Last Thursday I had the opportunity to sit down for an interview with Denise Dador from ABC 7 Los Angeles right before the kickoff to BlogHer Health 2019. I shared how chronic migraine had impacted my life and why I’m more than happy that Aimovig arrived when it did.
To watch my interview, just click on the link that I’ve provided below.
*** I am a paid Amgen and Novartis Spokesperson. This content reflects my own personal opinions and was not created or reviewed by Amgen and Novartis.***
***I’ m a volunteer for the Speak Your Migraine Network that is sponsored by Amgen Inc. & Novartis Pharmaceuticals Corporation. SYMN is comprised of volunteers who share their experiences managing their migraine disorder in order to inspire others and build awareness. All opinions and experiences are my own.***
MY PATIENT PROFILE
Age: 41Diet - No Special Diet In Place Exercise - 2-3 times a week/low impactYears Living with the Migraine Disease: 31Classification and Diagnosis of Migraine: Migraine with Aura - diagnosed at 10-years-oldVestibular Migraine and Chronic Migraine - diagnosed at age 35My Migraine Triggers:Changes in the Weather - Incoming Storms, Barometric Pressure
& HumidityChanges in Hormone Levels - Menstrual CycleFood - Onions, Certain Brands of Bacon, Red Wine, & Smoked CheeseSmell - Strong fragrances (Incense, Cleaning Products, Perfume, Cologne, & Burnt Food) Current Migraine Treatment Regimen:SPG Blocks Injections - Once every 3rd weekMelatonin - Daily vitaminOne or More of the Following are Selected Based on Symptoms:BenadrylNaproxenZomigBaclofenZofranToradolBoost OxygenCryohelmet or Cryoscarf CaffeineOther Medical Conditions I’m Currently Being Treated For:Rheumatoid ArthritisFibromyalgiaCluster HeadachesOsteoarthritis
Date of First Aimovig Injection
August 9, 2018
Day 1- I woke up at 3 A.M. to a migraine attack that had me immediately reaching for my Zomig, Benadryl, and Zofran. Knowing my Aimovig shipment was set to arrive by noon, I wanted to make sure I received my first dose that day.
I decided to wait until the afternoon to administer the first injection. I wasn’t worried about giving myself the shot, I was just a little concerned I wouldn’t do it right. I looked over the instructions a million times, okay I really didn’t, but it was at least 20 times.
By the way, I absolutely hate needles! I do have prior experience with giving myself injections. I once carried Imitrex injections with me at all times from the time I was 16 until my mid-twenties. As much as I dreaded having to inject myself during the onset of a migraine attack, I knew that I would feel better within minutes of the medication going through my system.
I currently do weekly injections to manage my rheumatoid arthritis and fibromyalgia. The medication is in a vial and is not premeasured which means I have to measure each dosage. Lucky for me, Aimovig comes prefilled and is in an autoinjector.
I’ll be honest, I thought I screwed up and didn’t do the injection right. I clicked the button on top, but the yellow line didn’t move. I attempted it again until I finally saw the yellow line of the side of the injector pin slowly drop. I waited 30 seconds before removing the injection and noticed quite a bit of blood. More than I had anticipated.
I bled for a good 15 minutes. It wasn’t bad, it just took much longer to stop than any other injection I’ve received in the past. The only issue I had was experiencing soreness in my left thigh for 2 hours post-injection. It basically felt like someone punched me in my leg.
Day 2- I woke up feeling great, but that afternoon my head started to give me grief. Around 5 P.M a cluster of dark clouds moved through and shortly after the rain began. The massive left-sided throbbing and pressure spanning across my entire forehead caused me to sit in the darkest room in the house for the rest of the night. My pain level was between a 5-6. My whole face was numb and my stomach was upset. I used my Cryohelmet, Boost Oxygen, Benadryl, Naproxen and an energy drink to ease the pain to a bearable 2-3. This migraine attack stuck around for 6 hours.
Day 3- I was not expecting to wake up with some female issues that landed me in the ER. With everything going on with my body, there were no unexpected migraine attacks that day. I was not at all concerned that the Aimovig injection played any role in what happened to me that day. The on-call doctor and nurse also agreed with me.
Day 4- After all the excitement from Saturday was behind me, I had a rather relaxing Sunday. I did take things easy as requested by the ER doctor. I’m happy to report no migraine-related issues on this day.
Day 5- The morning started out fine. I got a lot accomplished until the humidity spiked and was at 90%. My head made it known it was not happy which caused me to take a variety of over-the-counter medications to get comfortable enough to finish my daily activities. This particular migraine attack lingered around for almost 8 hours.
