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MigraineCast

President Obama Speaks Directly to Tens of Thousands of Disabled American Migraineurs

Pres Obama June 22 Speaks to Nation wGreen Frame 062209 

Surprise News on Medicare Part D!

WASHINGTON, DC; JUNE 24th, 2009—UPDATED SUNDAY, JUNE 28th, 2009—Today President Barack Obama walked briskly into the Diplomatic Reception Room of the White House as if speaking directly to tens of thousands of disabled Migraineurs when he offered surprise news on Medicare Part D.   The President informed us that he spoke to the American Medical Association last week, in his address he urged the continued need for health care reform and what will be required to achieve it.  One of the things he stressed was that “everyone in our health care community is going to have to come together and do their part.”

President Obama, with an almost joyful excitement in his demeanor went on to inform the American people our government has been hard at work over the weekend with what MAGNUM considers a real health care breakthrough!  To that fact Congressman Baucus, Chairman finance committee on this issue, as well as members President Obama’s administration, have been in discussions with the pharmaceutical industry to find a way to bring down costs of prescription drugs for America's seniors, and as the President and his key health advisors often do, forget younger Social Security disabled Americans will also share this White House healthcare breakthrough.

President Obama’s statement went on to say; “And I'm pleased to report that over the weekend we reached an understanding that will help close the notorious "doughnut hole" in Medicare Part D.  This is a significant breakthrough on the road to health care reform -- one that will make the difference in the lives of many older Americans.

Even if you are not over 62 years old you need to understand how important it is that President Obama close the notorious "doughnut hole" in Medicare Part D.  You see all working Americans pay into two long term insurance polices already managed by our government.

Medicare Part D--D Is For "Doughnut Hole"

These are NOT taxes, not give always to a privileged group which is what many people think of when they hear of “entitlements”.  Note; U.S. Citizens pay into two trust funds, they are not taxes, but rather you are paying for insurance policies--one is a long term Social Security benefit, and the other is Disability Insurance Trust Fund.  Both are there to protect the working Americans in old age, and in young middle-age or the older person who becomes disabled after having worked for roughly a decade.  Unfortunately there was a major oversight in both acts in their lack of prescription drug coverage.  Recently it had gotten so bad that it would not be uncommon for a young disabled person or an elderly person’s medication cost to actually be more than their total Social Security checks!  So during the last Administration President George W. Bush fixed this major burden to the elderly and the disabled American.  But in order to get this first major extremely expensive health care benefit in years through Congress, President George W. Bush would have to give something up. What the Congress decided to keep was Medicare money!  Which they kept in the form of a Congressional metaphoric pastry! But it allowed President Bush to get is health care improvement on the books, as they say it was a compromise. By late Spring the arrival of the "doughnut hole" showed the weakness of Medicare Part D.

Ironically, President Obama’s ‘people’ loved to quote the large amount of ‘wasteful’ spending President Bush did as a campaign point!  When more than half of the Bush budget bust was spent on giving needed medication to the elderly and the disabled under the then ‘dreaded Medicare Part D’.  To that  fact, President Obama’s own numbers show the saving to the Medicare system over the next decade will be in the hundreds of billions of dollars due to preventive intervention.

So you see, we really all need to start working together, as we are not as far apart on many issues as people think.  To that point listen to President Obama’s explain how he can improve on Part D, and that annoying "doughnut hole";

“I think many of you in the press are familiar with the issue.  The "doughnut hole" refers to a gap in prescription drug coverage that makes it harder for millions of Medicare beneficiaries to pay for the medication they need.  The way the program is structured, Medicare covers up to $2,700 in yearly prescription costs and then stops, and the coverage starts back up when the costs exceed $6,100.  Which means between $2,700 and $6,100 folks are out of luck.  And this gap in coverage has placing a crushing burden on many older Americans who live on fixed incomes and can't afford thousands of dollars in out-of-pocket expenses.”

If two polar opposite leaders can agree on the need to help get medication to the elderly and disabled, and continuities to refine and improve it our leaders in Congress can certainly sit down and work together and improve our health care system with our bankrupting the nation or destroying the best parts of what we have now.

