- CASE FILE
Have had severe chronic temporal headaches for 20 years. Seen by 108 doctors. Rarely leave home, suicidal thoughts. Please help.
ABOUT THIS CASE FILE
I worked in Radiation Therapy my entire career, starting in 1972 at age 20. I was hurt in May, 1998 when a patient pulled my right arm unexpectedly. I could not raise my arm above the shoulder 3 days later. My PC was unavailable so his assistant gave me Ultram. It took away the pain but the primary cause was never found. I started having chest tightness similar to bruised ribs in November, 1998. The pain continued to get worse, causing difficulty breathing and problems sleeping. I went to the Mayo Clinic in Scottsdale in 1999. They could not find the cause in 12 days. I was finally diagnosed wth costochondritis. The PT was very painful but the tightness decreased significantly. I still have some tightness to this day. The next symptom was insomnia which has been resolved only by medication. The headache by my right temple was the final symptom. The pain increased until I was given a low- dose percocet daily. I decided to quit working in January, 2000 but the headache kept getting worse. I started taking 2000 mg of NSAID's per day which somehow decreased the headache pain. I went to work for a RTT temp agency, working in AZ, CA, and OR. I tired of working on the road so I stopped on the way home from Salem to check into a job in Reno to take over for a Senior Radiation Physicist who was retiring in a year. The training went well because I had experience in brachytherapy, using radioactive products to treat cancer patients. Near the end of my first year, however, the headache continued to worsen and became bilateral. My PC increased the dose to 40 mg of percocet daily. Over the next 3 years, the dose escalated to 120 mg a day in liquid form.