(NOTE: This is a column written by a patient and his wife with no formal medical training or certifications.
These articles are not to be taken as medical advice - they are only opinions.)  Click here to return to the clinic.
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Listening

I would consider myself a well-educated patient.  Whenever a doctor mentions a term, I look it up.  I do research on my own.  I make sure I understand everything that it happening with my treatments.  I talk to other patients, I try to help other couples, and I listen to my doctors.

But I'm still bull-headed, and I paid for it.

I've been on a lot of different medications, many of which require the patient to taper off the medication.  In the past, feeling that I was immune to such requirements, I just stopped taking all of those medications without listening to the doctor's instructions about tapering off.  It went just fine every time.

Until this last time.

I hadn't been on the medication that long, and it was the lowest dose available, so I figured -- once again -- "No problem!".  So, against my doctor's recommendation, I went off of it without tapering.  The effects didn't really appear until the third or fourth day, but when they did, they REALLY hit!

This doesn't just apply to narcotics, benzodiazepines, and anti-depressants.  There are a lot of seemingly innocuous medications that can cause serious results if not used or tapered off properly.

So even though it's an old line, no matter how much you think you know...

Listen to your doctor.

David

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Headaches and Marriage
By Dave – A Patient

I received an e-mail that echoed what I've heard many time in my work in online support groups for pain and migraine sufferers.  The woman said that her husband wasn't very patient with her migraines.  I have heard countless stories of migraines causing problems in people’s relationships.

Simply put – they don’t have to!

I often suggest to these women to communicate openly with their spouses about their migraines and not to be afraid to ask for help, whether it involves watching the kids, doing some chores around the house, or (and often most importantly) offering their wife some comfort while she suffers.  Some actual responses from women are as follows:

1) My husband wouldn’t help out around the house if it was on fire and he had the only hose.
2) My husband doesn’t show affection like that.  He just wants to know if I’m able to have sex or not, and if I’m not, he just wants to watch TV.
3) My husband still seems to think I’m faking this to get out of doing housework.

Here’s a message to all you husbands out there who fit these descriptions, and you know who you are!  Migraines are DEBILITATING!  They are NOT just bad headaches.  A hangover doesn’t even come close to what a migraine does.  When your wife has one, she needs your help, your support, your compassion, and your intimacy.  With those things, she will get better much faster.  (And for those of you who think she is faking it: 1) She isn’t and 2) What’s the harm in giving her the benefit of the doubt?)

So how can you accomplish these things and help her out?  Here’s what you can do.
1) When she has a migraine, make the night all about her.
2) See if you can get a babysitter for the night to help her out. If you can’t, put her to bed in a dark, quiet room and don’t let the kids disturb her.
3) Clean up the house a bit so she won’t feel the need to do it herself.  For most women, a sense of order induces relaxation.
4) Find her a nice, quiet, dark spot to lie down – try the couch.
5) Turn off the overhead lights and turn off any loud noises.
6) Sit down on the couch and let her lie on your lap.  Put a cold, wet towel on her head, and massage her temples, forehead, and eyes gently for a while.

By taking these actions, you will increase your intimacy as a couple.  Your wife will be more comfortable opening up to you about her headaches.  She will recover from her headaches much faster and with much more energy to spare afterwards, and you will take your relationship to the next level just by being there for each other.  In short, you can turn a negative experience into a positive one.

Is dealing with a spouse’s migraines difficult?  Yes, it is.  But anything of great value always takes work, and what better way to put forth effort than towards helping the woman you love?

David
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Better Than Any Medication
By Dave - A Patient

As you may begin to learn from these articles, I have the most wonderful, patient wife in the world.  However, her splendor goes far beyond her kindness, patience, and compassion.  I read a Fox News article recently claiming that migraine sufferers have stronger sexual desire.

Yeah, I laughed too.

Then I really thought about it.  There are times when a rush of endorphins can definitely help a migraine.  However, once you're in the middle of one, that kind of activity is usually not the first thing that comes to mind.  However, another kind of intimacy does seem to help.

