Guest guest Posted May 4, 2002 Report Share Posted May 4, 2002 We are taking our son Hunter 2 to the Mayo clinic in Rochester. He has been there before but that was before his seizures started. Now we are going to see a specialist Dr. Buchalter. He is a ped. neurologist and specializes in ketogenic diet. He doesn't have that many seizures. Around 6 a month. He quits breathing on some of them. We told dr.s that and I don't think the understood just what I meant about not breathing. Absolutely not breathing for a min to up to 3 min. We give him mouth to mouth but it is terrifying. The last time we were in the hospital 2 weeks ago he had one of those kind of seizures. the nurse was in the room at the time and saw him and called code blue. I said it's ok he does this sometimes and I took about 3 breaths for him and then he came back around. So finally its was witnessed and documented so maybe they will believe me now and give me a apnea monitor. I don't really know what kind of seizures he has. I see all the different types on these boards but the dr.s have never really put his in a certain category. We are going to the mayo wednsday to find out if this diet will work for him. He is on tegretol and I hate the fact that he sleeps all the time. He has Cerebral Palsy and he needs to be awake to have therapy and he needs therapy to progress. So I would love to get rid of his drugs or even just cut back would be ok. I am really scared about how hard this diet sounds. I am a stay at home mom will 3 other children all school age but Hunter. So I would be able to focus my time on this. I hope I can do it. I pray it will work for him. He is the light of our lives and I would do anything to make him better. If we don't do it no one will. And if we try it and it doesn't work at least we tried it and we can move on from there. Thank you for listening. It's great to see a board for this subject. I think I am going to get all the help I need. Thanks, Amy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2002 Report Share Posted May 4, 2002 Amy, Our daughter, Shan, is 7 years old and has had known seizures since the age of 14 months (she is adopted from China). Up until last August, her epilepsy has been completely controlled while taking Tegretol. Since then we have been on the drug merry-go-round (Trileptal, Depakote, Topamax, Klonipin, using in combination, back to Tegretol.). She has right frontal lobe focal seizures which can lead to generalized seizures if not treated. Last November a U.S. neuro pediatric specialist told us that our daughter was not a good candidate for the diet because of her age, but instead mentioned the possibility of surgery some time down the road. Our daughter's seizures were rather cyclic while on Tegretol and Topamax. She seemed to have every 2 weeks a day of 30 sec. visible/shaking seizures every 2 hours that could be stopped with valium but took about a week for her to recover from. Instead of trying another drug (lamictal) we opted to try the diet here in the Philippines where we live. We started the diet 3 months ago and we will never regret it (we only regret not trying sooner). Our daughter has broken the cycle of seizures and has absolutely no seizures during the day, but does have 1-2 during the night (presently working on that with the diet.). She is completely off the Topamax and she is down to 150mg of Tegretol (was 600mg a day). We are seeing our daughter who has struggled with social interaction and development delay all her life (tegretol causing it?) begin to interact with other kids in a normal way, playing with them instead of being restless and seeking mom or dad out all the time. I presently home school her and I can see that she is not struggling as hard to learn to read or do her addition. Thinking is becoming easier for her. I just want to show our daughter to all the neurologists in the world and say you CANNOT judge a child as a good candidate until you seriously try, giving it your all to make the diet as successful as can be. We are committed 100%. Doing the diet in the Philippines would have set us up for failure if we did not have this group. They (keto team in Philippines) don't know what they are doing here. And for all the benefits our daughter and family are receiving, the food preparations are a small inconvenience in comparison. What has really helped us is the Stanford Meal Planner. We do all kinds of creative meals with it. One warning, as I research Tegretol on the internet, I am finding that it may inhibit the diet from working at its very best. The diet works similar to Depakote. When Depakote and Tegretol are taken together, Tegretol causes Depakote to not be as effective. This is my own conclusion from my research. Our daughter has responded great on the diet, but we feel that we will never truly