Since I had my first migraine April 1st....I have been in the ER several times awaiting my upcoming appt with my neuro doc. I have a migraine care plan from my doc....but that seemed to only make matters worse the last time I had to go to the ER. They have asked me not to come back. I dont have any history of anything like this with them until present. I am very frustrated. My doc has me on meds....but its finding the right ones that work thats hard. Until then...I get sharp pains so badly that it sends me to my knees. My eyesight goes blurry, tingling in my arms.....its the most horrible thing that has ever happened to me. I realize that at the ER they cannot work magic....but I wish they could understand that even if what they give me only offers a night without pain....its worth it. I know that the headaches will keep coming....but I'm afraid and I dont know where to go when it happens.

Hang in there, I hope your doctor can help you find a treatment plan soon!


I'm so sorry this is happening to you. I had this happen to me in 2006. When I' made a complaint, the doctor put me into some database as a drug seeker. Just this past month it's caused me problems both during an ER visit for another reason and with my pain management doctor. I was very lucky to meet with a new primary care doctor on Monday. Turns out he also specializes in managing chronic pain. I discussed the incident with him, and he just shook his head. He says ER doctors see way too much drug seeking behavior and they are also under alot of scrutiny from the DEA etc.
Unfortunately this doesn't help you very much when your head is splitting and you're desperate for some relief. How much longer do you have to wait before you see the neuro? I sure hope they are able to find some answers for you, and it's nothing as serious as a tumor. There are several drugs they can give you that are supposed to help prevent migraines including Topamax. I started on that one yesterday. Unfortunately, it makes me pretty loopy, but he says that this will pass. Something that worked well for me in the past, from the root of the butterburr plant, is called petadolex. I'm going to order it again even though my headaches now are rebound headaches from overuse of chronic pain meds. Unfortunately I'm not in a position to stop the meds so it's Topamax time.
Have you tried any of the triptans like Maxalt? The kind that dissolves under your tongue works quickly. For my worst migraines, it takes two of them, but it does control the symptoms.
Again, I'm so sorry that this is happening to you. I may not have any specific advice to give on how to deal with the ER, but I can let you know that there are a lot of people here who understand and sympathize with what you are going through. I think it is reprehensible that we should have to deal with this kind of prejudice on top of the terrible pain we are experiencing. It may be our only hope is strength in numbers. I would like to compile a report of these types of experiences. Perhaps make it an investigative journalism type of piece. If you would like me to include your story, please send me a message in my inbox. I understand you can go to my home page by clicking on my name at the bottom of this post.
I know how difficult life must be right now, but please hang in there. Migraines can be managed and quality of life can be regained. Until that time, I will continue to hold you in the light.
COmtnmama
I agree wholeheartedly with the previous comment. Further, ask your MD for the INJECTABLE Imitrex. I sounds scary but I used to inject it into the fat of my stomach. The whole contraption is very user friendly and the needle is only about 1/4" long!
If you must go to ER, state firmly that you are not there for narcotics but for an injection of Imitrex. I used to go to Urgent Care all of the time, they would give me the injection, leave me a the dark examining room for 20-30 minutes and then, if I was feeling better (most of the time), I'd carefully drive the 1/2 miles home and go to bed. I think if you tell the ER people that you do not want narcotics but a triptan to help your migraine, they might be more apt to listen.
Also, as the other comment mentioned, talk to your MD about the Maxalt that dissolves in your mouth; that way, you don't have to worry about throwing it up :0(
Good luck, I used to have migraines at least once a month. Now that I am an old 57, I only get them about every 3 months. Hang in there.............we know that it is rough. I used to be in bed for three days with vomiting, diarrhea, and a knife in my skull that wouldn't stop.
P.S. We have the same problem with our little town in southern Utah --- they have signs all over the ER area stating that they do NOT prescribe narcotics. Sheeesh........what has the DEA done to those of us who legitimately need help?
