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Epilepsy: Insights & Strategies, Issue 1, April 2009

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Epilepsy: Insights & Strategies Issue 1, March 2009 A publication of the In this Issue: Preface from the Editor-in-Chief, Robert S. Fisher, M.D., Ph.D. International Travel with Epilepsy by Jeanette B. Herting Video-EEG Monitoring: In Preparation for Possible Epilepsy Surgery by Stuart Ross McCallum Choosing Epilepsy Surgery: Undergoing a Temporal Lobectomy by Ann Carletta The Moment of Empowerment: Thoughts from a Parent by Elizabeth Aquino The Americans with Disabilities Act Amendments Act: Good News for Employees with Epilepsy by Jason M. Johnson, Esq. [Sidebar: Balance at Work by Linda McGuirk] Gain Control Over Your Seizures: Strategies for Coping by Susan Brown [Sidebar: Lessons Continued by Sandra Cushman-Weinstein] How Patients and Health-Care Providers Can Improve the Epilepsy Clinic Visit Experience by Randy Perkins, MPAS, PA-C, FNP Epilepsy Journal: Insights & Strategies EDITORIAL BOARD EDITOR-IN-CHIEF Robert S. Fisher, M.D., Ph.D. BOARD MEMBERS Jason M. Johnson, Esq. Deerfield, Illinois Ronda M. Royal, Ph.D. Research Psychologist Portland, Oregon Carol McAlice Currie Statesman Journal Newspaper Columnist Salem, Oregon Brittany McCarthy Robersonville, North Carolina Elizabeth Aquino Parent and Writer Founder, PACE (People Against Childhood Epilepsy) www.paceusa.org Los Angeles, California Danielle M. Rocheford Soon-to-be author of “Mommy, I Feel Funny! A Child’s Experience with Epilepsy” Westminster, MA PUBLISHED BY Epilepsy Therapy Project PO Box 742 Middleburg, VA 20118 (540) 687-8077 MANAGING EDITOR Robin Owen Sandra Cushner-Weinstein, PT, LCSW-C Director of Services and Camps, Department of Neurology at Children’s National Medical Center Washington, DC Stuart Ross McCallum Author and Freelance Journalist, Author of “Beyond My Control, One Man’s Struggle with Epilepsy, Seizure Surgery & Beyond” Melbourne, Victoria, Australia Michael J. Roszkowski, PhD Director, Institutional Research, La Salle University Cherry Hill, New Jersey Barbara Sizemore Brossard CRC LMHC NCC Executive Director, Epilepsy Association of WNY, Inc. Buffalo, New York STAFF Chairman Warren Lammert President Joyce Cramer Executive Director Kim Macher Designed by Robin Owen and Karen Dredske COPYRIGHT NOTICE Copyright © 2009 by Epilepsy Therapy Project. Permission to make digital or hard copies of part or all of this work is not allowed without permission from the publisher. For permission, contact info@epilepsytherapyproject.org MISSION Epilepsy Therapy Project is a non-profit organization whose mission is to advance new treatments for people living with epilepsy. ETP helps scientists develop new drugs and brain stimulators to treat epilepsy. The goal is to fast-track great ideas into treatments to reach people as fast as possible. Your donations go directly toward development of new treatments as well as to maintain epilepsy.com. 2 Epilepsy: Insights & Strategies March 2009 PREFACE TO THE FIRST EDITION OF EPILEPSY: INSIGHTS & STRATEGIES Robert S. Fisher, M.D., Ph.D., Editor-in-Chief, epilepsy.com Advice should come from she or he who knows the most. For advice on how to live best with epilepsy, this person usually is not a doctor, but one who has lived with the condition. Peer-to-peer networks are everywhere on the Internet (including some great ones on epilepsy.com), and they can provide critically useful information and advice. But some Internet contributions to a forum or a blog are inaccurate or difficult to understand. Epilepsy.com is launching a new project: a journal written, not by doctors, nurses or researchers, but by people with epilepsy and their families. The journal is called “Epilepsy: Insights & Strategies.” Its goal is to ease the burden of fear and ignorance about epilepsy, especially for those who have it. In the journal pages, people who have found a way to face the many challenges of epilepsy share their insights and their strategies. The stories may describe personal details, but the articles are not designed to be case studies or medical histories. Rather, they comprise information and advice based upon personal experience. Unlike most interchanges on the Internet, the journal articles are written and rewritten for maximum clarity, with rewriting done by the Editorial Board and the Managing Editor, Robin Owen, a professional writer/editor. I have reviewed every article for medical accuracy, and I therefore will assume responsibility for any medical inaccuracies—inevitably there will be some. For several of the articles, I provided explanations and amplifications, but never corrections. I added these remarks as “Editor’s Notes,” in order to preserve the integrity of the writing by the non-medical contributors. Additional input to each article, and a recommendation about suitability for publication, came from our talented editorial board, whose names are listed at the front of the journal. Each article has a place at the end to initiate a discussion thread about the subject of the article. I hope many of you will use it to communicate, not just with the author, but with each other. This journal is something new. Please read it, think about the messages of the articles, comment in the comment space after each article, and think about whether you have an insight or strategy to share. If you do, contact Robin Owen at robin@epilepsytherapyproject.org. This is now your journal—by you and for you. March 2009 Epilepsy: Insights & Strategies 3

