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jon019

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  1. Thanks
    jon019 reacted to FunTimes in Zolmitriptan Microneedle System study   
    jon
    It is one patch per hit. you apply the patch to your arm when you feel the cluster coming one. They only gave me one for the study, could be the real thing could also be placebo. The way the study breaks it down for dosage is like this: 
    They actually give you 2 patches and you will use both for one cluster attack
    1.9mg consisting of one 1.9mg patch and 1 placebo patch
    3.8mg consisting of two 1.9mg patches
    you have up to 48 weeks to treat one qualifying cluster attack after being accepted into the study and must report back tot he office within 4 or 5 days of your treatment. I have a doctors visit on the 24th so I am holding off to use mine until the weekend before. I am lucky enough to get hit every day so I can time it out like this. Saves me from taking another day off work for a doctors visit. Weather it works for me or not I am not even that interested in, I am not a big fan of any triptans, but if it can help someone else get through just one more day then it is worth giving it a try to be approved and moved to market. 
    As far as the cost goes I figure the mor options on the market the more competition. I know that sumatriptan pills cost me around 20 bucks for a box of 9 and the injectables are 120 each shot. I figured a patch would maybe work much better then the pills do and not cost as much as the injections. I have no idea what it will end up costing in reality I just hope it gives another option for someone that can not afford the injections. 
    Here is something I found on the study from migraine
    https://www.neurologyadvisor.com/conference-highlights/aan-2018-coverage/new-zolmitriptan-intracutaneous-system-safe-and-effective-for-migraine/
  2. Like
    jon019 reacted to spiny in Cluster-Like Headache Secondary to Sphenoid Sinus Mucocele   
    Hey Vipul. I had sinus surgery in the 90's for sinusitis and deviated septum. I was having constant sinus infections. Post surgery, it would bleed with the slightest increase in pressure due exercise or heat. I had to wear a mask in welding class to avoid bleeding on my work. It would gush very quickly. At that time, I was in full remission. The bleeding continued for about 10 years post op. So, the sinuses are opaque. It was suggested by my primary care doctor to have repeat surgery many years later. That was not going to happen. It can be a rough surgery and recovery is longer than one would think. 
    This was after I had had CH for 20 years. I did not have my CH reactivate till almost six years later. The trigger? I moved to a higher elevation. Currently, I cringe at the thought of another sinus surgery. My CH is under control and I don't want my head messed with thank you!!!
    If you think it will benefit you, then by all means have the surgery. But do not expect it to kill your CH. Many sufferers have had sinus surgery like mine for their CH on their docs recommendation. I do not know of a single person that it helped. Batch has already covered the rest for us. 
    I do really wish that sinus surgery DID help with CH!!! Here, they are hot to jump on reaming out your sinus's for you.  If you are concerned, you can take the results to an Ear, Nose, and Throat doctor. That is their area of expertise.
  3. Like
    jon019 got a reaction from Vipul in Cluster-Like Headache Secondary to Sphenoid Sinus Mucocele   
    Yes...proceed with caution...had an ENT (accomplished surgeon) STRONGLY advise me (and only slightly facetiously) to "NEVER trust a surgeon... we think we can fix EVERYTHING by cutting".....
  4. Like
    jon019 got a reaction from CHfather in Zolmitriptan Microneedle System study   
    FT...thank you...very interesting!
    Not quite understanding usage procedure...one patch per hit?....or constant admin at low dosage as a prophylactic?...or ability to selectively admin for a hit?...dosage? Why do you think it would be a cheaper option? I paid basically the same amt for Imi and Zomig NS (after insurance)...with Medicare Adv now $125 copay per script....
    Best
    J
  5. Like
    jon019 reacted to FunTimes in Zolmitriptan Microneedle System study   
    New study for the Zolmitriptan microneedle system is now available for us lucky clusterheads.
    I do not see it on clinicaltrials.gov but I am enrolled in the Philadelphia area. 
    Same old drug just a new way to administer. This is a small patch about the size of a quarter with a bunch of small needles on it that are coated with the medicine. Kind of feels like a cat tongue or shark skin. They give you one patch treatment to use at the first feeling of a cluster coming one and you have a few days to report back to the office. seems like a low risk trial if you have used any triptans in the past. 
    Might just give someone another option when the injection triptans cost is out of reach. Something you may want to ask your PCP or headache specialist about.
