My last entry here, about Ohio's new Intractable Pain Law, has drawn much more response than I ever anticipated. I began replying separately to each person who wrote me and found that I was repeating the same information over and over again (it gives one an understanding why people create FAQ pages.) Anyway, with Rhonda's permission (I hope) I am going to try and answer all of the various questions that so many of you have been asking me.
The thrust of all the emails I've received is essentially the same, "How can I get a similar law passed in my state?"
Well, here is my suggestions. First and foremost, it is extremely important that you do your homework. In that regard, I am willing to send a copy of the Ohio Law, an official explanation of the Ohio Law and a copy of the Ohio Medical Board's Regulations about the Ohio Law (once the Regulations are finalized) to anyone who is willing to send me their snail mail address. Once you have received Ohio's version of the law and its explanation, you will have the name of the sponsors of the new law. It has been my exerience that the sponsors (and their respective legislative assistants) are exceptionally valuable resource persons. They can tell you the names, addresses, etc. of the experts who testified on behalf of the legislation. Additionally, they can point you in the direction of other Associations (like NCPOA, or the Arthritis Association) who share a common interest with each of us in getting a comprehensive Intractable Pain Statute passed in every state. Simply stated, the first place to start, is to pick up pen and pencil (or a telephone) and write to (or call) the sponsors and get as much information from them as possible. After all, they have already been through this process and know how to do it.
When lobbying for a new piece of legislation, the more "legitimate" organizations who are standing up with you and fighting the good fight, the better are your chances of getting a law passed. That means that you should attempt to identify organizations (like your state's Arthritis Association or Multiple Sclerosis Association or ... ) and call them. See if you can get them interested in helping you educate the legislature and persuade them to vote for your proposed statute. Keep a list of all the persons you speak with, the organizations they represent, and their addresses and phone numbers. I can't over-emphasize the importance of appearing as part of a larger collection of people (as compared to one small voice in the wilderness).
I also urge everyone to take a look at the National Pain Outreach Association of America (NCPOA) which can be found at:
for information and the name and address of the resource people there. I also believe that the people at the Massachusett's General Hospital (one of our Nation's GREAT teaching hospitals) have a very real interest in "Intractable Pain." They may be of some help to you as may the doctors in your community who are now practicing the new speciality "Pain Medicine."
Once you have completed your homework and are able to speak knowledgeably on the subject, the next step is to identify the following people: (1) your own state representative, (2) your own state senator, (3) the chairperson of your state senate committee charged with public health issues, (4) the chairperson of your State's House of Representatives' committee charged with public health issues, (5) the representative of your State Medical Board who will have input on this issue, (6) the person in your Governor's office who is charged with following public health issues.
Your next step is to call each of the above persons and make an appointment to meet and talk with them. You should bring all of your research with you to that appointment, including, particularly, copies of similar laws that have been passed in other states. I know that Ohio and Louisiana have passed similar laws. There may be other states, too.
In Lobbying (a function I preformed for many years before my migraines finally disabled me), IT IS THE SQUEAKY (BUT POLITE) WHEEL THAT GETS THE GREASE. That means, that if you are serious about getting your state to act, you need to remain in frequent contact with the various legislators, associations, executive branch members and others who have an interest in your proposed law. Meet with all of them. Plan joint strategies. Agree among yourselves who will be responsible for each step in the strategy. Follow through. Make certain that each person does what he or she promised to do. UNFAILINGLY, BE POLITE AND THANK EACH PERSON WHO HELPS YOU. A written thank you (handwritten, on a small card) carries a disproportionately large weight.
Contrary to common public belief, it is not merely fat cats with big purses who get "special interest" legislation passed. Genuinely concerned private citizens, who are well informed, who have done their homework, who have enlisted the assistance of others with a common interest, and who perservere are responsibile for the overwhelming majority of the successful legislative campaigns in our various states. I have seen it happen countless times. I strongly urge you to give it a try in your home state.
Naturally, I am always willing to offer what meagre assistance and comments that I can. Any of you can reach me at email@example.com. I may not have anything of value to tell you, but I promise that I will resond to any questions any of you may send me.
---Larry Solove firstname.lastname@example.org
I started having migraines for the first time in my life at 46; I am now 47 and have daily headaches with migraines 3 days prior and during menstruation (including dizzyness, visual disturbance--bright spots flashing, and nausea). This has been pretty disruptive to my life as I am now perimenopausal and having a period every 14-19 days. Has anyone had experience with adding hormones to help with migraines? How about natural progesterone? I am currently using natural progesterone only.
Thanks for any help.
