It was about 5:45 when I called Tom from my cell phone. I was on my land line with 911. Kaya was laid out in front of me on the floor. She was just coming out of a seizure. Her poor body shook and shook. Her lips and her cheeks had turned blue. I think my heart stopped when I saw her like that. About two minutes after my perfectly healthy, completely happy, 21-month-old started having a seizure, she stopped and began to come out of it. She began breathing better, and the blue left her face. She was groggy and kept closing her eyes.
Patrick was home, playing Legos upstairs in his room. I called him downstairs, and being the amazing big brother he is, he wanted to know what he could do to help. He became the ambulance look-out. Tommy was at my mother-in-law's house just up the road. A phone call to her- come over right away, I said, Kaya just had a seizure. She pulled in just behind the ambulance.
(This was Kaya in the ambulance-she slept most of the way)
It is about a twenty minute ride to the Children's Hospital. On the way, the paramedic assured me she was probably having a febral seizure (caused by a fever) which is common in young children. He took her temperature - it was normal. Tom actually beat us so the hospital. We arrived at 6:34 pm. In the E.R., the doctors and nurses also said it was probably a febral seizure. Her temperature though, continued to read normal. They put on heart monitor stickers. They pricked her toe to check her blood sugars. They ran an EKG. Everything was normal. They put in an IV so they could give her fluids. Even when they admitted us for the night and we finally got into our assigned room around midnight, they still assured us it was probably just a febral seizure. We prayed for a fever, but her temperature remained normal throughout our entire stay.
We gave her history what seemed like a zillion times over the course of the next three days:
No medical conditions. I had taken her to the pediatrician earlier on the day of her first seizure because she was crying and acting fussy. I suspected maybe she was getting an ear infection since she had a bit of congestion over the past three days. I gave her a dose of ibuprofen at 8:30am. At 8:45 she threw up. I took her temperature -it was normal. I put her down for a nap around 9:00, and she slept until 11/11:30. I gave her a little apple juice and some crackers, but she wasn't hungry and asked to take another nap again. Slept 12-1:30ish. Upon waking, extremely fussy and could not be consoled. Cried and cried. Called pediatrician at 2:00 and was given a 2:30 appointment. On the way there I believe she had her first seizure, but I did not realize or even suspect at the time. I glanced in the rear view mirror and she seemed still and had a strange expression. I called her name a few times and was about to pull over when she broke her gaze. She slept on me inside the pediatrician's office, which she never does, even when sick. After an exam, the doctor verified both of her ears had the beginning signs of an ear infection, and they prescribed antibiotics that Tom was going to pick up on his way home. Home we went. Kaya slept until about 5:00, woke, and ate a pretty good dinner of tortellini. She was acting her usual self, if not maybe a tad more clingy. We sat on the couch together and we're watching cartoons when the shaking started.
When it was determined that Kaya would be admitted for observation due to the lack of fever to explain what was happening, Tom left to return home and spend the night with the boys after we were moved to a room about midnight.
TUESDAY, May 5.
Kaya slept through the night until about 5:30 a.m. She seemed more herself, and drank some milk while watching cartoons on my lap. I put her back in her crib about 6:00ish, and she fell asleep. About 6:20 she had her second seizure. A whole team rushed in and this one lasted about a minute. Her cheeks became blue again, but the doctors assured me she was breathing through it. She recieved a dose of Adavant to relax her. Around 8:00 a.m we took her for an EEG. I loved our EEG tech, Russ. He was fantastic with her. After swaddling her arms and attaching 25 electrodes to her scalp, the process of mapping he brainwaves began. A little over halfway through the test, Russ got up to pass some lights over her eyes as part of the test. He immediately began unswaddling Kaya's arms. He could tell she was about to begin another seizure, which she did. This one lasted two minutes in length, shaking. We didn't realize at the time how fortunate we were that she had a seizure during the one test that could track where the seizures were originating in her brain. We learned that they were partial seizures that originated in the rear occipital lobe responsible for vision. She fell asleep in her crib about noon, and at 12:30, she received her first dose of Keppra, an anti-seizure drug. We prayed more. Tom was back at the hospital. She slept until 2:30. Around 3:00 she drank Apple juice and had some puff popcorn. She threw up a little about 3:30. She had her next seizure around 3:45 while Tom was holding her (this was the first he witnessed). She had her next seizure at 4:50, but this one was a bit different- just glazed over like she wasn't there. They gave her a second anti-seizure drug that I can't spell. She was immediately taken for a CT scan to rule out an obvious mass on her brain, or brain bleed. It came back normal (praise God!).
The doctors ruled out febral seizures, and we were told a neurology team would be assigned. Tom ran home to pack a bag and check on the boys. My amazing sister (who works at Children's as a nurse part-time) stopped by to visit and helped me un-tangle Kaya's multiple cords and wires every five minutes. By the time we were moved to a new room on the Neurology floor, Kaya was much more herself and even laughing. She slept through the night. Tom slept in the room with me while my mom stayed with the boys at home.
WEDNESDAY May 6
We knew the night prior that Kaya would have an MRI to try and pinpoint why she was seizing, but we didn't have a scheduled time. That meant no food or drink after midnight. Thank goodness she slept through the night (our amazing nurse, Ryan, was like a ninja and could take her vitals without waking her, or us!) From the time she woke at 7:00 until they took us down for the MRI around 2:00, Kaya cried for milk and food. She was so unhappy, she did not nap that entire time. It was horrible.
Kaya remained seizure free all day and ate some pizza after the MRI.
Tom brought Patrick and Tommy to visit that evening and Kaya was all smiles while they were there.
THURSDAY, May 7
We found out around 8 a.m. that Kaya's MRI was clear! Turns out that in something like 75% of cases, no cause is ever found for the seizures. We were discharged around 1:00 that day with an epilepsy diagnoses. That evening, we set up a twin size blow up mattress in her room, and that became my bed for the next four nights.
Kaya will take Keppra twice a day for the next two years. She had one episode the Saturday after we were discharged where her behavior mirrored her fussiness the day of her seizures. She acted this way over an hour, then seemed fine.
There has been nothing since. God continues to watch over her, and we see our neurologist again in August for a follow-up.
(I want to return to blogging more regularly, and apologize for the first post being so long. I just wanted to document what happened before the details slipped away).