Hi All,
I had my first appointment with a neuorologist for chronic acute migraines a few weeks ago and it did not go as I expected. He asked me a few standard questions and did a basic exam to rule out significant neurological issues and then completely changed my prescribed treatments. He has requested that I stop taking my prophylactic medications (propranolol and amytryptiline) and the triptans that I was taking at onset of a migraine; he instead prescribed an NSAID to take when I get an attack. In addition, he gave me papers containing physiotherapy exercises (many of which I am already doing) and requested that I go on an elimination diet that cuts out all foods known to trigger migraines and then slowly re-introduce them to see which one is my trigger. He then told me that if I follow this protocol, he promises that I will never have a migraine again (or at least see a significant reduction). The issue I have with all these changes is that I have been monitoring my migraines for association with food and other triggers for two years and have identified only climate and barometric pressure changes as my triggers. In addition, I am a student living on a very tight budget and can barely afford to pay my physiotherapy bills (at a discounted price) and the price of the triptans, which is lower than the new medication he has prescribed. In addition, I am nervous about stopping my current prophylactics as they are causing an overall decrease in my migraines and to go back to where I was before would be a significant disruption to my ability to go to school.I also mentioned increasing issues with waking up in the middle of the night to "silent" migraines where I got unusual auras and have more recently been having vivid hallucinations, but without the following headache. My comments/concerns were in general not acknowledged, and he seemed to have interest only in doing things his way (he had walked in with a writeup of the treatment plan already prepared, having never seen me before). I am open - though hesitant - to trying things his way to see if they work; but I was hoping first to get an idea from others who have seen a neurologist for migraines if this is a typical treatment plan for migraines? Or if anyone else has had a similar experience and can provide insight?
I had my first appointment with a neuorologist for chronic acute migraines a few weeks ago and it did not go as I expected. He asked me a few standard questions and did a basic exam to rule out significant neurological issues and then completely changed my prescribed treatments. He has requested that I stop taking my prophylactic medications (propranolol and amytryptiline) and the triptans that I was taking at onset of a migraine; he instead prescribed an NSAID to take when I get an attack. In addition, he gave me papers containing physiotherapy exercises (many of which I am already doing) and requested that I go on an elimination diet that cuts out all foods known to trigger migraines and then slowly re-introduce them to see which one is my trigger. He then told me that if I follow this protocol, he promises that I will never have a migraine again (or at least see a significant reduction). The issue I have with all these changes is that I have been monitoring my migraines for association with food and other triggers for two years and have identified only climate and barometric pressure changes as my triggers. In addition, I am a student living on a very tight budget and can barely afford to pay my physiotherapy bills (at a discounted price) and the price of the triptans, which is lower than the new medication he has prescribed. In addition, I am nervous about stopping my current prophylactics as they are causing an overall decrease in my migraines and to go back to where I was before would be a significant disruption to my ability to go to school.I also mentioned increasing issues with waking up in the middle of the night to "silent" migraines where I got unusual auras and have more recently been having vivid hallucinations, but without the following headache. My comments/concerns were in general not acknowledged, and he seemed to have interest only in doing things his way (he had walked in with a writeup of the treatment plan already prepared, having never seen me before). I am open - though hesitant - to trying things his way to see if they work; but I was hoping first to get an idea from others who have seen a neurologist for migraines if this is a typical treatment plan for migraines? Or if anyone else has had a similar experience and can provide insight?
Normal first appointment with a neurologist??
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