6.17.2013

what kind of kid?

What kind of kid would Calvin have been if not for the seizures, the drugs? It seems, from having heard a few recent segments on the radio, that the medical industry is finally fessing up to what I, as the mother of a child with medically refractory epilepsy, have felt in my gut for years: that short uncontrolled seizures perhaps can cause damage to the brain. Duh.

I remember a friend telling me that, back in the early nineties when his infant son started having hundreds of seizures each day, the common theory about seizures was that they didn’t cause brain damage unless they lasted over thirty minutes. He went on to say that, in what he perceived as some swift and arbitrary manner, the medical community suddenly revised that number to ten minutes.

If I had to guess, I’d say that neurologists don’t really know the full effects of seizures for sure. For the most part I feel like I instinctively know as much as they do when it comes to my son’s epilepsy. I live with him. I anticipate, hear, see, feel and grieve his seizures. I see the fear they incite in his eyes and feel it in mine. I witness the nuance from one seizure to the next. I hold my breath each time Calvin has one (they last between four and eight minutes, of recent, and during their initial stage he stops breathing.) I wonder, as I look into his vacant eyes, hold his blue hands, stroke his trembling body, what kind of havoc the seizures are wreaking on his developing brain. Do they rob his skills? Change his personality? Destroy his potential? I have little doubt.

Recently, I asked Calvin’s new neurologist if he backed medical marijuana as a treatment for epilepsy. He told me that he doesn’t prescribe it, so I asked him why. He said that there was no hard and fast evidence or double-blind placebo studies proving its efficacy. He also mentioned how, if his practice prescribed it for adults, there’d be a rash of people coming in for all sorts of (bogus) reasons wanting a prescription for it. I wonder if this conjecture stems from stigma, a rationalization that in turn limits access for millions of needy patients, perhaps because of an unproven fear of abuse by few. And besides, many of the anticonvulsant drugs used to treat childhood epilepsy have never been tested on young children and yet neurologists continue to prescribe them nonetheless. We are left with few options but to give these drugs to our children without fully understanding the short and long term consequences on their health and development.

I feel there’s something inherently wrong with this model. But I’m not sure how to fix it save advocating for the option of medical marijuana to treat childhood epilepsy citing convincing anecdotal evidence until we can get some double-blind placebo studies into motion. That, however, might take years considering the prudish and puritanical bent of some constituencies and the threat that the use of a simple medicinal plant might pose to drug companies.

Until then—and though I love Calvin just the way he is with every cell of my being—I’ll have to watch him age but not change much, watch him grow yet remain a child, watch the years go by, the seizures continue and the drug side effects torment, knowing that with each seizure and each dose of anticonvulsant drug my kid endures puts him farther and farther away from feeling good, from walking and talking and from being the kind of kid he might’ve become.

4 comments:

  1. I hear ya. This week is my visit to get the MM from the pharmacy. I'm loathe to try it while I'm away in Canada, but maybe that would be the best time. I'll keep you posted. Oh, there's a facebook group with hundreds of people talking about MM and epilepsy. I'll try to get you an invite.

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  2. I feel the same distress, fear, and anger too! I feel helpless and at time it seems like there is no hope of a better life for our kids. We were told in 2000 that Bethany's seizures would not cause any further brain damage. Yet 13 years later it is painfully apparent that she has declined cognitively. Whether it is from 13 years of uncontrolled seizures (none more than 4 minutes long) or from the medications I can't be sure. Now she may be having liver issues from years of talking liver destroying medications. My suspicions are that even if it did become legal in all states and federally, it would take many years before they actually implemented the distribution of medical marijuana, and it would be hard to get a doctor to even prescribe it for children. I also wonder that even if with prescriptions for kids, giving it to them would attract CPS.

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    1. we can only continue to advocate for what we think is right for our children. by raising awareness we raise people's tolerance and understanding. keep on truckin'. don't be afraid of others. xo

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  3. It's good to know their are others who feel the same way I do. Thank you for sharing,,trying to stay strong..

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