Somebody Heal Me by Diana Lee

Needle-Free Sumavel DosePro Sumatriptan Injection Receives FDA Approval

noreply@blogger.com (Diana Lee) — Fri, 17 Jul 2009 10:00:00 +0000

The manufacturer of Sumavel DosePro, a needle-free delivery system for the subcutaneous sumatriptan injection, has received FDA approval for the product. It is approved for the treatment of migraine and cluster headache attacks.

Sumavel DosePro Approved by FDA for Acute Migraine and Cluster Headache: First Product Featuring Novel DosePro Needle-Free Delivery System

Before Sumavel DosePro, sumatriptan was available in an injection, nasal spray and pill. Delivery mechanisms that avoid the stomach are preferable for most migraineurs because of nausea and vomitting.

Injections are usually the quickest method of getting treatment medication into the body, but many people are scared of or intimidated by needles. Now those people will have an option that provides the same benefits with almost none of the drawbacks. The one thing that might make it less desirable is that sumatriptan injections are now available in a generic, which saves patients money. Since this product is a new technology, it will be more expensive.

For more information about this product visit the manufacturer's website:

Zogenix - Sumavel DosePro

Related Posts:
Sumatriptan DosePro Offers Needle-Free Alternative to Imitrex Injection

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Content by Diana E. Lee.

DISCLAIMER: Nothing on this site constitutes medical or legal advice. I am a patient who is engaged and educated and enjoys sharing my experiences and news about migraines, pain and depression. Please consult your own health care providers for advice on your unique situation.

Another Crossroads: What to Try Next for Migraines & Occipital Neuralgia

noreply@blogger.com (Diana Lee) — Thu, 16 Jul 2009 10:00:00 +0000

On Wednesday I had a follow up appointment with the pain specialist who did my radiofrequency rhizotomy (rfa). Unfortunately he pretty much said what I expected - there isn't much left to be tried.

Here is an overview of my main remaining options:

- Occipital Nerve Stimulator

- visit the Michigan Headache & Neurological Institute and get inpatient treatment - pros & cons

Pro - Support in getting off narcotics, which is something I'm interested in doing.
Pro - Opportunity to consult with another doctor.
Con - One-size-fits-all treatment.
Con - Little time with actual doctor.
Con - Not convinced they are offering anything I haven't already tried.
Con - Poor sleep the entire visit.
Con - Indefinitely trapped in inpatient unit.

- go back to Dallas & see Dr. Krusz

Right now I'm leaning toward another visit to Dr. Krusz and maybe a trial of an occipital stimulator. Dr. G. said he could do the trial of it and then he would send me to a colleague in Denver for the actual implantation surgery if the trial goes well.

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Behavioral Treatments No Better Than Placebo for Chronic Tension-Type Headache

noreply@blogger.com (Diana Lee) — Wed, 15 Jul 2009 10:00:00 +0000

A review of existing studies of behavioral therapies for treatment of chronic tension-type headache determined they are no more effective than placebo.

Behavioral Treatments of Chronic Tension-Type Headaches

Treatments reviewed in this study include relaxation techniques, biofeedback and cognitive behavioral therapy. The study's authors reviewed 44 trials. The vast majority of these were considered to have varying degrees of bias. Those studies that included sufficient controls to show statistical differences often did not reach clinical significance. In other words, the treatments studied were no more effective than no treatment at all.

I don't have any reason to mistrust the results of this study, but I would like to point out that this review does not take into consideration the value of these therapies in helping patients cope with their pain and incapacity. I don't know whether they can prevent or abort headaches, but I know they can help in managing the suffering that so often comes along with pain.

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I'm So Lazy: Ways We Trick & Abuse Ourselves

noreply@blogger.com (Diana Lee) — Tue, 14 Jul 2009 10:00:00 +0000

I've had the message that I'm lazy and absolutely must start keeping the house clean running on a track in my mind for months. Never mind that I'm completely unable to work and receiving Social Security benefits. Why let logic get in the way of abusing myself, right?

The running thought that if only I tried harder I could get more done around here became louder and louder and louder. This week the message finally became so impossible to ignore that I forced myself to clean well beyond what I know are my legitimate limits.

Now I'm sitting here feeling awful. The migraine I treated earlier has returned. I'm still suffering the lingering side effects of the medication I took to treat it this morning, and I'm in terrible pain again, too.