I've been getting classic migraines since junior high. They definitely run in my family..my mother and maternal grandfather had them and I have several first cousins on both sides of the family who "share the joy." My grandfather would pound his forehead and say "flaki flaki" on the onset of one..it's Polish for intestines..and to me perfectly describes the shimmering, zig-zag lines and blind spots that tell that one is on the way. They almost always occur on my right side and it feels like an ice pick is being forced into my eyeball, I throw up, have diarrhea (really interesting when both go on at the same time), hot and cold sweats, running, dripping eyes and nose and tingling and numbness on my left side. This happens very rarely but has anyone out there had trouble speaking..you want to say something but the words are all mixed up almost like a stroke? I've taken cafergot and ergomar on different occassions and while they worked for awhile the headache would just bide its time and come back with a vengence, and sharper ice-pick! Inderal didn't work, fiorinal made me stupid and spacey, elavil made me tired and fat..I'm still trying to get rid of 35 extra pounds, klonapin makes me want to sleep constantly, prozac and zoloft seem to bring them on and made me jittery.....I saw a neurologist who, after shaking my nervous, sweaty hand, wiped his own on his dr. coat in disgust and pretty much told me I was wasting his time with just a "simple classic migraine." (should've barfed on his shoes!).
After that I gave up on doctors because who wants to be humiliated by someone who is supposed to help you? I've recently started taking Feverfew but I don't know if it is helping though I know that some people swear by it. Guess I'll give it a try awhile longer before the verdict is in. I think what bothers me most about having migraines is that people who don't get them just don't under stand. They think an aspirin will make it go away or that you're a hypochondriac, are feeling sorry for yourself, want attention (If I want attention I don't need to throw up!) are crazy, etc. My husband tries to understand the best he can and I'm lucky in that. I'll be 38 in Sept. and thought that by now these "devils" would be less frequent or atleast less painful and not more...aren't they supposed to lessen as we age?? Is there a correlation between migraines and having high intelligence?? I know women get them more than men...is it hormonal then?? Do certain ethnic groups get more migraines than others because of diet or is that a dumb question?? Do people have specific personality traits that pre-dispose them to these headaches...(such as being high strung or sarcastic????) or is that another dumb question?? I try to have a pretty good sense of humor about it all and am determined to keep plugging along. This journal is wonderful, thanks Ronda, for having it and to everyone whos story I've read and who will read mine! I understand!
---Nadia (I think my computer is having a migraine...the words are all over the place!!!!) GTO400@worldnet.att.net
After reading FAQ IV of Tim Wortley about cluster headaches I wrote him the following (maybe you are interested in it as well):
With great interest I read your FAQ IV about cluster headaches, as I am a sufferer of the Horton Syndrom for more than 30 years now. This was diagnosed only about ten years ago, as my family doctor constantly confused it with migrain. The diagnosis was finally made by a neurologist, who
gave me little hope of any cure, although he assured me it would vanish around my 50th.
He prescribed prednisone (13 tablets to be taken at once), which made me cluster free for about a fortnight. Then during my holidays (I always have
my cluster periods in the summertime) it came back and although a Scottish doctor was so nice to give me prednisone again it seemed to have lost it's effectiveness. After that I experimented with little success with anti-depressiva.
Then, about seven years ago, it was brought to my attention that Enzymes could do the trick. I was not very optimistic, but as the saying in The Netherlands goes: if you don't shoot, you'll never hit. The cure consisted of 4 intramuscular injections a week, gradually reducing to 1 shot a week, during 4 months, every injection consisting of 2 ml Vasolastine and 2 ml Coliacron. (By the way: Coliacron is not allowed in Holland and I needed a special medical permission for it.)
The first week the headaches aggravated immensily, 8 to 10 attacks a day! The doctor had warned me for that, but the pain was so unbearable that I called him in total desperation, telling him that if this was to continue I would kill myself. He emphasized that this was to be expected and that I had to endure it. Furthermore he stressed again that all of it would be gone after a week.
To my utter astonishment he was completely right! After six days the attacks were gone completely and didn't return! Now, this all happened IN THE BEGINNING of the period that usually takes 4 or 5 months in my case, so I was absolutely certain that the headache hadn't disappear 'by itself'. It was amazing! I had to complete the course of treatment, but that, as you can imagine, didn't bother me a bit.
The headache still recurred every one or two years, but when I started injecting again it disappeared after approx. a week completely. I'm 55 now and in May the headaches started again. I did'nt go back to my doctor but used the stuff I still had from last year. This time the result was disappointing. I still have one attack a day, at night to be precise, but they are much more gentle than I was used to. Maybe the neurologist is right and it will all come to an end at a certain age?
Thank you for your interest,
---AWM Knop email@example.com
With all of these advances in medicine, why is it so hard for doctors to find a cure and a medication that will work for those who suffer from these and all types of headaches? Maybe one day we will find the truth, and stop paying these ridiculous prices for medications that don't work, and probably never did work, they were just a way for the doctors and the insurance companies to come together, to make a few bucks.
thank you for your time
---john speer firstname.lastname@example.org