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Other Another convulsive Episode while grocery shopping

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I recall while I was sorting out this PNES stuff for myself years ago. For me, it was overwhelming and confusing. And this whole process of getting medical care for it was impossible here in Canada.

@shimmerz I am essentially scrutinizing what I have been told by the neurologist (a Neurology/Psychiatry Clinic) who now refuses to see me because I stopped therapy with them because I was on two different anticonvulsants which stopped working or was causing break through seizures and I was concerned the increase in medications or that I could easily become a med lab rat which is what I obviously did not want to be!
 
Given my last seizure which I now know is epilepsy and NOT a PNES given one of the tells I have been able to uncover which is why I am now digging into both Epileptic AND still unraveling the PNES, even though my Eyes say Epilepsy which is observable outside the person experiencing the seizure, is because Unlike PNES I have been intractable on certain medications which is another indicator from what I am understanding.
 
The waiting game begins! I have a feeling that anywhere from a month or two, meaning possibly February and into March (my birth month) or longer or shorter I will have an Approval OR Denial from Social Security. Considering all the legwork I have done and the urgency that I gave that task, I was given 2 weeks to get documentation to SSA, and from the email I just received I now believe I did that in a week which I will need to verify as I have one more week (until 24th of Jan) to submit any additional helpful documentation.

Getting back on the topic of my seizure while shopping...
 
If this is your first seizure in a year - after previously having more frequent seizures, then I would suggest the therapy is being very effective. I understand that you have NON-epileptic seizures, but even those with Epileptic seizures and on the strongest medications can still have breakthrough seizures. It makes perfect sense to me that there will be occasional NON-epileptic seizures too, until or unless you are cured of the ultimate cause - your PTSD!

As for the tachycardia - we all have an increased heart rate in times of stress, so that is to be expected. Not sure why you would have been dehydrated though - were you aware of drinking less or not needing the toilet? I would think that knowing this was the store where you have had seizures before would be a significant anxiety trigger, and I am not surprised it happened again.

It does NOT mean that you are not getting better.

Lucy- The prevention for diagnosed seizures in epileptics according to my epileptologist and my experience is take seizure meds regularly ( or use medical marijuana if prescribed) , get recuperative sleep7-8 hrs, reduce technology use at night 2 hrs before bedtime, take no daily naps, eat 3 meals a day- keep sugar levels up and regular, and minimize stress ( reduce stress with exercise, mindfulness, music, art, fun things, etc) Mental health issues are statistically more prevalent in those of us who have epilepticform seizures. It is also possible to be diagnosed with epileptic and nonepileptic seizures in a lifetime. I’ve had both plus CPTSD. Most people I know, who are not epileptics, while having a stressful time may skip meals, go off sleep schedules, not do self care as well and are less likely to have health reprocussions. Those with seizures-when under lots of stress often follow the same pattern- not taking care of self, and if stress is bad enough I will forget to eat, not recall taking meds, and shut down and stop exercising. In highly stressful times, i have had a breakthrough seizure. It is rare-and the seizure immediately reduces stress for a couple of weeks. But the flip side- the event- the seizure created internal issues about driving and independence for me, increasing stress and anxiety in a different way. Now, I’m much more judicious about seizure prevention and it is my number 1 priority.
 
Wilbur are you saying that really you are like everyone else in that when you become too stressed you stop various aspects of self-care and suffer the consequences which in your particular case are seizures?

I think a strict regime of self-care is so hard to maintain even when you know there may be diabolical consequences in other areas of health. I certainly struggle and I have massive guilt trips when I fail to do my routine of self-care each day. When I suffer my particular consequences I turn the blame inwards and belt myself up even more. ugh...

But isn't this the human life?
 
Wilbur are you saying that really you are like everyone else in that when you become too stressed you stop various aspects of self-care and suffer the consequences which in your particular case are seizures?

Of course I am....I'm no different than anyone else .....

In the moment, a full blown grand mal seizure is biologically stress relieving....and that reduction in stress lasts up to two weeks, anybody will get what they want because my answers are typically, "Sure, go ahead" and it takes about two weeks to be fully in the present, and be totally grounded. I'm conscious and aware, but just super pliable. The stress I previously was under.....is much reduced and "Everything is okee dokee in my immediate post-seizure world." Then after a couple of weeks, I start assessing the damage I've created after a seizure occurs and get very depressed...beat myself up....cry and then I'm miserable...because they rarely happen.....only when I falter cause I get caught up in emotions. Then I go into post seizure mode, becoming super careful about meds, safety....mine and others....and I curtail driving,stop taking baths, no swimming or being out on my dock fishing or walking around, etc. until I'm sure the seizure was caused by my lapse of care.....and not by medication not working or other issue (I am also TBI and hypoglycemic).