Why in the world do I do this to myself? I want a clean house. I want to make things easier for my husband. I don't feel like we can really afford a housekeeper. I need help, but I don't know how to make that happen. If anyone else told me she did this to herself I would be so sad and remind her she isn't lazy. She's sick. But it's hard for me to say that to myself.

I seem to have a pattern of doing this to myself. I push myself so far that I'm forced to stop and realize that spending most of my time taking it easy is not a choice. I absolutely cannot push myself like I used to love to do. I wish I could say I've learned my lesson for good this time, but somehow I don't think I probably have.

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July 2009 Headache Blog Carnival

noreply@blogger.com (Diana Lee) — Tue, 14 Jul 2009 00:00:00 +0000

Welcome to the July 2009 Headache and Migraine Disease Blog Carnival.

The Headache & Migraine Disease Blog Carnival has been created to provide both headache patients and people who blog about headaches with opportunities to share ideas on topics of particular interest and importance to us.

There was no specific theme for the July 2009 carnival. Instead I encouraged everyone to submit a favorite post from the past month.

Please keep reading for this month's collection of posts.

James Cottrill presents The Gluten Syndrome & Migraine posted at the Headache and Migraine News Blog.

Teri Robert presents Prescription for America & Your Migraine Treatment posted at My Migraine Connection.

Mary Kay Betz presents Irritable Bowel Syndrome Symptoms: Cause of Migraine Headaches? posted at Headache Adviser.

Califmom presents The Pain posted at Califmom: Bottled in the Summer of '69.

Jasmine presents The Vestibular System posted at Jasmine's Cove.

Megan Oltman presents No You're Not Crazy You Just Have Migraines posted at the Free My Brain From Migraine Pain blog.

Rosalind Joffe presents Can You Job Hunt, Live with Illness and Stay Motivated? posted at Working with Chronic Illness.

Submit your blog post to the August 2009 edition of the Headache and Migraine Disease Blog Carnival using our carnival submission form or by e-mailing your submissions to me directly. The theme will be "Migraines and families - genetics, parenthood, child migraineurs, or any other related topic you'd like to address." Entries are due by midnight on Friday, August 7, and the carnival will be posted right here at Somebody Heal Me on Monday, August 10.

Past posts and more information about the carnival can be found on our Headache Blog Carnival information page.

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The Let Down of Not Having Answers

noreply@blogger.com (Diana Lee) — Fri, 10 Jul 2009 10:00:00 +0000

In the weeks and months since my last visit to see my migraine specialist in Dallas I've begun to feel more and more like I didn't get the answers I wanted and expected from my visit. I noticed I felt that way again after my appointments with the pain specialist my local neurologist referred me to (the doctor who performed my radiofrequency rhizotomy [aka rfa] a few weeks ago).

Even after all this time and all these treatments and knowing what I know about my condition, a little part of me still hopes I'll show up at an appointment and the doctor will have some awesome thing to suggest that will make a humongous difference in my situation. In a way it's kind of astounding and quaint that I can still generate hope like that after all this time.

I'm feeling even more let down since my migraines and occipital neuralgia have returned to their pre-rfa level of frequency and intensity. Some part of me felt so sure this procedure would be the answer I was looking for. Something finally made sense about the pattern and characteristics of my migraines and neck pain when I learned about and was diagnosed with occipital neuralgia. It seemed logical the believe the rfa procedure would have the potential to abort my neck pain, thereby preventing the vast majority of my migraine attacks.

And it did - for two blissful weeks. The problem is that the procedure was supposed to last for at least six months. Two weeks is certainly the most relief I've had since my second round of Botox injections in December 2008 and more than I experienced when I received occiptial nerve blocks and cervical medical branch blocks. But it's still a huge disappointment.

This all begs the scary question of "What now?" I have some ideas of how to cope and move forward (go back to therapy, seek out opinions from all my doctors), but no idea what it would make sense to try next. I truly feel like I've reached the end of the road and that scares me senseless.

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Last Call: July 2009 Headache Blog Carnival

noreply@blogger.com (Diana Lee) — Fri, 10 Jul 2009 10:00:00 +0000

Announcing last call for submissions to the July 2009 Headache & Migraine Disease Blog Carnival. There is no theme this time. Instead submit your favorite post from the past month.

Submissions are due by the end of the day today, Friday, July 10th.

