Tuesday, August 20, 2013

MEG

I have never once cried during the dozen or so times Jack has been put under anesthesia and wheeled away from me, now all of that changed. We did our first test in the first phase of Jack's epilepsy surgery on Thursday. This test is called the MEG or Magnetoencephalography. It is my understanding that there are only a handful of these machines in use nationwide. It is the latest and greatest brain mapping machine. It is supposed to measure the brain's magnetic fields that occur when we do any function ie. talking, moving etc. Combined with MRI imaging it gives the surgeons precise information on where the seizures are coming from in his brain vs where speech, memory and other key functions originate. With this precise map of his brain they can more accurately remove the section that is causing the epilepsy and allow him to maintain as much normal function as possible.

We arrived at 7:30am at the hospital with our sweet boy who had to fast for this test. Fasting is not fun for anyone, I don't care who you are! This is one of the many tests during this process that requires him to be put under anesthesia. If anyone has ever watched their child be put to sleep, it is heartbreaking. He screamed and cried and then just all at once, went limp. Michael and I kissed him and told him we loved him and he struggled and moved his arms. We then just had to walk away, that part is always so hard. There is something different about his face when he's sleeping under anesthesia. It's not this peaceful sleeping boy that I could gaze at all night. I don't know exactly how to describe it, but it's just different in an uncomfortable way. As soon as we left his side, the silence was deafening and I just started to cry. This surgery is so real now, so tangible, so scary. The possibility that someone may remove a part of his body, a part that is so perfectly imperfect, a part that I created; this idea I struggle with.

Then the wave of relief, when the waiting room door opens and they called our name to come see Jack. He was sitting up, groggy but refusing to open his eyes. We tried everything and he just wouldn't open his eyes... and then they offered him a prize for being such a brave boy. That did the trick, what kids won't do for a treat or a prize. He picked out a Cars record a book, which I thought was a great choice! We can't wait to record Michael's Mom reading the story. Now we wait, it will be about a month until we find out the final results of today's testing. I asked questions to the nurses and techs tying to lead them into telling me some results and all we could find out is that they were able to obtain good data. This leaves me with the mixed emotions of great, I'm glad they got what they needed and heartbroken that it most likely means he continues to have seizure activity even when we aren't seeing anything. I always go into these tests thinking maybe one day someone will say he's fine and we've been blessed with a miracle of healing. So until that happens, I will keep praying and hoping and most of all just keep loving this wonderful family.

Friday, August 9, 2013

How we got here...



There are certain moments in time that change your life forever, shape who you are and who you will become.  These moments for me remain like Polaroid snapshots in my mind, so vivid.  I can remember the sounds, the light, the smells, the feelings and everything about these times… good and bad.  I have as we all do, several of these moments. This one begins in June 2011. It was just another day; I went to get my hair done while Michael stayed with the kids.  Holly at the time was almost three and Jack was almost 18 months.  I got home and the kids were still napping so I decided to make the best of my time and go run a few errands.  Before I left we decided to peek in at them. As we got close to Jack’s door there was a banging noise coming from his crib.  I don’t remember even having to see him to feel my heart sink.  Michael grabbed him and yelled that he was burning up, I ran and jumped in the bath and began to run the water.  And then, I saw his face… blue, swollen, eyes rolled up, tongue hanging out, and covered in a foamy fluid.   I thought he was going to die.  I just remember holding him in the bath stroking his hair, praying to God and trying to hold it together for my two year old who was anxiously peeking around the corner.  I finally heard the sirens and knew he would be okay.
For Jack, this was the first of many seizures.  This one was a febrile seizure which comes from a high temperature.  But contrary to popular belief, it’s not the temperature that causes the seizure it’s the rate at which it spikes.  His seizures evolved into complex partial epilepsy with secondary generalization. Which means a quick spacey stare, an unusual arm jerk, some bed wetting, frequent night waking and a list of other things are seizures for him.  He also has seizures where he becomes unconscious, rigid and his eyes roll back.  Things that trigger his seizures are fatigue, sickness, being over tired, fever, heat (living in Florida) etc.  Jack is at the point where all of the seizure activity has and is physically damaging his brain. He now has mesial sclerosis, or scarring of the hippocampus which is in turn causing more seizures.  Medication is not helping him and sometimes the side effects of medications add on to his struggles. It has been explained to us that as time progresses so will his seizures and we fear that one day epilepsy will win and take him from us.  SUDEP, Sudden Unexplained Death in Epilepsy.  Jack has a 1 in a 150 chance of dying during a seizure and it is the leading cause of death in persons with uncontrolled epilepsy.  Anyone reading this that knows Jack, knows I call him my one percenter.  I can’t tell you how many times I’ve heard “Well, this only happens in 1% of people”.  1 in 150, well I feel those odds aren’t good for us.  Two years ago I had no idea what epilepsy was or how it would change our lives.  I thought people had seizures, managed them with medication and carried on with their daily lives. Man was I wrong.
Now being in a position where his brain is being physically damaged from seizures and he is caught in this cycle of more seizures and more damage we need to get his seizures to stop. We have been told that he may be a good canidate for surgery.  So, removing a portion or half of his brain to save his life seems like a good option to save our son.  We’ve gotten second and third opinions and all say the same, which is comforting on some level.  In just a short time, Jack will enter into pre-op for his epilepsy in an attempt to cure him.  As scared as we are, we find hope with this surgical option to save our sweet boy.
Sitting here I am still baffled by how we got here and amazed at the strength of my little man and his amazing big sister.  Yes, he deals with constant therapy and doctors appointments, procedures and his daily physical, emotional struggles.  But Holly also deals with these things and remains kind, loving and patient.  We have been pretty private with Jack's story up until recently.  We have now decided to open up our journey to all of you for several reasons.  We could not have gotten this far or faired this well if it wasn’t for the love and support that we get from our friends, family and church.  We would also like to spread awareness and education about epilepsy and help others who may at some time be in our shoes.  I read a quote recently “You wonder why I want you to spread awareness when your child doesn’t have epilepsy.  At one point, neither did mine”. So, whatever your reason for visiting this blog and for taking this journey with us, we appreciate your support and love more than we could ever express in words.