know the full effect of the diet until we get her off the Tegretol. We are hoping that getting her off the Tegretol will help with resolving the night seizures. I've never been to the Mayo clinic, but I wanted to write you anyways, especially in response to your comment about seeing if your son is a good candidate for the diet. I hope you have an encouraging appointment with the doctor in Rochester. Keep us all posted. I'm personally rooting for you :-). Rhonda Philippines Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2002 Report Share Posted May 4, 2002 Amy, Welcome to the group. My daughter, Katera, had the same kind of seizures. Her first ones were at only 17 days of age. She just stopped breathing for about 2-3 minutes. I know how scary it is.... especially to see them turn gray-blue. We were told, once they knew for sure that she was having seizures, not to worry about her starting to breathe again because the autonomus (sp?) nervous system kicks in at about that 2-3 minute point and the kids will automatically start to breathe on their own. They said that you can, in fact, sometimes do more harm than good by trying to resucitate because you can blow fluids into their lungs. Naturally, you would breathe for a child that was in a situation where they were not going to start breathing on their own but they assured me that, with her seizures (basically " grand mal " type), she would not start breathing any sooner if we tried that. When you get to the Mayo, you might ask them about that, though I'm sure there may be different types of situations so I'm not meaning to say that I know for sure that yours is the same. We never needed an apnea monitor.... the neurologists were right, she always started breathing on her own after that length of time. You don't say how old your son is. I found that Katera's seizures changed as she got older and she did actually start having ones where she would breathe through them, very shallowly, and not turn so blue. Katera was on meds for her first four years, including Tegretol. That drug was a nightmare for us. It caused an increase in seizures for her over time and finally she ended up having a really serious reaction to it. It's a nasty one! The diet has been so worth it for us. She's been on it for 18 months now..... off all meds before we started the diet (another long story that I won't go into right now). She just now, this evening, had a mild seizure (we think she is starting to run a fever and that sometimes happens at the beginning of an illness for her) ..... but this is only the SECOND seizure she has had in one full year. Not a bad record. The diet is not easy at first..... and sometimes drives me nearly crazy even now.... but it is very do-able and very much worth a try. The support you'll get here will be the best. Ask away if you have any questions.... these parents have a wealth of knowledge. Patti, mom to Katera, age 5.5 (partial ACC, microcephaly, global delays, tethered spinal cord- surgery happening soon??) Keto Kid since 10-10-2000... in Washington state. Anyone take their child to Mayo for the diet just new at this We are taking our son Hunter 2 to the Mayo clinic in Rochester. He has been there before but that was before his seizures started. Now we are going to see a specialist Dr. Buchalter. He is a ped. neurologist and specializes in ketogenic diet. He doesn't have that many seizures. Around 6 a month. He quits breathing on some of them. We told dr.s that and I don't think the understood just what I meant about not breathing. Absolutely not breathing for a min to up to 3 min. We give him mouth to mouth but it is terrifying. The last time we were in the hospital 2 weeks ago he had one of those kind of seizures. the nurse was in the room at the time and saw him and called code blue. I said it's ok he does this sometimes and I took about 3 breaths for him and then he came back around. So finally its was witnessed and documented so maybe they will believe me now and give me a apnea monitor. I don't really know what kind of seizures he has. I see all the different types on these boards but the dr.s have never really put his in a certain category. We are going to the mayo wednsday to find out if this diet will work for him. He is on tegretol and I hate the fact that he sleeps all the time. He has Cerebral Palsy and he needs to be awake to have therapy and he needs therapy to progress. So I would love to get rid of his drugs or even just cut back would be ok. I am really scared about how hard this diet sounds. I am a stay at home mom will 3 other children all school age but Hunter. So I would be able to focus my time on this. I hope I can do it. I pray it will work for him. He is the light of our lives and I would do anything to make him better. If we don't do it no one will. And if we try it and it doesn't work at least we tried it and we can move on from there. Thank you for listening. It's great to see a board for this subject. I think I am going to get all the help I need. Thanks, Amy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2002 Report Share Posted May 5, 2002 Hi Amy, I also took my son to Dr. Buchalter at Mayo two years ago when his seizures were out of control. He was wonderful. He gave me a plan of medications to try and he recommended the ketogenic diet. Your right, if you don't try the diet, you will never know. Good Luck. