I have owned a company under three names. I was the director; I had between three and 25 employees. I delt with Episodic Migraines and the neck pain that came along with it. I chewed OTC's 'analgesics' started out with Aspirin, then along came prescription analgesics'. I worked as a consultant out in the field and in the office, as the company manager, I naturally hired and fired personnel and many other things pertaining to owning and managing a company. The books, or the accounting...I finally gave that over to my wife.
Migraines could not slow me down, they just couldn't...and then they became Chronic Migraines, CMG. I admit it slowed me down, my thinking was confused, my vision/balance/eating and body rebelled at the increase in pain and the increase in opioid's I was taking. My sleep took a nosedive (not great sleep-not great awake). I just retired and said enough is enough.
I stopped the majority of opioids though I will take them if the CMG is bad enough. Taking opioids is down too once every 1 to1.5 weeks. I take sleeping pills now because I don't have to get up in the morning although it's not every night. I do have daily migraine just the intensity varies. I have thought of saying goodbye to life but really, I have too much going on, a wife, sons and daughters, grandchildren that need me and frankly, I need them as well. Even with the CMGs, life is way too precious to leave until the Lord decides that's when to go.
So yes, I ran an international consulting company with people relying on me with unmitigated pain, but I did manage for a very long time 1972 to 2022 until other health issues made me stop.
Life goes on even with Chronic Migraines.