1 00:00:03,400 --> 00:00:07,360 Speaker 1: Ruby. 2 00:00:08,200 --> 00:00:10,720 Speaker 2: Life sometimes has a way of blindsiding you with a 3 00:00:10,760 --> 00:00:15,480 Speaker 2: feeling of being overwhelmed at the worst possible time. That's 4 00:00:15,520 --> 00:00:19,120 Speaker 2: why you have your self care, your coping strategies, That's 5 00:00:19,120 --> 00:00:22,680 Speaker 2: why you have us. I'm Norah McInerney and this is 6 00:00:22,720 --> 00:00:26,279 Speaker 2: the head start Embracing the Journey, a podcast where we'll 7 00:00:26,320 --> 00:00:29,080 Speaker 2: be taking all those things you usually say for your 8 00:00:29,080 --> 00:00:32,120 Speaker 2: friend group out into the open so we can all 9 00:00:32,200 --> 00:00:36,600 Speaker 2: find a bit of optimism for those battling chronic migraine. 10 00:00:36,640 --> 00:00:40,680 Speaker 2: These conversations are going to be even more helpful and relatable, 11 00:00:40,760 --> 00:00:45,080 Speaker 2: so definitely stick around. This show is brought to you 12 00:00:45,120 --> 00:00:48,879 Speaker 2: in partnership with ABVI, So first let's hear some important 13 00:00:48,920 --> 00:00:51,440 Speaker 2: safety information and stay tuned to the end of the 14 00:00:51,520 --> 00:00:53,040 Speaker 2: podcast for more. 15 00:01:00,120 --> 00:01:04,160 Speaker 3: Indication. Botox on a bochulinum toxin A is a prescription 16 00:01:04,280 --> 00:01:07,000 Speaker 3: medicine that is injected into muscles and used to prevent 17 00:01:07,040 --> 00:01:09,800 Speaker 3: headaches and adults with chronic migraine who have fifteen or 18 00:01:09,800 --> 00:01:12,720 Speaker 3: more days each month with headache lasting four or more 19 00:01:12,760 --> 00:01:15,800 Speaker 3: hours each day in people eighteen years in older. It 20 00:01:15,880 --> 00:01:18,560 Speaker 3: is not known whether botox is safe and effective to 21 00:01:18,560 --> 00:01:21,520 Speaker 3: prevent headaches in patients with migraine. Who have fourteen or 22 00:01:21,600 --> 00:01:26,800 Speaker 3: fewer headache days each month or episodic migraine. Important safety information. 23 00:01:27,120 --> 00:01:30,480 Speaker 3: Botox may cause serious side effects that can be life threatening. 24 00:01:30,680 --> 00:01:32,760 Speaker 3: Get medical help right away. If you have any of 25 00:01:32,800 --> 00:01:36,720 Speaker 3: these problems any time, hours to weeks after injection of botox. 26 00:01:36,880 --> 00:01:40,920 Speaker 3: Problems swallowing, speaking, or breathing due to weakening of associated 27 00:01:41,000 --> 00:01:43,800 Speaker 3: muscles can be severe and result in loss of life. 28 00:01:43,920 --> 00:01:46,200 Speaker 3: You are at the highest risk if these problems are 29 00:01:46,200 --> 00:01:50,720 Speaker 3: pre existing before injection. Swallowing problems may last for several months. 30 00:01:50,920 --> 00:01:54,320 Speaker 3: Spread of toxin effects. The effect of botulinum toxin may 31 00:01:54,360 --> 00:01:57,360 Speaker 3: affect areas away from the injection site and cause serious 32 00:01:57,400 --> 00:02:00,840 Speaker 3: symptoms including loss of strength and all over muscle weakness, 33 00:02:00,960 --> 00:02:04,880 Speaker 3: double vision, blurred vision, drooping eyelets, coarseness or change or 34 00:02:04,960 --> 00:02:08,320 Speaker 3: loss of voice, trouble saying words clearly, loss of bladder control, 35 00:02:08,440 --> 00:02:12,359 Speaker 3: trouble breathing, and trouble swallowing. Please stay tuned for additional 36 00:02:12,440 --> 00:02:17,320 Speaker 3: important safety information within this podcast. Today's guest, Meghan mcinnernie, 37 00:02:17,480 --> 00:02:20,600 Speaker 3: is not a botox patient. Meghan was not compensated by 38 00:02:20,639 --> 00:02:23,560 Speaker 3: ABVI for sharing her story. Portions of this podcast are 39 00:02:23,560 --> 00:02:46,360 Speaker 3: sponsored by ABVI. Hi Everyone, Welcome back. Today is actually 40 00:02:46,400 --> 00:02:49,880 Speaker 3: the final episode of the season that went very quickly. 41 00:02:51,040 --> 00:02:52,800 Speaker 3: I know that a lot of our audience are people 42 00:02:52,800 --> 00:02:55,760 Speaker 3: who are a part of the chronic migraine community. And 43 00:02:55,800 --> 00:02:58,200 Speaker 3: I know that another part of this community are people 44 00:02:58,280 --> 00:03:01,080 Speaker 3: who love those that they know in their life who 45 00:03:01,080 --> 00:03:04,079 Speaker 3: are living with migraine, who want to show up for them, 46 00:03:04,280 --> 00:03:07,560 Speaker 3: understand them, and support them. It's hard to have a 47 00:03:07,600 --> 00:03:10,639 Speaker 3: chronic illness, and it's hard to watch someone you love 48 00:03:10,760 --> 00:03:14,040 Speaker 3: struggle with one. In season one, I talked a little 49 00:03:14,080 --> 00:03:16,760 Speaker 3: bit about my father's migraine attacks when I was growing up, 50 00:03:17,400 --> 00:03:19,440 Speaker 3: how they seem to come out of nowhere and cast 51 00:03:19,440 --> 00:03:22,400 Speaker 3: a whole cloud on the house. What I didn't mention 52 00:03:22,520 --> 00:03:26,120 Speaker 3: was that my big sister, Megan, has had very similar experiences. 53 00:03:26,880 --> 00:03:29,440 Speaker 3: All the stories I've heard and conversations I've had in 54 00:03:29,480 --> 00:03:32,560 Speaker 3: this show have given me a new understanding of what 55 00:03:32,639 --> 00:03:36,040 Speaker 3: each of them go through. Megan is eight years older 56 00:03:36,120 --> 00:03:38,160 Speaker 3: than me, which growing up might as well have been 57 00:03:38,240 --> 00:03:41,240 Speaker 3: thirty years. This was the eighties and the nineties where 58 00:03:42,080 --> 00:03:45,000 Speaker 3: a person eight years older than you could be your 59 00:03:45,160 --> 00:03:48,440 Speaker 3: full time character. Okay, the eighties were a wild time. 60 00:03:49,400 --> 00:03:52,320 Speaker 3: I saw Megan as an adult, I saw her as 61 00:03:52,320 --> 00:03:57,280 Speaker 3: a second mom. I was obsessed with Megan. I loved 62 00:03:57,280 --> 00:03:59,839 Speaker 3: going through her things when she wasn't home. I loved 63 00:03:59,840 --> 00:04:02,640 Speaker 3: sitting on her bed and watching her tease her bangs 64 00:04:02,680 --> 00:04:05,120 Speaker 3: and spray a cloud of hair spray around her head. 65 00:04:05,760 --> 00:04:09,200 Speaker 3: I loved everything she wore and everything she did, And 66 00:04:09,320 --> 00:04:11,400 Speaker 3: in a lot of ways, I am just a copy 67 00:04:11,520 --> 00:04:16,200 Speaker 3: of Megan. Anything I have done, Meghan did first, including podcasting, 68 00:04:16,480 --> 00:04:19,760 Speaker 3: writing a book, having kids. She is still the person 69 00:04:19,880 --> 00:04:21,920 Speaker 3: I look up to the most, even though I am 70 00:04:22,360 --> 00:04:25,119 Speaker 3: I believe five inches taller than her. And while Meghan 71 00:04:25,160 --> 00:04:28,600 Speaker 3: and I both inherited our father's nose, only she got 72 00:04:28,600 --> 00:04:32,520 Speaker 3: his nice thick hair and his not as nice migrant attacks. 