The patient’s visit to the doctor actually has some learning, and learning to interact with the doctor is important to improve the diagnosis and treatment. The following are some of the things to consider during the consultation and treatment of patients with epilepsy: 1. The video recording should be done with as much light as possible, and the lights should be turned on at night. Parents or family members should not block the child, and the video recording process should include clear images of the child’s whole body, face, and the main parts where the seizure occurs (such as the convulsing limb). When the patient has a seizure, the relative next to the patient must be calm and observe the seizure as much as possible, including whether the eyes are staring and in which direction, whether the head is twisted and in which direction, whether the face is blue or white, whether the mouth is purple, whether there is increased spitting or saliva, whether the limbs are stiff and twitching, whether they are symmetrical, and whether there is incontinence. Whether the patient is very tired and sleepy after the seizure, whether the limbs are weak (symmetrical or asymmetrical), whether there is vomiting, whether there is slurred speech just after the seizure, etc. If the patient is an adult or adolescent and does not lose consciousness completely during the seizure, record all the feelings or abnormal movements and behaviors at the beginning or about to start of the seizure as much as possible after the seizure. 2. Preparation of auxiliary examinations EEG: It is best to do it in a medical unit with an EEG technician and a physician specialized in epilepsy, because the ability and experience of the reader is important. The EEG room should also be asked to print as many original images as possible, especially backgrounds while awake, during seizures, and those that the local physician thinks are abnormal, so that other physicians can easily see the images themselves. The EEG should be a map that includes wakefulness as well as at least one full sleep cycle, and preferably non-drug induced natural sleep. Blood, urine, liver and kidney function, electrolytes, and fasting glucose tests are routinely required for general epilepsy patients, and out-of-town patients can have these tests done locally in advance. The overall principle is to make sure that the doctor fully understands all of your thoughts as much as possible, while listening to all of his or her medical advice. 1. How to say the condition The child’s seizure should be described as carefully as possible to the doctor, especially if the seizure is about to start or has just started, such as whether there are abnormal sensations, movements or behaviors, the body part where the seizure first started, etc. The description of the seizure can be attended to in the Observe Seizure section above. It is also important to reflect on epilepsy-related co-morbidities and life circumstances, such as whether there are other co-morbidities or what medications are being shared? What is the child patient’s school status and what is the adult patient’s work status? What is the developmental status of the child patient? Are there any other psychiatric behavioral abnormalities? Are there any sleep disorders? At the follow-up visit, you should also give a detailed description of the evolution of the patient’s seizures since the last visit and any other changes in the patient’s neuropsychiatric behavior, as well as possible adverse drug reactions. 2.Prepare materials for the visit Bring all the information from previous visits, including detailed EEG, cranial MRI or CT films, and all labs. It is best to arrange them in chronological order. This is true even for follow-up visits. It is a good idea to be able to organize your child’s seizures and medications in writing by time (you can store them in a uniform folder) so that you do not forget what you want to present and what questions to ask in the consultation room. Print out the questions to be asked, preferably leaving enough space under each question for notes. The patient must usually be seen in person at the initial consultation. At the follow-up visit, if the patient has no other discomfort or change in condition, the child patient can be consulted by his or her parents. During the consultation, you should listen to all the doctor’s instructions as clearly as possible, and ask questions if you do not understand anything, so that you do not think you can make mistakes. The general principle is to follow the doctor’s orders, keep records and follow up regularly. 1.Follow the doctor’s instructions The first thing to do after taking the medicine is to check whether the medicine and the dosage form are correct. Read the instructions carefully, and if you do not understand any important questions, you can return to the consultation room and ask the doctor. 2. Observe the efficacy and adverse reactions Make a good habit of keeping a log, mainly to record the patient’s seizures, adverse reactions to medications and other changes that occur, such as sleep, study, mental behavior, diet, weight, etc. According to the doctor’s prescription, regularly perform the necessary auxiliary tests, such as blood routine and liver function. 3. Regular follow-up examinations Generally, follow-up examinations can be performed according to the doctor’s requirements. If the epilepsy is well controlled and there are no seizures, you can have a follow-up examination once every six months or so. If you have just started or adjusted the dose and have not yet reached the target dose, if the seizures are not controlled but not aggravated, you should continue to increase the dose and observe according to the doctor’s prescription; if the seizures keep worsening, new seizures appear or adverse reactions (such as rash, liver function impairment, etc.) occur after treatment according to the doctor’s prescription, you should follow up earlier. In case of rapid progression or serious adverse reactions, especially drug allergy (rash, etc.) or serious liver function impairment, you should seek medical treatment as soon as possible because these adverse reactions can progress rapidly and in a few cases can even be life-threatening. Documents to be prepared for follow-up: Medical records: Bring all previous medical records, especially medical records and EEGs of previous visits. Ancillary tests: You can have your blood tests and liver function checked locally, and if necessary, your blood levels will be rechecked. EEG review: If you have been seizure-free for 2 consecutive years, be sure to review a long-range EEG (>4 hours, both awake and sleeping) before the follow-up. If there is a recent increase in seizures and no EEG has been done recently (within 3 months), it is best to review a long-range EEG (>4 hours, both waking and sleeping) before follow-up.