Showing posts with label seizures. Show all posts
Showing posts with label seizures. Show all posts

Tuesday, February 3, 2009

West Syndrome, Infantile Spasms, Epileptic Spasms....WTF?

Sigh. Alright last night I typed up a post and kept it in draft mode. I wasn't sure I could explain things well enough, and without the emotions or negativity I was feeling. So this morning I deleted it and will give bullets of what we learned/did without the emotions/negativity.

  • West Syndrome, Infantile Spasms and Epileptic Spasms are all the same thing. All do the same amount of harm. All suck. This is how it was broken down for me. WS typically has these characteristics: spasms that come in clusters, hyppsarrthmia, regression. Infantile Spasms DO NOT have to have all three, but can have a mixture of them. For instance you can still have IS without having hyppsarrthmia. You can have Infantile Spasms on the EEG but not see them outwardly. Epileptic Spasms are the same thing as Infantile Spasms but because when the person is over a certain age, they now call it Epileptic Spasms. All suck. All have the same potential of robbing your child of what skills he has.
  • A VMR is basically two separate things run at the same time- the EEG, and the video. The EEG is run through a detection program on a computer. If certain criteria is seen, it is then flagged for the doctor of the EEG department. Dr. A. This doctor is not our neurologist, he just reads the reports and writes them up. Dr. A is who showed me the video of what he classified as Epileptic Spasms (IS/WS). Based off what he showed me I came home to research.
  • There are types of seizures that can be induced by certain things, ie: flashing lights.
  • As I stated in a prior post, the movement Dr. A showed me and called ES were something that Daniel has ALWAYS done. So to prove that I knew what I was talking about and to prove to Dr. A and Dr. C that the report was wrong, we induced this "spasm" and video taped it to show them yesterday. I had all the past reports and did my comparisons/said my whole spiel, showed my video, fought my fight. He listened to everything and let me say what I wanted, and when he first watched the video that we made, he said "sure looks like a spasms". I explained that watch longer, listen to the sound, you can hear me tell you that we are bringing balloons into the room, when Daniel will see them he will do this movement repeatedly, and yes they look like spasms, but we are controlling it, we start it and the minute we remove the balloons Daniel is fine, no more movements. He agreed...if we could make it happen and control it like that it was NOT a seizure. Looks like it, but is not. What we learned, don't judge a book by its cover. So I had a moment of glory. I proved Dr. A wrong.
  • Dr C. listened to me, listened to my explanation then proceeded to say in the nicest way possible; "regardless of what the video says, the EEG doesn't lie. We are not seeing correlation with the times you pressed the button so no, those aren't seizures, but he is indeed having epileptic spasms in clusters but they are just not manifesting in an outward fashion for us to see. As much as I think he wanted to tell me they weren't seizures, he did it in the nicest way possible. And he listened to me. He answered all my questions, explained our options, and gave me the time. I might not have liked what he said, but he took the time to explain in a way that I could understand, wrap my arms around. So I don't like what he has to say, but I trust him in the fact that he knows what he is doing and he is looking out for my child. He cares.
So after a long doctor visit, we are still continuing with the 500mg two times a day of the Vigabatrin, we are scheduled for another 24 hour VMR within a week or so, if there is still seizure activity we will do the next course of treatment. That being ACTH, which we did last time to get the seizures under control and stop possible regression.

Feel like I've been kicked in the stomach? Yes repeatedly. Does it suck? Most definitely.
Am I terrified? You bet.

I say I don't want people to look at my son differently because of his diagnosis. I want people to judge Daniel for who he is, not what papers say about him. But I look at him differently too, I look at him with some much love, such an aching heart, scared. I look at his eyes and I see there is life in them, and I see that he knows I love him, that I believe in him. I don't want him to see the fear in my eyes when he does odd movements, when he breathes a little different. But I can't help feeling the fear. I don't want to lose Daniel. Not mentally, not physically, I want him not to lose his abilities that he has fought for. And it terrifies me that I have no control over this. NONE. All I can do it love him, but sometimes that doesn't feel like its enough to protect him. I am suppose to protect him and how can I protect him from something I can't see?

So even though I won a small victory we still have a big one to fight. And it sucks. There are different paths we can take, all of them are scary and leading us down roads I don't want to be on. I want to yell to whoever will listen "HEY, we're lost, we took a wrong turn and shouldn't be in this place, we don't belong, this is not the journey we signed up for!"

