Hello Sheryl, My son went to the Bumrungard Hospital today and saw Dr. Sikawat Thanaviratananich. He looked at the MRI that my son had done at Pattaya Bangkok hospital, which didn't show anything special. He said that he could/should do a 'spinal tap' to further rule out things. He advised that he continue on the KEPPRA 500 mg, for at least 2 years and then decide whether or not to continue this medication. He also suggested that he start the 'Keto' diet next month . My son has felt fine for the past week, no further seizures. I am surprised and disappointed that he doesn't seem to want and take the wait-and-see approach. I do not like what I have read about this KEPPRA 500 mg side effects, considering that many people never get another seizure and are taking this medication for nothing. I am certainly in no position to question or challenge this doctors recommendations but from what little I have read I would think that a wait-and-see approach would be best. . I wasn't there with him during the doctors visit so I don't know exactly what was said. I definitely replayed your points about asking for a second opinion and Not wanting to start medication unless he thought it was absolutely necessary. Your thoughts please. Thank you very much.