VAGUS NERVE

STIMULATOR (VNS)

MONICA SACCO PCP MRS. RISTER A2 7/20/2013

Sunday, July 21, 13

MAY 2001

HERE’S A LITTLE STORY....

Sunday, July 21, 13

SOMEWHERE IN NYC, AN 18

YEAR OLD GIRL LIVED

WITH EPILEPSY....

STARTED OFF NORMALLY. BUT THAT CHANGED....

http://www.(lickr.com/photos/73014677@N05/6658825183/sizes/l/in/photostream/Sunday, July 21, 13

“THE SHOWER INCIDENT”...

Sunday, July 21, 13

SEIZURE IN THE

SHOWER

http://www.(lickr.com/photos/pocketpcian/388562958

Sunday, July 21, 13

2ND & 3RD DEGREE BURNS....

...SURGERYNEEDED...

...FEW WEEKS HOSPITAL RECOVERY

BECAUSE OF “SHOWER INCIDENT”

Sunday, July 21, 13

WHO’S THAT GIRL?

Sunday, July 21, 13

WHAT TO DO NOW?

Sunday, July 21, 13

TIME TO START VNS TREATMENT!!

AP Images: http://classic.apimages.com/fronts/Default.aspx?sh=14

Sunday, July 21, 13

WHAT IS VNS ANYWAYS?..

Sunday, July 21, 13

VNS

• VAGUS NERVE STIMULATOR

• TO HELP TREAT EPILEPSY

• DOES WORK TO CONTROL SEIZURES

AP Images: http://classic.apimages.com/fronts/Default.aspx?sh=14

Sunday, July 21, 13

NOT FULL CURE FOR EPILEPSY BUT IS OPTION TO

HELP TREAT IT....

...IT’S AN ADDED-ON TREATMENT TO GO ALONG WITH CURRENT MEDICATIONS

Sunday, July 21, 13

THE THING ABOUT

EPILEPSY IS...

Sunday, July 21, 13

EPILEPSY(CAN HAPPEN TO YOU!)

• 4TH MOST COMMON NEUROLOGICAL

DISORDER

• MIGRANES, STROKE, & ALZHEIMER'S’ DISEASE

• ALMOST 3 MILLION AMERICANS (2.5 MILLION) HAVE IT

 http://www.(lickr.com/photos/zmtomako/3866365905/sizes/l/in/photostream/

Sunday, July 21, 13

ANYONE CAN HAVE EPILEPSY...

Sunday, July 21, 13

• ANTREL ROLLE (FORMER NFL PLAYER)

...EVEN THE RICH AND FAMOUS....

• LIL’ WAYNE (RAPPER)

AP Images: http://classic.apimages.com/fronts/Default.aspx?sh=14

AP Images: http://classic.apimages.com/fronts/Default.aspx?sh=14

Sunday, July 21, 13

THE VNS WAY

Sunday, July 21, 13

VNS HELPS CONTROL SEIZURES

(FREQUENCY & SEVERITY)

Sunday, July 21, 13

• INITIALLY 4x/PER MONTH (average)

• IN SUBWAY, SUBWAY PLATFORMS, & BED MAINLY

• SINCE VNS: ABOUT 2X/PER MONTH (average) THEN EVEN MORE SPORADIC.

WHERE IT BEGAN...

http://www.flickr.com/photos/siwc/6260682715/sizes/z/in/photostream/

Sunday, July 21, 13

MARCH 2013

• 3 BIG SEIZURES IN 1 DAY

• 1 WEEK AFTER: SEIZURE IN KITCHEN

• DISCOVERY: VNS BATTERY DIED.

http://www.(lickr.com/photos/25638762@N00/5472293329/in/photolist-­‐9kyW9Z-­‐5y5WVW-­‐iWzfr-­‐etvkf-­‐6XE35o-­‐5foeoZ-­‐5foeqD-­‐6Cp1MP-­‐6Cp8He-­‐5foes2-­‐vH9LP-­‐oCXZX-­‐n5ToB-­‐6gZyQe-­‐2QKMGx-­‐5heXX7-­‐24sjNB-­‐87ZyF-­‐87ZyJ-­‐486hj1-­‐6ULmfq

Sunday, July 21, 13

• 1/3 OF PATIENTS WITH VNS HAD REDUCTION OF 50%

• ALSO REDUCTION IN SEVERITY OF SEIZURES

http://www.(lickr.com/photos/juhansonin/7699595932/

Sunday, July 21, 13

IS OUT-PATIENT SURGERY

*NOT MAJOR PROCEDURE*

Sunday, July 21, 13

IN- AND-OUT ON SAME DAY

• PROCEDURE ABOUT 1-2 HOURS

• WAS IN EARLY IN MORNING, & GOT HOME AROUND 5PM

• RECOVERY FOR TIMELY MATTER IN HOSPITAL NOT NEEDED SO NOT AS COSTLY

• JUST NEED FEW HOURS TO SLEEP & SOMEONE TO BRING YOU HOME.

