ER Trip Last Friday

Well, let me first say this---I seem to have been battling a series of headaches/migraines since the end of july.  Starting in July, August, Sept, Oct, Nov I spent one day a month in the ER with a migraine with uncontrollable vomiting so I couldn't even try to keep what meds I had down (these migraines were a 10, came on suddenly and violently--but other then that day or two I was pretty much headache free).

Since the end of december I literally have a headache everyday, usually it is a migraine carrying over onto the next day--or a new migraine attack starts (on a side note, this is wearing on me BIG TIME. Anyone who has read any of my previous posts--I'm sorry if I sound like a broken record, but this is taking over my life.  Im 21, I should have headaches from closing down the bars, not a debilitating migraine). 

My Insurance kicked back in on Feb 1st, I have been put on topamax recently to try it as a preventative. maxalt as abortive, fiorcet and phrenegan as rescue.

My Migraines usually are located in the low back RT side of my head.  Moving into the whole RT side of my head---temple, jaw, neck, etc.  I usually have an aura--flashing lights, lots of nausea, my speech is imparied--I just seem to have a hard time getting what I want said out. (sinus congestion also.)

Friday morning I was getting ready for work (6:00am) I had woke with a H/A--about a 4, but I was extremely dizzy and lightheaded.  As I was walking thru my kitchen, I had this flash of pain thru the top/whole right side of my head, then I'm not sure if I fainted or collapsed, but I ended up on the ground. I laid there for a good 30-45 seconds before I could get my mouth to work, to get my fiance out of my bed to help me.  I called into work telling them I would be late and laid down on the couch with a cool rag on my face. by then the head pain was back down to about a 3-4 just really nauseaus. dozed off for about an hour

8am--H/A back to about a 5-6 nausea--3, I went to see my general physician (my neurologist is not in the office on fridays) and he sent me to the er.  He wanted a cat scan done/blood work etc.  apparently topamax can have some very negative side effects....called into work, NO WORK AGAIN TODAY....

9:30am--ER, waiting

12:30pm--waiting still........H/A--8, nausea--9 cannot keep anything in my stomach

2:00--first dose of pain meds---some relief

3:30--h/a--4, na-only with certain smells (mother's perfume, fiance's cigarette smell)

       2nd dose of meds....cat scan time

5:30--cat scan normal, no news on blood work....another dose of pain meds and they sent me home.

NOW, can anyone explain to me why I collapsed, couldn't talk----wasn't usual with my migraines, and NO DOCTOR/NURSE explained this to me??

I am beyond irritated with my emergency room.  They wouldnt listen to me for one, I explained to the triage nurse what had happened and then the nurse who gave me pain meds accused me of not telling her the whole story. WTH??? I was sent there by MY DOCTOR. and still I have no answers.  I have an appt. with my neuro tomorrow afternoon, and my general physician would like me to go to the MICHIGAN MIGRAINE AND NEUROLOGICAL INSTITUTE since it seems like the headaches are worsening and becoming more persistant, and less reactive to my at-home pain meds.