[HN Gopher] Pioneering work that has changed our understanding o...
___________________________________________________________________
Pioneering work that has changed our understanding of migraines
Author : robaato
Score : 138 points
Date : 2021-10-09 14:33 UTC (2 days ago)
(HTM) web link (www.theguardian.com)
(TXT) w3m dump (www.theguardian.com)
| noyeastguy wrote:
| I used to get aura-style migraines. After following a yeast and
| wheat free diet my migraines went away. I started on the diet
| based on a small study as a way to suppress hidradenitis
| suppurativa symptoms. I've now been on this diet for 7 years and
| have not had a single migraine. It's clear to me that the cause
| of migraines are inflammation, in my case caused by innate
| immunity (with a failure to down regulate) to fungi and 1,3, 1,6
| beta glucans.
| berdon wrote:
| I get aural migraines from Niacin and MSG. Most wheat based
| flour is enriched with Niacin. You might look into seeing if
| Niacin is your trigger and be able to eat wheat/yeast again.
| MarkMarine wrote:
| I actually got an aural migraine while reading the article,
| and I had a pizza last night which is a rarity (my wife is
| gluten intolerant and I mostly follow her diet.)
|
| Now I'm curious about this, thank you for posting this.
| halfmatthalfcat wrote:
| My mother has had the same journey. She's had migrations for as
| long as I can remember and recently removed lectins from her
| diet. Haven't had a migraine since, it's actually amazing.
| cpncrunch wrote:
| Terrible article, saying that a stress explanation means the
| patient is crazy, and that we now know something biological is
| going on. Ever heard of stress hormones? Adrenaline? Cortisol? Of
| course stress is biological.
|
| This article just discusses one small piece of the puzzle, but
| the evidence shows that stress is still a major trigger for many
| patients.
|
| My wife used to have almost weekly migraines every weekend, but
| hasn't had one in years now after moving out of a stressful job.
| aksss wrote:
| Stress levels (emotional, physical, both at once) are also
| known triggers for flare-ups of autoimmune disorders (MS,
| lupus, etc). These disorders will readily obviate high stress
| levels, and people with AI disorders learn quickly that
| managing stress is often their best weapon for managing the
| disease.
|
| Even without these disorders, your body is still having to cope
| with and dispose of these conditions _somehow_. Often this is a
| crescendo of getting through the week (thanks adrenaline), and
| suffering massive headaches on Friday night /Sat morning. Not
| surprising to me that chronic high stress manifested as
| horrible headaches with your wife, essentially forcing her to
| shut down for repairs - usually this means crawling into a dark
| room and staying there until the pain stops. I imagine that far
| more unseen/unfelt damage was happening that was more easily
| ignored on a daily basis (blood pressure and chronic
| inflammation for instance).
|
| Unchecked inflammatory responses, particularly chronic
| inflammation for months, is highly damaging to the body, even
| if the effects aren't noticed in real time.
|
| I suppose what I'm trying to say is that yes, chronic high
| stress sucks, is very unhealthy, and its evident effects are
| manifested in odd ways which our bodies are are less capable of
| papering over as we get older.
|
| If someone out there reading this is suffering from chronic
| headaches, or feels hung-over occasionally even when they have
| no excuse for it, destress your life systemically - meaning
| don't just try meditating, but change jobs like above comment
| said. Structurally remove the elements that are driving your
| body into such a condition, because it will only get worse as
| the effects compound and your body ages.
| Indy9000 wrote:
| That whole article could have been just two sentences.
| d4rkp4ttern wrote:
| Wish we could use one of those "social highlighting/annotation"
| apps so people identify key highlights to make it easier for
| others to find the key points.
| gumoro wrote:
| I recommend the 6th paragraph (4 sentences) in this article:
| https://newsroom.ucla.edu/dept/faculty/peter-goadsby-migrain...
| carlmr wrote:
| I blame schools for teaching kids to reach word limits, instead
| of how to express themselves concisely.
|
| A prime example of Goodhart's law, or just finding an easy to
| check proxy for writing quality.