Sunday, July 21, 13

WHAT ARE SOME EPILEPSY TREATMENTS

AVAILABLE?• MEDICATIONS

• BRAIN SURGERY

• VNS (VAGUS NERVE STIMULATOR)

http://www.(lickr.com/photos/30027503@N08/3754203686/in/photolist-­‐6HKgXL-­‐6Fusd7-­‐6jteeA-­‐6gxFmM-­‐61UFUj-­‐6CDTva-­‐6EGzeS-­‐8WGcDB-­‐9LKSPz

Sunday, July 21, 13

• MEDICATIONS: 1/3 GET POINT THEY DON’T WORK WELL OR SOMETIMES AT ALL

• BRAIN SURGERY: TO REMOVE SMALL PART OF BRAIN THAT STARTS THE SEIZURES.

• NOT ALL ARE ELIGIBLE FOR BRAIN SURGERY OPTION.

SOME ISSUES OF CONCERN...

Sunday, July 21, 13

VNS IS NOT AN EXTREMELY LARGE OR

INVASIVE DEVICE

Sunday, July 21, 13

• SIZE OF SILVER DOLLAR

• VNS COVERED BY MANY HEALTH INSURANCES

• WIRE GOES FROM DEVICE TO ELECTRODE ATTACHED ON VAGUS NERVE

• DEVICE ALWAYS PULSATES - TREATMENT BEING GIVEN CONSISTENTLY & DAILY

Sunday, July 21, 13

• PATIENT GETS MAGNET AFTER PROCEDURE.

• MAGNET PURPOSE: T0 HELP 3RD PARTY CONTROL/STOP SEIZURES.

• MAGNET SET UP LIKE WRISTBAND

http://www.(lickr.com/photos/65737797@N00/4847453271/in/photolist-­‐8omsYx

Sunday, July 21, 13

EFFECTS OF EPILEPSY

• 50 MILLION WORLDWIDE

• ALMOST 3 MILLION AMERICANS

• PORTION OF PEOPLE AREN’T GETTING ADEQUATE SEIZURE CONTROL

http://www.flickr.com/photos/44124401641@N01/833182621/in/photolist-2gChaB

Sunday, July 21, 13

GET OUT THERE & LEARN AS MUCH AS POSSIBLE....

ABOUT EPILEPSY, THE VNS.....

JUST SPREAD THE WORD!

Sunday, July 21, 13

REFERENCES

1.AP Photo/Dave Zalubowski. (2013). Ap images - epilepsy search results. FSO AP Images Collection (EBSCOHost). Retrieved from http://classic.apimages.com/fronts/Default.aspx?sh=14

2.AP Photo/Dave J. Philip. (2004). Ap images - epilepsy search results. FSO AP Images Collection (EBSCOHost). Retrieved from http://classic.apimages.com/fronts/Default.aspx?sh=14

3.AP Photo/Dave J. Philip. (2004). Ap images - epilepsy search results. FSO AP Images Collection (EBSCOHost). Retrieved from http://classic.apimages.com/fronts/Default.aspx?sh=14

4.AP Photo/Dave Martin. (2013). Ap images - lil wayne epilepsy search result . FSO AP Images Collection (EBSCOHost). Retrieved from http://classic.apimages.com/fronts/Default.aspx?sh=14

5.AP Photo/Dave Zalubowski. (2013). Ap images - epilepsy search results. FSO AP Images Collection (EBSCOHost). Retrieved from http://classic.apimages.com/fronts/Default.aspx?sh=14

6.istolethetv. (Photographer). (2007, July 15). flickr.com - bridal veil falls [Web Photo]. Retrieved from http://www.flickr.com/photos/44124401641@N01/833182621/in/photolist-2gChaB

Sunday, July 21, 13

REFERENCES (cont.)

7.J.G., N. (Photographer). (2010, July 29). flickr.com - VNS Wristband [Web Photo]. Retrieved from http://www.flickr.com/photos/65737797@N00/4847453271/in/photolist-8omsYx

8.Jess. (Photographer). (2011, February 23). flickr.com - Epileptic by David B. cover [Web Photo]. Retrieved from http://www.flickr.com/photos/25638762@N00/5472293329/in/photolist-9kyW9Z-5y5WVW-iWzfr-etvkf-6XE35o-5foeoZ-5foeqD-6Cp1MP-6Cp8He-5foes2-vH9LP-oCXZX-n5ToB-6gZyQe-2QKMGx-5heXX7-24sjNB-87ZyF-87ZyJ-486hj1-6ULmfq

9.Sonin, J. (Photographer). (2012, August 2). flickr.com - Doctor & patient drawing [Web Photo]. Retrieved from http://www.flickr.com/photos/juhansonin/7699595932/

10.Nodalo, K. (Photographer). (2009, July 25). flickr.com - Just like a pill.. [Web Photo]. Retrieved from http://www.flickr.com/photos/30027503@N08/3754203686/in/photolist-6HKgXL-6Fusd7-6jteeA-6gxFmM-61UFUj-6CDTva-6EGzeS-8WGcDB-9LKSPz

Sunday, July 21, 13