Posts may be submitted through the form on the carnival website or directly to me by e-mail.

The carnival will be posted on Monday, July 13th right here at Somebody Heal Me.

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Content by Diana E. Lee.

Hint of Good News Regarding Possible FDA Ban of Certain Pain Medications

noreply@blogger.com (Diana Lee) — Thu, 09 Jul 2009 10:00:00 +0000

Although the recent recommendation of an FDA advisory panel to take prescription pain medications containing acetaminophen off the market is worrisome, there is some hopeful news.

On Tuesday the FDA announced it would not adopt a ban on propoxyphene (aka Darvon or Darvocet) at this time despite the advisory panel's recommendation that it do just that. The FDA said that based on the information currently available, the benefits of using propoxyphene as directed outweigh the risks. However, manufacturers will be required to strengthen package warnings and provide patients with a medication guide explaining the importance of taking the medication as directed. The FDA is also initiating a study of the safety of propoxyphene, which could lead to stricter regulation of the product. For now the agency believes providing patients with more information can improve safety without removing the product from the market.

FDA Takes Action on Darvon, Other Pain Medications Containing Propoxyphene

The agency's decision seems to indicate it is not yet convinced that such products are so dangerous they must be banned and is not likely to follow the advisory committee's recommendation to ban other prescription pain medications containing acetaminophen. Anything is possible, of course, but the situation seems much more promising than it did just a few days ago.

If you're interested in learning more, the FDA has provided a list of questions and answers here:

Propoxyphene Questions & Answers

Related Posts:
FDA Advisory Panel Recommends Removing Certain Prescription Painkillers from Market

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RFA Procedure Update: 3 Weeks Later

noreply@blogger.com (Diana Lee) — Wed, 08 Jul 2009 10:00:00 +0000

I don't know any other way to start this update post other than to say that I'm really disappointed.

I had the radiofrequency rhizotomy (aka Radiofrequency Nerve Ablation aka RFA) procedure on Wednesday, June 17. As expected I was sore from the procedure itself, but my typical neck pain was completely gone and I had fewer migraine attacks, too. The pain from the procedure continued for a good week and a half, but then that mostly went away, too.

Unfortunately, last Thursday my neck started hurting again the way it did before the procedure. Along with the neck pain came the resulting migraines in the ram's horn shaped pattern that tends to characterize occipital neuralgia. This hasn't let up as of the writing of this post.

I'm incredibly bummed out. When I had two weeks of relief I really thought this was going to be my answer. I'm scared at what this might mean, but I'm trying to keep a calm and level head until my follow up appointment on July 15th.

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Too Funny: Healthy Americans Against Reforming Medicine

noreply@blogger.com (Diana Lee) — Tue, 07 Jul 2009 10:00:00 +0000

This site is absolutely hilarious! You just can't beat a good tongue-in-cheek parody.

Healthy Americans Against Reforming Medicine (HAARM)

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NPR's Talk of the Nation Discusses Pain Management & Policy

noreply@blogger.com (Diana Lee) — Mon, 06 Jul 2009 10:00:00 +0000

Thursday's edition of the National Public Radio (NPR) program Talk of the Nation included a 30 minute discussion of the treatment of chronic pain.

NPR: Pain Management & Prescription Painkillers

I was especially pleased that the physician guest emphasized the under treatment of pain and resulting suffering experienced by chronic pain patients. The segment is well worth a listen.

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Happy July 4th!

noreply@blogger.com (Diana Lee) — Fri, 03 Jul 2009 10:00:00 +0000

Wishing all my readers a relaxing, fun Independence Day holiday. Please check out this article from the archives on having a safe, green July 4th.

Healthy Advice for Independence Day

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Found: Handheld Digital Thermometer for Biofeedback Training

noreply@blogger.com (Diana Lee) — Thu, 02 Jul 2009 10:00:00 +0000

Biofeedback is a method of training your body to relax and release tension. While this technique cannot necessarily prevent or treat migraine attacks or tension headaches, it can lower your threshold for developing a migraine or headache and reduce your suffering when you experience an attack.

Stress Thermometer

One common way of assessing your relaxation response during biofeedback training is to practice relaxation and meditation techniques while measuring the temperature of your hands using a small digital thermometer with a wire taped to your finger. As you are able to increase the temperature reading you learn what your body feels like when become more relaxed.

