I just saw my neurologist this past week after not having seen her since February. I have had only a few visits with her and she tried me on two medications that didn't help - two different types of blood pressure medications other doctors hadn't wanted to try because my blood pressure tends to run low. (I have been on many other medications in the past that have not helped and, after a 2 year hiatus from neurologists, decided to give it another try as migraines have been getting worse.) In February, we had agreed that I would get a second opinion from a neurologist specializing in headaches - but, because of the pandemic, I had to wait 4 months. I also had to pay over $500 for the visit because the specialist was out-of-network. I returned then to my neurologist, prepared to try Emgality as recommended (though not without misgivings).
The visit had seemed to go okay. I answered her questions and, when prompted to say more, did so. I let her know that my primary doctor was referring me to a cardiologist to rule out POTS because I've been having some symptoms, including mild headaches and fatigue that didn't seem like migraines, along with racing heart.
The part that got to me: on the printed summary she gave me at the end of the visit, along with the migraine diagnosis, was "somatic preoccupation". I am a psychologist and am therefore familiar with this term - it suggests my concerns with my health are excessive. I find this offensive, particularly given that I am a low utilizer of medical services and I wasn't at all dramatic or demanding during my visit with her. I'm probably writing this here so I don't send her a nasty email. I really want to! 😉