Saturday, June 6, 2015

It Gets Better! My take on Epilepsy...

“It gets better”…. These were the words said to me by the school administrator when I had to tell them that Ashlynn was admitted to the hospital again after two more ER visits and another three-day admittance the week before. Living with a child with epilepsy makes these words seem so empty, but it is a phrase that I clung to over the course of that week. Last Saturday, after two and a half years of medication and chaos, she took her final pill and we are seizure free. It’s been a long road, but it did get better.

Ashlynn was diagnosed with simple, partial seizures in Fall of her Second Grade year. The simple part means that she is coherent and can verbalize during the seizure. The partial part means, for her, that only one side of her body is affected. So for her, she experienced complete paralysis on her right side and it went stiff without her ability to control it. The first time we experienced a seizure was when she was four. She was walking hand in hand with her dad and she started giggling. She went limp in his grasp and folded over onto her right side; he told her to pick up her feet and walk. She said “I can’t myself is tickling me!”  After that we took her to the doctor and the physical turned up nothing so the doctor told us to ignore it. A few months later we were eating at the dinner table and she folded up again. This time she was horrified because she knocked over her water glass.

These episodes happened periodically and all of the internet searches I did revealed nothing. We told her to ignore it and pretend that it didn’t tickle so she wouldn’t draw attention to herself. It wasn’t until December of 2012 on opening day of the new Hobbit movie that we got concerned. That morning we went to Denny’s for breakfast and she was so excited!!!! However, walking into Denny’s it happened; She crumpled up and her dad scooped her into his arms and waited for it to go away. Over the course of the meal it happened again and then about once an hour after that throughout the movie. We still were not concerned, but I started recording the time and length of the “tickling” episodes.

We recorded them over the weekend and by the end we had had over thirty episodes so I made a call to our doctor to have them checked out. While we were at the doctor’s office she had another one and they immediately called the pediatric ward to set up a bed for us. That was the beginning of our adventures and the chaos that followed. Nothing is normal when you have a child with epilepsy. Your idea of what is normal in life constantly changes.

When you have a child with epilepsy even a simple trip to the Balboa Park Carousel can create a panic attack as a parent. She was an independent seven year old who wanted to ride alone. I had already witnessed her standing in the middle of the kitchen when one came and she fell, face first, onto a stool; bloodying her face and knocking out her tooth.  The doctors told me she couldn’t take a bath because she could drown, but she had one in the shower and when she fell she bloodied her body on the corner of the counter and became wedged in-between the door and the counter so we couldn’t get to her until she could physically move herself once the seizure was over. They happened everywhere and it was hard to predict. Riding the carousel for those two minutes without me meant that she could have a seizure and I wouldn’t be able to catch her or fix it while it happened. The desire to hover and protect her was a conflict I would experience everyday for the next two and a half years.

At the beginning, we had periodic breakthrough seizures when she would grow and then we would adjust her medication to make them stop. The medication was pretty successful for us and the only side effect we experienced on Trileptal was that it mellowed her out, which for us was a good thing. She’s a kid that moves nonstop and can never sit still. The medication took care of that and, while it dampened her intellect by a bit, we were so thankful to have it. During this time we met amazing people through the Epilepsy Foundation who became dear friends and helped us navigate the territory. They helped her meet kids just like her and she became proud of who she was, epilepsy and all. Unfortunately, having epilepsy brings you close to these people though because you all understand the bad times.

Our first bad month happened in February. I was scheduled to take the California Bar at the end of the month and my stress level had the whole family on edge. At the beginning of the month she started having seizures at school and I would pick her up afterwards. By the end of the first week it became our new normal. I would drop her off at school with a brave face and then drive away crying, knowing that she would have a seizure and hoping that she wouldn’t get injured. She just wanted to be normal and I wanted to let her pretend that she was. I would be home long enough to start studying and then I would get the call to come get her. It was awful. We upped her meds twice during this time, but it didn’t do anything. Her seizures stopped the day I took the last examination.

