I wrote an article for the epilepsy blog relay! Check it out here:
I keep hoping I’d have better news to share, but the truth is that the last few months have been hard for Colleen.
At the beginning of November last year when we went to see the neurologist, we brought a list of all of Colleen’s regressions. It’s tough to look at. To see where she was and where she is now. 5 steps forward. 20 steps back. A medication increase really seemed to do the trick. And because there was room to increase a little more, we did. She was doing amazing in school and was able to participate and make strides. Her friends got to see their happy Colleen! Then the week leading up to Christmas break, she came down with the flu. We missed time that should have been spent with family. She slept a lot. Her myoclonic jerks increased.
And now, 4 weeks after she was finally rid of the flu, she’s still really struggling. I’ve lost count of how many times she’s had to come home because she was falling asleep. She’s had more bruises than I care to count from having her myoclonic jerks out of no where. I am sad for her. Her friends miss her and she has barely any energy.
Of course, I’ve been contacting neurology every few days. They’re going to get so sick of me calling that they’re going to have to do something. I’m just at a loss. They finally agreed to reduce her medication a little, and now we get to wait another week to see how she does. Praying this helps and she’ll finally get her energy back. And a little bit of freedom! I’ve had to put some toys away for fear she’s going to have another myoclonic jerk and hit her face again.
Here’s to hoping and praying my next pose has better news, health wise!
At the end of the school year this past June, the amount of progress Colleen made was astonishing and I was excited for her to continue that progress into summer school. Her only setback during the time was a bout of strep but she seemed better after a round of antibiotics. Then, it was her Disney trip, which. I knew with the heat, was going to be a little tough.
Never would I have thought that she was going to struggle so much at the beginning of the school year. Between increased fatigue, myoclonic jerks, and seizures, there was obviously something going on. We ended up meeting with her school and got to see the progress she made vs where she was and it was clear there was a major issue. Two trips to the pediatrician to rule anything else out, like having mono or even something genetic like hypothyroidism, since that’s something I have. Her tests came back fine, which is both good and bad. Of course, I don’t want any bad results, but on the flip side, it’s stressful because there’s clearly something different.
Finally, last week, made the annual trip to Boston Children’s for her neurologist appointment. She had a EEG scheduled in the morning and then a follow up that afternoon. I don’t think I’ve ever hoped for a myoclonic jerk, but they’ve never been able to capture one during the EEG. She didn’t have one while awake, but they were able to capture one disrupting her sleep. I think this was a clear reason why she’s so tired during the day, especially if they’re waking her up so abruptly.
Our original appointment time with her doctor wasn’t until 3:30, so we were going to try to find something to do, but they were able to page the doctor and gee her appointment for 1pm, which meant only a 45 minute wait! They actually initially told us they couldn’t get her in earlier, but with her being so tired, I let her sleep. While waiting, that’s when I found out we could be seen sooner!
We met with her doctor, I showed him the note from her teacher (she did an excellent job with writing things she was able to do vs now) and our own observations. I told him about the tests and thinking something would come back and the clear reason. Then we discussed options. While discussing where we could go from there, we had to call the pediatrician to get her med level results and found out that last year when we came, her level was in the 80’s. This appointment, it was only 65. We ended up deciding that we would increase her morning dose and could possibly increase a little more if needed. What I love about Boston and her doctor is that he really explains things in a way we can understand and works with us to try to come up with the best course of action for Colleen.
With a plan, we headed home. Friday morning, Colleen went to school and I prayed there wouldn’t be a phone call. It was a huge sigh of relief when her teachers told me she had the best day since the beginning of the school year. One little dosage increase can have that much of an impact?! And the answer is yes! Colleen has gained about 4 Ibs and has gotten taller. It made me realize that maybe she needs to be seen twice a year vs once, because if she’s growing that much, we need to be on top of her medication dosage.
I’m so relieved. Well, that may be an understatement. She’s worked so hard to get to where she is, it was hard to watch her struggle so hard in all aspects of her daily life. Thankfully, I can not recognize when it might be time, and of course, we have other plans just in case, because it’s really only been a few days.
And, as a final note, can we take a moment to discuss post-EEG hair? When her doctor was close, obviously we can go right home and give her a bath. They do as best as they can after they take the leads off to get the gunk out of her hair, but there’s only so much a washcloth can do. This time, they used a washcloth and baby shampoo and I was able to brush it and it looked slightly better. What do you do after an EEG? I kind of wish there was a room you could use just for a good hair wash!
