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Medical Forum / Diseases and Disorders / Epilepsy / November 2005

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Driving After a Seizure

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skeptic - 05 Nov 2005 03:36 GMT
After suffering a mild seizure, my wife's neurologist told her she
wasn't to drive for six months.  He said he wasn't going to report her
to the state but that state law prohibited her driving for six months
after having a seizure.

My wife's seizures are generally well controlled but an incident of
unusual stress can bring one on.  She can tell when there is a
possibility that she'll have a seizure and doesn't drive then.  That's
in addition to the aura that she feels immediately before the seizure.
When I checked the state law I found it only says that one has to be
seizure free for six months prior to applying for a license, nothing
about not being able to drive after a seizure.  Below is the actual
wording of the statute.  Do any of you have an opinion of the legality
of driving within six months of a seizure?  What do you do if you have
a minor seizure after having gone for a year or more without one?

    (7)   Seizure disorders which are controlled shall not be
considered a disability. In cases where such seizure disorders are not
controlled, the director or the medical advisory board may recommend
that such person be issued a driver's license to drive class C or M
vehicles and restricted to operating such vehicles as the division
determines to be appropriate to assure the safe operation of a motor
vehicle by the licensee. Restricted licenses issued pursuant to this
paragraph shall be subject to suspension or revocation.

For the purpose of this paragraph, seizure disorders which are
controlled means that the licensee has not sustained a seizure
involving a loss of consciousness in the waking state within six months
preceding the application or renewal of a driver's license and whenever
a person licensed to practice medicine and surgery makes a written
report to the division stating that the licensee's seizures are
controlled.

The report shall be based on an examination of the applicant's medical
condition not more than three months prior to the date the report is
submitted. Such report shall be made on a form furnished to the
applicant by the division. Any physician who makes such report shall
not be liable for any damages which may be attributable to the issuance
or renewal of a driver's license and subsequent operation of a motor
vehicle by the licensee.
charlie - 05 Nov 2005 03:59 GMT
The doctor that treats you has to report the seizure to the dmv because if
they don't and you get in an accident the doctor can lose his license once
they find out he treated this person. I would think that the doctor reported
it and you will find out because if he did you will recieve something from
the dmv. After 6 months your doctor should give good reports to the dmv
because they do not have to give you your license back in6 months. If you
can prove you have been siezure free and all the rest you are likely to get
it back in 6 months or more
> After suffering a mild seizure, my wife's neurologist told her she
> wasn't to drive for six months.  He said he wasn't going to report her
[quoted text clipped - 36 lines]
> or renewal of a driver's license and subsequent operation of a motor
> vehicle by the licensee.
G.Ross - 05 Nov 2005 04:46 GMT
> After suffering a mild seizure, my wife's neurologist told her she
> wasn't to drive for six months.  He said he wasn't going to report her
[quoted text clipped - 11 lines]
> of driving within six months of a seizure?  What do you do if you have
> a minor seizure after having gone for a year or more without one?

I don't know how these things work in the U.S. (rules probably vary by
State). Hopefully someone around here might have a website that lists the
rules by State for you.
 One thing to consider if she Wasn't controlled, is my Dr. told me if I was
driving before I attained full control in Canada, that my Vehicle Liability
Insurance would probably be void, so if e.g. I caused serious injury or
damage, some settlements via court could exceed several 10s of thousands of
dollars.  (On other issues here, courts have sometimes levied the expected
lifetime income, if a 'breadwinner' was someone who was incapacitated or
killed by an impaired driver.  And even if I didn't survive the accident, my
Estate could be garnisheed to that amount or until my personal insurance
amount was used up, before my next of kin would be eligible for any of it. )
   For that reason, and also because I didn't own a car during onset and
treatment to full control, I didn't drive or look at buying a car then.   I
still haven't, but I've not had a seizure since 1998 now.
   Driving in some situations (rush hour or on freeways) can produce their
own types of stress that could be triggers for some of our szr. types.   But
if the Dr. knows that she'd be responsible and not drive during the required
period that would be required if they Did report her,  they might bypass the
reporting.  As others have mentioned, if she did drive when not fully
controlled and caused an accident or injury, and they found out she had been
under treatment or taking szr. medications, that could be a problem for a
Doctor who hadn't reported her.    G. /

>     (7)   Seizure disorders which are controlled shall not be
> considered a disability. In cases where such seizure disorders are not
[quoted text clipped - 20 lines]
> or renewal of a driver's license and subsequent operation of a motor
> vehicle by the licensee.
Dave ©¿©¬ - 07 Nov 2005 17:07 GMT
Howdy!