73 00:04:33,600 --> 00:04:36,599 Speaker 3: If seeing my dad struggling with scary, seeing my sister 74 00:04:36,680 --> 00:04:40,240 Speaker 3: struggling has always broken my heart. I've always wanted a 75 00:04:40,240 --> 00:04:42,440 Speaker 3: way to just wave a wand and make it better, 76 00:04:42,960 --> 00:04:45,080 Speaker 3: to be able to reach into her head and pull 77 00:04:45,080 --> 00:04:48,160 Speaker 3: out whatever is hurting her. But instead we just have 78 00:04:48,240 --> 00:04:51,680 Speaker 3: to settle for love, compassion, and a conversation on a 79 00:04:51,680 --> 00:04:55,920 Speaker 3: public podcast. So here it is a conversation with me 80 00:04:56,120 --> 00:04:59,520 Speaker 3: and my big sister, Megan McInerney. And yes we know 81 00:04:59,600 --> 00:05:02,480 Speaker 3: that we s like, yes, we know that our laughs 82 00:05:02,560 --> 00:05:05,919 Speaker 3: are quite loud. You will hear my Minnesota accent activate 83 00:05:05,960 --> 00:05:10,320 Speaker 3: the longer we talk. I simply cannot help it. Before 84 00:05:10,360 --> 00:05:21,320 Speaker 3: we meet Megan, I'm going to check in with doctor Ryan. Hi, 85 00:05:21,480 --> 00:05:24,919 Speaker 3: doctor Ryan, what are you ready to talk about my sister? 86 00:05:25,400 --> 00:05:29,840 Speaker 1: I sure am. So the story that I hear is 87 00:05:29,839 --> 00:05:32,760 Speaker 1: that you guys have really similar energy. Yeah we do, 88 00:05:32,920 --> 00:05:36,039 Speaker 1: but you're kind of the wild hippie and she's like 89 00:05:36,200 --> 00:05:37,280 Speaker 1: the more buttoned up. 90 00:05:37,360 --> 00:05:41,520 Speaker 2: She's always had it together, and she also has chronic migraine. 91 00:05:41,560 --> 00:05:45,279 Speaker 1: So there's this quiet like hope that anytime that we 92 00:05:45,400 --> 00:05:48,719 Speaker 1: have somebody that you know who's dealing with chronic, that 93 00:05:48,839 --> 00:05:52,240 Speaker 1: the stuff we talk about here gets to them specifically. Yes, 94 00:05:52,279 --> 00:05:54,000 Speaker 1: you know what I mean. So the way that I'm 95 00:05:54,040 --> 00:05:56,120 Speaker 1: going to see our conversation today is really like it's 96 00:05:56,160 --> 00:05:57,200 Speaker 1: just trying to help out your sister. 97 00:05:57,360 --> 00:05:58,120 Speaker 4: I really love that. 98 00:06:04,320 --> 00:06:07,400 Speaker 2: Okay, guys, today is extra special and will be extra 99 00:06:07,520 --> 00:06:10,960 Speaker 2: fun because today we are talking with one of my 100 00:06:11,000 --> 00:06:14,479 Speaker 2: favorite people who is extra special and extra fun, my 101 00:06:15,160 --> 00:06:16,760 Speaker 2: big sister, Megan. 102 00:06:17,839 --> 00:06:21,400 Speaker 4: Megan. To kick things off, who is your favorite sister? 103 00:06:22,240 --> 00:06:25,720 Speaker 4: I haven't thought about this question. Can I get back 104 00:06:25,720 --> 00:06:25,920 Speaker 4: to you? 105 00:06:27,240 --> 00:06:27,440 Speaker 3: Oh? 106 00:06:27,600 --> 00:06:31,400 Speaker 2: Wait, you're my only sister that she puts you in 107 00:06:31,560 --> 00:06:36,480 Speaker 2: the coveted number one position, forever number one spot, and 108 00:06:36,520 --> 00:06:39,400 Speaker 2: I will take it because, as you know, I've won 109 00:06:39,839 --> 00:06:42,360 Speaker 2: very few awards, and the ones that I kept, I've 110 00:06:42,400 --> 00:06:45,680 Speaker 2: been told are not awards, including Most Improved. 111 00:06:45,560 --> 00:06:50,000 Speaker 4: For nearly every sport. Oh, that's just such a pity award. 112 00:06:50,440 --> 00:06:54,360 Speaker 4: They were like, you're still here, thanks for showing up. Hey, hey, 113 00:06:54,760 --> 00:06:55,159 Speaker 4: you're here. 114 00:06:55,680 --> 00:06:59,880 Speaker 2: You're not good, but you haven't gotten worse, Okay, Megan. 115 00:07:00,080 --> 00:07:04,239 Speaker 2: I have told listeners about Dad's migrain attacks. I remember 116 00:07:04,279 --> 00:07:07,920 Speaker 2: him going into our parents room with a cold washcloth 117 00:07:07,960 --> 00:07:09,800 Speaker 2: on his eyes, and how he'd lay on top of 118 00:07:09,800 --> 00:07:12,160 Speaker 2: his covers like a corpse. 119 00:07:11,960 --> 00:07:15,280 Speaker 4: Yeah, like a vampire, just like a empire, with arms 120 00:07:15,280 --> 00:07:20,560 Speaker 4: cross arms crossed, fully clothed, fully clothed, above the covers, 121 00:07:21,200 --> 00:07:23,920 Speaker 4: and then he would yell at us for talking or 122 00:07:24,000 --> 00:07:28,960 Speaker 4: laughing brings him. So and I have witnessed your migrain attacks, 123 00:07:29,000 --> 00:07:32,119 Speaker 4: but we've never really talked about them. And I thought 124 00:07:32,160 --> 00:07:33,680 Speaker 4: it would be the best if we did this on 125 00:07:33,720 --> 00:07:38,480 Speaker 4: a podcast for thousands of people, so I couldnkre I did. 126 00:07:38,680 --> 00:07:41,040 Speaker 4: I did think about that when I was getting ready 127 00:07:41,080 --> 00:07:43,720 Speaker 4: for this conversation. Like we you and I. You know 128 00:07:43,800 --> 00:07:46,080 Speaker 4: I have them, but I don't think we've ever talked 129 00:07:46,120 --> 00:07:46,679 Speaker 4: about them. 130 00:07:47,120 --> 00:07:50,160 Speaker 2: So all of these questions are questions that I do 131 00:07:50,240 --> 00:07:53,280 Speaker 2: not know the answer to you, including when did this start? 