What are the qualifications for a seizure alert dog/vent (little)/update

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Buffheart

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Hi all! Today I had a meeting with a friend of mine whom I haven't seen in several months. This friend bugs me, but today she said something that made me a little angry.

Last August she had two grand mal seizures in less than 24 hours. For about a month before that she hadn't been taking her medications (for other issues) regularly, nor was she sleeping regularly, often times going 24+ hours with no sleep. She has no history of seizures, so before that August day she hadn't ever had any. Nor has she had any since. She had several EEG's and has regular apointments with her GP and neuro. She is also on Depakote daily. All the tests and doctors indicate that she does not have Epilepsy, nor any seizure disorder.

Today we were talking and she said that she wants to get a seizure alert dog, even though she does not have Epilepsy. I told her that in order to get a seizure alert dog she has to have some kind of seizure disorder, but she told me she might just get a doctors note telling her she should have one.

It made me so angry. I have been trying to convince my parents and doctors to believe that I need a service dog for an invisible disability (not Epilepsy), and it peeved me off that I can't get anybody to believe or help me, but she can get a doctors note for a disability that she DOESN'T EVEN HAVE!

So it made me wonder: what are the qualifications for getting a seizure alert dog? Can she simply qualify because she has a doctors note saying she had two seizures, even though they were her own fault?

Update on me: I finally got in to see a neuro this past Monday. Well, the guy was a loser. I explained that flashing lights used to make me feel dizzy/tired/confused/spacy, etc and now flourescent lights have been making me feel very tired, to the point of feeling like I might pass out. I told him that for the past few months I have been getting migraines behind my eyes, this last one accompined (sp?) by eyelid and finger twitching and insomnia for several days after. I told him how everyday at school for many years, I would start to feel like I was going to pass out, my body would sag, and my eyes would go blurry and crossed and my speech was slurred. I also told him how I twitch dozens of times a day. What he said was that the dizzines/spaciness/etc was some kind of migraine (despite two other doctors, and an Epileptic friend, telling me it sounds like seizures) and the jerking was no big deal because I wasn't falling to the ground convulsing. He told me not to come back because I didn't need to. What I am wondering now is, should I try to see another neuro, or should I follow his suggestion and do nothing?
 
he sounds like some of the docs they have in the er here where im from. i would follow his suggestion and not go back to him but i would definitely try to get a second opinion
 
If you think he's wrong definitely get a second opinion.

I don't know anything much about seizure alert dogs, but I would think you could only get one if you had a proven long-term history of uncontrolled seizures. So I don't think getting a doctors note will do her any good.

But, Definitely get a second opinion if you feel you need it :)
 
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Get a second opinion, definitely. The neurologist you saw doesn't sound like he specializes in epilepsy -- he doesn't seem to know that not all forms of epilepsy involve falling to the ground with convulsions.
 
he sounds like some of the docs they have in the er here where im from. i would follow his suggestion and not go back to him but i would definitely try to get a second opinion

Definitely get a 2nd opinion. You could be experiencing migraines or epilepsy or both. Have you had an EEG or an MRI for any diagnosis? Why did your friend's doctor's put her on Depakote if they say she doesn't have epilepsy and it didn't show up on the EEG? In order for her to get a seizure alert dog, she will need to be diagnosed with epilepsy first and be taking medication(s) faithfully for intractable (difficult to control) seizures.
 
I had an MRI but nothing showed up and I am trying to find a new neuro who will listen to me and order an EEG, not tell me to leave them alone.

I am not my friends doctor, so I can't say for sure, but I think they were scared she was going to have more seizures, but it has been 9 months and still nothing. Honestly I don't think she will ever have seizures again.

Can simple physical "tests" (for lack of better word) prove anything? The neuro had me do things like walk to the door on my tip toes, close my eyes and touch my finger to my nose, etc but I can't figure out how that is supposed to help figure out if my reactions are seizure related or not.
 
The tests he had you do are standard neurological ones -- they can't rule in out a seizure, but they could point to other neurological issues depending on how you responded.

If your friend is on Depakote, that may prevent any seizure evidence from showing up on an EEG. And not having a history of seizures doesn't prove anything one way or another -- none of us start out with a history of seizures. But if there really is a chance that your friend's seizure was a one-off, I would think that she and her doctors would discuss the timing for a potential taper off of her meds.
 
The tests that your neurologist had you do test the 12 cranial nerves that work with the brain in various locations anywhere larger portions the frontal and parietal lobe to the two small speech areas that are only one the left side of your brain. Like Nakamova said, they can lead the Dr in a certain direction based on your responses.
 
Buffheart,

Definitely get another opinion. The posts in here are packed with examples of people who have seen bad neurologists. Or to put it charitably, they saw neurologists that are not the most knowledgable about seizures. Ask your neurologist to refer you to an epi (seizure specialist) for a second opinion. If he refuses to refer you for a second opinion, well, that's a problem. I've never heard a doctor refuse to do that. At the very least, if you can't see an epi, go to a general neurologist at a major teaching hospital or other hospital that has a regional epilepsy center. The general neurologists there seem to be a bit better educated on seizures in general. HEre's a site with regional epilepsy centers:
http://www.naec-epilepsy.org/find.htm

As for your friend.... the doctor is the expert, and he is managing her case. Unless you are going to her appointments with her, you'll probably never know all the details about why things are the way they are. If she is on Dilantin, the doc must have a reason.

To get a seizure alert dog, no doctors note is needed to make it official, per the ADA (americans with disabilities act). http://www.ada.gov/

Since your friend is no longer having seizures it is impossible for a household pet to "train itself" to alert to her seizures. Your friend will have to go to a professional service-animal training group. Prices for a dog vary from free (for qulified individuals) to $2k-$15k+ depending on the type of assistance dog and the organization. For a free or discounted dog, a doctor's note may be needed along with other biographical documentation.

I still wonder how often a dog needs brush-up training if a person is no longer having seizures, and where a person would take their dog for that brush-up training. (A little impractical if the original training org is 3 states away) The training organization, if your friend chooses to go that way, should have the answer.

Even though my dog trained himself to alert to my seizures (it took awhile for me to catch on to what he was doing!), he still had professional training to learn to remind me of my medication, and for the advanced behaviors that are expected of him. He also gets me to pay better attention to my auras. He also woke me up once when my CPAP mask had fallen off, which I found interesting. I took that as a bonus alert. Yet, when I suspected I had a first-and-only-time convulsive seizure in my sleep, when I got un-confused the little dickens was sitting in the far corner of the king-sized bed, wide awake, trembling and staring at me. He seems to be warning me about 60-70% of my seizures, which I guess is pretty good considering.

Here's a website with minimal behavioral requirements for service animals:
http://www.deltasociety.org/page.aspx?pid=303#MinStds

They also have a list of some of the service animal training organizations:
http://www.deltasociety.org/Page.aspx?pid=452

Here's another list:
http://wolfpacks.com/products/servicedog/trainers.html

Good luck on finding a new neuro. Let us know how it goes, okay?
 
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