Thursday 22nd March 1990   Morning surgery 10.40

“I can’t stand these headaches, Dr Dennis.”
My Dad nodded.
“To start with I have been having those so-called tension headaches. You know that I don’t agree with your diagnosis but I think that it is probably easier not to dispute it whilst I am feeling like this. For two weeks, I have been having them every day, all day. You might as well say that I have got a continuous headache.”
My Dad nodded again.
“Then, I have been having my migraines. That’s on top of the tension headaches. So I have a never ending tight band of tension that makes my skull feel like it is being squeezed in a heavy duty vice. Then, I get a sledgehammer of a migraine over my right eye. It distorts my vision and makes me want to vomit. The tension headache is continuous, the migraines last for hours.”
“Are you trying to tell me that you are suffering from two different headaches at the same time, Mrs Vaughan?”
“Yes I am, doctor. Yes, I am.” Mrs Vaughan looked close to tears.
“Well, I am sorry, Mrs Vaughan, that’s not medically possible.”
“Well, it is possible, doctor. It’s occurring right in front of you. Look at me!”

I am no expert but Mrs Vaughan did look to me like a woman suffering from at least two headaches.

“No, Mrs Vaughan, I am afraid you’re mistaken. In thirty years of general practice I’ve never heard of anything like it.”

Double headaches.
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