TTcpc
Guru
Hello, I wanted to get others opinions on whether you would consider the following as moderate or high under the number and complexity of problems addressed:
pediatric patient with pharmacoresistant epilepsy being seen by neurologist who also has autism spectrum disorder, intellectual disability, and hearing loss all stemming from IUGR secondary to maternal malarial infection during pregnancy. Patient has failed multiple seizure meds now meeting the intractable epilepsy criteria and still having breakthrough seizures despite multiple anti-epileptic meds and parents are not open to surgical intervention which would normally be the next recommendation.
I'm leaning towards high secondary to the patient now meeting the criteria of intractable epilepsy with increased frequency of seizures.
The MD did change seizure med dose as well as adding a different rescue med in addition to labs to monitor Depakote toxicity (being done every 3 months)
Thank you
pediatric patient with pharmacoresistant epilepsy being seen by neurologist who also has autism spectrum disorder, intellectual disability, and hearing loss all stemming from IUGR secondary to maternal malarial infection during pregnancy. Patient has failed multiple seizure meds now meeting the intractable epilepsy criteria and still having breakthrough seizures despite multiple anti-epileptic meds and parents are not open to surgical intervention which would normally be the next recommendation.
I'm leaning towards high secondary to the patient now meeting the criteria of intractable epilepsy with increased frequency of seizures.
The MD did change seizure med dose as well as adding a different rescue med in addition to labs to monitor Depakote toxicity (being done every 3 months)
Thank you