Posted by avid abulia on July 12, 2003, at 22:44:29
In reply to Re: menstrual migraines or epilepsy? so frustrated!, posted by Ed O`Flaherty on July 11, 2003, at 16:16:04
> It looks like migraine here.Have you considered blocking ovulation e.g. by having a Mirena intra-uterine contraceptive coil fitted or by having Depo-Provera injections? The contraceptive pill may make migraine worse and is contraindicated if you get focal migraine where e.g. you lose the power of a limb.If that is not a problem consider taking the pill for 3 months without a break (omitting the dummy pills) and you will get only 4 attacks per year.
****************************I'm quite curious (and i'm quite aware it is totally irrelevant in my situation, but curiosity is my nature)... how do you know that 4 attacks will occur per year? What triggers those? Is it, like on the solstices and the equinoxes, or what? How do you know that hormonal therapy would not be even more effective, and help her even more in this instance?
Is that the advice you give all of your patients, do you tell them, do this, and you will get 4 attacks per year... and presto! Just as predicted, 4 attacks per year?
Because to me--bear with me, i'm a terrible thorn in peoples sides--it would seem like, while your advice is undoubtedly sound (you are a doctor, i am not, and i would completely bow to your advice with no questioning if this hadn't been so glaring to me)... you are not being very aware of the power of suggestion that doctors have over their patients.
While i am aware that this is a forum for medical treatments, the power of suggestion has power over physical ailments and ergo one could safely guess that there is some physical influence involved there... and while i am aware many people in positions of authority like doctors do not like to hear questions phrased like this, and i am totally at the mercy of yourself and the moderators to not be booted for this, which is not meant to be a heckle... I am still curious, and if there is a good physiological explanation for why it would be 4, and not "about 4," or "4 or less," i would be interested to hear it. If i am out of line by bringing such a concern up, please tell me and i will never again do such a thing.
~AA
poster:avid abulia
thread:240098
URL: http://www.dr-bob.org/babble/20030708/msgs/241344.html