Drug Changes Change Rose

Story # 20:

Things fell apart. Drug 4L had been added to drug 3S after the seizures during the holidays. At first drug 4L made Rose mean. Getting her schoolwork done was a battle. Either she would not or could not concentrate. Were these changes due to the new drug, the new homebound situation, or the seizures? Her ear infections continued, so antibiotics were frequently in the mix.
We kept records of all her drug dosages and combinations, along with seizure descriptions on a chart. We couldn’t keep all of it straight unless we wrote it down. The months were a blur of seizures, side effects and sickness. I read books about epilepsy and researched epilepsy drugs and treatments. It was all so confusing. How could we help our Rose if we did not understand this disorder and the effects of its medications? I felt helpless and hopeless. Rose was changing as her drugs changed.
Appointments with the neurologist became very frustrating. The partner of the practice had left, so our doctor was handling a double load of patients. We used to feel like there was a set plan for Rose’s treatment; now it seemed like one long experiment. The doses for drug 4L kept increasing and we saw nothing but side effects. Her seizures became longer and stronger. We must have missed the window of effectiveness for drug 4L. Finally it was dropped and drug 5Z was added to her doses of 3S. Experimenting with the wrong drugs and dosages went on for months. Every few days, Rose would have a long, strong seizure. She would spend a day or two recovering before another seizure knocked her back down. I did not leave her anymore. I was too scared.
Sometimes on the weekends when Rose’s dad was home, Rose’s brother would ride the trails through the woods around our house. I would go with him carrying my camera and a walkie talkie. If a seizure occurred, her dad could call me to come back. I would hike through the woods and allow myself to cry. This was the only time I would leave the house. I walked the paths in our woods relieved to be out of our sad house where the walls kept closing in.
I never let Rose see me cry. We did not want her to see us saddened or scared. We were losing her. Her essence was disappearing. She was a groggy, foggy, tired mess. The drugs were not helping anything. The seizures were wearing her down and the drugs were ruining the time in between them.

Seizure Mama speaks to parents:

I am ashamed to look at the records from these terrible months. Why did we not get a second opinion sooner? Why did we not demand to go to an EMU? The awful reason was that we thought going to the EMU was a big step toward surgery. I had read about the different surgeries that were used to stop seizures. I wanted to give every drug a full chance to work. When I look back at her charts of medication combinations now, I am horrified.
Drug changes were being made frequently and almost in a random fashion. I think the neurologist was on overload and was pushed to try things because of my constant calls and letters. She was seemingly experimenting with various possible remedies.
It took the terrible scare of Rose going toxic for us to decide that enough was enough and seek a second opinion from a different neurologist in a different city. That was a turning point for us. Don’t wait that long.

Just A Mama

Story 19:

I was involved in all the activities Rose was involved in. Rose went to Sunday School, so I taught a different Sunday School class and was part of the Christian Education Committee. Rose went to Bible School,so I was in charge of the crafts. Rose went to elementary school, so I volunteered as a Rainbow Reader and PTO grade coordinator. When Rose joined the Brownies, I became an assistant leader. We were tethered together by the epilepsy. We kept going because she kept going.
When the seizures started coming frequently Rose quit going, but was left with these responsibilities. I wanted to stay home with Rose, but I had to attend each organization’s meetings and events. I had to go on without her. I tried to keep up with my various leadership and supporting positions. It meant my going everywhere alone. I went to School with no student. I went to Brownies with no Brownie. I went to church with no little churchgoer Rose.
The absurdity of this became all too apparent when I had to step over my unconscious daughter to go to a Brownie meeting. I had arranged for my friend,a dental hygienist, to come to teach lessons on dental care at this particular meeting. I felt obligated to attend. The girls were to earn Dental Care badges. I went to Brownies to be with the daughters of other mothers while my daughter stayed home with her dad.
Rose arrived at the meeting later all crumpled and squinting, determined to get her Dental Care badge and eat her snack. It seemed ridiculous for her to be here among all this noise and activity while looking like she needed to crawl in a hole and hibernate. This event was the beginning of my shedding some “mama obligations” in the community.
It was hard to pass these torches to other mothers. Most of them worked. I had all ready shut down my garden art business again when the seizures started back. I could not find people willing or able to replace me on my various committees and in my volunteer positions. No one stepped up to take over my jobs. It was me or no one. When the seizures were at their worst, all the other things did not matter anymore.I had to drop some balls and leave some teams. I was just a mama, and falling short at that.

