Finding balance – work and rest

Sometimes this is how it feels - like I'm a snail on a rock. But at least I'm balancing.
Sometimes this is how it feels – like I’m a snail on a rock. But at least I’m balancing.

In a few months, I’ll have been at my current job for a year. That’s very interesting. The merger with the other company is happening, and may take place before summer is over. But nobody knows for sure. There’s all kinds of activity going on around it. New email addresses, new business cards, new laptops, and who knows what else.

Management keeps trying to set our fears to rest, and they keep asking us to ask questions, but it feels like a trap — like they’re trying to see who’s “on board” and who’s digging in their heels. I’m not sure anybody trusts anything coming out of management, by this point. They’re getting rich, while everyone else… well… not so much.

I can’t really worry about it, though. I have to keep focused on my work, which is actually pretty challenging these days. The work, yes, it’s challenging — but even moreso is the focus.

The cadence at this company is very different from the startup-like frenzies I’ve experienced elsewhere. It’s much more staid… steady… and they don’t expect you to do earth-shaking things in the first year… or two… or more. They think you need at least a few years to ramp up, so expectations are low. But at the same time, I still need to move forward. I still need to take steps. I still need to do what I need to do for my own career, to move it forward.

I’ve kind of lost sight of that, in the past couple of months. The big business trip at the beginning of this month completely took over my life for 4-6 weeks prior to it, and I’ve been slowly … sloooooowwwwwllllyyyyy… recovering from that adventure. It’s taking much longer than I expected, and it’s tough to get back in the swing of things.

But get back in the swing, I must. I’ve re-ordered a supplement I found that actually helps my energy, and helps me sleep. And I’ve started swimming regularly, again. I had gotten away from it for months, for some reason. Just winter/early spring inertia, I guess. Now I’m swimming every chance I get — 3 days a week, ideally, sometimes more. And I’m going to start working out before my swims, as well. That’s so important. I need a better strength regimen than I’ve been doing in the mornings.

Mornings, I need to work on my cardio and balance — wake myself up, and get my balance together. I’ve got some exercises from the trainer at work that I can do, so I need to print them out and DO them. I keep forgetting to print them out.

Anyway, I’m figuring it out – and figuring out how I can balance out my work-work-work nature with the slower cadence at my job. They don’t actually expect miracles, first thing, and while that’s good in a way, it’s not how I work. I prefer to do miracles whenever possible, and not be held back by people who are telling me it’s not possible. It IS possible. Maybe not for them, but for me.

It’s all an evolving process, really. I want to go-go-go, but I know I run the risk of burning myself out, if I do. And then I’m not good for anything. I want to make progress, every single week, but then it doesn’t happen. And then I get down on myself. I’m tired of getting down on myself. I need to do better tracking of what I actually accomplish. I’ve been doing a better job of that, over the past couple of months, so that’s good. Now I need to work it into my routine.

I need my routine.

And so I’ll work with that. See what I can do. Take steps to both simplify and improve the systems I have. And keep on keepin’ on.


Busy weekend, quiet morning

toolsI had a busy weekend, doing a lot of work around the house while my spouse was out of town. Lots of lifting and moving and hammering and drilling and lugging things around. And in the end, I’ve finished some of the biggest items on my to-do list — which were also the ones that I couldn’t seem to do for months and months.

And it’s all good.

I’m really foggy today. I was really foggy yesterday. I’ve been feeling really “draggy” and dull, lately, and it’s not fun. But I keep to my schedule and I keep doing the right thing(s) for myself, and it all seems to work out okay. I haven’t been getting to bed at a decent hour, lately, so that’s probably a determining factor.

But at least I’m functional on average. And I can rally to get a bunch of stuff done when the opportunity arises.

Now it’s quiet. The sun is shining, and the kids have all gone to school. Time to get ready for work and see what the day has to offer.

This week, my goal is to get myself back on track with my sleeping. I see the neuro one last time this week, to see about possible neuropathy in my feet and legs. I’m guessing there’s none, but I’m going to follow through with it. Then I will probably just drop the whole neuro thing and look into having my ears checked.

And possibly my eyes.

Or whatever.

The day awaits… onward.

Tracking sleep

fairgroundThe countdown to my business trip is T-minus-4-days. And in the meantime, I’m taking care of my everyday life as best I can.

