The art of medicine is needed to prevent migraine headaches

He spoke with an aura of superiority, in a slightly nasal voice, and his topic was migraines. It was in the late 70s, a time when there were few options to treat migraines.

“Most people who claim to have migraines just have simple tension headaches,” he scoffed. And in a move that seemed unorthodox at the time, he disclosed that he suffered from “real migraines,” so he knew all about this exclusive disease. He made it sound almost desirable by virtue of how rare it was.

At a continuing medical education course in Boston twenty-five years ago, I heard a different neurologist, this one a Dutchman, pronounce that most headaches are in fact migraines.

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