According to the American Headache Society:

Thermal or hand-warming biofeedback was first used at the famous Menninger Clinic in Kansas. Researchers there discovered that headache patients who learned to raise the temperature of their hands using biofeedback had fewer and less severe headaches when they practiced this skill regularly.

Hand-warming works in the following way: When a person is anxious or under stress, the blood vessels in the fingers narrow and the hands become cooler. That's why we tend to get "cold and clammy hands" when we're frightened or nervous. On the other hand, when you are relaxed, the blood vessels in your hands expand and your hands get warmer. You can get an idea of how stressed you are by taking your hand or finger temperature with a thermometer or biofeedback instrument. You can learn to reduce your level of arousal through the process of temperature biofeedback training. Then, whenever your hands are cool or you are experiencing stress, you use your hand-warming skills to produce a more relaxed state.

I was lucky enough to receive the training from a doctor who learned the technique at the Menninger Clinic, but there are people all over the country who can help you learn and practice the technique.

It takes a great deal of practice to become so in tune with your body that you can utilize the technique, so you will want to have a digital thermometer like this one so you can practice on your own.

If you're interested in my recommendations for relaxation and meditation CDs and books, visit this link:

Somebody Heal Me Amazon.com Store: Meditation

Sources:
Biofeedback & Relaxation Training for Headaches

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FDA Advisory Panel Recommends Removing Certain Prescription Painkillers From Market

noreply@blogger.com (Diana Lee) — Wed, 01 Jul 2009 10:00:00 +0000

An FDA advisory panel issued recommendations yesterday that would change the way products containing the pain reliever acetaminophen are regulated. Research has reinforced existing concerns about liver damage and the potential for overdoses related to use of these medications. But discussions of these concerns do not always tell the whole story.

The expert panel recommended the FDA lower the maximum daily dosage and maximum single dosage of over the counter acetaminophen products (e.g. Tylenol).

The panel declined to recommend taking combination products containing acetaminophen, such as Nyquil or Theraflu, off the market.

Finally, and probably most noteworthy for my readers, the panel recommended the FDA take prescription combination products containing acetaminophen off the market, such as Percocet, Lortab and Darvocet. The FDA is not required to follow the recommendation, but usually does. This could be a big deal for the thousands of chronic pain patients who, like me, rely on these products to make our daily pain bearable.

As the Consumer Health Care Products Association (a drug industry group) rightly points out, 80% of the deaths associated with these products are suicides, not accidents. Further, these products are safe when taken as recommended (i.e. the proper dose is not exceeded and they are not combined with alcohol). Liver damage is rarely seen when patients follow these guidelines. I can certainly see the need for increased education efforts to make people aware of these issues, but to take these prescription pain medications off the market is a mistake. Far more people will suffer when these products are unavailable than currently suffer as a result of using them.

Sources:
FDA Panel Advises Smaller Doses of Painkillers
FDA Panel Urges Cuts in Acetaminophen Dosage

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My 'Right Now' List: Summer 2009

noreply@blogger.com (Diana Lee) — Tue, 30 Jun 2009 10:00:00 +0000

- Season two of True Blood on HBO.

- Some great books:

- Cutting for Stone by Abraham Verghese

- The Writing on My Forehead by Nafisa Haji

- Broken Open: How Difficult Times Help Us Grow by Elizabeth Lesser

- Sandra Bullock's new romantic comedy, "The Proposal" (Ryan Reynolds is so hot!).

- The latest Pixar film, "Up."

- All of my favorite Michael Jackson & Jackson 5 songs on repeat.

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Time to Quit: Smoking May Trigger Migraine Attacks

noreply@blogger.com (Diana Lee) — Mon, 29 Jun 2009 10:00:00 +0000

According to the Journal of Headache and Pain, a small study of medical students in Spain shows that smoking more than 5 cigarettes a day may be a migraine trigger.

Migraine frequency among students who were migraineurs and smokers was higher than among students who were migraineurs, but non-smokers. The researchers found that the migraineurs in the group were more likely to be smokers.

Quitting smoking can be extremely difficult, but for migraineurs this is yet another reason to make the change. I quit smoking cold turkey the summer after I graduated from college. It was hard and I miss it sometimes, but it was probably the best thing I've ever done for my health and the planet. I think I deserve major kudos because I started law school that fall and stuck to my commitment. It was hard!

