migraine awareness month

Migraine Phase Four | Postdrome

~ Heather Davis ~ 2 Comments

And he said to them, “Why are you afraid, O you of little faith?” Then he rose and rebuked the winds and the sea, and there was a great calm.

Matthew 8:26

If the prodrome is the seething fury of the storm to come and the headache phase is the tempest, the postdrome is the hazy brightness in a summer storm’s wake. Sure, there’s a bit of vegetal wreckage strewn about. There may be dark clouds menacing the horizon and possibly a distant rumble or dim stab of lightning, but the worst is over.

That’s not a bad description of the prodrome. It reminds me of those midsummer Tennessee thunderstorms that rage and leave behind a humidity so thick you can taste it. The prodrome leaves me feeling a sort of pregnant emptiness, as if my mind were full of static and my limbs full of lead. There’s little to no pain, save the occasional aftershocks, but things just aren’t quite working again, either.

It’s not an interesting stage, and there isn’t much to say about it. Before I knew the proper term – and honestly, even to this day – I’d always referred to this as a migraine hangover.

It’s here in the wretched meh-ness of the postdrome that I often find myself marveling at the incredible goodness of a God who would wrap Himself in this mess on purpose, just to rescue a handful of rebels who will see Him, understand the unfathomable depths of His love, and find rest that nothing on earth can provide.

And the men marveled, saying, “What sort of man is this, that even winds and sea obey him?”

Matthew 8:27

Come to me, all who labor and are heavy laden, and I will give you rest.

Jesus of Nazareth – Matthew 11:29

Migraine Phase Three | The Attack

~ Heather Davis ~ 2 Comments

It is good for me that I was afflicted, that I might learn your statutes. The law of your mouth is better to me than thousands of gold and silver pieces.

Psalm 119:71-72

There’s not much funny about this phase. However, I can’t say there’s nothing good about it. But first, a couple of details: the attack or headache phase is the most straight-forward. It’s <drum roll> a headache!

But it is not just a headache. A migraine is a very distinct kind of headache, usually (but not always) one-sided with a pulsing, pounding, or throbbing quality. I used to liken the early sensation to a gong being rhythmically and silently struck behind my left eyeball, although that probably only makes sense if you’ve ever been close enough to a gong to feel the vibrations in your teeth – or if you happen to have migraines similar to mine.

Of course, medication helps in varying degrees, but without medication (and sometimes even with it ) there’s a lot that goes on.

Besides head pain, this phase also comes with a complement of varied and sometimes bizarre symptoms. Nausea, vomiting, confusion, fatigue, and sensitivity to light and sound are common for most migraineurs. And when I say nausea, I mean that you feel like you’re going to vomit if you move even an eyelash, you do vomit if you move even an eyelash, and you pray you can vomit in a dark, quiet place or else the pain quadruples (and if your stomach does rebel, the cool tile of the bathroom floor seems a perfectly sensible place to ride out the rest of the storm. After all, any attempt to exit the necessary room would only bring you back).

Aside from the typical complement of migraine headache symptoms, my personal little collection includes facial pain, muscle spasms in my neck or upper back, and a sensation that my heart is pounding along with an ability to hear or feel it pound in my left ear. In addition, my husband always tells me I feel feverish but I never have a fever. There’s also a kind of weird altered consciousness that I couldn’t describe if you asked me to – just a sense of everything being ever-so-slightly off.

I said earlier that the prodromal phase is the longest, but that’s only true when medication works. An unmedicated episodic migraine headache can last anywhere from four to 72 hours.

Then there’s chronic migraine.

For nearly a decade of my life, I had chronic migraine and “status migrainosus,” meaning a migraine that never really went away. You heard that right – a years-long headache that waxed and waned but never disappeared. And yes, it came with all of the above symptoms mixed in with prodromal and postdromal symptoms in a kind of general stew of unwellness; a sort of ouroboros of illness.

It was impossible to sort out, and much more than just a headache. But medication helps, and I literally praise God for triptans and for giving human beings the ability to concoct medications!

But let me circle back to my second statement of this post: there are good things about the headache phase.

It was during a medication-resistant migraine as I lay in a darkish room with my arm draped over my eyes that I first really grasped what the Lord Jesus did for humanity.

The thing is, I rebelled against my Creator, mocked Him, mocked His people, and tried to set myself up as my own little deity. For this, I deserve annihilation. Pain is a mercy, when you think about it, because pain is a signal that there’s something wrong. And if you deserve to be unmade, pain is a slap on the hand. Even after surrendering to the Lord, I fall short of holiness every day. Even my very best deeds are tainted by selfishness. If I may be brutal in my candor, I have become keenly aware of my own thirst for reciprocity or recognition and I would love to be free of it. I am far from selfless.

But the entire earthly life of Jesus exemplified selflessness. He did not deserve pain; He didn’t even deserve to don this moist and malfunctioning mess of meat, bone, nerve, and vessels we call a body.

The One through Whom all things were created didn’t deserve to submit to the humiliation of becoming an infant; of being hungry or thirsty or cold or any of the unpleasantness that comes of being human. And He most certainly did not deserve to have the eternal fellowship with the Father severed by taking on the foulness of my sin – not to mention the sins of the entire world – and endure an excruciating death devised by the twisted mind of His own creation.

Yet He entered into sorrow and anguish to pay the cost of all our sin in order that we could be free from it and once more enter into the Divine Presence by donning the righteousness of Jesus to cover our shame. Because of this, I have found a sweetness in my suffering and a unique fellowship with my Lord in pain.

Because of what He endured for me, I am even able to thank Him for the pain that helped me understand a little bit more. It is good for me that I was afflicted.

