Great job, Barbara and Gaston.

I have an N of 1, but I have one patient with medically refractory multifocal epilepsy and PNES (diagnosed after a 10 day EMU officially after years of only 1-2 days studies). She also has refractory depression. I decided on VNS implant last year as indicated for refractory epilepsy (she is multifocal so not candidate for surgery) and refractory depression.

During the seizures, are the symptoms very similar to typical epileptic seizures, i.e., possible airway compromise?

In my experience (belief) there are two principal reasons clinicians want to distance themselves from these patients. (All FNDs, really). First, I don’t like feeling powerless. Second, I don’t LIKE this patient, and even though I try to be understanding and helpful, deep down I think this patient is using me. The practical treatment (for the doctor) is to find a way to LIKE the patient. This is a separate and worthy topic in itself.

Sorry - I intended to be readable to Dr. Wilson - You don't even have to *start* by LIKING the patient ... To steal from Martin Luther King, one needs to start from 'understanding, creative, redemptive goodwill' towards patients one doesn't like -- and the LIKING comes as satisfying, collaborative treatment is established :-)

Thanks to the organizers!

Thank you very much

Thank you for a fabulous webinar!

Thank you everyone. most helpful.

Thank you very much

Many thanks all! A great resource!

Thank you

thanks very much! great talk!