If a person drives knowing that they have seizures they can get themselves
into BIG trouble if they have an accident.

If a person drives in spite of the fact that they have seizures, not only
might their insurance be voided, they might be refused insurance in the
future.  If you accidently kill somebody while having a seizure you may be
charged with vehicular homocide.

Signature

Dave ©¿©
"Ego sum quis Ego sum quod ut est quicumque Ego sum"

http://www.howdydave.com

> After suffering a mild seizure, my wife's neurologist told her she
> wasn't to drive for six months.  He said he wasn't going to report her
[quoted text clipped - 36 lines]
> or renewal of a driver's license and subsequent operation of a motor
> vehicle by the licensee.
E.B. - 07 Nov 2005 19:22 GMT
It does vary state-to-state on what your doctor is required to do.  In
TN, as of the last time I experienced it, a doctor is not required to
report you to the DMV, and is not held liable.   However, they do warn
you not to drive.  On the other hand, you are held liable according to
the six month rule as previously stated.  Vehicular
homicide/manslaughter charges can apply.  I lost my license for 2
months until a doctor wrote a letter to DMV stating that I was in no
more danger of having a seizure behind the wheel at the time.
Nocturnal seizures was considered an exception at the time, as they
were triggered by sleep apnea.

E.B.
Malcolm - 07 Nov 2005 20:27 GMT
>It does vary state-to-state on what your doctor is required to do.  In
>TN, as of the last time I experienced it, a doctor is not required to
[quoted text clipped - 6 lines]
>Nocturnal seizures was considered an exception at the time, as they
>were triggered by sleep apnea.

Why is it six months in the States and a year in the UK? Are American
medications stronger than ours? Or better?

Signature

Malcolm      

G.Ross - 07 Nov 2005 22:50 GMT
>>It does vary state-to-state on what your doctor is required to do.  In
>>TN, as of the last time I experienced it, a doctor is not required to
[quoted text clipped - 9 lines]
> Why is it six months in the States and a year in the UK? Are American
> medications stronger than ours? Or better?

It must be the water, it's 12 months in Canada too.  G./
Epilepsy Nf & Lab - 09 Nov 2005 13:39 GMT
> It must be the water, it's 12 months in Canada too.  G./

Actually in most provinces right now it has changed to a max of 6
months.  The regulations changed a little over a year ago.  Here in
Newfoundland, when 6 months hits of being seizure free, it's just a
matter of reapplying for a licence reinstatement.

Pam
Epilepsy Newfoundland and Labrador
epilepsy@nf.aibn.com
(709) 722-0502 or 1-866-EPILEPSY

Visit our website at http://www.nfld.net/epilepsy/
skeptic - 13 Nov 2005 00:45 GMT
I am the original poster.  Thanks to all who responded.  I'm grateful
for of all your points of view.

My wife and I both understand the importance of not driving when there
is a possibility of having a seizure.  I sympathize with those of you
who have to remain seizure free for 1 or 2 years before being able to
drive.  In two previous states where we lived the time period was only
3 months.  We thought our current state was tough with a six month
limit.

My question was about whether, after suffering a minor seizure in a
long time, if you voluntarily stop driving for the required period.  I
also mentioned that having looked up the law in our state, it doesn't
appear that it even requires one to stop driving after a seizure, only
to be seizure free for 6 months prior to applying for, or renewing a
drivers license.

An anecdote:
My wife is from Mexico.  Once while in Mexico she decided to get a
Mexican driver's license in addition to her U.S. one.  After filling
out the forms and passing the test, the examiner was ready to give her
license when my wife said, "Oh by the way, I have epilepsy."

"Then you're ineligible." He responded.

She asked, "How many accidents and how many fatalities do you have a
year from drunk driving?"

"Lots"

"And how many accidents do you have a year from epileptics?" she
asked.

"None", he answered.

"So how can you justify denying licenses to epileptics when drunk
drivers are so much more dangerous?"

"I can't" he said. "Of course I don't drink because I have
diabetes." he went on.

"Aha", she said, "At least I can tell when I'm about to have a
seizure but diabetics just black out without any warning.  You're
more dangerous than I am."

She got her license.

> > It must be the water, it's 12 months in Canada too.  G./
>
[quoted text clipped - 9 lines]
>
> Visit our website at http://www.nfld.net/epilepsy/
E.B. - 13 Nov 2005 05:33 GMT
Cool, I love that one, Skeptic

E.B.
Dave ©¿©¬ - 13 Nov 2005 05:33 GMT
> I am the original poster.  Thanks to all who responded.  I'm grateful
> for of all your points of view.
[quoted text clipped - 42 lines]
>
> She got her license.

Howdy!

