Aswad
Posts: 9374
Joined: 4/4/2007
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First off, the good advice is "talk to the neurologist or primary care physician about it."
Failing that...
I would second the "no electric play" part. Avoid any rythmic stimuli altogether, including touch. Limit the contrast in the room, and don't have any moving or dangling decoration around. None of these things are very likely to be triggers in and of themselves, but in the context of a scene, the neurochemistry can be radically different, so you want to avoid anything that might conceivably affect the seizure threshold. Yes, a bit excessive for someone with well managed epilepsy, but the condition merits taking extra care if you haven't asked the doc yet, particularly when you lack experience with his particular seizure disorder and haven't had to manage one of his seizures under more conventional circumstances.
Educate yourself on his condition, his medication, his triggers, his warning signs, and so forth.
Get to know his doctor and history. Figure out who can answer your questions. Memorize the numbers to call if there is a problem. Have any relevant medical equipment available. Keep safety scissors around and don't leave him alone when he is helpless or might be at additional risk if he has a seizure. Make a note of any abnormal events (e.g. sudden mood shifts or personality changes, movements he's unaware of, muscle twitches, etc.), and keep a record of the food and drink he's getting while he's there, along with the activities you've done. Look for patterns or let the doc do so. If you have some form of exercise pulse meter, use it. (Incidentally, some forms of epilepsy (unilateral temporal lobe seizures) will tend to cause a sudden 30% rise in beats per minute slightly ahead of the main seizure. Not all doctors are aware of this.)
In short, learn and prepare.
You can choose the level of effort vs level of risk to a large extent. Some of what I've suggested is overboard for most of us. Some of it is essential for anyone dealing with epileptics. And all of it will be better if seasoned with common sense as far as play is concerned. Just don't make the mistake of thinking common sense generalizes to the medical aspects of it (a lot of medical details are counterintuitive). Listen to him and his doc about the medical side, tell them both about what you have planned for the play side, and pad out with some common sense.
Docs are used to hearing about BDSM, and are not allowed to pass it on; just make sure they know you're trying to be responsible and would like their help in that regard. Most doctors will be very happy that you are being responsible with their patient. Hell, some will be relieved to know they won't have to dig a broken bottle out of his ass at 4am while pulling a double shift in the ER. As I said, they're used to us, you're just giving them a glimpse of how it's supposed to work. If the doctor is not all that helpful, consult the Kink Aware Professionals list, or ask here if someone knows a neurologist that would be willing to offer kink-friendly advice based on a journal printout (ask the neurologist which extra forms s/he'll need copies of).
Health,
al-Aswad.
_____________________________
"If God saw what any of us did that night, he didn't seem to mind.
From then on I knew: God doesn't make the world this way.
We do." -- Rorschack, Watchmen.
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