A 58-year-old interstate truck driver has had two unprovoked generalised tonic-clonic seizures in the past month and a diagnosis of epilepsy has been confirmed by a neurologist, who has started him on levetiracetam. You explain that he must not drive a heavy vehicle and must notify the driver licensing authority. He becomes angry, says the seizures only happen at night, that driving is his only income, and that he will keep working. He asks you not to tell anyone.
Which one of the following is the most appropriate action?
Keep going — a set of ten like this one, one at a time.
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