehensive neurological care. Known for her expertise and compassionate approach, Dr. Goyal is dedicated to providing personalized treatment for a range of neurological disorders.

When selecting the best neurologist to meet your needs, Dr. Nitisha Goyal stands out as a trusted specialist committed to delivering exceptional patient outcomes.

How to Choose Best Neurologist in Gurgaon

1. Understand Your Neurological Needs

Neurology covers a broad range of conditions, from migraines and epilepsy to Parkinson’s disease and Alzheimer’s. Understanding your specific symptoms or diagnosis can help narrow your search. For example, if you have frequent, debilitating headaches, look for a neurologist specializing in headache management. A specialized neurologist will be more familiar with the latest treatments and management techniques for your condition.

2. Qualifications and Experience of the Doctor

When selecting a neurologist, their educational background and years of experience should be prioritized. Qualified neurologists typically hold an MBBS degree followed by an MD (Doctor of Medicine) and specialized training or fellowship in neurology. Doctors with several years of experience are often better equipped to handle complex cases and provide more accurate diagnoses.

3. Specializations in Neurology

Neurology encompasses various sub-specialties, including:

Pediatric Neurology: Deals with neurological issues in children.

Epileptology: Focuses on epilepsy and seizure disorders.

Neuro-oncology: Specializes in treating brain and spinal tumors.

Stroke and Vascular Neurology: Experts in stroke management and recovery.

Selecting a neurologist with a relevant sub-specialty can be beneficial, particularly if you have a condition that requires specialized care.

4. Reputation and Reviews

In today’s digital age, reviews play a significant role in assessing a doctor’s credibility. Research the neurologist online by reading patient testimonials on healthcare review platforms, hospital websites, or social media. Additionally, personal referrals from friends, family, or even your general physician can be invaluable. A neurologist with a solid reputation and positive feedback from patients can provide peace of mind.

5. Communication and Consultation Style

A good neurologist not only diagnoses and treats but also effectively communicates complex medical information in an understandable way. Observing their communication style during the initial consultation can be helpful.

Do they listen to your concerns? Are they patient and willing to answer questions? Neurological issues can be overwhelming, so having a doctor who communicates clearly and empathetically can make the journey smoother.

6. Treatment Approach

Neurology treatments can range from medications and lifestyle adjustments to surgeries. Some neurologists prefer a conservative approach, focusing on lifestyle changes and medication, while others may recommend advanced treatments if needed.

Look for a neurologist who aligns with your preferences and is up-to-date with the latest advancements in neurology. Technologies such as MRI, PET scans, and robotic surgery have revolutionized neurological care, and doctors familiar with these can offer cutting-edge solutions.

7. Availability and Accessibility

Neurological treatments often require regular follow-ups, so it’s essential to choose a neurologist whose availability suits your needs. Some neurologists offer teleconsultation services, which can be convenient for follow-ups or urgent concerns. Make sure to ask about their availability, the ease of scheduling appointments, and if they have emergency consultation options, as neurological issues can sometimes arise unexpectedly.

8. Costs and Insurance Coverage

The costs associated with neurological treatments can vary based on the type of care required and the doctor’s experience level. If you have insurance, confirm if the neurologist or their affiliated hospital accepts it. Certain treatments and diagnostic tests in neurology can be expensive, so understanding potential costs in advance can help prevent surprises. Some doctors or hospitals offer financial counseling, which can be beneficial for managing treatment expenses.

9. Languages Spoken by the Doctor and Team

Clear communication is critical in healthcare, and language barriers can hinder understanding. In Gurgaon, many neurologists are multilingual, speaking Hindi, English, and even regional languages.

If you’re more comfortable in a specific language, check if the doctor and their support team can communicate effectively in it, as it can significantly impact the quality of care you receive.

10. Emergency Care and Critical Care Services

Neurological emergencies, such as strokes or seizures, require immediate attention. Selecting a neurologist affiliated with a hospital offering 24/7 emergency and critical care services is wise. Emergency neurology departments equipped with advanced facilities can make a difference in critical situations.

Conclusion

Choosing the best neurology doctor in Gurgaon requires careful consideration of factors like specialization, experience, communication style, and hospital affiliations. By researching and understanding your needs, you can make a well-informed choice to ensure quality neurological care.

