I admitted a 60-day-old baby for a seizure.

This baby had had seizures from about the time they were born, but nobody knows why. All the scans and tests so far had been inconclusive. Baby was put on anti-seizure medication and been seizure-free for a month at that point.

Baby started seizing again on the day of admission and had had two by the time I admitted them. Two hours later, Baby had had two back-to-back seizures. When the resident saw Baby, Baby seized again. Total seizures in 24 hours that day: 7. There was a worry Baby could develop status epilepticus (a serious, life-threatening seizure complication where you have a prolonged seizure or back-to-back seizures without fully recovering in-between) -- and there was a chance Baby was already in status, because it was hard to see if Baby was fully awake between seizures as they were so young.

We gave extra anti-seizure medication on top of what Baby had, put a nasogastric tube up Baby's nose in case we needed to feed them, and transferred Baby to NICU.

A week later, Baby is transferred back. We still don't know why Baby had these seizures -- there are still some tests including genetic screening outstanding, but Baby didn't have any more seizures after NICU adjusted the meds.