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People with Lennox-Gastaut syndrome or other types of epilepsy with mixed seizures are most likely to have tonic seizures, but they can happen to anyone. Clonic seizures are characterized by repeated jerking movements of the arms and legs on one or both sides of the body, sometimes with numbness or tingling. If it is a focal (partial) seizure, the person may be aware of what’s happening. During a generalized seizure, the person may be unconscious. Clonic seizures can occur in people of all ages, including newborns and infants.

First aid for a person having a tonic or clonic seizure involves protecting the person from injury, such as moving furniture or other items out of the way. It is important not to attempt to restrain the person or put anything in their mouth — “swallowing the tongue” is impossible. Afterward, the person is likely to be tired, embarrassed or confused. First time seizures should be evaluated by a doctor. Diagnosis and Treatment of Tonic and Clonic Seizures. Creating a written report by describing the details of the seizure can be helpful for when the patient or parent sees the doctor. A video of the seizure taking place, if available, can help the doctor make a diagnosis.

To diagnose tonic and clonic seizures, the physician is likely to use imaging tests such as magnetic resonance imaging (MRI) to look for scarred areas in the brain, as well as electroencephalography (EEG) to help differentiate the seizures from other problems. Tonic and clonic seizures, like other seizures and seizure disorders, require an individualized approach. The doctor may recommend treatment with anti-seizure medication, nerve stimulation, dietary therapy or surgery. Shelly Hutchison has been a registered nurse since 1991, the first 17 years of which she spent in the neonatal intensive care unit. She then went on to prove herself to be an outstanding manager and marketer for a pediatric home care company. In this role she came to the realization of how medical marijuana was treating pediatric seizures and other chronic illnesses. With her own mom suffering from such severe chronic pain, she knew she had to be involved in this up and coming new generation of medicine. This is when she embarked on her own journey to educate herself on medical marijuana, the endocannabinoid system and the science behind this wonderful plant. After being a consultant to a few not-so-compassionate start-ups, she decided to start her own company, Medical Marijuana Specialists in 2018. She prides herself on taking the hands of the patients and navigating them through their entire journey! Shelly has a deep passion to educate the community and the healthcare industry on medical marijuana, the science and its amazing benefits. John Metcalf, Medical Director and Kayla Povazan, Patient Care Expert for all of their hard work and endless dedication! In her free time Shelly loves to travel and continue educating herself on medical marijuana. She is an active member of the American Cannabis Nurses Association. I moved to Bend, Oregon where I managed two different dispensaries called Oregon Euphorics and The Medication Station. Over a year ago, I moved to Pittsburgh (Millvale) in order to be closer to family members. Last spring, I worked as a manager to help open the Zelienople branch of Solevo Wellness. Right now I’m helping to brand a new CBD company near Pittsburgh called Sage Farmacy and working for Uphempo as a writer and contributor. Cannabis Advocate and Educator, Owner at Keystone Buds, LLC. Previously to the medical marijuana program in Pennsylvania, I was a casual consumer with little knowledge aside from the “smoke this and feel better” aspect of cannabis. As soon as our mmj program started and I was able to fully explore the different strains and their components, it became clear that my casual use was limiting all of the benefits the plant had to offer. After several months of experience and conversations with other patients, I wanted to create a place outside of the dispensaries for consumers to ask questions and communicate directly with industry professionals. In preparation, I spent a week in Colorado with local budtenders learning about growing, cultivating, and consuming properly before returning to Pennsylvania to start Keystone Buds, a Pittsburgh based education community.

I’m extremely excited to work with other industry professionals on educating the community and helping people with their cannabis journeys. I hold certifications in Cannabusiness, Marijuna 101, Cannabis History, and Budtender training.

Visit us at or @keystonebuds on Instagram. I worked as a PCC for the first dispensary in Pittsburgh, Solevo Wellness. There, I was able to experience the rewarding responsibility of guiding patients to a more holistic approach in healing. I’ve consumed cannabis for over ten years, so the opportunity to be involved in the industry is probably my most cherished circumstance currently. Many patients asked how to create their own medication via edibles.


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