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Last Updated: ‎Saturday, ‎11 May ‎2015

History

I am a 35 years old female, right handed, who has a longstanding history of migraine since age 13. I am currently overweight, weighing approximately 220.5 pounds at 5′ 11″. I have had one healthy child born via cesarean section, born at 6 lbs, 11 oz. Pregnancy was complicated by Hashimoto’s Thyroiditis with elevated TPO antibodies and Gestational Diabetes which was controlled by Metformin and insulin (two different insulins).

Current Medications

  1. Levothyroxine
  2. Clonazepam
  3. Omeprazole
  4. Buscopan
  5. Quinine 

Childhood/Adolescence Conditions

  1. Common Migraine (age 13)
  2. Hypertension (age 16)
  3. Pre-Diabetic (age 16)

Adulthood Medical Conditions

  1. Common Migraine – Pre-2001
  2. Hypertension – Pre-2001
  3. Junior Myoclonic Epilepsy – April 2001
  4. Non-Specific Myoclonus – April 2005
  5. Uterine Fibroid – 2006
  6. Change in Refractive Error with Benign Vitreous “Floaters” – January 2007
  7. Hashimoto’s Thyroiditis – July 2007
  8. Nontoxic Uninodular Goiter – July 2007
  9. Hypothyroidism – August 2007
  10. Fibromyalgia – October 2007
  11. Non-Specific Muscle Twitching – October 2007
  12. Abnormal Thorasic and Lumbar Spine – October 2007
  13. (Dextro) Kyphoscholiosis – October 2007
  14. Gastritis with Ulcerations – October 2007
  15. Complex Ovarian Cyst – April 2009
  16. Diverticular Disease – April 2015

Past Medications & OTCs

  1. Amlodipine Hypertension
  2. Cymbalta Pain
  3. Darvocet Pain
  4. Lamictal JME
  5. Lisinopril – Hypertension
  6. Levoxyl Hashimoto’s Thyroiditis
  7. Magnesium CitrateChronic Severe Constipation
  8. Mylanta GERD/GI Issues
  9. MobicPain
  10. Glucose Strips – Monitor Blood Sugar
  11. Percocet Pain
  12. Phenergan Nausea
  13. Prevacid GERD
  14. Prilosec GERD/GI Issues
  15. Restasis – Inflammatory Eye
  16. Seroquel – Insomnia
  17. Tylenol3 Pain
  18. Ultram Pain
  19. Valporate (Depakote ER) – JME
  20. Vicodin (See allergies) – Pain

Allergies

  1. Penicillin
  2. Vicodin
  3. Percocet
  4. Darvocet
  5. Naproxen
  6. (Brand) Synthroid 2

Early Years

My Mother’s gestational period was complicated by Gestational Diabetes which was later found to be Type I Diabetes (insulin dependent) and she suffered pre-eclampsia which resulted in an emergency c-section at less than 37 weeks gestation. I was born exceeding 9 lbs and otherwise healthy at birth. As an infant, I did not suffer febrile seizure, meningitis, or encephalitis. I experienced frequent respiratory illnesses and problems with my ears, sinus’, and tonsils. I intermittently used inhalers following bouts of respiratory issues and used sinus inhalers for frequent problems breathing through the nose. I had pneumonia at age 9 and was kept home for approximately 3 months. Also occuring in my 9th year, I was involved in a serious car accident resulting in a concussion and broken tailbone.

My childhood development appears to be, from a family history taken by myself, to have been normal. I did not experience delays in motor development, speech, or other childhood development.  I did experience learning difficulties early in school but these resolved in Middle School. I was an above average student with excellent grades throughout school and in the top 5% of my Sophomore class.

I have no blood-related siblings.

I began to experience migraine headaches at the age of 13, after the start of menses. Upon onset, migraine headaches generally came on during the afternoon and grew in intensity through the day and peaking around evening, requiring rest in a dark, quiet room. These migraines would last without ceasing for several days and would resolve spontaneously. These were associated with nausea without vomiting, photophobia, phonopobia, excercise intolerance,  and occasional blurred vision. These were not accompanied by difficulty swallowing, speech impairment, or focal weakness. There was no vertigo, perioral numbness during these episodes. No obscured vision, no loss of consciousness, no urinary or rectal incontience or retension, no fever, no stiffness of the neck, no acute hearing loss, no tinnitus. No head trauma had occured prior to the onset of these migraine episodes, though I did experience two concussions: the first at approximately 2 years of age and the second at 9 years of age due to a serious car accident.

The migraines followed a cyclical pattern, several days with migraine, a period of a few weeks of relief. A new migraine would arise, continuing this cyclical pattern. This pattern ceased around late teens with occasional migraines of slightly lessor  intensity which might last a few days but no longer followed a cyclical pattern.

Family History

I have no known family history of complex partial seizure, absense, or tonic-clonic siezures or drop seizures. There is no known family history of epilepsy.

I have a family history of thyroid dysfunction on my Mother’s side (her Mother) which resulted in goiter. My Maternal Grandmother also suffered from Type 1 Diabetes and potentially other serious conditions of which I am not knowledgeable. She is alleged to have died in connection with psychosis while in the hospital after the withdrawal of her insulin and other medications. As far as I am aware, she had no history of psychosis or mental illness prior to her death.

My Mother suffers from Type 1 Diabetes (insulin dependent), heart murmur, has had two heart attacks, one potential stroke, and a quadruple bypass surgery. She has Rheumatoid Arthritis. Her twin also has Type 1 Diabetes, suffers from arthritis, has had two heart attacks, and a quadruple bypass and stints. Her left leg has been amputated, complicated by infection from the stint placed in her leg following a heart attack. My Mother is a former smoker of over 20 years; however she quit after her first stroke/heart attack and bypass surgery.

My Mother has a history of complex ovarian cysts and breast tissue cysts.

My Father is for the most part healthy and has had a life without major health events. However, he currently has high cholesterol, is obese, suffers knee pain for which he receives injection treatments. Has has experience what was potentially thought to be Small Cell Carcinoma in 2015 but this may also have been keratosis pilaris of the skin surrounding the mouth. He has been treated by his DDS for this condition with follow-up in the future. His Mother died in a car accident and his father died of heart attack at approximately his mid-70s. As stated earlier, two of his siblings have died of cancer, one of stroke, one of heart failure.

There is a Paternal history of uterine fibroma and complex ovarian cyst. One female cousin experienced hysterectomy in her 40s. Her sister experiences infertility which may be connected to Pituitary adenoma. Both experienced complex cysts of the ovaries.

I have a family history of cancers on the Paternal side of my family with a aunt who died as a child of Lukemia, an Uncle who died of lung cancer, and a cousin who is currently (as of this writing) battling Lukemia.

 

 

2 I currently take Levothyroxine for Hashimoto’s Thyroiditis (with elevated Thyroid Peroxidase antibodies). This reaction which consisted of swelling of the left side of the tongue and chest tightness, may have been related to the brand or batch of Synthroid. I was switched to Levothyroxine with no reaction.

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