How do you approach questions regarding clearance for elective surgery in patients with epilepsy?

I write a letter that gives a sense of how well-controlled the epilepsy is, emphasizes that ASMs should be taken on the morning of surgery as usual, and if hospital admission is needed, that they should be given on schedule during the admission as well. I then give some general tips on seizure first...

Yes, I agree with Dr. @Dr. First Last. There is no such thing as "clearing" anyone for surgery anywhere. And, of course, what they mean is "general anesthesia," not surgery per se. Even cardiopulmonary evaluation is a "risk stratification." No one is cleared.

We have a very generic letter we send to...

Agree with @Dr. First Last. We never provide "clearance". The practitioner who does the procedure must be able to work with the patient to have them understand the risks and benefits of the procedure. We can help provide counseling to the patient from the neurologic standpoint about risks and benefi...