FAQ's

Q. How do I know if I need a neurologist?

If you experience symptoms such as persistent headaches, dizziness, numbness, memory loss, or seizures, consulting a neurologist is advisable.

Q. What questions should I ask a neurologist in my first appointment?

Ask about their experience with your condition, treatment options, side effects, and the long-term management plan.

Q. Are there different types of neurologists for different conditions?

Yes, neurology includes various sub-specialties like epilepsy, stroke, neuro-oncology, and more, each focusing on specific conditions.

[purnea-neuro-clinic]

Best Neurologists Doctor in Purnia, Bihar 2024 | Dr Shantanu

In Purnea, finding specialized medical care for neurological conditions is essential for ensuring optimal treatment outcomes and improved quality of life. With a focus on addressing various neurological ailments, a range of expert physicians and specialists are available to cater to diverse needs.

Stroke :-

For individuals grappling with stroke, seeking prompt medical attention is paramount. In Purnia Neuro Clinic, esteemed doctors specializing in stroke management offer comprehensive care aimed at minimizing damage and aiding in rehabilitation. Their expertise ensures timely intervention and personalized treatment plans tailored to each patient's unique requirements.

Epilepsy :-

Epilepsy, a neurological disorder characterized by recurrent seizures, necessitates specialized care from experienced professionals. In Purnia Neuro Clinic, dedicated epilepsy doctors employ advanced diagnostic techniques and innovative treatment modalities to effectively manage seizures and enhance patients' overall well-being.

Parkinson's :-

Parkinson's disease, a progressive neurological disorder affecting movement, requires the expertise of seasoned physicians well-versed in its management. In Purnia Neuro Clinic, renowned doctors specializing in Parkinson's disease offer compassionate care, utilizing cutting-edge therapies to alleviate symptoms and enhance patients' quality of life.

Migraines :-

For individuals experiencing migraines, finding the right doctor is crucial for effective treatment and symptom management. In Purnia Neuro Clinic, the best doctors for migraine treatment employ a multidisciplinary approach, combining medication, lifestyle modifications, and other therapeutic interventions to provide relief and improve patients' daily functioning.

Back pain :-

Back pain, a common neurological complaint, can significantly impact one's mobility and overall well-being. In Purnia Neuro Clinic, skilled back pain specialists utilize a range of diagnostic tools and therapeutic techniques to identify the underlying cause of discomfort and deliver targeted treatment solutions tailored to individual needs.

Seizures :-

Seizures, another prevalent neurological condition, require specialized care from experienced physicians well-versed in seizure management. In Purnia Neuro Clinic, the best seizures doctors offer comprehensive evaluation and personalized treatment plans to help patients effectively manage their condition and lead fulfilling lives.

In conclusion, Purnia Neuro Clinic boasts a cadre of highly skilled doctors and specialists dedicated to providing exceptional neurological care across various conditions. Whether it's stroke, epilepsy, Parkinson's disease, migraines, back pain, or seizures, individuals can trust in the expertise and compassion of these healthcare professionals to deliver personalized treatment and support for improved health outcomes.

[bestneurologistinindore]

Vertigo Treatment in Indore - Maitry Neuro Care Centre - Dr. Indu Bhana

Are you looking for effective vertigo treatment? Look no further than Maitry Neuro Care Centre in Indore, led by renowned specialist Dr. Indu Bhana. With a comprehensive approach to Vertigo Treatment in Indore, including advanced diagnostics and personalized therapies, patients receive expert care tailored to their needs. Say goodbye to vertigo symptoms today.

[dratampreetsing]

What is the common name for a cerebrovascular accident?

A cerebrovascular accident is commonly called a "stroke." It occurs when the blood supply to the brain is disrupted, leading to damage or death of brain cells. Strokes can have various causes, such as blood clots or burst blood vessels. Identifying the signs, such as sudden numbness, confusion, or difficulty speaking, is crucial for prompt medical attention. Timely intervention can minimize long-term effects. Remember, a healthy lifestyle with regular exercise and a balanced diet can significantly reduce the risk of strokes. Stay informed, stay active, and prioritize your well-being to safeguard against this serious health concern. Meet Dr. Atampreet Singh, your go-to expert for neurological concerns in Greater Noida. As the best neurologist in Greater Noida, Dr. Singh specializes in stroke treatment, earning him the title of a trusted stroke specialist. Whether it's epilepsy, headaches, or any neurological issue, his expertise ensures compassionate care. Trust Dr. Singh for top-notch neurological solutions in Greater Noida.