President Obama’s explained in greater detail just how he expects to lift the burden of Medicare Part D’s “doughnut hole”.  The President said; “So as part of the health care reform I expect Congress to enact this year, Medicare beneficiaries whose spending falls within this gap will now receive a discount on prescription drugs of at least 50 percent from the negotiated price their plan pays.  It's a reform that will make prescription drugs more affordable for millions of seniors, and restore a measure of fairness to Medicare Part D.    It's a reflection of the importance of this single step for America's seniors that it has earned the support of AARP, which has been fighting for years to address this anomaly in the system on behalf of older Americans.  AARP is committed, as I am, to achieving health care reform by the end of this year.  And I'm committed to continuing to work with AARP to ensure that any reforms we pursue are carried out in a way that protects America's seniors, who know as well as anyone what's wrong with our health care system and why it's badly in need of reform.”

“Our goal -- our imperative -- is to reduce the punishing inflation in health care costs while improving patient care.  And to do that we're going to have to work together to root out waste and inefficiencies that may pad the bottom line of the insurance industry, but add nothing to the health of our nation.   To that end, the pharmaceutical industry has committed to reduce its draw on the health care system by $80 billion over the next 10 years as part of overall health care reform.”

“Real health care reform that reduces the spiraling costs of health services and extends quality, affordable health coverage to all Americans will require these kinds of commitments throughout the system. And drug and insurance companies stand to benefit when tens of millions more Americans have coverage.  So we're asking them, in exchange, to make essential concessions to reform the system and help reduce costs.  It's only fair.  Today marks a major step forward.  But it will only be meaningful if we complete the journey.”

MAGNUM hopes as this is the beginning of what appears to be some positive movement on what has otherwise been a deadlocked issue, the key issue of major health care reform.  We have seen the American people split on so many issues over the last two years that you would think the nation is developing bipolar disorder!

But after all change IS good, during the live White House speech a week ago tomorrow President Obama repeatedly referred to his new objective as ‘Medicare Part B’.  He wanted Congress to swiftly close the vaunted “doughnut hole” associated with ‘Medicare Part B’.  Having said that, as of Sunday we have not heard one evening entertainment host such as Jay Leno or David Letterman make wise cracks all week long how President Obama did know his B’s form D’s?  Nor did we hear any jokes from Comedy Central when Mr. Obama about lectured us how the ‘American’s invented the car’, and Henry Ford invented the assembly line, sadly of course Germany invented the automobile, and Smith & Wesson several decades earlier created the first industrial assembly line, but HEY--at least they where an American company.  If President Bush the Younger would have made these minor slips-ups for a busy leader the sad jokes would be coming the David Letterman assembly line non-stop!  We don’t like it when our Presidents are mocked for sport—it serves no purpose be it Obama or Bush.  Not to mention it impedes the critical work ahead of us to improve health care so all Americans will have access to reasonably equal quality of care. 

Armed with a life affirming sense of humor, when all is said and done in good taste and not in the mean spirited way most of us are so tired of, humor will fit into President Obama’s Health Care Plan, as we all know a good sense of humor is great medicine!

Maybe we have come to a turning point as all sides agree that Medicare Part D was not only a great improvement to the national health care system after decades of inactivity, President Obama saw fit to buttress it within his first 200 days and improve an already vast improvement for millions of elderly and disabled Americans.   Now that is change we can ALL believe in.

DID YOU KNOW?

The Social Security Act of 1935-

 “An act to provide for the general welfare by establishing a system of Federal old-age benefits, and by enabling the several States to make more adequate provision for aged persons, blind persons, dependent and crippled children, maternal and child welfare, public health, and the administration of their unemployment compensation laws; to establish a Social Security Board; to raise revenue; and for other purposes.”

 

Technical Note:

Our internet service provider has been having technical problems requiring no less than six service calls over the last two weeks.  This has bottlenecked MAGNUM from posting articles over the past two weeks.  MAGNUM is truly sorry for any inconvenience or MigraineBlog withdraw during this time period.

 

Migraineurs Get One More Arrow in their Quiver to Fight Pain

 Quiver Illustration 061809 Rv Thin  Illustration By Michael John Coleman 

 As the FDA Approved Shooting an Injectable Form of Ibuprofen

WASHINGTON, DC/ALEXANDRIA,VA; JUNE 12TH, 2009—UPDATED; JUNE 18th , 2009—MAGNUM took the opportunity to talk with the U.S. Food and Drug Administration today about the newly approved Caldolor, the first injectable dosage form of the common pain medication ibuprofen, to treat pain and fever.  The designation was NOT for Migraine, but ibuprofen has been FDA approved for Migraineurs pain management plan since 2000.

To that fact the Whitehall-Robins Healthcare company begun shipping Advil(R) Migraine, the first and only Food and Drug Administration (FDA)-approved Migraine medicine back on Saint Patrick’s Day March 17th, 2000.  In addition Advil Migraine (ibuprofen) was released in a liquid-filled capsule, a delivery system many consider more effective that a tablet for quick pain management.
 