Sources:
Smoking as a Precipitating Factor for Migraine: A Survey in Medical Students
Smoking More Than 5 Cigarettes a Day Provokes Migraine Attacks

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Greedy: Things I Need Right Now

noreply@blogger.com (Diana Lee) — Fri, 26 Jun 2009 10:00:00 +0000

Things I need right now:

- Regina Spektor's new album "Far"

- better fitting pants & jeans - the Oprah re-run inspired me

- an eyebrow & (gasp!) lip wax

- S'mores Cheesecake with Summer Berries

- Mark Bittman's Eggplant & Chicken Parmesan

- someone to make my husband take me to the Green Day / Franz Ferdinand show

Who wants to hook a girl up?

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Announcing July 2009 Headache Blog Carnival

noreply@blogger.com (Diana Lee) — Fri, 26 Jun 2009 10:00:00 +0000

Entries for the July 2009 Headache & Migraine Disease Blog Carnival are due by the end of the day on Friday, July 10th.

There is no theme for the July carnival. Instead, submit your favorite post from the past month.

Posts may be submitted through the form on the carnival website or directly to me by e-mail.

The July carnival will be posted on Monday, July 13th at right here at Somebody Heal Me.

For more information about the carnival visit this link: Headache & Migraine Blog Carnival.

Please let me know if you'd like to be added to the e-mail list for the carnival, if you're interested in hosting a future edition or if you have suggestions for future themes.

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June 2009 Pain Blog Carnival Posted

noreply@blogger.com (Diana Lee) — Thu, 25 Jun 2009 10:00:00 +0000

The June 2009 Pain Blog Carnival is posted at the How to Cope with Pain blog. There are lots of great topics covered in this month's posts. Definitely check it out.

June 2009 Pain Blog Carnival

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Being a 'Difficult Patient' Could Compromise Your Quality of Care

noreply@blogger.com (Diana Lee) — Thu, 25 Jun 2009 10:00:00 +0000

Kevin MD recently wrote about a study indicating that doctors are frustrated by the behaviors of as many as 15% of their patients. The most common complaints are:

1. Failing to disclose use of herbs and supplements.
2. Stopping medications without telling the doctor.
3. Refusal to make lifestyle changes and seeking an easy or quick fix.
4. Demanding a certain medication.
5. Demanding every test under the sun.
6. Interfering loved ones in the exam room.

How Patients Can Annoy Their Doctors

Kevin makes a lot of valuable points, but I have just a couple of thoughts to add.

It's important to view the doctor patient relationship as a partnership. Your role as the patient is not to dictate or demand; the doctor's role is not to blindly acquiesce to your requests. It is essential to work together to come up with ideas and solutions and discuss the merits and drawbacks of each possibility.

I'm a firm believer in sticking to your guns when you have an instinct about a particular approach to your medical care. However, it is also important to be open minded and willing to change your mind if you are presented with information you weren't already aware of. We all have strongly held convictions about certain issues, but as intelligent people we also know that as we learn more our views evolve. After all, if we knew everything there is to know why would we need to see doctors and other experts in the first place?

Finally, I'm in favor of bringing a loved one along to appointments for support and help processing the experience after the fact. However, it is important to choose someone who will be respectful of the doctor's need to interact directly with the patient and not chime in with negative, baiting comments that distract the patient and take valuable time away from the doctor. You know your loved ones, so be honest with yourself about who is a good choice to accompany you and who isn't.

Source:
Six Patient Behaviors That Drive Doctors Nuts

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Managing Migraine as a Chronic, Progressive Disease

noreply@blogger.com (Diana Lee) — Wed, 24 Jun 2009 10:00:00 +0000

Renowned headache specialist Dr. Roger Cady of the Headache Care Center in Springfield, Mo., has written a fascinating, informative editorial in the most recent edition of the Mayo Clinic Proceedings publication about the growing understanding of migraine disease as a progressive disorder. His editorial accompanies two articles reviewing the progressive, debilitating nature of migraine disease and its devastating impact on sufferers' lives and families, businesses and society at large.

The Future of Migraine: Beyond Just Another Pill

Interestingly, Dr. Cady considers this new understanding about the progressive, sweeping nature of migraine a positive sign that migraineurs can expect better treatments that will improve their quality of life. He says doctors will need to move beyond the traditional methods of treating migraine patients and toward more comprehensive, personalized therapies that focus not only on aborting attacks, but also on preventing the progression of the disease.