Our last and worst period started after an extended series of unfortunate events. Her uncle, who was living with us and who she was very close to, left for boot camp. Then her dad, who is a Marine, left for Afghanistan. Then her Great Grandpa died and the final straw that set the whole thing off was when another uncle, who had been working in San Diego, left to return home. That next day was the start of four long months. She had between four and twelve seizures everyday for that entire period. 

Under the advice of the neurologist, we upped her Trileptal dose until she was dizzy, nauseous and confused all the time. When it didn’t work they left that dose where it was and added Keppra. Keppra changed her. I lost my beautiful girl. She went from being an intelligent, happy child to a depressed monster. She would scream at the top of her lungs over the smallest thing because she was so frustrated and angry. Then she would cry because she had yelled at us. When she wasn’t yelling or crying she would sit in her room with her headphones on because she couldn’t deal with life and didn’t want to be around people. Even at school she lost all of her friends and became socially awkward. Taylor Swift’s music was her only relief from a world that had turned upside down.

I was so worried. By this time she pretty much just did her work at home. I was trying to teach her, but her brain was so foggy that we would work on one concept for fifteen minutes and then she would be frustrated and need and break, but when she came back from her break she wouldn’t remember what we had gone over so we would have to start again. This would get her even more upset because she knew that she should remember, but she couldn’t. Doing three math problems could take us over an hour. One day I turned in the Math homework that she had completed and the teacher asked her to sit down and do the unit test. She couldn’t do one question. He asked me if she had done any of the homework that I had turned in for her. I went home and cried. It had taken us so many hours of chaos to get those few pages done and all he could see was the failure of that moment.

When the two medications still didn’t work we added Onfi on top of them. This caused sensory problems, short-term memory loss and major weight gain.  She gained fifteen pounds in six weeks (20% of her body weight!). She couldn’t remember a chore long enough to hear it and make it to the room where it needed to be done without forgetting what she had gone there for. We couldn’t make it through a grocery store without her crying because of the noise. I tried to go through the car wash and the pressure and sound had her screaming in pain. She took to carrying around a bumpy elephant that she found because she could distract herself by rubbing it when we had to be out in public. She would panic if she didn’t have it when we left the house. Her dad was still deployed, and she was never in school long enough for me to get anything done, so I had to bring her on errands. When I would bring her out I would put her in the shopping cart, if they had them, in case she had a seizure. Oh, the looks I would get from people who assumed I was a lazy mother whose child was much too old to be in a shopping cart.

I remember one night very clearly. She wanted so badly to perform “The Nutcracker” with her ballet troop, but by this time she was on all three meds and not really there in body or spirit. I had brought my camping chairs and activities for my youngest daughter, Brielle, and I to have while we waited outside the doors. We couldn’t drop her off because I needed to be there if she had a seizure. At any rate, one hour later she came out stumbling and said she couldn’t do anymore. She was exhausted and dizzy to the point of collapse. I had to carry her, the two chairs and hold Bri’s hand as we navigated through the busy parking lots. She was totally limp in my arms and I had to keep her talking to make sure she wouldn’t pass out. She couldn’t even make a coherent sentence. That’s when I knew it was bad. She never got to be in “The Nutcracker.” They let her wear the costume and help them during intermission, but she never was able to dance.

At the end of this time her seizures were lasting long enough that we were rushing to the ER and using enough emergency breakthrough meds that she wouldn’t remember how she had gotten from one place to the next when she was alert enough to realize that it had changed. She was admitted twice and finally in December we started seeing the light at the end of the tunnel. She was slowly taken off Keppra and Onfi and she started to improve.

In January she started smiling again. I had missed her laugh so much. She ended up being homeschooled for three months, but this Spring she reintegrated into a fabulous school that understood our complicated dynamics and loved us anyways. She is doing a presentation there next week on her favorite subject in school and she is doing it on Math. She has friends again. We completed a psycho-neurology evaluation last month and she is average or above average in everything.  Now that she is off medication she moves constantly and has a hard time falling asleep, but it is a side effect I’ll take over anything else. I am so thankful to be able to say…


It got better.