At the time in 2000 the following was said; "With Advil Migraine, patients are now able to treat their migraines with an over-the-counter product that is safe, effective and provides fast absorption of the medicine into the body," said national Migraine expert Alexander Mauskop, M.D., director of the New York Headache Center. "I have been treating migraine patients for nearly twenty years and am glad to see that there is a product like Advil Migraine available for my patients."

Caldolor is the focus of this article and the fact that it offers Migraineurs the first injectable dosage form of the pain medication ibuprofen.  Having said that the FDA reports Caldolor will be available for hospital use only.  I asked Ms. Karen Riley of the U.S. Food and Drug Administration today if their where any Migraine disease specific studies not mentioned in the current press release?  She informed MAGNUM that there were several other studies of Caldolor but nun that related to Migraine disease.  Which is ashamed as it appears it may have a place in the ER for the intractable Migraine sufferer with a heart disease and sensitivity to opioids.
 
According to the FDA it is approved to be administered in 400 mg to 800 mg doses, over 30 minutes, every 6 hours for acute pain. To treat fever, the drug is approved in a 400 mg dose administered over 30 minutes, followed by 400 mg every 4 to 6 hours, or 100-200 mg every 4 hours, as necessary.

“Injectable ibuprofen and other nonsteroidal anti-inflammatory drugs (NSAIDs) are promising pain management options,” said Bob Rappaport, M.D., director, Division of Anesthesia, Analgesia and Rheumatology Drug Products in the FDA’s Center for Drug Evaluation and Research. “But until now there were only oral forms of most NSAIDs. An injectable ibuprofen product can provide patients with relief from pain and fever when they cannot take oral products.”

In a clinical trial of 319 women who had undergone an elective abdominal hysterectomy, patients were less likely to request morphine for pain on an as-needed basis when administered Caldolor.

Caldolor should be used with caution in patients with congestive heart failure, kidney impairment, at risk of blood clots and those who have a prior history of ulcers or gastrointestinal bleeding. When used in such patients, attention to using the lowest effective dose for the shortest time period is important to reduce the risk of serious adverse events. The drug has also been associated with high blood pressure, serious skin reactions, and serious allergic reactions.

The most common adverse reactions reported in the controlled clinical trials were nausea, flatulence, vomiting, and headache.  I know some readers must see this list of reactions and say “my god it induces a Migraine!” but we see these common lists of symptoms for most any drug it does not mean all the users experience such awful symptoms, but these in usually in mild form can be a side effect for some indiviuals.  But I have to say when I see some of these TV drug ads I almost fall off the sofa as the side effect warnings go on for the greater portion of the TV ad!  But we digress, most have used ibuprofen so delivery system aside most know how they react to the drug.

Caldolor is manufactured by Cumberland Pharmaceuticals Inc., Nashville, Tenn.  If you want to see if there are any more intersting FDA stories out today visit our partners at mymigraineconnections and search "FDA approvals". 

MAGNUM is always happy when the government is working hard to offer as many safe treatment options that may help improve the quality of life for the Migraineur.  Even if it was not something they had been working on the drawing board for Migraine treatment.  That is what Headache On the Hill is all about!

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MAGNUM’s Years of Concern Regarding Acetaminophen & OTC Pain Medicines Supported by New FDA Labeling Requirements

Migraineur TJ 0241 Warhol Purple FDA Warning Web 

Illustration By Michael John Coleman © MAGNUM, Inc.

WASHINGTON, DC—(SUNDAY, MAY 31th, 2009)—Anyone who has suffered from rebound headaches (AKA-Medication Overuse Headache) understand how important something that sounds so small as our government stepping in and improving labeling of the easy to access over-the-counter medications.  Many reading this who suffered for years before learning this annoying interloper (rebound) adding to their Migraine misery could have been avoided with a better national awareness effort.  More important, many might not have suffered through rebound pain if better labeling by the FDA would have appeared sooner.

That was the then, this is now, so we are happy to report the Food and Drug Administration (FDA) have advised the manufactures of over-the-counter (OTC) pain relievers in addition to fever reducers they must revise the labeling to include warnings about potential safety risks associated with these popular and effective medications. These risks include internal bleeding and the one MAGNUM has written quite a bit about over the years--liver damage.