Hi! I am very stressed and need advice..here is my store:
I am 34 weeks pregnant with my 3rd child. I also have a 13 month old. Before becoming pregnant with my second child (2months to be exact) I had a laporascopy done for severe endometriosis. During that entire pregnancy I suffered from horrible lower right sided abdominal pain that no one could seem to diagnose. Well after having our daughter we were not planning on having anymore children. Needless to say when she was 4 months old we found out we were expeecting again. I then began to see a new doc and suffered the same horrible pain. At 4 months pregnant I had a diagnostic laporoscopy after spending a month in the hospital. This also came up inconclusive. I was then referred to a pain management doc. It took him 10 minutes to diganose me with abdominal nerve damage due to the first surgery. I then received anesthetic shots in the wall of my stomach off and on to manage the pain along with medication. At 6 months pregent, my husband and I had to move to Nebraska for his career. I encountered so much trouble gettting approved for medicaid here and often had to be seen in the emergency room for the pain since we could not affordto be seen in the physicians office. The doctors new my situationa and were great at first. One doc saw me more than the others and increased my pain medication stating no pain management doc in nebraska would take me being preggo. I could tell i was becoming physically dependent o the medication and attempted to discuss this with him many times. Finally i said no more meds and called my doc to ask how to safely stop taking them. he told me just to stop and drink plenty of fluids and all would e fine. I did this and got very sick..and he was of no use! We found a place where i could safely detox from all of the medication. i spent 4 embarrassing days there. After about 2 weeks the pain became unbearable so i went to the doc I had been seeing. He was not in so I was seen by another physician. SHe came in and the first thing she said was " I see you went to rehab for addiction." I explained the situation and she sent me home screaming and crying refusing to treat me. My husband then took me to another nearby hospital and we explained what had happened. By this point I was also having sever pain in my back as well They did no tests. The doc came in and said "I have spoken with the other physician and we cannot treat you and you will not be recieving anmore narcotics for the remainder of your pregnancy!" I was crying so bad by this point and my husband was angry. We then went to a 3rd hospital where I used my maiden name. Well it turns out I was having contractios that were 3 minutes apart. They had to stop labor! This event has seriously affected me. We are now covered by insurance and trying to find a doc short notice close to us (not from one of th first 2 hospitals). I am soooo terrified of being treated like someone kind of addict. I am serioulsy have anxiety over this. I am affraid the birth of my baby will be overshadowed by what is now in my medical file when I legitimately did nothing wrong! I have had no medication in months. I have been in horrible pain and suffered through it. I have on appointment on THursday with a doc where I am going to explain all of this to, but I am affraid. Am I doomed to be treated badly?
I would like to apologyze. After reviewin my previous post, I realized how many typing errors I made.
I also wanted to note, that while being seen at both hospitals we had made it clear that I was not trying to get narcotics! I cannot go to the third hospial, because I did not use my correct information, which I am immensly ashamed of. My insurance has all of my correct information on it. I just wanted to clarify.
"If ignorance is bliss, why aren't there more happy people in the world?"
I cant believe any of these stries. Its awful to know that people who are addicts ruin it fr the rest of us who have serious and chronic pain problems. I have degenertive disc disease and has a spinal fusion three yrs ago. Ever since then I have extreme migaines due to the rest of my back above the fusion having so much tension. It always starts as a tensin headache and blws into a full puking migraine. Once I start throwing up its the point of no return for me. I have been to the ER every few months for the last two yrs but it has slowed to only once in the last six months. I have been under pain management for 2 yrs. I think once your already on pain meds regularly it takes more strong meds to get rid of pain like this. I have never been called a drug seeker but its in the back of my mind everytime I go. They should be able to tell your in real pain by seeing your stats blood presure etc is raised. Yesterday I went in for a horrible one. They gave me a cocktail of benadryl, tramadol, zofran and dilaudid. It didnt work except for the nausea. So finally they came in and gave me a double dose of dilaudid and it finally subsided enough to go home. I cant help it that my pain requires strnger meds than other people and I hate having to be paranoid about going in to get some help. And I hate thinking the staff recognizes me because ive been there so often but its the only thing tht works