Sources:
Mayo Clinic Proceedings: The Evolution of Migraine from Episodic Headache to Chronic Disorder

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5 Tips for Communicating with Your Doctor When Migraines Steal Your Words

noreply@blogger.com (Diana Lee) — Tue, 23 Jun 2009 10:00:00 +0000

When you are experiencing a migraine or recovering from one it can be difficult to express yourself as well as you ordinarily would. Finding the right words can be challenging and sometimes your brain just doesn't move as fast as it normally would. Even though most doctors know this can be a problem, when they are busy and distracted it might not occur to them to give you some extra time and attention.

Here are some tips for working around migraine-related communication difficulties when you see your doctor.

1. Prepare a list of questions and concerns in advance.

2. Bring at least two copies of your list to the appointment: one for you and one for the doctor.

3. Bring a trusted friend or family member to help make sure you get all your questions answered and concerns addressed.

4. State up front that you are having a migraine or recovering from one and having more trouble than usual expressing yourself.

5. Take notes during the appointment in case you have trouble remembering what the doctor said.

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Radiofrequency Procedure Done, Now We Wait & See

noreply@blogger.com (Diana Lee) — Mon, 22 Jun 2009 10:00:00 +0000

I had the RFA procedure this past Wednesday, and it went well. Seeing a doctor I wouldn't mind chatting with in regular life isn't usually important to me given the difficulty of finding doctors knowledgeable, experienced and gutsy enough to to take me on. But it somehow seems more important when you're lying face down with your arms jutted out behind you in anticipation of yet another medical procedure. It's nice to be a little bit comfortable with the guy getting ready to stab your neck with needles and burn your nerves.

The procedure itself hurt a lot (not the radiofrequency part but rather the needle insertion part), but Dr. G. used plenty of numbing medicine and they put good stuff in my IV that made it tolerable while he worked.

The first few days I was very sore and relied on steady pain meds to keep the pain to a tolerable level. The pain from the procedure has improved a lot since Wednesday. I'm still having some bad head pain and migraines, though, so I hope that will eventually die down.

Dr. G. said I can expect the pain from the procedure to last as long as two or three weeks and that my pain will most likely get worse before it gets better. I'm hopeful, but guarded, that I might get some lasting results from the procedure with time. I go back for a follow up appointment in a month.

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Migraines in Pregnancy Increase Risk of Stroke, Preeclampsia

noreply@blogger.com (Diana Lee) — Thu, 18 Jun 2009 10:00:00 +0000

The shift in hormones that results from pregnancy reduces migraine frequency among many women. As many as 42 to 98% of migraineurs experience fewer migraines during pregnancy. However, worsening migraines or a new appearance of migraines during pregnancy can signal the potential for serious problems.

Pregnant women generally have a 3 to 13 times greater risk of stroke than women in the general population. According to a study published in the British Medical Journal, women who experience migraines during pregnancy, however, have a 17 times greater risk of stroke. Furthermore, the BMJ study found that women who have migraines before, during and after pregnancy have twice the risk of experiencing preeclampsia (a term for high blood pressure during pregnancy).

Researchers think these increased risks may be due to mutations in the genes that regulate blood clotting. Blood clots can form in the lungs and veins as a result of abnormal clotting. These clots can interrupt blood flow to the brain and lead to a stroke.

Consequently it is very important to make sure your doctors are aware of your history of migraines if you are pregnant. Abnormal clotting can be treated with blood thinners and women can be closely monitored for preeclampsia to reduce the risk of complications.

Sources:
Migraines, Pregnancy and Stroke
Preeclampsia - MayoClinic.com

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Migraine Chickie Featured in Neurology Now Magazine

noreply@blogger.com (Diana Lee) — Wed, 17 Jun 2009 10:00:00 +0000

Fellow migraine blogger and inspired cartoonist Migraine Chick is featured in the May/June 2009 issue of Neurology Now magazine!

Neurology Now is a free magazine published by the American Academy of Neurolgy for patients with neurological disorders and their family and friends. Many doctors offices have copies on hand or you can subscribe online. It's a great publication and I was so excited to see a friend and her work featured in it this time.

Neurology Now Subscription Information

Check out Migraine Chick's comics:

Migraine Chick Comics

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Content by Diana E. Lee.