Tomorrow morning Seth and I return to Children's for another inpatient stay for more testing. This time we are going to try again to complete the SPECT scan, which requires him to have a seizure, and be injected with an isotope within 30 seconds of the start of the seizure. This will help further pinpoint the areas of the brain that are active during a seizure. This also requires continual video EEG monitoring. Seth is not looking forward to more electrodes, but missing a week of school does sweeten the deal!
We started tapering Seth's meds on Friday night, and by this evening he is now down to one medication. He has had a cold for several days, and started feeling worse today. As the afternoon progressed, he was having chills and complained of a headache. Knowing that Seth is more prone to seizures during periods of illness, and due to the fact that he is on reduced medication, we were monitoring him closely. Shortly before 7pm he had a seizure that lasted several minutes and then spiked a fever. Seth's headache worsened afterward, and he was quite uncomfortable until the ibuprofen took effect and gave him some relief.
My hope for this week is that the SPECT can be completed. Once Seth is admitted, he has to have seizure activity before they will attempt the SPECT. Since we've already seen a seizure tonight, I'm keeping my fingers crossed that this will be accomplished, and quickly. Time will tell...
Showing posts with label SPECT. Show all posts
Showing posts with label SPECT. Show all posts
Sunday, May 13, 2012
Tuesday, April 17, 2012
How Do You Say Yes? How Do You Say No?
When I look back over the last couple months, I realize that I was incredibly naive when we started down this road. I had no idea where we were headed, or how difficult this would be. Knowing what we know today, how do you say yes to brain surgery for your child? On the other hand, how do you say no? How do you weigh the potential benefits against the potential risks? The questions are agonizing and relentless. I find that I'm continually questioning and second guessing myself and our purpose.
We found out today that the neurologists have ordered additional testing, including a SPECT scan and functional MRI, which will require another inpatient stay. Because the SPECT could not be completed during Seth's last inpatient stay, this time they will completely strip him of medications to ensure that he will have a seizure so the scan can be completed. We do not yet know when this will be scheduled, but all indications are that it will be soon.
Your continued prayers and support are very much needed now. Please pray for all of us, but especially for strength for Tony and me, that we are able to confidently make the best decision for Seth's long term benefit. Your prayers and messages of support are truly appreciated.
We found out today that the neurologists have ordered additional testing, including a SPECT scan and functional MRI, which will require another inpatient stay. Because the SPECT could not be completed during Seth's last inpatient stay, this time they will completely strip him of medications to ensure that he will have a seizure so the scan can be completed. We do not yet know when this will be scheduled, but all indications are that it will be soon.
Your continued prayers and support are very much needed now. Please pray for all of us, but especially for strength for Tony and me, that we are able to confidently make the best decision for Seth's long term benefit. Your prayers and messages of support are truly appreciated.
Thursday, April 12, 2012
Moving Forward
Today Seth had his follow up appointment with the neurologist/epileptologist and also had a neuropsych evaluation completed. The appointments were scheduled back to back - the follow up at 9:30am and the neuropsych at 10am, which would take six hours. I was a bit concerned about the logistics of completing the follow up and making it all the way across the hospital for the next appointment, but I figured if they had scheduled it that way, it was doable. Wrong!
When we signed in at Neurology, I informed the receptionist of our 10am appointment. Her eyes widened and she commented that the doctor was already running a bit behind, but recommended that I mention it to the nurse when we were called back. Just a few minutes later, the nurse came to get us and as she checked vitals, I told her of our next appointment. She was honest enough to say that we would never make it and suggested that I call Neuropsych and let them know the doctor was running behind and we may be an hour late. The nurse took us to a room and before I could call Neuropsych, she returned and said that since the doctor was running behind, we could go ahead to our next appointment and then return afterward to see the doctor. I told her that Seth's next appointment was a six hour evaluation, so unfortunately that plan was nixed. I proceeded to call Neuropsych and was put through to the psychologist. He explained that they really couldn't complete the testing in such a short time frame and suggested rescheduling for another day. Here's where the hopelessness started to set in. I had pulled Seth out of school for the day, taken the day off work, driven two hours to get there... In the end, both departments pulled together and took care of us. We were able to complete both appointments and I have the utmost respect and appreciation for doctors that value MY time and situation.
