The CT scan results were unremarkable. The neurologist said it was basically done to rule out a tumor. An MRI is what is needed to learn more - but insurances want you to try the CT first.
While I was glad to get the "no tumor" news - having watched my Mom go through a brain tumor and the surgery that followed - I was happy to not have that on my plate. On the other hand, still unable to determine what is causing these stupid headaches continues to be annoying.
I really liked the neurologist. Several people in the doctor's office complex mentioned that he was an excellent doctor. He spent almost 2 hours with me. He took five 8.5x11 pages of notes.
He explained in great detail what headaches are. Went went over my health history. He asked me to walk him through my daily headache and then one of the ocular episode headaches. We pulled up my CT scan on the computer and went through the different slices and explained things to me. He talked about all of the different options out there to treat headaches and then did a series of eye tests and other reflex tests, etc.
He wants me to track everything for the next 3 months. What I eat, how much sleep I get, the severity of my headaches, the amount of exercise I get, what I eat/drink, the weather and anything else that might be of interest. The goal is to try to identify triggers for prevention.
He took me off Imitrex and is starting me on Midrin. He explained it as a "fire extinguisher" approach. Take 2 pills at the onset of the migraine - and follow every 2 hours until it has subsided. If I find that I'm taking Midrin often, we will switch to a "sprinkler system" approach - preventative medication that would be taken daily.
He's fairly certain that it's genetic. It often skips a generation and my grandmother suffered from migraines on my Mom's side. They usually start post puberty and if you don't get them as a teen - if you are going to get them, they tend to happen in your late 30's, early 40's - yep, that's me.
I asked about food triggers and caffeine - he encouraged me to stick with caffeine for the tension headaches - those are what he is calling my daily, bottom of the back of my head, headaches - the more serious level is the ocular migraine - which screws with my vision. Those are mostly right side, over my right eye.
He wants me to stop taking Aleve, Advil, Tylenol, Excedrin Migraine and anything else I've tried to take to deal with this. He just wants me to stick to caffeine and Midrin until we get things documented in my daily logs. Good thing my back/tail bone is feeling pretty good right now. As for the food triggers, he said that everyone has their own triggers...I need to find out what mine are. It's an individual thing. Sure, red wine, cheese and chocolate are usually mentioned by people that suffer from migraines - but it doesn't mean that's what it is for everyone.
I asked if I should stop taking BC pills - my primary care doctor recommended that. He asked how long I'd been taking them (since I was 16 was my answer) - he saw no reason for me to go off them. He said I was on a super low dose pill and my blood panel from 4 months ago showed normal levels - he just really doesn't think it's a contributing factor, but is also willing to explore it further if we need to.
It's definitely a wait and see thing. I'm sitting here with a headache as I type...awesome. I swear, it feels like it's never going to end - and headaches must like cookies - because I found myself baking them last night - during Biggest Loser - ZOMG...what happened to the girl that pretty much watched from the treadmill?
She's apparently "out of office" until things improve with her health. Sigh....I wish. Eating healthy and exercising will be part of my 3 month logs...I always feel better when I'm on track, just need to cut myself enough slack on the migraine days where I can't even step on the ground without pain. Those will be the days when I get home from work, get in my PJ's and let the world pass by without guilt...as I drift off into a drug induced slumber.