When Marsh arrived at Schreiber’s office, she was willing to try anything. “Honestly, there wasn’t a lot that helped at that time,” she says. Even the botox, which was supposed to help, didn’t lessen the pain. “There was a point where she would come up to Bolivar every seven weeks to get 35 shots in her head,” Schreiber says. “Sometimes we had improvements and sometimes it was discouraging.”
Finally, in 2018 the dry spell in the world of migraine treatment was over. A new drug was released—one developed specifically for migraine treatment. “That’s when we turned the corner for Billie Marsh,” Schreiber says. “As soon as we got the new treatment, she was one of the very first patients to try this.” Finally, after 20 years, Marsh could get through a day without having a painful headache. Even better, now when she does feel a migraine coming on, Marsh says she can pop a Tylenol and go about her day. “That’s never happened before,” she says.
For Marsh, who has spent nearly two decades as a patient of Schreiber’s, what she appreciated most was his willingness to try just about anything. That even extends to his nurse, Nancy Motley. “She was awesome,” Marsh says. “When insurance wouldn’t pay for the new medication, Nancy jumped through all kinds of hoops to help.” Motley eventually got Engality to pick up the entire cost of the medication, which rang in at $600 a month. Now, Marsh’s insurance is footing the bill, and Marsh only has to pay $30 a month.
“I have four grandkids, and it doesn’t matter if they come over screaming,” she says. “I don’t have a headache anymore. Dr. Schreiber is the most awesome doctor. He kept trying one thing after another until we found something that worked.”
So that’s the long story of Billie Marsh and her persistent headaches. The short story according to Schreiber is this: “She hung in there, and then the world changed.”