Hemiplegic Migraine Navigator

MONTH 1

Part 2. How the system sees it

Today you see how different care settings interpret the same episode. You identify the responsibility boundary — where system behavior ends and your burden does not begin.

FOCUS

This part uses the system-lens switcher to make visible what each care setting optimizes for, documents, and deprioritizes. Once you see these patterns, you cannot unsee them. That is the point.


WHAT THIS PART DOES

What this changes

Before this part, inconsistent system responses feel personal. An ER takes you seriously one visit and dismisses you the next. A PCP refers you, but a specialist sends you back.

After this part, you will see that each setting has structural priorities. Those priorities explain what it does and does not do.

The inconsistency is predictable. Your episode does not change. The lens does.

Seeing this clearly is the active work of this part.


PATTERN

Why system responses feel contradictory

Emergency departments focus on speed, ruling out risks, and managing liability. When stroke is possible, protocols require rapid imaging and assessment. Once they rule out acute threats, the ED considers its job complete.

This is why discharge can feel abrupt even when the episode was severe.

Primary care focuses on trends, functional impact, and referrals. Neurology focuses on pattern consistency, localization, and treatment logic.

Each setting sees your episode through its own filter. What falls outside that filter gets less attention.


INTERACTIVE

The same episode seen by different systems

Switch between tabs to see how each care setting processes the same hemiplegic migraine episode. See what each one optimizes to detect, tends to document, and tends to deprioritize. This reframes past encounters and sets expectations for future ones.


NAVIGATOR TOOL

Care Signal Scanner

Classify what happened as signal or noise. This tool helps you decide what rises to signal worth documenting, given each care setting's priorities. This tool is optional for completing Part 2. Use it after a future encounter to identify which interactions deserve capture and which reflect standard system filtering.

Open Care Signal Scanner

BOUNDARY

Holding safety without owning it

Understanding system priorities explains past encounters without creating a new responsibility to manage them. You are not responsible for managing clinician discomfort, proving your symptoms are real, or preventing system escalation. Seeing these patterns clearly can surface frustration or grief about past encounters. That response is reasonable.


INTERACTIVE

Responsibility boundary check

Review where system responsibility ends and yours begins. No input is needed.


DONE WHEN

You have reviewed all three tabs in the system-lens switcher and read the responsibility boundary check. No entries are required. Recognition is the work of this part.


NEXT

What's next

Part 3 assembles your Pattern Map from the seed and anchor captures you saved in Part 1. The system-lens patterns you reviewed in Part 2 shape how that map is read.


Glossary | References

Part 3