Hello, is anyone listening? He does not want or deserve to have this bumpy crappy ass-ed pothole filled road to travel.

OK so I lied, I didn't post without the emotions or the negativity. So shoot me! I tried!
and since I already screwed up the post with emotions for the second time, I might as well top it off:

So to the person who said to me:
"Modern medical literature informs us that there is no evidence of additional brain damage that even severe seizures would bring."

Talk to the specialist that people travel from all around the world to see, I'll send you his phone number and email address. Or better yet, talk to the parents of the children who have IS and who have regressed? Is that not damage enough?

To the person who said to me:
I fully understand your concerns about Daniel's seizures, however lets look at the situation logically, you have to overcome the irrational fear of seizures and understand what they are about."

Yeah, well SUCK IT!

Saturday, January 24, 2009

Frightened

This past week has returned us to the beginning of the road on this journey that I don't want to be on anymore. We've been here before and I hate it. I thought we were done with this Infantile Spasms stuff.

I am having a really hard time with this. I feel like I did when we got our first diagnosis at 4 mos old. I feel like my "amended" dreams that I have for Daniel after his original diagnosis are getting edited too. God's up there yelling "STOP!!! Things are going too well for this kid, lets spice it up a little". I'm revisiting steps that I have already passed. I am scared, and I am grieving because yet again, we are made to change our dream.

I let my guard down. Maybe I boasted too much about how well Daniel was doing, even with the crappy mixture of "disabilities" he has. Maybe I gloated, bragged, or spoke that Daniel is such a strong fighter. And God heard me, and has decided that yes Daniel is a strong fighter, but lets see what breaks his mother. I don't understand. Punishment of some sort? Don't punish my child for something I did. If I could give Daniel a life where living wasn't always a fight, in exchange for eternal punishments against me....sign me up, I'll do it, within a blink of the eye.

John 9:1-3
As he went along, he saw a man blind from birth. His disciples ask him, "Who sinned, this man or his parents, that he was born blind?"

"Neither this man nor his parents sinned," said Jesus, "but this happened so that the work of God might be displayed in his life."

I am not sure that I can grasp this new set back. I'm not sure I can get back off the ground. I feel defeated. He has progressed so far since he regressed from the first onset of the IS. He even fought back a second time without a ton of regression. But come on...this is the 3rd time. And it is so unexpected. I can't understand it. WE HAD NO CLUE.

This is when my guilt comes into play. How could I not know? Where is my motherly instincts? We just went for a routine EEG to check up. I held him most of the 24 hours, I watched him. I saw NOTHING. How can that be? Infantile Spasms, are severe seizures, watch the videos you see on the internet. He didn't do anything like that. He did NOTHING that would classify as a "cluster" of seizures. Infantile Spasms come in clusters that is one of the main characteristics of them. Another is the Hyppsarrythmia. This is seen on the EEG and for Daniel there is no Hyppsarrythmia. How is that possible? I just feel like we keep getting kicked in the stomach with every turn. He has no hyps, and very, very subtle if any outward appearance of seizures. ( I am actually going to meet with the EEG department on Monday so I can watch the video and they can show me what he does. They say unless they were reading the EEG, they wouldn't have known it was a seizure.) We have no idea how long he has been having seizures (no more than 4 months, because that was the last 30 minute EEG). We have no idea WHEN he is having them, they aren't the typical jack knife type seizures. He doesn't cry or get cranky or sleepy (that we know of), and there has been no regression (yet). He has been progressing actually, besides this he is doing really well.

So, its not whether you get knocked down, its whether you get back up again. And I am having an awful time of it. I want to be there and be strong for Daniel, but I just don't understand WHY this is happening again.

I get up in the morning and put on the smile, pretend I am strong and hum "I Will Survive" but on the inside I am screaming in terror, afraid to fall asleep, scared I'm going to wake up to my son, and I will have lost him yet again to something that is basically out of my control. How do I protect him?

When you get to the end of your rope, its whether you make a noose or you tie a knot and hang on. I'm trying to hang on for Daniel...but I don't want to do this crap anymore, I can't keep fighting a monster that is currently kickin' my ass.

Roll with the punches - I think not.