[keplercryptids]

common myths about migraines (AKA if you get headaches regularly, please seek treatment for migraines)

"i don't have migraines because while i get them several times a week, it's only when i am hungry or dehydrated."

those are probably migraines. thirst, hunger, sleep disturbances, or any disruption to routine are common migraine triggers.

"my headaches are specifically barometric related, i get them when the weather/altitude changes."

those are probably migraines. barometric pressure is a common migraine trigger.

"i get headaches all the time but ibuprofen gets rid of them so they can't be migraines."

that's not true. ibuprofen works great at relieving migraine pain for many people.

"my consistent headaches are tension headaches. i feel them originate in my neck/shoulders."

those are probably migraines. muscle tension is a common migraine trigger.

if you are regularly getting headaches (once a week or more), you are likely getting migraines. in fact, a good rule of thumb if you're consistently getting headaches is to treat them as migraines until you can rule out migraines. that's how common "chronic headache = migraine" actually is.

migraines are a neurological disorder wherein pain is one symptom. pain is often the MAIN symptom, and the most noticeable symptom, which can make diagnosis tricky. other symptoms of migraine include:

fatigue

nausea/vomiting

digestive issues

visual disturbances (auras)

sensitivity to light and/or sound

mood changes

brain fog/cognitive changes

ringing in the ears

dizziness/vertigo

numbness/weakness on one side of the body

this list is NOT complete, but is a starting point. i really like the comparison to a hangover. if you generally feel hungover when you get a headache (without having consumed alcohol), that's a classic migraine presentation.

so many people suffer from migraine and don't even know it, so they aren't able to advocate for themselves to get treatment. there are great new migraine treatments on the market! if you're able, please seek treatment for your migraines. a better quality of life is possible.

[neurologist23]

Best Neurologist doctor in Delhi

Dr. Manvir Bhatia is best neurologist in Delhi & best sleep specialist in India and has great expertise knowledge in the field of neurology and sleep, at Neurology Sleep Centre has world-class Neurology and sleep Services available for in clinic, neurology specialist in India.

[natandacat]

Played too much video game and triggered an episode this is so funny

[thebraiontower]

Get The Best Stroke Treatment in Jaipur By Qualified Neurologists

Best stroke treatment in Jaipur is possible under the guidance and supervision of expert neurologists who analyzes and evaluates the patient’s conditions and suggest

[wheelie-sick]

Nervous System Effects of Systemic Lupus Erythematosus

AKA I spent hours suffering trying to find all this information and I want you to not have to do that!

Cerebrovascular

1. Stroke

"...studies have shown that stroke occurs more frequently in people with SLE than in the general population, with ischemic stroke developing in up to 20% of lupus patients..." link

2. Cerebral Small Vessel Disease

"CSVD is an umbrella term for a variety of conditions resulting from damage to small blood vessels in the brain. In most cases, CSVD is caused by the narrowing or obstruction of small blood vessels in the brain due to inflammation and/or a buildup of misfolded proteins called plaques. This chronic damage can starve brain cells of oxygen and cause internal bleeding, which in turn can damage other nearby brain cells." link

Diagnosed via a brain MRI to look for bleeding of the small blood vessels, damage to white matter, and small strokes - link

Occasionally is confused for Multiple Sclerosis - link

"Quantified MRI brain studies of individuals with lupus show significantly accelerated cerebral SVD, suggesting that this is the most frequently observed radiological–pathological brain abnormality in lupus...." link

CSVD is a large cause of dementia in the general population but the significance of these findings in SLE patients is unknown - link

Central Nervous System

1. Transverse Myelitis

"Transverse myelitis is a neurological condition that happens when both sides of the same section of the spinal cord become inflamed. This inflammation can damage myelin, the fatty substance that covers your nerves. Loss of myelin often leads to spinal cord scarring that blocks nerve impulses and results in physical problems." link

