Dr. Mahan Chehrenama - i Neuro Headache Specialist

01/24/2022

Sometimes little things can have great impact

Steal this smart advice from the pros the next time you feel a migraine, tension or cluster headache coming on.

09/29/2021

The US Food and Drug Administration has approved atogepant, a novel calcitonin gene-related peptide receptor antagonist for the prevention of migraine.

07/14/2021

Guess what?
More data to confirm the efficacy of Care

Of course, we at have known this for many years before the pandemic and will continue to offer this service for our patients in a -pandemic society. Our Second Opinion care is and virtual format is a natural form of access for this model. We hope you agree.

How did patients feel about the use of telemedicine for headache care during the COVID-19 pandemic? Might they prefer to continue to use telemedicine even when in-person visits resume?

06/10/2021

Let’s talk about the why of migraine.



A cross-sectional study observation based on over 66000 US adults with a lot of interesting observations:
1)Those with migraine reported more covid symptoms
2)Those with migraine and covid were less likely to use healthcare resources
3)Those with covid who have headache as a symptom are likely to do better
4) Emergent hypothesis “headache as a symptom and migraine as a disease may reflect better host defense response adaptation against viruses”

05/29/2021

“All patients are entitled to high quality care led by a physician” . Of course at iNHS, you only get the physician and no other layer. Where else can you do that?

You would think this statement would not be a controversial statement but in this era of MBA-led healthcare systems, there is an aggressive push from non-physicians to expand their role into the role of the actual physician. I worked very well with my former team that was comprised of physician assistants, nurses, and nurse practitioners. But there was no confusion on who was the decision maker of this healthcare team (The Physician). The scope creep of these non-physicians has been aggressive and unrelenting only made possible by the support of large health systems to improve their bottom line.

I thought it would be good to share this AOA statement on this topic.
https://osteopathic.org/2021/05/28/aoa-statement-on-physician-led-care-physician-assistant-title-change-and-non-physician-clinician-use-of-the-title-doctor/?fbclid=IwAR3Xm5wpRIkBN0PSFNrPQtuV7QD3IK2yNgK2VTYdMIRJiRDrpwQEIpsmUTY

Position Statement: The American Osteopathic Association calls for truth in advertising, intellectual honesty and transparency with the use of professional designations of non-physician clinicians in service of the public interest. We also call for organized, collaborative discussions among stakehol...

05/28/2021

Exciting times to be a Headache Specialist. The lines between abortive and preventive therapy are getting blurry.

Rimegepant is indicated for adult patients with episodic migraines.

05/13/2021

Thursday May 13, 2021: I did not think this guidance would be advised so soon , indoors or outdoors only if vaccinated but happy to hear it. Long Last

Updated guidance from the US Centers for Disease Control and Prevention says people fully vaccinated against Covid-19 do not need to wear masks or practice social distancing indoors or outdoors, except in certain circumstances.

04/08/2021

No surprises here

A new survey of 2,040 millennials (ages 23 to 39) found that 69% of respondents searched online for health and medical advice instead of going to the doctor, and a quarter of respondents trust Google to accurately diagnose their symptoms.

01/26/2021

As we move into year 2 of the , I thought it most appropriate to highlight the unity required to fight this : Until therapeutics are well established, it’s just as simple as . However we also recognize our innate weariness of covering our faces and this article addresses the nuanced neurological challenges that our brains undergo if looking at non-familiar people more so than familiar people with masks on. This is our must do to return to some normality, regardless of vaccination status:

01/03/2021

Let's make 2021 "Headache-Free"
Sharing this somewhat outdated "headache pearls" cartoon as there has been many advances in treatment of migraine over past few years. Wishing everyone a healthy start to this new year.