Seizure Mama speaks to parents:

Remember why you do what you do as a parent. If the activity is not important to your child, give it up. Signing up for many extra activities will only frustrate you both. Do only what you both enjoy together. Let your child choose. It’s their childhood.

The Forgotten Fob

We moved Rose back to the university yesterday.

She did all the packing. We just helped load and unload the truck.

Just before we left, as an afterthought, her dad suggested I check the medication drawer.

I did it just to make sure a bottle of medicine had not been inadvertently left behind.

What I found instead made my heart stop.

She had forgotten her fob.

IMG_8323

Her necklace with all her epilepsy information and a fob with emergency pills in it.

This is her lifeline.

(I had to pause while typing this and take a deep breath.)

I took the box with the necklace, tag and fob in it to where she was

and held it out for her to see it.

I told her “If you have a seizure and no one knows what to do you could die.”

She nodded and looked down guiltily. Her response was “I did die.”

“Yes,” I replied “but I saved you. I will not be there next time.”

She has had her helicopter mama all summer. Maybe she just forgot where it was?

Maybe she wants to believe epilepsy has left her.

It is a nice dream.

But she must be prepared for the next seizure, even if there never is one.

This epilepsy belongs to Rose now.

I hope she will not forget the fob again.

Seizure Mama = standing down.

 

 

 

Rose Goes Homebound

Story 18:

The day after the seizure in the movie theater, the speech therapist from Rose’s elementary school called to set up a meeting about starting speech therapy. Rose needed this due to her hearing loss because of her many ear infections. I told the therapist about the seizures over the holidays and asked if she could get the principal to call us about Rose going homebound. The principal called back shortly thereafter.
I had been a public school teacher before my two children were born. I knew that having Rose in a busy classroom would not be safe for her if she continued to have frequent full-blown seizures. Elementary classes are a flourish of activities. The students move from place to place like a herd of little ducks. It would be all too easy for a teacher to accidentally leave Rose behind or not notice she was on the floor. In addition, I feared the stress and exposure to germs would disrupt the delicate balance we were trying to achieve with Rose.
The principal told us which forms must be filled out by Rose’s doctors. We got these and had them completed by her neurologist, but I still felt uncertain about pulling Rose out of school. I asked the neurologist what would happen if Rose had a series of seizures somewhere alone and nobody noticed. Her doctor plainly stated that she could die. There was no more debate. Rose would not be safe in a busy and bustling public school. We could not take the risk.
This was the right choice to make. The seizures kept coming, strong and frequent, during the next months. We tried many new drugs and drug combinations. This was the worst stretch so far. Not only did Rose keep having seizures; now there was also a parade of side effects to go along with them.

Seizure Mama speaks to parents:

Do not assume public schools will be able to make proper accommodations for your child. Sometimes it is just not possible; a school may not have enough trained staff or funding. You can get angry and fuss all you want. Sometimes it cannot be done, even if it should be done. Your child is ultimately your responsibility. Do not push this important and complicated task onto some overworked and underpaid teacher with a classroom full of other children. It will not be fair to the teacher and may endanger your precious child. Life is NOT fair. You should know that by now.

Thinking like a Rose

We named Rose after my sister.

Her nickname is Rose because she seems to come through any situation successfully and unscathed like the saying ” came out smelling like a rose.”

We marvel at the tricks my sister manages…the best seats at a play, the best parking space…

But really it is about attitude. She expects things to turn out well.

