Showing posts with label seizure medication. Show all posts
Showing posts with label seizure medication. Show all posts

Sunday, January 29, 2012

In The News

Margot
Lisbeth
Calvin
Excerpt from the article The Scourge of Epilepsy
Brunswick Times Record, Friday, January 27, 2012
Margot
By Madeline Curtis, age 14, Margot’s sister
I wish there was a cure. The pills are supposed to
work, and maybe they do—on other people. But they don’t work on Margot. The diet
didn’t work, either. The fancy diet, the one that led to so much stress in our
house, didn’t work. The seizures just keep coming back, and my little sister,
eight years old, has to endure them. I wish there was a cure so that Margot, who
can’t even speak or walk, wouldn’t have to struggle so much. I wish there was a
cure, because I’m tired of all the new medicines that show up in the cabinet
above the sink. I wish there was a cure, because I hate the helplessness I feel,
watching her limbs freeze and her eyes roll up into her head. I wish there was a
cure, because I want all of the people who carry the burden of epilepsy to feel
relief.
* * * * * * * * * *
Lisbeth
By Martha Miller, Lisbeth’s mom

Write about lost love, my professor says.
All I can think of is Lisbeth, and how I lost the little girl she was that day in
sparkling summer. She'd been ill and was feeling better, then awoke that morning
saying, “Mommy I don't feel good.” I laid her on the couch and gave her some
Tylenol. Twenty minutes later it happened: she was grey, her eyes rolled back,
the whites of them now yellow, moist, a faint clicking in her throat. Her body
was stiff, jittery. I yelled to my husband Garry to come. “Call 911,” he said,
and somehow I did. Waiting on the front steps for the ambulance the word
EPILEPSY kept playing in my head. The ambulance arrived and the men carried her
out. Garry rode with her. I followed in our car praying, “Oh God, please, this
is not how I want her to grow up." In the emergency room Lisbeth laid on the
stretcher. They'd cut her pink summer shorts in half, shoved tubes down her
throat. Garry leaned over her tiny body, her perfect pink six year old body, her
blue eyes, now shut. What (the Hell) was happening? I wanted to turn and run
away. Garry saw it in my face and said gently, “C'mon Mart.” I walked to the cot
where she lay, and I began to sing to her. I sang all the lullabies I'd sung to
her when she was a baby. I knew what my job was now.
* * * * * * * * * *
Calvin
By Christy Shake, Calvin’s mom
Our nightmare started when Calvin was eighteen months old. He had
spiked a fever, so we gave him some acetaminophen and called our local hospital.
The doctor assured us that we had nothing to worry about even though I’d told
him Calvin had serious neurological deficits. Within mere minutes of hanging up
the phone Calvin suddenly cracked like a whip into an arch stiff as a steel rod.
His eyes bulged and his lips pursed as if drawn up with thread. My husband
Michael gathered him up, instinctively—worriedly—rocking him back and forth as
if to jostle the seizure out while I white-knuckle-called for an ambulance. “My
son is having a seizure,” I blurted, “he’s not breathing—he’s turning blue!” The
walls began closing in on me. Sounds morphed and muffled. Everything around me
looked hazy—blurred—as if in a cloud, except for my boy who remained in sharp
focus. Cradled in Michael’s arms, now jerking rhythmically—violently—Calvin
turned ashen like a corpse and his eyes rolled back into his head. Time stood
still as in a dream. I wasn’t sure if Calvin was alive even though his
convulsions persisted—I couldn’t find a pulse.My next memory is of the
cold hard edges in the ambulance, the sterile, sickeningly gray vinyl benches.
My tiny child lay in the center of a sheeted white gurney—his eyes now vacant
and still—staring up in a catatonic gaze at the bluish light in the ceiling. I
feared he might remain that way forever because of the seizure, or worse—die.
Little did I know then that some kids do.
* * * * * * * * * *
Margot, Lisbeth and Calvin are just three of as
many as three million Americans, and their families, who suffer from epilepsy,
and who likely will not be released from their misery until a cure is
discovered.During this brief campaign please, show your compassion and
donate to CURE epilepsy research at:

