Hi Michelle,
If your father is forgetting where he lives and ending up places where he does not how or why he has gone there, he may be having complex partial seizures in addition to simple partial seizures, I have both with my Temporal Lobe Epilepsy.
Complex partial seizures involve a loss of awareness and or altered consciousness, not unconscious, but not fully aware and in full control of thoughts and faculties.
I was also a commercial truck driver before my seizures got bad. I drove tractor trailers and straight trucks, dump body's, roll offs, tow trucks, etc.
1. Is there a medication that he could take that is safe to drive while using? As of now he can't drive any vehicle. He's on Keppra.
In the US, as far as driving a car goes, it is not so much the medication you take as much as how effectively that medication controls your seizures and how bad the side effects interfere with your ability to drive.
As far as commercial driving goes, in the US I believe you have to go 10years, medication free and without a seizure to get your CDL (commercial drivers license), I cannot meet this requirement and am unable to return to commercial driving, and for good reason.
2. What is the long term for him? Will it get worse even with meds?
I do not think anyone can really give you a direct answer. There are so many variables to an individuals journey with epilepsy.
If the seizures are controlled with medication the long term should look very good. There are quite a few medications to try and it can take some time to find a good med or combination of meds that works well.
3. Based on what I've told you, could you recommend a better medication?
Again it's an individual journey, each person reacts differently to each medication, Keppra can be a wonderful medication for many people. If it turns out that Keppra does not work there are many more meds to try.
4. Is his partial simple seizures hereditary? I couldn't find a straight answer.
Their are hereditary form of epilepsy but without knowing what caused your fathers epilepsy it would be impossible to say if he has one of those types of epilepsy. There are many other reasons to develop epilepsy, Head injuries, viruses, displasia, etc.
My epilepsy is from a head injury when I was 13.
An MRI can help to determine a cause.
5. Do you have any tips or advice for him?
Be honest about the seizures with the doctors, they can only help if they know everything that is happening.
Do not give up on a medication too quickly unless the side effects are very bad, it can take a while for the body to adjust to a medication or an increase in a medication.
Avoid alcohol, watch the caffeine, eat well, get lots of sleep, exercise, stay at a healthy weight, avoid unnecessary stress, take your medications on time, every time, listen to the doctors but also listen to your body, and most of all KEEP FIGHTING!