Dear Mr. Gharavi

Salam

I apologize for the delay in response, as I told we had

 some difficulty 

with

our remote system. I agree with Dr. Najaran's plan.

As yet I have not recieved any answer from Prof.

Kleiheus, and I will try to send him another

email and a carbon copy to you.

Sincerely,

S.M.Ghodsi

----- Original Message -----

From: Behzad Gharavi <bgharavi@yahoo.com>

To: <ghodsism@sina.tums.ac.ir>

Sent: Wednesday, January 24, 2001 3:55 PM

Subject: Dr. Najaran intructions for Parham

Dear Dr. Ghodsi

Salam

I thank you in forward for your time which you

endow me and respond all my detail questions . As you

wrote , I went and see Dr. Najaran . The outcome of

this meeting could be summarized as follow :

1)Lamicatal doze should be reduced by 50 ml/day to

100 ml/day for ten days ; and afterward it should be

reduced each ten days by 25 ml/day .

2)After ending the Lamictal doze (about 50 days

later) an EEG would be of benefit . The doctor

believes that taking an EEG now (about 5 weeks after

surgery) is too early .

3)A blood test could be done (maybe later  after

we ended Lamictal , because Parham is now very

frightened from any injection ) so as to measure

Phenytoin level , and if necessary , define an up to

date maintenance doze for it .

So far Parham hasn't  shown any evidence of

seizure(either in the form of absence or any other

forms)and I would highly appreciate if I could have

any comment from you ( specially your confirmation

about the instructed procedure for reducing Lamictal).

I wish you and your family health and success .

Sincerely Yours

Behzad Gharavi

Parham Memorial

The Children's Hospital Medical Center

Mofid Kids Hospital

Behgar Tavan

Surgery Centre

Tel/Fax: +98 21 2900679    +98 21 2227207

E-Mail: Info@ParhamMedical.org