Dr. Joseph A. Pfeffer is a pediatric neurologist and director of the Center for Epilepsy at Children’s Hospital Colorado.
He spoke with Dr. Stephanie S. Pflueger of Denver Public Media about how she treats her young patients with epilepsy and how she deals with the challenges that come with treating children with epilepsy.
Read morePfeffer: The treatment is really about learning how to live with this condition and understand how to use the medicine effectively.
There are a lot of things that you can do to try to manage this disorder and to get it under control.
So you need to understand what causes this disorder, what are the underlying mechanisms, and what are they that are causing this disorder?
It’s very important that you understand that these disorders are hereditary and it’s not necessarily that they’re caused by an infectious disease or that they are caused by the disease itself.
We have to understand that.
Pfeffer: My patients are very, very smart.
They’re very well educated.
They have a very good social life, and they know how to navigate and get around the neighborhood.
They’ve got a very, strong, intelligent mind.
They know the risks and they are aware of the risks.
They understand that if they have a seizure, there’s no way they’re going to be able to go to the doctor, they are going to have to take a medication.
It’s an important part of what we do.
They are very sensitive, and their parents are very understanding and understanding.
PFLueger: What you’re doing with your patients is really, really challenging because they have no medical training.
There’s no medical guidance.
There is no professional medical organization.
They can’t even figure out how to communicate with a physician.
The medical world is not well equipped to deal with epilepsy, and so they’re really trying to figure out what the right way is to do it.
PFEffer : You have to be very patient.
They need to be given some time to figure it out.
They will need to take some medication.
If they are on a medication, that is the treatment.
If you give them a cocktail of things, it’s a lot like the medication.
The cocktail of medications is really a very short course of treatment.
You don’t want to do too much.
You want to give them enough time to learn the drug and how to properly use it.
It will be like a cocktail.
They won’t be able really to understand the whole treatment at first, but they’ll understand that they need to use it in a certain way, and that’s a very difficult thing to do, to get them to understand it.
PFLueser: So you have to start slow and work up to a much larger dose of medication.
PFA: That’s right.
That’s what I would recommend, because I would advise, because you want to start slowly, and then gradually work up, and as time goes on, gradually decrease the dose.
If it’s something that’s very, relatively simple, you should be able just give them as little as possible, as much as you can.
PFFer: When your patients are getting treatment, you can take them out and have them sit with their parents for a few hours, or you can bring them to the hospital for treatment.
They may want to stay overnight, and you can work out a plan of how to do that.
PFB: You have a different kind of family here, you have a family that is supportive and supportive of your patient.
So they’ll want to be treated in the hospital.
They might have a pediatrician that’s not as interested in treating their child with epilepsy as you are.
That child may be having a seizure for a long time, and she’ll be really, very sensitive to what you do.
So that is something that you need not be overly sensitive to.
PFO: When it comes to treatment, I have to give you a caveat.
It can be a little bit challenging.
When I was doing this treatment, there were a lot more parents who were saying, “I’m not going to let my son have epilepsy treatment.
I’m going to keep him in the home,” and I had to give in to that.
That was a tough one.
But if we can’t be that supportive of each other, I’m not sure how we’re going, how we can continue to care for our child, and how we are going be able, as a parent, to care.