The Ketogenic Diet Is A Family Affair

On the morning of New Years Eve, my wife and I got a head start on our healthy new year resolution and went for a run. We left our son sitting on the couch watching his iPad with my mother-in-law sleeping in the next room.

Over the past few months, my son (who is on the ketogenic diet for epilepsy) has been sneaking food, so we took the precaution of hiding any tempting holiday treats on top of the refrigerator. Before we left, I looked my son in the eye and told him that we would be right back and to stay on the couch. He nodded in agreement and nestled comfortably in to the corner with his blanked.

When we returned, he was still on the couch. When I asked him, he confirmed that he hadn’t moved but he wouldn’t look at me when he answered. I glanced in to the kitchen and noticed that the step stool that we have under the counter had been moved. On top of the fridge, I could see empty containers of leftover deserts.

I looked back at my son and his head was down. “It was me, ” he said softly.

There has been a lot of this lately. He’ll sneak crackers from the pantry or leftover spaghetti from the fridge. A few weeks ago, he took a bite out of a tomato at a grocery store.

epilepsy dad ketogenic diet seizures

I am both heartbroken and frustrated. I’m heartbroken because of how restrictive the diet is for a 9-year old boy who sees the people around him eating whatever they want. As his father, I’m frustrated because his initial instinct is to lie and the foundation of our family is built on love and honesty. But I’m also frustrated because I know I have a hand in making the environment tempting for him by keeping unhealthy food in the house when the stakes are so high. Where a typical kid would just get an upset stomach from eating too many cookies, my son falls out of ketosis which could lead to an increase in seizures.

He’s been on the diet for more than 3 years. That’s a long time, and these recent incidents of sneaking food are starting to grind down my resolve. I’ve gone from thinking that the diet partly helped saved my son’s life to questioning whether it helped at all or if he still needs to be on it with his new medications and his VNS. I’m collecting evidence to support my theory but deep down I know it’s tainted with confirmation bias because I don’t want the diet to be working.

I want there to be an easy way out. It’s would be easier if there were a clear indicator that the diet was making a difference. It would be easier to stop the diet to remove the strain we are feeling instead of figuring out what other modifications we can do to make the diet more tolerable. But like so many things that come with an epilepsy diagnosis, it’s not that easy. It’s also not easy as a parent to feel like your child is missing out on something when his life is already so hard.

But there are things we can do to not make it harder. We can make better dietary choices ourselves and not have the tempting food in the house. We can make a big deal out of eating better and stressing the importance of diet for our health, the same way his diet is important to his health. We can be his parents, and take on some of the burden ourselves to alleviate some of his. Because if we can’t make it all go away, we should at least show that we are in it together.

Walking Through The Mud

I’ve been having a hard time finding the motivation to write lately. The thoughts in my head and the words on the page all seem the same as they have been for the past few months. The past few years.

My son isn’t better. He’s still seizing. He’s still limited. He’s still heavily medicated. We’re still dealing with his school and trying to get him an education.

Everything is harder than it should be.

It feels like I’m walking through mud. Every step takes extra effort. Every step requires my full attention. I need to push my hands through the mud to search for my leg that is trapped in the muck. When I find it, I have to wrap my hands around it and pull it towards the surface. The mud resists, not wanting to let go. Even as my leg reaches the surface, the weight of the mud clinging to my legs and shoes threaten to pull it back down. It leaves me unbalanced. Even though it is only inches in front of where I started, I’m forced to push my foot back through the mud to the ground underneath. Even though I know it means that I will have to struggle for my next step, it’s the only way to find temporary stability. Otherwise, I risk falling over and being fully consumed.

The struggle reveals itself everywhere.

Parenting is harder.

There are fewer right answers. There is more uncertainty. There is more acceptance of things that no parent of a 9-year old should have to accept.

Marriage is harder.

We’re in the same stressful, relentless situation watching our son struggle and seizure, but we have different perspectives and have different needs. We’re both trying to be there for our son but we go at different paces and we aren’t always within reach of one another.

Work is harder.

It’s hard to go to work after endless sleepless nights. It’s hard to concentrate on the work when the mind wants to worry about an upcoming surgery or the handful of seizures he had that morning.