I’m seeing the neuro nurse practitioner tomorrow, and I’ll be reporting in about my sleep.

Below is a chart of the numbers I’ve collected for every night over the past month. It shows how many hours I’ve slept, as well as how many hours I napped. And it shows how I stack up, relative to my target time of 8.5 hours.


I’ve been falling short consistently, apparently. I’ve been thinking I’ve been doing well, but when I see a chart, it’s clear I have a ways to go. A couple of weeks ago, I was really behind on my sleep, due to work stress and a conflict I had with a friend of mine that really got me bent out of shape. I know I shouldn’t let it get to me, but it did.

I am human, after all.

So, this is all stuff to work on. Things to stay mindful of, and not let it all get to me. And to find ways to calm myself down and chill out, rather than getting wound up and bent out of shape. Maybe I’ll put a printout of the chart beside my bed. Yeah – that’s a great idea for a reminder.

I’ve been prepping for my business trip next week, doing some shopping and also some checklists, as well as practicing my talks for the trade show booth. I’m not feeling a huge amount of pressure, though. If I do a good job, then fine. If not, I’m not sweating it. In a way, I don’t really care about the event. I care about the customers I’m going to meet, and I care about the people I work with, but I’m not personally invested in the company. Not anymore. Not since they’re selling out, lining the pockets of the people in charge, while laying off a lot of people.

So, I’m treating it like a free trip to a part of the country I’d never normally go to. Resorts in warm climates are fine, but I hate amusement parks and places where large crowds gather, so yeah, this will likely be the one and only time I ever go to this place.

One good thing is that I’ll get to see a relative I haven’t seen in over 30 years. They’re living in the area, and I’ll get a chance to catch up with them, which will be nice. That will get me off the hook of hanging out with my workmates, who just want to run wild and party while they’re away from their spouses.

I have no interest in joining them. I see them every day, as it is. I’m just going to do my job, and then come home. I wouldn’t even go to the place, if it weren’t for work. I need my sleep (see above). I need to eat right and take care of myself. I can’t get drawn into their version of fun.

So, I’m hoping my relative can provide some welcome respite from their company. It’s a plan, anyway.

In the end, I’m just looking forward to everything being over. Flying there, doing the job, flying home… and getting back to normal again.

But that all feels like a distraction from what my real focus is — getting enough sleep, so I can keep my health in balance… and also not have to use the sleep medication that was prescribed to me. My old neuropsych warned me away from it, because although it supposedly metabolizes quickly, that’s not true for everyone. And I’m so sensitive to meds, as it is, I can’t imagine my body is going to behave like everyone else’s.

The neuro visit this week is really just a way for me to check in — and check out. They don’t seem very interested in addressing the reason I actually went to see them – my balance. So, I’ll handle that myself. And never mind the pills. Or the procedures. They’re not that helpful, anyway.

I think my biggest frustration is that I go to these specialists in good faith, believing that they are willing and able to assist me. And then they just don’t deliver. Or show much interest in delivering. There are a million possible reasons, but figuring it out is not the best use of my time.

I’ve just got to keep the focus on myself, on keeping my own balance in every way possible, and keeping myself fit and capable as best I can. It’s really the only way my life is going to be as great as it can be.

And that’s my intention, really. To just have a great life — and enjoy it to the fullest.

Getting my body back, too

balance-figuresI’ve been concerned about falling, for some time, now. I get lightheaded and dizzy, and I sometimes lose my balance when I’m tired or I’m distracted (which is often how I feel). I’ve seen a neurologist about possible neurological bases for this, but the MRI didn’t come back with anything meaningful that they could do anything with. Also, I don’t have a condition they can diagnose, so they can’t bill the insurance company, which means I can’t get much in-depth help from them. They need to pay their bills, and if the insurance won’t cover what they’re doing for me – and I certainly can’t cover it all – then nothing’s going to get done.

Which kind of sucks.

But frankly, it doesn’t surprise me. I have been steering clear of neurologists for some time. Only after my neuropsych encouraged me to dig deeper, did I agree to try again. And the one they referred me to moved out of state, so that’s that. This one was another good prospect, they thought, but my experience is turning out different from their expectation. No surprises there.

