Hello, new... have some questions

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Hi there, I just joined and wanted to introduce myself.

I'll try to make this brief:

For the last 17 years I've had these strange episodes (began when I was 15, I'm now 32). For a very long time they were always the same: I'd suddenly be hit by an absolutely horrible sense of dread. I'd start "hearing" this sound... like a humming sound, and all background noise would become muffled, like I was hearing it from underwater. I'd lose the ability to move, and I'd lose the ability to speak. When I was a teenager, I never mentioned it to my parents for fear that they would just think I was crazy, or that I was just trying to get attention (like they did when I first started feeling depressed, but that's another story altogether). The somewhat embarrassing thing is, for awhile there I thought it was something supernatural and that my parents house was haunted. Until I moved out when I was 18, and it kept happening.

Over the past several months these have become more frequent... and they're changing. In addition to the above mentioned symptoms/sensations, prior to the humming sound, I'll hear a loud electrical arcing sound, and lights in the room appear to dim and brighten repeatedly until the episode is over. The other day my SO finally witnessed one of these episodes... I think I managed to give him a pretty good scare, I've told him about these before, but he'd never actually seen it happen. He told me afterward that he could tell I was trying really hard to speak, but all that came out was a whimper. He also said my arm started making that motion like when you're doing bicep curls, except I'd had my arm above me, forearm rested on the top of my head (if that makes sense? We'd been lying in bed talking, trying to decide what to do that day). I still felt like I couldn't move, I didn't notice the thing with my arm.

It used to be that I'd have these multiple times for a few weeks, then they'd stop for a few months; rinse repeat. Now they're happening pretty much every day (sometimes multiple times per day) for several weeks, stop for a week or two, then come back.

When I've described them to people, some have suggested they sound like seizures (including a couple people who do have epilepsy).

Thing is- since 2007 I've been on lamotrigine for bipolar disorder as a mood-stabilizer (now up to 400 mg per day)... I know that this medication was originally FDA approved for epilepsy, so if these are in fact seizures, why would I still be having them while on a epilepsy medication?

Another problem: I do not have health insurance, and really can't afford to see a doctor, let alone a specialist nor get any necessary tests that could be needed. Apparently I'm also not broke enough to be eligible for medicaid. I'm only fortunate enough that my state has a discounted prescription drug plan, so my lamotrigine is only a little less than $12/month. I have to pay out of pocket whenever I see my mental health nurse practitioner, and I'm fortunate enough that she works on a sliding-scale. Makes me really wish I'd seen someone about these a long time ago when I actually did have insurance, but since they weren't as frequent back then, I brushed them off.

I'm not really sure what to do in the mean-time. I've been trying to identify what may be triggering these episodes... ones I've noticed so far: fragmented sleep (so I've been avoiding naps), poor quality sleep, lack of sleep, BOREDOM (weird, right?). There are probably more, but I'm still trying to figure those out.

Has anyone been in this situation where you know something is wrong (whether this could be seizures or something else), but simply couldn't afford to see a doctor about it? It's a waiting game for me right now. I work as a temp and there's a chance I can get hired on- in a year. So... I may "only" have a year until I get health insurance through work. Until then... no idea what to do.

Guess that wasn't exactly brief. But... anyway. Hi.
 
Hi there welcome, i cant really answer your questions, except that on anti-seizure medication, its still possible too have seizures they do not "cure" them just reduce them, really, you should see if theres any other plans or anything you need too see a doctor
 
Hi DWP1980, and welcome to CWE!

Your symptoms do sound like simple and complex partial seizures, but as you say it would be great to have a neurologist confirm things and discuss your treatment options. There are several reasons why the seizures persist despite the lamotrigine you are taking. It could be that you've developed a tolerance to the lamotrigine, or that it is the wrong med -- many people go through several anti-seizure meds before finding the one that works for them. For some people, the medications actually make the seizures worse.

Until you have access to a neurologist, the next best thing is to keep a seizure/symptom diary to identify triggers. You've identified one -- fatigue -- which is the most common seizure trigger. But there can be a wide variety, and keeping a detailed diary can help. Triggers can be almost any kinds of physical, physiological, or environmental stressor: illness/infection, food sensitivities (dairy, gluten, MSG, aspartame, etc.), nutritional deficiencies, metabolic imbalances, dehydration, low blood sugar, hormonal fluctuations (thyroid, estrogen), flashing lights, etc. Triggers can be cumulative or work in combination, and don't necessarily occur immediately before the symptoms do.

