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Living and Thriving With Epilepsy

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With expert epilepsy care and a trusted partnership, Julie has successfully managed her condition through pregnancy, motherhood, and beyond.

Life is good for Julie M., a computed tomography (CT) technologist. She and her husband recently celebrated their 10th wedding anniversary. They have two healthy daughters ages 9 and 6.

But above all, Julie is in good health. She was diagnosed with epilepsy, a seizure disorder, at age 12. Her mother has epilepsy, which meant Julie was at higher risk for developing the condition. 

There’s no cure for epilepsy, but treatments can help prevent seizures. In Julie’s teen years, managing her condition with medications proved challenging. And when she was 16, her doctors told her she was not a good candidate for surgery to reduce or prevent seizures.

“It was trial and error with different drugs to see what worked,” Julie says. 

Until her doctor found the right combination of medications, Julie lived with the looming threat of seizures — a frightening event for everyone involved.

Finding expert care at Temple Health

Julie came to the Temple Epilepsy Program in 2007, after her previous doctor retired. She began receiving care from Mercedes P. Jacobson, MD, a neurologist and epilepsy specialist at Temple. 

“Dr. Jacobson was highly recommended,” Julie recalls. 

Julie also likes the familiarity and comfort of talking with another woman about her health concerns. Having been told hormone changes played a role in triggering her epilepsy as an adolescent, she’s grateful to have a doctor she’s comfortable talking to about how menopause may affect her in future. 

When Julie first came to Temple, she had a pressing priority: managing her condition while pregnant. 

Seizures during pregnancy raise the risk of complications. But some epilepsy medications can also come with risks for a developing baby. And, as the body changes during pregnancy, people with epilepsy often need adjustments to their medication dosages. 

Julie was able to trust that Dr. Jacobson would take excellent care of her.

“Dr. Jacobson got me through two pregnancies. She knew the safest drugs for me to be on while pregnant and the pros and cons of each one.”

Julie M.

Controlling her seizure triggers

Still, Julie had two seizures during her first pregnancy. The first one happened after a missed dose of her medication.
“I woke up with blood on my face and a chipped tooth,” she says. “I didn’t know what had happened.”
The second seizure happened when Julie was sick. 
“I’d had a stomach bug, and my medication had left my system too quickly,” Julie explains. “My husband hadn’t heard anything from me, so he came home. He found me on the floor. I woke up in the hospital. Apparently, I’d had three seizures in a row that day.”

Another seizure trigger for Julie is not getting enough sleep. As a mother of two who works 12-hour shifts, that could be a challenge. But Dr. Jacobson and Julie’s family help her prioritize self-care. 

And, fortunately, sleep usually isn’t an issue for her.

“I probably could sleep 12 hours straight,” Julie says with a laugh. “My husband and girls know not to wake me in the morning.”

Julie says she has developed better eating habits, too, which helps her energy levels.

A long-term partnership

Julie has not had a seizure for two years — a great milestone. These days, she sees Dr. Jacobson every six to 12 months. 

“I go in and have lab work done,” she says. “And Dr. Jacobson makes sure nothing else is going on with my health.”

“She goes over everything to make sure you understand,” Julie continues. “She’s easy to reach out to when you have questions. And she gives you all the resources you need. She’s absolutely great.” 

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