Medical Forum / Diseases and Disorders / Epilepsy / June 2004
How is Darryl ("Daz_n_Pat")?
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David Ruether - 05 May 2004 01:05 GMT Hi--
How is Darryl ("Daz_n_Pat") doing? Have you sorted out the medications? Let us know, if you can. Thanks.
-- DR
Daz_n_Pat - 09 May 2004 16:28 GMT > Hi-- > [quoted text clipped - 5 lines] > -- > DR Hi David, Thanks for your concern :-) I'll get Patsy to give you an update a bit later as I can't remember what's happened from one day to the next. But basically, what we ended up doing was reducing my tegretol from 1600mg to 1200mg and reducing the neurontin from 1800mg to 1500mg. That seems to have reduced the bad side effects somewhat, and I think it's given me a chance to get used to the neurontin, as initially the dose was put up too fast. (Dum neuro). Seizure control seems a little better now than it was before going on the neurontin.....before I was having up to 15 CP's a day, but now only seem to be having 5 to 10 and a lot milder. They were more severe for a few days, but have calmed down now and are less severe than before I started on the neurontin. Still don't seem to think too clearly sometimes. Such as right now for example. I feel like a dunce trying to be a genius. Probably when Patsy posts here she will tell you it was all different from what I have said, but she has a memory...I don't. The memory thing is becoming a pain in the a.s. It's very hard on Patsy having to remember everything for both of us, and it causes arguments when sometimes she just doesn't believe that I can't remember something. It must be very hard on her and she handles things well. It's like she has a six foot three child to look after. I don't know what I'd do without her support.
Here's a strange thing. I found when taking the high doses of tegretol and neurontin that when I have a cigarette, that was when I would start to feel like the room was spinning and would get all unsteady - even to the point of falling down. I've been smoking for years, so it wasn't like I wasn't used to it or something. Anyone got a plausible explanation for why that would happen??
Oh, by the way - yesterday I only had one seizure and the day before I had none!! It was great since I spent most of yesterday in a seminar with a couple of hundred people.
Cheers. Darryl. --
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David Ruether - 09 May 2004 16:45 GMT > > How is Darryl ("Daz_n_Pat") doing? > > Have you sorted out the medications? > > Let us know, if you can. > > Thanks. > > -- > > DR
> Hi David, > Thanks for your concern :-) [quoted text clipped - 31 lines] > Cheers. > Darryl. Great to hear you are (at least somewhat...) better! Sorry, I don't have any info/advice to offer, except maybe the following: I never understand arguments between two people who have the same "aims" - heck, just compare notes, and see who is more likely right (who cares who "really" is "right"...?!;-). With this idea, my partner and I long ago stopped all arguing about things - and we haven't seriously argued in many years, but just lay out all the pros and cons for each point of view, with note of what parts are, or are not, particularly important to each, and come to a "balanced" conclusion (that I'm right...!;-). (Just joking on that last bit...;-) Thanks for responding! -- David Ruether rpn1@cornell.edu http://www.ferrario.com/ruether
Daz_n_Pat - 09 May 2004 16:59 GMT > > > How is Darryl ("Daz_n_Pat") doing? > > > Have you sorted out the medications? [quoted text clipped - 59 lines] > rpn1@cornell.edu > http://www.ferrario.com/ruether That's good advice. How do you find your partner handles your epilepsy? Do you find him helpful and supportive, taking care of you when you have a seizure? How do your family cope with it? Hope these aren't too personal, just curious to know how others with epilepsy cope. Darryl.
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David Ruether - 09 May 2004 20:51 GMT [...]
