OT: Denial of migraine meds
Corpstat, I certainly don't know any of the particulars of the case, but can state that a penetrating head wound would not generally create migraines. The headache pain may be different, or may not exist at all. Work Comp cases (of which I do many) are subject to symptom validity testing and if there is evidence of exaggerated symptom reporting and/or poor effort, the comp carrier often denies coverage for complaints that are not objectively measureable.
Unfortunately, headache pain is one of the most common complaints in work comp head injury cases and is almost completely unmeasurable objectively.
I wish I had some better engineering background because if I could design a piece of equipment that could independently measure headache pain, I would be rich.
regards,
aj