Guest guest Posted November 27, 2004 Report Share Posted November 27, 2004 What a roller coaster past few days. It started Wed which i already posted. GM AM seizure during sleep, fine during the day. GM PM seizure just before bed, then myoclonics in bed before falling asleep. Woke at 4:30am with multiple GM's, gave 1st dose of diastat since she was clustering. Woke up aprox 9am, and was in her 'comatose' state, no responsiveness, not to pain, light, loud noise etc. This was her state for over 24 hours, however she would have another 8 GM's throughout out the day, after 2 more doses of diastat to try to bring her round it was obvious that was not going to happen. I called the neuro on call here in seattle at children's, she asked the attending, who said to give her another dose of the diastat, and to crush up all her PM meds and give them to her rectally along with another 200-mg of lamictal. We were down in portland during this, so we drove back to seattle to be at our hospital. In the AM we gave her another dose of diastat because she was still having GM's. Told the hospital we were on our way. We get into the ER and she is still non responsive to the medical team there. They gave her 2 doses of IV dilantin, and she still seized, myoclonics which turned into forceful GM's, so a dose of ativan was given, which knocked her out. She was moved to the ICU for respiratory failure watch, then finally when she woke, down to the medical floor. We are home now, with a very drunk little girl. The drugs they gave her kept her up until 5-am, such a lot!! The funny things is her BHB level was the highest it has ever been from the labs we took the day prior to her VNS surgery, she was eating her food well, was on the klonopin. Now she is back on the klonopin for a month to wean her off of it very slow, on dilantin which we know lowers the lamictal levels, there is talk of adding Vit B6 but that has not been done yet. Way too much has happened to my little girl. They took some blood to check for the mytocondrolyn diseases (i know I spelt that wrong) and a gene chromosome diffiency research, so maybe we'll get some news soon. amanda Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 2004 Report Share Posted November 27, 2004 Glad you are home, hope she is doing better soon. A shame how these kids have to suffer. stella in ER then ICU now finally home!! > > What a roller coaster past few days. It started Wed which i already > posted. GM AM seizure during sleep, fine during the day. GM PM seizure > just before bed, then myoclonics in bed before falling asleep. Woke at > 4:30am with multiple GM's, gave 1st dose of diastat since she was > clustering. > Woke up aprox 9am, and was in her 'comatose' state, no responsiveness, > not to pain, light, loud noise etc. This was her state for over 24 > hours, however she would have another 8 GM's throughout out the day, > after 2 more doses of diastat to try to bring her round it was obvious > that was not going to happen. I called the neuro on call here in > seattle at children's, she asked the attending, who said to give her > another dose of the diastat, and to crush up all her PM meds and give > them to her rectally along with another 200-mg of lamictal. We were > down in portland during this, so we drove back to seattle to be at our > hospital. > In the AM we gave her another dose of diastat because she was still > having GM's. Told the hospital we were on our way. > We get into the ER and she is still non responsive to the medical team > there. They gave her 2 doses of IV dilantin, and she still seized, > myoclonics which turned into forceful GM's, so a dose of ativan was > given, which knocked her out. She was moved to the ICU for respiratory > failure watch, then finally when she woke, down to the medical floor. > We are home now, with a very drunk little girl. The drugs they gave > her kept her up until 5-am, such a lot!! > The funny things is her BHB level was the highest it has ever been from > the labs we took the day prior to her VNS surgery, she was eating her > food well, was on the klonopin. > > Now she is back on the klonopin for a month to wean her off of it very > slow, on dilantin which we know lowers the lamictal levels, there is > talk of adding Vit B6 but that has not been done yet. Way too much has > happened to my little girl. They took some blood to check for the > mytocondrolyn diseases (i know I spelt that wrong) and a gene > chromosome diffiency research, so maybe we'll get some news soon. > > amanda > > > > > " The Ketogenic Diet....a realistic treatment option, NOT just a last resort! " > > List is for parent to parent support only. > It is important to get medical advice from a professional keto team! > Subscribe: ketogenic-subscribe > Unsubscribe: ketogenic-unsubscribe > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 2004 Report Share Posted November 27, 2004 Oh, What a nightmare you and Stella have been through. You will be in my prayers. . stansfield/lyonsfamily astansfield@...