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Interesting question. I guess my family would be a good example. My Robinsons and Yeagers lived in central Kentucky, which sympathized with the South but never ceded from the Union. It was also a slave owning state, though slavery was just one issue among many for the war.My Yeagers didn’t own slaves though my Robinsons did…sort of. They were visiting Louisville, a river town which was also the third largest slave center in the US. While waiting for some material they had ordered to be unloaded, they wondered over to the slave trading block which was near the wharves. There they saw a family, which included a small boy and newborn, about to be auctioned off separately. He couldn’t stand that and so he asked the auctioneer for a moment to speak with the man.What was said is unknown, but he bought the entire family. Immediately after returning home, they were freed and hired to work on his farm. They were provided with a small house on the farm. When the children were old enough, they were educated—which was all illegal mind you. They were of course free to come and go, but elected to stay for most of their lives. Later, it was said that he couldn’t bear the thought of seeing a family torn apart.When the war broke out, Robinson and two of the Yeagers volunteered to fight for the North. Robinson went in the 11th Kentucky Calvary while the Yeagers joined the 7th. the 11th served under Sherman was considered the “tip of the spear” in his push through Georgia (he once talked about using railroad tracks and wrapping them around telegraph poles to make “Sherman bowties”. During one of the raid, he was badly wounded, but continued to serve throughout the war.The two Yeager brothers ended up in Gettysburg, where one was captured. He was sent to Andersonville where he died of hysteria approximately a week before the camp was abandoned. The other Yeager survived the war, but it changed him forever. For the rest of his long life, he always wore black. He said he would forever be in morning for the lives lost.Although all their friends and neighbors chose to serve with the South, they risked much by serving with the North. Their main reason was that they didn’t want to see the union broken. They thought there was always something better than war if people would just be willing to talk and listen.My Hosse line came to America specifically because of the pending war. They expected that it would be short and sweet, so they went to Nashville where they immediately open several businesses. Jointly, they purchased four taverns; one at each of the major intersections coming into Nashville. Individually they set up businesses they though would profitable. One established a gunsmithing and repair shop which also included blade repair and sharpening. Two established a livery which included saddle and harness making/repair. One established a construction company.None had any specific interest in the war or the causes behind it. They intended to make a nice profit, sell the business , and return back to Germany. Of course, the war came to Nashville and nearby Franklin. However, they managed to weather the blue storm.One family story tells that that they would repair union equipment through the front by day and Southern equipment by the backdoor at night which wouldn’t surprise me.Another story, which I was able to verify through the local historical society, tells of two of the Hosse brothers (including my 2x great grandfather) being stopped by a union patrol late one afternoon on their way home. They had two empty wagons, except for some baskets of apples. The union soldiers asked them to step down and explain what they were doing. Well, gramps, who was considered the “runt” of all the brothers, stood about 6′1 and weighted about 230 pounds (the average union soldier was only 5′8″ and went about 160 pounds).So while the soldiers poked around, other questioned them about where they had come from, what they were doing etc. So they story goes, they had conveniently “forgotten” how to speak English, and could only reply in German. The soldiers were a bit flustered and more than intimidated by these huge Germans, detained them until the next morning and sent them on their way, minus a few baskets of apples.What they didn’t know was that that they had earlier delivered some repaired rifles, pistols,knifes, and swords for General Nathan B Forrest’s men who had been encamped nearby. Had they been stopped on the way OUT of town rather than on their return trip, they would have likely been shot. It wasn’t that they supported the Confederacy. They were just entrepreneurs who didn’t fully understand what the fuss was all about. Later, it was said about that period, that they didn’t like the way union troops treated ordinary civilians and or amount of unnecessary destruction caused by union artillery.Another side of my family did support the South. One, Lt. Col William Shivers. He was a lawyer by profession. He volunteered over the issue of state’s rights. On the issue of slavery, he openly opposed it. However, he felt the states had the right to go their own way if the voters so wanted. He also believed that like minded states had the right to form their own government. After all, they weren’t trying to overthrown Washington, and the states weren’t being coerced into leaving. This was a voluntary decision to go separate ways. Shivers served in several engagements and ultimately lost an arm. Nevertheless, he served until the war’s end.There were a couple of other lines which also served in the Confederate Army—Nicholson, McArdle, Glasscock,and Castleberry. They were all typically small “Yeoman” farmers from Georgia. Like most Southerners, they didn’t own slaves. In