132 00:07:53,760 --> 00:07:56,880 Speaker 2: Like what were your migrain attacks? Like how would you 133 00:07:56,960 --> 00:08:00,680 Speaker 2: describe them to someone who didn't experience them life your 134 00:08:00,680 --> 00:08:05,200 Speaker 2: favorite sister. Yes, the first one that I clearly remember 135 00:08:05,280 --> 00:08:09,160 Speaker 2: getting was when we lived in La Crescent and I 136 00:08:09,200 --> 00:08:12,040 Speaker 2: was at our neighbor's house. And I remember this distinctly 137 00:08:12,080 --> 00:08:14,360 Speaker 2: because I started to get what now I know is 138 00:08:14,400 --> 00:08:16,920 Speaker 2: an aura, but at the time I didn't know what 139 00:08:16,960 --> 00:08:17,160 Speaker 2: it was. 140 00:08:17,200 --> 00:08:20,600 Speaker 4: I just knew that something was really wrong, and so 141 00:08:20,920 --> 00:08:24,200 Speaker 4: I went home and then all of a sudden, this 142 00:08:24,760 --> 00:08:30,680 Speaker 4: intense discomfort and I was very sensitive to light. I 143 00:08:30,720 --> 00:08:33,360 Speaker 4: got very sick. So I remember going into my room, 144 00:08:33,679 --> 00:08:38,360 Speaker 4: laying down and just crying, just wanting whatever was happening 145 00:08:38,400 --> 00:08:43,040 Speaker 4: to be over. I wonder if because Dad had migrant attacks, 146 00:08:43,400 --> 00:08:48,000 Speaker 4: do you think he kind of understood like the seriousness 147 00:08:48,000 --> 00:08:51,320 Speaker 4: of what you were experiencing. Yeah, and he was the 148 00:08:51,400 --> 00:08:56,200 Speaker 4: person who really started to recognize what they were. It's 149 00:08:56,240 --> 00:09:00,560 Speaker 4: extremely difficult to understand if you've never experienced one, so 150 00:09:00,600 --> 00:09:03,120 Speaker 4: I think it was helpful that Dad had them and 151 00:09:03,160 --> 00:09:06,440 Speaker 4: could recognize what they were and they could get me 152 00:09:07,480 --> 00:09:12,720 Speaker 4: some help. Did you see a neurologist or what kind 153 00:09:12,760 --> 00:09:16,760 Speaker 4: of help did they get you? I think initially I 154 00:09:16,800 --> 00:09:19,560 Speaker 4: went to just our regular doctor, and then I was 155 00:09:19,640 --> 00:09:23,800 Speaker 4: pretty quickly referred to a neurologist, and I tried a 156 00:09:23,800 --> 00:09:29,280 Speaker 4: lot of different medications, most of which I would take. 157 00:09:29,840 --> 00:09:33,360 Speaker 4: At the onset of the migraine attack. At that time, 158 00:09:33,600 --> 00:09:37,120 Speaker 4: there wasn't much that I could take that was trying 159 00:09:37,160 --> 00:09:40,640 Speaker 4: to prevent them. Now there's a lot more options for preventing. 160 00:09:41,080 --> 00:09:43,280 Speaker 4: At that time, it was like, listen, if one hits you, 161 00:09:43,679 --> 00:09:45,920 Speaker 4: these are the ways that we can help you with 162 00:09:46,440 --> 00:09:49,599 Speaker 4: the discomfort, the nausea, whatever it is that you're experiencing. 163 00:09:50,160 --> 00:09:53,199 Speaker 4: What do you think triggered those earlier migraine attacks and 164 00:09:53,960 --> 00:09:58,120 Speaker 4: have your triggers changed over time? No, I don't know 165 00:09:58,480 --> 00:10:04,040 Speaker 4: what started them. I've never known what has caused them. 166 00:10:04,520 --> 00:10:07,120 Speaker 4: For me, it's a lot of different things. I do know. 167 00:10:07,240 --> 00:10:10,120 Speaker 4: If I don't get enough sleep, I'm more likely to 168 00:10:10,160 --> 00:10:12,080 Speaker 4: get one. Doesn't mean I'm always going to get one. 169 00:10:12,080 --> 00:10:14,640 Speaker 4: If I didn't get enough sleep, if I haven't eaten 170 00:10:14,679 --> 00:10:19,040 Speaker 4: in a long time, if I'm dehydrated, if the weather 171 00:10:19,160 --> 00:10:23,520 Speaker 4: changes quickly so in the summertime, if a thunderstorm comes 172 00:10:23,520 --> 00:10:27,040 Speaker 4: in really fast, much more likely to get a migraine attack. 173 00:10:27,520 --> 00:10:31,960 Speaker 4: So over time, I've developed this mental encyclopedia of these 174 00:10:32,000 --> 00:10:35,800 Speaker 4: are the things that put me on alert that I 175 00:10:35,920 --> 00:10:38,000 Speaker 4: might be kind of in the danger zone. And I've 176 00:10:38,000 --> 00:10:42,920 Speaker 4: started to notice signs inside of my body that tell 177 00:10:42,960 --> 00:10:45,120 Speaker 4: me like, ooh, I think I'm kind of in the 178 00:10:45,240 --> 00:10:47,440 Speaker 4: zone where I could possibly get one. 179 00:10:48,840 --> 00:10:53,240 Speaker 2: Yeah, how long were you experiencing migraine attacks before you 180 00:10:53,360 --> 00:10:57,720 Speaker 2: got an official diagnosis of chronic migraine. 181 00:10:57,800 --> 00:11:01,360 Speaker 4: I would say probably five years. It's difficult too, because 182 00:11:01,400 --> 00:11:06,160 Speaker 4: they're so they could be so unpredictable. So even thinking 183 00:11:06,160 --> 00:11:09,000 Speaker 4: about something like chronic migraine, which is a certain number 184 00:11:09,040 --> 00:11:12,720 Speaker 4: of headache days you have within a certain time window, 185 00:11:13,360 --> 00:11:15,720 Speaker 4: you can go through periods of time where you're getting 186 00:11:15,720 --> 00:11:19,280 Speaker 4: them quite frequently, and frequently enough that it is really 187 00:11:19,320 --> 00:11:24,360 Speaker 4: disrupting your work life, your personal life, your social life. 188 00:11:24,760 --> 00:11:28,080 Speaker 4: It's really when I think about the things that I've 189 00:11:28,160 --> 00:11:31,960 Speaker 4: missed because I just couldn't do it, I physically couldn't 190 00:11:31,960 --> 00:11:35,480 Speaker 4: do it, it makes me really sad. So I'm fifty. Now. 191 00:11:35,559 --> 00:11:39,960 Speaker 4: I've also heard that during menopause, chronic migraine can get 192 00:11:40,000 --> 00:11:42,600 Speaker 4: worse or get better. It just feels like such a 193 00:11:44,080 --> 00:11:46,960 Speaker 4: it's kind of a crapshoot, like what's going to happen? 194 00:11:53,120 --> 00:11:55,600 Speaker 2: Okay, I want to bring you back into the conversation here, 195 00:11:55,679 --> 00:11:59,720 Speaker 2: doctor Ryan. So we're talking today about the same thing 196 00:11:59,720 --> 00:12:02,079 Speaker 2: we have always talk about, but today it's different because 197 00:12:02,360 --> 00:12:06,720 Speaker 2: we're also talking about my sister, and I think pretty 198 00:12:06,800 --> 00:12:10,600 Speaker 2: much every guest that we've had on this show says 199 00:12:10,880 --> 00:12:14,000 Speaker 2: that they wish that they had found a headache specialist sooner. 200 00:12:16,000 --> 00:12:21,120 Speaker 2: My sister considers herself lucky because my dad had migraine 201 00:12:21,160 --> 00:12:24,720 Speaker 2: attacks and he recognized in her what was happening and 202 00:12:25,160 --> 00:12:29,280 Speaker 2: got her help pretty quickly, all things considered. But I 203 00:12:29,320 --> 00:12:32,360 Speaker 2: want to talk more about that sort of gap between 204 00:12:32,640 --> 00:12:35,480 Speaker 2: the experience that people are having with migraine attacks or 205 00:12:35,559 --> 00:12:39,760 Speaker 2: chronic migraine and how long it takes them to find 206 00:12:39,880 --> 00:12:42,280 Speaker 2: or even reach out to a headache specialist. 