Day 6- I had a fairly decent day. No migraine-related issues, but I did have a sensitivity to light all day. I sported my sunglasses most of the day which is nothing new for me. I’m certain it was due to my fibromyalgia acting up and not at all migraine related.
Day 7- My head hated me today. I woke up to excruciating throbbing all over the top of my scalp that only got worse as the minutes passed. I sipped fluids through a straw all day to keep hydrated and wore my Cryohelmet for 6 hours straight. I knew my stomach would only tolerate benadryl and naproxen which I took as directed by my neurologist several times a day. I spent all afternoon stuck in my bed. I was in too much pain to move around. The humidity was 100% which explains why my migraine attack lingered for so long. This migraine attack lasted around 14 hours.
What are my thoughts on Aimovig during week 1?
It’s too early for me to tell. Weather is ALWAYS a factor when it comes to having migraine attacks. No matter what I tried in the past for treatments, my head does it own thing PERIOD! Now I will say this, since starting SPG Blocks in March of 2017 my migraine attacks are not as severe. I only had one ER visit during that time frame for a migraine attack that was a 10+ and caused me to be severely dehydrated. Considering I was making so many frequent ER visits that the staff knew immediately why I was there before I even mentioned what was wrong with me; that’s one hell of an improvement.
My hope is Aimovig will work in accordance with my SPG Blocks to help me to where I am able to have less migraine days and live a better quality of life.
We’ve joined the American Migraine Foundation to fight debilitating head pain together
As part of our ongoing commitment to providing meaningful information, resources and support for those living with migraine, Adventures of a Spoonie Mom is thrilled to announce our new partnership with the American Migraine Foundation.
The American Migraine Foundation is the official resource for millions of Americans living with migraine seeking reliable information about diagnosis, treatment and advancements in research. Launched in 2010 as a patient support and advocacy effort of the American Headache Society, AMF’s mission is to mobilize a community for people living with migraine and their support networks, and to drive impactful research into the third most common and sixth most disabling disease around the globe.
“Adventures of a Spoonie Mom is a cornerstone organization in the migraine world. It is truly an honor to work alongside them as we #MoveAgainstMigraine,” says American Migraine Foundation Executive Director Meghan Buzby. “We look forward to continuing to make an impact together.”
Like Adventures of a Spoonie Mom, the American Migraine Foundation is dedicated to helping people with migraine live meaningful and pain-free lives. We’re so excited to join forces with AMF to provide support, advocacy and treatment innovations to people living with this disabling disease.
***Disclosure: The U.S. Pain Foundation sponsored my trip, and my teenage son’s to Washington D.C. this year. I’ve served as a U.S. Pain Foundation Ambassador for the State of Wisconsin for the past four years. All opinions are my own***
I had the privilege to attend my 3rd Headache on the Hill this year. My son, Colton, was able to join me as well. This was his 2nd time to lobby on Capitol Hill. We both have a history of living with the migraine disease and were more than willing to share our own experiences with our state’s congressional members.
What is Headache on the Hill?
This is an annual lobbying event in Washington DC, organized by the Alliance for Headache Disorders Advocacy (AHDA). The AHDA brings health professionals, migraine & cluster headache advocates and patients themselves to unite on our requests or “asks” of Congress. These asks are typically focused around improving awareness about the impact of Headache Disorders and in turn impacting the available research funding.
Headache on the Hill (HOH) is a two-day event each year; The first day includes an issues briefing and advocacy training session. The second day is for HOH participants to visit the offices of their respective congressional delegation on Capitol Hill. The AHDA will pre-arrange appointments with the offices of at least one congressman and two senators for each HOH participant.
Colton and I traveled out of Green Bay at 7 A.M. which wasn’t too bad except for when we arrived in Chicago with only 30 minutes to catch our flight, and I was hit with a migraine attack while running to our departure gate.
The smell of something burning immediately triggered an attack. I always carry my migraine emergency kit with me at all times which made it easy for me to down my abortive as I tried to dash through the crowds of people. Unfortunately, I wasn’t able to successfully able to rid myself of this level 5-6 migraine and had to fly with dizziness, nausea, and sensitivity to light.
Upon landing at Ronald Reagan International, Colton had the misfortune of getting hit with a migraine attack. His symptoms weren’t as debilitating as mine were on the plane, but he still needed to let his nausea subside long enough so that we could get a taxi to the hotel.
Once we made it to the Ritz Carlton in Pentagon City, I checked into our room and planned on meeting up with the other attendees before our training session, but my head had other plans. I was now experiencing a second migraine attack of the day. This time my vertigo became so overwhelming that I had to lie down for an hour to avoid falling while I walked.