This post is part of the Epilepsy Blog Relay™ which will run from June 1 to June 30, 2018. Follow along!
They were scary words that I didn’t quite fully understand the impact of immediately. After Colleen’s birth and being transferred to a nearby hospital’s NICU, we got the phone call that she had had two very big seizures and would need a blood transfusion. Colleen spend several days on a cooling mat, keeping her body temperature low as her body tried to recover. We couldn’t even rub her skin in comfort as the nurses said that it might trigger a seizure. I was afraid to touch my baby in fear I might set something off. (For a little explanation, Colleen had a blood infection and a subdural hematoma. Her body was going through so much when she was first born.)
Thankfully, she was released about 20 days later, and we went home with phenobarbital and keppra to keep her seizures under control. And the meds did! At follow-up neurologist appointments, we were told that she would likely grow out of them. Her EEG’s (an electroencephalogram, a test that detects electrical activity in your brain) always showed significant activity, and even silent seizures. This meant that while she was technically having a seizure, physically, we could tell. At one point when it was caught, she only stopped playing with a toy for a short second, and then went back to playing. I held out so much hope that at each EEG, we would see an improvement and that maybe, one day, we wouldn’t see any more seizures.
A big change
After work one day when she as 2, I went to pick up Colleen from her sitters and knew she wasn’t acting right. She felt very heavy to pick up, in a way that her whole body felt limp. I drove home, watching in the rear-view as she just stared upwards. When I got some, I noticed she would continue these staring spells and her eyes would very rapidly blink. I called the neurologist. Up until that point, I had no idea what a seizure would look like, and it was surprising to learn that there were many different kinds.
Over the years, we’ve had a few different doctors (her 1stthat we loved moved to Texas) and a number of different medications. Currently, she’s on just Depakote sprinkles, but I fear with a lot of meds, it’s a fine balance between Colleen being able to function normally and controlling the seizures. It a very fine and frustrating line to walk. I remember at one point, after coming off of one medication, her teachers remarked at just how much more energy she had. It was a sad moment as a mother to know just how much she was being held back by medication but knowing it’s something she absolutely needs.
She’s had a few seizures over the past few years, at one point, they were occurring about once a week. These were the ones that we couldsee. And they were scary. I kept thinking to myself, “What happened? She was doing so well!” And still, quite frankly, the changes she’s had over the years is not something I understand completely.
Figuring out the future
Colleen is currently 6.5, and her biggest concern with seizures is her daily myoclonic jerks. She’s had a few which have led to injury. We had to take a trip to the ER recently to see if she would need stiches under her eye (thankfully, not!). No one wants to see their child struggle, and as a mother, I am committed to helping her as much as I can. We’ve looked into the possibility of a seizure-response dog and even the use of CBD oil.
In July, Colleen is having a second stem cell therapy treatment. While this treatment is for her cerebral palsy, I’ve read a few things in which it can help seizures. Colleen has made significant improvements in mobility after her first treatment, and we have so many videos from her teachers at school of Colleen walking without use of her walker. Just her AFO’s. While she had a neurologist appointment about a week after her first treatment, we weren’t told there was any improvement in the number of spikes on her EEG. After her second treatment, I will be excited to take her to her next appointment and know whether or not they have decreased.
There’s no doubt that there have been many challenges over the last few years, and it is something I wish I could take on instead of Colleen. But there’s no doubt that she’s a fighter and has been so strong over the years. With medical advances and new studies, I can only hope that as the years go by, her quality of life in dealing with epilepsy will only improve!
Hello, friends! It’s amazing to see all the notifications of new subscribers, and I hope you enjoy reading and can gain some knowledge about Colleen, cerebral palsy and epilepsy.
Over the years, I’ve heard about stem cell therapy, but I didn’t think anything like it would be possible, at least for a number of years. Then, last year, I learned about a doctor in California using stem cells to treat cerebral palsy using cord blood stem cells. I also learned that Duke university was doing a stem cell study. (Horray!) Sadly, they were looking for participants that were under the age of 5, and Colleen will be 7 this October. This, left the option of traveling to California for the treatment, but it is still a costly procedure. I so wish it was covered by insurance, so even though Colleen couldn’t participate in the stem cell study at Duke, I can only pray that this week lead to greater medical understanding and more treatment (and hopefully, insurance coverage.)