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2002 Report Share Posted May 5, 2002 Hi Amy and welcome to the keto diet group. You will get so much help from the very experienced parents here. My child is tube fed a formula version of the diet, so it is quite a bit easier for me, but I think that those who do the ''real'' food version rapidly gain the knowledge and skills needed to keep it going. Our Hannah has CP too and I know how unhelpful some meds are when they make our kids so drowsy. Sounds like you have realistic expectations about getting off meds and I hope that weaning them will be possible for Hunter. Wow, the breathing thing must be scary, but I also know how you can be calm in a crisis that often presents itself. Hannah sometimes chokes/aspirates? on her saliva and will often take her breath and go a bit blue. It usually resolves in under a minute, and while I am calm at the time I feel a bit shaky later. Best wishes (Hannah's mum, Australia) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2002 Report Share Posted May 5, 2002 Amy, Yes I had my son at the Mayo Clinic. That is where we started the diet. Dr. Buchhalter is great. He has a dry sense of humor though. All the doctors who helped me with Logan were wonderful. The dieticians are good too. The Mayo was our last effort to get answers for why Logan was seizing and meds weren't working. If I lived closer it would be where I would take him again. We were there in July-August of last year. The diet has worked well for us. Logan has been seizure free for 7 1/2 months. Good luck and I hope you find the answers you need. Kalii Mom to Logan 4 (ketokid since 07/01, seizure-free) and big brother Cody 8. __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 8, 2002 Report Share Posted May 8, 2002 Hi Ronda, Thanks for responding and all the information you gave me. It sounds like the diet has been a miracle for Shan, by the way is her full name Shan, I have a 10 year old boy Shan. Anyway, Mayo called yesterday and wanted us to see the neuro on Thurs. and then the Endocrinologist on Mon. I live 7 hours away and we just can't be gone that long. So we rescheduled for July 1st. when we can see all the dr.s within 3 days apart. I can't wait. I really think this might be the answer for Hunter. He is 2 and a half and I think at the right age to start the diet. He has CP and he is not crawling, walking or talking. So he is just used to me feeding him whatever I have for him. He did use the couch the other day to pull himself to stand! Yeah, anyway do the dr.s figure out where the seizures are coming from through the EEG or what? I am very new at all this. Hunter had his first seizure last Sept. It lasted an hour and half. They flew him out by helicopter to a better equipped hospital. They started him off on tegretol from that day on. Since then he has had breakthrough seizures at least 6 or more times a month. Not many by most standards but enough for me. I told my husband I thought they would get easier the more I saw them. They are in the fact I know what to expect but when he quits breathing I think, is this one going last an hour like the first. Will he breath again. I just want him off the meds. I hate them and what it does to him. Thanks for writing. Are you originally from US? Amy RE: Anyone take their child to Mayo for the diet just new at this Amy, Our daughter, Shan, is 7 years old and has had known seizures since the age of 14 months (she is adopted from China). Up until last August, her epilepsy has been completely controlled while taking Tegretol. Since then we have been on the drug merry-go-round (Trileptal, Depakote, Topamax, Klonipin, using in combination, back to Tegretol.). She has right frontal lobe focal seizures which can lead to generalized seizures if not treated. Last November a U.S. neuro pediatric specialist told us that our daughter was not a good candidate for the diet because of her age, but instead mentioned the possibility of surgery some time down the road. Our daughter's seizures were rather cyclic while on Tegretol and Topamax. She seemed to have every 2 weeks a day of 30 sec. visible/shaking seizures every 2 hours that could be stopped with valium but took about a week for her to recover from. Instead