Symptoms can develop quickly or over the span of several weeks. Symptoms include back pain, neck pain, paresthesia, loss of bowel and/or bladder control, and heightened sensitivity to touch - link

Diagnosed via CT, MRI, or myelography - link

Differential diagnosis of comorbid Neuromyelitis Optica Spectrum Disorder - link

Transverse myelitis occurs in approximately 1% of lupus patients - link

2. Autoimmune Aseptic Meningitis

"...an inflammatory condition affecting the meninges, the protective membranes surrounding the brain and spinal cord..." - link

"Given that many individuals with lupus are immunosuppressed, a critical differential diagnosis is one of infectious meningitis caused by typical or opportunistic pathogens." - link

May cause nausea, fever, and neck stiffness among other symptoms - link

Diagnosed with a lumbar puncture and/or CT in part to rule out other causes of symptoms - link

3. Chorea

Chorea is a movement disorder causing involuntary, irregular, and unpredictable muscle movements. It affects arms, legs, and facial muscles - link

4. Parkinsonism

Causes slowed movements, tremor, and stiffness - link

Not the same as Parkinson's Disease!

A rare effect of lupus - link

Diagnosed based on brain MRI, single-photon emission computed tomography (SPECT), and response to treatment - link

5. Myoclonus

"Myoclonus is an uncontrollable muscle movement that’s sudden and brief. " link

6. Demyelinating Syndrome

"An association between lupus and MS-like brain changes have been suggested, and sometimes termed “lupoid sclerosis”" link

3.7% of patients have a demyelinating syndrome (though not all have primary SLE demyelination) - link

Demyelinating syndrome may cause vision loss, muscle weakness, muscle stiffness and spasms, loss of coordination, change in sensation, walking problems, and changes in bladder and bowel function - link

7. Lupus headache

"Headache is a highly prevalent disorder in people with SLE, but there is no convincing evidence that this incidence is higher than that seen in the general population. Thus the entity of “lupus headache” is controversial." link

One of the main characteristics of lupus headaches is that they are not remedied by pain medication. lupus headaches require treatment with steroids or immunosuppressants to resolve -- "severe, persistent headache; may be migrainous, but must be nonresponsive to narcotic analgesia" link

8. Posterior reversible encephalopathy syndrome (PRES)

"Posterior reversible encephalopathy syndrome (PRES) is a neurologic disorder in which a person presents with visual disturbance, seizure, headaches, and altered mentation" - source

"Posterior reversible encephalopathy syndrome (PRES) has been increasingly identified in patients with systemic lupus erythematosus (SLE)" - source

8. Seizures

"prevalence of explicit episodes of seizures among SLE patients, varies from 2 to 8%." - link

"SLE patients with recurrent seizures usually have abnormal findings on EEG, consistent with focal aware events, epilepsy with impaired awareness and focal to bilateral tonic-clonic epilepsy, as demonstrated by Appenzeller and colleagues who found that 9.7 % of patients with single epileptic seizure had abnormal EEG findings, compared to 100 % abnormal EEG findings, commonly on temporal lobe, in patients with recurrent seizures" - link

Peripheral Nervous System

1. Cranial Nerve Disorder

"Cranial nerve disorder refers to an impairment of one of the twelve cranial nerves that emerge from the underside of the brain, pass through openings in the skull, and lead to parts of the head, neck, and trunk. These disorders can cause pain, tingling, numbness, weakness, or paralysis of the face including the eyes." - source

"Cranial nerve involvement is also relatively uncommon and usually transient, occurring in 10% of patients with SLE." - source

2. Peripheral Neuropathy

"Peripheral neuropathy happens when the nerves that are located outside of the brain and spinal cord (peripheral nerves) are damaged. This condition often causes weakness, numbness and pain, usually in the hands and feet. It also can affect other areas and body functions including digestion and urination." - source

"Peripheral neuropathy occurs in as many as 18% of patients with SLE" - source

Ocular

1. Optic Neuritis

"The optic nerve itself can sometimes be inflamed in lupus, or it can be affected when the blood vessels supplying the nerve are themselves inflamed (that is, ischemic optic neuropathy). This can lead to a change in vision, or even vision loss." - source

