a screaming migraine
I've never had a screaming migraine.. groaning migraine, yes. Whimpering migraine, yes.
The last thing you need with a migraine is lots of extra noise - it acts on the ears a bit like bright light on the eyes.
 Although, confusingly, music helps. Even some of the more avant-garde prog.. The way my brain is wired, I suspect it hears the music and is too busy following it to think about how much it hurts.
 Ever seem fabric-covered wiring a-la 1930s? You get the picture.
 Yes, yes, I know that the brain has no pain receptors. Trust me on this one - when you have a migraine it *feels* like your brain is hurting. At which point you become very grateful for modern pharmaceuticals..