F.P. is a 66-year-old man hospitalized for surgical management of an enlarged prostate. His chart indicates that he has had Parkinson disease for 5 years prior to admission, managed with a dopamine precursor (levodopa/carbidopa). He also has a seizure history, having experienced a seizure about 20 years ago as a complication of a motor vehicle accident. He took an antiseizure medication for many years but stopped taking it about 3 years ago because he was “tired of taking it and hadn’t had a seizure since the accident.”
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