We received interesting results from Seth's long-term EEG monitoring and other testing. Testing shows that the area of concern is the left frontal area, not the area of scar tissue as suspected. The left frontal area is the area that controls executive functioning - organization, planning, multi-tasking - all areas where Seth struggles. At this point, both of the neurologists we have met with feel that Seth may be a good surgical candidate, but it is likely that further testing will be required. Seth is the next patient up for review when the surgical team convenes in the next two to three weeks. His doctors will present his case, including all his history and testing, and the team will decide whether to move forward. If the decision is yes, things may start to move very quickly. Further testing would likely be scheduled and surgery could potentially be this summer. If no, we will explore other medications and treatment options.
Seth also had a medication change today to address some side effects from one of the meds he was on. He has been seizure free for exactly one month today, so I hated to possibly upset his stability, but he was having some serious side effects - problems with thinking, information processing, word finding. We will monitor closely and pray for coverage with this new med, which has significantly less side effects.
Seth worked hard all day to complete the evaluation. The evaluation was only about a half hour late starting and they worked up until lunch. We broke for lunch, and Seth and I managed a little playground time before heading back indoors to complete the afternoon testing. Seth was happy there were no electrodes, but said that school is more fun! We will have results from the neuropsych evaluation in about three weeks and will have another follow up around that time.
Stealing a little playground time (note Seth's favorite tuxedo tee!)
When we signed in at Neurology, I informed the receptionist of our 10am appointment. Her eyes widened and she commented that the doctor was already running a bit behind, but recommended that I mention it to the nurse when we were called back. Just a few minutes later, the nurse came to get us and as she checked vitals, I told her of our next appointment. She was honest enough to say that we would never make it and suggested that I call Neuropsych and let them know the doctor was running behind and we may be an hour late. The nurse took us to a room and before I could call Neuropsych, she returned and said that since the doctor was running behind, we could go ahead to our next appointment and then return afterward to see the doctor. I told her that Seth's next appointment was a six hour evaluation, so unfortunately that plan was nixed. I proceeded to call Neuropsych and was put through to the psychologist. He explained that they really couldn't complete the testing in such a short time frame and suggested rescheduling for another day. Here's where the hopelessness started to set in. I had pulled Seth out of school for the day, taken the day off work, driven two hours to get there... In the end, both departments pulled together and took care of us. We were able to complete both appointments and I have the utmost respect and appreciation for doctors that value MY time and situation.
We received interesting results from Seth's long-term EEG monitoring and other testing. Testing shows that the area of concern is the left frontal area, not the area of scar tissue as suspected. The left frontal area is the area that controls executive functioning - organization, planning, multi-tasking - all areas where Seth struggles. At this point, both of the neurologists we have met with feel that Seth may be a good surgical candidate, but it is likely that further testing will be required. Seth is the next patient up for review when the surgical team convenes in the next two to three weeks. His doctors will present his case, including all his history and testing, and the team will decide whether to move forward. If the decision is yes, things may start to move very quickly. Further testing would likely be scheduled and surgery could potentially be this summer. If no, we will explore other medications and treatment options.
Seth also had a medication change today to address some side effects from one of the meds he was on. He has been seizure free for exactly one month today, so I hated to possibly upset his stability, but he was having some serious side effects - problems with thinking, information processing, word finding. We will monitor closely and pray for coverage with this new med, which has significantly less side effects.
Seth worked hard all day to complete the evaluation. The evaluation was only about a half hour late starting and they worked up until lunch. We broke for lunch, and Seth and I managed a little playground time before heading back indoors to complete the afternoon testing. Seth was happy there were no electrodes, but said that school is more fun! We will have results from the neuropsych evaluation in about three weeks and will have another follow up around that time.
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