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New to this and feeling lost.

Mon, 03/13/2017 - 12:23
My name is Chris, and I am a 29 year old male living in Michigan. I've spent hours upon hours combing through this webpage and figured it'd probably be a good idea to just go ahead and join. I've had to get to know my disorder very attentively, because the small time windows with various doctors and specialists offer very little insight and have been inconsistent. Ultimately I've had to piece all of this together as best I can, but I'm still uncertain about a lot of things. But here goes. In August of last year, I was diagnosed with inattentive-ADD and prescribed adderall. In September, a couple weeks later, I had a tonic-clonic seizure and was found asleep on the floor of the office I was working in that day. I had only taken the prescribed dose, . I was so confused at the time that I didn't know what happened, nor did anyone else know for sure... Although I had random bruises on my body, every muscle I have was sore, and my tongue was wrecked. I had a second one in November lying in bed next to my wife. I moved up to Michigan from Georgia and we got married 3 weeks prior, so I feel absolutely awful for what this means for her, but she has been incredibly graceful, patient, kind, and unwaveringly loving. I woke from that one not knowing who she was, what year it was, where I was, or who had just been elected president. EMS was there and everything was a confusing blur. The ER contacted the neurologist they associate with and he told them to prescribe me Oxtellar XR. Based on my psychiatric history with a similar drug (lamotrigine) for stabilizing my moods, I was apprehensive and wouldn't take the medication until I had further clarity on what was happening. The first neurologist I saw was the worst medical experience I've ever had, although the EEG I had there supposedly showed abnormal activity during hyperventilation. I didn't trust it though, because the experience was radically unprofessional, but admittedly I experienced some symptoms flaring up during it. It was actually my new psychiatrist that convinced me it would be in my best interest to try the drug the neurologist had prescribed, so I did. I experienced a host of unmanageable side effects, so I stopped taking it before my brain and body got used to having it. I also stopped taking the adderall. The ER nurse had suggested I inquire with my psychiatrist about an alternate stimulant, Focalin, with the hope that it would have little to no effect on my seizure threshold. It was also a crapshoot, because I had a host of awful side effects from it. I stopped taking it a few weeks in. It is clear to me that I cannot safely take CNS stimulants. Even coffee, which I have been drinking since I was a little boy (even working as a barista for 7 years), has to be approached with a lot of caution. My sensitivity to fluorescent lights, TV and computer screens, noise and commotion, and any number of other stimuli have gone beyond my usual annoyance to being a danger for me. Since quitting my prescribed stimulants, I have continued having grand mal seizures for months now. Even getting adequate rest, adequate food, a pretty regular schedule, and a significant overall decrease in caffeine consumption, yet my disorder seems worse than ever before. I had 2 grand mal seizures last week on consecutive days. The 2nd one last week was with my wife at the mall while she was working on her laptop. She paid careful attention; I went into convulsions for 12 minutes and was in and out of semi-consciousness for half an hour, all of which is blacked out in my memory. In fact, I literally did not believe her when she told me I seized. Only when I started trying to move did it become obvious that it was true. She told me I needed to go to the hospital, because waiting until the 20th of this month for my next neurologist appointment didn't seem advisable under the circumstances. I was there for a day and a half for safety, observation, and testing. MRI, CT, EEG, and blood work all came back normal. But this was my 8th grand mal seizure, the last 4 being over the past month, and the injuries to my body and my postictal exhausted confusion made it very clear to everyone involved that I had definitely seized. The hospital kept me stable first with Ativan and then by administering and prescribing me Lamictal. My release papers included a packet of information about epilepsy. This was my second hospitalization for seizures within the same network of hospitals. No one said to me "here is your diagnosis", but it seems abundantly clear at this point. The messed up thing is I was pretty sure there was something neurologically wrong with me for a few years leading up to all of this mess, but I didn't know what the issue was. In fact, my neurological problems are a part of why I sought out treatment for ADD. Loss of focus, inability to concentrate, sudden loss of ability to communicate or comprehend speech or writing, mixed signals in my brain, some of it severe enough to be quite frightening, really -- like feeling frequently but not constantly locked in some sort of invisible forcefield that makes me cognitively dysfunctional. In fact, I can trace the beginning of those symptoms back a few years... When out of frustration I had abruptly stop taking my Lamictal. And though a few people over this time suggested I may be experiencing seizures, I didn't recognize them for what they were due to my ignorance about epilepsy and the different types of seizures that can occur. It took having grand mals to see and learn that I was, in fact, having seizures and it just progressed over that time. All the literature points to partial seizures with secondary generalization. The specifics haven't been medically confirmed or observed (although the aftermath of the GM's is easy to see), but the lamictal seems to be helping. I'm not sure if it's worth further diagnostics, like sleep deprived EEG or what have you. I guess that depends on their ability to assess and treat it with the front line medications. But strangely, I am going through a whole lot of denial intermittently throughout each day (Well, each day that I feel more or less "normal"). I think what I ultimately need in conjunction with diagnostics and treatment is a network of support with people more experienced than I and people who are in the same boat. This is a truly terrifying and confusing thing, but I want to get a grip on it and live a good life and a better life for my wife. And I want to in turn help others who suffer. Until now, I never had such a profound appreciation for various "awareness" groups, because I and most others I talk to were confused that this stuff would manifest in my late 20's, but I know now that that is a dangerous misconception. Anyway, I'm glad this is here and hope this will be a good resource for support and education. Any advice you all may have to offer will be greatly appreciated. -Chris