  6. Like
    jon019 reacted to Rush in Prescription Frustrations - long rant   
    HOT DAMN!!!... Boy I am glad to hear somebody is able to hit the lottery :).... I used to have a monster tank that was setup in my house like that (oddly enough 15 years ago I didn't have a problem getting it), then my Insurance AND doctor changed because of my employer, then I hit a brick wall.
    Hallelujah!
     
  7. Like
    jon019 reacted to signals61 in Prescription Frustrations - long rant   
    Second Update from the OP
    Well Hallelujah and pass the ammunition. Last week I got a call back from my Doc's office, they needed help filling out a form from Aprila Healthcare for the O2 setup. They asked me all the medical questions again about our condition, stuff I know is in my record, but I'm in no mood to complain since it looks like we're making progress. Stuff like eye swelling, nasal congestion, consistent pain location etc (you know all the symptoms). She says she's sending the form over to Aprila and they should contact me. 
    Sure enough Aprila calls me Friday to set up an appointment. I have to come in to be trained how to use the equipment. 
    I went in for my appointment today, got the rudimentary explanation how to use everything, They gave me 3 small tanks to take away with me, mask, hose, regulator and carrying rig. They set me up for delivery of their largest tank, which is supposed to come this afternoon. They'll deliver tanks whenever I need them from this point forward. 
    Here's the kicker - Its all covered by insurance! I was presented a zero dollar invoice when I left. 
    After all the hassle, I felt like I hit the lottery. 
    I guess calling my CEO and complaining to him about our health insurance may have helped.  Apparently threatening to pull the account of 600+ people has a way of getting an insurance company's attention. 
  8. Like
    jon019 reacted to Steve A in Thank you!!!   
    I wanted to take a second to send a HUGE thank you to this website and it’s moderators.  Four weeks ago, after a 15 year absence, my CH returned.  And with a pain level  I don’t remember. I didn’t know what to do and couldn’t remember my drugs I used to take or if there were even any changes in prevention and treatment. I went to my own general practitioner and as I explained what was going on, he began thumbing through his drug catalog, gave me a referral and that was that. I called the doctor he referred me to and he couldn’t see me until the end of February, clearly (or hopefully) beyond my need to see him. This past week I was in hell. Multiple attacks per night and then attacks while I was at work and driving to work. All I had were triptans at my disposal and those were clearly messing with my cycle, making it impossible to predict and creating multiple attacks per day and night. Wednesday evening, after having three kip 7 or 8 attacks, I found myself in my partners lap sobbing. I couldn’t find someone to help me an I  didn’t know how to fix it. That morning, I found the list of recommended doctors on the site. Curiously my referred doctor was not there, but there were three others. One five miles from my home. I called them fully expecting to get the, “we aren’t seeing new patients until later next month”. But instead, after telling her I suffer from CH, she asked me if I was available this morning at 7:00am. Needless to say, my emotion bled through the phone. I felt saved. And this morning I went and met the most amazing people. They knew what CH was. They knew how much we suffer. They told me that CH sufferers always get bumped to the front of the line. They knew of all the current treatments and gave me the options of choosing. And to top it off, at 7:30, I started an attack. The doctor injected me with imitrex, guided me to a quiet room, and let me deal with the beast in private. When I came out, I had a bag of goodies that I had recently paid an arm and a leg for, and several reassuring smiles that made me know, I am in good hands. And I wouldn’t have found it if it weren’t for this site. I am eternally grateful.  I don’t know if I found my personal fix, but I found a trusted partner in the process. Thank you. 
  9. Like
    jon019 reacted to CHfather in Vitamine D3   
    Your friend can't get nearly enough D from foods.  Batch's recommended minimum daily dose of D3 is 10,000IU.  Your friend would have to eat between 5 and 10 pounds of salmon in a day to get 10,000IU (depending on whether the salmon is wild caught or farmed).  More than ten pounds a day of fresh herring; more than 20 pounds of pickled herring. More than 6 tablespoons per day of cod liver oil. 
    Pills are a lot easier.  https://www.healthline.com/nutrition/9-foods-high-in-vitamin-d#1
  10. Like
    jon019 reacted to CHChris in Newly diagnosed CH   
    @CHfather is absolutely right, listen to everything he says. 
    I can't stress enough how important oxygen is for the treatment of CH.
