Let’s Go To The Tape

I remember watching sports on television as a kid. There would be a dramatic play or a questionable call, and the announcer would say “Let’s go to the tape”. Instantly, the previous play would be on the screen and analyzed by the commentators and the millions of people who were tuned in. They would collectively be looking for conclusive proof that the play went one way or the other, and the outcome of the review had the power to change the course of the game.

Every morning, I go to the tape. But instead of reviewing the result of a questionable call, I’m scrubbing the recorded video from my son’s monitor to see if he had a seizure. I’m looking at clips from each time the camera detected motion to see if it was caused by normal turning over or if a seizure had taken control of his body.

More often than not, there is something to see. Even though his seizures are short, most are easy to catch. There is an unnatural silence in his room as his breathing stops and his body stiffens. A few seconds later, the loan moan fills the room as his body jerks and his arms move.

As I watch the video, I’ll see myself enter the frame. I’ll sit on the edge of my son’s bed, rub his back, and try to comfort him. Once the seizure ends, I’ll help him get back into the middle of his bed, cover him with a blanket, and walk out of the camera’s view, heading back to bed myself.

I’ll also see more subtle seizures. Ones where there wasn’t a sound. Ones where I didn’t wake up. Ones where I didn’t come into the room to comfort him. These are the ones that remind me of reviewing a play from a game. I’ll watch the same clip multiple times. I’ll slow it down. I’ll turn up the sound. Did the player come down in bounds? Did my son’s body stiffen? Was the play offsides? Did I hear the faint sound of a seizure?

The difference is that I’m not trying to make a decision on a play that will determine the winner or loser because there isn’t one. This is a match that may never end. Instead, it feels like I’m using these reviews to determine the score and, most nights, epilepsy gains a few points.

But I’ve got a lot of other tapes to review, as well. Videos of my son playing baseball, and laughing, and doing a lot of things that he couldn’t do a few years ago when epilepsy was controlling the game. So if we get points every time my son does something he couldn’t do before, or just something amazing, then we’re racking up points every day.

And we’re ahead.

By a lot.

 

The Night Watch

Every night before he goes to bed, my son takes a handful of pills.

The pills are the last line of defense that my son has against the unrelenting seizures that constantly lurk on the horizon. Especially at night, when his brain slows down to recuperate from the day, my son’s brain isn’t strong enough to defend itself against attack.

His medication is meant to strengthen his defenses so that his brain can rest. They are the guards on the parapet defending the residents inside the walls throughout the night. But the gaps in my son’s wall are too wide for the guards to cover. It’s not a question of whether a seizure will break through; it’s how many. It’s how much damage will the attackers do before the sun rises.

We’ve tried to boost his defenses. New medications. The ketogenic diet. VNS surgery. But none of them have prevented the nightly raids from exacting their toll on his developing brain. Even combined, they are no match for the electrical storm the flows wildly across the neurons and floods the cells.

It could be worse. It has been worse. Before we knew what this was, the flood nearly took my son. The uncontrolled pulses flowed through the gaps in his natural defenses and eventually breached them entirely, leaving his body frozen and his mind disconnected. We managed to beat back the invader and rebuild. We strengthened the walls. We bolstered the night watch. But our seizure calendar records the history of attacks, painting cells with yellow markers revealing every defeat in long ribbons of sequentially colored squares.

Every night before he goes to bed, my son takes a handful of pills because there is nothing else to do. We stick to our routine because it is better than the alternative. His pills, his diet, and his VNS play their part. But as he drifts off to sleep, I turn on the monitor and take my post watching over him, too. Because it’s my job on the night watch to be there when his defenses ultimately fail, to comfort him after the attack, and to help him rebuild the next day before we do it all over again.