Thursday, January 25, 2018

The Journey Continues


It’s been 15 months since I’ve written a blog post, and after this week’s events, I decided it was probably time for an update. Until this past week, life had been going very well. Eddy and the girls have been healthy and happy, Ed and I have been the same, and things have been going smoothly.

A Smooth Life.

Something we will never again take for granted ever since all of the hospital stays and terrifying times we went through with Eddy. We don’t need a whole lot to make us happy. When you’ve had to watch your child go through seizure after seizure, IV after IV, drug after drug, just to try to be healthy and home, you will never again take “boring” old existence for granted. We love boring. It means that everything is going well.



So life was smooth and wonderful for the past eight months. Last May, completely out of the blue, Eddy had four seizures. It was a terrible day, but he was almost back to himself the next day, and I put it out of my memory. We went on to have a fantastic summer, and Eddy was just a joy. He was happy and healthy and started doing lots of new things, including using picture cards effectively to communicate, becoming much stronger and more stable with walking, climbing the steps up to the kids’ playground by himself, spelling five-letter words, walking a mile independently!, getting so much better at feeding himself, and so many other things. And he was seriously always smiling. He was the happiest kid ever. It was a great summer.





When we had the CSE meeting last spring to discuss his placement in school this year, we were surprised to learn about a new class they were offering. It was a multi-age, 12:1:1 self-contained special education class that would only have 6 students in it, and they thought it would be a good fit for Eddy. If you read my last blog post, which was all about how happy we were with Eddy being in an inclusive kindergarten class, and how I have a Masters Degree in Inclusion and am a huge advocate of it, you would not be surprised that my first reaction was, “Um, heck no.” I did not want Eddy in a self-contained class. It wasn’t an option. But as they talked more about the class, and explained that it would be more of a “centralized hub” for Eddy than a self-contained class, I started warming up to the idea a little bit. They assured me that Eddy would still be in all of the specials with his 1st grade peers, and he could also be pushed into the regular 1st grade class for math or reading (his two favorite subjects) on a weekly basis. He would be pulled out for speech, OT, and PT, just like he was in kindergarten. We loved Eddy’s kindergarten class, and the fact that the students were so good to him and just adored him was amazing. But on the other hand, Eddy tended to get overwhelmed with the noise and the size of the class, and he did not do well sitting on the carpet (which is a much larger part of kindergarten than I thought it would be!) So with all of these factors put together, we decided to give it a try. If it didn’t go well, we could always put him back into an inclusive class with his peers. When we found out that Mrs. Rogers was going to be the teacher for the 12:1:1 class, that solidified the decision to place Eddy in the class. (She’s an amazing teacher.) Eddy would still have his aide, Mrs. Youngs (whom he absolutely adores), and we felt good about the smaller class size and the calmer atmosphere.

And I’m really glad that we decided to give it a shot, because Eddy seems to really love school this year. The classroom is huge and set up so comfortably. Eddy has his favorite things in class (his alphabet train, iPad, favorite ABC and number books, alphabet bus), and he has so much one-on-one time with his teacher. His aide is fantastic, and Eddy has a very special bond with her. I know that he is always in good hands when we send him to school on the van in the morning.

Last summer, we started home ABA (Applied Behavioral Analysis) therapy. It is very structured, evidence-based, data-driven, and reward-based, and it is how Eddy learns best. The thing with Eddy is that he’s SO smart and he knows so much, but he’s so inconsistent with demonstrating his knowledge depending on who he’s working with.  He’s a stubborn (rewards-based) little fella, and he knows exactly what he’s doing when he won’t demonstrate what he knows. Sometimes he’d rather that the person working with him not know how much he knows, because when people know how smart he is, they expect more out of him. And it’s frustrating for us (and for his teachers and therapists!) when we see that he won’t demonstrate basic knowledge that he’s known since he was three (lowercase letters for example) in settings in school, while at home, he’s incredibly consistent with getting the answers correct. We’re really working to help Eddy to generalize his knowledge in all situations, not just where he feels most comfortable (i.e. home). He started with three hours of ABA therapy three days a week, and now we’ve increased it to every day except every other Sunday. (On Saturdays he has two three-hour sessions!) So he’s getting tons of therapy, and on school days once he wakes up from his nap at 4:30, he’s working until 7:30 pm. It’s really been incredibly helpful for him. We were very active in deciding which goals we want him to meet (feeding himself, dressing himself, imitation, following directions, spelling, strength building, fine motor control, sitting on the carpet, and so many other things.) Just yesterday, he fed himself 90% of his chicken and broccoli dinner with an adaptive bowl, scooping everything independently. He’s made huge gains since the summer and it’s been so rewarding to see.


So, basically, this is what I would’ve updated last week or last month, and it’s what I’ve been meaning to add to my blog for several months now. (But you know, life happens.)

