Focal all the time, only 2 tonic clonic. Do brain cells grow back?

Welcome to Mayo Clinic Connect @ginnjuice. Really sorry to hear your had a seizure on your first day of a new job.

Are you still recuperating? Back at work?

Sorry to hear about your first day on the job experience. My son (37) frequently has them at work and we all seem to carry on and go back to work.
If you don 't make it a big deal, neither will your peers. Hopefully you're working in the office environment vs the assembly line and there isn't a high risk of injury. Have your discussed this seizure with your neurologist? Did you ask him about any rescue drugs like the nasal spray called Valtoco. it normally prevents people from having longer and/or secondary cluster seizures. This might eliminate future emergency trip to the ER? Suggest you keep the inhaler on your desk along with a small pillow to support your head if you hit the floor. Have a discussion with one of your co-workers who might be wiling to assist you if you have another one. Also suggest you wear a emergency alert bracelet for the EMT community. As for post seizure feelings, post ictal confusion sometimes can last for a few minutes to an hour. Addressing your question about brain cells dying. I think most doctors believe normal seizures don 't destroy brain cells, unless they are chronic and last for years. There is evidence that after years of uncontrolled seizures some people have some degree of cognitive skill decline. Personally I feel the AE medications sometimes cause more metal clarity problems than the actual seizure. Get a good neurologist and find the right combination of meds to keep them under control . My closing recommendation is just get up and go to work everyday, do a good job, you're no different than any of your peers. The Ole Dude Dad

Hi @ginnjuice
Welcome to the Epilepsy group at Mayo Clinic Connect, where we share experiences and support one another.
I'm so sorry to hear about your seizure on your first day at a new job. That must have been quite hard for you.
From my learning and based on what doctors have shared with me, damaged brain cells do not grow back. However, the brain has remarkable plasticity and can compensate for damaged areas by having other regions take over functions. As @jamessr has already mentioned, most seizures don't cause brain damage, but prolonged or repeated seizures—especially status epilepticus—can lead to brain injury.
I experienced something similar after having my first status epilepticus last December. In the first months of this year, I felt mentally and physically tired, had concentration difficulties, and noticed my memory had worsened. Fortunately, my exams showed no brain damage. My doctor explained that these cognitive symptoms could still be a result of the status epilepticus itself and/or the new anti-seizure medication I was prescribed. I'm happy to say my symptoms have improved significantly over the past few months as my doctor has fine-tuned my medication, gradually reducing the dosage.
What cognitive symptoms are you still experiencing, and how is your doctor addressing them? Have you had any exams to check for brain damage following your tonic-clonic seizure in 2022?
Sending you my best vibes!
Chris