So one might feel like a simple intermediary - passing along with little thought the tools we have been given in recent years. Headache Medicine is enjoying an unprecedented wave of revolutionary and effective therapies. Today is my last day as an employed physician, so a day of mixed emotions, strong feelings. 30 minutes later she was practically singing and dancing - headache entirely gone. She said her pain went from a "12" to a 6 or so - helpful but not great.
My last "patient" was a medical assistant I've worked with a few times - she had a sudden onset of a severe migraine - she was sitting there in that position (has anyone given it a name?) hunched forward, massaging around her eye. I learned my Botox technique from David Dodick - but was most impressed by how much time he spent with patients, even after they came in saying they were doing well. That apparently wasn't good enough for the mom, and her last words to her daughter were - "I'll see you in court." Listening to the story had little to do with my role as her headache physician, but for me exemplifies Headache Medicine. Her parents had been divorced for 20 years, but the divorce settlement provided for my patient's mother receiving half of the estate. I made time for the story of one, a 40 y/o woman doing well, but whose father had recently died. It was a Botox day - maybe not all of the patients were special for me, but it turned out I was special for all of them. When it came, it was a day much like any other, although I was more in-tune with its significance, and more present for each interaction.
I've often thought about it, fantasized about it, and anticipated it with a mixture of emotions.
0 kommentar(er)
