The Silent Struggle Behind the Veteran Mindset: A Conversation with Ivan Perry

Podcast: The Head Start: Embracing the Journey
Host: Nora McInerny
Guest: Ivan Perry, US Air Force Veteran & Dr. Christopher Rhine, Headache Specialist
Release Date: May 28, 2024

I. Introduction

In the latest episode of The Head Start: Embracing the Journey, host Nora McInerny delves deep into the intersection of military service and chronic migraine management. This episode, titled "The Silent Struggle Behind the Veteran Mindset: A Conversation with Ivan Perry," features a profound discussion between Nora, Ivan Perry—a US Air Force veteran living with chronic migraine—and Dr. Christopher Rhine, a renowned headache specialist and fellow military veteran.

II. Guest Introduction: Ivan Perry and Dr. Christopher Rhine

Nora begins by highlighting the detrimental impact of societal phrases like "suck it up" on individuals battling chronic migraines. She emphasizes the importance of creating supportive environments for those suffering from invisible ailments. Introducing Ivan Perry, she sets the stage for a heartfelt conversation about his experiences as a veteran navigating life with chronic migraine. Additionally, Dr. Christopher Rhine, whose dual experience as a military veteran and headache specialist brings invaluable insights, joins the discussion.

III. Ivan's Military Service and Personal Background

[05:36] Ivan Perry: "I have one that I overthink at times. ... I like to think of these as, like, reminders of who I was in the moment."

Ivan shares personal anecdotes, including impulsively getting a tattoo during a significant moment in his life. He attributes his decision to join the Air Force Academy to his upbringing as a "military brat," influenced by his father’s two-decade-long service.

[07:20] Ivan Perry: "The best and deepest relationship, 100%... We've been married for like 14 years."

Ivan recounts meeting his wife during his intelligence training in San Angelo, Texas, and their enduring long-distance relationship leading to a lasting marriage.

IV. The Onset of Chronic Migraine

Ivan opens up about the challenging period during his third deployment to Afghanistan in 2010 [08:36], compounded by his mother's cancer diagnosis. The stress and emotional strain of juggling deployment and familial responsibilities marked the beginning of his chronic migraine journey.

[10:11] Ivan Perry: "I started to get headaches... They put me on medicine. That's when it entered."

Initially dismissing his symptoms as mere headaches, Ivan's condition intensified, leading to sleeplessness and persistent pain, ultimately resulting in a formal diagnosis of chronic migraine.

V. The Impact of Stigma and Masculinity on Seeking Help

Nora probes into the societal expectations of masculinity, especially within military culture, that discourage vulnerability.

[12:00] Ivan Perry: "I've been in therapy... but you have a valuable experience to give. And just speaking with other people and just letting them say it's okay to let down your guard in the military..."

Ivan candidly discusses his journey through therapy since 2013, challenging the ingrained stoicism of military life and the mental strain of concealing his struggles with chronic migraine.

VI. Understanding Migraine Triggers and the Experience

The conversation shifts to the tangible aspects of living with chronic migraine. Ivan describes the multitude of triggers—from specific smells and foods to environmental factors—and paints a vivid picture of a typical migraine day.

[14:45] Ivan Perry: "... I have to try to migraine proof my house... We have the ability to completely shut off..."

He elaborates on the extensive lifestyle adaptations required to manage his condition, underscoring the pervasive impact migraines have on daily functioning and family life.

Dr. Rhine supplements this by explaining common migraine triggers, emphasizing the complexity and individuality of each person's experience.

VII. Building a Support System

Ivan highlights the crucial role of his family and pets in his support network.

[21:08] Ivan Perry: "It's my family... my daughter ... she wrote me a note just saying, 'hope you have a great day.'"

He shares touching instances of his family's understanding and proactive support, reinforcing the importance of a compassionate support system in managing chronic illnesses.

VIII. Treatment Plans and Workplace Accommodations

Discussing his treatment regimen, Ivan outlines his approach to managing migraines through preventive measures and breakthrough medications. He also introduces new VA programs incorporating physical therapy, yoga, and meditation.

In the realm of professional life, Ivan emphasizes the necessity of workplace accommodations tailored to individual needs.

[25:09] Ivan Perry: "Do you have a culture in your organization where there's a culture of trust... It's just starts with good conversations and focus groups within a company..."

He advocates for open dialogues and a foundation of trust within organizations to effectively implement accommodations for employees battling chronic migraines.

IX. Resources and Organizational Support

Dr. Rhine offers valuable resources for listeners seeking support and further information on chronic migraine management.

[27:42] Dr. Christopher Rhine: "... organizations like Miles for Migraine, Headache on the Hill, the National Headache Foundation..."

He encourages education and activism, directing listeners to organizations that provide comprehensive resources for patients, families, and employers.

X. Conclusion and Final Thoughts

Nora wraps up the episode by expressing gratitude to Ivan for his service and willingness to share his story. She reiterates the importance of seeking professional help and building supportive communities for those affected by chronic migraines.

[29:16] Dr. Christopher Rhine: "Thanks, Nora."

The episode concludes with a call to action for listeners to reach out to headache specialists and utilize available resources, fostering a community of understanding and support.

Notable Quotes with Timestamps

• [00:02] Nora McInerny: "Life sometimes has a way of blindsiding you with a feeling of being overwhelmed at the worst possible time."

• [06:33] Nora McInerny: "I love the fact that you mentioned being stationed. You were in the Air Force. What inspired you to join the service?"

• [12:00] Ivan Perry: "I've been in therapy, which I'm not afraid to say... it's hard to let certain emotions out because I was raised in a 'guys, be tough' environment."

• [14:45] Ivan Perry: "... everything you usually save for your friend group out into the open so we can all find a bit of optimism for those battling chronic migraine."

• [21:08] Ivan Perry: "When I had a bad migraine attack... my daughter wrote me a note just saying, 'hope you have a great day.'"

• [25:09] Ivan Perry: "Are you truly even doing anything with accommodations or accommodating the right people if no one wants to say anything or they feel there's this fear of reprisal..."

Final Thoughts

This episode of The Head Start: Embracing the Journey provides an intimate look into the life of a veteran grappling with chronic migraine. Through Ivan Perry's candid narrative and Dr. Christopher Rhine's professional insights, listeners gain a deeper understanding of the complexities surrounding chronic migraines, especially within the military context. The discussion underscores the importance of breaking down societal stigmas, fostering supportive environments, and utilizing available resources to navigate the challenges of chronic illness.

Note: For more information on chronic migraine treatments and resources, listeners are encouraged to consult with healthcare professionals and explore organizations such as Miles for Migraine, Headache on the Hill, and the National Headache Foundation.