    I can't say for sure you have CH, I am not a doctor.  But I think CHFather is right that you should treat it like you do have CH and would strongly recommend you try out oxygen.  I suffered with CH for 7 years before I got O2, and things completely turned around for me once I did. 
    Imitrex is a good starting point, but I can abort a headache with O2 with no side effects in about 10-15 minutes.  Imitrex makes me feel tired and terrible and can make things worse if you take it every time you get a headache (every day).  
    My understanding of how oxygen works is that it has vasoconstrictive properties that cause the blood vessels pressing on the trigeminal nerve to constrict (get smaller) and stop pressing on the nerve.  I am not a doctor, however, and this may not actually be the case with oxygen.  Not a lot about how it works is actually known.
    At any rate, some of your symptoms sound like what happens to me.  The hard thing here is that nobody has the same symptoms and triggers.  Like @jon019 said, we are all different, yet the same.  2pm is a normal headache time for me, I call them my "cluster times" (mine are 2pm, 6pm, 10pm, and 90 minutes after I go to sleep). I can practically set my watch to it.  There are others that are triggered by any number or combination of things, and you are going to have to find out what yours are.  Some of the medical literature says clusters don't have triggers, but that is not true.  For example, alcohol is a trigger for a great number of us. 
    To make matters more complicated for you,  you describe other symptoms that are not necessarily unique to CH.  Some of what you describe we know here as "shadows," and there is almost nothing in medical literature about them, but most of us have them.  There is a feeling in your head before you get hit with the intense pain, and it acts as a warning about what is coming.  When the pain comes it is searing or hot and located behind your right eye.  That pain starts migrating into the orbital area and reaches down into your sinuses and your jaw on the same side.  That is because the trigeminal nerve attaches to all of those places, and is the nerve that causes our cluster pain.  (CH is one of a group of conditions known as Trigeminal Autonomic Cephalagia)
    Also included with the cluster attack is a profound tension in the neck.  This created issues with my diagnosis of CH, because it is part of the mechanism in migraine as well.  I have seen no medical literature on this, but anecdotally I have a few cluster buddies that talk of their "cluster knot" in their neck or shoulder while they are in cycle and complain of the almost painful tension in the neck and shoulder.
    I also have sensitivity to light, especially where there is a large contrast (ex: oncoming car headlights at night).  
    As far as the sleeping it off goes, I can only do that with shadows after an attack.  However, napping is a big time trigger for me, so I can't take a nap unless I want to get hit with a 10 later that day.  When I did nap, I would wake up with that familiar feeling behind my eye.  This is present for me any time I take a nap, even if I was feeling fine before I went to sleep.
    Also, you need to start keeping a headache diary.  This is important because if it is CH, chances are that they will suddenly stop one day, only to return later down the road. There are 2 types of CH, episodic and chronic, and most people (75%?) are episodic.  Keeping track of your headaches, descriptions of the pain, what you ate that day, weather conditions, stressful events, etc. can help you determine what is going on.  That is good information to have even if you end up not having CH. 
    I apologize for this being so long, I hope it is helpful.
    I hope you don't have clusters.  But if you do, you are absolutely in the right place.  There are a lot of people here who understand and are happy to help you.  Your first step is probably to get some O2 to try. 
    A question for the experts: If you can abort your headache with oxygen, doesn't that indicate that you do have CH and not one of the other TACs or migraine?
  11. Like
    jon019 got a reaction from CHfather in Newly diagnosed CH   
    ...remarkable post Chris!
  12. Thanks
    jon019 got a reaction from mit12 in Ever wonder what Cluster sufferer are great full for?   
    Tim.... that's sobering...no migraines here....but I've seen 'em...and want no part of THAT!
    Sorry you've had to be a double warrior....one down, right?....let us know when you get this one...
    Best,
    Jonathan
  13. Like
    jon019 reacted to CHChris in Prescription Frustrations - long rant   
    @Rush
    I think the 125 cu ft tank is the perfect balance between size and portability.  The tanks are fairly large, but I can carry them around without issue.  I fill my E tanks off of them and also have them set up for home use.  The rough conversion is that a 125 cu ft tank has almost 3500 L of O2 (close to the volume of 6 E tanks), and that can usually last me a couple weeks.  If I have a really bad hit (or get hit at night), an E tank is not quite large enough to kill it.  Having the extra capacity in the house and ready to go is of great comfort when you're getting hit a lot.
