Epilepsy And The Lack Of Freedom

One day last week, after I dropped my son off at school, I walked past the playground and the late kids being hurried by their parents across the street. The kids were a few years older than my son and, on the walk home, I began to think of when I was their age and lived in an apartment complex in Connecticut.

I remember there was a common area between the apartments and the street that was covered in grass, with a big, green boulder that I used to climb, imaging it was the tallest mountain. My friends and I used to meet on the grass and play baseball, or tag, or ride our bikes on the sidewalk through the buildings.

My sister was among the older kids that used to also congregate by the boulder, usually either ignoring or taunting their younger siblings. But there were no parents. Many of our parents, including my mother, were single parents or low income parents trying to make ends meet, so they were working or inside catching up on chores and other duties. So we were left to go outside, and play together, and to fill up our days with whatever we felt like doing.

If the older kids got to be too much, my friends and I would grab our fishing poles and walk through the woods adjacent to the apartments to a small creek where we would catch frogs and small fish and where I swear I saw a river monster (which was probably actually something like a muskrat). There was a sledding hill on the other side of the complex, and patchy wooded areas that we could explore with plenty of trees to climb. Our ability to roam without parental supervision or babysitting by our older siblings made us feel very free.

epilepsy dad lack of freedom

We don’t have any spaces like that near our house, and living in a big city is a completely different environment than the area around those apartments when I was my son’s age, but I wondered if my son would ever get to experience that same sense of freedom that I had when I was living in those apartments. Even if there were places to roam and their weren’t busy streets to navigate, will his seizures prevent him from being able to run off and play without the watchful eye of my wife, me, or another caregiver? Will he always have to be around other people, particularly someone who knows what to do if he has a seizure?

I’ve always said that I didn’t want epilepsy to make my son feel “less than”, or for it to keep him from doing anything he wants to. But the reality is that it might, especially if we continue to have such a hard time getting his seizures under control. He probably doesn’t notice it as much now, because he’s six and because he’s not supposed to venture out in to the world by himself. But as he gets older, and as he’s not able to experience the same freedom that his friends do, I’m going to need to find a way to make it okay.

How Far We Have Come

A year ago, we sat next to our son’s bed in the hospital holding his hand and praying for his seizures to stop. That is when we learned what status epilepticus was, and we watched the monitor above the bed as the EEG machine that my son was hooked up to registered seizure after seizure after seizure. It takes a trained technician to truly understand the meaning of the spikes and waves that show up on the screen, but the Event counter kept climbing, and the increases coincided with what we saw happening to the body and mind of our little boy.

dreaming eeg epilepsy seizure how far we have come

I remember falling asleep next to him, only to be woken by the sound of another seizure. I’d tilt my head back to read the screen upside down and, even though I was only asleep a short time, the counter would have increased more than it should have. My wife or I would then have to get up and push the “we saw a seizure” button and record the seizure on a piece of paper, in the dark using the light of our phone or the EEG screen so that we could fill in another row on the seizure chart with the same short pencils that they hand out to record your score at a golf course. What an odd thought to have while scribbling the duration and characteristics of a seizure, but I was delirious, and scared, and lost, and at that moment, that pencil provided a fleeting, comforting place for my mind to wander.

Thinking back to those nights, as out of control as everything seemed and as much as we felt as if we just kept falling, we had no way of knowing what would lie ahead. As dark as those first nights seemed, we were practically basking in daylight compared to the blackness that was to come.

There would be many more nights connected to the EEG, more charts, more tests, more little pencils, and many, many more seizures. There would be a string of doctors, nurses, and medications, side effects and unbearable behavioral changes. There would be discharges and readmissions, and many questions, but very few answers.

dreaming eeg epilepsy seizure how far we have come

My son was not among the lucky (if there is such a thing) epileptics that could take one medicine and be under control. Instead, he’s in the very unlucky group that still struggles to find the right medicine and the right dose to stop the seizures that torment his brain. While his seizures are not completely under control, they are less frequent. He can walk, and run, and talk, and learn, and laugh, and he even has really, really good days.

We have very few answers but, in spite of that, we’re making progress. Our year adrift in an angry sea has thrown us in every direction imaginable, but we’re hopefully headed towards calmer waters.

How far we’ve come. But it feels like we still have very far to go.

Actually, My Son Is Not “Fine”. But He Is Amazing.

I spoke with an administrator at my son’s school, talking about how the year was going so far, asking about how the replacement for his one-on-one was going, and just generally checking in. The administrator said that my son seemed to be doing “fine”.

“Actually, ” I said, “he’s not fine. He has epilepsy. Some mornings, he has seizures. Then we give him his anti-epileptic medicine and try to help him keep his attention focused long enough to get dressed for school. Luckily on most days now, he can stomach breakfast. The diet that he is on is really hard on him, but hey, it helps with his seizures. Then he walks or, on good days, rides his scooter a few blocks to school. We’re grateful that the short trip doesn’t tire him out as much as it used to when school first started. Then we drop him off in to a class that has 29 kids and hope that his one-on-one (when he had one) cares enough that day to help him focus on his class work and hopefully pay attention long enough to pick up what is being taught that day. He can’t follow more than one direction at a time, and it takes an enormous amount of energy to stay focused for that long. By mid-morning, his brain is already exhausted and his body starts to follow, but he makes it to lunch, where he usually just watches his classmates eat. Recess, though, is his favorite part of the day, where he can play with his classmates with whatever energy he has left, although I think he usually wills himself to fake having energy so that he can just be with other kids. Then he packs up, heads home, has a small snack before his body and mind give up and he has to take a nap, just so he can wake up and make it the rest of the day. That’s not what I call fine.”

The administrator was caught off guard by my rebuttal. “I just meant that academically he seems to be where he should be.”

“He’s doing well academically because after he wakes up from his nap, our nanny reads and works with him to help reinforce what we’re hoping he’s learning in class and missing from the afternoon sessions. By the time I get home from work, he’s usually exhausted mentally again, but we get to play while dinner is in the oven. Well, unless it’s our night to go to behavior therapy. After dinner, we pop him full of pills again, head to bed, and then repeat the process for the foreseeable future.”

I don’t blame the administrator. He only catches glimpses of my son throughout the day. With other disabilities, there might be some external indication that a child is different, but with epilepsy and its related complications, you may not catch the signs unless you have a reference, or spend enough time with a child, or happen to catch a seizure. But while I don’t blame him, I also wanted to dissuade him from thinking that my son was just another kid and, just because he wasn’t seizing at school, that he was “fine”.

“Fine”. “Fine” doesn’t reflect the struggle he has to keep control of his body. “Fine” doesn’t show the foggy side effects of his anti-seizure medicine that clouds his brain, or the complicated, restricted diet that sometimes turns his stomach. “Fine” doesn’t capture how hard he has to work to stay focused or follow direction or put things in sequential order. “Fine” doesn’t get the help he needs at school so that he can try to keep up with the kids that aren’t filled with brain-altering drugs or seizing every day. “Fine” doesn’t convey how difficult it is for my son to make it through the day.

And yet, he does.

No, my son is not “fine.” But he is amazing.