When the symptoms finally subsided, Colton and I made our way down to the conference room where the training was already in progress. The room was filled with so many new faces. Most of those people where ones I’ve only met online through various headache disorder support groups.
The focus during this meeting was to discuss our “Ask”. An “ask,” is the actionable request we were making to our Congressmen and Senators. We needed a clear understanding of bill HR4733, aka “Opioids and STOP Pain Initiative Act of 2017” and ask our representatives to co-sign this bill.
According to the AHDA, the chronic pain and opioids crisis is the most costly healthcare problem ever. This crisis costs over $1.1 trillion per year, making it the most costly health care problem in our nation’s history. Pain costs $560 to $635 billion (4), and opioid addiction costs $504 billion. The AHDA states that this is equal to the combined revenues of 4 of the largest U.S. companies or 5.6% of the U.S. government’s revenue.
As we took a short break, I had a chance to meet the other advocate from Madison, Wisconsin. She was excited about attending her first Headache on the Hill, and I was elated to have another person from my state to spend the day lobbying with on Tuesday.
The second part of our training continued for another hour and a half. Unfortunately, Colton was slammed with his 2nd migraine attack in the middle of that session. I helped him up to our room to rest while I returned to pick up great pointers from a respectable neurologist on how we could efficiently approach our congressional members on Super Tuesday.
When our training wrapped for the afternoon, I opted out of meeting the new attendees to go check up on my teen. Usually, he needs to sleep with his medications to feel better. In this case, Colton required 8 hours of sleep and additional meds to lessen his debilitating symptoms.
I kept my cell on ring incase Colton needed help with something and returned downstairs for the sponsored Dinner by CHAMP (Coalition for Headache And Migraine Patients.) After the meal, the attendees were treated to a sneak peek of the new documentary Out of My Head, with a Q&A to follow with the filmmakers.
With a busy Tuesday ahead of me, I retired to my room for the night hoping my health wouldn’t be an issue like it had most of that day. Unfortunately for me, my body rebelled and in a huge way. I woke up with severe vertigo and nausea that none of my natural treatments and prescription abortives, could lessen.
Getting dressed then making it to the charter buses on time was a considerable challenge. Thankfully, Colton and Mia, our other advocate from Wisconsin, was there to help me navigate from one side of the congressional offices to the other.
A sponsored lunch was provided by The Headache & Migraine Policy Forum. It gave the advocates a chance to rest, grab a bite to eat and listen to a panel discuss the issues that our active duty and veteran military members with neurological disorders face when seeking medical care. I walked away, completely baffled by the fact the VA hospitals are not equipped to handle the volume of military patients looking for relief from their debilitating symptoms. These men and women served are serving our country deserve better options. Hopefully, with more advocates fighting on their behalf, that will soon be a possibility.
With so much going on earlier that morning with my health, I wanted to continue to the last two meetings with my state’s congressional members. That just wasn’t going to happen. Once again, my vertigo reared its ugly head making me come to the upsetting decision to go back to the hotel to sleep.
Colton knew I was in pretty rough shape is that I could barely walk without assistance. He joined me in the taxi and made sure I got safely back to our room. Mia continued to the last two meetings for Wisconsin. I am so ever grateful to have her on Team Wisconsin! She is an amazing and strong-willed woman that has become one of my good friends in the migraine community.
Back in my hotel room, I did everything possible to abort my migraine attack. I hated the fact that after attending my 3rd Headache on the Hill, I had no choice but to sit out because of my neurological disease. The main reason why I came to Washington D.C. in the first place was to share how migraine has affected my life. Now all I could do was lie in bed feeling the worst pang of guilt for not fulfilling my obligation as a patient advocate.
It took a good 5 hours before I could safely get out of bed without falling over my own two feet. What most people don’t seem to understand is that having vestibular migraine is often so debilitating that the simple task of walking is almost impossible. How can you function if the world around you won’t stop spinning and your head feels like an anchor, trying to pull your whole body to one side or the other?
I lost a job over my neurological disease from not being able to drive for 18 months. When a person tells me to throw sunglasses on, pop some over-the-counter meds and get on with my day, I take big offense to that. I wish it were that simple! I’d love nothing more than to “pretend” my health isn’t an issue, but my body likes to remind me that it is.
These past two days in Washington D.C had taken a significant toll on both Colton and I. We fought numerous migraine attacks with very little success. The weather had a big hand in how poorly our heads behaved while we traveled. Of course, that was a factor for so many other advocates besides us. They do say misery loves company and there was an overabundance of it on Monday and Tuesday.