Final Rule Issued
 
According to the FDA on April 28, 2009 a final rule was issued.  The Food and Drug Administration (FDA) at that time directed that labeling be revised for both acetaminophen (Tylenol®) and nonsteroidal anti-inflammatory drugs (NSAIDs) such as Advil®. Migraine sufferer are familiar with these two classes of pain medications which are also effective in reducing fevers and relieving minor aches and pain such as non-migraine headaches and muscle aches. NSAIDs class of drugs includes aspirin, ibuprofen, ketoprofen, and naproxen. Note: naproxen is found in the new improved anti-Migraine medication Treximet®, a compounded abortive hybrid of sumatriptan and naproxen.  This illustrates how in our community care must be taken on how much of these excellent pain management tools/medications we are actually using in a given time period.  Women have an extra issue to deal with taking into account Premenstrual Syndrome OTC products, many of which contain acetaminophen and /or NSAIDs.
 
The FDA states “The final rule applies to all OTC pain relievers and fever reducers, including those that contain one of these ingredients in combination with other ingredients, such as in cold medicines containing pain relievers or fever reducers.”

Under the FDA final rule, manufacturers must:

• ensure that the labeling warns of the risk of stomach bleeding for NSAIDs and the risk of severe liver damage for acetaminophen
• ensure that the active ingredients of these drugs are prominently displayed on the drug labels on both packages and bottles
• revise the product labeling within one year of the date the rule was issued

 Overdoses and Rebound By Default

The FDA also reported same findings MAGNUM and other headache NGO’s have been reporting for years that people sometimes take more (much more) acetaminophen than the labeling recommends. We also can confirm the FDA’s position that many others, we know Migraineurs for instance unknowingly take multiple acetaminophen containing OTC medications at the same time.  Often showing up in compounded medications that can be in multiple daily medications, these can add up under the patient’s and doctor’s radar.

The FDA stated “Exceeding the recommended dosage of acetaminophen may increase the risk of severe liver damage. Alcohol use can also increase the risk of liver damage with acetaminophen.

The risk of stomach bleeding may increase in people who use NSAIDs and who are taking blood-thinning drugs or steroids. Stomach bleeding risks also increase for people who take multiple NSAIDs at the same time, or in people who take them longer than directed. Alcohol use can increase the risk for stomach bleeding with NSAIDs use.”

The FDA is not stopping with just a label change, in fact an FDA Advisory Committee meeting will be held on June 29 and 30, 2009, to discuss further steps the agency could take to reduce the risk of liver damage associated with acetaminophen overdoses.  Considering the millions of tablets containing acetaminophen & NSAID Migraineurs ingest every year only something positive can come of the Advisory Committee’s action.

The FDA’s Advisory Committee actions have recognized the risks faced by Migraineurs and the general pain suffering public including such risks as internal bleeding.  In addition to the risk MAGNUM has been quite vocal about over the years—dangerous liver damage.  This is good, right?  Our government IS working on our health care in meaningful ways. We will follow-up June 30, after the next FDA Advisory Committee meeting is finished  Till then if you think you are taking too many overlapping acetaminophen & NSAID medications, please make a complete list including ALL prescription and non-prescription medications no matter how mild you may think they are and present it to you doctor at your next visit.  Your doctor may decide to adjust you medications to lower your over all intake of acetaminophen & NSAID in a significant way, and give you and your liver significant peace of mind!


TJ Migraineur Resting Illustration 053109 MJC09 

If you would like to help support MAGNUM you can purchase an original Giclee print of any of the artwork displayed on our main website www.migraines.org or one you see here on www.MigraineBlog.com. All funds from the art sales go directly to MAGNUM, you can learn more about how MAGNUM uses art to help support our public health mission visit 'MAGNUM Art for Sale'.  If you see artwork you wish to purchase just e-mail us at comments@migraines.org and put "artwork" in the subject line!  If you prefer good old fashion donation you can donate funds directly with PayPal using any credit card, do it today!  Any amount is welcome $2.00 or $20.00 or $200.00. 

Donate2 Watercolor

Art Versus I Think I Am Dying?

USS Freedom Old Town Twilight05 09 09_0815 Fr Web

Tranquility's Quiet Strength" USS LCS Freedom Docked in Old Town, Alexandria, Virginia. Photograph by  ©  Michael John Coleman 2009

WASHINGTON, D.C.; FRIDAY MAY 29th, 2009--Special By Michael John Coleman, MAGNUM Executive Director and Founder.

