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Hello again, Chris!   I understand what you're seying about describing your Migraines in layman's terms. Still, it's difficult for me to offer you a lot of information without the accurate physican's diagnosis. What applies to Migraine without aura may well not apply to Migraine with aura, Basilar-Type Migraine, etc. See what I mean.   That said, if a Migraine lasts longer than 72 hours without a solid, four-hour period of pain-free time, while awake, that's a totally different matter too. That's termed Status Migrainous, and it's recommended that it be treated as an emergency because it can significantly increase stroke risk. See Stauts Migraious - The Basics. If the "standard" treatments usually administered for a long Migraine -- injections of pain and antinausea meds, steroid packs, etc. -- don't work, IV infusion of other meds used for refractory Migraines (descriptive term for Migraines not reacting to medications) may be tried to break the Migraine. See IV Treatment of Refractory Migraine.   The TEE is probably to see if you have a PFO, which may be a Migraine trigger for some people. That's fine, but if it's found you do have a PFO, the only way to legally and ethically have it closed because of Migraine disease is to be in a clinical trial. Since the closure device is still in clinical trials for Migraine prevention, it's not yet FDA approved for that purpose. That's why the only way to have PFO closure for Migraine is in the clinical trials. See PFO and Migraine - "Hole in the Heart" and Migraine?   Hope this helps some! Teri