When I get a really bad headache, I will lay down with my wife on the couch and we will watch TV.  Even though my migraines are generally not triggered by stress and are not tension headaches, as I relax with my wife and begin to feel close to her, the pain becomes more tolerable.  I have also noticed that my migraine treatments work much, much better when I am relaxing with her.  The funny thing is, I've tried just relaxing on my own, and it does help a little, but not nearly as much as when I relax with her.

I suppose you could relate this phenomenon to the theories behind biofeedback or acupuncture.  If you can relax and quiet your mind, your body has a better ability to heal itself.  Whatever the reason, it sure works for me, and it also made Elise realize that she truly can help with my migraines, and that she is not powerless to stop them.

So whether it is cuddling with your wife, petting your cat, or calling your best friend on the phone, don't rule out the power of comfort and intimacy.

David
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How A Doctor Finds A Good Patient
By Dave - A Patient

Yes, that's right - how a doctor finds a good patient.  Everyone is concerned about finding a good doctor, but doctors also try to find good patients.  If you are a good patient, your doctor will have a lot more flexibility to treat you properly.  Every doctor has more rules to follow than anyone can track, so the more you can help them, the more they can help you.  So how can you be a good patient so that your doctor can do their job to the best of their ability?  Here are some tips:

Tip 1) Document, document, document.  Telling your doctor that you have "Bad headaches" is very vague.  Keep a headache journal either on a computer or in a folder.  When you get a headache, write down when you got it and how bad it was on a scale of 1-10.  Write down how much work you missed or even if it kept you from your normal activities like cooking dinner or shopping.  Once the doctor has documentation of the impact on your life, they can help you much more easily.

Tip 2) Communicate openly and honestly.  Don't be heroic.  If you can't take it anymore - tell the doctor.  If it is impacting your life, tell them how.  Give lots of details, and your doctor will be much more able to help.

Tip 3) Research.  It's your headache - learn everything can about it.  Go to medscape.com, headaches.about.com, clusterheadache.com, or anything else you can find online.  Learn about new treatment options and try to contribute ideas.  It will help...

David

To Doctor, to Doctor, to Fill Up a Med . . .

Once or twice per month, your spouse sees his or her headache doctor, but you've never met this mysterious person who works miracles.  Who is this ray of light?  What are his credentials?  What is her philosophy towards pain management?

Going with your spouse to one of his doctor visits may be helpful to both of you.  Why?  First of all, you can meet the doctor and put a face to his name.  This doctor is, after all, one of the most important people in your lives.  Because of the talent of Dave's doctor and her persistence in treating Dave's pain, my husband and I can travel.  The quality of his life is better.  And I come home to a much happier spouse.  

Another good reason to meet your spouse's headache doctor is to ask questions that your spouse may not be able to answer.  You may be curious about the possible causes of the migraines or cluster headaches.  You want to know what side effects the medications could cause.  When she's going through a painful string of cluster headaches, your spouse won't always think of all the questions to ask and may not remember everything about the appointment when she gets home.  She's just trying to get through one painful day after another.

One important reason for me to go with Dave to his doctor on occasion is to provide a "reality check."  One December, Dave was having a horrible cluster headache cycle.  Dave was a "glass-half-full" type of guy, so when the doctor asked how his cycle was, Dave said, "Oh, not too bad."  My mouth dropped open.  Not too bad?  He was in excruciating pain every night!  So I cleared the air, and the doctor understood the reality of the situation and gave my husband a more aggressive treatment.

You or your spouse may be hesitant about a family outing to the doctor.  After all, a visit to the doctor is a private thing.  But you won't be going often, and you don't even have to sit through an entire appointment.  During the last six years, I've gone to the doctor with Dave twice.  The first time, I went mainly to meet the doctor.  I went the second time because I wanted to ask some questions about cluster cycles--what they were, what triggered them, and whether they would go away when Dave got older.

Remember that you and your spouse are a platoon in the war against headaches.  To work better as a unit, you need to understand what your spouse is experiencing and educate yourself on headaches and their treatments.