I’m going back in another week to follow up and put this whole thing to rest. All they can tell me is that I’m probably not sleeping enough, which my old neuropsych thought was “preposterous” – but I can kind of see their point. When I’m tired, my brain doesn’t work as well. And balance is very much handled in the brain. So, fatigue could conceivably be a source of imbalance.

Still, there’s no guarantee that I’m going to ever actually catch up on my sleep and feel fully rested. I wear out easily, and I don’t have a life that allows me to get naps when I need them. Not yet, anyway. I’m working on that.

Anyway, I’m not going to get all bent out of shape about it. I’m meeting with a wellness coach/personal trainer at work today. That’s one of our employee benefits – an on-site wellness consultant – so I’m going to take advantage of it. I’m going to see if they can tell me some things I can do to strengthen my overall system, to give me better balance, physically speaking.

Think about it — the body moves as a result of muscles coordinating their movement. And keeping your balance really involves a lot of muscles. I sit and stand — stationary — for most of the day, every single day, so I don’t use those muscles as much. And that’s no good. So, I’m hoping they can show me ways to strengthen, as well as get more flexible — that’s another piece of keeping your balance.

I’m also working on really improving my sense of my own body and where I am in space. I get pretty banged-up from doing yardwork and chores around the house, because I run into things (but don’t realize it), and then I end up with bruises from impacts I can’t recall. I’m so focused on what I’m doing, that I don’t even notice the impacts. So, yeah, there are two things going on there, but I’m thinking that if I can at least improve my sense of where I am, relative to sharp objects and hard surfaces, I can possibly look a little less like I got in a bar brawl, after I’m done cleaning up the yard😉

The way I’m working on that, is by really paying attention to my body during the day – noticing where I’m tense, and focusing on relaxing it. I’ve been watching videos of Systema — a Russian martial arts practice that centers around breathing, relaxation, and body awareness. Some of the things that they do in the videos are amazing — and the folks doing it aren’t these monster-ripped superheroes who overpower their opponents with sheer force. They’re average-looking folks who you’d never expect to be able to do the things they do. Because they know their bodies, and they relax and let themselves just respond to the situation.

I don’t think I’d ever do Systema training, because of all the hits and the falls. I’ve had enough of them in my life, already, and I don’t want to push my brain’s luck. But I did get a book from them a while back about breathing and improving your body sense, and I’ve been reading that on and off, over the past year. I’m getting back to it, now, and it feels pretty good. Just getting a better sense of my body, how it moves, how it feels when it moves… when it’s tense… when I need to breathe… it’s good.

It’s also helping me sleep. I get so caught up in my head, that my body can’t catch a break. So, focusing in my breath and also trying to feel each and every bone and muscle in my body, and relax as much as possible… that gets me into a relaxed state that gets me “down” before I can get halfway through. I’ll start at my toes, and by the time I’m at my knees, I’m out.

And that’s great. I used to do this all the time, then I stopped… and I forgot about doing it. That’s one thing I’m working on, these days — trying to follow through and not drop things before I finish them. Or, if I do get interrupted, make a note of what I’ve been doing, and keep that note where I can see it and remember it. I just remembered another project that I was making amazing progress on… then I got interrupted, and I forgot about it… and I ended up heading in a completely different direction.

Months later, I suddenly remembered it last night, and sure enough — there it is, waiting for me to continue working on it.

The breathing and relaxation stuff is just the same. I’m making great progress, then I get distracted, and I head off in a different direction. And I forget about what I’d been doing — and it ceases to exist for me.

So, I lose the benefits I’ve been getting from it. And I lose that part of my life. I slowly drift back to my old ways. I start having the same problems that I had before, and I wonder why I keep ending up back where I started… all over again… when I was making so much great progress.

It’s discouraging. So, I need to do something about that.

And so I shall.


Ha! The extra exercise worked

It's important to keep the right balance
It’s important to keep the right balance

So, yesterday, I exercised twice — once in the morning, and again later in the afternoon at work. There’s an aerobics room at the gym at work, and it’s walled with mirrors. That’s exactly what I need, so when I’m doing some movement, I can work on my form and be mindful of how my body is actually positioned as I move it.

I picked up a lot of bad posture and positioning habits when I was younger, and that’s cost me valuable time later in life when I pulled or strained muscles, due to bad form. And then I had to sit out for a while, till they got better. And by the time they got better, I had forgotten about doing them at all. And I lost more time, till I got inspired to do them again.