Migraine Phase Two | Aura

~ Heather Davis ~ Leave a comment

Have you not known? Have you not heard? The LORD is the everlasting God, the Creator of the ends of the earth. He does not faint or grow weary; his understanding is unsearchable. He gives power to the faint, and to him who has no might he increases strength.

Isaiah 40:28-29

Woah! Who changed the settings on gravity?

Were you aware that dizziness can be a part of migraine aura? Roughly a quarter of migraine sufferers, typically called migraineurs, experience aura around 20-60 minutes before the headache begins. Those who do get auras, don’t get them all the time.

And if you wondered if yours truly has an aura, the answer is: sometimes. I might have dizzy spells shortly before the headache starts. Other times, I see wavy lines around everything, kind of like the underwater effects from Aquaman sans dramatic hair flips and tattoos. But the strangest form of aura only occurs when the headache to come is going to be a doozy: my hands shake.

Yeah, it’s a little weird. This happened once in Grand Central Station as I chaperoned a bunch of sophomores on a field trip. They were sitting around a table eating lunch while I struggled to open the migraine rescue meds with shaking hands. They all stared at my fumbling fingers with wide eyes while I muttered, “Just a migraine coming. Nothing to worry about.”

I think my daughter’s nonchalance convinced them more than my words.

Whenever I do experience an aura, at least it’s clear what’s coming. It isn’t enjoyable, but it IS a reminder of my dependence on God. I may become dizzy and faint, but He never does. My body malfunctions; He does not. And even when I know that pain lies around the corner, He is the One who gives me the strength to endure and the peace to trust Him through it.

Anyway, when the aura occurs, it’s short – and so is this post.

Migraine Phase One | Prodrome

~ Heather Davis ~ 4 Comments

But now thus says the LORD, he who created you, O Jacob, he who formed you, O Israel: “Fear not, for I have redeemed you; I have called you by name, you are mine. When you pass through the waters, I will be with you; and through the rivers, they shall not overwhelm you; when you walk through fire you shall not be burned, and the flame shall not consume you.

Isaiah 43:1-2

You know those cartoon characters walking around with their own personal rainclouds? I imagine a similar scenario for myself during the prodromal phase of migraine—except in place of a cute little raincloud, a Category 5 hurricane dogs my steps, turning innocent actions like removing eggs from the fridge into preternatural disasters. That’s my typical presentation. Less often, I feel good during the prodrome. Like really, really good. Skipping-around-singing, “On Top of the World” like-a-lunatic good. Which isn’t so bad until the moment I realize what’s coming…

My personal hurricanes typically last for around 12-48 hours, though rarely they hang on for thee full days. Thankfully those times are cut short or nothing breakable in my home would survive. This is usually the longest phase of migraine for me, and this will be the longest of the migraine posts in honor of June as Migraine Awareness Month. Bear with me. 😉

Other than epic klutziness and breakdown of anything resembling hand-eye coordination during the prodrome, I also enjoy a failure to recognize spatial relationships. For example, I might take a drink and place my water bottle almost – but not quite – on my desk.

Aphasia often drops in during the prodrome, too, along with difficulty concentrating. Words and thoughts get twisted up between brain and tongue, or they careen around my skull like insane and highly caffeinated squirrels who refuse to work together, or they get lost entirely.

Though frustrating, aphasia is excellent at keeping my pride in check. In fact, sometimes my pride is so embarrassed by the rhetorical ruin that it moves out for a time and pretends not to know me when we bump into one another in the market.

Aphasia in Living Color

There are also less tangible symptoms: a sense of being utterly despised and rejected by everyone, including God, or an irrational desire to commit acts of murder most foul on inanimate objects. Luckily, my brain has already peaced-out by this time and I can neither find an appropriate tool for the job nor remember what the job was – or even what a tool is, for that matter.

Then there’s the mysterious (to me) quality of voice my husband detects as easily as one might detect a smallish pachyderm enjoying a snack in one’s kitchen; an elephant entirely undetectable to yours truly. He describes this vocal quality as sounding panicky. At which point, I mentally describe him with a few choice words, incensed at his insensitivity.

Alas, that too is a prodromal symptom.

This is a bare sampling from the grab bag of migraine prodrome symptoms, but the list can extend into some pretty strange realms. Pounding heart, unslakable thirst, feeling warm to the touch – you get the picture.

Despite being mostly painless, I dislike the prodrome most because it is the phase where I find it hardest to cling to God. But praise Him! By His grace, these are the times I realize (in retrospect) HE is clinging to me.

The only saving grace of prodrome is that in the thick of this howling and chaotic neurological cyclone, I have most often heard His still, small voice. He does not speak to me every time, but in the season when my migraines were more regular the US Mail, I heard His voice more often as well.

And what a wonder to know – really know – that the One who stilled the storm on Lake Tiberias so many years ago is the same One who holds me in the midst of a storm that causes me to lose my grip on everything.

And he awoke and rebuked the wind and said to the sea, “Peace! Be still!” And the wind ceased, and there was a great calm. He said to them, “Why are you so afraid? Have you still no faith?”

Mark 4:39-40

If you’ve made it this far, I hope you’ve learned and maybe had a laugh. But mostly, I pray that whether you suffer from migraine or not, you will come to know and love my Lord. He knows and love you already. If you belong to Him, nothing can take you from His hand, no matter how strong the storm or deep the darkness. Trust me on this.

My sheep hear my voice, and I know them, and they follow me. I give them eternal life, and they will never perish, and no one will snatch them out of my hand. My Father, who has given them to me, is greater than all, and no one is able to snatch them out of the Father’s hand.

John 10:27-29