Some people have found that a dietary approach helps reduce their seizures. You might consider trying the Modified Atkins or the Low-glycemic diet to see if they make a difference. Assuming there are no contraindications, you can try making dietary modifications on your own, though it's a plus if you can consult a nutritionist or dietician.

You don't say where you are located, but it's possible that you could see a neurologist at a free clinic. And your state should have a low-cost health insurance plan for low-income residents. If you're not sure how to apply, contact your local government services agency to get started.

Best,
Nakamova
 
Welcome. I like your handle. I've always been a pug lover! I just want to second what Nakamova said, and add that I have been on a couple of different epilepsy meds (Dilantin and lamictal, for about 15 years each) and have never gotten 100% seizure control. I have the partial seizures, and it seemed that there was a pattern of sorts to them. Lots for a week or two at a time, then a week or two or three with few or none, then they would start again. I'm staying with a combination of lamictal and trileptal now, which has reduced the szs a little more and has very few side-effects.
Good luck with your journey!
 
Nakamova: I live in OR and I've applied for Oregon Health Plan in the past and don't qualify. As far as insurance, my best bet is group insurance through work if/when I get hired on. I'll look into free or low-cost clinics though... I doubt there's anything in my neck of the woods, but maybe in or at least closer to Portland. So, it sounds like it would be beneficial to write down stuff I eat/drink just in case there are food/ingredient triggers? The aspartame sounds kinda uh-oh-ish... I've been a life-long Diet Coke fiend. Plus keeping track of macro and micro-nutrients to see if there are any imbalances. And just keep track of my everyday stuff and see if I notice any other patterns. I really like that idea.

Arnie- I'm a proud pug mom :) lol.
 
yeah, if you're a big soda drinker, it's not only the aspartame (which is the same as aspartate acid, an excitatory neurotransmitter in the brain) that can be problematic, but the way the sodas can drain your system of magnesium (which is important for brain health). Plus there's the caffeine...
 
Ah... caffeine. I work graveyard shift, so I'm a big coffee drinker, but have done better about cutting myself off after lunchtime (around 11:30 PM), that way I have about 8 hours to "come down" lol. Is caffeine something I should avoid altogether, or just cut back on even more? I work a compressed work week... 12 hour shifts, 3-4 nights per week. My Diet Coke addiction should probably come to a halt for sure then. I knew it isn't good for you... I mean... it's chemicals. But yikes.
 
People have different sensitivities, so you may need to experiment. My seizures are controlled by meds, so I allow myself a cup of coffee in the a.m. and one diet soda (Tab!) in the midday. If I were off meds, I might skip one or the other or both.

Try cutting back slowly to see how you feel. Maybe half/caff for the coffee and one fewer soda at first... Caffeine withdrawal is no fun, so there's no need to do it cold turkey. :)
 
I have found that caffeine has no effect on my seizure frequency. Over the past 30 years, in fact, I haven't really found any predisposing factors. Now I just keep a record of the time of day I have szs, but for about 15 years I recorded the times, what I'd been eating or drinking (including caffeine and alcohol. I still drink coffee but sort of have lost the tast for wine, although I will have the occasional glass.), how much stress I had been under, etc. I never really found a correlation with anything. The szs seemed to be in a kind of cycle, but even that was not really regular. Maybe you will find some mors obvious triggers and can reduce or eliminate those.

Cheers!
 
Just bumping this to update:

I actually recently quit drinking/eating things containing aspartame in them (for unrelated reasons, really- mainly dietary), and I think Nakamova was right about that being a possible trigger. It's been a couple months since I've stopped using aspartame as an artificial sweetener (switched to stevia instead), and these have been profoundly reduced. I still get miniature versions of what I'd been having... they've been like a little shock wave through my head these days during the onset of sleep or just waking up, rather than the scary crap I was dealing with before lol. So, they haven't gone away completely, but they've stopped happening as often and are, I guess, less severe than before. So I'm guessing poor quality of sleep/not enough sleep/etc. are still factors in this, but I really do believe that aspartame was a big one. Another bonus is I've felt a whole hell of a lot better since quitting that crap in the first place!

Honestly, I was inspired to quit using aspartame after reading Skinny Bitch lol. I read it over again to inspire myself to become a strict vegetarian again, but the thing about aspartame was definitely an added bonus.

I just thought I'd throw that out there as an update. Haven't really had time to be online much these days, but I wanted to come back on and post this :)
 
Thank you for updating us with the good news DWP. Dietary changes can potentially play a big role in seizure control -- something that I wish more neurologists would consider and discuss with their patients.
 
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