Elise
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"What Do Those Little Blue Pills Do?"

Prescription bottles and colorful sample boxes for new migraine medications pepper the bathroom counter.  I can't keep all the "Z" medications--like Zofran, Zonegran, and Zomig--straight. How do these meds work?  How much should my spouse be taking?  What are the side effects?

These are valid questions and ones which you, as a migraine sufferer's spouse, should be able to answer.  If you need to take your spouse to the ER, you should be able to tell the doctor what meds your spouse takes.  This will help the ER doctors determine appropriate and inappropriate treatment.   

I have a hard time keeping track of all the meds Dave takes because he's switched some meds and he's trying new ones. So in my wallet, I keep an index card or a small piece of paper listing Dave's meds and the doses he takes.  I also note whether Dave takes the meds daily, weekly, or as needed.  The next time I take Dave to the ER, I can hand this list to the doctor.  I'll be anxious enough about getting Dave to the ER, so my mind may not be focused on the details of his meds.

You should also know the side effects of a med. Sometimes Dave hasn't recognized a side effect, but I have.  For instance, when Dave took Topamax, his personality changed.  Dave on Topamax was depressed and agitated, not like my fun-loving, relaxed, "the glass is half-full" Dave.  However, Dave didn't notice this change.  I talked with Dave about his mood change, and we looked up Topamax and its side effects on WebMD.  We learned that mood changes and depression are serious side effects of Topamax.  My alertness to the changes in Dave helped him avoid further side effects and determine that this drug wasn't right for him.

Some meds require the avoidance of certain foods or alcoholic beverages.  If you're aware of these dietary restrictions, you can replace the beer in the refrigerator with soft drinks and get rid of tempting foods your spouse can't eat.

Migraines are tough, and you and your spouse need to be a team in dealing with them.  Educate yourself about the medications you see in your spouse's medicine cabinet.  Help your spouse with his or her meds, not as a parent but as a partner.  Talk openly about what works and what doesn't work.   And always keep a list of your spouse's meds with you.

Elise

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Yes, Tonight Dear, I Have A Headache
By Elise - A Patient's Wife

Headaches brought my husband and I closer together.  

That statement may seem like an unrealistic one for couples who deal with migraines, but pain can bring people closer.  Here’s how it happened with Dave and me.


During the first several years of our marriage, Dave would shut himself in his office and work on his computer almost every evening.  So we did our own things, each in a different part of the house.  The physical space that separated us also signified our emotional distance from each other.  I wasn’t sure if he just didn’t want to be around me or if something else was bothering him.

One December day during our seventh year of marriage, Dave came to me in the living room, clutching his head.  I asked if he had hurt himself.  He told me he had a horrible migraine – a headache beyond a migraine known as a “cluster headache” (nicknamed the “suicide headache”).  The pain almost disabled Dave, and for the first time, he turned to me for emotional support when he was in pain.

Dave’s cluster headaches came in cycles.  He got them every December and again in April.  Each cycle lasted an average of two months.  During that first December cycle, Dave and I started relaxing on the couch every evening.  I stretched out with a pillow on my lap, and Dave rested his throbbing head on it.  When the pain would flare up, I would gently massage his temples to try and ease the pain.

It’s ironic, but the more the pain increased, the closer we became.  Those weeks of Dave’s first cluster cycle became a turning point in our marriage.  We watched Star Trek every night, and our growing intimacy helped him cope with his headaches. 

Dave said that one of the best decisions he ever made was to walk into the living room on that December evening and let me comfort him.  A few years later, he told me why he had isolated himself when we were first married.  He thought he was helping our marriage.  He was afraid that if he told me about every one of his headaches, then migraines would dominate every one of our conversations.  He feared that I would become tired of hearing about his headaches.

But headaches aren’t the only subject we discuss.  And because I can help him through his pain, we are now closer than we’ve ever been.

Elise

All articles and contents of this page are Copyright 2006 by Dave and Elise.  Contact us here for copyright permission requests.

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