Sunday, January 9, 2011

Butterfly




Lisbeth had dinner with us last night at her favorite restaurant, China Rose. Lis has gone through so many changes lately, the most visible being pronounced weight loss. Medications had caused weight gain and bloating the past few years, not a good side effect. When Lisbeth was very young, she was emaciated. So we'd lost track of the real Lis as far as size. We think that now she is where she is supposed to be, around a size 6. Lisbeth had a loss of appetite while on Keppra, so that, combined with taking her off Vimpat last spring (one of the drugs that caused weight gain) resulted in dramatic weight loss. Now we want to be certain that she doesn't lose too much weight! She is eating better since off the Keppra, so we have fingers crossed that she's hit a plateau.
Lisbeth's psychological state is improving as well. Her helpers report that she's like a new person off Keppra - more positive, relaxed, and energetic, even though she's having seizures again. She told one of her helpers that the old voice in her head that was saying "getting dead" is going away. She said, "It's going in the trash. Now there is the new sweet voice." (Lisbeth continues to blow us away with her insights...)

Things can still change on a dime - last night Lisbeth was fine for the first half of dinner then suddenly reared up out of her chair panic stricken - saying she needed to go home with us right that minute. We tried to gently re-direct her, but she remained agitated, and started to feel like she was going to have a seizure. We used her magnet, and finally had to administer her PRN lorazepam. We went back to her house, and it took a couple of hours to calm her down and settle her in for the night. I called her house this morning, and her helper reported that she is clear again and in good spirits. The up and down and back and forth of it. This is how it is. It will never be perfect, but all things considered, for now, it's a whole lot better.

Wednesday, August 4, 2010

Rage

Lisbeth is having rage episodes again. We are going to reduce her Keppra once more with the hope that we can find a healthy balance. The Keppra is doing an amazing job as far as her seizure control, but we are still seeing frequent episodes like the one filmed here. Be advised upon viewing that this video contains loud profanity. Lisbeth and her helper, Caitlin Geary, came over this afternoon to take a swim in our pool, but Lisbeth didn't swim. Her behavior started to escalate (it can turn on a dime). Lisbeth has no control over her behavior during a rage attack, just like she has no control over a seizure. Typically she swears and hits and/or throws things. We have to administer her PRN lorazepam in these instances. When Lis was younger and had rages, her worst words were, YOU'RE FAT! YOU'RE FAT AS A CAT!! Then when she got older, around high school age, she had a rage one day and stunned us all with some brand new vocabulary words - she'd learned how to swear! To this day, these are the only two swear words that she knows, and she directs them towards men and women alike. Her high school special ed teacher used to joke with us that she was going to teach Lisbeth some gender specific swear words. No thanks. This is quite enough...

About 20 minutes after the lorazepam...

Thank God for medication.

Saturday, July 24, 2010

Feel Better Color

Lisbeth with her new green feel better ring.

During the last several difficult weeks, Lisbeth has been instinctively surrounding herself with the feel better things (Lis-ism). The feel better blankets, feel better bears, feel better books and feel better pillows. She has also started to gather all things green around her. (Like all artists, Lis delights in color and pattern, and enjoys collecting similar items, calling them the same the same...)
Lis with her helper, Sara Montegut, after a swim yesterday. Lisbeth has been swimming twice this week! This is a huge step! She used to love to swim, and even won gold medals in the Special Olympics in High School. But for the past couple of years, anxiety has prevented her from getting into the pool. We tried all winter to help her with this at the local YMCA to no avail. But Wednesday and Friday this week, she swam with us in our backyard pool, and laughed and enjoyed herself. I cannot tell you how miraculous this seems and how glad this makes us feel...
Proud and glad Dad...

Proud and glad friend (and Lisbeth's former special ed teacher), Jo Goiran...
Going green from finger to toe...
It's the feel better ring, Mom and Dad. Guys couldn't believe it!
True!

Friday, July 23, 2010

MidSummer Magic and Miracles



You got surprised of it. ~ Lisbeth
The past several weeks have been such a difficult trial for Lisbeth (and us) but we have hit a plateau - a holding pattern - and right now Lis is in a wonderful space. We've kept the Keppra at 1500 mg a day - she has not had a grand mal seizure in over a month, the rages and hallucinations have wound down, she has lost the weight that the former meds had caused, and...(dare I say it?)
Yes.
She is h a p p y.
Lisbeth's expressive arts therapist, Stephanie Cimmet, is currently doing alot of dance and movement with Lis, and Lis says this makes the whole body feel better.
Yes.
Yes, indeed.

