It usually starts with a flash behind my closed eyelids. At first I’m not sure if it was lightning or a car passing by the house. I wait, and no thunder or tires roll. No, no, no. Not this. More flashes. I wait.
I make a mental inventory of where my medications are. How many doses I have left. Then I make a mental inventory of my to-do list. And then I a) hope I can fall asleep and that I’ll wake up without a migraine — that the sleep will have been enough. Or b) take my two prescriptions and cancel all my work and social obligations for the next 24 hours.
Option A is usually only a delay of the inevitable submission into option B.
Last night I didn’t have a warning. A migraine arrived in full force about two hours after I’d gone to bed. Throbbing, pulsing pain behind my left eye that occasionally shoots back to the side of my head. Of course, there’s always denial first. It’s not a migraine. It’s random pain.
What random pain I think it might be after 10 years of migraines, I don’t know. Inevitably, the pain persists, worsens, and I’m in it.
The prescription medication I take makes me drowsy — which is great, I want to sleep — but it also makes my skin prickly, my muscles weak, my joints sore. I trade the pain in my head for a helpless restlessness. If the migraine hasn’t crept down the pain scale in an hour or so, I can take another. Then, that’s it for that day. After two doses I’m left to wait til the next day and try again. After three days, it’s an ER trip where they give me an IV with benadryl and ibuprofen and something for the nausea and then I sleep for a day.
Luckily, migraines that bad are rare for me. This time, like most times, I’ll lose just a day or two, not four or five. I’ll spend today recovering as the pain begins to retreat to its hiding place just under the surface.
But those lost days. Days in bed, waiting. Nauseas, but need to eat. Bored, but can’t look at a screen or read or listen to music. My foggy brain accounting for the work I’m missing, the plans with friends I’ve canceled. Guilt.
It’s all in my head.