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Medical Forum / Diseases and Disorders / Epilepsy / December 2007

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Almost four months since the first grand mal

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Cindi - HappyMamatoThree - 14 Dec 2007 16:25 GMT
Well, it seems that in some ways we have a handle on what is happening and
in some ways we are at a complete loss. The MRI and EEG showed nothing. My
seizures seem to leveled off at about two a week, always one worse than the
other. I have had a couple of really bad grand mals, one last week while I
was here alone and I lost a little more than three hours. My parents called
repeatedly in that time, my Dad came by and rang the bell and knocked and I
was unaware of anything. That is the most frightening part for me, is the
time lost and the complete disconnection. I fear it will happen while my
kids are alone with me again and I don't want that.

My Dilantin level last week was too high at 25, and so I see the neurologist
today for an update and whatever changes are necessary. I was on Demerol for
the pain that I have left over from all the surgeries and damage before. We
have changed the Demerol to a medicine that doesn't interact with the
Dilantin blood levels badly. We will see if that works. Otherwise we will
have to add another medication. Because of my medication allergies and
angioedema any new meds have to be added either at the doctor's office or
the hospital. We'll see.

I really value listening to other people who are living with epilepsy. And
the list of links is a God send when I am having a worry filled moment.

Cindi
G. - 15 Dec 2007 05:02 GMT
On Dec 14, 11:25 am, "Cindi - HappyMamatoThree"
<lonnicusuoTAKEME...@yahoo.com> wrote:
> Well, it seems that in some ways we have a handle on what is happening and
> in some ways we are at a complete loss. The MRI and EEG showed nothing. My
[quoted text clipped - 18 lines]
> the list of links is a God send when I am having a worry filled moment.
> Cindi

 Did you see a post I did about 2? weeks ago (or longer) called
something like "Websites of use to newer people"?   It's not all the
sites online, but has several that some of the olde timers here
assembled over last ~8 years.

   On the Idaho site (if you have that post or can find it) are 2
First Aid for Seizures charts (one on land, one if swimming), and
either that site or at http://efa.org  are a list of ideas for how to
'seizure proof' your house.   Things like using a microwave versus a
stovetop if seizures are not controlled,  Auto-off kettles versus ones
that boil until turned off, Showers versus Baths until controlled, and
things like that.
   Depending how old your kids are, some of our phones here (Canada)
can be programmed with 4-5 numbers on Speed Dial, so they could call
your parents or a neighbour, without needing to remember the number,
just the number to press for who they want to call.
   Julie's Idaho website (on list of sites mentioned above) has lots
of other tips and tricks like that, that they assembled and some of us
sent ideas for-- saves your having to re-invent the wheel if some of
the tips can help.
    This group has been fairly quiet for about 4+ months.  From 1998
to 2005 there were about 20 posts a day, from about 12+ timezones
around the world.   It was a handy way to put up notes like your's
above, and replies might come in over the following 4-6 days as the
various timezones and people read the messages.
    Hopefully some of them are still around, and will post too.
Welcome to the neighbourhood in the meantime.  My szrs. are
controlled, after about 3-4 years, and I just got the first computer
about year 3 (in 1997).   Once I got to the target level of pills that
worked for me, my complex partials reduced to 1-2 a month, to 1 in 3
months, to last in 1998.   I still take pills each AM and night, but
it's a small price to pay for the freedom not having a Surprise
Seizure like I used to.

   (I was first put on Dilantin and my Neuro told me it's the first
often prescribed as it's one of the oldest, longest studied, so side
effects are documented.  Also since the Research costs are all paid
off, if you're able to get a level of control that works, it can be
reliable and *cheaper than some other pills.   Several of the earlier
posters had used it successfully a long time.)
   You could try a Google on e.g. Dilantin&sideeffects, or
Dilantin&seizures&control, just to see if anything else turns up.  I
know what things to avoid with my Tegretol (Grapefruit juice, alcohol,
upset stomach remedies), but wasn't online when I was on Dilantin so
don't know much about what things to avoid with it.  I'm pretty sure
the last 2 of above 3 things in the ( )s apply to Dilantin too.
   Maybe someone with experience with it will show up.   I miss the
crowd we used to have and the variety of experiences they brought
here.    Cheers,   G. /
Sofia - 16 Dec 2007 00:55 GMT
> Well, it seems that in some ways we have a handle on what is happening
> and in some ways we are at a complete loss. The MRI and EEG showed
[quoted text clipped - 15 lines]
> Because of my medication allergies and angioedema any new meds have to
> be added either at the doctor's office or the hospital. We'll see.

You just sound so fearful, jumpy and stressful... even perhaps a little
paranoid and frightened of your children getting caught by some
ghastly, phaedophile at the front door perhaps.

Lie down and relax for godsake, clear your mind of all your fears, and
leave the kids alone to sit and watch telly! The Devil isn't at the
front door and neither are any monsters - they don't exist! You're old
enough to know that by now - you're alone in your home with your
children!!

