There is a misconception in the outside world (ie: everyone
not living with a person who has epilepsy) that as long as a person is not
actively having seizures, all is well. That
may be the case for some families dealing with less severe forms of the
disorder but epilepsy is a constant presence for many people, even when the
seizures are less frequent. We were
fortunate this year to make it through Christmas without a cluster. We survived family, chaos, presents and
irregular schedules. We had a great time
with my grandparents who flew in from New York so that my grandmother could
make us a traditional Italian dinner. In
all of the festivities though, PCDH-19 was always lurking in the shadows. I don’t want the three people reading this to
get idea that I'm complaining or that we have had a particularly hard time this season. For the most part, we had a wonderful
Christmas. Since it did go fairly well
though, I think that this is a great opportunity to share a few of the ways
that epilepsy impact families like mine, even on the good days.
On Christmas Eve my family’s festivities started at 2:00 in
the afternoon. I was there as we all sat
down together for the first of four courses of pure awesomeness. Alyssa, however was not. Curt stayed home and brought her later in the
afternoon so that she could get a full nap.
We also had to leave the party sooner than we would have liked to make
sure that she was able to be well rested the next morning. Unlike her cousins or her little brother,
missing a nap is simply not an option for Alyssa. A lack of sleep can trigger seizures for
people with epilepsy. Even on the holidays, we have to build our
days around rest in a way that most other families do not.
Christmas is kind of a perfect storm when it comes to
stress. The combination of cramped
schedules, expensive wish lists and seeing family we may prefer to love from a
distance can be a lot for anyone to handle.
Even the positive stress of opening 4,985,157 presents can be
overwhelming for lots of kids. Add all
of that to a sugar high and meltdowns are bound to happen with the best of
children. I notice that my boys are more
emotional than normal and act out in ways they normally wouldn’t. That is what
I consider typical. Epilepsy goes a step
farther when stress is involved. Stress,
like a lack of sleep, can cause seizures.
The first time that Alyssa had seizures after she came to live with us
was on Christmas day three years ago. The
neurologist wrote a letter to the judge after that episode detailing the stress
that Alyssa was under and stated that he believed her anxiety about changes to
family visits was the cause of that cluster. Stress can also cause smaller neurological
problems for Alyssa. She gets much more disoriented. She may have to be reminded about the same
simple command multiple times or she may ask the same question repeatedly. In many ways, Alyssa is similar to her three
year old brother and has to be watched accordingly even though it can be
tempting to allow her the freedoms normally allowed to other kids her age.
The last time that we visited Alyssa’s epileptologist (a
neurologist who specializes in epilepsy), she discussed her concerns about
Alyssa’s impulsivity. The combination of
medication and damage caused by previous seizures has resulted in very high
levels of impulsivity for Alyssa. She often
acts before she thinks or does something she has been warned about only moments
before. Again, this is above and beyond
what would be expected for a typical 5 year old. That has the potential to be
dangerous because she may not assess the risk involved in an activity before
diving in. This week we witnessed it in
a much more minor manner. All the ladies
in my family spent the afternoon at Painting With a Twist and I brought Alyssa
along for some fun girls time. They have
an instructor who walks you through each step of the painting so that everyone
ends up with a (somewhat) similar piece at the end. In the beginning, Alyssa was following along
fairly well. Her lines were less defined
than the most of the adults’ but she was obviously trying to replicate the
instructor’s work. Then we came to a
more complicated step that several people needed help with. About a minute into the pause, I looked over
and Alyssa’s entire canvas was covered with giant crosses. When there was a defined task to be completed
she was fine but she could not leave her brush laying down in the dead space. On the plus side, my Christmas tree will
likely only come out once a year while she now has a beautiful piece of
abstract art hanging on the wall year round.
People often ask me if Alyssa is still having seizures and we are fortunate to
have made it several months without any tonic clonics. However, I think it is important that people understand
that a break from seizures does not equate to a complete healing. She has made great strides over the past year
and we are hopeful that she will continue in this direction. In Buzzfeed style, I now leave you with my
list of 10 ways that my family feels epilepsy on the good days.
1.
No matter how many people are in the house, her
bathroom door must always be unlocked so that we can get to her in an
emergency.
2.
Changes in diet have a huge impact on Alyssa, so
even on special days she can’t live on only chocolate.
3.
At the end of a long day, our bedroom door stays
open so that we can hear the horrible scream if all our precautions weren’t
enough to keep the monster at bay.
4.
We mix Alyssa’s Depakote into cool whip because that
is the only way she will take it. She
was NOT enthusiastic about seeing homemade whipped cream covering her Christmas
morning pancakes.
5.
When the parents of children with PCDH-19 talk, the
conversation always seems to end up on behavioral and emotional struggles. Alyssa often has trouble regulating her
emotions, similar to a child much younger than her. During the holidays, this can be more
pronounced because there is so much for her to process, less time to do so and
often there is an audience.
6.
Alyssa LOVES to play with hair and will
impulsively start trying to style anyone sitting low enough for her to reach their
head. We are practicing asking people
BEFORE we style their hair… sometimes she still forgets.
7.
The flu has been bad in our area recently and
any sickness or even a low grade fever can trigger a cluster for Alyssa. That means that a simple flu could do
irreversible brain damage to my child.
It can be challenging to balance the desire to give her a typical
childhood with the urge to protect her from every potential harm. Every Christmas parade, holiday event or party
invitation can trigger a lengthy internal debate for me.
8.
Sometimes the best answer for our family is
no. I dislike missing family outings so
that we can make an early bedtime. I
hate having to scale back when my nature is to overdo the holidays but I know
that going overboard could mean serious trouble for us. Sometimes I still resent it though.
9.
The focus on rest, relaxation and health can be
good for all of us. After a particularly
stressful period on Christmas day, Curt and I took the kids for a walk in the woods. It was just the 5 of us enjoying the peace of
nature and it was one of my favorite times of the day.
10.
Our family traditions are constantly being
adapted to better fit her needs but we make changes with the knowledge that it
may not be enough and that those changes may not be in the best interest of our
boys.