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Old 05-10-2010, 04:10 PM #1
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Hi Dawn,
I'm glad to hear that the e.e.g. showed something. Tattoo is correct in my opinion your son would be much better off seeing an Epileptologist at an Epilepsy Center compared to a neurologist. I saw many neurologist when I was younger but when I had brain surgery done that's when I started to go to an Epilepsy Center and saw an Epileptologist. I take fewer sz. meds (AED's) and have gotten the most help. You can usually find an Epileptologist at a University Medical Center. Here's wishing you and your son only the best and May God Bless You Both!
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Old 05-10-2010, 04:22 PM #2
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hmm, I'll have to check into that. I live in the boonies, so I'm not sure where I would find one!

He does also have to see a neurologist for other reasons (Tourette, ADHD) so would've been nice to have it all taken care of by one person. Do neurologists typuically treat a lot of epilepsy patients?
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Old 05-10-2010, 04:56 PM #3
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The doctor your son needs for his seizures only treats epilepsy. Neuroogists treat all things neuro related and ADHD and Touretts are outside a general neurologists training. ADHD and Tourettes are also specalties. You might be able to find those specialists for each one at the same Major Medical Center, but you cannot get the proper care for your son from a doc who doesn't the the specific training needed. His seizures will worsen if not stopped completely and that brings cognitive decline over time. If they can be stopped, it is the right time to take care of that. There are so man other options available now. Who knows. It could be that the symptoms/signs that gave him a diagnosis of ADHD is really due to the same seizure disorder. Epilepsy affects people differently and is very easily misdiagnosed with bad results for the patient since they don't get the proper care and the illness worses. By the way, the statistics re meds are: Once one med fails to stop the seizures completely, there is less than a 15% chance that any med will ever stop them. That is evidence based. Those other options that could possibly help your son can be found only at a Comprehensive Center. What state are you in ? tattoo
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Old 05-10-2010, 05:05 PM #4
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Thanks for the info. We are in Connecticut.

He is going to the neurologist tomorrow morning to talk about his EEG results and what to do next. I am not sure what to say to her tomorrow. Would it be considered insulting to tell her I'd like to see an epileptologist? I am not sure how to handle it/bring it up.
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Old 05-10-2010, 07:46 PM #5
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There is no need in mentioning it to her. That was for your information and education only. She may prescribe a med for your son and who knows, it may stop his seizures. Give it a try, but you know there is another route if they don't stop them after a good try. She is not the one to arrange that appt, so do not mention it to her. Go there and listen. Ask lots of questions an write them down if you have to. It is easy to forget during an appt. Describe what is going on, take your seizure calendar, and see what her plan is at this point. Find out diagnosis and type of seizures, but they seem like Partials, both Simple and Complex. There is more that one cause for seizures, so see what she thinks abt a possible cause. In some cases, there is no known cause. Let her do her thing and start a treatment plan, but if the meds do not stop them, you know there is another route out there, so all is not lost. Get PCP to do the referral at that time, not tomorrow. Even if you did end up at an Epileptologist at a Compehensive Center, after they come up with a treament plan that works, many times they refer back to the local neurologist to manage the case. so you will already have her to come back to if it turns out that way. I will check on Comprehensive Centers in your state. Tattoo

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Old 05-10-2010, 08:27 PM #6
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I don't need a referral or anything with my insurance, I can call and make an appt myself-- unless the childrens hospital requires one for themselves.

I found where I would go, Boston Children's Hospital. http://www.childrenshospital.org/cli...geS1549P0.html

Thanks for the info I'll let you know how tomorrow goes.
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Old 05-11-2010, 02:26 PM #7
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It was a long day and Anthony is now sound asleep. I think Anthony made me sprout a few gray hairs- ha! The dr called his EEG "quite impressive". Apparently there is a LOT going on in that head of his. Mostly on the left side.
He had to have blood taken today, which will also need to be done on a
regular basis- fun! He also needs to have an MRI done, but I don't know when yet.

She gave me a rx of Depakote, but said to wait til she hears back from the cardiologist.
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Old 05-10-2010, 04:54 PM #8
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I looked up Pediatric Epileptologists and saw there is one at Boston Children's Hospital. I don't look forward to driving in the city, but it is do-able adn I'll do it if it is better for Anthony.

My hubby asks: why not see if the neurologist can do something that works first though? If she gives him meds, and they go away, then maybe there is no reason to see someone else, know what I mean?

Otherwise, is it possible to see the epileptologist like once a year? and still see the neurologist every 3 months like we are now? And would it be insulting to the neurologist to bring that up? I'm not sure.

Thanks!
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