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Archive for the ‘Travel’ Category

Migraines & Driving & Driving Migraineurs Crazy

September 30th, 2009

I may have mentioned that lately I have been writing articles for Health Central’s My Migraine Connection on legal topics related to Migraine, as well as answering some of the questions that readers ask on the site. A reader came on recently and reported that her driving privileges had come under supervision by her state’s Motor Vehicle Commission (MVC) because she had self-reported that she had frequent Migraines. The MVC was considering whether to suspend her license. She was asking what to do. This sounded like a nightmare to me; I was really distressed for her, so I did some research. In the first place I discovered, not too surprisingly, that her state’s MVC had broad powers to supervise, suspend, retest or otherwise question the driving of anyone they suspected might have any kind of medical condition that could make them an unsafe driver. Researching further, I learned that just about every state has given similar powers to its MVC.

My suggestion was that she get a statement from her doctor that she knows the signs of a Migraine and does not drive when she has one, and that she consult an attorney. She came back later and reported that her MVC had taken her medical documentation, made her retake the road test, but that they had not suspended or restricted her license.

I did some more research and wrote two articles based on it, one called Migraines and Driving Don’t Mix – reviewing cases which have found people driving under the influence of pain killers (legally prescribed for Migraines) to be DUI, and other cases which found people driving with a Migraine (not with medications) were not DUI. I did stress that Migraines themselves impair us – they slow our reflexes and reaction time, interfere with cognitive function, aura obscures our vision, the pain and nausea distract us. I even went so far as to say I wouldn’t be surprised to see a case somewhere in the future where someone had a Migraine, caused an accident, hurt someone, and was held liable or criminally responsible.

In the second article, called Migraines and Our Drivers License, I reviewed the Motor Vehicle laws which set up medical review of driving privileges, trying to make people aware that we could have our licenses reviewed or suspended if Migraines impact our driving and the MVC finds out about it!

It’s been an interesting few weeks for me on the inter-tubes – I did not make myself very popular with some Migraineurs over all this! One group of readers thought I was being condescending. On one site someone ranted about how if cell-phone talking, lane-changing speeding morons should be allowed to drive, why should Migraineurs be singled out? I was called “militant” and I’m not some people’s favorite person. Several people asked me to tell them how they are supposed to get to work, function, etc…

I think I learned a lesson about my writing style, and I’m going to do my best to be more chatty and down to earth when I’m delivering hard news. I think that’s what this was – a case of kill the messenger. I’m not the Migraines & driving police (or the anything police, for that matter). We’re all going to have to use our own judgment. I just thought it was important for people to know 1) that Migraines impair us, sometimes even when we don’t feel like they do; 2) that people have been convicted of DUI even taking legally prescribed medications; and 3) that right or wrong, our condition is being scrutinized by Motor Vehicle Commissions.

Last night I dropped my son at his music lesson and went to the supermarket. Near the end of my time in the market I was very hungry and jittery, and I started to get sensitive to light, an early warning sign for me of a Migraine coming. My son was across a divided highway from me, needing to be picked up, and I had a week’s worth of groceries in a cart. So I had choices to make. I could have called my husband, and he could have come and got our son, me and the groceries. I decided to eat something and see if raising my blood sugar would hold the Migraine off. So I went through the checkout line and sat in the car eating for a while. I felt less jittery and better right away, and I made the judgment call that the Migraine was not going to hit full force in the 15 minutes it would take to get home. I picked up my son, drove home, and all was well.

Was that the right thing to do? Was I putting convenience ahead of safety? Was I being a hypocrite in light of the articles I just wrote and the position I’ve been taking? We have to make judgment calls every day with this disease. If my head had been hurting, if I was getting dizzy or confused, I would not have driven. I have called for rides, or pulled over to the side of the road in those situations before. I always try to err on the side of caution. Several people have left comments since I wrote the articles, about family members who were badly hurt driving with a Migraine.

All I’m asking is that we take this seriously, that we plan ahead, have a back-up plan, and take ourselves off the roads before we endanger ourselves and others. And I know it’s not fair, that there are lots of morons on the road who shouldn’t be driving, and all of that. It’s a very uncomfortable subject – it challenges our independence. I know. Sorry. I’m not trying to drive you crazy. Please don’t kill the messenger!

