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Looking for Men With Headache Disorders

As a woman with migraine and chronic daily headache, I tend to write about women with migraine or chronic daily headache. But there still are men with these and other headache disorders. (For example, although three times as many women as men have migraine, more men have cluster headaches.)

Reader Andy asked me for resources for men with headache disorders. I haven’t been able to find much. Andy was kind enough to share his experience:

“I woke up with a headache on January 22, 2005 and it’s been there ever since. I also determined through my own research that it is New Daily Persistent Headache – it has the symptoms of chronic daily headache without the traditional migraine elements. Most days it’s pretty mild, allowing me to live my life fairly normally as long as I’m distracted by my job, family, baseball game, etc. But it never goes away. It’s always there, and it’s really devastating to think I’ll be spending the next 50 years of my life in pain. 50 years! See how terrible that sounds? I just came across this blog for the first time and it’s somewhat comforting to know there are other people out there who can relate to that. Depressing, yet comforting.”

A surprising number of headache blogs are written by men. These are the ones I know of; please let me know of any others.

I know there are plenty of men reading this post. How do you cope with your headache disorder? What are your favorite sources for learning about men and headache?

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Tonight: Live Webcast on Women & Migraine

Why Do Women Get More Migraines Than Men? is the topic of tonight’s HealthTalk-hosted webcast. Headache specialists Christina Peterson and Dawn Marcus will discuss this sex disparity and treatments that are particularly helpful for women.

Listener questions will be answered, but you have to register in advance to submit a question (I have no idea how late they’ll will take questions). Registration is not required to listen to the program.

The broadcast starts at 7 p.m. EST (4 p.m. PST). Starting about 10 minutes before the webcast, go to the program’s description page and look for a link that says “Join the Program.”

Sorry for the late notice!

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Patient’s Sex May Influence GPs’ Treatment of Headache

Women are three times more likely to see a GP about their headaches than men are, but are less likely to be referred to a specialist, according to a study published in the Journal of Neurology, Neurosurgery and Psychiatry.

Medication is also prescribed for women more than men; one in three women and one in four men received drugs. In the age range of 45 to 54, twice as many women as men left the GP’s office with a prescription.

One reason for this discrepancy could be in the types of headaches each sex experiences. Women represent more than two-thirds of adult migraineurs, while six times as many men than women have cluster headaches. Because there is a better understanding of migraine than cluster headaches, GPs may be more comfortable treating migraine than cluster headaches. Thus they treat more women and refer more men.

This can’t totally explain the difference in treatment. The stereotype of the weak or hysterical woman who complains of headaches is so ingrained that it has to influence how they are treated. (If you want to read more about this, Paula Kamen’s exploration of this in All in My Head is excellent.)

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More News Than You Want to Read

I’ve attempted to gather the news I’ve missed, but articles are surely missing. If you know of something, please post a comment with a link to it if you have it.

Under each heading the articles are vaguely ordered by relevance.

Research
Acupuncture May Ease Impact of Headaches
Adding acupuncture to standard medical treatment may improve the quality of life for people who suffer from frequent headaches, according to a new study.

Botox May Ease Facial Pain: Benefits Lasted for 60 Days in Small Study
A shot of Botox may ease a type of facial pain called trigeminal neuralgia, doctors report.

Pain Affects Black Women More Intensely
The far-reaching effects of chronic pain may be worse for black women than they are for white women.
(via Kevin, MD)

Websites Bolster Chronically Ill
Using interactive websites can help people with long-term conditions that include depression, heart disease and HIV/Aids, a study has found.
(via Medical Humanities)

Drugs
Eli Lilly Expands Cymbalta Liver Warning: FDA
Eli Lilly and Co. has expanded its warning about possible liver-related problems with its depression drug, Cymbalta, and cautioned doctors against its use in chronic liver disease patients, U.S. health regulators said on Monday.

EU Body Gives Old Pain Drugs Clean Bill of Health
Europe’s drug watchdog said on Monday it had no new safety concerns over older pain medicines like ibuprofen and naproxen, following an extensive review of side effect issues.

