How can I cooperate with my doctor to make a correct diagnosis?

  First, the child’s mother’s pregnancy, birth, past medical history and family history are all important for the diagnosis and should be told truthfully to the doctor at the time of the visit. The specific behavior of the child during the seizure is important for the diagnosis. Parents are often eyewitnesses to the seizures, and an accurate description of the seizure is relevant to the doctor’s diagnosis. It is important to remind parents not to exaggerate or minimize the seizure at will.  Some parents make their child’s seizure sound very serious in order to get the doctor’s attention. If the duration of the seizure was originally 2 minutes, say it was 30 minutes. No seizure can last that long except for status epilepticus, and some non-epileptic conditions such as hysterical seizures can last longer. This affects the accuracy of the doctor’s diagnosis. And some parents are reluctant to admit the fact that their child has epilepsy and always conceal some actual conditions. This is all undesirable. Nowadays, many parents have video cameras to record the patient’s seizures and show them to the doctor during the visit.  When a child has a seizure, parents often feel fearful, overwhelmed and frazzled, and neglect to observe the seizure. The following points should be noted during a child’s seizure: (1) Remain calm and watch the entire seizure, paying particular attention to the expressions of the eyes and face, the posture of the upper and lower extremities, and the convulsions.  (2) Move the child away from the danger zone and loosen the collar.  (3) Protect the child by placing a loose pillow, clothing, etc. under the head so that the head does not hit the ground strongly and repeatedly during a convulsion.  (4) Do not try to fight or apply strong pressure to the convulsing head or limb.  (5) Do not put anything in the child’s mouth.  (6) Do not massage the child or perform artificial respiration.