"Optic neuritis is an uncommon neurologic manifestation of systemic lupus erythematosus (SLE) and can be seen in about 1% of lupus patients" - source

"Optic neuritis usually affects one eye. Symptoms might include: Pain, vision loss in one eye, visual field loss, loss of color vision, and flashing lights." - source

Autonomic Nervous System

1. Autonomic Neuropathy

"Autonomic neuropathy occurs when there is damage to the nerves that control automatic body functions. It can affect blood pressure, temperature control, digestion, bladder function and even sexual function." - source

"Autonomic nervous system dysfunction is highly prevalent in SLE patients (up to 54%)" - source

Psychiatric

1. Lupus psychosis

" Psychosis is a serious mental disorder featuring defective thought processes, frequently with delusions or hallucinations." - link

Psychosis is one of the diagnostic criteria for systemic lupus erythematosus

"Differentiation of steroid-induced psychosis from lupus-associated psychosis is particularly challenging" - link

[covid-safer-hotties]

Also preserved in our archive (Daily updates!)

by Dr. Monica M. Bertagnolli

In 2021, NIH launched the Researching COVID to Enhance Recovery (RECOVER) Initiative , a nationwide research program, to fully understand, diagnose, and treat Long COVID. We continue to learn more about this condition, in which some people experience a variety of symptoms for weeks, months, or even years after infection with SARS-CoV-2, the virus that causes COVID-19. But we’re still working to understand the underlying reasons why people develop Long COVID, who is most likely to get it, and how best to treat or prevent it.

Studies have shown that for some people, SARS-CoV-2 doesn’t completely clear out after acute infection. Scientists have observed signs that the virus may persist in various parts of the body, and many suspect that this lingering virus, or remnants consisting of SARS-CoV-2 protein, may be causing Long COVID symptoms in some individuals. Now, in a new study supported by RECOVER, scientists found that people with Long COVID were twice as likely to have these viral remnants in their blood as people with no lingering symptoms. The findings, reported in Clinical Microbiology and Infection , add to evidence that Long COVID may sometimes stem from persistent infection or SARS-CoV-2 protein remnants.

The study team, led by David Walt and Zoe Swank at Brigham and Women’s Hospital in Boston, had earlier found preliminary evidence in a small pilot study that a SARS-CoV-2 protein could often be detected in the bloodstreams of people with Long COVID up to a year after the initial infection. In the new study, they wanted to better quantify this in a much larger group of people with Long COVID. The researchers developed a highly sensitive test to look for whole and partial proteins from the SARS-CoV-2 virus. They analyzed 1,569 blood samples collected from 706 people at various times after SARS-CoV-2 infection.

Overall, 21% of those in the study had detectable levels of a SARS-CoV-2 protein between 4 and 7 months after infection. In total, 82% of the study’s participants (578 people) had at least one symptom of Long COVID more than a month after their infections. Commonly reported symptoms included fatigue, brain fog, muscle pain, joint pain, back pain, headache, sleep disturbance, loss of smell or taste, and gastrointestinal symptoms. More than half of participants in this group (378 people) reported experiencing ongoing cardiopulmonary, musculoskeletal, or neurologic symptoms, and among those participants, 43% (165 people) had detectable virus protein. Also of note, of the asymptomatic people, about 20% had detectable virus protein.

While the researchers can’t definitively show that persistent infections are the cause of some Long COVID symptoms, the findings add to growing evidence that low levels of viral protein being present may explain some but not all cases of Long COVID. The authors and many other researchers suspect that Long COVID likely has multiple underlying causes. For instance, it’s possible that the virus may lead to harmful changes in the immune system that play a role in some cases of Long COVID.

Scientists also want to see if there is a subset of people with Long COVID or persistent symptoms who may benefit from antiviral treatment. To this end, RECOVER is supporting a clinical trial evaluating whether the antiviral drug Paxlovid (a combination of nirmatrelvir and ritonavir), which is used to treat COVID-19, could also be used to improve Long COVID symptoms. The trial is using the SARS-CoV-2 blood test developed by the Brigham and Women’s study team to evaluate whether Paxlovid can eliminate viral proteins from participants’ blood.