of trying another drug (lamictal) we opted to try the diet here in the Philippines where we live. We started the diet 3 months ago and we will never regret it (we only regret not trying sooner). Our daughter has broken the cycle of seizures and has absolutely no seizures during the day, but does have 1-2 during the night (presently working on that with the diet.). She is completely off the Topamax and she is down to 150mg of Tegretol (was 600mg a day). We are seeing our daughter who has struggled with social interaction and development delay all her life (tegretol causing it?) begin to interact with other kids in a normal way, playing with them instead of being restless and seeking mom or dad out all the time. I presently home school her and I can see that she is not struggling as hard to learn to read or do her addition. Thinking is becoming easier for her. I just want to show our daughter to all the neurologists in the world and say you CANNOT judge a child as a good candidate until you seriously try, giving it your all to make the diet as successful as can be. We are committed 100%. Doing the diet in the Philippines would have set us up for failure if we did not have this group. They (keto team in Philippines) don't know what they are doing here. And for all the benefits our daughter and family are receiving, the food preparations are a small inconvenience in comparison. What has really helped us is the Stanford Meal Planner. We do all kinds of creative meals with it. One warning, as I research Tegretol on the internet, I am finding that it may inhibit the diet from working at its very best. The diet works similar to Depakote. When Depakote and Tegretol are taken together, Tegretol causes Depakote to not be as effective. This is my own conclusion from my research. Our daughter has responded great on the diet, but we feel that we will never truly know the full effect of the diet until we get her off the Tegretol. We are hoping that getting her off the Tegretol will help with resolving the night seizures. I've never been to the Mayo clinic, but I wanted to write you anyways, especially in response to your comment about seeing if your son is a good candidate for the diet. I hope you have an encouraging appointment with the doctor in Rochester. Keep us all posted. I'm personally rooting for you :-). Rhonda Philippines Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 8, 2002 Report Share Posted May 8, 2002 Hello Patti, thanks for writing. You are the first parent I have talked to that their child quits breathing. They gave me distat to give him anally if the seizure lasts more that 2 minutes. They have told me to breath for him through the seizures. One dr. said the same thing you said that it might hurt him more than help him and 3 others said do it. Not breathing might do more brain damage or even might be fatal for him. I think his seizures might be different in the fact some last very long. The dr. in an emergency room on a vacation is the one that told us not to breath for him. Then on the way home he had another that lasted over 3 min. then we gave him the distat. There was no way I could not breath for him even when he told me not to. My 3 other children 13, 10 and 6 were with us and my husband pulled the suburban over and we just sat there watching him turn more blue and grey and his eyes had the most terrified look. The kids were terrified themselves and they started to pray. 3 min. seemed like a lifetime when they are not breathing. So I just did it. Then his team of dr.s when we got home told me yes do it. Hunter has his seizures when he is starting to get sick also. That was the only time he was having them , then 2 weeks ago he just had some out of the blue. Just one he quit breathing though. I wonder why some he does and some not? Sometimes I wish my hubby was a neuro. But then my luck it would be the case the shoemakers kids had no shoes, because he would be gone working all the time to help me with him? Oh well! I think it's good that you all are telling us it is hard at first but it is do-able. It makes me for one, expect the worst and it just might not be as bad as what I was thinking. You said Katera had a seizure the other day. How is it going now. Do you ever feel like your the one holding your breath. I told my husband that the other day. I said I feel like I have been holding my breath for the last 8 months. Every time I take a deep breath and let my guard down Hunter gets sick and we end up in the hospital for a week. We have been in and out for the last 3 months. Anyway I hope Katera is doing good. Thanks for writing. Amy Anyone take their child to Mayo for the diet just new at this We are taking our son Hunter 2 to the Mayo clinic in Rochester. He has been there before but that was before his seizures started. Now we are