Debating the issue with the clerk who issues the license is not going to
change your liability under the law.

The law may be unfair, the law may be unreasonable and the law may be
incorrect.

Still... if it's on the books and you've broken it you are, by definition, a
criminal.

If you don't like the law:
WORK TO CHANGE IT
or
MOVE SOMEPLACE ELSE.

Signature

Dave ©¿©
"Ego sum quis Ego sum quod ut est quicumque Ego sum"

http://www.howdydave.com

> > > It must be the water, it's 12 months in Canada too.  G./
> >
[quoted text clipped - 9 lines]
> >
> > Visit our website at http://www.nfld.net/epilepsy/
E.B. - 13 Nov 2005 16:40 GMT
Dave,

Brilliant!!!
bugs@bugs.com - 14 Nov 2005 01:06 GMT
> Howdy!
>
[quoted text clipped - 12 lines]
> or
> MOVE SOMEPLACE ELSE.

Dave I used to agree that the laws were unfair and absolutely unreasonable
but no more will I say that. I have argued the same exact argument about
drunk drivers and people with diabeties, heart conditions, high blood
pressure or even drug addicts. I have argued them all but not anymore will I
argue them I will support them. The laws are there to protect us that have
seizures as well as those that don't have them. When you are driving along
as normal as could ever be thought possible and without warning you wake up
stopped dead in your tracks against the guard rail bleeding from who knows
where a person would not want to drive anymore. That is what happened to me
and I promise you it isn't any fun. I have totaled three vehicles in as many
years. One was not from a seizure but it was still a totaled vehicle. You
can imagine what my insurance is like and it is all because of the epilepsy.
I have given up my right to drive, I did it of my own free will.

The original poster is questioning if his wife should stop driving because
of what the doctor says. I say to him he should encourage her to not drive
because if she does it could very well cost her her life. I have been
extremely lucky and I am not going to press my luck any further.

Simply said seizures of any kind and driving DO NOT MIX.......

Signature

I wish you all the best
Tim Wise

www.onepest.com
www.askourpros.com

Dave ©¿©¬ - 14 Nov 2005 03:33 GMT
> > Howdy!
> >
[quoted text clipped - 33 lines]
>
> Simply said seizures of any kind and driving DO NOT MIX.......

Howdy Tim!

Couldn't have said it better!

Signature

Dave ©¿©
"Ego sum quis Ego sum quod ut est quicumque Ego sum"

http://www.howdydave.com

Patsy and Darryl - 15 Nov 2005 23:06 GMT
>> Howdy!
>>
[quoted text clipped - 51 lines]
>
> Simply said seizures of any kind and driving DO NOT MIX.......

I agree totally Tim. I drove for 35 years or so, incident free,
confident that I always got a warning before a seizure and an accident
couldn't happen to me, but I was wrong. A seizure struck with no
warning and I left the road and hit a pedestrian who is now dead
because of my selfishness.
Ok, it's inconvenient, to say the least, not having a license -
especially as I live way out in the country - but at least now I'm not
risking anyone else's life or my own any more.
The problem with epilepsy is that it has a mind of its own. It changes
as and when it feels like it and doesn't give you any notice that it's
going to.
Darryl.
gomper - 16 Nov 2005 16:56 GMT
> I agree totally Tim. I drove for 35 years or so, incident free,
> confident that I always got a warning before a seizure and an accident
> couldn't happen to me, but I was wrong.

Apart from being used to getting warnings, did you consider your
seizures controlled at that time?

/\,
ole k

Signature

If a problem can't be solved, then what is the use of worrying?
If a problem can be solved, then what is the need of worrying?

(Shantideva)

bugs@bugs.com - 17 Nov 2005 00:53 GMT
> Apart from being used to getting warnings, did you consider your
> seizures controlled at that time?

Yes I was under control for quite sometime and with no warning they went out
of control and no meds have been able to get them back under control.

Signature

I wish you all the best
Tim Wise

www.onepest.com
www.askourpros.com

Paul F - 16 Nov 2005 19:46 GMT
>Simply said seizures of any kind and driving DO NOT MIX.......

That's a bit of a generalisation!!! Seizures *only* while asleep are
considered fine in the UK and you can continue to drive.
G.Ross - 16 Nov 2005 20:40 GMT
>>Simply said seizures of any kind and driving DO NOT MIX.......
>
> That's a bit of a generalisation!!! Seizures *only* while asleep are
> considered fine in the UK and you can continue to drive.

