Abstract
Introduction I like to tell my residents and fellows that one of the benefits of working in the field of epilepsy is that you’re rarely ever wrong: ask four different attending physicians the same question and you’re likely to get four different answers; so whatever you propose to do for a patient, there’s probably someone who will back you up. I could scarcely come up with a better illustration of my aphorism than the results of a recent Quantitative Practical Use-Driven Learning Survey in epilepsy (Q-PULSE) regarding driving. We asked respondents their practice vis-a-vis driving in four different situations: 1) a patient on a monotherapy regimen who is tapering off the sole antiepileptic drug (AED), 2) a patient on a polytherapy regimen who is tapering off one of two AEDs, 3) a patient who is switching from one monotherapy AED to another. and 4) a patient who has psychogenic seizures. Driven to Tears: Epilepsy Specialists and the Automobile
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