If you ever wondered what a heart attack looks like through the eyes of an artist while it is happening, look no more!  So you missed that opening at Principle Gallery or maybe one in Soho, DC--New York--no matter, put your feet up and take a walk through MAGNUM's 'Little Galleries' (Someone out there got that reference I hope?!) and peruse some artwork created in the mist of an unwelcome cardiovascular event!  If you want to read more about the Migraine’s three-fold increase risk of heart attack reported in a recent medical study—then check out MigraineBlog’s Memorial Day Monday's article on MyMigraineConnection!  If you already read that article then walk into the next online room of our gallery, and learn a wee bit about our navy’s newest member of the surface fleet.
  

A MIGRAINEUR'S PHOTO ESSAY--

HIS HEART IS IN HIS ART  

In an effort to keep my cool while I was fighting to breath and stay calm—no small feat—I deployed the only trick I knew—focus on my art while trying to get the perfect image of the new Littoral Combat Ship USS Freedom on her first Deployment, with the National's Capitol Dome in the far background off to the right on the waterline horizon!

UUS Freedom Docked In Old Town Alexandria 050905 P1000498 WC Web WH 

 "Freedom Attack"                  © Michael John Coleman 2009

I can still hear the melodic drone of the ships powerplant as her high speed diesel throbbing was somehow comforting.  My sister thought I was insane, but all good photographers know you can't stop when you see that image in your mind—possible heart attack or not!  So there you are suffocating—BUT only if you move or try to speak—if I stand still and focus through my camera in my hand I’m breathing.  I, of course, do what all good photographers do when we see an image before us, we 'stop time' when we lock onto an image we know we can translate it from our minds with the camera we hold in our hands.  Unfortunately my ‘time stopping’ trick might keep me calm but every time I advanced a few more feet towards the end of the dock I had to stop as I was still suffocating and can find no breath in my lungs.

Woodrow Wilsons Turmoil Anew 05 09 09_0810 Edg Web

 "Wilson's Turmoil Anew"         © Michael John Coleman 2009

The sweat began to run down my face as if we were on the banks of the Congo River, in central Africa not here on the banks of the Potomac River on a gentle spring night in America. I knew as soon as I turned around my sister would figure out something really bad was happening and rightfully so she would demand call 911.  I, as many men, was in full denial hoping "If I just rested a few minutes I could catch my breath hoping "If I just rested a few minutes I could catch my breath". After all I have been in horrible near screaming pain from my spinal disease while “getting the shot” or many a severe Migraine I suffered while creating countless award winning photographs I have taken in my lifetime!!  So while I looked back from the camera and I moved two more feet closer to the shore and thus the path back to a cab home. 

Takeoff~A Grumman F6F Hellcat Goes Airborne from CV Lexington 1943 Ed 300dpi Web   

 One of my heros both as an artist & photographer is Edward Steichen, in addition he gave back to his country offering the power of his images he made during WW2.

Once again I raised the lens back up and retreated one more time back to elegance of composing an image just as Alfred Stieglitz , Edward Steichen, or Edward Weston even as if I were in the company of beloved Migraineur artist photographer Lewis Carroll and for a few more minutes I felt safe, then I powered down the powerful little Leica® Panasonic® camera and thought to myself “My GOD I am having a heart attack…”.  Then I turned to my calm sister who advised me that I look horrible and asked what was wrong?  Now I was really worried.  

Heart Attack Path 05 09 09_0813 Edg Web

"Heart Attack Path!" (Yea, I thought I was going to walk this back to get a cab home, DeNile de river!) © Michael John Coleman 2009

Sadly, maybe only an artistic doctor reading all this will 'get' my explanation, but it is an accurate one just the same.  An intimate recollection of how I used different skillsets to stay calm when as a public health advocate not all that I had heard about sudden heart attack was what I had expected.
 
One more thought, once the Alexandria City paramedics arrived, as scary as all this was, once in the back of the ambulance I know I was going to survive.  Once I heard the words “heart attack” as they were prepping me for surgery ‘tomorrow’ it all came home.  An ironic twist was while awaiting test results for the upcoming surgery the precautionary planting of a nitroglycerin patch on my chest every so many hours triggering the worst Migraines I have had in years!  But what can you say, that is a major side effect of nitroglycerin treatment if you are a Migraineur or carry its genes. Having said that, the Migraine sensitivity of the ICU team and the staff at the Inova® Alexandria Hospital was outstanding, even thought I had a very rough few weeks, but look forward to a full recovery.

USS Freedom Clean Shot Deep Sky Edg Web

Here is a DOD phopograph of the USS Freedom a few days before my fateful visit.  For perspective I was positioned about 500 feet south, in this case that would be the direction the bow (front) of the ship is facing.

