When I call or email, I get called back within the hour - we've had a lot of good docs thru the years, but these guys re the cream of the crop. Jon's first appointment with the neuro team was 3 hours!! They went through EVERYTHING with a fine-tooth comb, and the neurologist emails us frequently to check up on Jon or recommend changes. And they listen, and are compassionate!! And they give plenty of time to appointments. It's a relatively small hospital, but absolutely top-notch docs - they REALLY know their stuff. We've had an incredibly wonderful experience with Strong Hospital/U of Rochester in New York - a level 4 epilepsy center. Fourth-level centers also offer a complete evaluation for epilepsy, surgery, including intracranial electrodes, and provide a broad range of surgical procedures for epilepsy. A fourth level center should provide the more complex forms of intensive neurodiagnostics monitoring, as well as more extensive medical, neuropsychological, and psychosocial treatment. These centers do not perform intracranial evaluations or other more complex resective epilepsy surgery. In addition, these centers offer noninvasive evaluation for epilepsy surgery, straight-forward resective epilepsy surgery, and implantation of the vagus nerve stimulator. Third level medical-surgical centers provide basic diagnostic and treatment services. These centers do not perform resective epilepsy surgery, although some may implant vagus nerve stimulators. Third-level medical centers provide basic neurodiagnostic evaluation, as well as basic medical, neuropsychological, and psychosocial services. A third-level center should provide the basic range of medical, neuropsychological, and psychosocial services needed to treat patients with refractory epilepsy.
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