fireandearth: (kiwi)
[personal profile] fireandearth

I had an appointment with my neurologist yesterday. I've been seeing her for nearly a decade, and in the past I've noticed that she hasn't really been interested in discussing migraine triggering foods or behaviors. She mostly looks at my headache log and wants to give me more drugs. And honestly mostly I've been happy on my maintenance medications. I've been resisting her efforts to increase my medication dosages for several years now. She did introduce me many years ago to Singulair, which definitely had/has a positive impact, but she doesn't think being on fewer maintenance medications/lower doses should be a goal.

This time I brought her my headache logs and brought up the big (and surprise) impacts that experimenting with dietary changes had made and expressed interest in exploring that further. Her response was that it was "nearly impossible to identify food triggers" and that any improvements I see by changing my diet are "entirely due to the placebo effect" and won't last. When I asked about the migraine triggers I've known about for years she shrugged and shook her head.

So it's time for a new neurologist who can actually help me and is willing to take my experiences seriously. My maintenance medication prescriptions have all be renewed for a year and I am now completely sure it's time to find a new doctor, so the visit was worthwhile.

I did get a prescription to go back to my previous lower dose of Inderal/propranalol since increasing it last year didn't have any effect. In exchange I got an additional prescription for Elavil/amitriptyline to take in the morning as well as the ones I've been taking at night for years. I don't plan to take the new ones. Instead I think that in a couple of months I'll start shopping for a new neurologist who knows something about food triggers.

Does anyone have a good neurologist in DC/Northern Virginia/Southern Maryland who can work with me to determine food triggers and who doesn't just want to give me more drugs?
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