Sadly, maybe only a doctor who might be reading this will 'get' this explanation, but it is an accurate one.  But seeing the nation’s newest elegant class of peace-keeping surface littoral combat ships.  Not to digress but one of the reasons I wanted to photograph the new LCS was to capture an image of a ship correctly designed to fight the next war not the last war.  This is a corvette sized ship, that is a warship smaller than a frigate but not as large as a destroyer and for you who could not care about the subplot in this article, or what a what the hell is a frigate anyway and can I say it outload in public?
 
Yes, many of us have grumbled about a ‘frigate’ Migraine unwittingly remarking that our Migraine hurts as if a battleship is slugging it out in our skull.  Anyway you look at this new ship is a Breakthrough—As I recover I think to myself it would be nice to see a future breakthrough treatment thanks to Headache On the Hill—they could be that destroyer of a Migraine that almost destroyed our whole Memorial weekend!

Freedom Eventide Web

'Freedom's Eventide'             © Michael John Coleman 2009

There you have it, I set out to create some artwork based appropriately around a naval vessel to work something up for Memorial Day—along the way I took all of us on a adventure of discovery about the role our Migraines may or may not play with our heart health!  I hope you enjoyed the artwork, it may have saved my life…


© Michael John Coleman 2009.
 

MAGNUM Nearly Loses Its Founder, A Life Long Migraineur, to a Major Heart Attack

UUS Freedom Docked In Old Town Alexandria 050905 P1000498 WC Web WH © Michael John Coleman 2009.

  “Attack On Freedom"  If you ever wondered what a heart attack looks like through the eyes of an artist, look no more!  In an effort to keep my cool while I was fighting to breath and stay calm--no small feat—so I deployed the only trick I knew-focus on my art and tried to get the perfect image of the new Littoral Combat Ship USS Freedom on her first Deployment, with the National's Capitol Dome in the far background or the right on the waterline horizon!
 
While International News Agencies MSNBC & Others Point Out Studies Support  Migraineurs have Twice the Chance of Heart Attacks & Strokes!
 

 WASHINGTON, D.C.; FRIDAY MAY 9th, 2009-Updated MONDAY MAY 25, MEMORIAL DAY-Special By Michael John Coleman, MAGNUM Executive Director and Founder.
 
When I was a young man I was employed as an Art Director working for Naval Sea Systems Command (NAVSEA) down the road from MAGNUM's current offices in a beautiful place called Crystal City, Virginia.  It was the pulse of the Cold War ship design and innovation which helped to win that forty year conflict. With that little tale of how history touches all, a lesson all too often retold on Memorial Day.
 
So let me tell you a personal story related my possible Migraine induced heart attack (Ouch!) echoed in a recent study which reported some Migraine sufferers have twice the chance of heart attacks and, or strokes.  Many readers we know have seen the MSNBC TV broadcast "Killer Headache: Migraines Hike Stroke Risk" which originally aired last March, and again recently this month.  MAGNUM, both here at www.MigraineBlog.com  and www.migraines.orghave been receiving anecdotal evidence that MAGNUM for purposes of discussion find statically provocatively significant. In other words we constantly hear  stories about friends or family member who has suffered Migraines for decades only succumb to an unwelcome cardiovascular event regardless of a total lack of risk factors such as poor eating habits, smoking, diabetes, high blood pressure, abuse of alcohol, abuse of drugs, obesity, and lots of Kielbasa AKA Polish sausage & eggs every morning for decades!
 
The fact is scientists agree Migraine disease is a risk factor for life threatening cardiovascular conditions such as Stroke and heart attack.

Recent studies show those who suffer from Migraine disorder with aura have double, perhaps triple, the risk of stroke or heart attack, compared with non-Migraineurs (people who don't get Migraines).
 
In a study of 175 people completed last year, University of Toledo neurologist Gretchen Tietjen - who treated Leslie after her stroke - found that nearly a third of those with migraines had signs of blood vessel damage, almost five times higher than the controls.

In the Kurth T, et al. "Migraine and Risk of Cardiovascular Disease in Men." Published in the respected medical journal "Archives of Internal Medicine" a couple years ago settled the argument as far as I was concerned. [2007;167:795-801]

For more on some of the current national press on Migraines and cardiovascular disease check select press filtered out by our partners at MyMigraineConnection.  How about an excellent article by a reporter I have been interviewed by many times over the years by health reporter Amanda Gardner who's story 'Migraine Frequency Influences Heart Attack, Stroke Risk' covers all the bases about Migraine and heart attack risk.