Comments

One of the biggest

Submitted by mereloaded on Mon, 2017-03-13 - 16:59
One of the biggest misconceptions about epilepsy is that people think that all epileptics are born being epileptics, but that is absolutely not true. Epilepsy can happen to anyone at any age. Adult onset epilepsy is NOT uncommon. The second misconception is that most people, including doctors assume that certain symptoms are of psychiatric source and often misdiagnose patients with anxiety disorders, ADD, panic attacks etc. when in reality people are having seizures, but most doctors don't know or think of epilepsy as a cause despite being a very common disorder. Third, often times psychiatric meds make epilepsy symptoms worse. There are some migraine and mood stabilizer drugs that are also anti convulsant drugs and it may help patients with comorbid conditions.Epilepsy is a treatable condition. Assuming that you find the correct treatment, you can go on with your life and achieve a seizure control. Yes, EEG can help your neurologist decide on the best treatment options for you. There are about 3 dozen plus pharmacological options , and each drug treat an specific type of epilepsy or symptom. While I agree with you that EEGs stink, more data can help pinpoint to more accurate treatment options for you.Last, since you akready had an abnormal EEG, I think you should completely transfer your medical care to your neurologist and list all of your reactions and psych drugs you have taken or are taking and anti convulsants can interact with psych and other medications.Write down all your questions. Get the best out if your visit!Good luck.

Thank you so much for taking

Submitted by TheNotoriousJCB on Mon, 2017-03-13 - 17:22
Thank you so much for taking the time to read my story and chat with me. This forum is definitely helping me keep my head up through all this. 

You went thru a lot.

Submitted by just_joe on Mon, 2017-03-13 - 22:47
You went thru a lot. Mereloadeds response said a lot. As for front line medications. Well they work. But so do the old ones. A medications that works for one person may not work for the next. I know I have only tried about half of the medications being used to control seizures.As for your stimulants yes the help in many ways for many different things. Including Narcolepsy which is a type of epilepsy where the seizures occur while one sleeps. They happen right before bed or just after waking up. As for EEG's. Longer ones can help pin point where the abnormality came from and by doing that they can gain more insight and be able to get the best medication to control your seizures. Get to know your neurologist and keep a good relationship with them. Many issues can be resolved in a phone call with a visit 2-3 months later to ee how the resolution came out. By doing that the number of seizures I was having and the time in them has been changed to a seizure every 8-14 days lasting 5-8 seconds. My GP didn't know I had one in his office until I told him the delay in my answer was because I had a seizure. All of the ones he had seen me in were minutes long and it took 20 to 60 minutes to get back to normal.I hope your neurologist can get your under control so you can spend your time with your graceful, patient, kind, and unwaveringly loving wife.Joe

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