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Add your comments

Thank you Epilepsy.com for bringing a new way of sharing our story to the public.  As previous posters have stated, it's all to often that journal articles are written by Academics for Academics.  This is a great resource that will hopefully educate the public and new sufferers of Epilepsy about the various treatment options and how they may or may not benefit a specific individual.

I will spread the word to others!

Please, check out my site  where I attempt to chronicle my journey; www.xaviersjourney.com

Thanks,

Xavier Snipes

xavier...

I wish I could find a doctor who would listen and care. My seizures made me unable too work but the meds make me feel like crap,so I just have to stay home and feel unproductive.

denos

As a longtime NYC advertising copywriter who's been dealing with epilepsy in a multitude of forms for over 35 years, I must take off my proverbial hat and give a bow to all folks involved with the on-line publication of Epilepsy: Insights & Strategies. I'd gotten a bit tired over the years of reading articles written by third persons, if you will, most of them containing merely dictionary definitions of a neurological malfunction that over 55-million people 'round this world of ours must deal with. Not to mention the social, financial, legal, career sides of it. The articles herein are done in a style I'd hoped to see offered to me over a cup of coffee (yes, doctor, decaf) shared with a friend in a New York sidewalk cafe. Just what have so many of us been avoiding when it comes to communication about our epilepsy? Oh, probably the ill looks we just figure will greet us if we admit it. This publication ought to grow in size, so much so that someday soon it'll be on the newsstand! In the meantime, I'm warming up my keyboard and will pop something in the mail very soon! 

George R

In 1985, I had an AVM repaired and I have had seizures since that time.  I have been taking anti-seizure meds but no one told me I have never been told I had Epilepsy until last year.(a new doctor)  I need to know...Just because someone has a chronic problem of seizures, usually under control with meds...DO I HAVE EPILEPSY?

Thank you. 

 

Finally50

As a website, we cannot make a diagnosis of epilepsy in an individual. In general, the diagnosis of epilepsy is made when a person has two or more seizures, without an immediately preceding event to bring them on.

You can find more information about this here on our website starting at http://www.epilepsy.com/101/ep101_epilepsy.

:o) Karen
epilepsy.com webmaster

kdredske

This first issue of "Epilepsy: Insights & Strategies" is a landmark event: the first eJournal by and for people with epilepsy. Dr. Fisher, Editor of www.epilepsy.com , considered this an unmet need, that is now fulfilled. Epilepsy Therapy Project is proud to bring you this program as one of the many ways we try to bring information to the community.

I resonate with the purpose of the eJournal, and Dr. Fisher's explanation that it is about people with epilepsy who know the issues.  This is what I have been preaching to doctors for years: quality of life is in the eye of the beholder (the patients). That concept recently changed to the term "Patient Reported Outcomes" to encompass the multiple domains of what people experience in LIVING with a chronic disorder.
All too often, busy doctors overlook these issues, thinking they are not pertinent to clinical practice (MD knows best) or simply not having time to address individual personal concerns during brief visits. That's why I am so excited about the eJournal!

Joyce Cramer, President, Epilepsy Therapy Project

President

Joyce,

 

  I am a man who will be retiring in the not too distant future. I have Epilepsy throughout my life, but have had some sucess with medications. As it turned out I am sucessful and know all about growing up with the disease, loosing jobs over it, etc. My goal in retiremant, is to help other Epileptics live through the disease, teach them to cope with issues and learn how to live their with PMA. PMA is not a medication, but a state of mind. "POSITIVE MENTAL ATTITUDE". I am looking for some guidance as to how I can assist in helping some of the younger folk, deal with the illness.

 Thanks

jimn

My 20 year old son has epilpesy.  He was seizure free for about 5 years but has has 2 siezures in the last 2 months.  Any light  and encouragement you can share with him would be wonderful.  He is depressed and angry.  He has had epilepsy since he was  about one year old.  How does one cope with such a difficult disease?

jeanne...