Brief Answer:
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Detailed Answer:
I read your question carefully and I understand your situation.I am afraid though that you should try to explain things a little better, it is hard to make out what medication have you tried.

It is not clear what was the cause for having temporal lobe resection. I understand that the list of possible consequences seems daunting. That is why it is a procedure which is performed very rarely, only in patients with seizures which do not respond to any other treatment and are so frequent to be life threatening and disabling. So it is as a last desperate measure when there is no other alternative. There are possible consequences but the risk from seizures is so high to make it worth to take the risks of the procedure. Another scenario is a tumor, is that your case? In that case of course again there are no other options.

The first part of those possible risks after 4 years is gone, there is no more risk of infection, bleeding, anesthesia etc. The risks are the possibility of the seizures continuing and the risk of cognitive and behaviour changes. I am afraid there is no specific treatment for that eventuality. Over time the remaining brain may compensate for the lost part to a degree, but after 4 years that compensation has already taken place and there is not much that can be done about it. I am afraid that you can't fly anymore, the risk is too high. You must try to make the best of your abilities, I am sure that you are able to perform many functions as the temporal lobe is a part of the brain the loss of which least affects our functioning. So you should still be able to lead a quality life. Depression seems to me to be a possible contributing factor so you should definitely continue your psychotherapy sessions.

I remain at your disposal for other questions, possibly being more clear on what kind of help do you need, because you mention to have taken endless pills and do not seem enthusiastic to be recommended more of them.

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Brief Answer:
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Detailed Answer:
Have no worry about me feeling disrespected, that is not an issue at all. I know that even if you were to say something unkind it is because of you not feeling well and being frustrated not directed at me. Also believe me that I am not trying to talk you down.

However I have to say that you make my work not that easy. I as other doctors on this site are representatives of that same modern medicine which you already know. Since I can’t meet and visit you in person I have to make recommendations based on a detailed prior history, tests and procedures that were done, medications you have tried which worked or failed.
Now you provide not even basic information on why you had the surgery, if you had the surgery for intractable seizures I find it hard to understand how you could fly, usually that type of epilepsy is present since childhood unless there is a causing factor such as a tumor or infection. If you have epilepsy what type of seizures you have, can you provide EEG reports. Medication for seizures varies depending on seizure type. Also if I do not know what you have taken without effect how can I recommend a better alternative?
Similarly for sleep and pain it is hard to recommend something without knowing what you have tried and failed, what medications are you taking now which can interact with new drugs. That is why it is hard for me to advise any new drug and since you say you do not need psychotherapy (I do not agree with that) how can I help you. It is medical information I can (at least try to) work with to help not the horoscope.
If you are unsure about that because of your cognitive issues then you could try to write the next question with the help of a friend or family member.

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