does staying in the hospital make you immune?

[AngelAmy]

ever since i got hit by a car i have been getting lots of headaches. i know theyre not caused by the accident but we dont knwo what. anyway when i get them they can last me up to 4 days straight, so far ive had one about 3 days this week and 4 days last week.

i was in the hospital for a week getting pain killers pumped into me. whenever i go to take things for my headache it never works.

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[Coco]

Are you sure they aren't due to the accident - especially if you haven't had them before the accident?

Headaches are due to numerous things. I get them all the time - even migraines. They could due to: food or other allergies, nitrates in wine or deli meet, flashing lights, stress, lack of sleep, premenstral, poor sinuses - a whole gammit of things. I, unfortunately, get them from practically all of the above.

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This message was edited by Coco on 9-19-02 @ 2:50 PM

[AngelAmy]

well my doctor said it wasnt. there wasnt anything not normal there from what was being shown in the MRI and the cat scan. and all the blood tests came out normal

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[TooCute]

Immune to what?
Painkillers? No.

But maybe your headaches
are caused by something
that regular painkillers don't
affect.


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[SilentSpic]

maybe your thinking to much about cock... no drug can help u with that.

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[TheMojoPin]

Maybe it's a toooooo-mah.

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[Michael Fury]

Find out if you have a family history of migraines.

Then go ask your doc to try Imitrex.



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And though I can fight, I'd much rather recite
That's entertainment!

[HordeKing1]

Not only don't hospitals give you immunity from diseases, but they're a pretty common vector for transmissions of infections. A hospital is no place to be if you're sick or well.

Regarding your headaches I'd suggest a consultation with a nuerologist specializing in headaches.

It stands to reason that if you haven't had any headaches before the trauma and do now, the headaches are traumatically induced.

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[AngelAmy]

but the thing is i have been to the doctor numerous of times about this and all the tests that have been done have come back normal. the countless bloodtests, the cat scans, the MRIs. they all came back with nothing wrong.

but ive been getting them a lot lately, almost every day this week and last week i had one.

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[Doogie]

I have worked in a hospital at the front desk and I dont think I was ever more sick in my life than I was working there...

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[HordeKing1]

AMY - Sometimes the injury is so small it can't be picked up by the conventional tests you mentioned. Either more specific tests are required or a diagnosis made based on symptomatology.

Remember that one source of headaches is tension and stress. Certainly experiencing this truama and the worry afterwards resulted in this.

We'll talk more on AIM later.

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[DrBob]

oh cool i love these clinical cases. ok lets see...


CTscan:negative(no intracranial/intraparenchymal hemorrhage/hematoma
MRI:negative(no aneurysm/tumor)
Angiogram:not taken?
MRA:not taken?

when was the accident? did you get hit in the head or neck when the accident happened? are the headaches happening on the side of the injury? did you lose consciousness at the site of the accident or thereafter? did they perform a lumbar puncture? did you present with any type of focal neurologic deficits such as hemiparesis or weakness in a limb? any signs of elevated intracranial pressure(papilledema)?

do you have a family history of migraines? are the headaches diffuse or unilateral? do you get a sense of visual blurring or flashing lights before the headaches begin? have they tried any triptans,ergots, or oxygen on you for abortive Rx? or any form of prophylaxis such as calcium channel blockers or TCA's?

possible Dx Rule/out's:
cerebral contussion(?)
epidural hematoma
subdural hematoma
cerebellar hemorrhage(ataxia?)
hemorrhage into Pons(quadraparesis&coma)
hemorrhage into Putamen(contralateral focal findings)
subarchnoid bleed(not trauma related, r/o by CT,LP,MRI,MRA,and Hx)
CNS tumor(MRI)
temporal arteritis(ESR? age?)

probable Dx:
common migraine
classic migraine
cluster headache
tension-type headache
pseudotumor cerebri(elevated ICP?)

oh and you dont have to answer all of that. that was just for me to practice recall.

weee...:)

I, ah...I'm not much of a "word" person...

This message was edited by DrBob on 9-20-02 @ 7:47 PM

[AngelAmy]

well the accident happened in january 98, yes i did hit my head i had a concusion, yes i was unconcious. i think the headaches started in may of that year, maybe a lil earlier.

i get them at the temples, its not a sinus headache. and sometimes the back of my head hurts as well.

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This message was edited by AngelAmy on 9-20-02 @ 9:41 PM

[HordeKing1]

DRBOB - A CT will not completely rule out a hematoma, unless it is still bleeding. The "pinprick" hematomas are almost impossible to detect. Intervention is rarely required in those instances anyway, unless of course it messes up the electrical signals in the brain which can lead to a seizure disorder.

Also a PET scan takes a different type of image than an MRI and CT, (more functional than anatomical) and has been used succesfully to diagnose things - even like tumors - that the former do not pick up.


BTW, if anyone does not know, a PET scan is an image of the brain taken by Positron Emission Tomography. It's really cool technology that's been used for all sorts of wonderful things, including archeology! Most important, this device is helping us understand what parts of the brain control particular tasks. Reading a book for example will use a different part of the brain than using language or laughing, etc. This is particularly relevant to the rehabilitation of victims of head trauma, speech impediments, etc.

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