National Epilepsy Awareness Month

“I know I’m not alone.”

The Epilepsy Foundation’s email on Nov. 1 told me to “Get ready for NEAM!” Not sure what those letters stood for, I opened the email to find out: National Epilepsy Awareness Month. My daughter, Anna, was sitting next to me at our kitchen island. She is 26 and has Dravet Syndrome, a catastrophic epilepsy that usually begins in the first year of life with prolonged, life-threatening seizures that are resistant to treatment. Intellectual, physical and behavioral disabilities can develop. The time seemed right to ask Anna about what she’d like people to know about epilepsy, a subject she’s always ready to talk about. Below is an edited version of our conversation. Please note that we were in the middle of Special Olympics bowling season.

Me: What would you like people to be aware of, to know about epilepsy?

Anna: That it’s not an easy thing. That it’s challenging when you have epilepsy and seizures. Like I really want to do a basketball team. And maybe I want to do a basketball team for UofL. Is that possible for me?

It’s a lot. You struggle even when you’re trying to do certain things. I have struggled when doing certain events. I have done baseball, soccer, cheerleading, karate. I struggle for everything to be just right and to not have any more seizures. And to be seizure-free from everything and to be able to drive.

Me: What do you think is the hardest thing about having epilepsy?

Anna: It’s not easy to remember stuff or where I’m at and what I’m doing. And if I’m at someone’s house, I’m, like, trying to remind myself where I am and what I’m doing at that time. And it’s hard when I see new faces, new people around me, even if it’s just family stuff or a birthday or whatever.

Me: What do you want others to know about people who have epilepsy?

Anna: That you can be doing something and not know what is going on or happening.

And that if you see the person look like they’re spacing out, looking up at the ceiling, possibly at the stars, that they’re getting ready to have one right then.

Me: What do you want people to know about how to take care of you during a seizure?

That you have to do it a certain way. And if they were to help me they would need to know to put me on my side. If it was a really long one, that would be more serious. I may or may not need to be put in an ambulance or go to the hospital. And the ER would need to know to not give me the medicines I cannot take.

Me: What do you like to comfort you after a seizure?

Colorful things that I could snuggle with that aren’t going to make me sneeze. Stuffed animals, dolls, Care Bears, stuff that I could fidget with or write with.

Me: Is there anything else you want others to know about how people with epilepsy should be treated?

Anna: With kindness and respect and that they should be treated like anyone else, with love and compassion.

Me: Do people treat you differently?

Anna: I feel like they lift me up from that feeling that I’m not doing great. And I get a strike or a spare and I start feeling great about myself. And I feel like I’m being treated the same way and that they are helping me because I can’t do it alone. I can’t lift myself up alone. I can only do so much. With D. and all his friends, they are saying, “You can do this! Believe in yourself!” Like, “Come on! Knock ‘em down and get a strike or a spare!”

Me: Are there any good things about having epilepsy?

Anna: I know I’m not alone. Like, I know I’m not the only one who has it. Like M., she has epilepsy. She’s in a wheelchair plus a rocking chair. I have K. in my life. She’s in a wheelchair most of the time.

Me: How has epilepsy affected how you see the world and other people?

Anna: You really have to figure out who the person is and how the world affects them before you can begin on the hard decisions of their life.  You have to see them to know what their life is like because they might have something like Downs Syndrome or something that’s similar.

A final thought from Anna: I really love that Rachel (her dog) is in my life and that she’s with me even when I cry or anything. She’s there to comfort me no matter where I’m at.

To learn more about National Epilepsy Awareness month, visit the Epilepsy Foundation at https://www.epilepsy.com/.

For more information on Dravet Syndrome, here’s a link to the Dravet Syndrome Foundation: https://dravetfoundation.org/.

For more information on how to respond to someone having a seizure, here’s a link to the Epilepsy Foundation’s Seizure First Aid poster: https://www.epilepsy.com/sites/default/files/atoms/files/SFA%20Flier_HQ_8.5x11_PDF.pdf.

A drop in the river

After nearly nine years, a diagnosis changes lives

While working at my home computer one late spring morning, I heard the muffled sound of water running. Any parent knows that when this sound doesn’t stop, a mess usually follows. The sound wasn’t stopping.