> > Great to hear you are (at least somewhat...) better! > > Sorry, I don't have any info/advice to offer, except maybe the [quoted text clipped - 10 lines] > > -- > > David Ruether
> That's good advice. > How do you find your partner handles your epilepsy? [quoted text clipped - 4 lines] > epilepsy cope. > Darryl. My partner has been an "angel", putting up with a lot! I do not believe at this point that epilepsy covers most of the daily multiple episodes I experience (though "simple partial" may cover one of the many types...), but the effects can be similar, and my partner has provided the needed support. I have little other family, but some are OK (mostly...;-) with what is going on (more than I am...! ;-). It looks like you have a "gem" of a partner, too. We are lucky... As for what is going on with me, it is still a mystery. Best ideas so far: brain structural problems probably resulting from prenatal insults left me susceptible to stresses of many types which can easily tilt me "over the edge"; or, untreated obstructive sleep apnea and resultant repeated and extended oxygen-starvation has caused brain damage that can account for the various things I experience. I found a good recent research article on this latter idea, and I'm trying to get a good reading of my MRIs that will either confirm or dismiss this possibility. I hope you do well! -- David Ruether
Daz_n_Pat - 02 Jun 2004 15:11 GMT > Hi-- > [quoted text clipped - 5 lines] > -- > DR 03 June 2004. 2:00AM Latest update:
Note: All alterations to medications mentioned in the following document have been with the cooperation of the neurologist, who, incidentally, doesn't know squat. "Do not try this at home, we are trained professionals".
Things have settled down quite nicely since reducing the Neurontin (Gabapentin) which the neuro in his infinite wisdom thought I should start on and increase at record speed up to 1800mg. (Within four weeks!) I reduced it down to 1500mg, then stayed at that for a few weeks before putting it back up to 1800mg, which I am currently on. I also reduced my Tegretol from 1600mg down to 1200mg. Also reduced Clobazam from 80mg to 60mg. Still on 2000mg Epilim.
Reducing the neurontin decreased the side effects I was having - dizziness, stumbling, collapsing, shaky hands, unsteady eyes, wobbly head, slurred speach, nausea, thick as a brick......couldn't think straight. Eventually they all went away and I was able to put the neurontin back up to 1800mg.
When I started I was having up to 15 complex partials every day, with the occasional cluster of up to 30 small ones within an hour.
********************************************* Now I have reached a stage where I am having 2 to 5 C.P's a day, with frequent days where I have none at all. (That in itself is SUCH a blessing after 30 years of knowing I'm going to have between 5 and 15 seizures every day). *********************************************
The severity of the seizures has also decreased, to the point where often people around me don't even notice I have had a seizure. (They mainly effect my eyes and a strange sensation similar to an adrenalin rush, but previously also involved screaming and hysterical laughter and shaking and spinning in circles).
I think now I just need to stick with this for a few months and see where it goes. If necessary, after that we can do some fine tuning of the meds to try to get even better control.
It's strange, but after having seizures every single day for most of my life, you'd think that on the days I have none it would be quite noticable. But I get to the end of the day and Patsy asks me how many seizures I've had and I realise that I've had none. Didn't even miss them.
Happiness is a seizure free day.
Darryl.
David Ruether - 02 Jun 2004 23:59 GMT > > How is Darryl ("Daz_n_Pat") doing? > > Have you sorted out the medications? > > Let us know, if you can. > > Thanks. > > -- > > DR
> 03 June 2004. 2:00AM > Latest update: [quoted text clipped - 45 lines] > > Darryl. Glad to see you have been "back", and that you are doing much better. Your "significant other" kindly posted here about you a ways back, but it scared some of us...;-) --DR
Daz_n_Pat - 04 Jun 2004 13:44 GMT > > > How is Darryl ("Daz_n_Pat") doing? > > > Have you sorted out the medications? [quoted text clipped - 18 lines] > > Tegretol from 1600mg down to 1200mg. Also reduced Clobazam from 80mg to > > 60mg. Still on 2000mg Epilim. Oops, I mean reduced clobazam from *40mg* to *30mg* Darryl.
> > Reducing the neurontin decreased the side effects I was having - dizziness, > > stumbling, collapsing, shaky hands, unsteady eyes, wobbly head, slurred [quoted text clipped - 35 lines] > some of us...;-) > --DR
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