Every parent worries about their children. From the moment we knew we were expecting, until my final breath, I'm certain it will be there. I worry about my children's friendships that are formed and the struggles they will go through with them. I worry about them finding partners in this world that will love and respect them the way they should. I worry about them figuring out their place in this world, knowing that it is a journey that they must make on their own, with me and Brooke only as a supporting cast.
These are mostly worries that I can only help in guidance and have no real control over. This will fully manifest itself in the coming months (and years) as we walk down a path of controlling my daughter's seizures caused by her Childhood Absence Epilepsy. Evalyn was diagnosed a little more than a year ago after a visit to a pediatric neurologist in La Crosse. In what now seems like a chasm in the lack of information given to us by both the doctor and his staff, we were asked, "Which drug would you like to start her on?" We were shocked. Many of these drugs efficacy sits around 50% in controlling seizures and had not been told anything about the drugs including side effects (which we knew from Brooke's access to scientific papers/studies), effectiveness, and what happens if it doesn't work (they up dosage and then move on to another drug). After a discussion with the neurologist, we walked out of his office
Over the past year we have come to recognize Evalyn's seizures not just from seeing her physically (her eyebrow twitches) but also from her breathing pattern changing. One of the best way to describe Absence seizures is from Wikipedia (I honestly cannot believe I am quoting Wikipedia)...
"The hallmark of the absence seizures is abrupt and sudden onset impairment of consciousness, interruption of ongoing activities, a blank stare, possibly a brief upward rotation of the eyes. If the patient is speaking, speech is slowed or interrupted, if walking, he or she stands transfixed; if eating, the food will stop on his way to the mouth. Usually, the patient will be unresponsive when addressed. In some cases, attacks are aborted when the patient is called. The attack lasts from a few seconds to half a minute, and evaporates as rapidly as it commenced."I have seen all of these and slight variations of this. My worries for her become compounded now in many activities that she partakes in. She loves to climb and is damn good at it. As her (and our) best friends have pointed out, it is her skill. I would worry about her loosing her grip or footing on a Jumbo Mast Net (very little though as 1. she is good at it and 2. I'm a dad) but now I worry that she'll have a seizure in the middle of it or while swinging hanging upside down by her legs. Bike riding? It will take a lot of courage...on my part though, she lacks none. Swimming? Never without someone being with her. Is it a life of worry that my wife and I will carry until she (possibly) will "out-grow"
her seizures?
We hope not. Within a couple of weeks, we will be headed down a shared journey of a changed diet. Through two main studies, (one from University College London and the other Johns Hopkins), we see equal or better efficacy rates from use of the ketogenic diet, the Modified Atkins Diet, or the Low
Glycemic Index Treatment compared to the epileptic drugs. We do not know yet if this will work. We do know that it will not be easy and will demand a very disciplined child and parent. We understand that this is not just "going on a diet" or even making dietary changes for better health. There is no "cheat days." You do this and do this right or don't do it at all.
To make things easier, Brooke and I have decided to journey with Evalyn. We will be restricting our
Evalyn seems to take all of this in stride (and even with some excitement at how much whipped cream and olives she'll get to eat, exclusively of course) that I can't imagine myself being able to do. Today, I am filled with lots of hope that this is the beginning of change in her life.
So...Today, Evalyn traded her remaining Halloween candy for a comic book. And I've never been prouder.