207 00:12:42,640 --> 00:12:46,120 Speaker 1: Yeah, this is for sure one of the most common 208 00:12:46,520 --> 00:12:49,400 Speaker 1: responses that we see from patients that they wish they'd 209 00:12:49,400 --> 00:12:52,440 Speaker 1: found somebody sooner. So there's a recent study that shows 210 00:12:52,480 --> 00:12:55,840 Speaker 1: only five percent of people living with chronic migraine actually 211 00:12:55,840 --> 00:12:59,160 Speaker 1: find preventative and acute treatments after going through the process 212 00:12:59,200 --> 00:13:03,080 Speaker 1: of talking to doctor, getting the diagnosis, and trying various 213 00:13:03,080 --> 00:13:08,200 Speaker 1: different types of treatment options. This is unacceptable. There's another 214 00:13:08,240 --> 00:13:10,840 Speaker 1: one that I like. National Headache Foundation did a survey 215 00:13:10,840 --> 00:13:14,240 Speaker 1: on migraine. It was called Preventing Migraine Attacks a Current Perspective, 216 00:13:14,280 --> 00:13:17,000 Speaker 1: and they found that in treating their disease overall, about 217 00:13:17,000 --> 00:13:20,000 Speaker 1: sixty two percent of those respondents that wrote back wish 218 00:13:20,000 --> 00:13:23,240 Speaker 1: that they had seen a headache provider sooner. This is 219 00:13:23,240 --> 00:13:26,520 Speaker 1: something that I literally hear every single day. 220 00:13:27,200 --> 00:13:32,120 Speaker 4: Yeah, you have to imagine that a delay in finding 221 00:13:32,200 --> 00:13:34,719 Speaker 4: care seeking care is going to have a pretty big 222 00:13:34,720 --> 00:13:37,200 Speaker 4: effect on someone's treatment journey. 223 00:13:37,440 --> 00:13:37,719 Speaker 2: It does. 224 00:13:37,760 --> 00:13:40,240 Speaker 1: It definitely has an impact on their journey. Another study 225 00:13:40,280 --> 00:13:42,760 Speaker 1: on migraine disease that in general shows that it takes 226 00:13:42,840 --> 00:13:46,160 Speaker 1: five years before patients can get the diagnosis and move 227 00:13:46,200 --> 00:13:49,480 Speaker 1: towards that treatment therapy, and so we need to get 228 00:13:49,480 --> 00:13:51,280 Speaker 1: started as quick as we can. And that's really kind 229 00:13:51,280 --> 00:13:53,600 Speaker 1: of the big takeaway when we think about diagnosis. 230 00:13:53,840 --> 00:13:56,360 Speaker 2: All right, thanks doctor Ryan. After the break, we'll get 231 00:13:56,400 --> 00:14:30,920 Speaker 2: back to the conversation with Megan McInerney, Megan, you mentioned 232 00:14:31,200 --> 00:14:34,560 Speaker 2: missing out on things or at being disruptive to your life, 233 00:14:34,560 --> 00:14:37,080 Speaker 2: your work life, your personal life. What are some of 234 00:14:37,120 --> 00:14:41,520 Speaker 2: the ways that chronic migraine has disrupted your life. Last year, 235 00:14:42,320 --> 00:14:45,720 Speaker 2: I was supposed to go to this three day work conference, 236 00:14:45,720 --> 00:14:47,920 Speaker 2: and it was my first year in this new role, 237 00:14:47,960 --> 00:14:50,360 Speaker 2: and I was trying to make a good impression. And 238 00:14:50,640 --> 00:14:53,280 Speaker 2: I was there the first day, and then the next 239 00:14:53,320 --> 00:14:57,240 Speaker 2: two days I was out with a migraine attack, and 240 00:14:57,320 --> 00:14:59,680 Speaker 2: I just felt so embarrassed because it was people that 241 00:14:59,720 --> 00:15:02,200 Speaker 2: didn't know me that well yet, people that I didn't. 242 00:15:01,920 --> 00:15:05,960 Speaker 4: Feel like I had that history of trust, and like, oh, 243 00:15:06,280 --> 00:15:09,360 Speaker 4: that's like Megan's super reliable, don't worry about it. I 244 00:15:09,400 --> 00:15:11,880 Speaker 4: don't know if other people you've talked to have also 245 00:15:12,040 --> 00:15:15,320 Speaker 4: expressed this, but it is not just physical discomfort for me. 246 00:15:15,560 --> 00:15:20,000 Speaker 4: It creates a lot of intense emotional discomfort. And I 247 00:15:20,000 --> 00:15:21,960 Speaker 4: don't know if it's because it makes me feel so 248 00:15:22,120 --> 00:15:28,400 Speaker 4: vulnerable to just feel so knocked down by something. When 249 00:15:28,680 --> 00:15:35,720 Speaker 4: I am experiencing a migrant attack, I am very tender 250 00:15:35,920 --> 00:15:40,560 Speaker 4: emotionally and very Yeah, I'll just I'll cry about anything. 251 00:15:41,040 --> 00:15:46,920 Speaker 4: I just feel. I just feel so bad my feelings hurt. 252 00:15:47,000 --> 00:15:49,400 Speaker 4: My head hurt, yes, and like no one wants to 253 00:15:49,440 --> 00:15:53,040 Speaker 4: feel bad. The work trip is important to you because 254 00:15:53,240 --> 00:15:55,200 Speaker 4: your work is important to you. Work is a core 255 00:15:55,280 --> 00:15:58,440 Speaker 4: part of everybody's identity. You just don't want to feel 256 00:15:58,760 --> 00:16:01,360 Speaker 4: like you're not yourself. It's hard to feel like yourself 257 00:16:01,400 --> 00:16:05,400 Speaker 4: when you don't physically feel like yourself. I hate this 258 00:16:05,480 --> 00:16:08,680 Speaker 4: for you. Yeah, And there were years where I was 259 00:16:08,720 --> 00:16:12,200 Speaker 4: a single parent where the kids just had to get 260 00:16:12,280 --> 00:16:16,200 Speaker 4: used to the fact that if I said the word migraine, 261 00:16:16,360 --> 00:16:19,200 Speaker 4: they were like, Okay, all hands on deck, dinners on 262 00:16:19,280 --> 00:16:23,320 Speaker 4: us tonight, like we'll figure out. They just knew that 263 00:16:23,440 --> 00:16:28,360 Speaker 4: I couldn't function. You wear a lot of hats. 264 00:16:29,120 --> 00:16:33,480 Speaker 2: You are a mom, a friend, a wife, a hell 265 00:16:33,520 --> 00:16:36,800 Speaker 2: of a professional. You're literally everything to everyone. It is 266 00:16:37,080 --> 00:16:42,320 Speaker 2: hard to feel like you cannot fill everybody's needs all 267 00:16:42,360 --> 00:16:45,800 Speaker 2: the time and also somehow find the time to take 268 00:16:45,840 --> 00:16:50,000 Speaker 2: care of yourself even without chronic migraine or a migraine attack. 269 00:16:50,120 --> 00:16:52,320 Speaker 2: That is just a lot to balance, That is a 270 00:16:52,360 --> 00:16:57,560 Speaker 2: lot to juggle. How has chronic migraine made all of 271 00:16:57,600 --> 00:17:02,560 Speaker 2: that harder? Basically just takes you out of your life 272 00:17:03,120 --> 00:17:05,400 Speaker 2: for some period of time that is unknown. 