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apperception

Dr. Freitag interview in "HeadWise" NHF publicatio

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well, i guess he couldn't cover everything, but the fact that he left out oxygen is pretty creepy.  not having heard of doxepin before, i went over to ch.com to see what i could learn there.  very little discussion of it there, either.  and, isn't the "oftentimes" in what he says here a substantial exaggeration: >>cortical anti-inflammatory steroids will oftentimes stop a cycle of cluster headache within a matter of 24 to 48 hours.<<?

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Interesting article, Larry. With Freitag's reputation as not only a headache specialist but a CH specialist, I can't understand him answering an interviewer the way he did - just a couple of months ago. He didn't just forget to mention oxygen as an abortive, he forgot CCH as a possibility. He confused mushrooms with LSD in stating that "ThereÂ’s work being done to try to synthesize the chemical in mushrooms without the hallucinations and other problems." He didn't even mention BOL. And, he stated, when asked what the one thing was that he would tell all CH'ers if he could: "Find a doctor who understands what cluster is and gives you treatment that works quickly and successfully. That way, you have your quality of life restored without the fear of what's going to happen when the next bout of cluster headache hits." Wouldn't that be nice?

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....isn't the "oftentimes" in what he says here a substantial exaggeration: >>cortical anti-inflammatory steroids will oftentimes stop a cycle of cluster headache within a matter of 24 to 48 hours.<<?

Hey Jerry - In my view the statement is almost accurate, as it sounds like he's talking about a high dose burst of prednisone, which will more often than not completely stop the attacks. Of course it doesn't really stop the cycle though, since as he goes on to say, as soon as you taper down from the unsustainable high dose of prednisone, the hits likely come right back (and boy they often come back with a vengeance!  :o).

So yeah, I too am disappointed in the omission of O2, etc., and the dismissal of natural treatments, since a natural treatment (mushrooms) is working better for me than anything else ever did!

Also, one thing I try to keep in mind when reading interviews - but don't always succeed - is that IMO at least, *medical doctor* isn't the only profession that is rife with laxidasical, negligent slackers. Another prominent one is *journalist*. Misquotes in interviews have historically been the rule rather than the exception.  :(

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And hey I just noticed that at least with this online version of the interview, we get to post replies, and get our $.02 about O2 and stuff in there.  :) 8-)

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