Is it obligatory to make up for ten years of past fasting for a patient with chronic epilepsy, knowing that he broke his fast by the doctors' orders and paid expiation?

If a patient has an illness from which recovery is not expected, and fasting is difficult for them, or they need to take medication during the day, then they may break their fast and offer fidyah (expiatory feeding). If there is no apparent difficulty in fasting, and the breaking of the fast is for taking medication, and the day exceeds 12 hours, then there is no blame for what was missed. Otherwise, a make-up fast (qada') is required. If you recover or are able to stop the medication, fasting becomes obligatory for you. If you had already fed the poor (as fidyah), then you are not required to make up the fast. If you had not fed the poor, then you are required to make up the fast. The preponderant opinion is that making up the fast is not required if one has already fed the poor and then later becomes able to fast.