Introducing the Head Start: Intimacy and Chronic Migraine

Intimate Knowledge

iHeartPodcasts

Society & Culture

3.3 • 697 Ratings

🗓️ 14 June 2025

⏱️ 38 minutes

🔗️ Recording | iTunes | RSS

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Summary

Talking about intimacy can be difficult, even with your partner. It’s nuanced. It’s often avoided. But it’s still very important. In this episode, Nora and guest Tom Picerno explore how he’s navigated these delicate conversations while living with Chronic Migraine. They’re joined by Tom’s wife, Cheryl, who adds an extra layer of perspective to how they’ve relied heavily on open communication, reframing what intimacy means to them while respecting each other’s boundaries.

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Transcript

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0:00.0	Ruby.
0:04.0	Life sometimes has a way of blindsiding you with a feeling of being overwhelmed at the worst possible time.
0:15.0	That's why you have your self-care, your coping strategies. That's why you have us.
0:20.0	I'm Nora McInerney, and this is the Head Start, Embracing the Journey,
0:25.2	a podcast where we'll be taking all those things you usually save for your friend group out into the open,
0:31.3	so we can all find a bit of optimism.
0:34.3	For those battling chronic migraine, these conversations are going to be even more helpful and relatable, so definitely stick around.
0:43.6	This show is brought to you in partnership with Abbe. So first, let's hear some important safety information and stay tuned to the end of the podcast for more.
1:06.1	Indication, Botox, Anabacholinum Toxin A, is a prescription medicine that is injected into muscles and used to prevent headaches in adults with chronic migraine who have 15 or more days each
1:10.6	month with headache lasting four or more days each month
1:11.0	with headache lasting four or more hours each day in people 18 years and older.
1:15.8	It is not known whether Botox is safe and effective to prevent headaches in patients with
1:19.9	migraine who have 14 or fewer headache days each month or episodic migraine.
1:25.9	Important safety information. Botox may cause serious side effects that can be life-threatening.
1:30.3	Get medical help right away if you have any of these problems any time, hours to weeks after injection of Botox.
1:36.3	Problems swallowing, speaking, or breathing due to weakening of associated muscles can be severe and result in loss of life.
1:43.3	You are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months. Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms, including loss of strength and all over muscle weakness, double vision,
2:01.6	blurred vision, drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly,
2:07.2	loss of bladder control, trouble breathing, and trouble swallowing.
2:10.9	Please stay tuned for additional important safety information within this podcast.
2:15.8	Today's guests, Tom Peserno is an actual Botox patient who was on prescribed
2:20.0	therapy when he shared his story. Changes in therapy status may have occurred since that time.
	...

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