For most adults, spring and summer thunderstorms bring the annoyance of driving in a downpour.

But others dread this time of year for migraines triggered by the environment.

What are migraines?

Aminat Ogun, MD, a family medicine physician at OSF HealthCare, describes migraines as episodic disorders that cause severe, throbbing headaches, usually on one side of the brain.

The list of triggers is, unfortunately, long.

“Emotional stress can trigger migraines. Moving, changing jobs, other stressful life situations,” Dr. Ogun says. “A change in sleeping habits can trigger a migraine. Skipping a meal. Your diet: wine, aged cheese, coffee withdrawal and foods high in nitrates.”

Other common triggers include hormones, bright lights, loud sounds and changes in altitude. A propensity for frequent headaches can also run in the family, Dr. Ogun says.

You can prepare

Dr. Ogun says not much is known about weather-induced migraines. But most medical professionals agree there is some evidence for migraines caused by changes in barometric pressure.

How can you prepare?

“Up and move,” Dr. Ogun says, tongue firmly planted in cheek.

More realistically, watch the weather forecast. If there’s a chance for a lot of dust or smoke in the air (think areas like California or Arizona), plan to limit time outside.

Stock up on medication after talking with your health care provider. Dr. Ogun says over-the-counter medicine like ibuprofen will help with pain and can even be taken ahead of when you know a migraine is coming.

“They could have a headache diary where they write down what causes their headaches, where the pain is located, how long does it last, symptoms and what treatment helps,” Dr. Ogun adds.

If your migraines are more frequent, feel different, or come with other symptoms like confusion, neck rigidity, weakness in the arms or legs, fever or chills, see a doctor right away. Some of those symptoms may be signs of a heart attack or stroke.

Any head trauma, like a sports injury or a car crash, should also be checked on by a doctor.

Interview clips

Previous coverage

One big headache
June is national migraine and headache awareness month
A good calendar may be able to help you fight headaches
Three steps to help with severe or frequent headaches
When should you see a specialist for your headaches?
Weather changes can be a pain for migraine sufferers

With age comes physical limitations. But it’s important to stay active, says John Rinker, MD, an internal medicine physician who specializes in geriatrics at OSF HealthCare. When you keep moving, it helps reduce the risk of things like diabetes, high blood pressure, heart disease, obesity, cancer and neurocognitive diseases like Alzheimer's.

In other words, Dr. Rinker says, it’s not fun to live long if you’re not well. Your lifespan versus your health span, as he puts it.

“It really, really pays to maintain exercise and be in good physical shape as you age. It reaps huge dividends on how long you live,” Dr. Rinker stresses.

Guidelines

Each person should have a tailored plan as advised by a health care provider. But regardless of your age, the American Heart Association (AHA) generally recommends 150 minutes of moderate physical activity or 70 minutes of vigorous physical activity each week, spread out over several days. A brisk walk would qualify as moderate intensity (also called zone two training), while running, swimming or riding a bike would be vigorous. Vigorous exercise is associated with a term called VO2 max, referring to maximum use of oxygen. In layman’s terms, you’re breathing hard and conditioning the heart.

“Most of that type of [vigorous] training is at a higher interval. You’re going to get breathing really hard for three to five minutes while you sustain a pace that’s rather difficult. Then you’re going to rest and let that heart rate come back down. Then go back to the hard exercise,” Dr. Rinker explains. “That back and forth with the heart rate really helps to train how well your heart can pump blood to muscles. That’s a really good marker of how well conditioned you are.”

The AHA also recommends two days of strength training per week. That could be lifting weights, using resistance bands or calisthenics, where you use your body weight for resistance rather than equipment.

“I really like the strength training piece,” Dr. Rinker says.

“It doesn’t take a lot as you age to tension a muscle enough to maintain muscle mass. We really find that people who are able to maintain muscle more muscle mass as they age are going to do much better with those health span and lifespan issues,” he adds. “So, the goal isn’t to make everyone a huge bodybuilder. The goal is to decrease the rate of decline as we age.”

On the days you do strength training, aim for 30 minutes per day. Dr. Rinker says if you really want to lean into this area of fitness, consider getting a personal trainer.

Limitations

It’s important to work around your ability and not push through pain, Dr. Rinker says. If aging has brought back or leg pain, skip the treadmill and try swimming or a weightlifting session while seated.

“You want to make sure you’re not going to injure something further. That will create a bigger setback or other deficit that are not going to help you in the long run,” Dr. Rinker says.

The bottom line

From VO2 max to zone two to calisthenics, there are a lot of terms to keep straight. If you don’t want to overthink it, just remember to keep moving. Push yourself with some vigorous workouts if you can, but commit to some form of exercise regularly.

“Most of your day-to-day exercise [as an older adult] should be just basic activity,” Dr. Rinker says. “Think of a brisk walk. Walking at a pace for about 30 minutes where you could still hold a conversation with somebody, but it would be difficult to sing a song.

“If I can just get someone to walk every day, I think they’re going to be in good shape,” he adds.

Learn more

Read more about moving your body safely and aging well on the OSF HealthCare website.

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Quintin Porter is a walking miracle.

