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Showing content with the highest reputation on 05/14/2021 in all areas

  1. I was not the best in school the first time around but I think I could pull this one off! Think they will give scholarships to people like us who have a little experience?
    1 point
  2. I believe (opinion only) if a clusterhead needs surgery there are a few things you can request that can minimize attacks. In fact it possible that some anesthetic agents may help treat clusters. The literature on this is spotty and clinical reports are few but based on fairly decent response to psychedelics and the imputed mechanism of action certain anesthetics possess its not a big leap to speculate on what is the "best" mode of anesthesia if you require it. Again this is mostly based on speculation and personal experience. Be careful how you approach an anesthetist because if you act bossy you'll likely not get any consideration. There are two main forms of anesthesia utilized in developed countries: IV medications and inhaled agents. Its not unusual to mix the two. For cluster folks with wanky hypothalamus' the use of IV ketamine and propofol hits the right receptors and provides good anesthesia. In anesthesia parlance's this is a TIVA (total IV anesthesia) and is a pretty versatile combination. Adding some steroid like decadron also helps along with asking to wake up with 100% O2 running at 10-15 lpm through a non rebreathing mask. I have had the misfortune of needing a general anesthetic 5 times in the last year and a half and each time I was relieved to wake up clearheaded and lucid. I was surprised how all the anesthetists were aware of O2's role in clusters and more than willing to accommodate. They warned me about "green goblins" appearing and nightmares (ketamine is know for such things) I assured them I was able to handle that better than a cluster. Win another for the psychedelic experience.
    1 point
  3. Refresh my memory, but weren’t you saying the headaches come and last the whole day with no breaks? That sounds like a dead ringer to me for hemiacrania continua. Also mimic some CHs. Did the doc have a reason why the doc thought it was CH and not HC? It still may be worth trying the indomethacin. A small group of CH patients respond to it according to my old CH doc.
    1 point
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