Sofie
Signature

Please visit my deviantART page: http://sofen.deviantart.com/

Holly F. Sox, RN, RAC-CT - 16 Dec 2007 20:32 GMT
See my response below:

>> Well, it seems that in some ways we have a handle on what is happening
>> and in some ways we are at a complete loss. The MRI and EEG showed
[quoted text clipped - 6 lines]
>> complete disconnection. I fear it will happen while my kids are alone
>> with me again and I don't want that.

> You just sound so fearful, jumpy and stressful... even perhaps a little
> paranoid and frightened of your children getting caught by some
[quoted text clipped - 5 lines]
> enough to know that by now - you're alone in your home with your
> children!!

What in Cindi's message led you to such a snarky response???  She didn't say
anything about pedophiles, monsters or the devil.  If you'd read any of her
previous posts, you'd see that she's had at least one grand mal seizure at
home when her daughter had to take over, call 911, etc.  It was very scary
for all of them.  As a mother, I completely understand the fear of being
alone with the children in an emergency.  As the mother, we are the ones who
are supposed to protect and nurture our children. While it's heartwarming
when a child is able to rescue a parent in an emergency (who hasn't choked
up during the old Rescue 911 episodes with the little ones calling the
ambulance?) it also speaks to our most primal fears as parents.

Sofia, the group is called Alt.SUPPORT.epilepsy.  If you can't be
supportive, perhaps you just shouldn't feel compelled to respond.

Cindi, you know I understand your fear.  I wish I could make it better for
you. All I can suggest is having emergency plans written out on each child's
level so that they know what to do and who to call.  It can't keep the
seizure from happening, but can give you some reassurance in between.

Also, about demerol: one of the metabolites of meperidine (demerol) can
build up and cause seizures. So if there's something else that controls your
pain, I'd encourage you to stay away from it in the future.

Love you!

Holly
Cindi - HappyMamatoThree - 17 Dec 2007 04:49 GMT
>> You just sound so fearful, jumpy and stressful... even perhaps a little
>> paranoid and frightened of your children getting caught by some
[quoted text clipped - 29 lines]
> build up and cause seizures. So if there's something else that controls
> your pain, I'd encourage you to stay away from it in the future

Gosh Holly, I am still speechless about Sofia's response. Thank you though
for you understanding. The Demerol was hard to get rid of but I feel better
and my lucid dreams seem to have gone away so I think you are right this is
a good decision. I had another Dilantin level checked on Friday, so I should
talk to my neuro or her nurse tomorrow and see how it is going. She did say
the trick may be to decrease the dilantin and perhaps in the end add a
second agent. Her warnings on Friday were that the last seizure may have
been stress or sleeplessness related. My stress level has increased lately
because of the multiple surgical procedures for my family this week, and the
need to help out. This week has been my first big challenge without driving
and wanting to be able to go and do whatever I could for everyone. We are
learning to work around and cope though.

Thank you Holly!

Love you

Cindi

> Love you!
>
> Holly
G. - 17 Dec 2007 05:09 GMT
On Dec 16, 11:49 pm, "Cindi - HappyMamatoThree"
<lonnicusuoTAKEME...@yahoo.com> wrote:

> > Also, about demerol: one of the metabolites of meperidine (demerol) can
> > build up and cause seizures. So if there's something else that controls
> > your pain, I'd encourage you to stay away from it in the future

The Demerol was hard to get rid of but I feel better
> and my lucid dreams seem to have gone away so I think you are right this is a good decision.

** Hi, I don't know anything about Demerol etc. mixed with anti ep
drugs, but the Dr. or Pharmacy could tell you what things can be used
with Dilantin or not.  I had heard even some over-the-counter cold
medicines might conflict with some AEDs, so I always show any to the
pharmacist who fills my prescriptions.
  I had thought lucid dreams (where we recall what we were dreaming
about?) only happened if we woke up during the dream, so those
symptoms could be sign of your having a restless night, and over-
tiredness and fatigue can aggravate some of our types of seizures./

I had another Dilantin level checked on Friday, so I should
> talk to my neuro or her nurse tomorrow and see how it is going. She did say
> the trick may be to decrease the dilantin and perhaps in the end add a
> second agent. Her warnings on Friday were that the last seizure may have
> been stress or sleeplessness related.

*** Several of the szrs. I had before I was controlled seemed to be
aggravated by stress or lack of sleep, and many of the breakthrough
type szrs. I had (likely different type than yours) I had while using
Dilantin alone.   If they add a 2nd pill they will likely reduce the
Dilantin you use to get an optimum level of control in your
bloodstream, or they might even remove the Dilantin and try another
single Anti Ep.Med.
   Then maybe you can enjoy success in getting full control of
them.
   We all hope so.   Cheers.   G./

My stress level has increased lately
> because of the multiple surgical procedures for my family this week, and the
> need to help out. This week has been my first big challenge without driving
[quoted text clipped - 3 lines]
> Love you
> Cindi
 
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