I had left my 9-year-old daughter in the family room listening to music. My boys – ages 15 and 13 – were in the basement with a friend. My bet was on the boys. So I hopped down the steps to check on them. They were glued to video games, nowhere near water of any kind.

Back up the steps I went and there noticed water splashed across the kitchen window. Had it started to rain? I leaned out the back door to check. No rain. Just my daughter on the patio with the garden hose.

Wait. What?

How had Anna slipped outside without my hearing the storm door slam? She was in her pajamas, pointing the hose toward the sky, flinging water back and forth with sheer joy on her face. The dog – fine protector that he was – was pretty happy too, sopping and loping around the yard. Spread on the concrete was a set of books.

“What are you doing?” I asked after springing down the deck steps toward her.

“I’m cleaning the house!” The words came happily from her beaming face.

Well, of course you are. And the books? Yep. She was cleaning those too.

I’m reminded here of those commercials for household cleaners. You know the ones: The children streak goo across immaculate kitchens and the moms just smile and get out their paper towels or spray cleaners or whatever the pitched product happens to be and clear the mess in no time. I’ve often wondered why the moms never scream, “This is the fifth time today I’ve had to clean up after you!”

That day I was a commercial mom. I stayed calm and smiled and actually found amusement in the whole episode. I didn’t have a handy product to promptly dry the dog and the books, not to mention the girl, who tends to have seizures when she gets chilled. But I did have a reason to be more accepting of the situation.

Just a little more than a week before, I sat in a neurologist’s office at Cincinnati Children’s Hospital Medical Center where Anna’s doctor reviewed test results with me. He explained that a spontaneous genetic mutation was the cause of the uncontrolled seizures she had suffered since she was 11 months old. The results pointed to Dravet syndrome, a life-threatening, rare and severe epilepsy that often resists medication and impairs cognition, physical abilities and behavior.

I was stunned.

While I had just received the news and couldn’t fully understand its implications, I did understand that after almost nine years of seizures and medicines and hospitalizations, after the ketogenic diet and the vagal nerve stimulator and brain surgery, after years of uncertainty and unpredictability and more questions than answers, we had a diagnosis. I don’t generally cry in front of medical professionals, but I found myself blinking away tears.

“I’m sorry. Is this sad news?” her neurologist asked me.

“No.” I said. “It’s just that … ” Words spun in my head.

“It’s just that it’s been so long,” he said. “And you didn’t do anything wrong.”

“Yes!”

It wasn’t a good diagnosis, to say the least. But I had known for a long time that Anna’s medical condition was, in fact, devastating. Now it had a name. That name was a drop of water in the river of our lives; it sent ripples out in all directions.

With that name came a sense of relief from at least some of the mystery. With that relief came a greater acceptance of my daughter’s challenges. And with that acceptance, came an even greater sense of love and appreciation for her spirit.

As bad as it was, the diagnosis helped settle my spirit. For years I had questioned and second-guessed myself. But I wasn’t crazy. The physical and cognitive impairments, the trouble with speech – these were real and not the result of something we did or didn’t do or necessarily from the constant changing of medicines and doses as we searched for seizure freedom.

The diagnosis helped me help my daughter. With the name Dravet syndrome came information that I had never had before, such as which medicines may help and which may hurt, which treatments are more likely to work, and which therapies are beneficial. The name connected us to other families dealing with the same diagnosis, other children who reminded me of my own. We met families from Northern Kentucky, Cincinnati, around the country, across the world. We were no longer alone.

Years have passed since Anna’s diagnosis. Thanks to the work of advocates and researchers, doctors now know more about Dravet syndrome. Children get diagnosed younger and find helpful treatments sooner, and I pray that is leading to better outcomes. But still children with Dravet syndrome suffer with disabilities. Still I sit at my computer and cry after reading about yet another young life lost to this catastrophic epilepsy. Still families live with anxiety and fear caused by unpredictable and uncontrolled seizures. Much work is left to do.

While questions and difficulties remain, I am thankful for a diagnosis. It has helped me to be more focused as our family faces its challenges. It has also helped me to be more understanding so that at times like that water-dappled spring morning I can find joy in a giggling, pajama-clad girl cleaning the house with a garden hose.

Photo courtesy of Pixabay