Migraine Care

When a patient calls on day three — what the AI asks, what your clinician receives, and which threshold decides the next step

A migraine running past 72 hours is a different after-hours call from a breakthrough attack. What the AI asks a caller in a prolonged attack, what the on-call provider is sent, and how your clinic's own thresholds decide between an immediate alert and a high-priority morning callback.

Duration is established early — a prolonged attack is identified by the clock, not by how dramatically the caller describes it
Rapid triage questions: pain severity, time since onset, vomiting or vision changes, current medications, last acute treatment, and when the patient was last seen at the clinic
Status migrainosus (>72 hours), new neurological symptoms, and severe refractory presentations escalate to the on-call provider or trigger urgent care routing per your protocol
Lower-acuity exacerbations and medication questions get a first-available morning appointment with high-priority flagging instead of a page
Your on-call provider receives a text summary with patient name, history, and triage detail so the routing decision is an informed one
A caller in crisis at 2 a.m. reaches a conversation, not a mailbox

How it pays back

A prolonged attack reaches a care path within minutes

A patient in status migrainosus calls at 11 p.m. The AI establishes the duration, texts the on-call provider, and the patient is either called back immediately or directed onward under your protocol. No voicemail, no waiting to find out whether anyone heard.

Your clinician makes the routing decision, with the facts

The text carries the patient's name, history, current symptoms, and why the call came in. Your provider decides whether to call back, direct to urgent care, or send to the ED — informed rather than surprised by a callback number at midnight.

The thresholds are yours, and they are written down

Duration, refractory presentations, and new neurological symptoms all sit on a list your clinic defines in the admin portal. Consistency comes from the list being explicit, not from everyone remembering the same rule of thumb.

Lower-acuity calls do not wake the on-call provider

A mild exacerbation or a medication question at 2 a.m. is captured, flagged high priority, and scheduled for a morning callback. The patient is told when to expect contact; the provider is not interrupted for it.

The patient's own history is available during the call

Where EMR access is enabled, the on-call provider receives the patient's migraine pattern and preventive regimen alongside tonight's complaint, rather than only the fragment the caller managed to convey while in pain.

Acute triage in real time

Status migrainosus, new neurological signs, and severe refractory cases flagged for on-call review

On-call alerted with context

Provider receives text with patient summary so they make informed routing decisions

Call captured and documented

Every after-hours interaction is logged, triaged, and routed—audit trail complete

Frequently asked questions

What does the AI ask a caller whose migraine has not stopped for days?

Time since onset first, then pain severity, whether there is vomiting or any vision change, which medications have been taken, what the last acute treatment was, and when they were last seen at the clinic. The sequence is designed to establish duration before anything else.

What does the on-call provider receive when a status migrainosus call is escalated?

A text or push notification with the patient's name, MRN, chief complaint, onset time, medications already tried, and any red flags mentioned. They can then call the patient, review the chart, and direct them onward.

Does the system decide whether the patient goes to urgent care or the ED?

No. It escalates to your provider and can surface common pathways, but the final routing decision belongs to your on-call clinician. Your clinic sets the escalation thresholds and the protocols the AI follows.

What happens to a mild exacerbation that calls at 2 a.m.?

The complaint is captured, triage questions are asked, and a callback is scheduled in the first available morning slot with high priority. The patient is told their call is documented and that the team will reach out first thing, and receives an SMS reminder.

How do we change which presentations trigger an alert versus a morning callback?

Your clinic sets the escalation thresholds in the MedReception admin portal or through your EMR settings — for example, a prolonged attack triggers an on-call alert while a mild exacerbation on an established preventive regimen becomes a morning callback. The protocols can be adjusted at any time.