A discussion for severe headache potentially due to caffeine withdrawal could involve explaining the cause, suggesting tapering coffee and using Tylenol, and offering a CT scan.

“do we have a culture of just expecting that like so how many times has you get that patient who comes in who said I stop drinking coffee three days ago I've got a really bad headache but I'm really worried and is there ever room for the discussion that says look in my judgment and I've already talked to three of my colleagues here today we all think that your headache is from caffeine withdrawal and we think you should take tylenol and maybe have a coffee and maybe taper off as opposed to just going from three coffees to zero coffees but if you really really want a CT scan we'll do it it's gonna cost this much now your insurance company is gonna cover this much but you're gonna cover this much I mean that seems like a reasonable discussion”