> wrote: What a roller coaster past few days. It started Wed which i already posted. GM AM seizure during sleep, fine during the day. GM PM seizure just before bed, then myoclonics in bed before falling asleep. Woke at 4:30am with multiple GM's, gave 1st dose of diastat since she was clustering. Woke up aprox 9am, and was in her 'comatose' state, no responsiveness, not to pain, light, loud noise etc. This was her state for over 24 hours, however she would have another 8 GM's throughout out the day, after 2 more doses of diastat to try to bring her round it was obvious that was not going to happen. I called the neuro on call here in seattle at children's, she asked the attending, who said to give her another dose of the diastat, and to crush up all her PM meds and give them to her rectally along with another 200-mg of lamictal. We were down in portland during this, so we drove back to seattle to be at our hospital. In the AM we gave her another dose of diastat because she was still having GM's. Told the hospital we were on our way. We get into the ER and she is still non responsive to the medical team there. They gave her 2 doses of IV dilantin, and she still seized, myoclonics which turned into forceful GM's, so a dose of ativan was given, which knocked her out. She was moved to the ICU for respiratory failure watch, then finally when she woke, down to the medical floor. We are home now, with a very drunk little girl. The drugs they gave her kept her up until 5-am, such a lot!! The funny things is her BHB level was the highest it has ever been from the labs we took the day prior to her VNS surgery, she was eating her food well, was on the klonopin. Now she is back on the klonopin for a month to wean her off of it very slow, on dilantin which we know lowers the lamictal levels, there is talk of adding Vit B6 but that has not been done yet. Way too much has happened to my little girl. They took some blood to check for the mytocondrolyn diseases (i know I spelt that wrong) and a gene chromosome diffiency research, so maybe we'll get some news soon. amanda " The Ketogenic Diet....a realistic treatment option, NOT just a last resort! " List is for parent to parent support only. It is important to get medical advice from a professional keto team! Subscribe: ketogenic-subscribe Unsubscribe: ketogenic-unsubscribe Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 28, 2004 Report Share Posted November 28, 2004 , Oh, I am so very sorry that you and Stella have had to go through so much. Reading your account brought back the memory of our episode with Langan at the airport last month. I am so very happy that Stella is home. I hope this was the last time that you and she ever have to go through anything like this. Please know that you, Stella and your family are in our prayers! , mom to Langan, 2 yrs old and keto kid 11/03 to 9/7/04, weaned due to persistent metabolic acidosis (now thought to be pre-existing and exacerbated by keto), but keto kid at heart forever > What a roller coaster past few days. It started Wed which i already > posted. GM AM seizure during sleep, fine during the day. GM PM seizure > just before bed, then myoclonics in bed before falling asleep. Woke at > 4:30am with multiple GM's, gave 1st dose of diastat since she was > clustering. > Woke up aprox 9am, and was in her 'comatose' state, no responsiveness, > not to pain, light, loud noise etc. This was her state for over 24 > hours, however she would have another 8 GM's throughout out the day, > after 2 more doses of diastat to try to bring her round it was obvious > that was not going to happen. I called the neuro on call here in > seattle at children's, she asked the attending, who said to give her > another dose of the diastat, and to crush up all her PM meds and give > them to her rectally along with another 200-mg of lamictal. We were > down in portland during this, so we drove back to seattle to be at our > hospital. > In the AM we gave her another dose of diastat because she was still > having GM's. Told the hospital we were on our way. > We get into the ER and she is still non responsive to the medical team > there. They gave her 2 doses of IV dilantin, and she still seized, > myoclonics which turned into forceful GM's, so a dose of ativan was > given, which knocked her out. She was moved to the ICU for respiratory > failure watch, then finally when she woke, down to the medical floor. > We are home now, with a very drunk little girl. The drugs they gave > her kept her up until 5-am, such a lot!! > The funny things is her BHB level was the highest it has ever been from > the labs we took the day prior to her VNS surgery, she was eating her > food well, was on the klonopin. > > Now she is back on the klonopin for a month to wean her off of it very > slow, on dilantin which we know lowers the lamictal levels, there is > talk of adding Vit B6 but that has not been done yet. Way too much has > happened to my little girl. They took some blood to check for the > mytocondrolyn diseases (i know I spelt that wrong) and a gene > chromosome diffiency research, so maybe we'll get some news soon. > > amanda Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 28, 2004 Report Share Posted November 28, 2004 - I do hope you get some answers soon! What an awful time stella is having and her folks as well! We will keep you in our prayers! Leigh Sign up for Internet Service under $10 dollars a month, at https://signup.mybluelight.