    Also, I had a good experience getting an O2 Rx while traveling to Orlando a few months ago.  I had absolutely no trouble getting E tanks delivered to my hotel room, and only had to fax them the Rx. The company is called Orlando Medical Rentals.  They appear to be setup for serving vacationers paying out-of-pocket, so it might not be cost effective for someone who lives in the area.  But I thought I would pass along probably the only good experience I have had getting service from an oxygen supplier.
  14. Thanks
    jon019 got a reaction from mit12 in Ever wonder what Cluster sufferer are great full for?   
    Tim.... that's sobering...no migraines here....but I've seen 'em...and want no part of THAT!
    Sorry you've had to be a double warrior....one down, right?....let us know when you get this one...
    Best,
    Jonathan
  15. Like
    jon019 reacted to mit12 in Ever wonder what Cluster sufferer are great full for?   
    I have been getting Migraine headaches every day for the last month, yet I thank god that my Clusters are under controll! 
  16. Like
    jon019 reacted to Dallas Denny in What if there WAS a CURE?   
    Lmao!  I caught that as well @Brain on fire......let's see now....I learned about welding oxygen from Marc from down in Bastrop Texas in 2007 on DJ's site.....this site went live in Oct of 2009.....this guy came along in his previous incarnation in 2015.....AND I can assure you we was spreading the message far and wide and loud and proud when he got here so I'm really not sure what he thinks he's taking credit for.......BUT THAT AIN'T IT.....and in the eternal words of Potter,  I call BULLSHIT!!!
    DD
     
  17. Like
    jon019 got a reaction from CHfather in Prescription Frustrations - long rant   
    ...hi Jost...it ain't glib when we suggest/push/cajole/beg a fellow cluster head to try O2..tis the #1 primary MEDICALLY acknowledged abortive for a cluster hit. Has SAVED LIVES and sanity (like mine)and it's a crime when one of us runs into a med professional who can't or won't prescribe it...or ins that won't cover. A few yrs ago on another forum it would be referred to in almost every thread....it's that important. Some folks don't know about it...I always presume NOT until I know for sure. And I will continue to risk pissing someone off because I can STILL feel the tears from 35 yrs ago when I aborted a hit "like water down a drain"...and I KNEW I just got my life back.....YMMV... but it's damn important to try. I learned about it pre any forum...then the job was to find a doc who would work with me (critical)...and fights with 7 insurance companies. The alternative of untreated CH was sufficient motivation for the battle...
    Others can detail welding setups way better than I..but yur already 90% there ...and you are gonna be able just shake your head at the failings of some in the med/med insurance community...
    PFDAN
    Jonathan
  18. Like
    jon019 got a reaction from CHfather in o2 noob help please   
    ..dang...I hate it when the beast finds our address again....
    ... don't get too hung up on the "right" technique...we all kinda figure out what works best for us...try different styles....
    ...in my case hyperventilation not usually possible and my best success was a slow in-out (hold in every few) with an attempt to clear my mind of EVERYTHING except "breath" (hard to do... GOOD distraction!)...and calmed me the f@#* down....which was near as critical as the O2...
    Best
    Jonathan
  19. Like
    jon019 got a reaction from CHfather in o2 noob help please   
    ..dang...I hate it when the beast finds our address again....
    ... don't get too hung up on the "right" technique...we all kinda figure out what works best for us...try different styles....
    ...in my case hyperventilation not usually possible and my best success was a slow in-out (hold in every few) with an attempt to clear my mind of EVERYTHING except "breath" (hard to do... GOOD distraction!)...and calmed me the f@#* down....which was near as critical as the O2...
    Best
    Jonathan
  20. Like
    jon019 got a reaction from CHfather in Prescription Frustrations - long rant   
    ...hi Jost...it ain't glib when we suggest/push/cajole/beg a fellow cluster head to try O2..tis the #1 primary MEDICALLY acknowledged abortive for a cluster hit. Has SAVED LIVES and sanity (like mine)and it's a crime when one of us runs into a med professional who can't or won't prescribe it...or ins that won't cover. A few yrs ago on another forum it would be referred to in almost every thread....it's that important. Some folks don't know about it...I always presume NOT until I know for sure. And I will continue to risk pissing someone off because I can STILL feel the tears from 35 yrs ago when I aborted a hit "like water down a drain"...and I KNEW I just got my life back.....YMMV... but it's damn important to try. I learned about it pre any forum...then the job was to find a doc who would work with me (critical)...and fights with 7 insurance companies. The alternative of untreated CH was sufficient motivation for the battle...