So, keeping myself in good form is important. And I had the chance yesterday afternoon to spend about 20 minutes moving and watching myself move, making sure I wasn’t moving in ways that strained my back and hips and knees, and all the other connections that have given me trouble over the years.

I didn’t spend a ton of time on it, yesterday, but it was enough to wake me up, and also give me a bit more of a workout. I had been planning on getting an extra exercise session in, when I got home from work. But to tell the truth, I’ve got to make supper, and I’m so done with the day, by that point, that I just want to make supper, talk to my spouse, and chill out.

So, exercising for 30 minutes during the day is really a good option for me. It breaks up my afternoon, and it also wakes me up.

And last night I went to bed by 10:00 and I woke up close to 7:00 a.m. — nearly 9 hours of continuous sleep. Amazing. Just amazing. I’m still feeling a bit fuzzy and groggy this morning, but the fact that I got that much sleep makes it all the better.

Plus, this afternoon, I have no meetings, so I can do it again. I moved a little bit this morning, to work on my balance, and also get a sense for where my body is in space. With my balance issues — which are the one outstanding remaining danger for me and my physical safety — I have to do something. The neuro I went to see to help me with it, doesn’t seem to take my situation all that seriously. Hell, they don’t seem to take ME all that seriously. So, I’ll just have to take care of this all, myself.

I can probably do a better job of it, anyway, because I know what my issues are. I have no trouble articulating them, because I don’t need to — I’m walking around in a body that’s got movement and balance challenges. I already know first-hand what the deal is, and I don’t have to convince anyone of it.

And that makes it a whole lot easier to deal with.

Personally, I’m sick and tired of people not taking me seriously, not believing me, and dismissing me — or brushing me off with some bogus explanation, because they can’t be bothered to look deeper. Maybe it’s a function of the medical system (I won’t say “healthcare”, because there’s something else driving it than “health” and “care”), which routinely traumatizes and exhausts its members, and then expects them to turn in stellar performances. I have to factor in that I’m dealing with professionals who are A) impaired at a functional level — and have been, since they started med school, and B) honor-bound to flatly deny that lack of sleep, secondary trauma, and the pressures of the insurance companies could have a negative impact on their performance.

So, I have to take it all with a grain of salt. And just use them for what they’re good for — prescriptions, if I need them. IF I want to take them — which I usually don’t. They’re gatekeepers for insurance companies, and little else, from what I’ve seen. Just as many financial advisors are little more than highly compensated sales reps for financial services companies (I know, because I was recruited by a fin svcs company many years ago, and I got an inside look at how things work — and I opted out).

So, all that aside, it feels great to be doing something for myself. I forgot to contact that trainer at work again, to go over some complex movements and strength training approaches. I’ll make a note to do it today. I’m feeling a lot of anticipation about this spring… I think it’s going to be a good one. And an old project I had put aside, years ago, has now suddenly shown itself to be feasible, as a solution to one of the big conundrums I couldn’t sort out before has suddenly become obvious to me. So, that’s a nice thing. Very nice indeed.

It’s amazing, what 9 hours of sleep will do for you. I’ll have to try for this again… and again… and again…


How may I dismiss you? Let me count the ways…

blah-faceI read something really bothersome this morning – so bothersome, it’s tweaked my last raw nerve and put me in a mood.

It’s an article entitled “Top Ten Psychosomatic Symptoms” and apparently, it takes ~1 minute to read.

That should have been the first red flag. Nothing good can come of a diagnosis “aid” that takes 60 seconds to read.

Lo and behold, here are the top 10 symptoms created by your mind when the brain “attempt[s] to throw a person’s consciousness off guard by inducing physical changes in the body, in order to prevent the person from consciously experiencing difficult emotions, such as rage, sadness, and emotional distress.”

Oy. Here we go… all the ways that we’re not actually suffering from a real illness. The following may be all in your head:

  1. Chronic Pain Syndrome – not real pain… you just don’t want to deal with your emotions
  2. Fibromyalgia – odd… I thought it was settled, that it’s a real thing.
  3. Carpal Tunnel Syndrome – because repetitive stress injuries… nah, not really a thing.
  4. Gastrointestinal syndromes – maybe you should just try to relax
  5. Migraine headaches – apparently, the top-trending medical issue on Twitter is a chimera
  6. Frequent need for urination – because yer innards would never shift south and put pressure on your bladder, now would they?
  7. Tinnitus and Vertigo – okay… clearly the person writing this has never dealt with this crap on a daily basis… for years. I invite them to walk a mile in my shoes.
  8. Allergic phenomena – ’cause, like, our world is completely hypoallergenic. Not.
  9. Skin rashes (Eczema, hives, acne, etc.) – okay, possibly…
  10. Eating disorders – it’s been a long time since I read a more gross oversimplification

So, that’s the Hall of Shame for today, folks.

