I would like to add two points to this topic. The first is that we later discovered that red dye #40 was a trigger for Rose’s seizures. We looked back at all the times we tried to prevent febrile seizures by using red, orange, purple and pink NSAIDs(Non-steroidal anti-inflammatory drugs).
There was no way we could backtrack in our records to see if there was a relationship here. There was however, a way to check when red antibiotics were used to see if febrile seizures resulted. I was relieved to find no correlation between the red dye in her liquid antibiotics and the occurrence of febrile seizures. We hope that this was also true of her colorful over-the-counter treatments for fevers.
My second point is that I eventually did research into febrile seizures and read that repeated febrile seizures should be treated like epilepsy. I drove a note, complete with references, to her pediatrician’s office. I did not follow up on this. He may never have gotten the note.
Neither the note nor a reference to it was included in Rose’s records that were eventually sent to a neurologist. I won’t kick myself for this either. If her doctor had put her on anticonvulsant drugs sooner, she would not have had those early years of unimpeded learning. Those first years are very important.
Rose had many ear infections that were usually accompanied by fevers. Unfortunately, these fevers sometimes caused more febrile(with fever)seizures. We were vigilant about taking her temperature anytime she was sick. If her temperature was elevated, we gave her a children’s liquid form of an NSAID(non-steroidal anti-inflammatory drugs). We tried diligently to prevent her fevers from getting high enough to possibly cause a seizure. We attributed her problem to a faulty thermostat. No fevers, would mean no seizures… we thought. Over the next three years after her initial seizure in the pediatrician’s office, Rose had twelve more febrile seizures. These were always scary. It seemed as though we just couldn’t prevent them even though we tried to intervene with over-the-counter medications. We began to suspect that there was another cause of these events than just fevers. I began wondering if these seizures originated from a source that was always present, not just something related to or caused by fever and illness. Was there something in her brain causing these? Maybe a lesion,or tumor, or chemical imbalance? When would this end? All children get sick, but most don’t have seizures accompanying illnesses. I began to feel that the cause was lurking somewhere in Rose, waiting until she was weakened. I suspected that this was no visitor that showed up with illnesses and fevers; this was a resident. I constantly watched for flushed skin and chin twitches. I did some research. I read all about febrile seizures. No one mentioned the word epilepsy. It crossed my mind, but not my lips. Not my child. It was these ear infections. If we could get them under control, things would be fine. An Ear,Nose and Throat- specialist, that’s what we needed. Get some tubes in those ears so they could drain, the infections would clear, the fevers would stop. Voila!
Seizure Mama speaks to parents:
Later on there were some suspicious incidents that did not involve fevers. Rose referred to them as “tornadoes in her mouth.” I did not know anything about partial seizures. I had never researched epilepsy before. I did not want it to be epilepsy, so I ignored some signs. That’s called denial. Would my being more proactive have made any difference? No one can know. I did the best I could with what I knew at the time. When there were undeniable signs of something more, I jumped into action. When the doctor’s diagnosis was febrile seizures, nothing countered that. I am not one to borrow trouble.
Fevers and Seizures: Then and Now will be posted on Wednesday, May
I have replayed this memory many times, because it was the beginning. Would my handling it differently have lead us down a different path?
In my mind, I have watched my young-mother-self over and over. Young me panicking and running out of the house with hot little Rose, knowing only that I needed help. A mother and baby alone at home among the woods, down a long driveway, inside a locked gate.
What I see now is insecurity as a mother, fear as a care-giver and and a lack of confidence in handling a new problem. This is the surprise for me. I was a confident biology student and science teacher. Why was motherhood a game-changer?
My answer is that I am a person who has to be over-prepared to feel confident. I had years of training in biology and then additional years as a teacher. I felt prepared, so I was at ease in those roles. I did read books on parenting and talk to other mothers, but I never relaxed when it came to the childcare issues. I always second guessed my decisions, thus the “Blame Game.” Maybe I will be a confident grandmother after all this experience. Ha!
Now that I have had decades to reflect on my mothering skills or lack of skills, I have come to the conclusion that I did my best with the best intentions. No mom could love her children more than I love my two. Even though I could have handled this first seizure in many different ways, I always come back to the same conclusion…
that I am glad this event occurred in the pediatrician’s office where I had a nurse’s and doctor’s assistance for this first of many traumatic seizures.
The warning came in the form of a hot diaper. I was sitting at the kitchen table with Rose on my lap. I felt extreme heat radiating across my thighs. I thought I had spilled a cup of hot coffee into my chair, but there was no coffee near me, only squirming and fussy Rose. When I figured out that the heat was coming from her diaper, I panicked. How could her pee be that hot? All I could think of was getting her to her pediatrician. I knew the fever had to be really high for her urine too be this hot. I grabbed Rose’s diaper bag along with my purse and headed out the door. I drove straight to the doctor’s office even though I knew it was their lunchtime. I pulled our van into the parking lot facing the door of the office. I paced back and forth outside the open van door while Rose sat quietly in her car seat. The nurse appeared to unlock the door. I removed Rose from her seat and hurried toward the nurse. I quickly explained why we were there without an appointment. It was a relief to be ushered into the office and down the hallway toward the examination rooms. We stopped in the alcove where vitals were taken before going into a room. As the nurse put the thermometer in Rose’s ear, Rose stiffened. Her head tilted back and her eyes rolled up in her head. She was twitching and twisting so strongly that I could barely keep her in my arms. I screamed the doctor’s name. “She’s having a seizure!” I heard myself yell. The doctor appeared beside us and cradled Rose’s head as we moved as a group into the nearest room. Rose was still jerking as we gingerly placed her on the padded examination table. Then she became eerily still and ashen. Was Rose still in there? I held my breath and waited for a movement or sound, some sign that this was over and Rose was back. The doctor stayed with us, silently administering acetaminophen rectally. He sponged down Rose’s arms and legs with cloths wet with tepid water. Rose began to squirm. I remember taking a deep breath. She stirred some more, then looked around and sat up. The doctor left to see other patients while I sat in the chair holding Rose. I was stunned at what had just taken place. Rose eventually got down on the floor to play with the toys on the rug as if nothing had happened. I couldn’t take my eyes off of her. I had never seen a seizure in person before. I didn’t know anything about childhood seizures. Mama had some serious learning to do. This was not in all those parenting books, or maybe I had skipped those parts.
Seizure Mama speaks to parents:
After the shock wore off, I played the terrible parent game called “SECOND GUESSING YOURSELF.” If you have never played a form of this game, go on to the next story. The rest of you, here we go.
This form of the game is called “What if I had..?” It involves a kind of scientific twist like forming an if/then hypothesis and guessing the various outcomes. In the game you get to be the cause of every calamity. It’s a great game to play at night, in the dark, when you should be getting some much-needed rest.
I will demonstrate.
IF I had changed Rose’s diaper and given her a cool drink instead of rushing to the doctor’s office, THEN she might have cooled off and never had that seizure.
IF I had changed Rose’s diaper and clothes to a cooler outfit, THEN…
IF I had given Rose a dose of an NSAID(non-steroidal anti-inflammatory)drug and a cool drink, THEN…
The possibilities of these variations are endless. You can lie awake and play all night if you wish.
What is the point of this game? Blame of course. You are in charge of your world, so this seizure must be your fault! I know, that sounds crazy right? Then quit thinking that way about yourself. Bad things happen. Maybe things could have been done differently. Maybe there would have been a different outcome. But you don’t know that. So when you catch yourself playing this terrible game, pat your tired self on the back and roll over and get some sleep.
Hot Diaper: THEN and NOW will be posted on Wednesday, May 5