Friday, February 19, 2010

A Prolonged Seizure

Lisbeth during a recent ER visit. For someone with uncontrolled seizures, this is not an uncommon occurrence.

Lisbeth had a tonic clonic seizure at 10:30 yesterday morning that lasted almost 15 minutes. This is rare, and it is an emergency situation. Staff called the ambulance - by the time they arrived at Lisbeth's house, the seizure had stopped and she was doing some of her usual postictal behaviors. She had been given 1 mg of lorazepam at 10:00 for seizure aura, but it had not yet taken full effect. I advised by phone not to transport Lisbeth to the hospital since she'd had the lorazepam, was responsive, and her vital signs were stable. Lisbeth slept quite a bit after the seizure and was very cloudy. (One neurologist told us years ago that a tonic clonic seizure uses up the same amount of energy as playing a full football game. I believe it). Staff kept a close watch on Lisbeth for more signs of seizure aura, in which case they would have immediately administered another lorazepam. Lis is still very sleepy this morning, but is a bit clearer - remembering and talking about coming over tonight to have dinner with us. Lisbeth's big sister Kaitlyn and her husband Cory are bringing down fresh lobster from Islesford where they live. It's Lisbeth's favorite.
We think that this unusual seizure was due to the med changes that are in place, the Vimpat increase and the introduction of Cymbalta. Fingers crossed it was an isolated event, and Lisbeth will be able to enjoy her weekend. I am posting this video of a little girl named Jessica Lindgren having a tonic clonic seizure. Jessica lives here in Maine, is the same age as Lisbeth, and also has uncontrolled seizures. Her mother, Leslie Lindgren, participated in the making of this video about epilepsy back when Jess was just six. I think that it is important to see what a seizure looks like. There are millions of people in the world with epilepsy, and you may be called upon one day to help someone having a seizure. DO: Time the seizure. Keep the person who is seizing safe - cradle her head, or put a pillow beneath it, and turn her head slightly to the side. Loosen clothing, move objects that might bruise her jerking arms and legs. Speak softly and reassure her that it is almost over and that you are there. If the seizure lasts more than 5 minutes, CALL 911. Stay with her after the seizure ends - she may lose bladder or bowel control, or vomit. She will be very cloudy and will need assistance. DON'T put your fingers or anything else in her mouth!!! And don't panic - seizures are rarely life threatening.

Monday, February 15, 2010

Valen's Day

New Giant Heart mandala!

A Valen dinner party, with Red Velvet Cake...



...and a Valen Smoothie for breakfast, with a new little bear from Daddy.

And a brand new bear from Mom. So soft, and the colors of Milkweed.

(Someone else loves Lisbeth's new bear...)


Lisbeth celebrated Valen's Day (Lis-ism) by having dinner with us and sleeping over last night. Lis loves Valen's - she routinely cuts hearts into her snowflake/mandalas. This past week has been a good one for Lis. Her staff reported that she has been mostly content and that there have been no big seizures. We are currently increasing her Vimpat, slowly, and this is keeping the big seizures at bay, but Lisbeth is still experiencing the eyes getting stuck, a milder seizure activity that we hope will subside as we step up the Vimpat. She also started taking Cymbalta this week, and we think that this is a good part of the reason for her improved disposition. I can always tell when Lis is feeling more like her old self because her snowflake production increases! She brought over a whole pile of the new cuts, including the giant heart snowflake pictured at the top of this post. Yay.

Tuesday, February 2, 2010

The Brain Doctor

Lisbeth Miller
A Brain One

The Brain Doctor (Lis-ism), Dr. Heidi Henninger of Maine Neurology in South Portland.
Checking Lisbeth's Vagus Nerve Stimulator. It's good to go for another 4 months.
Lisbeth had her quarterly appointment with Dr. Henninger yesterday. We are going up on her Vimpat - she's only at a half dose right now - and this will hopefully reduce some of the auras and underlying seizure activity that has been the cause of much recent discomfort for Lisbeth. We are also working with Lisbeth's psychiatrist on finding another anti-depressant. Lis was on Zoloft for 15 years and it had become ineffective. We're looking at Cymbalta which is an anti-anxiety/anti-depressant that also works to reduce neurogenic pain, another problem that plagues Lisbeth. One med that can handle two problems would be good, as Lisbeth has to take so many drugs already. It's always a balancing act, and always a guessing game. One neurologist told us years ago that he considers neurology more of an art than a science. I have to agree. Lisbeth is currently in the middle of a seizure cluster - she's had three tonic clonic seizures in the past two days. This really knocks her out. It's been about three weeks since she's had a cluster, though, and for someone who used to have 12 - 20 tonic clonic seizures a month, this is not bad thing...