|
| Of course another reason is that modern journalis has to
| include at least two paragraphs of enticing fluff so that
| readers buy the subscription.
| toyg wrote:
| _> schools [...] subscription_
|
| None of that. Journalists simply want to feel like they are
| novelists, because, deep down, that's what most of them
| really wanted to be.
| lelandfe wrote:
| On the web, content length is also typically seen as an SEO
| signal. Whether that's a direct signal or just keyword
| stuffing, who knows.
| dorkwood wrote:
| They can also fit more ads into a longer article. That's
| arguably the most important thing.
| magicalhippo wrote:
| My SO had that problem with word limits at school. She would
| write 5 pages for a 300 word assignment, it was almost like a
| brain dump.
|
| At college I helped her with her assignments after she was
| done writing. I didn't know her topic but just reordering
| sentences, deleting redundant ones and shortening others.
|
| I started doing this after she failed an assignment and she
| asked for help. After we were done "post-processing" it, she
| got a B on it. We hadn't touched any of her technical points,
| just improved the language.
|
| I now help my sister through something similar. She has the
| opposite. She'll write 300 words for a 1000 word assignment.
| Again I know nothing of her subject, but I'll do a similar
| post-processing. In the process I'll notice there are some
| gaps in her arguments perhaps, or things that aren't as
| fleshed out.
|
| So I ask her about it and almost always she can tell me lots
| about the subject from the books and articles she's read as
| part of the curriculum. So I tell her to write it down, and
| after going through the assignment we're suddenly in the
| position where we have to trim some stuff.
|
| I used to think word limits were somewhat silly, but now I
| see how they can help focus the unfocused or help tease out
| the knowledge. Both my SO and my sister improved over time,
| requiring much less help after a while.
|
| Of course left to their own devices, it would likely be very
| difficult for them. So there's that.
|
| Incidentally, language was never my favorite subject and I
| didn't do particularly well. However studying math helped me
| a lot with writing non-fiction, where things like consistent
| logical arguments matter.
| tcbawo wrote:
| The ability to tell an engaging and concise story without
| gaps is a difficult skill. I imagine it can be required
| through practice and attention. I have noticed a certain
| deficit in this regard with my own family and I would love
| to hear what techniques or exercises might help.
| saalweachter wrote:
| Do you think there is any problem with teachers setting
| word limits appropriately?
|
| I could imagine novice teachers who haven't attempted the
| exercise themselves being off considerably -- over or under
| -- on the number of words needed to complete an assignment.
| magicalhippo wrote:
| So far I haven't seen much of that. There has been a few
| times were I told them to ask the teacher about
| clarification of the word count, like how bad would it be
| if we had 1300 instead of 1000. Sometimes the teacher
| would say OK if it was relevant stuff.
|
| I can't recall any instance where either of them got a
| low grade for not fulfilling the assignment due to very
| limited word count. If you have 200 words it's impossible
| to go into deep details, that's just how it is.
|
| Of course in those cases we often would have to do
| multiple passes to cut fluff, focus the arguments by
| cutting out details, find a word which might replace
| three others etc. We'd typically start with maybe 4-600
| the words and work our way down to 200.
|
| Of course as a teacher, if you just failed your entire
| class, maybe you need to look at yourself and the
| assignment you gave rather than the students.
|
| I had one instance of that at high school. When handing
| back the assignments he loudly proclaimed "Well done, you
| did by far the best in class" as he handed me my
| assignment. I looked down and saw a D- on the paper.
|
| The following class the teacher explained what he was
| looking for, and we would explain what we had learned
| earlier and he then filled in the gaps.
| marcos100 wrote:
| > I blame schools for teaching kids to reach word limits,
| instead of how to express themselves concisely.
|
| I thought the same in the past. But I think it's a good idea
| to enforce word limits to make them think more about the
| subject and to practice writing longer and complex texts.
|
| The problem is that the teachers just impose a limit without
| explaining and then it just looks like some bullshit metric.
|
| I think modern journalism is more about SEO and getting
| attention, not word limits imposed when we were in school (if
| you hate word limits, then you probably dind't continue
| writing longer texts)
| dougSF70 wrote:
| Come on, it wouldn't be an article then.