At least my evening improved. I was able to attend the dinner hosted by the U.S. Pain Foundation for their ambassadors and other participants that are involved with them. Colton and I had the honor of sitting at the table with 3 of the people from the Out of My Head Documentary. We had a great time learning more about this family, and I can, in all honesty, say they were the perfect fit for that film.
The two days in Washington D.C seemed to fly by as it usually does when I’m in town for Headache on the Hill. It filled my heart to see the 150 advocates representing 40 states. The biggest group of people to date!
What this translates to is that more people are becoming aware that the only way we can make a difference is by sharing our stories with individuals that have the power to change things for us. Having a voice is vital for any type medical condition. Migraine may have taken away some of the most parts of my life away from me, but I feel a sense of vindication each, and every time I overcome an obstacle, my neurological disease puts in my way.
5:30 A.M. on Monday, December 4, 2017 – The sound of my alarm wakes me from my deep slumber. Normally, I’d hit the snooze button several times before deciding to get out of bed. But not on this morning. I was on a mission! One I had mentally prepared for over the past week and decided to finally put this plan into motion.
So, what had me waking up at the crack of dawn without any reservations?
I had finally convinced myself it was time to follow through with something I never saw myself doing and just go for it! I was going to start training to run my very first Miles for Migraine 5K.
Miles for Migraineis a registered 501(c)(3) Non-Profit with the mission of improving the lives of migraine patients and their families, raising public awareness about headache disorders, and helping find a cure for migraine. Miles for Migraine produces fun walk/run events, typically 2 mile walk and 5k and 10k race to raise money for migraine research. We also host youth camps for kids and teens impacted by migraine or other headache disorders.
To be honest I absolutely detest running! I played soccer as a kid and well into my teens, but I ended up being the goalie. I didn’t have to put as much effort into running on the field as my teammates. I only ran laps with the team before and after practice. Which was maybe the equivalent to 2 miles.
Back then I was physically capable of running. I just did everything possible to avoid it. Now, that I want to go out and run, my body could rebel against me.
Since being diagnosed with vestibular migraine, fibromyalgia, rheumatoid arthritis and osteoarthritis, I’ve struggled to keep in shape. And it has nothing to do with me not wanting to workout. Your typical type of exercises like sit-ups, has triggered nasty bouts of vertigo that can go on for hours. Even things like dancing ends with me getting painful fibro flare-ups and hurting for several days.
With all those reasons avoid participating in a marathon, I still needed to make this happen. It is with that motivation I crawled out of bed this early this morning, dressed in 3 layers of shirts, 2 pairs of socks and 1 pair of leggings, and hit the pavement on what would be my first jog through my neighborhood.
As the cold air hit only the parts of my exposed skin, I waded through puddled filled sidewalks against the rain on a mission to get through the first mile without passing out our throwing up. Yes! I’m that out of shape.
My feet moved at a steady pace, one that I was most comfortable with until the rest of my body began to slow the other parts of me down. I was out of breath, but my drive to continue, kept me moving past one business after the next.
Before too long, my house was on the horizon and within seconds I’d be able to set foot through my front door knowing I not only accomplished Day 1 of training, but that I didn’t turn around the second it went from sprinkling to pouring rain.
A minute after walking into my living room, I felt a sense of pride and a whole lot of exhaustion. This was a major milestone for me. One I will look back on and say this is what true dedication is all about.
The small sacrifice I make each morning from here on out, is going to be worth it the moment I cross that finish line. Knowing that I accomplished something I never thought possible will truly be a victorious moment for me.
Excedrin® has, once again, creatively intervened to help foster empathy for people with migraine.
In September, a new program was unveiled to help get the conversation going between co-workers with the launching of Excedrin® Works. This latest platform from Excedrin® offers videos with different perspectives of an Interpreter, Pastry Chef, and Emergency Medical Technician moments before and during a migraine attack.
This brilliant use of 360-degree virtual reality technology, places users in real-life migraine workplace experiences, allowing them to see, hear and experience the effects of a migraine – everything but the pain.
Not only is Excedrin® using the 360-degree virtual reality technology to spark a dialogue in the workplace about the impact of migraines it empowers sufferers to talk about their condition with their colleagues.
What’s even more appealing about this program, is how Excedrin® compiled a great discussion guide that is available for downloading to share among employers and co-workers.
After viewing the individual videos of Maggie, Sarah, and Han I felt an overwhelming sense of compassion towards each of these migraineurs. I personally know what it is like to not want to discuss migraine in the workplace. There was always that fear of others doubting your symptoms and worst, assuming your using your medical condition to get out of an important work matter. It was always emotionally and physically draining on me.
