Dr Peter Goadsby’s pioneering work has changed our understanding of migraines. Eva Wiseman, who has endured them since she was a child, hears how he found his way to the source of the pain – and what can be done about it
I started yawning, and that was it. That was the sign a migraine was beginning, that I was rolling slowly down that padded cliff. It was inevitable that this would happen half an hour before my interview with neurologist Dr Peter Goadsby, the man forcing the world to take migraines seriously, inevitable but not ideal, so I sipped my water and watched as he scrolled through his Zoom backgrounds. Beach scene? Too casual. Meeting room with framed certificates? Too formal. Home study, with heaving bookcase? Just right.
How much do I know about migraine, Dr Goadsby asked politely, and I took a moment to consider. On one hand, too much. I have one now, I said. I’ve had them regularly since I was a child, an early memory being the evening I found I could no longer read a book and thought, oh well, nice while it lasted. A couple of years ago I was diagnosed as having had a series of strokes when I developed a blind spot in my right eye and later found that blind spot to be a “persistent aura”, the scintillating light that typically arrives at the beginning of a migraine, but in my case, never left. I have become so accustomed to breathing through headaches that I was reassured when I first felt labour pains – I knew this agony, I had survived it monthly. But on the other hand, I know very little. Something to do with blood vessels? Chocolate?