Non-fiction book about the history of treating migraines
Back in the days when gyms were allowed, I was using audiobooks to help motivate myself to go. The rule was that I was only allowed to listen to the book while physically inside the gym building. This meant that in order to hear what happened next, I would have to go back to the gym. It was a great system! Anyway, I was flipping through Audible, trying to figure out what to spend my credits on, and I came across this book. I’ve had migraines since I was about 10 years old, so this is a topic close to my…brain.
“Migraine: A History” by Katherine Foxhall and narrated by Robin J Sitten is a non-fiction book about the history of diagnosing and treating migraines. Foxhall examines how early physicians responded to their patients complaining the constellation of symptoms we now associate with migraine, and attitudes changed over time.
This is a fascinating book that taught me a lot about the way migraine is viewed by society. Interestingly, Foxhall argues that during the Middle Ages, physicians were more sympathetic to migraines (despite the brutal treatments they often tried out on their patients). It was only later that migraine began to be associated with weak, feminine and intellectual individuals unsuited to the hardships of labour outdoors. Foxhall argues that this change in social attitude has meant that migraine, despite being such a common and debilitating chronic condition, has received so little medical interest and funding. She compares this with other illnesses associated with women and touches on the issue of pain bias in the medical profession.
Foxhall is a clear, thorough researcher who explores in great detail the hardships many patients were subjected to in addition to their migraines. Sitten does an admirable job of bringing spirit into a non-fiction work, and her slightly sardonic tone was particularly enjoyable when reading the more gruesome treatments patients were subjected to.
However, this book taught me two other things. One, non-fiction is difficult for me to listen to for prolonged periods of time. Two, long books are difficult for me to listen to for prolonged periods of time. Despite Foxhall’s compelling research and Sitten’s reading style, it is hard to make a non-fiction book exciting to listen to, especially one written in an academic style. This book is just shy of 10 hours long, and with introductions, chapter summaries and conclusions, there was quite a lot of repeated information. Foxhall also spends a significant amount of time at the end of the book describing migraine art competitions which felt a little bit hard to relate to without actually looking at the artwork itself. It is also worth mentioning that this is a Eurocentric book, and while I appreciate that linguistic barriers exist, I would have really liked to have learned about how migraine has been considered and treated in non-Western cultures as a comparison.
Although perhaps a bit too long and academic to keep me enthusiastic at the gym, I related a lot to this book and learned a lot about how medical opinions on migraines have changed over the centuries, and not necessarily for the better.