| rcgs wrote:
| What a meandering read.
| julbook wrote:
| This is not related to migraines, but I have a friend that
| triggers his allergy with a sneeze. Once he sneezes, he'll have a
| runny nose for the whole day.
| everybodyknows wrote:
| Chronic migraine sufferer here, male -- symptoms now well under
| control. Hope this may be useful to someone. Triggers in my case
| are almost entirely chemical, with a delay of ~18 hours from
| ingestion to aura. The list:
|
| - MSG
|
| - sodium nitrate or nitrite
|
| - celery powder (added by makers of sausage and jerky to dodge
| disclosure of sodium nitrate/nitride)
|
| - aspartame
|
| - many fermented foods: yogurt, cheese, ...
|
| - raw onions, garlic
|
| - red grapes, red wine
| WaitWaitWha wrote:
| Article gives me an attack.
|
| List of commercial anti-GCRP meds. https://www.drugs.com/drug-
| class/cgrp-inhibitors.html
| codeulike wrote:
| Anecdata: a close friend has suffered from terrible migraines for
| years. Triptans such as Sumatriptan/zolmatriptan helped, if taken
| with anti-sickness meds, but they were needing to take them too
| often and getting dependency headaches from them.
|
| Over the years they tried many things which didn't really help,
| or seemed to help but then didn't, or were inconclusivbe.
|
| About a year ago they started on Ajovy (fremanezumab), a CGRP
| inhibitor. Its been like magic. A simple injection every month
| (you can do it yourself - they courier them over and you keep
| them in the fridge) and barely any migraines. Sometimes one or
| two towards the end of the month when the next jab is due. And no
| real side effects as far as can be told.
|
| Its unusual to come accross a medicine that works so well for
| something as intractable as migraines.
|
| UK specific: Originally they were paying for the Ajovy after
| getting prescribed it by the brilliant National Migraine Center
| (https://www.nationalmigrainecentre.org.uk/) - its expensive. But
| after it was shown to work managed to get it on the NHS via a
| referral to a specialist.
| the_d3f4ult wrote:
| These types of discoveries are becoming more and more common
| with the explosion of novel biologics.
| amatic wrote:
| What are novel biologics?
| datameta wrote:
| Medication that is past what is considered "large molecule"
| and in the size and complexity ballpark of proteins. These
| need to be injected as opposed to taken orally as they're
| too large to enter the bloodstream otherwise. There is a
| whole search space out there for medication of this class
| and we're only just getting started. It's (loosely) like
| finding out what is possible with a 100MB program vs a 50KB
| one.
| dm3 wrote:
| This is very interesting. Are there any books you'd
| recommend on the topic which would explain the directions
| pharmaceutical science is heading towards to a layman?
| datameta wrote:
| I'm not currently aware of a book on the subject, but
| would also like to read a compilation of the cutting
| edge. I am relaying what I know from tangentially
| following advances my peers participate in filtered
| through my former chemistry+bioinformatics background.
|
| Here is some more info on considerations to be had for
| near-future breakthroughs in the oral administration
| route. The key is in preserving the biologic structure
| long enough for it to reach the intestine where, in
| contrast to the stomach, it would be able to enter the
| bloodstream with the aid of agents that enhance
| permeability. https://otd.harvard.edu/explore-
| innovation/technologies/oral...
|
| Edit: The field of cheminformatics is currently utilizing
| machine learning to help discover novel drugs in the
| various search spaces, such as that of kinase inhibitors.
| They have the ability to function in a multi-target
| regime. That is, there exist drugs that can be effective
| for several pathologies.
| ortusdux wrote:
| A friend's insurance would not continue to cover their
| preferred 'as needed' migraine medication until they tried
| Ajovy. Both doctor and patient were unhappy with the
| requirement, but damn if that shot didn't remove the existence
| of migraines from their life completely.
| Apofis wrote:
| Very interesting case of an insurance company also being a
| healthcare provider.