Be glad you don’t have the author for your therapist.

I sure am.

I’m already missing that hour

time-for-changeToday is a work day for me. I’m painting the ceiling in my bathroom that has gotten a bit gray from mildew. It’s not awful, but it’s not pretty. So, I’m scraping off the crusty stuff and putting a couple coats of mildew-killing paint on it.

So far, so good. I got a later start than I originally intended, but I’m making progress. There’s something about Sunday that puts me in a state of revolt, if I’m expected to do work of some kind.

Then again, it also pushes me to get the job done quickly. And take frequent breaks. The fumes from the paint are a problem for me today. They haven’t always been, but I’m tired. I think my resistance is down.

So, I’m taking a break for a little while. Maybe I’ll go for a walk in the woods, while I can.

By the time I get back, the first coat will be dry, and I’ll be able to finish the rest.

I just wish it weren’t getting dark at 4:00.  I’m not ready for this. Complain, complain, complain. The fatigue talking again.

It’s not too bad, though, all in all. I’m flying solo today, as my spouse is on a business trip. That frees me up to rattle around and make all the noise I like. It also makes things otherwise very, very quiet. Both things are fine.

I do miss them, but it’s nice to have a day to myself, now and then, to get things done and not worry about the racket. When I am tired and my balance is off (which has been the case for several days, now), it’s hard for me to concentrate on what I should be doing AND keeping upright AND keeping the noise to a human level.

When I’m in fine form, like today, I can end up crashing and smashing a whole lot of stuff. It’s startling, to say the least. I don’t envy anyone who has to deal with that😉

Anyway, while it’s still light, I’ll go for a walk. It will air me out and clear my head. I won’t be able to use the shower for about 24 hours, so that means I’ll shower at the gym at work tomorrow morning. Ah well… it keeps things interesting.

But I could really use another hour of daylight today…


They say it’s the brain, but it’s also the body

It's ALL connected
It’s ALL connected

TBI can seriously mess you up in the head. That’s a given.

But it can also seriously mess with your physiology.

In fact, out of all the problems I’ve had over the years, the physical issues I’ve had have far outweighed the cognitive ones – if anything, they contributed to my cognitive and behavioral issues.

  • Fatigue – bone-crushing, spirit-sapping exhaustion;
  • Problems keeping my balance, which messed with my moods.
  • Heart rate increase – or decrease, as well as blood pressure changes.
  • Light and noise sensitivity.
  • Headaches
  • Body aches
  • Sensitivity to touch, which really messed with my head, as well. Imagine never being able to have human contact… it’s not much fun.
  • Constant adrenaline rush that wired me out, something fierce.

When your brain gets injured, it can affect your whole body. Because as we know, the brain is mission control for the rest of the works below the neck.


I lowered my heart rate from 90 to 73 in a minute

Last weekend, when I was recovering from a migraine, I checked my blood pressure and pulse:

100/59 with a heart rate of 90
Before… 100/59 with a heart rate of 90

My heart rate was up, for some reason (this was just after noontime), and my pulse seemed a little off. 100/59 might seem awesome, but it seemed a little low to me.

So, I did my breathing and checked again:

95/66 with a heart rate of 73
After – 95/66 with a heart rate of 73

I was able to bring my heart rate down to 73, which felt better, and I raised my “bottom number” on my BP to 66, which actually felt better.  I don’t want my blood pressure to get too low, and I can bring it up with my breathing.

So, I did.

I made the mistake of not checking my bp and pulse while the migraine was setting in. I’ll need to remember that later, so hopefully I can head it off at the pass… before the stabbing pain sets in.  Who knows? Maybe I can head off the other symptoms at the pass: light sensitivity, noise sensitivity, sensory issues, balance, dizziness, etc.