A recent survey from Excedrin® found that[iii]:
● 7 out of 10 Americans with migraines say working during a migraine attack negatively impacts their work performance
● Nearly half of migraine sufferers have had to debunk migraine myths – like coworkers claiming they are actually hungover!
● Almost two out of five (38%) feel limited in their professional life due to their migraine
● 63% of migraine sufferers will power through and pretend they’re OK, making this the most common reaction to a migraine attack at work.
No one should ever have to downplay their health to avoid uncomfortable confrontations from co-workers.
That’s why I truly appreciate how Excedrin continues to use of innovative measures to further educate others about a neurological disease that approximately 38 million Americans suffer from.
Another applause worthy move Excedrin® made for this program, was announcing Nascar’s Danica Patrick, a migraine sufferer herself, as their new spokesperson.
As migraineur of 30 years, mom to a teen living with migraine, and patient advocate I fully agree with the decision to bring Danica on board.
Although I’m not a professional stock car driver, I do know that during a migraine attack, the thought of being surrounded by crowds is furthest from my mind. I want a dark, quiet room where I can lie down and wait out my often-debilitating symptoms.
Being a longtime avid fan of Nascar, I was ecstatic about the opportunity to interview Danica. I not only learned how she manages life in the fast lane as a migraineur, but also how her involvement with the Excedrin® Works plays an important role to raise migraine awareness in the workplace.
INTERVIEW WITH DANICA PATRICK, SPOKESPERSON FOR EXCEDRIN® WORKS
1. About how old were you when you first started to experience migraine related symptoms?
I’ve been suffering from migraines for about the past 2 years, so since I was in my early thirties.
2. How long after that, did you receive your migraine diagnosis?
For a while, I wasn’t quite sure what was going on. I thought I may have had carbon monoxide poisoning – from being in the race car – or maybe that it was even a food allergy, since I often got nauseous as well. After testing a few theories, and working with my doctor, we determined that I was suffering from migraines.
3. Speaking of symptoms, what type do you normally experience before, during and after a migraine attack?
I know pretty immediately when a migraine is coming on – it’s a familiar sharp pain – and when that happens I treat it right away. When I get migraines, they start mild and increase in severity. I often experience auras – which look like floating halos. Sometimes I also experience sensitivity to light.
4. Out of those symptoms, which one is the most debilitating for you?
I don’t think any one symptom is more debilitating than the other. Collectively my symptoms make suffering from migraines a very painful experience. Couple the pain and visual symptoms with the nausea I often experience, and it can derail your entire day – sometimes longer.
5. Could you please share your known migraine triggers? (ex. Environmental related-humidity or barometric, certain foods/drinks/fragrances)
I have many different triggers, there is no one specific thing that I can attribute them to. However, I’ve noticed that I most often experience migraines on the days that follow my races. Those weekends can be especially grueling since my schedule is crazy – I always need to make sure I am eating enough meals, drinking enough water, etc. so that come Sunday night I am not completely wiped out.
6. Does anyone in your immediate family (maternal or paternal side) have the migraine disease?
7. Do you currently seek the medical expertise of a Neurologist, Headache Specialist or Migraine Specialist for your migraine disease?
The majority of my medial insight comes from my primary care physician.
8. Do you take anything as a migraine preventive? If yes, would you please share what those things are?
Because migraines are very unpredictable, I do not take anything as a migraine preventative. However, the moment I feel a migraine coming on I take Excedrin® immediately.
9. Were you just a little hesitant about sharing that you have the migraine disease with your team and car owner?
I wasn’t hesitant about speaking about my migraines with my team. If I’m not there or fully functional, the race can’t go on so it was important for me to be as open as possible with those around me so we can all help each other.
10. What piece of advice can you offer to anyone living with migraine that might be afraid to have the conversation about their diagnosis with their employer or co-workers?
Sharing your medical information with people can be scary. I totally get it. But I also think that the people you work with – people you may spend the majority of your time with – would appreciate your transparency. Who knows, the people around you may suffer from migraines too. You’ll never know until you open up the discussion.
As part of Excedrin® Works, Excedrin® has created some helpful tools so that migraine sufferers can have more productive conversations about their condition at work. At Excedrin.com you can check out our 360 degree VR videos which depict the real migraines of two sufferers. There is also a migraine discussion guide available for download, which has some helpful tips and tricks for how to talk to your boss, coworker, etc. about your migraines.
To download your own guide and other helpful materials to share with co-workers, please visit Excedrin.com
***Some information in this article was provided by these additional resources: [iii] Excedrin® Works Survey