| GordonS wrote:
| This almost mirrors my own experience, only difference is I
| take erenumab instead of fremanezumab - it really has been a
| godsend!
| dmd wrote:
| Yep! I've been keeping a migraine diary since 1998. For twenty
| years I averaged 12-15 migraines a month, where I define a
| "recordable" migraine as one that stops me from doing anything
| other than taking care of the migraine for more than an hour.
|
| In 2018 I started Aimovig (later switching to Emgality). I now
| average between 0 and 1 migraine a month.
| hdjjhhvvhga wrote:
| What you are looking for is here:
|
| https://en.wikipedia.org/wiki/Calcitonin_gene-related_peptid...
|
| So what's the catch?
|
| 1. These drugs are relatively recent (approved within the last 3
| years).
|
| 2. It's not a pill but injection (although you can be trained to
| give it to yourself), once a month on average.
|
| 3. The medicine is relatively expensive (EUR500 per injection).
| So unless your country subsidizes one of these or you can afford
| such amount once a month, you will probably look for alternative
| treatments for now.
| auslegung wrote:
| What I'm looking at here https://migraine.com/clinical/cgrp-
| gepants lists only 2 drugs and they're both pill form. I've
| done Aimovig which is a self injection but iiuc it's a
| different class from the gepants CGPR drugs.
| mhd wrote:
| Either one of the existing ones or the new IV version can also
| be taken as a "combined package" for a few months. But
| honestly, the injection is the least of the worries. You don't
| have to pull something up in a syringe, you get a complete
| injector from the pharmacy. Aim it at your thigh, push the
| button, no big chances of doing it wrong. Hurts like hell, I'm
| told.
|
| But those monoclonal antibodies aren't really wonder drugs.
| Sure, they help a lot of people, but for others they don't or
| at least they don't do it for a long time. It's a better,
| dedicated medication than just using pain medication or anti-
| depressants off-label, but we're far from every migraine
| sufferer finally getting a totally reliable off-switch.
| codingdave wrote:
| When Imitrex (another migraine med) was new, it was an
| expensive injection, too. They got it to pill form later, and
| it got cheaper. These things take time. It isn't ideal, but it
| how it works.
| GordonS wrote:
| I suffer from chronic headaches and debilitating migraines. I
| was having several migraines a week - I was able to mostly stop
| those that started during the day using sumatriptan, but I
| frequently had migraines start during the night whole sleeping
| too, which mean that as soon as I woke up, I'd end up lying in
| the dark, unable to move and wishing I was dead. The pain
| really is that bad.
|
| I started erenumab (a CGRP antagonist, brand name Aimovig)
| around 8 months ago, and it's been _absolutely amazing_! I 've
| went from having several migraines a week to almost none, and
| never while sleeping.
|
| It really is expensive though - here in the UK it costs the NHS
| PS386 per injection pen! As a result, I had to fight with my
| neurologist for over a year to let me have it.
|
| Doing subq injections yourself sounds daunting, but it's not so
| bad once you've done it a couple of times. Apart from...
|
| ...as an aside, the Aimovig branded injector pen is _shit_ - it
| hurts like absolute hell, and somehow always seems to cut me,
| like it "slides" before the needle goes in. I've done subq
| injections with a regular needle before, as well as using
| another kind of pre-filled injector pen for a different
| medication, and they were so much better!
| mchusma wrote:
| Frequent migraine sufferer, so very interested in content.
| Horrible article, but I did search for articles on CGRP
| treatments and may give them a try.
| abhijat wrote:
| As someone who used to suffer from visual auras (which ranged
| from a few minutes to 15 minutes at most) due to migraine, a
| persistent aura which does not go away sounds truly horrible.
| halfmatthalfcat wrote:
| I also get auras but thankfully it's the worst part of my
| migraine cycle (actual headache is a 3/10). Probably get one a
| month. I occasionally get pre-drome symptoms a couple days to a
| week out. It's a minor inconvenience for 30-45 minutes but they
| seem pretty benign (also verified by a neurologist).
| snegu wrote:
| Yes, I had no idea that was possible! I have had a total of 5
| silent migraines (aura but no headache) in my life, and each
| time was terrifying.