In any case, this is probably a good thing to do on a daily basis, no matter how I’m feeling. It might save me a lot of hassle – and it’s definitely easier and cheaper than dealing with medication.

Migraines have been under control

trepanning - migraine relief?
Fortunately, I have a better solution than this!

Summary: Controlled breathing seems to be helping me control my headaches, especially my migraines. After years and years of having constant headaches, I believe I’ve found a way to control them. This is good news, because constant headaches are no fun, and they kept me from really living my life.

I’m happy to report: My migraines have been under control – The headache part, anyway. Last week, I had a weird couple of days, where I was definitely altered… very strange feelings, colors brighter and higher contrast, everything feeling like it was moving in slow motion… I didn’t take any meds, because I didn’t have a headache, and I wasn’t actually sure if it was a migraine, or if it was just one of those things that comes up.

I will occasionally have bouts of dizziness (well, not occasionally… more often than that). And I will have my bouts of clumsiness and feeling spacey. Especially when I’m under pressure, feeling emotional, or I haven’t slept, it can be a problem, and with the last days of my current job winding down, all three of those boxes get checked off.

So, I just let it ride. And Saturday evening (after my nap, ironically), the headache set in.

But to be honest, it wasn’t nearly as bad as it has been in the past. Certainly not as bad as when I was cutting back on my coffee and went through that miserable withdrawal that lasted for days. And I actually have been feeling pretty good, without the constant headache. I think I must be doing something right.

The thing that seems to have moved the needle, is that I’m actively working with controlling my heart rate and blood pressure with controlled breathing. I can bring my heart rate down from 93 to 73 in a minute, using my technique. And I practice this on a regular basis, sometimes because I need to, sometimes out of curiosity.

It seems to be helping my migraines.

Now, the thing to be careful of, is thinking that one thing leads to another, when there could be other issues happening, too. I have also drastically cut back on caffeine, which supposedly helps headaches. That’s ironic, because I always heard that caffeine will help a headache, and to be honest, the times when I have been really struggling with the pain, having some dark chocolate or a bit of strong coffee really seems to help. If nothing else, they make me feel human again. I’ve also been exercising more regularly — at the very least, riding the exercise bike for 15-20 minutes each morning, and usually lifting light weights to boot. That could certainly be helping.

The thing is, I couldn’t exercise regularly for a number of years, because the headaches were keeping me from it. Nowadays, I still do get little headaches when I exercise, now and then, but when I do my controlled breathing and relaxation, they go away. Pretty amazing, really.

This is how it goes for me, these days:

Exercise: I get on the exercise bike and ride. I set the resistance to about medium, because I don’t want to overdo it. I’ll bump up the resistance and push myself, now and then, but when I do, I will sometimes get a little headache… which in my experience can turn into a big one — and big problems for the day. I back off on the resistance and check my pulse on the handlebars (there’s a pulse monitor there). If it is really high, I will control my breathing and bring it down. And the headache goes away.

Emotional Upset: My spouse and I have always had a “fiery” relationship. Our discussions sound like all-out fights to people who don’t know us. Our actual disagreements literally make other people run away. It wasn’t a problem for me, when I was 15 years younger (we’ve been together nearly 25 years), but in the past years, I’ve been getting more upset by these kinds of exchanges, and I’ve noticed a connection between the upset I feel and screaming headaches that come on — especially migraines. Sometimes I get so upset, I get an 8-out-of-10 headache (complete with light sensitivity, noise sensitivity, sensory issues, balance problems, dizziness, and nausea) that lasts for days. So, I need to find a way to deal with it. Now, when I get upset and I feel something coming on, I immediately “disengage” and focus on controlling my breathing. Sometimes I will go to a dark room and block out all sensory input. I can usually feel my blood pressure and heart rate going way up… but after a little while (maybe 15-20 minutes) of slowing everything down, I can “rejoin the living” and have a logical conclusion to what was probably a silly argument, to begin with. And no headache to speak of.

It’s pretty cool.

And it’s a relief.

Because now I feel like I can live my life without being in constant fear of headaches and migraine symptoms, etc.

Of course, there’s the other host of symptoms that come with migraine. Like feeling like my left side is carved out of a block of wood. But that’s also diagnostic. It tells me I need to take better care of myself, rest, get something decent to eat, and take the pressure off.

Bottom line is, I figured out a way to manage my migraines, and I’m pretty happy about it.