Migraine Care

Before you pick up: onset, duration, what the patient has already taken, how they are now — and why most calls never reach you

Written for the clinician carrying the on-call phone. What arrives with an escalated after-hours migraine call, which calls are filtered out before your phone ever rings, and what is left for you to decide once the summary is in front of you.

The handoff: current attack profile, time of onset, medication already taken and the response, and the clinical context captured during the call
Tiered before you are alerted — an established patient with a known provider, a new urgent case, and an emergency transfer are three different calls and route differently
Scheduling requests, practice questions, and routine medication questions are handled by the AI or nurse triage and never reach your phone
The alert arrives with the summary attached, so the first thing you read is context rather than a callback number on its own
You decide whether to speak to the patient now, call back, or direct them onward; the AI assembles, it does not decide
Whatever you advise is captured with the call record and returned as a structured summary for staff to review and file

How it pays back

You start the conversation already oriented

Onset, duration, what has been tried, and the current state are in front of you before you dial. The call opens on the clinical question rather than on assembling a history from someone in the middle of an attack.

The phone rings for the calls that need you

Routine breakthrough questions, scheduling, and general requests are absorbed by the AI or routed to nurse triage under your standing protocol. Being woken becomes a signal rather than a coin flip, which is what makes a rotation survivable.

Your night is decisions, not data collection

The intake work — the questions, the sequencing, the writing down — has already happened. You spend the interruption on the judgment only you can make, and then go back to sleep.

The morning chart entry comes from the same record

What the patient reported, what you advised, and any authorization or referral are captured together. Staff file from that record rather than from a reconstruction, so the chart and the call agree.

Only escalation-criteria calls reach the phone

Routine questions and scheduling handled without paging the on-call provider

Urgent call summary

Current attack profile, meds tried, and response documented for on-call review

On-call reach within minutes

Notification sent and patient contacted for advice or authorization

Frequently asked questions

What do I have in hand before I call the patient back?

The current attack profile — onset, duration, medications tried and the response — plus the clinical context captured during the call, delivered with the alert rather than after it. You are reading a summary, not a callback slip.

Which after-hours calls will never reach me?

Routine breakthrough attacks and medication questions may route to nurse triage or a standing protocol first, depending on how your clinic is configured, and scheduling or general practice questions are handled by the AI. Only calls meeting your escalation criteria generate an alert.

How is a call tiered before I am alerted?

The AI separates an established patient with a known provider from a new urgent case and from an emergency transfer, and routes each accordingly. The tiering happens during the call, so what reaches you already carries a category.

If I authorize a repeat prescription on the call, how is that documented?

The AI captures the patient's request and clinical detail and routes it to you for the decision. Once you approve, the prescription goes to the patient's pharmacy, and the full record — reported symptoms, medications requested, your decision — returns as a structured summary for staff to review and file to the chart.

What does the practice see the next morning about my call?

The complete after-hours record: patient-reported symptoms, medications discussed, your guidance, and any authorization or referral, as one structured summary. Staff verify it against anything you noted and file it to the patient chart.