Heart Attack ICU View 050909_0859 Fr Web 

No one enjoys the experience of gazing into the ICU wondering how long the surgery will be in the morning, and if it will work and repair my heart?  Will there be any complications?  All those years of avoiding certain foods--will they really pay off or will that have not even made any difference?  When you loved ones leave after visiting hours are over you are beyond alone surrounded by (in my case) caring strangers.  Yes my nurse stealthily checks my BP and other fluids every hour--so just when you fall asleep--you are up again hurting now wondering if the surgery will aggravate your Migraines post op?  Next stop the operating room!  © Michael John Coleman 2009.

If this experience has done anything for me it has hardened my resolve for more NIH research in more directions regarding Migraine than just disease treatment.  We need to have the best understanding of this complex neurological progressive disease, to have the best knowledge of how to improve quality of life for the suffering millions of Migraineurs. 

End of Part One!
 
Of a Multi Part Series


 

And The Winners Are Migraineurs & Poets!

Poems 2009 Winners Graphic MAG  

WASHINGTON, D.C.; WEDNESDAY APRIL 29th, 2009—Today As our new President gets top marks for his First 100 Days, maybe it is poetic Justice that his first public judgment falls during America’s National Poetry Month!  With all the talk this April about the economy, influenza, pirates, and a 747 photo op over the New York City skyline, don’t let National Poetry Month slip by as the April winds down.
 
Inaugurated by the Academy of American Poets in 1996 to celebrate poetry and its vital place in the American culture.  Several years later Migraine Advocate and poet Teri Robert organized an Poetry Contest as a way to use art to bring awareness to the burden of Migraine disease and headache disorders. MAGNUM had been using art as an awareness tool for years and was thrilled when she ask us to judge ‘Putting Our Heads Together Poetry Contest’.  After years of Migraine Disease Awareness Art Exhibitions around the country working with a non-visual medium was and still is very exciting to us.  The HealthCentral Network offered Teri an exciting platform in recent years to feature the Poetry Contest on MyMigraineConnecion where even more people can enjoy powerful poetry which speaks in a voice which until recently had been muffled and ignored.

                NPM Poster 2009 wRed Brdr  

MAGNUM is very proud to have had the opportunity to read this years excellent group of poems submitted to www.MyMigraineConnection.com  created by Migraineurs, those familiar with Migraine disease, or those who obviously grasp the impact of headache disorders. The rules to this year’s ‘Putting Our Heads Together Poetry Contest 2009’ are open to non-Migraineurs as well as long as the poets understand the ‘…subject must be headache or Migraine related, but may be metaphoric or abstract.’
 
It is exciting to have the HealthCentral Network bring poets, Migraineurs,  and their poetry to the public in immediate and innovative ways. MAGNUM wants to thank all those who entered this year’s competition. According to one of the judges MAGNUM Board Member Kristina Nesbitt in Atlanta;   “I was very impressed with the writing. Maybe it's true that pain breeds great artists?” 

“I often wonder if my pain experience as a Migraineur ‘improved’ my vision as an artist?” Said MAGNUM Founder and MigraineBlog writer Michael John Coleman.  Back in 1998, the Migraine Art connection has been explored in a series of medical papers and a booklet written by Drs. Podoll and Robinson, whereas a monograph (finished in 1999) summarizing their research (Migraine Art - The Migraine Experience From Within) had a long way in search for a publisher but supports some of the argument it's true that Migraine pain breeds great artists.


Another MAGNUM Board member and poetry contest Judge Information Services Advisor: Marie Kaddell, M.L.S., M.S., M.B.A. said; “I was happy to see such talent in so many entries.  With poetic proficiency some really pointed out the struggle of living with Migraines.  While yet other poets submitted short and sweet but good imagery (with their entry of the) pain of Migraine.”

So with some of the Judges comments heard let’s take a look at the ranked winners and some of the Honorable Mentions.  For a complete look at the list of finalists, winners, and the twelve Honorable Mentions selected this year you can go directly to MyMigraineConnection now.  But here at MigraineBlog let us take a look at the winners and see what the judges had to say:


First Place

Lover's Betrayal by Zoe Ashcraft
"Lover's Betrayal" by Zoe Ashcraft-
“A terrific extended metaphor comparing a lover to a Migraine. Great use of personification too and excellent images. It was incomprehensible to kids, but the teachers loved it.” Reported MAGNUM Judge Nesbitt.

