It just frustrates the hell out of me. I hear these people complaining about the DR's but honestly mine has tried so very, very hard to help me. I feel bad for her as much as me when the newest approach fails. We've done Imitrex, Prozac, Steroid therapy, Trams, Floricets, and a few other things I can't remember off the top of my head. Everything is compounded by the fact that I get a lot of weird side effects from meds and I have a severe anxiety disorder.
I tried an appointment with a headache specialist/neurologist but she demands $200 dollars up front before each visit since I didn't have insurance. That seemed a little pricey but hey, she IS a specialist. So I paid. Then I find out that each test she wants to do (3, total, the cheapest starting at 200 bucks and the most expensive going in at around 800) aren't included in the original fee, which was just for the office visit. She wanted me to pay for all three up front before doing the tests and then another 200 for the appointment. I walked out and went back to my GP. She at least has always proved she has my best interests in mind and not just making as much money as she can out of me.
I don't qualify for any of the extreme measures (such as Botox injections) because you need to experience 50% headache days a month or something similar to get that prescribed. Mine vary too much. I can go one month with only two migraines and the next month spend most of it in pain. Then the next three months be pretty well fine with just using Tylenol PMs to sleep it off before swinging back into a bad month.