Brief Answer:
Never heard of Vacaly Clover

Detailed Answer:
Good afternoon. My name is Dr. Saghafi. I'm a neurologist from XXXXXXX OH.

I've never heard of a prescription by the name of Vacaly Clover. You sure you weren't discharged by a little Leprechaun since this is the month of March? HA!

Do you mean Valcyclovir? I googled Vacaly Clover and found nothing except an isolated sound track from XXXXXXX Gaye that is supposed to leave any listener speechless who hears it....I'll let you know if that's true as soon as I finish writing this up.

Honestly, it sounds to me as if you may have simply had a really really bad headache in the occipital area (not uncommon) which hit you like a ton of bricks. I can fully understand why they did a spinal tap since they were protecting against all of the worst possibilities such as a fungal CSF infection, viral meningitis (less likely since you didn't mention other salient features of that clinical picture) or were what probably most were worried about in an 83 year old young lady.....aneurysmal burst or possibly a sentinel bleed since it sounds like you went in to the ER awake though confused.

No matter what the case may be you are saying all tests came back negative and that everything resolved 1 day after starting IV antibiotics and antivirals.

We don't tend to give people antivirals on the way out the door in situations like yours (especially since a tap and everything else was negative) since the likelihood is that you simply had a terrific occipital migraine.

At any rate-- I'm not suggesting that you stop your medication at this juncture because it is possible that they may have sent out for tests such as PCR's and viral cultures and those have yet to come back. Those types of tests usually take about 1-2 weeks to return so they may be planning on stopping your Lucky medication (the clover! LOL) once results come back. So keep taking the pills. Make sure you are drinking PLENTY of water with those pills and throughout the day. If you let yourself stay on the dry side then, you could develop kidney stones and then, BACK TO THE HOSPITAL to pass the stones.....ugghhhh.

But if I were in your shoes....I would clearly begin documenting any and all headaches (no matter how severe or not) they are since if this was a FIRST occipital migraine attack not brought on by any type of infectious agent then, there is definitely a chance it could come back and so you will want previous episodes documented so that future events can be compared and analyzed by doctors who can appreciate the value of keeping track of such data.....SUCH AS HEADACHE SPECIALISTS as I am.

I think there's an outside chance that such a headache could've gone away as a direct result of the medication but I think the probability is slim to none that's the case if all CSF fluid and other tests are dead normal.

I think it's possible that you could've been a bit on the dehydrated side and that simply the act of tanking you up with fluids by IV route (even if they were in the form of medications) could've increased your volume status sufficiently such that headaches could've been treated if they were originally due to traction on the meninges just due to dehydration. This would especially be true if you were on the tail end of a hangover from over the weekend.....come on....I know you're a fun-ster at heart....you can't hide that derelict side of you....even at 83! LOL.....

I doubt your sodium was of any consequence if it is being told to you to be just "a little low" but then, again I'd need to see the actual numbers before passing judgement as to whether or not that could've caused that type of headache.....it's possible maybe....

I'd appreciate the favor of your providing a STAR RATING and some brief written feedback if your questions have been satisfactorily answered. In addition, CLOSING THE QUERY on your end will also be most helpful as well as help other doctors use the information I've provided in this case for other patients with similar pictures.

Don't forget that my webpage to keep me abreast as to how you're doing is:

bit.ly/drdariushsaghafi

All the Best

This query has required a total of 45 minutes of physician specific time to read, research, and compile the return to the patient.

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