|
| What's worse is that my current doctor says there's no way to
| know if my last one was a TIA or migraine (all my research
| shows otherwise) and now wants me to start on baby aspirin. So
| yeah, every time I have an aura I'm convinced it's a stroke.
| vanderZwan wrote:
| I would lose the right half of my vision, except not like
| anyone here (without similar experiences) is probably imagining
| it right now: it was not like my right eye stopped working, no,
| _the part of my brain that processes visual information would
| deny the existence of the right half of my vision_ and replace
| it with a reaction-diffusion lookalike aura. Split precisely
| down the middle, doesn 't matter which eye. Even freakier, if I
| were to look at someone's face, my eyes would refuse to turn
| and show me the missing half of said face on the "left" side of
| my remaining vision. Similarly I could no longer read words or
| sentences because they were cut off and my eyes refused to do
| the normal reading saccades.
|
| It was then that I first learned that my conscious is only a
| small part of my mind, and not in direct control of everything.
|
| If I would have been stuck with that mode of perception
| permanently I would have gone crazy.
| Apofis wrote:
| > It was then that I first learned that my conscious is only
| a small part of my mind, and not in direct control of
| everything.
|
| We're made up of disparate systems that our conscience pilots
| essentially, even our mental faculties are disparate systems.
| This can sometimes make it hard to recognize when one of
| these systems is under-performing or worse-yet failing.
| coldcode wrote:
| I know exactly what you describe, I had migraines for many
| decades; oddly enough now that I am older I still get the
| aura, but the headache itself is barely a Tylenol.
|
| I also had cluster headaches one summer in college; now those
| are truly the worst pain in the world. Imagine an electric
| drill going through your head for 15 minutes once a day, then
| vanishing.
| 555watch wrote:
| > It was then that I first learned that my conscious is only
| a small part of my mind, and not in direct control of
| everything.
|
| That's probably the craziest takeaway from these. In my
| experience, losing half the vision + the middle part was the
| most often one. However, the craziest attack was when I
| temporarily lost the control of speech. The mind and thoughts
| were there, but nothing verbally said made sense when
| listening to myself. I'm so glad that taking a nap was enough
| to resolve that...
| lostlogin wrote:
| > If I would have been stuck with that mode of perception
| permanently I would have gone crazy.
|
| I get some sort of hearing perception change and vertigo to
| the point of vomiting. However the devastating pain makes any
| examination of the strange hearing changes near impossible.
|
| Anyone who has these last any significant duration has my
| sympathy.
| miguelrochefort wrote:
| This exactly describes an experience I had recently. I ended
| up in ER thinking it was a stroke. Nobody ever mentioned
| migraines or auras.
| SavantIdiot wrote:
| > the part of my brain that processes visual information
| would deny the existence of the right half of my vision
|
| YES. I get the scintillating scatoma but also a new thing,
| that I call "the folded magazine page": it looks as if
| someone folded out the middle of a magazine page and I have
| to turn my head left & right rapidly to construct the rest of
| the image.
|
| My brain is like: nope, not gonna show you the middle strip,
| just gonna cut-and-paste the left and right thirds together
| in the middle.
| jtwigg wrote:
| I also suffer these though I've learnt to pick up on them
| before they happen so I can pull over or step away from the
| computer. This started when I was a teenager and has gotten
| better since my mid twenties (30 now). I've only had 2 attacks
| this year, though they have both been in August. I find taking
| a nap helps. I don't get a headache but I do eventually lose
| 99% of my vision.
| SavantIdiot wrote:
| Heya, me too. A few times a year, 30-40 minutes. More
| frequently as I get older. Are you on anything for them?
| abhijat wrote:
| Hi, no, right now I'm not on any medication for them. At the
| time I had them frequently (a few years ago) I was diagnosed
| with very low vitamin b-12 and given shots for it which
| seemed to help a lot with the frequency.
|
| I also gave up alcohol gradually around the same time and the
| episodes gradually subsided after that (I had noticed that
| the migraines were pretty bad after drinking). I do not know
| if the two were related or not.
