My neuro has put me on a preventative, which is certainly progress.  Fortunately, he has chosen one I quite agree with.  It is an anti-seizure med called Lyrica.  I have actually been eager to try it and would have suggested it to my doctor, if my doctor would try listening to me instead of brushing me off cause she is fustrated.  Anyway, Lyrica is the one newly recommended for FMS and so, I figure it might have an effect one way or the other... and lets say it helps with the FMS, well that would be one less trigger hindering my migraines or at the very least less pain for me.  He does not think it will help with the horrible visual snow I have had recently and he cannot put me on beta blockers due to the asthma (which are apparently benificial to such visual auras).  Still, perhaps this worsening of the visual aura is temporary.  All said and done, having him listen to me and try to help with treatment has vastly improved my mood, which was fragile at best... just the potential of some treatment having some effect gives a person something to hold onto.  I am also on leave from work again, for a month this time, because of my absences and my boss basically saying I would be fired if I missed another day... someone suggested I phone HR or I phoned them (can't actually remember how it came about, only that it did and after some grumbling my doc filled out the forms... so hate to put her out by having to do the tiresome task of doing so... only my career and state of being at stake)... anyway they are filing for more leave and my doc filled out the forms for a month leave.  Which is good because it will take hlaf that time for me to adjust to the intense sleepiness caused by the lyrica (a side effect that is not all that bad, since I am an insomniac and so love the sleep) and at least a month to see if there is any effect.