273 00:17:05,440 --> 00:17:10,159 Speaker 4: To you. So I could say, uh, Okay, having a 274 00:17:10,200 --> 00:17:13,959 Speaker 4: migraine attack today, so I'll catch it tomorrow, and that 275 00:17:14,000 --> 00:17:15,919 Speaker 4: may or may not be true. I may not be 276 00:17:16,040 --> 00:17:18,719 Speaker 4: catching you for another four days. Like I really have 277 00:17:18,800 --> 00:17:22,040 Speaker 4: no idea. So it just it just throws a wrench 278 00:17:22,160 --> 00:17:25,360 Speaker 4: in whatever it is that you're doing. Whether it is 279 00:17:25,359 --> 00:17:30,439 Speaker 4: is personal work, vacation, doesn't matter. Can I tell you 280 00:17:30,480 --> 00:17:35,240 Speaker 4: one other thing I just remembered. Yeah, So when I 281 00:17:35,280 --> 00:17:38,720 Speaker 4: got married three years ago, the very first time I 282 00:17:38,800 --> 00:17:42,359 Speaker 4: went to visit my in laws for Thanksgiving, it was 283 00:17:42,400 --> 00:17:44,520 Speaker 4: the first time I was meeting a lot of them. 284 00:17:45,720 --> 00:17:49,600 Speaker 4: The minute I walked in their door, I got a 285 00:17:49,640 --> 00:17:52,760 Speaker 4: migraine attack. So I am in a guest room of 286 00:17:52,760 --> 00:17:54,960 Speaker 4: a house I've never been in before, in a state 287 00:17:55,000 --> 00:17:58,040 Speaker 4: I've never been in before, during a holiday where the 288 00:17:58,080 --> 00:18:00,760 Speaker 4: whole point is everyone is trying to be around each 289 00:18:00,800 --> 00:18:04,840 Speaker 4: other and everyone's excited to meet me because I'm this 290 00:18:04,920 --> 00:18:09,640 Speaker 4: new member of the family. And I ended up, yeah, 291 00:18:09,760 --> 00:18:14,240 Speaker 4: just stuck in this guest room for like eighteen hours, 292 00:18:14,280 --> 00:18:16,840 Speaker 4: and then finally my husband had to take me to 293 00:18:16,920 --> 00:18:19,600 Speaker 4: the er. And so again it's like, do I believe 294 00:18:19,600 --> 00:18:24,040 Speaker 4: that they understood and felt very empathetic toward me. Yes, 295 00:18:24,920 --> 00:18:28,760 Speaker 4: did I feel weird? And again, it's so hard to 296 00:18:28,800 --> 00:18:31,160 Speaker 4: explain because a lot of people are like, oh, yeah, 297 00:18:31,200 --> 00:18:36,280 Speaker 4: you have a headache. I've had those. They're like, well, yeah, 298 00:18:36,320 --> 00:18:39,440 Speaker 4: it's not exactly what you're thinking. It's not like that, 299 00:18:39,480 --> 00:18:42,200 Speaker 4: which also it's and then you're in a new place 300 00:18:42,200 --> 00:18:44,760 Speaker 4: that you've never been and Thanksgiving is the time of 301 00:18:44,880 --> 00:18:49,719 Speaker 4: noises and smells. Yes, yes, I'm going to check in 302 00:18:49,760 --> 00:18:58,639 Speaker 4: with doctor Ryan. Okay, Doctor Ryan, I am bringing you 303 00:18:58,680 --> 00:19:01,440 Speaker 4: back in to dive into some we've actually never covered 304 00:19:02,520 --> 00:19:07,520 Speaker 4: hormones and migraine, how they may affect each other, and 305 00:19:07,960 --> 00:19:11,440 Speaker 4: before getting into some of the menopause specifics that Megan 306 00:19:11,520 --> 00:19:15,840 Speaker 4: started talking about how do hormones and migraine affect each 307 00:19:15,840 --> 00:19:17,480 Speaker 4: other on a higher level. 308 00:19:17,880 --> 00:19:20,560 Speaker 1: Yeah, I mean this is really I think critical to 309 00:19:20,680 --> 00:19:25,480 Speaker 1: understand and I think your sister really illustrates this so well. Right, 310 00:19:25,520 --> 00:19:28,640 Speaker 1: there is an overall link between hormones and migraine. So 311 00:19:28,880 --> 00:19:31,520 Speaker 1: when women in particular go through big changes in their 312 00:19:31,520 --> 00:19:37,000 Speaker 1: hormones during menstrual cycle, pregnancy, breastfeeding, menopause, it can change 313 00:19:37,040 --> 00:19:40,840 Speaker 1: their migraine symptoms, it can change their triggers and the 314 00:19:40,840 --> 00:19:44,320 Speaker 1: severity this is something that I try to really closely 315 00:19:44,320 --> 00:19:46,359 Speaker 1: monitor with my patients so that we can adjust our 316 00:19:46,400 --> 00:19:47,240 Speaker 1: approach as we go. 317 00:19:47,920 --> 00:19:52,480 Speaker 4: And then there's perimenopause and menopause specifically, How are those 318 00:19:52,560 --> 00:19:58,120 Speaker 4: a factor in how you approach management for patients who 319 00:19:58,119 --> 00:19:59,960 Speaker 4: are at those stages in life. 320 00:20:00,280 --> 00:20:02,919 Speaker 1: Yeah, this is super important, And along with their changing 321 00:20:02,920 --> 00:20:06,920 Speaker 1: hormone levels, perimenopause and menopause can also set off other triggers. 322 00:20:07,280 --> 00:20:09,639 Speaker 1: For example, like you know, getting a good night's sleep. 323 00:20:09,960 --> 00:20:11,960 Speaker 1: You know, for many people living with chronic migraine is 324 00:20:11,960 --> 00:20:15,280 Speaker 1: super important. Being well rested helps them be at their 325 00:20:15,320 --> 00:20:18,399 Speaker 1: best each day. But with hot flashes, night sweats, the 326 00:20:18,400 --> 00:20:21,720 Speaker 1: insomnia that can sometimes come along with perimenopause, it can 327 00:20:21,720 --> 00:20:23,399 Speaker 1: be a lot more difficult for them to get their 328 00:20:23,440 --> 00:20:26,560 Speaker 1: full eight hours, So the baseline from which they're operating 329 00:20:26,600 --> 00:20:30,160 Speaker 1: on on a daily basis is you know, not as high. 330 00:20:30,480 --> 00:20:33,560 Speaker 1: They can also deal with things like irritability. It can 331 00:20:33,600 --> 00:20:36,880 Speaker 1: create an environment where migraine attacks are just more easily triggered. 