I kind of alluded to this in the beginning of my post, but this past week has not been a good one. Everything was going fine, but Sunday night, when Eddy was in the bathtub, he had a seizure. Ed called me in immediately and told me and we were both incredibly disheartened. We got him out of the bathtub, and he had another one about ten minutes later. Then another. We gave him a clonazepam, which didn’t do anything, as he had another seizure. So we gave him his rescue meds. Normally rescue meds stop Eddy’s seizures pretty much immediately. But they didn’t stop. Every 20 minutes or so, Eddy was having a short 10-second tonic seizure. (The only saving grace was the seizures weren’t tonic-clonic, i.e. grand mal seizures, like they were last May, and they did stop after a few seconds; the clusters just continued, though, which was terrifying.)

After calling the pediatric neurologist on call in Rochester, we were instructed to give rescue meds again. We have never had to administer rescue meds more than once on any occasion that Eddy has had seizures. Thank God, after we administered the rescue meds for the second time, around 1 am on Monday, Eddy’s seizures stopped for a few hours. Then, at 6:30 am when he woke up, they started again. He had one, and then another, and then another. Finally, when we syringed his keppra (seizure medication) in his mouth, they stopped for the rest of the day. Throughout that 12 hour stretch, Eddy had about 20 seizures (give or take a few; we were so exhausted we couldn’t function, let alone count the seizures, anymore.)

In addition to having seizures for hours, he was also vomiting after having a seizure. So our bed was covered in vomit. We’d change our sheets, and then he’d have another seizure and vomit again. Finally, I just stopped trying to clean up and just put towels under Eddy on my bed. If his seizures hadn’t stopped after the second set of rescue meds, we were prepared to drive him to Rochester, where they are equipped to handle pediatric epilepsy. We’ve gone to our local ER enough times to know that after waiting for hours, they will just transport us via ambulance to Rochester, where we’d have to wait in the ER for another several hours. It’s very unfortunate that a pediatric neurologist who understands the ketogenic diet does not practice in the area, as we are basically on our own unless we drive two hours.


The rest of the day, Eddy was out of it from having so many drugs in his system, but he seemed to be doing better. He wanted his iPad, and he was trying to walk and eat a little bit. Just when we thought we were in a better place, that night around 8 pm, the tonic seizures started again. By this time Ed and I were so exhausted that we just couldn’t take it anymore. Thankfully my parents live five minutes away and immediately came over Sunday night, spent the night and helped get the girls to sleep, and came back Monday night when they heard the seizures started again. My dad took off two days of work to help stay home and cuddle Eddy all day. (Thank you so much mom and dad!!) After four seizures, I called the neurologist on call, who never called me back. I called the answering service again, and by this time, Eddy had had three more seizures. By the time I heard from the back-up neurologist on call, Eddy had had a total of eight seizures. The back-up neurologist on call instructed me to give rescue meds (for a third time in just over 24 hours!), and at this time it was 11 pm. I had a bag packed to drive Eddy to Rochester in case it didn’t work. Thank God, the rescue meds stopped the clusters of tonic seizures, and Eddy has not had a seizure since Monday night at 11 pm. (Knock on wood.)


It’s an understatement to say that this week has been hard. To have seizures come back with such a vengeance after such a great stretch was incredibly difficult, mentally, physically, and emotionally. I was just telling a friend last week, who asked how I’m so unaffected by so many things and can remain happy and calm in a lot of situations, that I’m able to put perspective on things now and compartmentalize, except when it comes to Eddy. I can handle almost anything. I don’t mind confrontation. I try to remain calm and positive in all situations. Except when it comes to my boy. My precious, sweet, kind, heart of gold, nonverbal child. When Eddy was having seizures Monday morning, he must’ve been able to sense them coming on because he would reach for me with fervor and grab my neck and hug me so hard, and the look in his eyes was “Mom, please help me.” It was absolutely heart breaking. I can’t even think about it. But I have to be strong, because Eddy needs me to be.

Eddy is such an incredibly special person. He has changed me profoundly. He has made me a better person. He has made me look at people differently. I see everyone, no matter who you are, as important. As a person. It’s so vital to look at people with special needs as PEOPLE. So many people don’t. Eddy, and all people with special needs, are first and foremost PEOPLE. They may not be able to talk, or walk, or express themselves, but they have thoughts and feelings and dreams. They deserve respect, love, and kindness just as much as anyone else in the world.

So this week has been difficult, but things are already looking up. Eddy is back to smiling. (It was a long day and a half without an Eddy smile.) To all of the family and friends who have been praying for Eddy, thank you. And please continue praying. I will never discount how imperative prayers are.

Eddy is in therapy right now in our home, and he is doing SO well. His ABA therapist can’t believe how well he’s doing based on what he’s been through this week. But Eddy is resilient. He’s the strongest person I know. He’s the light of my life, and I know that as long as we have Eddy, the world will be a better place.