Tag: seizures

Let’s Go To The Tape

I remember watching sports on television as a kid. There would be a dramatic play or a questionable call, and the announcer would say “Let’s go to the tape”. Instantly, the previous play would be on the screen and analyzed by the commentators and the millions of people who were tuned in. They would collectively be looking for conclusive proof that the play went one way or the other, and the outcome of the review had the power to change the course of the game.

Every morning, I go to the tape. But instead of reviewing the result of a questionable call, I’m scrubbing the recorded video from my son’s monitor to see if he had a seizure. I’m looking at clips from each time the camera detected motion to see if it was caused by normal turning over or if a seizure had taken control of his body.

More often than not, there is something to see. Even though his seizures are short, most are easy to catch. There is an unnatural silence in his room as his breathing stops and his body stiffens. A few seconds later, the loan moan fills the room as his body jerks and his arms move.

As I watch the video, I’ll see myself enter the frame. I’ll sit on the edge of my son’s bed, rub his back, and try to comfort him. Once the seizure ends, I’ll help him get back into the middle of his bed, cover him with a blanket, and walk out of the camera’s view, heading back to bed myself.

I’ll also see more subtle seizures. Ones where there wasn’t a sound. Ones where I didn’t wake up. Ones where I didn’t come into the room to comfort him. These are the ones that remind me of reviewing a play from a game. I’ll watch the same clip multiple times. I’ll slow it down. I’ll turn up the sound. Did the player come down in bounds? Did my son’s body stiffen? Was the play offsides? Did I hear the faint sound of a seizure?

The difference is that I’m not trying to make a decision on a play that will determine the winner or loser because there isn’t one. This is a match that may never end. Instead, it feels like I’m using these reviews to determine the score and, most nights, epilepsy gains a few points.

But I’ve got a lot of other tapes to review, as well. Videos of my son playing baseball, and laughing, and doing a lot of things that he couldn’t do a few years ago when epilepsy was controlling the game. So if we get points every time my son does something he couldn’t do before, or just something amazing, then we’re racking up points every day.

And we’re ahead.

By a lot.

 

What Is Left To Say?

When I started this blog almost 5 years ago, we were only just beginning our epilepsy journey.

The first few posts were written from his room on the neurology floor of the children’s hospital as I watched the doctors tried to stop his seizures. I wrote as a way to process my thoughts and feelings as I worried about losing my son and learned about words like status epilepticus and refractory.

After we left the hospital, I wrote about how our life changed. I shared stories of how we tried to rebuild my son after those initial waves of seizures took so much from him. I wrote about his therapies and how the exploration and experimentation with different medication led to the same frustrating results or unbearable side effects. I wrote about my fears about VNS surgery and my frustration with the hardship of the ketogenic diet.

For the past year, very little has changed. In spite of having a VNS implanted, adjusting his medication, and continuing the ketogenic diet, my son is still seizing almost every day. I still worry about the risk of SUDEP. I still worry about the long term effects of these seizures as I watch him slowly fall behind his peers at school.

When I would sit down to write, it started to feel like I was always wanting to write the same things and that I had already put my thoughts and feelings down. I wasn’t sure what was left to say, so I didn’t write anything.

Not writing had the additional benefit of not having to look beyond the surface of our lives. I could stop probing how I felt about the challenges my son faced and what it meant for his future. I could just live in the present and deal only with what was in front of me. But that began to feel like I was shirking my responsibility as a father and doing a disservice to myself and to my son.

During the time I stopped writing, I also received a number of messages from the epilepsy community. They reminded me that that others were going through the same challenges. I started this blog for myself but it brought me into a community of people who had already been where I was as well as people who were just starting on this path. The unexpected benefit of putting ourselves out there was that is reminded us that we weren’t alone. When things were dark and scary and uncertain, that gift provided immeasurable comfort.

I was worried that because nothing has changed that I wouldn’t have anything to write about, but that is part of this journey. The ups, downs, and the long stretches in between filled with uncertainty, frustration, accomplishments, and joy are all part of life. They are the things that remind us why we are here and bring us closer together. They are our outstretched hands reaching in to the darkness that are met by the hands of others grasping for connection.

As the new year began, I have started waking up early again. I make my coffee and sit on the couch in a quiet house staring at a blank page. I think about our life, past, present, and future. I think about the people we’ve met along the way, and I start filling the page with words.

It turns out, I might have more to say after all.

On The Surface

Recently, on the way to school, my son told my wife that he wasn’t feeling good. She turned around and took him home where he slept for three hours.

Usually, he will try to push through. I don’t know if he doesn’t recognize what is happening in his body or if he is too stubborn or eager to please, but he goes dangerously beyond his limits until he crashes. We have spent so much time picking up the pieces and putting him back together after he does.

My son started having seizures before he developed a reference or the vocabulary to describe what he was feeling. He only knows seizures, and medications, and side effects, and fatigue. There was never an absence of these things that he can recall and contrast when it happens to him today. For him, that is normal.

We have spent years watching him closely and trying to be the external monitor of his condition. We ask probing questions when we suspect that he is off, but he often answers “yes” as if he assumes we know what he is feeling or can describe what he can’t. But we only see the external signs. We can only see what is on the surface. And our vocabulary and ability to describe what is happening to him is as limited as his.

Me: “Do you have a headache?”
My son: Yes.”
Me: “Do you know what a headache is or feels like?”
My son: “No.”

I write every day. At work, I use words to describe complex systems. But the words that I know seem inadequate to describe what I can only imagine he is feeling. It’s words and concepts in another language that I am just beginning to understand after five years. We’re trying to use that language to communicate but too often things are lost in translation.

It’s another one of the many frustrating things about being the parent of a young child with epilepsy. I want to make the seizures go away, but I can’t. I want to eliminate the side effects of his medication, but I can’t. At a minimum, I want to understand what he is going through so that I can help him but there is so much about his condition that is invisible to us. It’s a terrible feeling of helplessness.

I’m hopeful that, as he did on the way to school, he’s starting to build awareness of what is happening inside his body and vocalizing it. Becoming an advocate for himself and expressing his needs will be critical for him to be able to navigate a world that is not always kind or forgiving or tolerant of people who are different.

For the past five years, we have been the monitors of his condition and the ones expressing his voice. As much as I felt ill-equipped for the role, it was necessary because my son was not able to do it himself. It made me feel needed and useful instead of focusing on my inability to find a way to make the seizures stop. I am comfortable filling that role but I can only account for what is on the surface. There is so much more to him and his condition than what I can see.

The reality is that the more I take on that responsibility, the longer it will take my son to learn to do it himself. It will take longer for those symptoms and feelings that exist below the surface to reveal themselves. And it will take longer for him to get what he needs because he won’t learn to put his needs out there. At some point, the help I am trying to give him becomes the thing holding him back.

Reality and I don’t always agree, but it is usually right.