332 00:20:37,160 --> 00:20:42,360 Speaker 1: In that perimenopausal menopausal place, the fun never stops, right, 333 00:20:42,640 --> 00:20:45,400 Speaker 1: This is super important. I think that when patients want 334 00:20:45,440 --> 00:20:47,439 Speaker 1: to talk about the experience that they're having with chronic 335 00:20:47,480 --> 00:20:52,199 Speaker 1: migraine if your particular hormonal situation. It's really important if 336 00:20:52,200 --> 00:20:55,480 Speaker 1: you're breastfeeding, if you're pursuing pregnancy, if you are pregnant, 337 00:20:55,920 --> 00:20:59,640 Speaker 1: if you are dealing with perimenopausal symptoms or menopause, talk 338 00:20:59,760 --> 00:21:03,040 Speaker 1: to provider about that piece of the picture too, and 339 00:21:03,080 --> 00:21:06,639 Speaker 1: we can tailor therapies towards what your particular experience is. 340 00:21:07,040 --> 00:21:08,919 Speaker 1: And so sometimes thinking well, he doesn't want to hear 341 00:21:08,920 --> 00:21:10,720 Speaker 1: about my night sweats, he doesn't want to hear about 342 00:21:10,720 --> 00:21:13,000 Speaker 1: my insum. Of course I do, and it's going to 343 00:21:13,119 --> 00:21:15,400 Speaker 1: change the way that we work towards your therapy. 344 00:21:15,760 --> 00:21:17,000 Speaker 4: All right, thanks doctor Ryan. 345 00:21:17,200 --> 00:21:27,520 Speaker 2: Let's get back to my sister Megan McNerney. So, our 346 00:21:27,640 --> 00:21:32,159 Speaker 2: dad was a source of support for you early on, 347 00:21:32,200 --> 00:21:34,840 Speaker 2: which I love to hear. What is your support system 348 00:21:35,040 --> 00:21:39,879 Speaker 2: like now? Who are the supportive and understanding people in 349 00:21:39,920 --> 00:21:43,320 Speaker 2: your life who fully grasp what it is like for 350 00:21:43,359 --> 00:21:46,320 Speaker 2: you to live with chronic migraine. That is a good question. 351 00:21:46,560 --> 00:21:48,359 Speaker 2: I do feel like I have a lot of very 352 00:21:48,520 --> 00:21:54,480 Speaker 2: supportive people in my life, including you, our mom, my kids, 353 00:21:54,720 --> 00:21:57,440 Speaker 2: my husband, my ex husband. Like, I have a lot 354 00:21:57,440 --> 00:22:00,199 Speaker 2: of people around me who know, who have seen what 355 00:22:00,280 --> 00:22:02,359 Speaker 2: I go through and who are very supportive of it, 356 00:22:03,720 --> 00:22:07,360 Speaker 2: but almost no one else I know actually goes through it. 357 00:22:07,840 --> 00:22:11,560 Speaker 2: So actually this year at work, I met a coworker 358 00:22:13,080 --> 00:22:17,119 Speaker 2: he suffers from migrain attacks and we stumbled across it, 359 00:22:17,280 --> 00:22:21,080 Speaker 2: like almost accidentally, and so it's been great to talk 360 00:22:21,119 --> 00:22:24,640 Speaker 2: to him because his are very similar to mine, and 361 00:22:25,000 --> 00:22:27,280 Speaker 2: he travels a lot for work, he's got kids, like, 362 00:22:27,359 --> 00:22:30,320 Speaker 2: he's just gone through so many of the same experiences 363 00:22:30,359 --> 00:22:32,840 Speaker 2: that I have. And I think until I talked to him, 364 00:22:32,880 --> 00:22:36,320 Speaker 2: I didn't really realize how much I needed that that 365 00:22:36,359 --> 00:22:39,439 Speaker 2: feeling of talking to someone and describing something and you 366 00:22:39,480 --> 00:22:43,520 Speaker 2: can just see on their face I know exactly what 367 00:22:43,520 --> 00:22:46,280 Speaker 2: you're talking about, and it just makes you feel seen 368 00:22:46,400 --> 00:22:47,200 Speaker 2: and understood. 369 00:22:47,800 --> 00:22:51,240 Speaker 4: And so I have felt very supported by a lot 370 00:22:51,320 --> 00:22:53,960 Speaker 4: of people, but it's really hard for a lot of 371 00:22:53,960 --> 00:22:57,280 Speaker 4: people to understand. I will say that being really open 372 00:22:57,320 --> 00:23:01,720 Speaker 4: about the fact that I have migraine has opened up 373 00:23:02,359 --> 00:23:05,800 Speaker 4: me getting messages from other people sometimes years later, who 374 00:23:05,840 --> 00:23:08,879 Speaker 4: will say, I think I just got that thing you 375 00:23:08,960 --> 00:23:11,479 Speaker 4: told me about, and now I understand it was like 376 00:23:11,520 --> 00:23:14,680 Speaker 4: the worst day of my life. Yeah, And while I'm 377 00:23:14,720 --> 00:23:19,439 Speaker 4: sad that they experienced it, it, I am happy to 378 00:23:19,480 --> 00:23:22,760 Speaker 4: be that person for other people who says, yes, I 379 00:23:22,840 --> 00:23:25,399 Speaker 4: know that was a really bad day and I'm sure 380 00:23:25,680 --> 00:23:28,600 Speaker 4: your family had a hard time understanding what you were 381 00:23:28,600 --> 00:23:31,640 Speaker 4: going through and why you couldn't get out of bed. Yeah. 382 00:23:31,720 --> 00:23:33,919 Speaker 2: Every time I've done an interview for this show, I 383 00:23:33,960 --> 00:23:36,720 Speaker 2: really I always think of you, like I think every 384 00:23:36,760 --> 00:23:40,600 Speaker 2: time I interview somebody that I'm somehow understanding more of 385 00:23:40,640 --> 00:23:46,080 Speaker 2: your experience. Do you have a message to share with 386 00:23:46,240 --> 00:23:51,919 Speaker 2: listeners who are experiencing chronic migraine or listeners who just 387 00:23:52,200 --> 00:23:55,720 Speaker 2: love someone with chronic migraine? The first thing I would 388 00:23:55,720 --> 00:24:01,120 Speaker 2: say is, I think it's really beautiful that you're listening 389 00:24:01,160 --> 00:24:05,800 Speaker 2: to something that affects someone that you care about. That, 390 00:24:05,960 --> 00:24:08,399 Speaker 2: in and of itself, I think is such a strong 391 00:24:08,600 --> 00:24:11,199 Speaker 2: signal to the person you care about that like, you 392 00:24:11,280 --> 00:24:16,440 Speaker 2: want to understand their experience and what they're going through, 393 00:24:16,480 --> 00:24:18,640 Speaker 2: even though you don't go through it yourselves, And the 394 00:24:18,640 --> 00:24:21,959 Speaker 2: more stories you hear, the fuller picture you get. Like 395 00:24:22,640 --> 00:24:25,199 Speaker 2: what you said, you can listen to my experience of 396 00:24:25,240 --> 00:24:28,400 Speaker 2: chronic migraine, but it might be very different from someone else's, 397 00:24:28,600 --> 00:24:30,760 Speaker 2: and you have to listen to a lot of different 398 00:24:30,800 --> 00:24:36,920 Speaker 2: experiences to start to understand what's unique and what's common, and. 399 00:24:36,880 --> 00:24:39,200 Speaker 4: So I think that's I think that's really important. But ultimately, 400 00:24:39,280 --> 00:24:44,439 Speaker 4: I think anytime someone takes time to understand something that 401 00:24:44,520 --> 00:24:47,440 Speaker 4: doesn't directly affect them, I think that's a beautiful thing. 402 00:24:47,640 --> 00:24:53,040 Speaker 4: It builds empathy and connection and relationships, and that's ultimately 403 00:24:53,080 --> 00:24:57,040 Speaker 4: what's going to get us all through. Megan, that's beautiful. 