going to see a specialist Dr. Buchalter. He is a ped. neurologist and specializes in ketogenic diet. He doesn't have that many seizures. Around 6 a month. He quits breathing on some of them. We told dr.s that and I don't think the understood just what I meant about not breathing. Absolutely not breathing for a min to up to 3 min. We give him mouth to mouth but it is terrifying. The last time we were in the hospital 2 weeks ago he had one of those kind of seizures. the nurse was in the room at the time and saw him and called code blue. I said it's ok he does this sometimes and I took about 3 breaths for him and then he came back around. So finally its was witnessed and documented so maybe they will believe me now and give me a apnea monitor. I don't really know what kind of seizures he has. I see all the different types on these boards but the dr.s have never really put his in a certain category. We are going to the mayo wednsday to find out if this diet will work for him. He is on tegretol and I hate the fact that he sleeps all the time. He has Cerebral Palsy and he needs to be awake to have therapy and he needs therapy to progress. So I would love to get rid of his drugs or even just cut back would be ok. I am really scared about how hard this diet sounds. I am a stay at home mom will 3 other children all school age but Hunter. So I would be able to focus my time on this. I hope I can do it. I pray it will work for him. He is the light of our lives and I would do anything to make him better. If we don't do it no one will. And if we try it and it doesn't work at least we tried it and we can move on from there. Thank you for listening. It's great to see a board for this subject. I think I am going to get all the help I need. Thanks, Amy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 8, 2002 Report Share Posted May 8, 2002 I guess now we don't get to see him, as the neuro we saw last time is the one he will see. Dr. Buchalter just saw Hunter the last time to give us an evaluation because Dr. Kotagal was not there that day. And dr. Buchalter does not take new patients. I guess that's ok. I am a firm believer in it wasn't meant to be sometimes. It's almost takes an act of congress to get into the Mayo. When I thought there was something wrong with Hunter at 4 months old his old dr. said oh no he is fine. I knew she was wrong. So I tried to get an appointment there myself. What a joke. Then after finding a Dr. that said your right there is something wrong. She called Mayo and I was there the next week. Crazy! Thanks for writing. Oh, I was going to ask is your child still on the diet and are they off meds? Thanks, Amy Re: Anyone take their child to Mayo for the diet just new at this Hi Amy, I also took my son to Dr. Buchalter at Mayo two years ago when his seizures were out of control. He was wonderful. He gave me a plan of medications to try and he recommended the ketogenic diet. Your right, if you don't try the diet, you will never know. Good Luck. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 8, 2002 Report Share Posted May 8, 2002 Thank you for writing Kalii, It was very encouraging to hear how it has worked for Logan. We will be going there in July. I guess we will be seeing a Dr. Kotagal not Buchalter now. Did you admit Logan at the hospital there to start the diet or where you live? Did you have a consultation visit first and then come back to start the diet. I guess I don't know what to expect. If they will want to see him, determine if he would be a candidate for the diet and then try to start him right away or have us come back. Hunter is 2 and 1/2 and I think it would be a great time to start him. Thanks for writing. I am not sure how to respond to these messages I get. I am very new at these boards. When I get my e-mail all the messages show up and the ones I want to respond to I click reply to all. Is that right or am I confusing you. I am confusing myself I know. Thanks, Amy Re: Anyone take their child to Mayo for the diet just new at this Amy, Yes I had my son at the Mayo Clinic. That is where we started the diet. Dr. Buchhalter is great. He has a dry sense of humor though. All the doctors who helped me with Logan were wonderful. The dieticians are good too. The Mayo was our last effort to get answers for why Logan was seizing and meds weren't working. If I lived closer it would be where I would take him again. We were there in July-August of last year. The diet has worked well for us. Logan has been seizure free for 7 1/2 months. Good luck and I hope you find the answers you need. Kalii Mom to Logan 4 (ketokid since 07/01, seizure-free) and big brother Cody 8. __________________________________________________ Quote Link to comment Share on other sites More sharing options...
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