In my case, issues with safety/ loss/ fear can send me to a dissociative state more frequently and is the driving component which sets me up for a seizure.... a...nasty divorce (loss/a huge security change/fear and hurt) =seizure....incidents involving terrible loss =seizure, and a fear for my life, or fear created from harrassment and bullying at work (terrifying fear -job threat= seizure). PTSD and dissociation don't help with recall of taking meds and this sets me up not to think too hard about it cause my focus is on fear....being safe (didn't consider at the time being conscious was a factor in staying safe). A seizure is a nasty wake up call for me....and while initially, an opportunity to emotionally escape (an emotional break)....when I come to....nothing has changed...not really, the problem is still there....and now I've compounded it and substantially reduced independence.

With that said, the "consequence" of a seizure lands me added emergency/hospital bills, humiliation/awkwardness in front of others (some with emotional disorders or autism) and the resulting reactions from others at my job or wherever, as to whether I'm capable to work independently, unsupervised (gotta be conscious to do that, right?), or seen as reliable (added humiliation), combined with the loss of independence while abstaining from driving....are now huge reinforcers to take better care of myself.....maybe a hard lesson that no matter what is happening....priority #1 eat, take meds on time, and if I must....take meds for sleeping every day until stress subsides. Staying vertical and conscious has become a daily goal, and I can't help the rest of me if I'm not awake and independent. I have a very thin support structure....and no family to count on...just me.

Not sleeping for more than 4 hrs a night is a surefire way, over time, to further screw up life because eventually my brain will shut down-at the most inconvenient time..publically...and create that dramatic moment...I'm trying to avoid. I didn't used to view seizures as a huge punishment, but I do now.. it was after I got a new chair. at work...they took my old one at work...that I had a seizure in..at at the time, I had no understanding why they took my chair...Proudly at work, a couple weeks later I was presented with a new one. Don't you like your new chair? says the custodian, a day later, "Enjoying your new chair," says my boss (like I earned it for doing something fabulous), and the following year, "How's that new chair working for you?"-frankly, I came to hate that chair just a bit after I realized why I had lost my old chair and gained a cheaper and less comfy new one. At the time, I couldn't figure out why I needed a new chair.....that also took two weeks to conclude the answer-OSHA Regulations required the removal of the chair....when contiminated with bodily fluids. I cried when I figured it out....hadn't a clue "that happened!"

Seizures do come with negative emotional, physical, and social price. I have had seizures that put me in respiratory arrest only to wake up to "You were in respiratory arrest," and with a history of previous status seizures when I was younger (which are now always a possibility under the right circumstances) and not a good idea- l live alone.... Having them in public or at work lets everyone get involved in my business (that alone is a huge issue)....then life/people become a constant reminder...."How are you feeling, today?" for a month after being carted out of work in an ambulance. Concern from people who never spoke in the morning to overly concerned (I'm thinking...just leave me alone-in those instances) and having a seizure around already traumatized children who don't know what to say, and are in freeze mode.....just sit there diss, shut down and dissociate because they can't move to go get help....makes me feel bad for them....then this requires great care in conversation alone to smooth out their personal feelings about a seizure of mine. Never a pleasant moment...but it usually helps significantly.

I have had seizures most of my life, they have always been my problem and I believe are within my power to control, (and I believe this way as long as I stay grounded) and the solution is self care...with PTSD-a must,. my new NOW reality being a single person without a support system...self-care is my #1 priority. So I have alarms on my phone asking if I took my meds in am and pm, and on my computer too both am and pm, and meds are on table, I have back up meds in car, my purse, and I did at work too,meds in desk, and on my key chain...always by my bedside in a see through container with a bottle of water right there. If the day is bad, and I'm needing to make a daily list to better function, I write take meds as a standard part of my list making. Reminders are helpful....now I have lots of reminders in case that day I'm more of a PTSD space cadet ...but hell yeah, I'm super human...and it took a long time for me to put meds, sleep, eating, stress reduction as # 1 as that has not always been the case. I am doing so much better now than a couple of years ago. In the last year....things so far are tons better with my safety and health and no seizures! When I lost access to the one I love the most, my grandson, because I can't be trusted due to having 2 seizures in a year... and his mom can't feel he is safe left in my care-my priorities about me changed, because seizures do impact others and their perception of my competence and even who I am as a person. I haven't seen him in over a year..part of this due to the divorce.....the other..a concern for his safety..seizures can have a huge long-term consequence.....and can create personal loss. So that's why I'm all about self care as #1.
 
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5/3/2019 Update: I know it's been a time since I have been active here. As I write this, I have had my hearing and a couple of weeks ago I received an unfavorable decision by the ALJ who presided over the hearing. The judge denied my claim on several points, the key point I knew would be an issue. the Key here was in 2011 through 2016 I had significant Wages which in the eyes of Social Security meant that I was OVER SGA, even though I had limitations not enough to not function at all, enough though that I was Substantial enough to hold down employment. Because the employment was labor union contract work, the wages were significant especially as I progressed in my work experience even though I was limited in some of the tasks that I was expected to do.

Because I had applied for both SSDI and SSI, the SSDI decision was unfavorable because the SGA issue and the other factor was the seizure not being severe due to their occurrance among a few other points. During the employment I was taking medication that were not working 100% and I felt as though I was having absent seizures as I would frequently catch myself mentally spacing out and quickly returning as I was in the middle of doing a task.
 
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