I’m so sorry you go through this. There was a period of several months during my Ph.D. program when I was on an antibiotic that my doctors still hadn’t realized I was allergic to, and migraines with stroke-like symptoms were one of the side effects for me. Having persistent migraines of varying intensity over a period of months, as you can imagine, didn’t help me to thrive in grad school. But on the upside, finding myself cognitively dulled forced me to ask hard questions about what kind of work I wanted to be investing my life-hours into anyway, and this allowed me to realize that academia was not the answer. Within about a year, I announced to my department that I was leaving. I don’t regret this.
Nowadays, I survive on copyediting academic manuscripts, and I find editing all but impossible when a migraine strikes. I try to encourage clients to reach out to me BEFORE the 11th hour, by offering a lower rate for projects that are delivered to my inbox early, but what many of them don’t realize is that this is largely my way of building a “migraine buffer” into my work schedule; I never know when I’ll get them. I try to do my projects immediately, whenever possible, since I can never anticipate whether a migraine will strike — and in certain jobs (like yours, or mine), it’s entirely unacceptable to say, “I’m sorry, but I’m suddenly too sick to help you meet your deadline.” No matter how true it is.
Thankfully, someone tipped me off to acupuncture. Just a few weeks of acupuncture did WONDERS to make my migraines abate in severity and frequency — an effect that lasted for many years after I stopped the treatments. Apparently, there are many such success stories. I intend to resume acupuncture soon myself, and I hope that acupuncture can help you as well.
Thanks for drawing attention to how this ailment affects productivity! Wishing you wellness.