But that wasn't what Tim (bugs) said (asleep part above). He was talking
about regular szrs. during the day. (I know he said 'of any kind', but if a
szr. is Nocturnal *only, that doesn't apply to most drivers unless they had
absences too.)
 Many North America jurisdictions, once a Dr. identifies you as not
controlled, liability insurance may be void if you continue to drive, until
a Dr. releases that risk being present (during the day).
The original poster (Tim)  said on that thread.  -->

Dave I used to agree that the laws were unfair and absolutely unreasonable
but no more will I say that.
<then he gave example of how he had totalled [destroyed] 3 cars here- plus>
You
can imagine what my insurance is like and it is all because of the epilepsy.
I have given up my right to drive, I did it of my own free will.

Tim then added -> The original poster is questioning if his wife should stop
driving because
********************************************************
of what the doctor says. I say to him he should encourage her to not drive
******************
because if she does it could very well cost her her life. I have been
extremely lucky and I am not going to press my luck any further.
                             *********************************

[*Then he said -->  ]
Simply said seizures of any kind and driving DO NOT MIX.......
Signature

I wish you all the best
Tim Wise

bugs@bugs.com - 17 Nov 2005 01:05 GMT
Thanks gaross for taking my back on this one. You got what I was saying
perfectly.

I guess I should apologize about the "bugs" name. I use it because I don't
want to use my real email address due to loads of spam. I did that at one
point and didn't like what I got so I came up with the bugs@bugs.com. It is
bogus and it actually fits because I own a Pest Control Company. Bugs are my
business.

Signature

I wish you all the best
Tim Wise

www.onepest.com
www.askourpros.com

bugs@bugs.com - 17 Nov 2005 00:59 GMT
> That's a bit of a generalisation!!! Seizures *only* while asleep are
> considered fine in the UK and you can continue to drive.

I was considered under control and was only having nocturnal seizures when
they went out of control, so if you are having nocturnal seizures they could
very well be a sign of things to come. I hope they stay nocturnal and never
rear their ugly head during the day and especially while a person is
driving. If they do it can and usually does get ugly.

Maybe I did generalise a little but I am only speaking from personal
experience not from something I have read or from hear say. It has happened
to me. What I say I have lived and I am trying to keep someone else from
doing the same. If it upsets someone please forgive me but it has not been
fun for me or for my family.

Signature

I wish you all the best
Tim Wise

www.onepest.com
www.askourpros.com

Piper - 17 Nov 2005 05:03 GMT
I thought I asked this earlier but I didnt see any response ,whether that
was do to my failure or the isp.I was wondering how someone knows if they
are having night time seizures?

Piper
carl - 17 Nov 2005 07:45 GMT
>I thought I asked this earlier but I didnt see any response ,whether that
> was do to my failure or the isp.I was wondering how someone knows if they
> are having night time seizures?
>
> Piper

No Sun in the Sky or any place to be seen.

Carl
Patsy and Darryl - 17 Nov 2005 10:58 GMT
>>I thought I asked this earlier but I didnt see any response ,whether
>>that
[quoted text clipped - 7 lines]
>
> Carl

Smart arse  :-)
G.Ross - 17 Nov 2005 16:11 GMT
>I thought I asked this earlier but I didnt see any response ,whether that
> was do to my failure or the isp.I was wondering how someone knows if they
> are having night time seizures?
> Piper

You might wake up with a headache or pain in mouth (from grinding your teeth
during a szr.).
  Incontinence or blankets etc. thrown off (from signs of thrashing during
a szr.) can also be signs the medication is wearing off during the night, or
you're having nocturnal seizures- the first more than the second.
  I used to also have some sleepless nights where I'd barely get to sleep
then awake and have to get up or read for a period to try get asleep again,
then that might repeat several times during the night. Someone without
seizures might just put that up to a bad night, but usually mine would
repeat 3 or 4x a night.  (I had that about 3 nights ago, although I didn't
have any auras or other symptoms that would indicate any risk of a seizure.
*Some of my auras used to be triggered by drop in Air Pressure as a storm
front moved in.  I don't get Headaches like I used to then, but still have
periods of restlessness from the Drop in air pressure.   After the weather
stabilizes (I adjust to the change that affects blood vessel expansion, and
likely blood pressure), I can then usually sleep.
   If you don't have any of above types of symptoms, you may not be having
nocturnal seizures.  (Our guards tend to be lower as we sleep, so if there
is a chance of a szr. starting, it might happen then, even if we had few
auras or real seizures while we're awake.  )    G./
bugs@bugs.com - 17 Nov 2005 21:44 GMT
> I was wondering how someone knows if they
> are having night time seizures?

Mine will usually wake me up, that is how I know. Also I find myself in the
floor from mine, or I should say I used to until I started piling pillows up
so that I was not able to fall out of the bed during a szr. Now I have not
fallen in the floor since doing that.