Another Way to Cut Drug Costs: Split Pills
Smart shoppers can’t resist a two-for-one sale. But should you purchase prescription drugs the same way you buy pizza or canned corn? For years, people who take daily medications have saved money by asking their doctors to prescribe pills with double the dose they need, which they then cut in half with a knife.
(via Kaiser Network)

Pain Meds Scarce in Black Neighborhoods: Study Finds Medicines Understocked
Pharmacies in black neighborhoods are much less likely to carry sufficient supplies of popular opioid painkillers than those in white neighborhoods, a new study has found, leading researchers to conclude that minorities are routinely undertreated for chronic pain.
(via Kevin, MD)

PhRMA Lawsuit Challenges D.C. Rx Drug Price Control Law
The Pharmaceutical Research and Manufacturers of America filed suit against the Washington, D.C., government last week alleging that a new price-control law on prescription drugs will cut supplies, hinder development and cause a “limitless parade of lawsuits.”

Drug Panels ‘Have Financial Links’
Doctors around the world are being advised to prescribe specific drugs by experts with close financial links to the pharmaceutical industry, it has been claimed.
(via Kevin, MD)

Healthcare Costs
Is Complementary Medicine Cost Effective? BMJ
The cost-effectiveness of using complementary treatments in the United Kingdom has been the subject of much speculation and controversy.
(via Kevin, MD)

Treated for Illness, Then Lost in Labyrinth of Bills
When Bracha Klausner returned home after an extended hospital stay for a ruptured intestine three years ago, she found stacks of mail from doctors and hospitals waiting for her.
(via Kevin, MD)

Dying to Pay, New Bankruptcy Laws Hurt Seriously Ill
New bankruptcy rules that went into effect on Monday, don’t just affect those who’ve run up their credit cards due to poor spending habits.

They also affect people who have little choice about their cash flow, people who’d give anything ‘not’ to be in the situation they’re in.
(via Kevin, MD)

Insurance
Workers May Be in For Health Plan Sticker Shock
USA Today on Friday examined the shift toward higher employee contributions to health care costs as employers try to curb their health care spending. According to USA Today, employers are utilizing various methods, including coinsurance, restrictions on prescriptions, high-deductible plans and wellness incentives.
(via Kaiser Network; quote from USA Today Examines Rising Health Insurance Premiums, Out-of-Pocket Costs for Employees)

Wall Street Journal Examines UnitedHealth Group’s Move to Consumer-Driven Insurance Plans
The Wall Street Journal on Monday examined Minnesota-based UnitedHealth Group’s move to “so-called consumer-driven health care” in the face of “steadily eroding business” as a traditional health insurer. Consumer-driven plans are based on the idea that people will consider health care spending more carefully if they have to pay a larger proportion of the cost themselves.

High Deductible, High Risk: ‘Consumer-Directed’ Plans a Health Gamble
Elizabeth Fowler can be called an educated health care consumer: An expert on health care policy, she used to be the chief health and entitlements counsel for the Senate Finance Committee. But she was pushed to the limits of her knowledge and patience keeping track of her so-called consumer-directed health plan — a type of insurance designed to protect consumers from catastrophic medical costs while prompting them to shop wisely for routine care.
(via Kaiser Network)

Policy
Canadians Still Waiting: 18-week Delay for Medical Care Reduced by a Day
Large increases in health-related spending have only marginally reduced the waiting times for medical services in this country from record-high levels in 2004, a new report says.
(via Kevin, MD)

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Women Feel More Pain

Have you heard that women have higher pain thresholds than men? A recent study suggests that the opposite is true: women feel pain more easily than men and that they focus more on the emotional aspects of pain, which makes it worse, than do men.

These findings fit right into the hysterical woman stereotype, but if they are supported by more research, the potential for more effective pain treatment and meds is huge.

Thanks to Kevin, M.D. for the tip off.