When my mother's behavioral changes turned out to be silent seizures.
My mother's sudden behavioral changes — confusion, unresponsiveness, episodes that came and went without explanation — were documented as symptoms of her dementia. They weren't escalated. They weren't evaluated neurologically. They were written into her chart in the language aging care uses for things it doesn't fully understand: agitation, sundowning, behavioral episodes.
When those episodes turned out to be silent seizures, I understood that this was not a failure specific to her facility or her care team. It was a structural gap in how aging care is designed to observe, document, and respond to neurological events in dementia patients.
Twenty-five years inside long-term care — and then the research confirmed it.
I spent 25 years as a nursing home administrator. I knew the records from the inside — how nursing notes are written, what language care teams use when something happens that doesn't fit a clear category, how behavioral documentation is generated and maintained, and how easily a seizure event in a dementia patient disappears into the chart as something else.
My doctoral research in clinical nutrition and global health, with a dissertation focused on seizure risk assessment in long-term care, showed me that this wasn't just my observation. The peer-reviewed literature was establishing the same gap — that standard care settings lack the clinical framework to recognize, document, and escalate seizure activity in dementia patients when it doesn't present with convulsions.
Clinical research establishes that up to 40 percent of seizures in Alzheimer's disease are entirely silent — without motor symptoms or obvious signs. They manifest as behavioral episodes: sudden confusion, blank staring, unexplained agitation. They are being documented every day in nursing notes, in monitoring alerts, in incident reports — in language that does not connect them to what the literature says they are.
The intelligence layer that aging care has been missing.
Seagull Health is today building the intelligence layer that connects behavioral observation to clinical evidence — translating what caregivers document into structured risk information that clinicians, operators, attorneys, investors, and technology partners can act on.
The Dementia Seizure Spectrum™ Framework defines the clinical taxonomy. SeizureSafe™ defines what care settings should do with it. CRISP — Cognitive Research Intelligence of Seizure Pathology — is the intelligence engine that connects both to the peer-reviewed evidence base in real time.
Credentials & Background
25 Years in Long-Term Care
Nursing home administrator with direct operational experience across memory care, skilled nursing, and post-acute settings. Administered the records from the inside.
Master of Health Administration (MHA)
Graduate training in healthcare administration and long-term care systems.
DHSc(c) — Doctoral Candidate
Doctor of Health Science candidate. Dual concentrations: Clinical Nutrition and Global Health. Dissertation: Seizure Risk Assessment in Dementia — A Literature Review of Current Evidence and Recommendations for Future Clinical Research.
Developer — CRISP, DSS Framework, SeizureSafe™
Built the clinical taxonomy, the intelligence engine, and the implementation protocol from the ground up — combining 25 years of LTC operational experience with doctoral-level evidence synthesis.
How we got here
Nursing Home Administration
Direct operational experience across memory care and skilled nursing settings. Inside the records every day.
Mother's Silent Seizures Recognized
Behavioral episodes documented as dementia symptoms — later identified as silent seizures. The gap was personal before it was professional.
Dissertation: Seizure Risk in Dementia
Literature review confirming the clinical gap. Dual concentrations in Clinical Nutrition and Global Health.
Dementia Seizure Spectrum™ Framework
Four-domain clinical taxonomy — the organizing logic behind every Seagull Health intelligence output.
SeizureSafe™ Protocols
Implementation layer — what care settings recognize, document, and escalate per DSS domain.
CRISP — Intelligence Engine
Clinical intelligence platform. PubMed-connected, DSS-organized, scoring-transparent. Serving legal, investment, and life sciences clients.
Seagull Pulse — Research Digest
Automated weekly dementia-seizure literature digest. CRISP infrastructure, weekly delivery, $29/month.