|
| Hope you get better.
| culopatin wrote:
| Hey here too. The first time it happened to me I was in high
| school and my professor thought I was lying when I told her I
| could no longer see my periphery. I had a dentist appointment
| after school and I had to take the bus. By the time I got on
| the bus, I could only see through a tiny window so I had a hard
| time finding the handles to hold on to. I was lucky and my
| dentist was working with a massage therapist when I got there
| and the lady was nice enough to give me a massage where my head
| meet the neck and that seemed to start undoing the effects.
| Within an hour my vision started getting better.
|
| Over time I started learning the patterns of my migraines and
| I've avoided the auras for 10 years. Biggest impacts for me are
| staying hydrated, not starving myself and avoiding prolonged
| sun exposure (as in 3hs under the sun in summer)
| JKCalhoun wrote:
| Thank god for the internet. I too would (infrequently still
| do) lose my periphery. (I called it tunnel-vision when I was
| a teenager ... close enough.) No one I talked to knew what I
| was talking about.
| positr0n wrote:
| Woah is sun exposure a trigger all by itself? I almost always
| get a headache if I've been outside all day, but I always
| assumed it was a second order effect like being outside makes
| it harder to get enough liquids so I was dehydrated. Or heat
| stroke.
| culopatin wrote:
| I think it's just like what you described. I love the sun
| and I love being outside, but after a long day out at the
| beach or racetrack I feel drained and I always have a
| headache that can end up in migraine easily if I don't cool
| off and over hydrate
| ars wrote:
| Bright light of the sun can trigger a migraine, at least in
| me and some other people I know. It's not dehydration, it's
| the bright light itself.
|
| I found shade 5 sunglasses that are essentially lightweight
| welding glasses they have been amazing. Unlike most
| sunglasses they are _actually_ dark.
| tw04 wrote:
| Same, too much caffeine and being dehydrated are a trigger,
| too many nights of not enough sleep as well. It's annoying
| they've gotten more frequent as I've gotten older.
|
| The first time it happened a doctor recommended Excedrin
| (HAH!), fortunately I had already suspected caffeine so I
| skipped that advice and hammered water and laid in bed for a
| couple hours instead.
| culopatin wrote:
| I avoid acetaminophen altogether. i had a terrible terrible
| morning because of it. I guess my liver wasn't doing great
| which caused a migraine and I added acetaminophen to the
| mix. 3hs of incapacitating pain followed by 6hs of
| recovery:m. A wasted day.
|
| Ibuprofen or naproxen for me. Caffeine is risky but present
| in my day to day, I just have to take double the water even
| if i know I'm just going to pee it out.
|
| Any energy drink messes me up BAD
| abhijat wrote:
| Mine started with a very weird feeling that something was off
| in my vision (usually triggered while working on a screen). I
| would notice after a while that a tiny portion of my vision
| was going missing and then the shimmering would begin and
| spread out.
|
| I've also not had auras for several years though I do get
| headaches still. I had extremely low vitamin b-12 levels and
| I think the auras disappeared after I took shots for b-12.
| Daub wrote:
| Some interesting work on the visionary writings of the 12th
| century Abbess Hildegard of Bingham. Her visions are now being
| understood as manifestations of migraines. I believe Oliver
| Saks was the first to understand them in this way.
|
| https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4103393/
| tmnstr85 wrote:
| When I was 9, I remember grabbing a handful of mini-M&M's from an
| information table at UCBerkley and we jumped in our rental van to
| start the family vacation out to the Grand Canyon. About 15
| minutes later I couldn't see due to an aura. That was the
| beginning of my migraines.
|
| In the spring of 2008, my dad go remarried to a Chocolatier - we
| don't talk a lot.
|
| It wasn't until I was 26 that I found out about triptans. I had
| endured years of avoiding chocolate and racing to find the
| darkest room possible any time I felt so much as a tinge of an
| aura.
|
| Today, any time we leave the house, I've got triptans and a
| bottle of Aleve ready to go. Thankfully I'm down to about 2 per
| year. This science is necessary and this article does a good job
| of highlighting how and why this topic has been glossed over for
| decades.
