There is scarce data with respect to how diagnosis, treatment, education and research has been conducted in tertiary care centers for epilepsy treatment. Tertiary care centers play an important role with respect to neurologists education on PNES, its comorbidities and differential diagnosis. Providing a comprehensive approach across centers may provide more knowledge about PNES, beyond the current emphasis on psychoeducational measures, and the use of psychoactive drugs and AEDs. In addition, more regional health-care policies are also necessary because of relevant differences in health-care systems and consequently in the HCPs ' attitudes and their difficulties, such as limited access to VEEG and referral to effective psychotherapy for PNES.
For my week 2 24-hour recall I interviewed my husband E.S. During a conversation held with E. Salcedo (E. Salcedo, oral communication, September 2015) I was able to gather that he is a 42-year-old male Mexican American. He currently is working with machinery and doing maintenance work at different power plants. Furthermore, E.S. job requires heavy lifting and going up and down stairs. He recently started running and exercising three times a week.
Over the past four years I have seen more doctors than an average person will see in a lifetime. From endocrinologists to neurosurgeons, I have tirelessly sought medical treatment for multiple traumatic brain injuries I incurred at a young age. Through my personal struggle I learned that there is no adequate treatments for concussions and traumatic brain injuries in the State of New Mexico. Although the lack of these services forced me to seek treatment outside my community, it has become my main motivation to return to my community and share the knowledge I have been fortunate to receive through these many experiences. At the age of fourteen, I was the unfortunate recipient of four traumatic brain injuries, within a six-month time frame, that would result in a diagnosis of post-concussive syndrome.
My freshman year I went out for football even though there was a high percentage I wasn't going to play due to my last year traumatic brain injury. I went to practice and helped with everything and it was fine, less fun than I remember from years past. I got cleared and played and it still didn't seem like it used to due to me be scared at every hit against my head I was going to get another concussion. The year ended and I decided it was going to be my last year playing football. I thought to myself that I was going to need find another sport.
Tuesday afternoon. I was reading a book and drinking a cup of hot chocolate in my room, near the window. It was January, but everything looked so calm and nice outside. Suddenly, I heard my mom calling my name and she told me that we need to talk.
I braced against my opponent on the field-- calves burning, sweat soaking through my hair. Anxiety overcame me. We were tied with twenty seconds left on clock, and the opponent was sprinting beside me with the ball. As we both charged towards the goal, I tried my best to knock the ball out of his mesh. Yet, my attempts proved to be fruitless.
The opportunity to perform as a sultry and stupid Latin man seldom presents itself to a 14-year-old white girl. Yet, in the winter of my 8th grade year, I graced the stage for eleven nights as Aldolpho-- a bumbling Spanish lover -- and fake seduced my best friend for a plot to halt a wedding in the musical, The Drowsy Chaperone. Theatre presents wild opportunities. In the eight years of performing, I sung as an operatic wardrobe, sold women to China as a fake Asian, danced as scarecrow who only need a brain, and much, much more. I exist in a world of fake eyelashes, egos the size of Australia, character shoes and confusing cast lists.
A significant challenge that I faced in my life occurred when I suffered a traumatic brain injury in 8th grade. Due to the injury I faced, I was unable to attend school for about a month, and I had to undergo multiple therapies over the span of two years. During this difficult time in my life, I learned that sometimes people judge a person unfairly. While I went to therapy, I looked normal. I did not have any physical obscurities, and this gave people the assumption that I was “normal” and that I could pursue the same activities as them with the same vigor.
No matter how hard I try, I can’t fight the seizure. I realize it’s inevitable as I feel my soul lurch out of my body. Now, instead of floating and soaring, I wait. I watch my dad, as his eyes fill with despair. He began to cry; this was rare, in my life I have seldom witnessed my dad cry, but now tears flowed down his cheeks like a river.
While I was trying to think of what my parents would say to me I heard a knock on the main door. I looked where I was sitting and saw long strands of hair surrounding me. I hastily grabbed the mini trashcan in the restroom and started getting the evidence of my cut hair and thown into the trash. I heard the creeck of the door. I ran downstairs to greet them the first thing they saw was the baby hairs sticking up looking like I had been electrocuted.
Nearly 19 years ago, my Dad suffered a severe heart attack. The family was summoned to the emergency room. There we met with the surgeons, and were informed his condition was grim and he was not likely to survive the night. They advised if he did recover, he was likely to have suffered brain damage due to lack of oxygen. After the initial shock, for an unexplained reason, I felt at peace.
Deja started having more seizures and none of them were the same. After keeping a journal on all of her daily activities, I notice that she would complain of a bad headache before she had a seizure. She is now placed on an anti-depressant medication that is to control migraines for children to try and prevent the seizures from happening. As of today she is not back to normal but was able to return to most of her extra curriculum activities.
It was 10:00 & I 'm half awake and I see you post a tbh and I automatically like it next thing you know I get a comment saying "tbh: this emoji describes you " I snap out of my sleepy daze and respond back to you saying "thanks you should hit my phone" fast forward a couple days of texting back and forth I start to feel like this girl could actually put an end to my games that I play with females. I felt that she could actually be the sunshine in my world, that she could be the one blessing in my life of sins. We would talk on the phone every night for the next month.
There are many different factors causing epilepsy including perinatal hypoxia, head injuries, glioblastoma, tuberous sclerosis, virus infections and stroke abnormal and so on [31]. Moreover, in up to 70% of all cases of epilepsy in adults and children, the cause for epilepsy is unclear. Therefore, using a single model to predict epileptic seizure for all patients could lead to decreased specificity and sensitivity especially when the model is generalized to different population [32, 33]. In order to tackle this issue, we propose to develop a novel method to detect the underlying group structure among epilepsy patients, and build classification model within each group to achieve better performance.
So Gavin was having his 13th birthday party soon, and of course his whole “squad” was invited. That night Tatum and I were having a sleepover, throughout the night the boys kept prankcalling us. It was kinda funny, they were trying to use different voices so that we didn’t know it was them. But we knew everytime, we just didn’t tell them.