404 00:24:57,480 --> 00:25:01,640 Speaker 4: Thank you. Now let's check in with doctor Ryan one 405 00:25:01,720 --> 00:25:16,520 Speaker 4: last time. Yay. So this is our season finale, and 406 00:25:16,800 --> 00:25:19,439 Speaker 4: I want to hand the floor over to you and 407 00:25:19,600 --> 00:25:22,240 Speaker 4: ask if there is a message that you would like 408 00:25:22,320 --> 00:25:26,480 Speaker 4: to leave with our chronic migraine community as we wrap 409 00:25:26,560 --> 00:25:27,240 Speaker 4: up this season. 410 00:25:28,440 --> 00:25:31,840 Speaker 1: Wow, for everybody that's listening, man, and particularly for those 411 00:25:31,880 --> 00:25:33,840 Speaker 1: folks who've gone along this ride with us as we've 412 00:25:33,880 --> 00:25:36,399 Speaker 1: come through here, be an advocate for yourself as the 413 00:25:36,400 --> 00:25:40,280 Speaker 1: first one. Nobody else is going to do it for you. 414 00:25:40,520 --> 00:25:43,359 Speaker 1: Every study that we've talked about on here, every parent, 415 00:25:43,520 --> 00:25:46,560 Speaker 1: every patient that we've talked with on here through the 416 00:25:46,600 --> 00:25:49,359 Speaker 1: course of the podcast, that is the one sort of 417 00:25:49,400 --> 00:25:51,200 Speaker 1: message is that they had to stand up for themselves 418 00:25:51,200 --> 00:25:53,639 Speaker 1: to get what they needed. And so I really just 419 00:25:53,760 --> 00:25:57,040 Speaker 1: encourage anybody to come forward, find somebody who will listen 420 00:25:57,040 --> 00:25:59,439 Speaker 1: to you and then don't stop telling them what's going on. 421 00:26:00,119 --> 00:26:03,159 Speaker 1: You get what you want, and then there's hope. This 422 00:26:03,240 --> 00:26:06,080 Speaker 1: is this Probably the second message is that there are 423 00:26:06,119 --> 00:26:07,639 Speaker 1: people out there who know how to do this. There 424 00:26:07,640 --> 00:26:09,560 Speaker 1: are people out there who know how to help you. 425 00:26:09,880 --> 00:26:12,159 Speaker 1: Go find them. And that might not be easy. I 426 00:26:12,200 --> 00:26:16,760 Speaker 1: wish it was, but there are wonderful, wonderful physicians. There 427 00:26:16,800 --> 00:26:21,399 Speaker 1: are wonderful, wonderful advanced practice folks who can find that 428 00:26:21,480 --> 00:26:24,800 Speaker 1: diagnosis and start working towards treatment. And so stand up 429 00:26:24,840 --> 00:26:27,080 Speaker 1: for yourself and find somebody who will listen to you 430 00:26:27,119 --> 00:26:29,320 Speaker 1: while you're doing it. That's the message, man, Yeah. 431 00:26:29,160 --> 00:26:30,119 Speaker 4: Because you deserve that. 432 00:26:30,280 --> 00:26:32,080 Speaker 2: And I feel like every time I speak to somebody 433 00:26:32,160 --> 00:26:35,199 Speaker 2: on this podcast, I just cannot believe how many people 434 00:26:35,760 --> 00:26:40,359 Speaker 2: go through this world with chronic migraine or migraine attacks 435 00:26:40,440 --> 00:26:43,080 Speaker 2: or any kind of chronic illness and still do all 436 00:26:43,119 --> 00:26:44,200 Speaker 2: of the life things. 437 00:26:44,560 --> 00:26:46,760 Speaker 1: That's that's been the story, right, it really is. 438 00:26:46,760 --> 00:26:48,480 Speaker 2: I'm like, I'm just in awe of all these people 439 00:26:48,560 --> 00:26:52,560 Speaker 2: who are just still going, still doing so much, still 440 00:26:52,600 --> 00:26:56,240 Speaker 2: like being kind, lovely people out in the world, even 441 00:26:56,320 --> 00:27:00,159 Speaker 2: while they're carrying this thing that nobody else can see. 442 00:27:00,480 --> 00:27:03,120 Speaker 2: Thank you, doctor Ryan. It has been such a pleasure. 443 00:27:06,480 --> 00:27:09,840 Speaker 2: All right, that's my big sister, That's Megan. Aren't you 444 00:27:09,920 --> 00:27:10,600 Speaker 2: obsessed with her? 445 00:27:10,680 --> 00:27:10,920 Speaker 4: Now? 446 00:27:11,800 --> 00:27:15,000 Speaker 2: If you're a person with chronic migraine or any chronic illness, 447 00:27:15,400 --> 00:27:18,840 Speaker 2: or someone who loves someone with chronic migraine or chronic illness, 448 00:27:19,400 --> 00:27:22,920 Speaker 2: I hope you'll have your own conversations like this, because 449 00:27:22,960 --> 00:27:26,640 Speaker 2: we do need each other, all of us. So thank 450 00:27:26,680 --> 00:27:30,160 Speaker 2: you to Megan for being here, to Doctor Ryan as always, 451 00:27:30,560 --> 00:27:33,359 Speaker 2: and to all of you. This has been season three 452 00:27:33,520 --> 00:27:36,399 Speaker 2: of The head Start Embracing the Journey. If you like 453 00:27:36,480 --> 00:27:39,680 Speaker 2: what you heard, tell a friend, Tell five friends, tell 454 00:27:39,720 --> 00:27:43,199 Speaker 2: between five and ten friends. Thanks for listening to the 455 00:27:43,240 --> 00:27:46,560 Speaker 2: head Start Embracing the Journey. We hope you found something 456 00:27:46,600 --> 00:27:49,879 Speaker 2: worthwhile here with us today, a new coping strategy, a 457 00:27:49,960 --> 00:27:54,960 Speaker 2: relatable story, the comfort of knowing you're not alone. I'm 458 00:27:55,200 --> 00:27:58,000 Speaker 2: so happy to be a part of creating this community 459 00:27:58,160 --> 00:28:02,160 Speaker 2: for all of us, especially for people living with chronic migraine. 460 00:28:02,600 --> 00:28:04,800 Speaker 2: If you haven't found a treatment plan that is working 461 00:28:04,840 --> 00:28:08,240 Speaker 2: for you, please do reach out to your headache specialist 462 00:28:08,440 --> 00:28:12,399 Speaker 2: to explore your options. I truly hope this has helped 463 00:28:12,440 --> 00:28:15,479 Speaker 2: you find a bit of comfort and maybe a smile, 464 00:28:15,880 --> 00:28:19,359 Speaker 2: Maybe see a next episode and stay tuned for more 465 00:28:19,400 --> 00:28:25,000 Speaker 2: important safety information. The head Start Embracing the Journey is 466 00:28:25,040 --> 00:28:29,040 Speaker 2: hosted by myself Norah McNerney, executive produced by Ivan Shechian. 467 00:28:29,160 --> 00:28:32,600 Speaker 2: Our head of post production is James Foster, our researcher 468 00:28:32,680 --> 00:28:34,600 Speaker 2: is Sierra Kaiser, and our writer. 469 00:28:34,520 --> 00:28:35,360 Speaker 4: Is John Irwin. 