He’s battled back from multiple car accidents, cancer, an irregular heartbeat, a torn rotator cuff, carpal tunnel syndrome and more.

But the journey that brings tears to his eyes started with a random text message from an old flame and ended with him ditching his dialysis equipment for a new kidney. And along the way he learned about the technique that made it possible - paired exchange.

“It was kidney or coffin,” says the 56-year-old from Mahomet, Illinois.

Porter’s journey

A former stand-up comedian and radio executive, Porter has no problem recalling what got him to where he is today.

Toward the end of 2019, Porter says his health was “dragging.” His right arm hurt, and he knew something just wasn’t right.

“Your bloodwork is horrible,” Porter recalls his medical team telling him. “You’re at stage three of kidney disease.”

The father of two then went on dialysis, where an artificial filter does what healthy kidneys normally do – remove fluid and waste from your blood.

“You’re tethered to a machine,” Porter describes. “I wouldn’t wish it on my worst enemy.”

Dialysis gave Porter plenty of time to take up new hobbies like bird watching or sketching. Or watching the phone ding with the most important text message he would ever get.

Christy reconnects

The text on March 16, 2022, read, “Can you talk?”

It was from someone Porter hadn’t spoken to in nearly four decades: his high school girlfriend in Glen Ellyn, Illinois, Christy Stott. The 54-year-old retiree from Rockford, Illinois, wanted to catch up. But more importantly, she had seen Porter’s calls for a life-saving kidney.

“I got you. I’ll give you a kidney,” Porter remembers Stott telling him almost nonchalantly.

“I couldn’t believe it,” Porter adds. “It set off a whole bunch of emotions.”

“Sometimes people reach middle age and feel compelled to do something they’ve never done before,” Stott says. “Run a marathon. Write a novel. Something amazing and unexpected.

“I think that’s what this experience has been for me,” she says.

Porter and Stott seemed to be a perfect match if not for one problem: Stott is petite, and Porter is not. A honeybee and a bear, as Porter puts it.

But OSF HealthCare Mission Partners (employees) in Peoria, Illinois, knew another way.

Paired exchange

The nationwide paired exchange program involves a kidney donor and a recipient who aren’t compatible. When you add another incompatible pair, sometimes a match can be made. The donor from one set can donate to the recipient of the other pair, and vice versa. The swap makes a big X. The willingness of everyone to participate allows the process to get a jumpstart and makes optimal use of living donors. It can also significantly reduce wait time, which can stretch into years.

"This one was unusual,” says Dr. Christopher Johnson, a nephrologist with RenalCare Associates and medical director for OSF Kidney Transplant.

“Usually with kidneys, the size isn't the biggest thing. But in this situation, it was such a big difference that we thought we could get a better match for him. Her kidney was perfect for someone her size. It's going to take someone off dialysis and extend their life," Dr. Johnson says. "She's also blood type O. She's a universal donor. But the kidney was smaller than what would be ideal to the recipient. So we knew if we put this into a national exchange, we're going to benefit someone else.

"A lot of times people ask, ‘what's the blood type?’ And they want to know if they're blood type compatible,” Dr. Johnson adds. “I say this every time. I don't care what your blood type is. If you're not compatible, we'll find a trade. What's important about a kidney donor is that they're healthy and able to donate. No diabetes, healthy weight, no cancer or other problems. If there's an incompatibility, we can find a solution."

A research-minded guy, Porter looked into the paired exchange concept thoroughly before taking the leap.

“These nurses work so hard to give you such good, specific instruction that has derived from thousands of hours of treating actual patients,” he says.

So on October 4, 2022, Porter and Stott went to OSF HealthCare Saint Francis Medical Center in Peoria. She to give a kidney, which wound up in the Cleveland, Ohio, area. And he to get one, coming from Eris Diaz, who owns his own cooking business nearly 1,300 miles away in Miami, Florida. But when it comes to saving lives, no distance is too far.

“Of course, there is pain,” with transplant surgery and recovery, Diaz, now 25, says. “But the pain was for a good action and for Quintin’s happiness."

Lessons learned

Porter, Stott and Diaz are doing well in 2023 and are urging others to look into organ donation, either living or pledging to do so after you have passed away.

“I’m so happy for Quintin,” Stott says tearfully. “And I’m fine. I’m better for it. If I could donate again, I would.”

"Donation is important because you're sharing your life with people who need it, and that is beautiful," Diaz says.

“It’s a big sacrifice. But if you had the ability to save someone’s life, wouldn’t you?” Porter asks.

Learn more

Nearly 100,000 people in the United States are waiting for a kidney transplant. Learn more about how you can make a difference on the OSF HealthCare and Donate Life America websites.

Interview clips - Quintin Porter

Interview clips - Christy Stott

Interview clips - Eris Diaz

Interview clips - Dr. Christopher Johnson

B-roll

Additional B-roll

Quintin Porter demonstrates connecting to dialysis machine - June 4, 2022
Quintin Porter demonstrates disconnecting from dialysis machine - October 3, 2022

Previous coverage

Exploring organ donation
Living organ donation is an ‘amazing gift’
Living organ donation saved my mom's life
The ultimate tribute for the ultimate gift
Making a life-saving decision
‘They are very special people’