fact, they actually opposed slavery. They worked their farms by themselves, or would occasionally hire out for some laborers. Their reason was pretty much the same as Shivers. They felt no loyalty to a government in Washington which knew nothing about them or their lives. They didn’t care what someone in Ohio, New York, or Michigan did so why should they care what someone in Georgia, Arkansas, or North Carolina did?The only loyalties they had was for their family, friends, community, and the state in which they lived in, Georgia. Like Shivers, they believed that the citizens of a given state ought to have the right to determine what was best for them, not a government in Washington. If they wanted to go off and form their own government, then that was their right to do just that. What right did Lincoln have to tell them they couldn’t? Wasn’t that at the core of the Revolutionary War? Of course, as union troops pressed further into the South, it became more about protecting one’s home and family.The left its mark on all of them. The Robinsons and Yeagers were physically and emotionally damaged. For years, there was ill feelings with neighbors and former friends. The Hosses quickly recovered. They remained in America (although that wasn’t there original intention), but it changed their attitude toward a federal government and made them more supportive of individual and state’s rights. Meanwhile, the war destroyed the lives of many of their friends; some of whom never recovered.Shiver’s resumed his law practice and did well, but the loss of his arm was a constant remainder of the past and he never lost his bitterness toward Lincoln for what he considered to be a unwarranted war. The Nicholsons, Glasscocks, Castleberrys and McArdles, were deeply affected economically. They kept their farms, but the community as well as the state economy were devastated. It took decades for them to fully recover. I doubt the resentment ever left them.One famous example was the Hatfields and McCoys who lived on the Kentucky/West Virginia border. While some claim that the feud began over a pig, others point out that the basis of the decades long feud stemmed from the fact that the Hatfields had supported the Confederacy while one of the McCoys, Asa, fought for the Union (as an aside, the McCoys, with the exception of Asa, also supported the Confederacy). Asa was murdered by a group of Confederate supporters. It was originally thought that Anse Hatfield, who was a member of the group, killed him. However, Anse was home, sick. Nevertheless, it was his uncle, Jim Vance, who murdered Asa. And in those days, family supported family right or wrong.Of course, you have other instances where neighbors fought neighbors; supporting some and opposing others; people like the Confederate guerrilla leader, Bill Quantrill, John Mosby, Bill Anderson John McNeill or the Union leaders of the “Jayhawkers” James Lane and Charles Jennison. Of course, we can’t forget the James and Younger brothers who came out of that and were actively supported by family and friends while often preying on pro-union supporters.I don’t know if my family history was typical of others, but I suspect it was. Many people lost friends over differences of opinion. Some even lost family members, and it wasn’t uncommon that they faced each other across the battlefield. There were instances where neighbors would steal cattle or burn crops, but I think it was more a matter of simply ending relationships. Regardless, the bitterness tended to be deep and often would last a lifetime. Some old wounds just never healed.

I think it might look something like this:This is based off of a few things:Geography and culturePoliticsColin Woodard’s American Nations map:The question doesn’t allow us to split up states so I divided it up according to how I think each state would swing and included some geographic realities:The United States of Western America would include Washington, Oregon, California, Hawaii, Arizona, Nevada, New Mexico, and Colorado.Deseret would be Utah.The Great Central States of America would include Idaho, Montana, Wyoming, the Dakotas, Nebraska, Kansas, and Oklahoma. Arizona and rural portions of many of the USWA would probably prefer to be part of the GCSA but geography and the question requirements mean that that wouldn’t happen.Alaska would be Alaska but might want to join with the GCSA.The Midwestern States of America would include Minnesota, Iowa, Wisconsin, Illinois, Michigan, Indiana, Ohio, and Pennsylvania.The Northern States of America would include New York, Vermont, New Hampshire, Maine, Massachusetts, Rhode Island, Connecticut, New Jersey, Maryland, Delaware, and probably DC.Texas would be Texas.The Appalachian States of America would include West Virginia, Kentucky, Tennessee, Missouri, and Arkansas.The Commonwealth of Virginia would include Virginia and North Carolina.The United States of Dixie would include Louisiana, Mississippi, Alabama, Georgia, and South Carolina.Florida would be Florida.Puerto Rico would be Puerto Rico.Some of these groups could join…for instance, the MSA (midwest) and the NSA (northeast) could join together and possibly join with Virginia too. The ASA (Appalachia) and USD (south) could join…and possibly join with Texas. The USWA (west) and GCSA (middle) could possibly join together…and if they did, they could combine with the MSA and NSA and any of those four could join Canada.In the end though, regional divides in the US are less prominent than the nation’s urban/rural divides in terms of culture, politics, and social realities. Over time, I think that more and more of these split-up nations would recombine and perhaps reorganize, ending up with either 2–3 nations or going right back to a unified US.