– Megan

Rearview mirror image courtesy of Dean Shareski; Steering wheel image courtesy of Tomas Fano.

Tags: driving, DUI, migraine, Migraine medication
Posted in Communicating, Current Affairs, Managing, Travel | Comments (16)

Migraines, Travel, Social Life

April 13th, 2009

We had a nice four day trip over the weekend to visit friends in Boston. A wonderful family who lived in our town for two and a half years.  They were our around the corner neighbors, and our fourteen year-old sons are best friends.  They are warm and easy to be with.  It’s a six hour drive each way.  We were actually in Boston from about 7 pm Thursday until 1 pm Sunday.

It’s ridiculous how hard it is to plan for and face a simple weekend trip like that.  I needed medication refills and discovered various mistakes that had been made in the prescription that involved multiple phone calls and trips to the pharmacy.  I recently increased my Topamax dosage and I am experiencing once again the mental cloudiness I have had at each new dosage level – making it hard for me to stay focused on a task or remember what I need to do next in a sequence of tasks.  This is beginning to lift, but it’s not gone yet.

Of course I had to pack all my meds, for preventing Migraine, in case of migraine attack, all my supplements, my thyroid meds.  My husband and son had meds to pack.  My eighteen year-old daughter was staying behind to work and dog-sit, but we had to be sure she had food and instructions. My husband and I are both at rather crucial points in business and there were things that had to be finished before we could hit the road.  Our accountant called just before we were leaving with additional details needed for our taxes.

I get pretty stressed with highway driving, especially on high travel weekends like this one, especially in the high-speed, high-pressure, road-rage rampant, “I’m more important than you are and I own the road” Northeast (where I live). That kind of stress goes right into my neck muscles and can lead to headaches and Migraines.  We passed a couple of horrendous accidents on the way there.

I left without the spare pillows I usually bring – due to several injuries I sleep propped up so that I don’t ache so much I can’t sleep. I found myself a bit embarassed by my inability to find words and complete sentences in the morning and evening when my meds were strongest. And Saturday afternoon I passed on a trip to the Aquarium with the families, and lay down with a Zomig, a book, and eventually a nap, to get rid of a Migraine.

AND – you’ve listened to my litany of complaints, here’s my conclusion: I had a great time.  It was so nice to get away.  It was so lovely to spend time with friends.  It was worth the stress of driving.  So what if I had a Migraine – chances were way better than even I would have had one at home anyway, without the visit.  So what if I stumbled over words a little – entertaining though I may be, my conversation is not the only point of the visit (shocker, I know!).  We came back renewed and refreshed. Tired after our travel, yes, but it was so very worth it.

We don’t get out much. It’s hard to make plans when Migraine and other illness often comes along and changes them. Money has been tight. My house is not as clean and neat as I’d like it to be, so I don’t ask people over much. But it’s so important to be with people. Every little bit helps. True friends don’t love us for how perfect our housekeeping is or our speech is or any of that.

– Megan

Open door image courtesy of emdot/marya.

Tags: friendship, migraine, relationships
Posted in Managing, Travel | Comments (2)

Where did Megan go?

August 13th, 2008

A big gap in posts here, but not due to Migraines and illness, for once.  I took my daughter on a trip to look at four colleges in the mid-West.  Perfect weather almost all week, some very promising colleges, and we had a fun time – many hours of cracking each other up

in the car, and some lovely visits with old friends.  We were in the Windy City,

and the Twin Cities, and many miles of America’s Dairyland in between!

I had only one Migraine on the trip – the day we flew in.  The triggers were two nights of insufficient sleep, stacked with the change in altitude on the flight.  I had two marathon days of driving, which certainly exhausted me, but didn’t trigger any Migraines, I’m happy to say.  Clearly fatigue and stamina are issues for me, but I was glad not to be coping with frequent Migraines as well.  Stress may not be a direct trigger (I have my doubts) but a trip away from the daily stresses of my life is always welcome!

– Megan

Walker Sculpture Garden image courtesy of Eli Duke; Wisconsin Farm image courtesy of Randen Pederson.

Tags: fatigue, migraine, Migraine triggers
Posted in Travel | Comments (3)