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Support Miles for Migraine

Join us for an informative event:

Migraine and Telemedicine

How to Prepare and Get the Most Out of Your Visit: A Discussion Between Physician and Patient

Why should you prepare for a telemedicine visit and how should you do so?

This event has passed

  • Time

    July 18, 2020
    8:30 AM - 9:30 AM PT
    11:30 AM - 12:30 PM ET

  • Location

    This will be a virtual event.

Headache medicine expert, Dr. Andrew Blumenfeld and patient expert, Dr. Anikah Salim will discuss everything you need to know about telemedicine. Some of the topics included are:

  • What are the limitations and benefits of telemedicine?
  • Will telemedicine visits continue after COVID?
  • What about procedures?
  • What protocol is being used for in office procedures?
  • What about switching from procedure-based treatment to a home treatment?
  • Why should patients keep a headache diary?

Any many more! They will also take Q’s from the audience – ask your Q’s in advance by clicking here.

Migraine and Telemedicine

Headache medicine expert, Dr. Andrew Blumenfeld and patient expert, Dr. Anikah Salim discuss everything you need to know about telemedicine and migraine.

Preparing for Your Telemedicine Visit

Top 10 things you should know to make the most of your visit with your provider

Presentation by Anika Salim

1. Know your headache pattern
  • Note what you are feeling during, before and after an attack, where and when the attack occurs, and how often in your migraine/ headache diary.
2. Monitor and track your headache
  • Keep a headache diary, spreadsheet, or use an app to note with your symptoms, triggers, warning signs, and changes in your migraine headache pattern.
3. Know your medical history and current medications
  • Knowing and being prepared to discuss your full medical and social history before your appointment is very important, whether a new or a returning patient.
  • Know what medications you’ve taken in the past for headache, the duration of time you took them for, the highest dose you took, and the reason(s) for discontinuing the medication.
  • For new patients, you can have a list of medical conditions, any medications you’re taking, allergies, past surgeries (especially brain, neck, or back), and family history of headaches or neurological diseases.
4. Gather medical records
  • Have documentation for any recent tests/procedures. If you are a new patient, have all of your past medical records from any other doctor(s) you have seen, including images. You can have these documents sent to your provider ahead of time.
5. Ask questions ahead of time, if possible
  • Reach out to your doctor or office personnel and ask what the doctor is looking for and any supplies you may need.
  • Ask about any expectations of the doctor - what will you need to physically do during your visit (walk, stand, perform certain movements)?
  • Ask how long the visit should take and what information you should have (changes in symptoms, blood pressure, weight, temperature - if you have the devices to collect this information).
  • Ask if any supplies will be needed. The doctor may want to test sensation or ask if you can illuminate other parts of your body. To do this, you may need additional items.
6. Come with questions
  • Prepare a list of questions, concerns or treatment options you would like to discuss ahead of time. If the list is long, prioritize the questions. You may also send your questions ahead of time to your doctor to maximize time.
7. Determine your equipment
  • Decide which device you will use for your appointment (laptop, desktop, tablet or mobile device), and make sure your device is fully charged. The last thing you want is to run out of battery life and lose your connection during the appointment.
  • Have a back-up device and back-up phone number. At the start of your visit, give your provider an alternate number to contact you on in case you get disconnected.
  • Confirm the platform being used for your visit, and test your connectivity ahead of time. There are many platforms that can be used for your visit, such as MyChart or other healthcare app, FaceTime, Skype or Zoom. Be sure you have the proper access and log-in information.
8. Set your location
  • Find a quiet place with good lighting. Sit in front of a solid-colored wall if possible, and remove any clutter in the background. Position lighting in front of you or on the side. Make sure your healthcare provider can clearly see you, especially your face - you want them to be able to see any physical problems that need to be addressed.
  • Avoid holding your telemedicine visit while operating a vehicle.
  • Remember, this is your private appointment and scheduled time with your provider. Find a private spot where you can close the door.
  • Be sure there are no distractions or interruptions. Turn off any noisy devices and silence your phone.
  • Place your device in a stable position to avoid movement.
9. You do not have to do it alone
  • It may be helpful to have someone with you during your telemedicine visit. You may need assistance during your visit, such as assistance with adjusting the lighting, gathering documents or doing certain movements.
  • If you have a caregiver, invite them to join your telemedicine visit. The caregiver may also ask questions you miss, observe you and point out certain things to your physician, or take notes for you.
10. Calm any fears
  • Telemedicine is new for most patients and may be a bit unsettling.
  • Ask your doctor to address any questions you may have about the visit being recorded or privacy and HIPAA concerns.
  • Have water and any supplies you will need to manage your care during your visit.
Anikah Salim

Anikah Salim, DrPH,MPH,CPH

Anikah has had migraine since childhood but was diagnosed with chronic migraine with aura in 2015 after experiencing a severe migraine for nearly a year. She was just starting her PhD in epidemiology when her migraine attacks became daily episodes. Trying to manage her condition amidst full-time work and school, Anikah felt alone and as if no one understood the gravity of what she was suffering through. Learning more about her condition and connecting with others in the migraine community, Anikah felt the strong urge to join the movement and advocate for herself and others.

She joined her first Miles for Migraine Walk/Run in the fall of 2018 and increased her involvement in the Migraine Patient Education Days and RetreatMigraine as well as other events. In 2019, she trained with the US Pain Foundation to become a support group leader. Personally understanding the challenges associated with traveling for in-person meetings, in January 2020 Anikah worked with Miles for Migraine to host and lead the first ever weekly Miles for Migraine national virtual support group. There are over 85 registered participants and it continues to grow daily.

After completing her doctoral degree in May 2020, Anikah has been able to dedicate more time to pursuing her passion of sharing her journey and experience to increase migraine awareness and provide support to those suffering from migraine and their families. Whether it is migraine or another chronic condition, she wants everyone to know, "You are not alone."

Andrew Blumenfeld

Andrew Blumenfeld, M.D.

Dr. Blumenfeld grew up in South Africa and graduated from St. Andrews College, South Africa, with a distinction in mathematics. He completed his neurology training at the University of Massachusetts Medical School. The highlights of his practice include that he was Chief of Neurology Service at Kaiser and he is currently director of the Headache Center of Southern California, located in San Diego, California

Dr Blumenfeld is a fellow of the American Academy of Neurology and a fellow of the American Headache Society. He is the founding chair of the American Headache Society section on Interventional procedures for headache management. He has over 70 peer review publications. One of his manuscripts has been voted as best journal article by the journal Headache.

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