Anyone understand or believe the status situation? Anyone?

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kirsten

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Under my old neurologist, who was an epilepsy specialist, (in my old town) when I had tonic clonic seizures, I had to go into his office and he'd hook me up to an EEG. If there was still epileptic activity, he'd stick me in hospital on a drip and tell me I was in status, even though I was conscious. I'd feel bad enough to begin with, but in most cases, after a day or so, I'd be walking around the hospital with my drip writing the features I had due that week. Even so, my neuro wouldn't let me go home. He'd have a go at me for not taking the situation seriously enough.

I remember one day having a simple partial that lasted hours. I called the neuro (as I was trained to in the early days) and he sent me to hospital to have an exam by the attending neuro. Can't remember if he did an EEG; only that he made me do the drunk walk in a straight line test and because I didn't pass it, he stuck me in hospital on a drip.

The literature I've read tells me, more or less, that if your TC lasts longer than five minutes, it's status and you need an ER. If you have a partial that lasts longer than 20-40 minutes, it's status and you need an ER.

I was talking to my doc this last week and telling her of a day when I was completely out of it. Can't remember the symptoms but she told me it was a simple partial. I told her it could not have been a seizure because it lasted the entire day. If it had been a seizure, surely I would be brain dead, or just dead. She insisted that it was a seizure and said nothing more about it.

Yesterday I had a really bad day--I walked down to my DVD store and I couldn't walk in a straight line. I was weaving all over the road, falling all over the place, and when I was at home, I was a complete wreck. I barely remember any of it. I struggled to keep my eyes open the whole day, and I did sleep for much of it. Yesterday I thought that the situation was just the result of my new medication dosage having gone up recently but today there are no such problems.

It has me thinking about what we're told about status, how our neuros react to what is supposed to be status, and how we (as I read over and over in these forums) under-react to protracted seizures. If I knew for a fact that I was having a simple partial and it lasted the entire day, I would not go to the doctor or the ER, contradicting everything I'm told. Basically, I just don't believe what I've been told about simple partial status. I am one to believe what doctors tell me, but then again, I also have to believe my own experience, and the fact of the matter is I have never gone into a coma or died (clearly) as the result of supposed status, and I have to take that into account as well. I'm also very much aware that there are things I choose not to believe even when I know that's irrational, purely because I have to live in a way that isn't swallowed by fear--things like I will never fall down the stairs during a seizure, I will never burn myself in the shower, I will never go into status while alone at home, and there is no such thing as status in simple partial seizures.

Do you believe the timing we're fed about simple partial/complex partial status?
Have you ever been hospitalised for being in status during a partial seizure?
Have you ever been diagnosed as being in status and been surprised at how well you felt in comparison to the purported seriousness of the diagnosis?
Do you care if a seizure turns into status and kills you, or have you, as a coping mechanism, had to stop caring so that you can live your life to the full?
 
I've gone status several times. Mine started out as CP and have gone into a TC, so I was not conscious during the status seizure(s), so if one has CP that can go into TC seizures, then on can absolutely go into status in certain situations, especially if they have refractory E and hard to control E. I was kept for several days for observation and to get my medication stable.
I live alone and know very well that I could go status if I were to get sick or something. I also have been burned in the shower, due to a seizure, been in a car accident from a seizure, so no, I don't want to die from status. I've had several close calls already. I have met a several who've lost loved ones to status and it is a very sad story to hear.
 
I was diagnosed with partial seizure SE (or perhaps myoclonic SE wonders my current epileptologist) when my seizures first started. I had no clue even what was going on with me at that point, and certainly the word "epilepsy" or even "seizure" hadn't crossed my mind at this stage. I was admitted to the hospital, observed for a short time, then seen by a neurologist who started IV dilantin. I will NEVER allow IV dilantin again, unless absolutely necessary. It completely wiped out my memory for one of the two weeks I was in the hospital, I could barely sit up let alone stand or walk and therefore was confined to bed for the 4 days I was on the IV. It was determined I went "toxic" on the stuff.

Fast forward four years later to the present: I do believe partial/myoclonic SE does exist, but given what I experienced 4 years ago I would be extremely reluctant to have it treated as aggressively as it was then. I know they had to stop the seizures, but it is frightening what took place while I was being treated.
 
I have simple partials one after another for hours. My old neurologist never suggested I go to the ER--he told me to take a clonazepam to stop it and upped my meds every time. I had these three days in a row once and it took him two and a half days before he returned my call. Now, I know I had a pretty bad neuro, but I don't know if really reacting strongly to SP status is universal. If I should have gone to the ER then I should have gone many times--I have had these a lot and they are my main seizure type--I also know there are a couple of other people on this site who have the same thing as me, and they also just take a rescue med. I've often wondered if my neuro UNDER reacts to these.
 
Yes, that's the trouble, I suppose: we never quite know whether our doctors are over or under-reacting. Cint, I'll never forget your shower story. I think the main issue with this is that I can't live a life that is any more dominated my epilepsy than it is already. I make changes to my home and habits to prevent as many accidents as possible, and then let go. I have a good idea that if I ended up doing hospital stays for suspected SE on top of everything else, I'd end up an anxious, depressed, and obsessed person. Someone asked me if I was scared about living alone and having TC seizures so often, and I said no. I can't afford to be. Is it a rational danger? Sure. Is there anything I can do about that? No. Could all those potential accidents happen to my healthy neighbour? Absolutely. So I live as though there isn't any danger at all. It's not the safest way to exist but, for me, I think it's the happiest.
 
I have a good idea that if I ended up doing hospital stays for suspected SE on top of everything else, I'd end up an anxious, depressed, and obsessed person. Someone asked me if I was scared about living alone and having TC seizures so often, and I said no. I can't afford to be. Is it a rational danger? Sure. Is there anything I can do about that? No. Could all those potential accidents happen to my healthy neighbour? Absolutely. So I live as though there isn't any danger at all. It's not the safest way to exist but, for me, I think it's the happiest.

:agree: At one time when I was going thru my deep, dark depression, my therapist told me that that I was letting my epilepsy control me, which of course, wasn't really the case. There were other issues: trauma, meds, etc. But anyway, I still remember that comment and tell myself that I will not ever let this ugly illness control my life. Sure, accidents can and do happen in my life as do seizures. And like you say, it isn't the safest way to exist, but for me, too, it is the happiest.
 
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I have simple partials one after another for hours. My old neurologist never suggested I go to the ER--he told me to take a clonazepam to stop it and upped my meds every time. I had these three days in a row once and it took him two and a half days before he returned my call. Now, I know I had a pretty bad neuro, but I don't know if really reacting strongly to SP status is universal. If I should have gone to the ER then I should have gone many times--I have had these a lot and they are my main seizure type--I also know there are a couple of other people on this site who have the same thing as me, and they also just take a rescue med. I've often wondered if my neuro UNDER reacts to these.

I have had SP that would go on and on and on, sometimes for day, especially if I had been sick. Now that we know what is wrong and I am on Lamictial the PS are much briefer and not as frequent. I also made some life-style changes that might be helping a little.
 
I'm really glad my neuro wants to know about all my seizures, it doesn't matter how small they are.Like when his idiot partner increased my meds and I was having simple partials like crazy , I took myself off the med and my neuro said you know your body his partner who was filling in for him when he was out of town wouldn't listen to me when I said the meds where increasing my sz's.I was right.
 
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