Wednesday, January 27, 2010

The Sleep Over

Lisbeth is so eager to sleep over, she arrives dressed in her jammies (she is also wearing her pink polar fleece Little Milkweed jacket that I made for her many moons ago...).
Right away she has aches and pains, some negative perseverating, and an absence seizure (otherwise known as a petite mal seizure, shown here. This involves staring, some drooling, and non-responsiveness, but not a full loss of consciousness as is the case with her tonic clonic, or grand mal seizures).
We work on a fun project while Daddy cooks supper...
Glad of it!
Dad's menu:
Baked potatoes with sour cream, grilled steak, mushrooms and onions, and a green salad. Vanilla ice cream for dessert. All enjoyed under the watchful eye of the new Little Milkweed angel...
As soon as dinner is over (for Lisbeth - it doesn't matter if we are still eating!) it is BEDTIME.
See, Mom and Dad? Need to get the Sweeter Bear, need to take the bedtime medicine now, and put on the cream, and brush the teeth, mmmmmmm hmmmmmmm, and get the water with ice, LOTS of ice, and do the heating pads in the microwave, and rub the back, and read the bedtime story, mmmmmmmmmmm hmmmmmmmmmmmm...
Bedtime Medicine. Four times a day Lisbeth swallows a handful of pills. She takes 4 anti-epileptic meds, and an anti-psychotic: Depakote, Trileptal, Zonegran, Vimpat, and Risperdol. She also routinely takes PRN lorazepam. (Lisbeth has meds in liquid form for times when she is unresponsive and can't take meds orally. There are also times when Lisbeth is too unresponsive to drink and she can't take liquid meds - at these times she is at risk of becoming dehydrated and must go to the ER and be given her meds and fluids intravenously).
Lisbeth can't read, but she loves to be read to. She likes the same stories over and over. This book has a character in it named Lisbeth, so it is a real favorite!
Lisbeth does a good job brushing her teeth. When she is clear, she can do these tasks. When she is postictal and not clear, she needs help with hygiene, and getting dressed and undressed.


A conte portrait that I did of Lisbeth asleep post surgery in 1992 at Boston Children's Hospital.

Lisbeth is 28 years old, but in many ways she is still the 6 year old girl that she was at the time of her traumatic brain injury and the onset of her seizures in 1988. We transitioned Lis to her own home when she was twenty-one, but she still comes and spends the night about once every two weeks, and when she does, she needs the same sort of predictable ritual and routine that a young child requires. Even more so. She needs constant attention. Her moods can turn on a dime. Often she will not sleep through the night. Sleepovers are a challenge, however, we still do them often, because even with all her ups and downs, Lisbeth delights in being back home with us. And the wonderful thing is, she is always ready to return to her home the next morning, and impatiently waits for her helper to come and pick her up! In this way, she is a very real grown up. THIS way!

Friday, January 22, 2010

The Magnet

Lisbeth's Beautiful Women Mandala which I'm in the process of using to design some fabric for future items to put in Lis's Etsy shop...
You may have noticed in photos of Lisbeth that she wears a little pouch around her neck at all times...
Let's see what's inside...
It's a heavy duty MAGNET!
This special magnet is used to activate Lisbeth's Vagus Nerve Stimulator, which is located in her chest, just above her heart. Lisbeth had the VNS surgically implanted in 2002 in the hopes that it would help decrease her seizure activity. It is set (by computer at her neurologist's office) to go off every 30-60 seconds or so, but if Lisbeth feels a seizure coming on, or has a strong aura, or actually has a seizure, the magnet can be swiped over the VNS to activate it at any time. This can ward off a seizure or lessen the severity of a seizure (you can see us using the magnet in the video in the previous post...). We think that it has helped a bit, although it is difficult to discern because Lisbeth is also on several anti-epileptic meds. It's a mixed bag...

Lisbeth with one of her loving and dedicated helpers, Heather D'Alessio. Heather is the same age as Lisbeth (they attended Brunswick High School together) and has worked with Lis through Independence Association since 2003. God Bless her!!!