Illinois state criteria for driving with seizure:

1. Individual with epilepsy will be granted a driver license if he or she submits a doctor's statement certifying that the individual can safely operate an automobile. There is no specific seizure-free period. 2. Individual applying for a driver's license are required to answer a series of questions regarding medical conditions. If the applicant answers yes to any of these questions than a medical report completed by their physician is required. 3. Individuals must sign a medical agreement each time they submit a medical report, which states that they agree to remain under the care of their physician and adhere to treatment. The agreement also authorizes their physician to report any change in their condition that would impair their ability to safely operate a motor vehicle. 4. In order to retain a driver's license, individual with epilepsy is required to authorize his/her physician to report any changes in his or her condition which would impair the ability to safely operate a motor vehicle. 5. Individuals are required to notify the Secretary of State of any medical condition which is likely to cause loss of consciousness or loss of ability to safely operate a motor vehicle 6. An individual's license may be canceled if the Department receives an unfavorable medical report indicating inability to safely operate a motor vehicle, or the applicant fails to submit a current medical report requested by the Department, or the Medical Advisory Board denies driving privileges. A person whose license has been denied or canceled for medical reasons may request a hearing within 30 days. 7. Individuals with epilepsy are ineligible to obtain a waiver or a license to drive vehicles or buses carrying 16 or more people, nor be licensed to drive school buses. 8. Law enforcement is required to report to the Secretary of State all accidents or incidents which were caused by a loss of consciousness, seizure, or blackout.

Indication for Esophagogastroduodenoscopy (EGD):

1. Diagnostic: a. Unexplained anemia, gastrointestinal bleeding (hematemesis or melena). b. Unexplained weight loss or atypical chest pain. c. Painful or difficulty swallowing or persistent vomiting. d. Individual with chronic acid reflux or heart burn to rule out Barretts esophagus. e. Persistent upset stomach or indigestion in patients over the age of 45 years. 2. Surveillance: a. Patients at high risk of GI cancer. i. Barretts Esophagus. ii. Gastric or duodenal ulcer. b. Occasionally after gastric surgery. 3. Conformation or Therapeutic: a. After abnormal barium swallow.

b. c. d. e.

Confirmation of celiac disease Treatment of esophageal varices or control of hemorrhage Removal of foreign body or polyps Dilating or stenting of stenosis or achalasia

Indication for Colonoscopy:

1. Diagnostic: a. Colorectal cancer screening at age 50. b. Family history of colon cancer. c. Unexplained anemia or hematochezia. d. Positive FOBT e. Unexplained weight loss 2. Surveillance or Therapeutic a. Evaluation and removal or polyps. b. After bowel resection for colon cancer. c. Management of ulcerative colitis or Crohn disease. d. Decompression of colon.

Treatment for Helicobacter Pylori:

1. Triple Therapy: Amoxicillin, Clarithromycin, and Proton Pump Inhibitor (omeprazole or lansoprazole). 2. Quadruple Therapy: Metronidazole, Clarithomycin, Amoxicillin or Omeprazole.