New medication

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As Rachel started 8th grade, we felt a lot of support from her school. They met with us to discuss how to best help our family through the difficult year ahead. Her teachers were very compassionate, and ready to accommodate her upcoming absences as best they could. Rachel’s favorite part: no penalties for late homework!

There were certainly a lot of absences. Her new medication, Trileptal, did not seem to control the seizures at first. When Dr. Porter upped the dosage to a high level, Rachel immediately got so sick that she missed many days of school, on separate occasions. She then backed off the dosage to a place where Rachel didn’t get sick, although she continued to have about a seizure a day.

Rachel, for her part, has worked very hard to make up for the many missed days of school. Many times her teachers have been very surprised when she turned her work in much earlier than expected. We are very grateful that school is not adding stress to our lives.

Alaska

OK, I admit it. Nothing really happened on our cruise to Alaska that has to do with Rachel’s epilepsy. Yes, she had one seizure on the cruise ship, so that can go on the list along with Hollywood Boulevard.

But we had so much fun in Alaska, and it was sooo nice to not think about seizures for a week. How can I NOT add this one teensy post, and squeeze this one cute picture in?

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PHOTO BOMB!

Neuro-psych testing

During the summer we had Rachel’s mental capabilities tested. Even before her medical condition, it was something we were considering. We had gotten a strong recommendation forJohn Aulenta, a psychologist in Monterey, and had already been thinking that testing might be helpful. Now knowing that her brain had a most unhelpful displosion in it, the time had clearly come. Her new neurologist was also very interested to see the results, to help evaluate how functional her right temporal lobe was.

I have always had a very low opinion of classic IQ tests. I think they essentially test how similar the subject is to Einstein, and that always struck me as a most unhelpful way to evaluate humans.

The opposite was true of the tests performed on Rachel. Aulenta’s tests didn’t produce a single IQ number; they produced dozens. This much more resembles my experience with people: we are usually good at some things, and not so good at others.

For Rachel the results were incredibly striking. The hippocampus is the place where we form memories. The one on the left side forms language-related memories (i.e. reading a book). The one on the right forms visual memories (i.e. reproducing an abstract drawing you got to look at for 5-10 seconds). All of Rachel’s tests results bounced around in the 60-90 percentile range, except one: with visual memory she was in the 18th percentile.

For Dr. Porter, this was very strong evidence that her right temporal lobe was already not helping Rachel. It was strong evidence that a more aggressive surgery, with a greater chance of stopping the seizures, would not carry greater risks of compromised capabilities.

Goodbye Keppra

The week after Sound of Music ended, Rachel had another EEG, and the next day she met her new neurologist, Dr. Brenda Porter. The meeting with Dr. Porter was very eye-opening. She asked if Rachel had been having any side effects from the now-very-high dose of Keppra. When we replied no, she said “Really, not even the Keppra Nasties?” Our jaws dropped. You mean that all that eye-rolling, back-talking, and general negative outlook on life was NOT teenage hormones gone wild?! It was the medication?! Yay! Our sweet daughter is still in there!

Since the Keppra was not even stopping the seizures any more, we soon started weaning her off of it. The effect was amazing. All the goofy characters, with all the goofy voices, came back. The laughter came back. For Rachel, this medicine was waaay worse than the disease.

Sound of Music

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Singing “Lonely Goatherd” to her children

The second vacation from seizures provided by Keppra came at the perfect time. For the sixth consecutive year, Rachel had decided to build her summer around the summer musical theater workshop Hooked on Theater. This year would be her first repeat musical: Sound of Music. Since she had landed the lead role in Annie the year before she thought she had a good shot at Maria.

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GULP!

And she was right! She sang beautifully, which you can hear for yourself here.

We were very grateful she had the opportunity to enjoy performing this wonderful role (is there a better one?), in the midst of this sudden medical journey.

Hair

One of the questions Rachel asked Dr. Cheshier was how much of her hair would have to be cut.

Same smile AND same hair
Same smile AND same hair

Her hair. Just so you know, Rachel’s relationship with her hair is not about vanity. Outside of getting her bangs cut a couple of times, she has never had it cut. Ever. Her hair represents the constancy of her life.

So how does a girl with a positive outlook on life react to the prospect of losing her hair? By finding a model with an awesome half-shaved look! I don’t know if she will actually do it, but the official plan is for this to be Rachel’s post-surgery hair style.

Another MRI

Rachel celebrated the end of 7th grade with another MRI, and another visit with her neurosurgeon Dr. Cheshier. This time he didn’t bring his baby docs, and it was a very calm visit.

As expected, the displosion had NOT grown since last March. He talked to us more about the surgery, and we had some questions ready for him.

He also referred us to his colleague Dr. Porter, a neurologist at Packard. He explained that it was no slight at all to Dr. Cheyette, whom we had been working with during the year, but just that since they worked together at Packard they would be able to coordinate her treatment much better. We set up an appointment with her for July.

The Seizure Posse

Rachel became a teenager at the end of 7th grade. For her party we wanted to give a huge thank-you to the “Seizure Posse”: a group of friends who helped her through a very difficult year. These wonderful boys and girls learned to recognize her seizures immediately, would keep her safe while she was having them, and comfort her as she returned to consciousness. Is there a greater gift a child could give a friend’s parents?

We rented two poolside rooms in the Dream Inn. The kids started the day going on rides at the Boardwalk. Then it was fun and games in the pool, followed by presents (and silly string) in the rooms.

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More Keppra

High-rope swing on Catalina Island: "ROCK AND ROLL!"
High-rope swing on Catalina Island: “ROCK AND ROLL!”

Through the Spring, Rachel kept having seizures, and her neurologist kept increasing the dosage. In late April she went to 2 pills / day. The first week of May it was up to 3. Even at that dosage, she had a few seizures during her class trip to Catalina Island.

The day after returning from Catalina, she went to 4 pills / day. She’d come a long way in a short time, from when she balked at taking one a day. But at this dosage, she finally got some relief.

It didn’t always feel like relief, however, Rachel’s mood was noticeably changed. She has always been a bright, happy girl with the sunniest of dispositions. She has filled our lives with laughter and joy. But by the end of 7th grade her outlook was decidedly negative. It wasn’t always easy to be around, but of course we understood that she had plenty of reasons to be down.

(Hint: that last paragraph was the type of fore-shadowing you can only do when you’re writing fiction or retro-blogging. Spoiler: it turns out Rachel really is bright and sunny!)

State Science Fair

Explaining her project
Explaining her project at State

Rachel was a bit nervous going to the State Science Fair, and not for the same reason most of the kids were. Having seizured for the judges at County, she didn’t want a repeat performance on that score. Luckily she was fine, and it was a really fun experience.

Of course, the entire trip wasn’t seizure free, but hey: now she can say that she had a seizure on Hollywood Boulevard.