 

Second Place

Powerless by JA Martin
"Powerless" by JA Martin-
MAGNUM Judge Kristina Tobin Nesbitt told us “The students' favorite and one of mine too. I think it was the first or second one I read. In terms of using literary devices, it's mild in its approach except for the VERY strong powerful image it creates. Adults and kids can relate to it.”


Third Place

Asylum
Asylum by Ruth Bavetta- MAGNUM Judge Marie Kaddell remarked – “Fantastic images and wording.”

 

Fourth Place

Pain Breaks Like Teeth by Kate Brady
Pain Breaks Like Teeth by Kate Brady- MAGNUM Judge Kristina Tobin Nesbitt expressed – “A terrific extended metaphor too and very playful with the formatting. He must be channeling E.E. Cummings! Terrific images and use of language.” While Judge Kaddell added that is poem was “One of the Best in the contest.”
 

We selected a total of 16 winners out of this year generous submissions.  Of which twelve Honorable Mentions are featured.  While studying this year’s crop of poems MAGNUM Judge Kristina Nesbitt remarked; “There were a few poems I really liked but those poems read too much like other poems I knew or were similar to poems that had been submitted for this contest. In some cases, too many of them had similar ideas or references (literary allusion) ( I read a lot of poems with words taken from Poe and many literary allusions to Alice in Wonderland.)”

Of the Twelve Honorable Mentions “Barbie Gets a Migraine” by Anna Leahy “Is one of my favorites” noted MAGNUM Judge Kaddell. While another Honorable Mention “Half a Life” by poet Nancy Graham ”Really points out the struggle of living with Migraines - ONE OF BEST!” remarked Kaddell. In fact the rest of the remarks to winning poems from here on are all Honorable Mention entries from ‘Putting Our Heads Together Poetry Contest 2009’.

The HM Poem “Random Entry from My Headache Diary” by Mandypoet “Uses very short but cool language – dairy cows!” Judge Kaddell points out.  This is why MAGNUM is grateful the HealthCentral Network in addition to  Help For Headaches & Migraines for offering the Migraine & headache community such an entertaining platform to fulfill MAGNUM’s mission of utilizing the arts to continue to help educate the average person about the burden of these debilitating medical conditions while offering people across the nation a venue to paint the pain of Migraine disease with a poetic palette of prose. 

 MAGNUM Judge Nesbitt also loved "Lover's Betrayal" by Zoe Ashcraft- “A terrific extended metaphor comparing a lover to a Migraine. Great use of personification too and excellent images. (When she read it to a group of students in Atlanta) It was incomprehensible to kids, but the teachers loved it!”

One of the advantages of MAGNUM’s Board and some of our staff and best volunteers are spread around the country.  They offer us their various gifts and talents to carry out the MAGNUM mission.  In this case Kristina, and educator decided to offer some of her gifted students an opportunity to see if any of the poems connected to a mostly Migraine free class. The 25 she chose for the students to read seemed the most original.  Kristina was very pleased to see her students enjoyed reading the unique poems and grasping the struggle that so many of the poems attempt to illustrate.

So in closing we would suggest to those readers who have never suffered a single Migraine nor headache start with reading “To Those Without Migraines” by CheDeco.  Judge Kaddell suggest “…this might be a good description of the Migraine experience.” While Kaddell might suggest readers who live with the burden of Migraine disease you our pain free friends start with “Why Me?” by SunnyLori. Kaddell closes with “This is one of two great poems this person wrote. I like their phrasing – I think it is GREAT!”

For a complete read of the 1st, 2nd, 3rd, and 4th Place winners, and all Twelve Honorable Mentions you can read the poems in their entirety here in Teri Robert’s article “Migraine and Headache Poetry Contest Winners Announcement!” at www.MyMigraineConnection.com.  MAGNUM would also wish to thank MAGNUM's floating judge this year, our own At Large Support Advisor Teri Robert for her excellent input reflected in this year’s winners.

We would encourage you to peruse all the submissions to this years ‘Putting Our Heads Together Poetry Contest 2009’.  You can find all of them thanks to MyMigraineConnection at "All Entries to the 2009 Migraine and Headache Poetry Contest" For you poetry fanatics the HealthCentral Network was kind enough to leave up last year’s winners too, you can enjoy them by visiting them here Last Year’s Migraine and Headache Poetry Contest!  Thank you HealthCentral Network, and thank you Migraine Poets for taking the time to share your work and brave the competition.

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