More study is needed to understand the causes of Long COVID symptoms in people who test negative for persistent infection, the researchers note. They are conducting follow-up studies in even more people with Long COVID, including those with compromised immune systems. They hope to learn more about what causes some people to be at higher risk for retaining some SARS-CoV-2 protein remnants and Long COVID.

Reference:

Swank Z, et al; RECOVER consortium authors. Measurement of circulating viral antigens post-SARS-CoV-2 infection in a multicohort study. Clinical Microbiology and Infection. DOI: 10.1016/j.cmi.2024.09.001 (2024).

Study Link: www.sciencedirect.com/science/article/abs/pii/S1198743X24004324?via%3Dihub (PAYWALLED)

[scientia-rex]

Hello, I appreciate your medical posts very much and having seen a post the other day where you said migraine was in your areas of special interest, I'd love to ask a related question. You talk about bodies and medicine and patient experience etc in a way that makes a lot of sense to me and I'd trust your take.

I have chronic migraine. I'm currently at 100% pain days, with varying severity. Very hard to pin down what is prodrome, the main event, and postdrome as it's all blurred into one. My migraine team want me to reduce painkiller usage (currently dihydrocodeine and paracetamol daily, and ibuprofen maybe every other day on top) due to rebound headache. I want to cut down because they're fucking expensive and I'm scared for my liver and kidneys. But I literally can't cope with life without them. I went off them for four months a few years ago and the pain was so severe and so debilitating I was the most suicidal I've been in my life. Without painkillers I can't get to the toilet unaided, rarely leave bed, even more rare to leave the house. It's hell. And that's not even considering the effects on everyone around me who has to pick up to care for me.

So what do I do? The way I see things, I need something to help the pain improve before I can use less painkillers, but the longer I go on trying to find something that works and not getting there, the more I think maybe I'm wrong in that. I know a bit about how codeine based painkillers can reduce your pain tolerance / pain baseline. I don't think it's an addiction issue because I've been at the same (over the counter) dosages for 4 years now. I just want to do all that I can to be better, but I also need to be alive to be better. I am stuck.

TL;DR - If you have any thoughts on the relationship between chronic migraine, painkiller use, preserving quality of life while finding a treatment, and increasing the chances of a treatment working, and where on earth the balance between all that lies, I'd really like to hear them.

Again, I absolutely appreciate if you can't answer this, don't want to etc. Giving advice online is notoriously tricky and all that. But a big thank you for your time in reading, and all your weight and exercise posts especially which make me feel so much better about my body. Wishing you all good things! 💖

I won't speak to your case directly, since I'm not your doctor, but here is my personal algorithm for escalating treatments for migraine (note that "abortives" in this case means something you take after a migraine starts to try to end it, while "prophylactic" means a daily treatment you take to reduce likelihood of developing a migraine):

-OTC combination of magnesium, feverfew, and butterbur, taken daily

-Triptans (insurance will usually demand patients fail at least 3 to cover a more expensive treatment)

-High-dose NSAIDs (as abortive treatment given risk of rebound headaches if used daily)

-Daily topiramate (insurance will always demand this is either failed or there's a clear contraindication)

-Daily calcium channel blockers

-Daily beta blockers (higher dose than used for anxiety or low-grade arrhythmias)

-Daily anti-epileptic medications (such as Lamictal)

-Monthly anti-CGRP monoclonal antibody injections (Aimovig or Ajovy; expensive so insurance will demand you've failed some or all of the previous meds)

-Abortive anti-CGRP orals (Nurtec or Ubrelvy)

-Abortive ergotamine, usually Migranal, a nasal spray (very expensive and must be repeated 15 minutes after initial dose regardless of whether symptoms are improving or not)

-Prophylactic Botox (I believe this is every 3 months, must be done in the office of a trained and licensed professional, usually but not always a Neurology provider)

-Sphenopalatine ganglion blocks (done by dripping lidocaine far back into the sinuses to reach the sphenopalatine ganglion, again in the office of a trained and licensed professional)

-Cephaly (transcranial magnetic stimulation at-home device), expensive so insurance hates covering it

Now, one of my newer tools, and my current personal favorite, is a greater occipital nerve block--easy and fast, low risk, and I've had about 90% success with my patients in aborting current headaches. Effects seem to last 3-4 weeks in most cases and since it's straight lidocaine (you don't have to include steroids, though you can) you can do it as often as needed. I generally do this in my office, but I did train one patient's spouse to do it at home given how frequent their headaches. The pharmacy lost their fucking mind about letting an outpatient have lidocaine. I don't know why.

