While we wait to see how effective the VNS and new seizure med will be, the doctors have begun preparing us for the real possibility of a hemispherotomy - disconnecting the right hemisphere of Maggie's brain. We don't know if that will be weeks, months, or years away, but it is becoming more and more clear that this is likely where things will end up, as we have exhausted all other options known to us and Maggie's doctors. Much of this depends on how the new drug works, how helpful the VNS is, if we can keep Maggie out of the hospital, and if they can get more solid info from the inter ictal SPECT test for a possible resection. The doctors are not hopeful about a possible resection, though. There is a lot more risk of something going wrong during the resection, which would cause much more damage and no benefit, than a hemispherotomy would.