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jfrillin That does suck and I do whatever I can to stay away from the ER. only made one worthless trip and said never again for the same reason you have now. Not sure of your past but maybe re evaluate your tools. D3 has had a few updates to it over the years and maybe some of them can help you out. I also have tried the Emgality and it seemed to work the first month but did little at all the few following months. Sometimes I get lazy with my oxygen breathing technique and my wife needs to point it out that im doing something different to get me back on trac. I also down a 5hr energy drink to help the O2 out when things are bad. Ice packs are either a help or a diversion of how im thinking and also serve as a little cushion of me hitting my head with my fist. Suicidal thoughts I feel come with the territory and most of the time leave with the cluster attack but definitely not something to overlook. Ginger tea helps some with shadows or the inbetween pain and groggy feeling. Dealing with this with 2 family members for so long I am sure you do not want to hear this but I find myself in need of a reminder of what did and did not work in the past and tweaking everything a little sometimes helps me get out of a funk. I am chronic so I do it every day all year round and believe me I know how he feels now. when your sleep gets interrupted even for one night that can have a big snowball effect let alone a week of hits waking you up. Best of luck and please just take this as advice that I know you already know about not that I think your doing anything wrong. And thank you for all of your support. I could not imagine what it would be like to be in your position.

Cast Iron - he had already used 4 Imgality shots which was the max he can take in a week....and 3 Emgality Shots plus we always have O2 at home ...25 lpm regulater, rebreather mask and M tank. As I said. Both he and my daughter have had clusters for years. We are unfortunately "Pro's" in this area...not that we want to be. They also do the Vitamin D regimen. We went to the ER because nothing was working this cycle. He hadn't slept in a week..the pain wouldn't let him . Sleeping pills wasnt working. He was having suicidal thoughts. He wanted to be knocked out at the hospital with IV Benadryl. OTC Benadryl..even at high doses wasn't working. They gave him 3 iv bags of benadryl with Toradol and Steroids..didn't touch it. They gave him Propofel..and that worked. We have never in all the years he has had this needed to go to the ER because we can manage it at home. My issue is with the lack of compassion and ignorance the lower level medical staff have about Clusters. When your in a crisis situation and go to the place that is supposed to help you and they kick you when your already down is pathetic!