Migraine HeadacheIntroductionA migraine headache is the second most common headache and occurs with an average frequency of about 12% in the general population.Women outnumber men in the U.S. by a factor of 3 to 1 with migraines. There is a genetic factor as migraine sufferers’ family members are getting migraines about 3-fold more often than the general public.Newer insights into hormonal connections point to the fact that often migraine sufferers are in an estrogen dominant state (Ref. 3 and 4). With estrogen dominance there is a dysbalance between estrogen production and progesterone production. For instance, many women who develop fibroids miss their ovulation and as a result can have fertility problems (no corpus luteum developed in the ovaries). The reason for infertility, fibroid development and the development of migraines in some migraine sufferers is the lack of progesterone in the second half of the cycle. Xenoestrogens (such as pesticides, artificial hormones such as Provera, the BCP etc.) can also function as a contributor to the estrogen load as a woman’s estrogen receptors will have a partial fit with them. The resulting hormone dysbalance is what can trigger migraines in migraine sufferers. It is triggered by the relative lack of natural progesterone. This may also be the reason why migraines are much more common in woman than men. On the other hand Dr. S.A. Dugan has done hormone studies on both male and female patients with migraine. He found that both sexes are often also suffering from fibromyalgia, chronic fatigue syndrome, and lipid disorders including high cholesterol, sleep disorders, gastrointestinal problems and depression. When hormone tests were done on these patients the majority had what Dr. Dugan called steroidopenia (low levels of estrogen, progesterone, testosterone, DHEA). This is discussed in more detail under Ref. 5.SymptomsMigraines present in 85% without an aura (formerly called “common migraines”) and in 15% with an aura (formerly called “classic migraines”). An aura consists of changed behaviors such as pacing, yawning, craving for certain foods, lethargy, depression or mild euphoria. These symptoms are separate from the migraine aura, which consists of neurological symptoms such as visual symptoms that come on 1 or 2 hours before the migraine headache starts and disappear about 1 hour after the start of the migraine.These migraine aura symptoms are quite varied and can include numbness of the skin in a hand or a foot on the side where the migraine is and around the mouth area. Spotty eye field defects can also occur immediately prior to the onset of the headache and there may be deficits in language expression and pronunciation. Other such migraine aura symptoms can consist of double vision, ringing in the ears, balance problems, a gait abnormality and decreased levels of consciousness.The actual migraine headache is on one side of the head, can last 4 hours to 3 days, is throbbing in nature, moderately to severe in intensity and is made worse by physical activity, light or noise. The patient is complaining of nausea and might be vomiting with a severe migraine. In a small percentage of patients a more severe form of complicated migraine (or “migraine with prolonged aura”) can develop where the patient has prolonged symptoms of a migraine aura for more than 1 hour, but usually less than 1 week. These patients should be investigated thoroughly by a neurologist as a small percentage of these patients can develop persistent neurological symptoms including a “migraine stroke ” (=a stroke like clinical picture) (Ref. 1).TreatmentMedication that is used is quite different between attacks as compared to during an attack. During a migraine attack non steroidal anti-inflammatory drugs (=NSAIDs) and dihydroergotamine or sumatriptan, which stimulate serotonin receptors, are used. Drug dependency issues on narcotics has to be discussed frankly with the patient because of the danger of rebound migraines that are triggered by the continued use of narcotics. Sumatriptan can be given intranasally, but overuse and dependency on this medication also must be monitored by the physician and in males there is a higher risk for heart attacks as a side-effect of the medication. Prochlorperazine (brandname: Stemetil) can be given intravenously in the Emergency Room as a drip and can abort a migraine.Between migraine attacks there is a number of preventatives that are effective. They consist