Attack of the Migraines
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 21 February 2022
⏱️ 18 minutes
🧾️ Download transcript
Summary
Migraines...for many of your patients, they're all too common. Actually, migraines affect about 15% of the general population.
In this episode we'll start by talking about the different types of migraines. Then, we'll go over the broad strokes for abortive treatment for migraines, highlight the major treatment modalities for your patient, and then discuss preventive treatment.
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We just put together a brand new course for primary care clinicians, which we're looking to give away for free!
If you're a PA or NP working primary care (you can't be a student) and are willing to give us feedback on the material, here's how you can get full access to this free course:
https://www.medgeeksmentorship.co/primarycare
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Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.
This looks different to everyone, which is why we take such a personalized approach.
Whether you want to ...
- Stop taking your work home
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- Improve your work life balance
...or anything in between, we can definitely help.
We've worked with thousands of physician assistants and nurse practitioners working in Primary Care since 2013 and we're confident we can help take your career and life to the next level. If you're working in primary care, you can learn more about our mentorship opportunities here:
https://www.medgeeksmentorship.co/application
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Learn more about who we are here:
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Transcript
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| 0:00.0 | A young 22 year old female presents with severe headaches that prevent her from doing her job to your office. |
| 0:06.0 | She notices that they are unilateral throbbing in quality and sometimes they're brought on by stress and other times it's preceding her menstrual cycle. |
| 0:16.0 | And every time the patient would eat wheat, she would get the wildest headaches she ever had. |
| 0:22.0 | The patient would say that her pain would reach a peak and then |
| 0:25.6 | suddenly she would vomit. When you see the patient you're perplexed and unsure of the |
| 0:31.4 | diagnosis so you refer her to a leading neuro-discipline. perplexed and unsure of the diagnosis. |
| 0:33.0 | So you refer her to a leading neurosurgery center. |
| 0:36.5 | That's right, an actual surgeon. |
| 0:38.5 | You send the patient to Memphis Baptist hospitals, |
| 0:41.9 | neurosurgical service to be under the care of neurosurgeon Dr. Raphael Eustis Semms. |
| 0:47.5 | Sems was the first neurosurgeon in that city, |
| 0:50.7 | and not just the first neurosurgeon in that city, but the first neurosurgeon in that city and not just the first neurosision in that city ever. |
| 0:55.4 | And it turns out he was trained by a pretty famous doctor himself. |
| 0:59.1 | Who was he trained by? |
| 1:00.5 | Well that doctor's name was Dr. Harvey Cushing of Harvard University who would later be |
| 1:04.2 | heralded as the father of modern neurosurgery. Besides all the amazing things he did, he also |
| 1:10.4 | trained Dr. Eustace Sembs, who is now taking care of our patient in Memphis. |
| 1:15.8 | His solution to the headaches was called a cranios cerebral exploration. |
| 1:20.6 | This procedure would be done through a burghole, and what he did was under a burhole. |
| 1:23.0 | And what he did was under local anesthesia, he broke open the skull, opened up the |
| 1:28.5 | Dura, and then found no evidence of a tumor. |
| 1:31.2 | Now the patient survived the procedure even though during that time |
... |
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