Miss Migraine: Emergency room averse

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The Adventures of Miss Migraine is an ongoing column about my life with chronic migraine (and other crap).

Saturday I had to go to the emergency room. I’m fine now, but I experienced a sudden and extreme pain in my lower right abdomen that was anything but normal. In this situation you’d think my biggest concern would be OH GODDESS AM I GOING TO DIE THIS FUCKING HURTS, but no. My biggest fear was that they’d tell me there was nothing wrong and I was “exaggerating” my pain or something like that.

I knew something was wrong. The pain started out like a bad menstrual cramp but quickly escalated to “I cannot stand up straight my insides are on fire what is happening.” The pain was definitely in my right ovary, and I thought perhaps a cyst had burst (nope–endometriosis, but I was right about the ovary part). Probably something you should go see a doctor about, right?

But so many times I’ve seen a doctor, or gone to the ER with a severe migraine that’s lasted five days, and they’ve said “Oh, it’s just stress, here are some muscle relaxers/Vicodin.” (Muscle relaxers and narcotics, by the way, don’t help migraines. At all.).

Or I’ve gone and said, “Hey, you can look this up on your fancy computer because we live in the future and all my medical records are digital, but my migraine specialist said I should go to the ER if X happens, and X has happened, and she’d like me to get an MRI,” only to be told “Whatever, it’s just stress, but we’ll do a CT scan just to be sure!” Real helpful, doc.

Once, before I was diagnosed with chronic migraine, an ER doctor pressed so hard into the back of my neck I started crying. I went in because I’d had a headache for a month straight, and none of my regular doctors had any ideas. Urgent care wasn’t a thing yet. He was trying to “prove” I had a tension headache and just needed to “relax.” Nevermind that neck pain and soreness is often a symptom of migraine, AND ALSO he pressed so hard it would have hurt even if I didn’t have a migraine!

ER doctors, especially male ER doctors, have a history of dismissing my pain and not listening to what I say about my own body. So, you can understand why I was hesitant to go to the ER despite the awful stabby pain in my right ovary.

Thankfully, and to the credit of the staff at UPMC Shadyside, the doctors who treated me listened, were kind, and even *gasp* got me a diagnosis. So, bad news–I have endometriosis. But good news–my ER experience didn’t lead me to murder anyone! The next step is to follow up with my lady parts doctor. In the meantime, I’m still in some pain, but no where near the level I was on Saturday.

Onward, I guess?

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