EEGs [ElectroEncephaloGram] can be transmitted electronically now. Dr. Tracey Milligan, MD. So patients could have an EEG and monitoring done in one part of the world. Dr. Anton Titov, MD. But one or several epilepsy experts can assess the situation based on the results of the EEG in another part of the world. Absolutely, an EEG can be transmitted all over the world. EEG can be stored on digital media. It can be sent via the internet or through other means. There is the ability to take that information and to get an expert opinion about it. Dr. Tracey Milligan, MD. When patients after epileptic seizure see primary care physician. They will probably not see epileptologist. There should be a very high index of suspicion of epilepsy. A physician must ask the correct questions about what happened. Dr. Tracey Milligan, MD. Any physician should very easy refer a patient to the proper epilepsy experts. Dr. Anton Titov, MD. Only epilepsy expert can reliably diagnose and find the cause of what is going on with the patient. Correct choice of medication strictly depends on exact patient’s type of seizures. Dr. Anton Titov, MD. Correct choice of medications also depends on a clinical history and EEG information. Dr. Tracey Milligan, MD. Absolutely! Knowing the correct anti-epilepsy medication for a patient can also depend on the EEG interpretation. The EEG interpretation sometimes can be done easily by a non-expert. But there are some variations of EEG that really do require an expert eye. Dr. Anton Titov, MD. Only epilepsy expert can guarantee that EEG is interpreted correctly. Does epileptic seizure begin in one specific part of the brain? Dr. Anton Titov, MD. Or does it involve both sides of the brain at once? That leads us to other specific diagnostic tests and to the correct treatment. Dr. Tracey Milligan, MD. For example, there is a woman who made this box for me. She had been treated for a focal epilepsy her entire life. She actually had a generalized epilepsy. We could tell the difference on EEG. We then changed he treatment. For example, there is a woman who made this box for me. She had been treated for a focal epilepsy her entire life. Dr. Tracey Milligan, MD. She actually had a generalized epilepsy. We could tell the difference on EEG. We then changed he treatment. We used an epilepsy medication that works for generalized epilepsy. She became epileptic seizure-free. She never had an epileptic seizure in her life. EEG can be transmitted electronically now. Patients could have an EEG and monitoring completed in one part of the world. Dr. Tracey Milligan, MD. Then one or several epilepsy experts can review the situation in another part of the world. Dr. Anton Titov, MD. EEG and other diagnostic tests are sufficient to make the correct epilepsy diagnosis. Epileptic seizure disorders are very complex. Misdiagnosis of epilepsy is common. Up to 40% of patients diagnosed with “epilepsy” have another cause of their “epileptic seizures”. Psychogenic pseudo-seizures, heart arrhythmia, vasovagal syncope or cough syncope, etc. Expert second opinion can be obtained remotely. Medical second opinion in epilepsy can establish precise diagnosis and effective treatment.