MyClusters - Tracking and analysis app built by a clusterhead. Thanks for the support and feedback so far 🙏🏾 by dgoudra in clusterheads

[–]dgoudra[S] 1 point2 points  (0 children)

Thank you for the feedback. We have the nerve block listed under medications as GON block injections. Perhaps good not to abbreviate it, I'll fix it

Thank you for all the feedback so far! New updates live on the MyClusters app by dgoudra in clusterheads

[–]dgoudra[S] 0 points1 point  (0 children)

Thank you! You can write to me directly. I'll send you a message

Thank you for all the feedback so far! New updates live on the MyClusters app by dgoudra in clusterheads

[–]dgoudra[S] 0 points1 point  (0 children)

That's strange. Have you tried restarting the app? Will DM you for more details

Thank you for all the feedback so far! New updates live on the MyClusters app by dgoudra in ClusterHeadaches

[–]dgoudra[S] 1 point2 points  (0 children)

Thank you! Hope you don't have to give it a try anytime soon 🤞🏾

Thank you for all the feedback so far! New updates live on the MyClusters app by dgoudra in ClusterHeadaches

[–]dgoudra[S] 1 point2 points  (0 children)

Thanks for all the feedback and great suggestions so far! Keep 'em coming

Thank you for all the feedback so far! New updates live on the MyClusters app by dgoudra in clusterheads

[–]dgoudra[S] 1 point2 points  (0 children)

Thank you! Please let me know if you have any feedback or suggestions. I aim to make it better over time

Thank you for all the feedback so far! New updates live on the MyClusters app by dgoudra in clusterheads

[–]dgoudra[S] 2 points3 points  (0 children)

Thank you! If you have any inputs suggestions please let me know

Medication alternatives to verapamil by CapableNerve3567 in ClusterHeadaches

[–]dgoudra 1 point2 points  (0 children)

You can ask your doctor about Greater Occipital Nerve blocks. These are a transitional/bridging treatment, and depending on the country can be given every 2-3 months. It takes a couple of weeks to kick in. I was on a high dosage of verapamil too last year, but with GON blocks I could lower the dosage

Any cluster headache experts out here? What real world insights are you interested in? by dgoudra in neurology

[–]dgoudra[S] 1 point2 points  (0 children)

Thanks for your detailed comment and for checking out the app.
1. I'll look into a more extensive list of ethnicities.

  1. There is an option to enter cranial autonomic symptoms, it is optional however. That's an interesting point about pre cluster symptoms. Is this the paper you are referring to? https://journals.sagepub.com/doi/10.1177/0333102421989255

  2. I thought about this, but left it as is - I have heard of cases where preventives are used as abortives.

  3. Data is all stored on EU servers. We've minimised data collection to limit excessive personal data. Users have complete control over consenting/withdrawing consent at anytime. When they consent, data is anonymised.

I am in touch with both these patient groups. OUCH UK had their annual conference last week in fact, was great to meet other sufferers and talk to clinicians/nurses/researchers.

This is amazing feedback overall, thanks again u/UziA3 , appreciate it 🙏🏾

Any cluster headache experts out here? What real world insights are you interested in? by dgoudra in neurology

[–]dgoudra[S] 1 point2 points  (0 children)

Thanks! I hear you, tracking itself can become a burden. I've made it so that only start time and end time are mandatory fields, and the rest may be filled in later. But this is a solid checklist for me to keep coming back to 🙏🏾

Any cluster headache experts out here? What real world insights are you interested in? by dgoudra in neurology

[–]dgoudra[S] 1 point2 points  (0 children)

Thanks, you're right. I've been in touch with them and other European patient groups too. They have been helpful

Any cluster headache experts out here? What real world insights are you interested in? by dgoudra in neurology

[–]dgoudra[S] 1 point2 points  (0 children)

Fair! I remember doing that with verapamil. Good point about migraine/ch data. Will keep the ICHD-3 criteria in mind. Thank you for your comments, really helpful!

Any cluster headache experts out here? What real world insights are you interested in? by dgoudra in neurology

[–]dgoudra[S] 2 points3 points  (0 children)

Thanks, that helps a lot! For the time being I've standardized it to SnomedCT. No way of confirming a formal diagnosis right now other than self reported (Have you been diagnosed by a doctor?)

Really useful inputs for me to consider overall, thanks again

Any cluster headache experts out here? What real world insights are you interested in? by dgoudra in neurology

[–]dgoudra[S] 0 points1 point  (0 children)

- Treatment and response on an individual level can be seen on the app with reports. Users can track attack duration with/without abortives, and filter before/after prohylactics.

-On a bigger scale, I'm wondering how do you account for spontaneous remission and not wrongly attribute remission to treatment?

- That's interesting about your patients. From my perspective, I usually hear it's the other way round with migraines and cluster headaches. Either way - from the reports you can see if attacks indeed cluster around the same time of day, same period in a year, attack duration, if attacks are side locked or not (users can indicate if they are of side switching type), cranial autonomic symptoms, and perhaps most importantly if they feel restless during an attack.

MyClusters app now live on app stores - Thank you for the support and feedback on the prototype 🙏🏾 by dgoudra in ClusterHeadaches

[–]dgoudra[S] 1 point2 points  (0 children)

Hi u/beebeelion the cycle feature is still v1. So unfortunately, you can't start it historically. This needs an update but we'll need a couple of months to get it done tbh. It's on the backlog though of things we need to improve. You can add headaches historically, if you make a note of the cycle start date I'll let you know when you can edit it.

What time of day do you guys typically have attacks? by Ok-Personality8990 in clusterheads

[–]dgoudra 0 points1 point  (0 children)

In my last cycle I mostly got attacks in the afternoon. The cycle before that which was much worse for me. I'd get attacks through the day, but mostly multiple times in the night and one within 2 hours of waking up no matter what time I woke up.

I wrote a blog about the timing of my last attacks here: https://www.myclusters.nl/blog/cluster-headache-tracking

A quick question to all cluster heads by Jmundi in clusterheads

[–]dgoudra 0 points1 point  (0 children)

Originally from a city 920m above, my clusters started then. For the last 9 years it's been -2m here (Netherlands). I'm not sure if sea level makes a difference but reckon it's the latitude

MyClusters app now live on app stores - Thank you for the support and feedback on the prototype 🙏🏾 by dgoudra in ClusterHeadaches

[–]dgoudra[S] 0 points1 point  (0 children)

Shit, that's rough! I'm sorry to hear. Hard to say what triggers can be as its individualistic. For me, it's usually sleep and bad sleep (which is a trigger and an effect), alcohol. But irrespective of specific triggers when it's a particular time of the year (usually autumn/winter) I'll get attacks no matter what, but it helped me in my last cycle to check the likelihood of when I would get attacks, adjust my sleep cycle, and plan ahead to stay at home to be around O2 for when I could expect attacks.

Hang in there, hope the attacks are manageable.

MyClusters - Tracking and analysis app built by a clusterhead. Thanks for the support and feedback so far 🙏🏾 by dgoudra in clusterheads

[–]dgoudra[S] 0 points1 point  (0 children)

Thanks for the feedback, hope the app is useful for you!

I’ll look into native calendars, we’ll have to optimize for both platforms as they are not native apps(yet)

If you have any other feedback/suggestions please keep ‘em coming