Friendship is harder because we’re so focused on the things we can’t afford to ignore that we ignore the relationships we need. Finances are harder because of the mounting costs of medical care, nanny care and tutoring. Diet and exercise are harder because we’re always so tired and pressed for time and it’s just easier to order something from the couch.

But like many families in our situation, we continue to move forward. We keep taking labored steps towards a destination that we can’t see. Because where we are isn’t where we want to be. Because we hope we are heading in the right direction. Because there is no other choice.

The mud is unforgiving, but in those moments of brief stability in between each step, I sometimes catch a glimpse of something wonderful. The struggle has given us gifts. I am a better parent to my son because I can’t take a moment for granted. I am a better partner and friend to my wife because we know what it is like to truly need and love another. And I have brought my whole self in to work and been surrounded by people who accept and care about me. We found understanding friends. And we have learned the value of trying to live the best life we can with what we have.

It’s not always easy to see these gifts when I’m stuck in the mud. It’s difficult to be motivated when everything feels harder than it should be. But I’m doing my best to keep moving. I’m doing my best to learn and to grow and to be a good father, and husband, and friend. Because, really, there is no other choice.

“The lotus flower blooms most beautifully from the deepest and thickest mud.” ~Buddhist Proverb

What Can’t Be Undone

The suggestion to implant a VNS was made by our neurologist years ago. But there were still options to try so we held off. Unfortunately, CBD was not our miracle and other medications didn’t help. The seizures kept coming and we ran out of things to try.

When our neurologist brought up the VNS again, I felt the overwhelming weight of the decision squeezing the air out of me. If it even has the potential to improve his quality of life, she asked, shouldn’t we try it? Of course, she was right, but that knowledge didn’t help me breathe.

Neither did having an amazing surgeon in one of the best children’s hospitals in the country. Neither did the love and support of friends who would try to reassure me about how safe surgery and anesthesia are. Neither did my wife who held everything together when I couldn’t.

It wasn’t the mechanics of the surgery that occupied my thoughts. It was the idea of cutting into my little boy. It was the permanence of it all. It was the thing that can’t be undone.

We can wean off a medication that doesn’t work. We can stop the ketogenic diet. If years from now his seizures miraculously go away, we could stop everything and pretend that all the hard things about his childhood didn’t happen. There would be no signs, no trace. I could live in denial about how traumatized I was by this experience.

But the surgery forced me to confront the fact that these things aren’t going away. That the magical, unburdened life I wanted for my son is not going to materialize. That I can’t fix this or make it go away. That this is real, and that the future for him will include challenges brought on by his condition. That I’ve somehow failed him.

From the time the decision was made to the time they wheeled him away hopped up on “giggle juice”, I pushed my feelings down. I was practical but emotionless. I showed up for the appointments and answered the questions as he was prepped for surgery, but I wasn’t really there. I couldn’t be. I had to push it all down just to appear strong enough to make it through.

Even after his surgery was over, I had a hard time being present and acknowledging what had happened. I had a hard time looking at his scars. They were bigger than I thought they would be. Instead of small ones hidden by clothes, they’re long and visible. I looked away. I caught a glimpse of the device itself, raised under the skin and I looked away. It’s more than just being squeamish, it’s a spotlight of reality shining into my eyes and blinding me.

I worry that he’ll think I can’t look at him. I worry that he’ll feel like he did something wrong or that there is something wrong with him that is causing this reaction from me. I’m worried that I can’t get over my own hang-ups and be there for him when he needs me.

I tried to explain to him the feelings I was having but he didn’t understand. I didn’t, either, until I started to unpack them. But I still don’t know what to do with them. I want my acceptance to turn the spotlight that was blinding me into a beacon that brings me to him. But instead, it feels like the light has turned off. It’s not repelling me but it’s also not drawing me in. Instead, I’m left in the darkness trying to find my way.

But I can hear his voice. And I hear my wife’s voice. They’re calling me. And so I’m pushing through the blackness, the emptiness, to find my way back to them. It’s scary and impossibly hard. But I can hear them and they need me. I can hear them, and I don’t feel alone.

I’m on my way.