I am not clear on the differences between intractable migraine, refractory, and status migrainosus. I am trying to figure out what my problem is. I have chronic migraine (annoying headaches several times a week + fatigue), severe migraines every couple months that completely incapacitate me (I can hardly get out of bed/vomiting, etc.). Those do not respond to any treatment. I don’t try anymore; otherwise, I just “chase” it until it beats me down. I’ve sen neurologists. They can last 2-3 days, but rarely come on out of the blue. There is usually a slow decline lasting 5-7 days with annoying headaches that come and go. Afterwards it takes a few days to recover. If I am lucky I feel well 3-4 days a month. Sometimes I feel like I am having a migraine, but without head pain. Just a groggy sick feeling.