|
| The picture gets even more complicated now that I have kids. both
| female and one with a traumatic brain injury as a result of
| bacterial meningitis at birth. I can barely comprehend about how
| she interprets the world on a daily basis. If she has migraines
| on top of that, I will be so thankful there are a wider set of
| options today than ever before.
|
| Goadsby deserves to be celebrated!
| newbamboo wrote:
| Many migraines are not migraines but stem (no pun intended) from
| spinal cord problems that chiropractors can easily treat. Doctors
| hate this fact and will gladly put people on meds or tell them to
| change their lifestyle or their career rather than tell them to
| visit a chiropractor. Doctors are not immune from the effects of
| ego and hubris.
| jonny_eh wrote:
| > from spinal cord problems that chiropractors can easily treat
|
| Please no. Chiropractors are mostly pseudo-scientific pretend-
| doctors that should be allowed anywhere near a nervous system.
| They are not "back doctors".
|
| In 2021 they're a huge source of anti-vaccine misinformation.
|
| https://simonsingh.net/media/articles/alternative-medicine/b...
|
| https://www.health.harvard.edu/heart-health/chiropractic-nec...
|
| > Doctors hate this fact and will gladly put people on meds or
| tell them to change their lifestyle
|
| Hating on doctors is no reason to go see a quack.
| techrat wrote:
| > Doctors are not immune from the effects of ego and hubris.
|
| And that's why you recommend someone who isn't a doctor at all
| for issues with the body?
|
| Sounds like ego and hubris to me: "I can fix things that I've
| never studied like actual Medical Doctors have simply by
| twisting someone's back suddenly!"
|
| No thanks.
| 01acheru wrote:
| I suffer from migraines and that article could have been
| interesting, but I cannot stand those ten page long storytelling
| articles anymore
| codeulike wrote:
| There's actually very little in the article about the
| 'pioneering work' and how it happened, what the breakthroughs
| were etc
|
| Edit: although to be fair, the gist of it is that migraine has
| only recently started to be taken seriously due to a kind of
| medical sexism, so it's not so much a scientific breakthrough
| as a social one
| starkd wrote:
| I can recall reading articles making that claim going back at
| least thirty years now, claiming they need to take a fresh
| look because it has not been taken seriously. It's just a
| pitch for more research dollars. There's likely no one cause
| for the illness. Migraines can due to wide number of things.
| [deleted]
| acjohnson55 wrote:
| I was also taken aback by that. I think the headline set
| expectations poorly.
| rocketbop wrote:
| I found the same when I came across the article a couple of
| days ago. There was no real revelations, but the doctor in
| question has worked on some new medications which work better
| than previous medications and are now coming on stream.
| neals wrote:
| Yes I agree, these articles give me a headache.
| nelox wrote:
| If you would rather listen, Peter Goadsby was featured in this
| BBC Discovery podcast about his pioneering research on
| migraine: https://www.bbc.co.uk/programmes/w3ct1m7t
| noneeeed wrote:
| That was a great episode of Jim Al-Khalili's "The Life
| Scientific" which is worth listening to.
|
| It's an excellent series for anyone interested in science and
| engineering, he does a great job of showing just how varied
| science is, and also how varied the routes into science can
| be. Many of his interviewees end up in their specialisms
| thoough often very circuitous routes.
| billfruit wrote:
| Yes, this is so tedious a practice, where everything needs to
| spun out into 10/20 pages of storytelling, and cliffhangers
| etc.
|
| Low information density articles are such a drain on all of us.
| munificent wrote:
| Some readers consider the human interest part "information"
| too.
| civilized wrote:
| I give them about 2-3 paragraphs and if they haven't said
| anything yet, I assume they never will and close the window.
| specialist wrote:
| Totally. Hidden topic sentences. Now I just skip preambles.
|
| The Wadsworth Constant for text.
| wombatmobile wrote:
| If you don't want to wade through the preamble in the article,
| search for "calcitonin" and start at that paragraph.
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