rachelmanija (
rachelmanija) wrote2025-07-24 10:24 am
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Headache, by Tom Zeller, Jr

A solid, well-written, and generally engaging book about migraine and cluster headaches. The author suffers from the latter, with suffer being the operative word - cluster headaches are called "suicide headaches" because people with them are known to kill themselves because of the intractable, excruciating pain.
The first-person account was the best part of the book: what it's like to have cluster headaches, how you're driven to hoard medication because you're not allowed to have enough (which leads doctors to view you with suspicion as a drug-seeker - NO SHIT you seek painkillers when you're in pain!), how you cling to any doctor who will take you seriously, and the psychology of chronic pain generally.
(In Zeller's case, he wasn't seeking opiods or anything that could get him high, but a medication that does nothing to anyone but stop cluster headaches if you have one. But his doctor didn't believe that he actually got them as often as he did, and his insurance company didn't want to pay out for his medication, so he was forced to hoard and ration his medication for no good reason, and then looked at with suspicion when he asked for more.)
The book gets a bit into the weeds in terms of the biological mechanism of cluster and migraine headaches, which is not yet known, and the reasons why there's little research or funding devoted to them. But overall, a good book that will make people with chronic headaches, or any chronic pain, feel seen.