    Others can detail welding setups way better than I..but yur already 90% there ...and you are gonna be able just shake your head at the failings of some in the med/med insurance community...
    PFDAN
    Jonathan
  21. Like
    jon019 reacted to CHfather in Prescription Frustrations - long rant   
    https://clusterbusters.org/forums/topic/5627-notes-about-welding-o2/
  22. Like
    jon019 reacted to signals61 in HI   
    Hi Newbie, 
    I have a similar history in that I experienced my first attack at the age of 19 (I'm 58 now), I was in the Army and the Army docs had no idea what they were dealing with so they just injected me with Demerol or Morphine to kill the attack. Didn't get diagnosed until roughly 4 years ago. 
    I have what is referred to here as episodic attacks, usually once a year, lately twice a year. The attacks last about 45-60 days. Thinking back, I may have managed a year with no attacks, but it's hard to remember that far back. 
    My General Practitioner initially prescribed Sumatriptan in pill form - this "worked" but took almost as long as the attack would last. After a couple years, I finally found a Neurologist and he prescribed Sumatriptan in injectable form. This is the single best treatment I've found to date, though with some side effects (more on that later). 
    My Neuro also prescribed  Verapamil as a prophylactic (preventive) measure. I took it for about a year before giving up on it, since it didn't prevent further attacks and I am already on another medication for hypertension (Atenalol)  
    I'm currently using the D3 Vitamin regimen discussed at length on many posts here. I can't say if it works yet, since I started it at the end of my last cycle, but I'll keep it up until I feel like its not worth the trouble. 
    Most everyone here talks about oxygen as an abortive measure. As I write this, I'm going through the process to source all of the components for that treatment. I have a strong belief that it will help, just based on how well I know my own body and all the positive stories here. 
    Getting oxygen is a pain. I got my  GP doc to write me a prescription without much trouble at all (a lot of people here talk about that being one of their biggest challenges), but that's where my challenges began. I took my prescription to a local medical supply, long story short, they refused to fill the prescription. I even offered to self pay, but it was no dice. I'm calling around today and hope that Airgas will help, but if they won't, I found a source on amazon for an industrial tank, prefilled, and I can go to Tractor Supply or the local Farmers Co-op to get it refilled. 
    I talked about side effects with Sumatriptan - know that this drug is a powerful vasoconstrictor. That's what relieves the pain in the head, but it also gives me a heavy pressure feeling in the chest as it increases blood pressure. Constriction of arterial vessels increases systemic vascular resistance, which leads to an increase in arterial blood pressure. Constriction of venous vessels increases venous blood pressure and increases cardiac preload and cardiac output, which increases arterial pressure. All of this is not really good for an overweight smoker in his late 50s. 
    I won't give up the Sumatriptan, but I've taken a couple of steps to help.
    First, I talked to my Dr. about prescribing a vial instead of the preloaded autoinjectors. Many folks here believe we don't really need a full dose to get relief. So, I'm hopeful this will help. It also means I don't have to hoard as much of the drug during my off cycles so it lasts through the attack season. (Insurance company only allows for about a dozen injectors per filling, so I make sure to buy all year long so I have enough on hand when attack season starts. 
    Second, as mentioned above, I'm getting oxygen. 
    Other things that help - everyone is different, your mileage may vary -
    Caffeine - energy shots or coffee. These can make things a little more bearable, but its not always helpful since most of my attacks happen at night when I'm trying to sleep or get ready for bed. 
    Sleeping in an elevated position - I sleep in my easy chair during attack season. Sometimes I can get through the night, sometimes not. 
    I find a nice long hot shower to be helpful when nothing else is available. 
    I avoid alcohol during the attack cycle. Any amount can trigger an attack, within 30 minutes of the first drink, like clockwork. 
    I've talked to a few folks here who share the same experiences as me, high stress is good to prevent the attacks, relaxation brings them on. Strange, but true, at least for me. This leads to my attack cycle being very exhausting. When the cycle ends, I sleep for days just to get caught up. 

