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I was at my neuro's office on Thursday, the gammacore representative was there to demonstrate the device and answer questions for the doc's, I sat in. I'm not sure the positives for the device outweigh the negatives, but the fact that something new can be added to our arsenal of weapons to fight the beast has to be a good thing. I tried it, feels like small electrical pulse on your neck, while that is going on, the corner of your mouth droops a little. Positives: 1. Portable, looks like a 2 headed electric razor, sounds like it also. 2. No evasive surgical implant. 3. No side effects (droopy mouth, stops when turned off) 4. No problem with TSA. 5. Shelf life is 18 months, if not turned on, not sure how long it is if turned on. Negatives: 1. Cost, $575, about 300 "doses" (if it is used up before 30 days, you can a "refill" for free), since this is new to USA, the manufacturer is offering $100 off, and I believe the rep. said the first 2 months are free if you are in the registry. 2. It works only for episodics, and only 47% of the CHer's tested (aborting the CH). There was no data on whether it helped the other 53%, they only measured aborting the CH. The ultimate goal is to expand it to work with migraine patients. They base the usage on a 30 calendar, once you turn it on, they start counting. Their representatives with be in Chicago for our conference in Sept. They are looking for approval for the 2nd generation model, which looks like a cell phone, and has a shelf life of 5 years, The rep. did not know that cost. I hope I remembered this correctly, a lot was going on. I know this does not answer all the questions.