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To the Editor.—
Frequently, a physician's viewpoint in regard to an illness can be valuable to others when the physician himself has the problem. This orthopedic surgeon, aged 38 years, has developed typical migraine attacks, approximately once every three months and related to going too long without meals. This typical attack will consist of a diffuse headache and nausea that is not responsive to a propoxyphene compound unless taken fairly quickly at the beginning of the headaches. The attacks are not nearly as severe as those that the patient's father has had for years. The attacks "burn themselves out" with a diffuse lack of color, so much that nurses will comment whether or not the patient has been insulted by a coronary artery deficiency or some other illness.In the course of practice of orthopedic surgery, I have found benefit from a cold pack unit. This is a specially prepared
Magill CD. Another Treatment for Migraine Headache. JAMA. 1972;222(6):703. doi:10.1001/jama.1972.03210060053020