Segue on the Ongoing Migraine Rant

…on our last episode.


It’s normal to have a fever every now and again. Your body temperature will fluctuate naturally by about a degree — 36C – 38C every single day. A bit higher before bed. A bit lower in the morning. A bit higher after exercise. And so forth. Typically, it’s no issue and often unperceived.

Sometimes, you’ll get a fever while your body fights off some viral or bacterial infections: the “common cold”, flu, strep throat, chickenpox, pneumonia; dehydration; sunburn; some kinds of medications.

We first wait it out to see if it subsides.

If it doesn’t, then we start to look for causes.

I started having a fever. Low-grade. 38C. Wait it out a few days and see how it goes. Maybe it’s a common cold. Maybe it’s flu-season (not in August). Maybe I’m dehydrated (not more than I’ve been for decades, like most of us are). I live in a desert, but I rarely go outside or into direct sun (yes, telecommuter-life), so it’s not sunburn or heat-exhaustion or (worse) heat-stroke.

Still, we’ll simply wait it out for a few days before seeking medical assistance. It rose and stayed at about 39 to 39.5C.

We went through the same initial Q-A to see if we could find a clue. Any clue…

I hadn’t been traveling or out of the country since before the fall. I haven’t been exposed to anything. I live in A/C. I only go out in the early morning or late evening.

Ah, yes, it’s the annoying β€” dreaded, even β€” “fever of unknown origin”.

…πŸ•΅οΈβ€β™€οΈπŸ“œ


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Vision

…on our last episode.


This is where migraine symptoms become annoying.

Visual issues were part of the predictable prodrome.

I’d go through a visual aura phase that would last about half an hour. I’d have to just sit and wait for it to pass. Scintillating scotoma, I think it’s called. In a pattern of something of a fortification spectrum.

The issue would begin at the fovea, then progress across one half of my binocular field of view. Bilateral.

Did I have an abnormality in my optic chiasm? Probably not.

Certainly, I wasn’t having a stroke. I’d have lost much more than that, and with my physical condition and general health, it’s unlikely. I wouldn’t say “athletic”, but I would suppose it’s better than average. Yes, even after The Year Of Hell.

Eh, so the vision — ongoing. Occasional. In time, it became β€œnormal” for me. It also became annoying as hell. I would learn to live with it.

I mean, I’ve been living with low-grade discomfort or low-grade pain for so long that it was effectively a lifetime of normality.

…πŸ€’πŸ“œ


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The Myalgia

…on our last episode.


The sensation of headache pain, I’d sometimes have in muscles in my shoulders usually. But, head, neck, upper arms, flank.

Pain, yes, but not “weakness” as I’d have associated with myalgia.

Perhaps what I’ve been experiencing for so long was simply my own interpretation of the “weakness” part of myalgia.

…πŸ‘πŸ“œ


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The Headaches?

…on our last episode.


The headache pain? For me, trivial. Very mild β€” yes, I had migraine headaches β€” but compared to the descriptions of other patients had, where headaches where so debilitating, they’d rate the headache pain as an 11 on a scale of 1-10.

For me, typically about 4 on the same 1-10 scale. Tolerable.

But the other stuff was different.

Scary even.

…πŸ€•πŸ“œ


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The Beginnings

I’ve had chronic migraines for decades.

I started to experience migraines initially when I was perhaps 12 or 13 years old.

They progressively, but slowly, worsened — becoming more frequent over the next 30 years.

They were occasionally severe — debilitating, even: vision and intestinal mostly.

In time, I started to become more aware of what, for me, would eventually be a predictable progression of its prodrome. The prodrome could last several days — leading to the eventual “migraine headache”.

…πŸ€•πŸ“œ


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