Signature

I wish you all the best
Tim Wise

www.onepest.com
www.askourpros.com

Malcolm - 14 Nov 2005 17:54 GMT
>Still... if it's on the books and you've broken it you are, by definition, a
>criminal.
>
>If you don't like the law:
>WORK TO CHANGE IT

Dave,

Remember, I worked to change it.

I stood up in court and argued my case with the magistrate whilst my
lawyer tugged at my jacket-tail trying to get me to sit down.

1) I argued that as my seizures were triggered by marathon running, the
impossibility of running a marathon whilst riding a motorbike negated
any risk.

2) As medication meant I did not drink alcohol, I was therefore safer
than the vast majority of drivers on the road.

3) And whilst drink drivers were punished by losing their licence for a
year for accidents they have caused, I was having my licence taken away
for three years for an accident I had not even had.

Despite her sexy black stockings with seams up the back, she threw the
book at me, with every possible application of the UK laws which she
could think of. It cost me a lot of money (I cannot remember how much,
but I do recall being shocked at the time). But I would do it again
tomorrow.

(PS. Every cloud has a silver lining - within six days of being charged
I was in hospital courtesy of a lorry driver ramming my pedal bike from
behind. My new-found legal confidence enabled me to take him to court
and he made a large out-of-court settlement to preserve his HGV licence
:)

Signature

Malcolm      

Dave ©¿©¬ - 08 Nov 2005 02:31 GMT
> >It does vary state-to-state on what your doctor is required to do.  In
> >TN, as of the last time I experienced it, a doctor is not required to
[quoted text clipped - 9 lines]
> Why is it six months in the States and a year in the UK? Are American
> medications stronger than ours? Or better?

Howdy Malcom!

It's 2 YEARS in some states!

Signature

Dave ©¿©
"Ego sum quis Ego sum quod ut est quicumque Ego sum"

http://www.howdydave.com

Malcolm - 08 Nov 2005 07:05 GMT
>Howdy Malcom!
>
>It's 2 YEARS in some states!

Luxury. It were three years when I started and we had to live in a brown
paper bag in t'road.
Signature

Malcolm      

gomper - 08 Nov 2005 18:51 GMT
>>Howdy Malcom!
>>
>>It's 2 YEARS in some states!
>
> Luxury. It were three years when I started and we had to live in a brown
> paper bag in t'road.

But you try and tell the young people today that... and they won't
believe ya'.

ole k

Signature

If a problem can't be solved, then what is the use of worrying?
If a problem can be solved, then what is the need of worrying?

(Shantideva)

mccallkevin@bellsouth.net - 08 Nov 2005 05:02 GMT
E.B. I have a question.
How do you know if your having nocturnal seizures? I have apnea too.
p
> It does vary state-to-state on what your doctor is required to do.  In
> TN, as of the last time I experienced it, a doctor is not required to
[quoted text clipped - 8 lines]
>
> E.B.
bugs@bugs.com - 08 Nov 2005 18:45 GMT
To the original poster and all that replied, my question is simply this if
she is having seizures if even just one why take the risk? I did just
yesterday and ended up in a traffic accident, but it doesn't end there, this
wasn't my first. No this was my third accident. I have thought I could tell
when the seizures were coming on and I have been wrong three times.
Yesterday I did something that nobody expected, I surrendered my driving
privilege. It was not taken from me I ask for it to be taken. The policeman
even questioned me about being serious about it and I ask him to please take
them from me. I have a business and really need to drive, this is going to
be a hardship like I don't want to face but I am going to do it no matter
what. I don't care if I am seizure free for 6 months, 1 year, 2 years, I
will always remember waking up after normal driving with blood everywhere
and wondering what the hell has happened to me. I am extremely lucky that
each of my accidents I was the only vehicle involved. Never was anyone else
involved. I have been cut up pretty bad but never had to be hospitalized but
if I were to continue driving next time I may hit another car and kill an
entire family and the worst thing would be I would probably survive. I will
not put YOU in jeopardy of my seizures by driving any longer.

So I ask the original poster if you love your wife as I expect you do, do
her a great favor and don't allow her to drive, she may not get three
chances as I did.

Signature

I wish you all the best
Tim Wise

www.onepest.com
www.askourpros.com

Mike T. - 09 Nov 2005 11:16 GMT
> To the original poster and all that replied, my question is simply this if
> she is having seizures if even just one why take the risk? I did just
[quoted text clipped - 25 lines]
> her a great favor and don't allow her to drive, she may not get three
> chances as I did.

Sir,

   You have my thanks and respect.

mike

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