Until then, we have been trying to save and fundraise for Colleen. We have our downpayment sent and appointment booked, but we’re still short of our fundraising goal. Any size donation is greatly appreciated and will go directly to this stem cell therapy cost for Colleen. We are extremely grateful for those who donate, share and pray for our little girl!
Click here to donate. ❤
The date for Colleen’s second stem cell treatment is fast approaching, which means we’re in for a big day of travel.
I will admit that I was very nervous for Colleen’s first flight. We had never flown before, choosing instead to usually drive the 5.5 hours from central NY to Boston when we had to see the neurologist. But, I think with a little preparedness, the day went really well, and I’m far more confident traveling not only with a child, but managing items like a wheelchair and car seat!
If you’re interested, here were things that helped us travel:
1. Booking the flight- With finances a huge concern, we learned from a family friend, who is also a pilot, that there are programs that will help you get travel accommodations. Often, these are volunteer pilots who will fly you to your destination city. Since we were traveling from NY to Los Angeles, we instead were able to book through a partner airline. Ours was JetBlue, and they were so nice! I gave all the details, like amount of checked bags and that we’d be traveling with a wheelchair. I don’t think (don’t quote me) that telling them is a requirement when booking, but I just wanted them to be aware.
2. TSA and Airport- I think I read just about anything and everything I could about going through security. I was worried about her medications and her food. We brought yogurt purée packets because she loves them and were worried about her eating in general. Colleen went through the gate while I went through the actual screener. When I was done, they just did a hand swab ( you can read everything about traveling on the TSA website). Medication was no issue whatsoever, and I asked a few other partners about going through security with medication and emergency seizure medication, and no one seemed to have any issues. As far as her purée packets went, it just required that I either go through an extra security step or they test all the packets by opening and using a little test strip. I opted for the packet testing.
We only checked Colleen’s safety sleeper. It comes with its own sturdy suitcase, and I can’t say enough about how much I love this bed.
We also opted to bring her car seat, not only for the plane but for the rental car. Make sure your car seat is made for airplane use; it will say on its label or in the manual. I bought some inexpensive carabiners from the hardware store, and used its own straps to secure it to the carryon. But, I’d say this was the most stressful; getting carryon, all the electronics out, car seat and Colleen through security. It was a lot of stuff, and I felt like I was holding people up. If I was by myself, I don’t think I’d bring the car seat and instead rent one. Very curious about people’s experience with renting one with car. Are they well maintained?
Thankfully, waiting for the actual flight wasn’t bad. Colleen is a great travel companion! 😊
3. Flight- My biggest concern for her was the potential for ear pain while taking off and landing. Solution? Ear Planes! I was so relieved that discomfort was not an issue at all for her. Recommend 100%.
I also made sure we had Frozen loaded onto an iPad for her and some inexpensive headphones for her. I bought $5 ones from Five and Below, and they were the big kind to make sure they went over her whole ear. Also, since they’re adult size, I actually bought a fuzzy seatbelt cover to go over the top of the headphones as a cushion, and to fill the gap!
Oh, and snacks are a plus!
4. Bringing a wheelchair- This was no issue at all. Her wheelchair is small, but is doesn’t fold (easily). We were allowed to board first, that was we could get her situated. Just had to get a rag not only when you initially check in, but also from the agent at the gate. They put that on the chair so that once you are down the ramp to the plane, someone takes it and loads it underneath the plane. My biggest issue with the wheelchair is about her wheelchair in general. I searched everywhere to see if a wheel “fender” is made. She can use her hands to push herself, but it’s generally her trying to stick her hands in the spokes or pressing her hand against the wheel as we push. She doesn’t understand that it can hurt her hand. I have yet to find a solution, and am so interested if anyone has one. Otherwise, I have my eye on a different style, like the inspiredbydrive Trotter Mobility chair. Yes! Colleen is getting stronger at her walking, but at the end of the day, she is wiped out from all the energy she’s used.
Cerebral palsy fact- those with CP expend more energy when walking than those without.
5. To close- Planning and research went a long way. Other than the flight home (severely delayed/canceled flights because storms in NYC), everything went well. Los Angeles was a fun experience and there’s so much more I’d like to see and do.
I’m not the biggest fan or flying, but I’m looking forward to Colleen’s stem cell treatment!