of beta-blockers such as propranolol, metoprolol, timolol and others; NSAIDs such as ASA, naproxen or ketoprofen; calcium channel blockers such as verapamil or flunarizine; antidepressants such as amitriptyline.Gabapentin is the latest medication that has been found useful in several smaller studies. Gabapentin(brand name: Neurontin) releases GABA in some parts of the brain and inhibits the NMDA pain receptors. Dr. Stephen Clarke, Clinical Assistant Professor in the Div. of Neurology of the University of BC/Vancouver/Canada, reviewed the use of gabapentin at a conference in Vancouver/BC in November 2004 (Ref. 1).Other medication for headache prevention are the anticonvulsant gabapentin; the MAO inhibitor phenelzine and the serotonin stimulating drugs methysergide and cyproheptatine. Unfortunately many of these medications do not work 100% and there is a lack of good randomized studies to prove effectiveness.Non-conventional, but effective treatment of migrainesIn light of what I explained above with regard to a hormone dysbalance in women migraine sufferers, it is logical that Dr. Lee (Ref. 3 and 4) suggested to use 20 mg of a bioidentical progesterone cream applied to the skin during the second half of the cycle (day 12 to 26 of the cycle). After three months there is usually a significant improvement of the migraines. If there is only a partial response to this low dose of progesterone cream, the progesterone dosage can be increased temporarily to 40 or 50 mg per day from day 12 to 26 of the cycle for several months. If there is a response, treatments should be continued until menopause. An alternative to bio-identical progesterone cream is Prometrium (micronized progesterone) by mouth, 100mg or 200mg at bed time. Discuss this with your doctor.It is important to include in the regimen of anti-migraine measures non drug regimens such as avoidance of triggering factors like certain foods (chocolate, red wine, certain cheeses and strong smells) or bright lights and noises. Consistent sleeping patterns and meal times need to be established. Counseling when emotional factors play a role, relaxation techniques like yoga, self hypnosis and biofeedback methods are all helpful as well. The more complex cases should be referred to a neurologist or even a multidisciplinary headache clinic.Since Dr. Dzugan published the results of treating migraine sufferers with the Dzugan method, it is important to look at all of the hormones including steroid hormones as mentioned above. By using bio-identical hormones any hormone deficiency is rectified and hormone levels are repeated. Dr. Dugan found that after 9 to 12 months at the latest almost all of his patients were migraine free and lost all of the other accompanying symptoms (Ref. 5).Food related migrainesMany people have food allergies that can bring on migraines. 10 Natural Remedies for Migraines. This link explains more details about that.Reference:The 50th Annual St. Paul’s Hospital Continuing Medical Education Conference for Primary Physicians, Nov. 16 – 19, 2004Suzanne Somers: “Breakthrough” Eight Steps to Wellness– Life-altering Secrets from Today’s Cutting-edge Doctors”, Crown Publishers, 2008Dr. John R. Lee, David Zava and Virginia Hopkins: “What your doctor may not tell you about breast cancer – How hormone balance can help save your life”, Wellness Central, Hachette Book Group USA, 2005. On page 256 and 257 Dr. Lee describes how progesterone can be used as a cream to treat PMS.Dr. John R. Lee: “Natural Progesterone- The remarkable roles of a remarkable hormone”, Jon Carpenter Publishing, 2nd edition, 1999, Bristol, England.http://www.ncbi.nlm.nih.gov/pubm... : Dzugan SA, Rozakis GW, Dzugan KS, Emhof L, Dzugan SS, Xydas C, Michaelides C, Chene J, Medvedovsky M.: “Correction of steroidopenia as a new method of hypercholesterolemia treatment.” Neuro Endocrinol Lett. 2011;32(1):77-81.First published here: Migraine Headache - Net Health BookHere is my answer to your question: “What is the best cure for migraines without using a prescription medicine?” The first step in my opinion is to do a saliva hormone test of estrogen and progesterone to see whether there is estrogen dominance; if there is treat it with bioidentical progesterone. Next think about seeing an allergist in case of hidden allergies. Third, trigger point injections with 1% Xylocaine into trigger points in the scalp area could be done at a pain clinic. Usually an anesthetist can help you with that.