    I hope you find my story helpful and you find relief. 
  23. Like
    jon019 reacted to spiny in HI   
    Yes, Verap works for many and very well for some. Others have it work for a while, only to fail in the long run. It is a first line med for CH. It lowers blood pressure, so that can be a limiting factor. What is your BP? 
    I took it for over a year and it worked great. Then I went off on the advice of my dentist. When I tried to go back, the 240mg I took per day did nothing. And my BP went down to 80/60 when resting. That prohibited an increase, so I ditched it. If it is not working, why take it? If you can take a high enough does, it usually works. 
    You can find a lot of info on busting in the closed boards. Many will not join in on the 'open' boards - the ones you see listed before logging in are the open boards. And the bots can access them. 
    Read the New Users Banner at the top of the page for a lot of info on the site. O2 is the best abortive, but it must be used correctly and at a flow rate of 15 to 25 lpm. Used incorrectly, there is little to no benefit. Doctors generally just prescribe and do not know how you need to use it for relief. Read the O2 page. It should be your best friend.
    I also suggest the D3 Regimen. It has been a lifesaver for many of us! 
    Have you been given a run of Indomethacin? There is a CH look-a-like that responds very well to that while CH does not. I bring it up because you are having up to 12 hits a day. How long do they last? 
    ATB  and Welcome!
  24. Like
    jon019 reacted to CHfather in New to this forum – Cast Iron until hit by CH   
    I'm sorry I don't have more to offer you. It sounds like you have been sensible about what you have chosen, given all the factors you have described.  I'm going to quibble with you about two things, if only for future reference in case the dike springs a leak.  If you do the D3 regimen while everything else you're doing to treat your CH is the same, and you feel that your situation has improved, you can at least tentatively attribute the improvement to the D3, and begin seeing what happens if you reduce some of the other meds.  It's not the best situation to be in to play with something that is working, but over the longer run it will be greatly beneficial to you if a more natural, less damaging approach such as D3 works as well as the pharmaceuticals you are using. (I do understand that the "long run" isn't very interesting when you're risking severe attacks right now, so I'm only offering this perspective.)  
    (It's a strange thing about CH. I was talking just the other day with a fellow who was in remission for a couple of years, which he attributed to the 1200mg of verapamil he was taking every day.  At some point, a doctor told him it was going to be very bad for him to keep taking that much verapamil, so he started to lower his doses.  As he lowered them, the attacks didn't come back.  He's been off all verapamil for several years now, and still hasn't had an attack (full disclosure: he does have shadows every day). I am not saying at all that anything like that could be the case for you. I am just saying how much we don't know about what is actually helping and what isn't.)
    Second, I have no desire to convince you to use any substances you don't want to use, but I don't think we've seen anyone here whose life has been taken over by psilocybin and other substances used to treat CH, in the way that addicts' lives can be taken over by "hard" drugs. If you were some day to try this, a substance like rivea corymbosa seeds can treat CH without even giving you any kind of "trip."  Since you live in a place where some recreational drugs are legal, you might have seen more "hard cases" associated with psilocybin than I imagine there are . . . and of course the leap of faith to stop the triptans and try "busting" would have to be enormous for you. For some, it has been a "leap of desperation" more than a "leap of faith," and I hope you don't ever get to that desperation point.
    (I guess this is a question regarding O2. I'm sure you have thought of this, but I just want to make sure it's said.  As a big strong guy, you might well have very large lung capacity.  If you are using a proper breathing technique, perhaps even hyperventilating, I can imagine that you sometimes have to wait for the bag on your mask to refill before you can take another full, deep breath.  Really, that is the standard for flow rate -- can you use the best possible breathing technique without having to slow down or modify that technique because there isn't enough flow to the bag. If this is an issue for you, then you would want a flow rate even higher than 25 lpm.  We have seen some highly fit people need flow rates of 40 and even higher to keep up with their lung capacity.  A demand valve system is particularly valuable in a situation like that.)
    My best wishes to you.  My father came to the US from the Netherlands when he was a boy, and Dutch, not English, was the language spoken in his home here in the US.  I'm sorry to say I never learned any, but I do still feel an affinity toward folks from my ancestral home.
  25. Like
    jon019 got a reaction from 20yearslater in Sumatriptan where has this been all my life   
    Welcome..glad ya found us...
    OXYGEN!!!???.....
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