I currently manage my pretty awful chronic migraines with a combination of monthly Aimovig, as-needed Excedrin (the combination of caffeine, Tylenol aka paracetamol, and aspirin is effective for many people but is a real risk for causing medication overuse headaches, the more official term for bounce-back), as-needed Ubrelvy (I can sleep after taking Ubrelvy but not Excedrin so it's a good option), and roughly monthly greater occipital nerve blocks (I teach my trainees to do it using myself as a subject). I wouldn't mind trying the Botox but it's a PITA to get in to see our only local Neurology provider and since my migraines are relatively well-controlled (probably 1-2 headache days a week right now) I don't think it's worth the effort.

I also really got a lot out of this lecture, so give it a try.

[princess-of-the-corner]

So I was reading and my brain went back into a specific thought cycle. Just making this to get it out of my head. Feel free to delete/ignore.

My step brother and I were both born neurological conditions that cause seizures. And since we don’t have the same parents our doctors couldn’t compare us to help diagnose what’s wrong with either of us. Which is pretty common actually. 1/6th of people get Symptoms Without A Name(SWAN).

When they aired Guilt Trip, I felt seen. I have almost nothing in common with Rose otherwise, but her nebulous unnamed condition with headaches and hospitalization made me feel seen. Cause that’s what my brother and I would have happen. Get a classmate to take us to the nurse and go to the hospital. Have our friends and family worry like hell because we had no idea of cause or treatment. Juleka was essentially showing what our brother, sister, and friends would go through. I felt so comforted, I felt seen.

Then people in the fandom started complaining. “Just say it’s cancer already.” “Omg do they think kids can’t handle knowing what leukemia is?”

I-I was crushed. This episode made me feel so happy about people getting to see. But they’re angry? Not everyone who has childhood illnesses or conditions has the luxuries of knowing what is wrong. It hurt so much. I’ve had to live nearly 30 years walking on eggshells with my life and I thought this could be something that could help a kid that’s in the position I was in feel better. But apparently the general public doesn’t know that. Or CARE?

You know what that's fair! And yeah I think most people who haven't experienced that wouldn't understand how it feels or looks. So writing that's vague like this comes off as bad or a copout.

I think some people's issue with it is less that and more that..... given ML's track record. This wasn't really done to give proper representation to that demographic of people and was more of a happy accident.

[morisbasement]

Shoutout to all my self-dx'ed peeps who went through medical gaslighting from stigmas.

To all the systems made to feel insignificant and almost crazy because they were told DID is "rare."

To all the narcissists who were told they're too nice and self-aware to be such a "bad person."

To all the people with depression who were just made to feel lazy and apathetic.

To all the autistic people who were infantilized, or who were told they were "too smart" or "not bad enough" to be autistic.

To all the people with BPD and Bipolar Disorder who don't have "enough" highs and lows.

To everyone with "rare" and under-researched neurological disorders that get overlooked because they aren't "important enough."

To all of you with chronic pain who are labelled as "lazy" and "melodramatic" "druggies" just looking for a hit.

To everyone suffering from migraines but can't get treated because they say it's just a "headache."

To those of you who feel horrible because your symptoms aren't "bad enough."

To those of you who aren't taken seriously until it gets bad.

To those of you who wish you could just die because nobody wil give you that closure.

To those of you who felt like a test subject for meds and treatments and nothing more, like your illness was just a box to be checked.

I see you, you're valid, and the health system is fucked. Sorry you also had to go through that.

[bestneurologistinindore]

Stroke Treatment Indore

Maitry Neuro Care Centre provides Best Stroke Treatment Indore like migraine, backache, neck pain, numbness, cervical pain, multiple sclerosis, and brain haemorrhage treatment call now 93018-95907.