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Dissociative Seizures: Challenges and Practical Solutions - Shared screen with speaker view
W Curt LaFrance Jr
Great job, Barbara and Gaston.
Ima Ebong
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.
Thomas Cahill
During the seizures, are the symptoms very similar to typical epileptic seizures, i.e., possible airway compromise?
Frank Wilson
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.
Michael Moutoussis
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 :-)
Michael Moutoussis
Thanks to the organizers!
Mohamed Diyab
Thank you very much
Julie Read
Thank you for a fabulous webinar!
stephen Allan
Thank you everyone. most helpful.
maria Lopez
Thank you very much
Darshna Patel
Many thanks all! A great resource!
Ima Ebong
Thank you
Benjamin Tolchin
thanks very much! great talk!