She drives to where she wants to park until a space opens up.

She inquires about better seats sweetly and gets them.

She trusts the universe. So does my Rose.

Rose expects people to be their best. She sees their best qualities.

She and my sister both enjoy every situation without reserve or dread.

It’s not self-confidence really, it’s world confidence.

They trust the universe. Call it blessed or good Karma.

They are Roses. I need to think more like a Rose.

Sweet!

Seizure Mama

Monsters and Miracles

Story 17:

It had been our tradition to go see a movie each year over the Christmas break. Since Rose had experienced numerous seizures over this two-week holiday, we postponed our movie outing until the last Saturday before school started back. We had been looking forward to seeing Monsters INC, so my sister and I took Rose and her brother to a nearby town to see the matinee.
We chose seats about midway up in the theater and Rose sat beside me. She seemed to be enjoying the movie until the mean, disappearing lizard scared the little girl. When Rose got scared in movies or on amusement park rides, she had a habit of biting my shoulder. Lucky me. Rose leaned over to bite my shoulder during this stressful scene and the bite turned into chewing. When I looked down at her, I realized Rose was having a strong seizure. I picked her up and carried her to the end of the aisle and started down the steps in the dark. My sister and Rose’s brother followed. I sent my sister back up the steps and down the aisle to get our coats.
One of Rose’s stiffened legs got caught between the bars of the step railings as we descended them. I had to back up and maneuver her leg out, then carry her, still seizing, out into the lighted hallway where I placed her on her side and covered her with my coat. I administered her emergency medication and sent my sister and son to get help.
After I finished administering her medication with the syringe, I looked up to see a mother with her two children watching me. The little girl looked terrified. I put on my brave face and assured the scared girl that Rose would be fine in just a little while. The family hurried on down the hallway. The little girl glanced back at us, and I gave her a reassuring smile.
About this time, two young men who worked at the theater arrived with my sister and son. One had a radio and was communicating with the manager of the theater. I told them that the seizure was over, but I needed help getting Rose to our van. I gave my sister the keys to pull the van up to the entrance.
These two boys stayed with us despite the calls from the manager to return to the front. One boy carried Rose. The other helped carry our coats. The boy carrying Rose carefully strapped her into her seat and shook her hand and wished her good luck. The two boys stood together on the sidewalk and watched us drive away.
On the drive home, I learned from my sister that one of the boys had epilepsy. The other had a mother with epilepsy. They were not going to leave Rose until she was safe. I will always consider them angels who came to help when we really needed it. Another miracle for Rose.

Seizure Mama speaks to parents:

This event added another fear to our list. We have not sat in the middle of a movie theater since this. We now sit in the second row on a side aisle. When Rose went on field trips with school, we always sat somewhere with an easy escape route. Concerts are scary now, too, especially if the bleacher seats are steep. Considering where to sit in a crowded arena is an important consideration. Every event comes with “Ifs.”
If a seizure occurs in any given place, how will we get out?

Good Mama: Bad Mama

Events of this weekend  brought to mind an economics book I have recently read,

Doing Bad by Doing Good by Christopher J. Coyne.

The book explains how humanitarian aid can backfire if done inappropriately.

So that is where the Good Mama: Bad Mama comes in.

(Pay Attention Mamas)

I have overdone for over two decades while Rose has underdone.

This is called enabling. The results are ugly. Do NOT go there!

It leads to high expectations for you from your child and

low expectations for your child from you and the child.

Not a good thing when you are old and he/she is an adult.

Yes, things were harder for Rose because of epilepsy.

I was trying to even the playing field for the little girl, Rose;

but she’s an adult now.

Rose’s seizures are controlled. She has worked a job this summer and will return to a university in a few weeks.

I will miss her when she leaves, BUT

I want my life back!

My last sentence to her as she got out of my car this morning was,

“You have taken enough from me.”

Bad Mama