Tag: surgery

Patterns

I sat in the chair at the side of my goddaughter’s bed in the hospital. She had major surgery a few days prior and was recovering in the intensive care unit.

As she slept, her body continued the healing process, connected through tubes and wires to various machines delivering her medicine and monitoring her progress. A screen displayed her heart rate and breathing rate with regular peaks and valleys of rigid blue and green lines. Rhythmic tones broke through the muffled sounds of the hallway outside.

There is something familiar about the screens and the sounds of a hospital room. With my son, we’ve spent months at a time in the hospital. Eventually, the sounds faded into the background, like living near a highway or railroad for too long. It is then the absence of those sounds that I notice.

I stared at the screen and watched the lines move left to right before starting again on the left and overwriting the evidence of the past. At times, the lines perfectly overlapped the pattern of the one before. At other times, the peaks were slightly shifted forward and gave the appearance of a wave being animated to the left.

I watched one of the many intravenous drips. Three drops. Then another three. Then three. Then four. Three. Three. Three. Four. Every fourth cycle, the pattern would change to three, three, four before starting the original sequence again.

Observing these patterns was soothing. It made me feel like she was safe. It made me feel that the universe was continuing in an orderly fashion with every molecule and atom precisely in its expected state and that the cells in her body were repairing the intrusion of the surgeon’s instruments.

The patterns represent order after chaos, stability after uncertainty, and calm after a storm. They bring a sense of control. They bring peace.

As welcome as this feeling was, I didn’t expect to find myself experiencing it again. I thought the first time I felt it, after the doctors were finally able to lift my son from status and stabilize him when we thought we might lose him, would be the only time. I remember sitting in the dark hospital room without the constant flow of doctors, nurses, and therapists and letting out a breath of relief. It was probably the first deep breath I had taken in months.

I would feel that feeling again many times as my son’s condition proved challenging to manage, and we found ourselves back on the neurology floor of the children’s hospital. Each stay started in a panicked attempt to wrestle back control from his seizures, and each stay ended with another deep breath and the thought that we had gone through an ordeal for the last time.

But there is no last time for us. Whether it’s from surgeries or complications for our son, for my aging parents after a stroke or a fall, or for our goddaughter as she attempts to find a way forward to better health, we will always find ourselves back in the hospital, surrounded by the monitors and sounds.

When we find ourselves there, listening to the sounds of the machines, we will seek out the moments of calm, stability, and peace that come from the comforting presence of these patterns. While we can never know what will happen next and have little control over the outcome, we can choose how we experience it.

As I sat beside my goddaughter, I chose to embrace that peace.

Because in that moment, it was enough.

Perceptions of Time

A nurse led us into the recovery room, where the first thing that struck me was the stark change in my son’s appearance. His familiar Bryce Harper haircut had been replaced by a closely shaved head, but it wasn’t just the missing hair. As we rounded the bed, my wife and I froze. There, across our son’s skull, were the sutured incisions, and beneath the skin, the faint, raised outlines of the leads that connected deep into his brain, extending down to the generator implanted in his chest.

We both gasped, instinctively reaching out, trying to bridge the chasm between shock and reassurance.

I don’t know what I was expecting. Maybe nothing could have prepared me for the reality of seeing those physical marks—a visceral reminder of just how serious his condition is. It was more than jarring. It was a harsh collision with the truth that no matter how much we try to normalize life, this—his reality—is never far away.

Seeing him reminded me of the last time he was in a recovery room after having his VNS implanted. The visible signs of that surgery were less intense. However, it was still our little boy sleeping on a bed in front of us who had, only hours earlier, been sedated and opened up on an operating room table, then carefully stitched back up after inserting a few extra parts.

The DBS and the VNS were only two of the many procedures that our son has had at this hospital, the same hospital that saved his life and the same hospital that continues to look for ways to improve it. He’s had almost every type of scan, given gallons of blood, taken piles of pills, received tons of therapy, and otherwise been poked, prodded, and tested in every way possible.

After he woke up, he was moved to the neurology floor, which had been our second home for a long time. Once we settled into his room, a wave of comfort washed away the shock and anxiety of the surgery. With that comfort also came the familiar change in the perception of time.

Time on this floor doesn’t pass the way it does in the outside world. Inside these walls, it feels suspended, each moment stretching out between visits from the doctors, nurses, and support staff. We’d sit on the blue couch that doubled as a bed, gazing through the windows at the city rushing by below. We’d try to fill our time with distractions—phones, TV, bingo—but no amount of distraction makes the intervals between visits any shorter.

Minutes stretched to hours stretched to days as they monitored our son, and we waited our turn for the final scans he needed before we could go home. To our real home, not this second home. To the real world, not this isolated, supportive, comfortable world. To the place where we would now wait, again, for our son to recover and to see if the procedure and the device make a difference.

Looking at the past, at everything that happened to get us to this point, time passed in a flash. In the hospital, in our bubble of comfort and support, time stood still. Looking at the future, waiting for another answer, time stretches out for eternity.

Relax, It’s Just Brain Surgery

At a recent appointment, our neurologist suggested deep brain stimulation for our son.

Brain surgery.

A recommendation for another surgery was unexpected. We had just weaned off the Onfi and were down to only two seizure medications. The switch from keto to modified Atkins proved challenging to keep his ketones up, which is shifting us to a trajectory that will place him on a normal diet for the first time in almost 10 years. Still, with those changes, we haven’t seen an increase in seizures. Considering the toll puberty has taken on his body physically and emotionally, I was grateful to be where we were.

But we’ve been at this long enough to know it’s not just about seizure freedom. Our focus has always been on finding the balance between seizures and quality of life, since heavily medicating him never stopped the seizures but turned him into a zombie. At one point, he was on 4 medications, the ketogenic diet plus the VNS, and even then, seizures would break through. That he can go to school and learn, play baseball and video games, and have a life at all is more than we could have hoped all those years ago, watching seizures wrack his tiny body.

We also know that our choices aren’t just about the present. We also have to think about the future, and that future includes the potential dangers that come with uncontrolled seizures and epilepsy. Our son’s condition presents similar to Lennox-Gastaut Syndrome, and with that comes an increased risk of SUDEP.

Any options that lower his risk but still allow him to have a life are worth exploring, especially because our list of options continues to shrink. I hope for continued advancements in technology and medication; deep brain stimulation is a good example. It wasn’t an option for children with epilepsy until recently, but now it is being offered for our son.

Which brings us back to…brain surgery.

I’m not sure what I expected before we met with the neurosurgeon. Correction: I expected brain surgery to include opening up our son’s skull with power tools. When the surgeon explained what the surgery actually entailed, I felt a sense of relief. Other than the fact that, yes, things would be inserted into our son’s brain, it sounded similar to the VNS surgery. It also helped that the surgeon, the same surgeon who did our son’s VNS surgery, is the epitome of cool and has done the surgery enough that it sounds like he’s describing a routine task.

I’d imagine it would be the same as a pilot describing how to land an airplane. Sure, it makes sense, but there’s enough awareness and humility on my part to know that a) I can’t do it and b) you obviously know what you’re doing, so I can relax and let you land the plane.

I left the consultation feeling less overwhelmed and in favor of the procedure. We also talked to our son about it because he’s old enough to have an opinion about his body. He had a few basic questions but did not hesitate before agreeing to the surgery.

And, with that, the decision has been made.

Let’s land this plane, doc.