470 00:28:35,880 --> 00:28:39,520 Speaker 2: The show is mixed by Michael Hardman, original music by 471 00:28:39,600 --> 00:28:41,840 Speaker 2: Soundcat Productions and Art List. 472 00:28:45,960 --> 00:28:49,920 Speaker 3: Important safety information continued. There has not been a confirmed 473 00:28:50,080 --> 00:28:52,680 Speaker 3: serious case of spread of talks and effect away from 474 00:28:52,680 --> 00:28:55,320 Speaker 3: the injection site. When botox has been used at the 475 00:28:55,360 --> 00:28:59,120 Speaker 3: recommended dose to treat chronic migraine. Botox may cause loss 476 00:28:59,120 --> 00:29:03,000 Speaker 3: of strength or jenneral muscle weakness, vision problems, or dizziness 477 00:29:03,040 --> 00:29:06,360 Speaker 3: within hours to weeks of receiving botox. If this happens, 478 00:29:06,520 --> 00:29:09,360 Speaker 3: do not drive a car, operate machinery, or do other 479 00:29:09,480 --> 00:29:13,080 Speaker 3: dangerous activities. Do not receive botox if you are allergic 480 00:29:13,120 --> 00:29:16,520 Speaker 3: to any of the ingredients in botox see medication guide 481 00:29:16,520 --> 00:29:19,840 Speaker 3: for ingredients. Had an allergic reaction to any other boche 482 00:29:19,880 --> 00:29:24,360 Speaker 3: linum toxin product such as myoblock rhymo bochulinum toxin B 483 00:29:24,840 --> 00:29:29,640 Speaker 3: disport abobochelnum toxin A zeomin inco botchel item toxin A 484 00:29:30,120 --> 00:29:35,720 Speaker 3: JEVO probochul item toxin A XVFS, daxify daxibotchelinum toxin A 485 00:29:36,120 --> 00:29:40,760 Speaker 3: l A n M, or lettibo letty bocheltum toxin AWLBG. 486 00:29:41,200 --> 00:29:43,720 Speaker 3: This may not be a complete list of all botchulinum 487 00:29:43,760 --> 00:29:47,640 Speaker 3: toxin products have a skin infection at the planned injection site. 488 00:29:48,080 --> 00:29:50,680 Speaker 3: The dose of botox is not the same as or 489 00:29:50,720 --> 00:29:55,320 Speaker 3: comparable to another botchulnum toxin product. Serious and or immediate 490 00:29:55,360 --> 00:29:59,840 Speaker 3: allergic reactions have been reported, including itching, rash, red i 491 00:30:00,080 --> 00:30:04,760 Speaker 3: che weltz, wheezing, asthma symptoms, dizziness or feeling faint. Get 492 00:30:04,800 --> 00:30:08,440 Speaker 3: medical help right away. If you experience symptoms, further injection 493 00:30:08,520 --> 00:30:11,840 Speaker 3: of botox should be discontinued. Tell your doctor about all 494 00:30:11,880 --> 00:30:15,040 Speaker 3: your muscle or nerve conditions such as ALS or lou 495 00:30:15,080 --> 00:30:19,400 Speaker 3: Garrig's disease, myasthenia gravis, or Lambert etn syndrome, as you 496 00:30:19,440 --> 00:30:22,560 Speaker 3: may be at increased risk of serious side effects, including 497 00:30:22,600 --> 00:30:26,880 Speaker 3: difficulty swallowing and difficulty breathing, from typical doses of botox. 498 00:30:27,080 --> 00:30:30,239 Speaker 3: Tell your doctor about all your medical conditions, including if 499 00:30:30,280 --> 00:30:33,040 Speaker 3: you have or have had bleeding problems, have plans to 500 00:30:33,040 --> 00:30:36,360 Speaker 3: have surgery, had surgery on your face, have weakness of 501 00:30:36,400 --> 00:30:40,080 Speaker 3: forehead muscles, trouble raising your eyebrows, drooping eyelids, and any 502 00:30:40,120 --> 00:30:44,000 Speaker 3: other abnormal facial change. Are pregnant or plan to become pregnant. 503 00:30:44,080 --> 00:30:46,760 Speaker 3: It is not known if botox can harm your unborn baby. 504 00:30:46,880 --> 00:30:49,479 Speaker 3: Are breastfeeding or plan to. It is not known if 505 00:30:49,520 --> 00:30:52,920 Speaker 3: botox passes into breast milk. Tell your doctor about all 506 00:30:52,960 --> 00:30:57,200 Speaker 3: the medicines you take, including prescription and over the counter medicines, vitamins, 507 00:30:57,280 --> 00:31:01,120 Speaker 3: and herbal supplements. Using botox with certain other medicines may 508 00:31:01,160 --> 00:31:04,400 Speaker 3: cause serious side effects. Do not start any new medicines 509 00:31:04,480 --> 00:31:06,800 Speaker 3: until you have told your doctor that you have received 510 00:31:06,840 --> 00:31:09,760 Speaker 3: botox in the past. Tell your doctor if you received 511 00:31:09,800 --> 00:31:13,000 Speaker 3: any other bochulinum toxin product in the last four months. 512 00:31:13,160 --> 00:31:19,760 Speaker 3: Have received injections of bochulinum toxin such as myoblock, disport, zamin, Jevo, Daxify, 513 00:31:20,080 --> 00:31:22,680 Speaker 3: or Letibo in the past. This may not be a 514 00:31:22,680 --> 00:31:26,200 Speaker 3: complete list of all bochulinum toxin products. Tell your doctor 515 00:31:26,400 --> 00:31:30,400 Speaker 3: exactly which product you received. Have recently received an antibiotic 516 00:31:30,440 --> 00:31:34,480 Speaker 3: by injection, take muscle relaxance, take an allergy or cold medicine, 517 00:31:34,520 --> 00:31:38,040 Speaker 3: take a sleep medicine, take aspirin like products, or blood thinner. 518 00:31:38,240 --> 00:31:41,600 Speaker 3: Other side effects of botox include dry mouth, discomfort or 519 00:31:41,640 --> 00:31:45,520 Speaker 3: pain at the injection site, tiredness, headache, neck pain, eye 520 00:31:45,520 --> 00:31:48,920 Speaker 3: problems such as double vision, blurred vision, decreased eye sight, 521 00:31:49,080 --> 00:31:53,480 Speaker 3: drooping eyelids, swelling of your eyelids and dry eyes, drooping eyebrows, 522 00:31:53,600 --> 00:31:57,600 Speaker 3: and upper respiratory tract infection. For more information, refer to 523 00:31:57,640 --> 00:32:00,479 Speaker 3: the medication guide or talk with your doctor. You are 524 00:32:00,560 --> 00:32:03,600 Speaker 3: encouraged to report negative side effects of prescription drugs to 525 00:32:03,720 --> 00:32:08,800 Speaker 3: the FDA. Visit www dot FDA dot gov, slash MedWatch, 526 00:32:09,080 --> 00:32:12,560 Speaker 3: or call one eight hundred FDA one zero eight eight. 527 00:32:13,120 --> 00:32:16,960 Speaker 3: Please see botox full product information, including boxed warning and 528 00:32:17,120 --> 00:32:20,840 Speaker 3: medication guide by clicking the link provided in the podcast description, 529 00:32:21,080 --> 00:32:26,160 Speaker 3: or by visiting www dot RXABV dot com slash pdf 530 00:32:26,280 --> 00:32:30,520 Speaker 3: slash botox underscore PI dot pdf. If you are having 531 00:32:30,560 --> 00:32:33,720 Speaker 3: difficulty paying for your medicine, ABV may be able to help, 532 00:32:33,920 --> 00:32:37,680 Speaker 3: visit ABV dot com slash Patient Access Support to learn more. 533 00:32:38,240 --> 00:32:42,200 Speaker 3: Botox is a trademark of allerganinc an Abvcompany. All other 534 00:32:42,240 --> 00:32:44,560 Speaker 3: trademarks are the property of their respective owners.