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 28, 2004 Report Share Posted November 28, 2004 : I am so sorry to hear about Stella! Hope everything is going better for you guys now that you are home. Our prayers go out! stella in ER then ICU now finally home!! What a roller coaster past few days. It started Wed which i already Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 29, 2004 Report Share Posted November 29, 2004 So sorry to hear about Stella's ordeal. I am amazed at what sounded like relative calm from you and Stella's father as she remained unresponsive and in your care for so long. What's up with the VNS? Did they put it in but not turn it on, yet? OR was the VNS surgery delayed? Not to be a pest about it, but I still don't understand this medicine issue. When my son didn't respond to a heavy dose of some dilantin related drug when he was hospitalized a year ago, the feeling from the docs was that the meds don't work, so they didn't try any more. Maybe it had something to do with him throwing everything up. Maybe I just didn't understand the situation. Tell me to " bug off " if you get tired of my rants. I just really feel for you guys and for little Stella and her big sister. I'm pulling for you all. Gretchen > What a roller coaster past few days. It started Wed which i already > posted. GM AM seizure during sleep, fine during the day. GM PM seizure > just before bed, then myoclonics in bed before falling asleep. Woke at > 4:30am with multiple GM's, gave 1st dose of diastat since she was > clustering. > Woke up aprox 9am, and was in her 'comatose' state, no responsiveness, > not to pain, light, loud noise etc. This was her state for over 24 > hours, however she would have another 8 GM's throughout out the day, > after 2 more doses of diastat to try to bring her round it was obvious > that was not going to happen. I called the neuro on call here in > seattle at children's, she asked the attending, who said to give her > another dose of the diastat, and to crush up all her PM meds and give > them to her rectally along with another 200-mg of lamictal. We were > down in portland during this, so we drove back to seattle to be at our > hospital. > In the AM we gave her another dose of diastat because she was still > having GM's. Told the hospital we were on our way. > We get into the ER and she is still non responsive to the medical team > there. They gave her 2 doses of IV dilantin, and she still seized, > myoclonics which turned into forceful GM's, so a dose of ativan was > given, which knocked her out. She was moved to the ICU for respiratory > failure watch, then finally when she woke, down to the medical floor. > We are home now, with a very drunk little girl. The drugs they gave > her kept her up until 5-am, such a lot!! > The funny things is her BHB level was the highest it has ever been from > the labs we took the day prior to her VNS surgery, she was eating her > food well, was on the klonopin. > > Now she is back on the klonopin for a month to wean her off of it very > slow, on dilantin which we know lowers the lamictal levels, there is > talk of adding Vit B6 but that has not been done yet. Way too much has > happened to my little girl. They took some blood to check for the > mytocondrolyn diseases (i know I spelt that wrong) and a gene > chromosome diffiency research, so maybe we'll get some news soon. > > amanda Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 29, 2004 Report Share Posted November 29, 2004 Gretchen, We weren't calm on the inside, but we have to hold it together for our older daughter, she'll fall apart if she sees us falling apart. I'm thinking the same as you with the drugs as far as them not working, I'd like to see her off all drugs and try the diet/vns alone. My husband is not supportive of the diet anymore however, we are having battles about that, he thinks it is making her worse. I am trying to point out the correlation between the increase of meds and increase of seizures, but to no avail. Stella refuses to eat for anyone buy me, she's just not hungry!!! I have a routine with her which she understands, and follows, i'm also so heavily invested in her care, he seems more passive about the diet, especially since I do all the work with it. I'm still fighting for the drug free days though. The VNS surgery went well, they never turn it on right away, they wait about 10 days to make sure she has no problem/rejection etc. Her's gets turned on Wednesday. It gets tweaked every week-10 days until some benefit is seen. Thanks for your and everyone elses thoughts, it really helps to have you all on my side, this diet is a challenge and to not a support group makes it even harder. amanda -- -mom to Stella, 5years old, started keto diet May 10th 2004 still waiting to be seizure free. On Lamictal, weaned her off the epam and Diamox. VNS as of 11/19/04. Big sister Anisa is almost 10 and a happy healthy girl. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 2004 Report Share Posted November 30, 2004 , so sorry to hear this. When are they switching on the VNS? Rohan had an episode of unconsciousness after a brief sz once. It was thought to be because his dose of Keppra was a bit too high( I think they were guessing) At first we thought he was asleep after the sz but later when we couldn't rouse him we called our GP who gave him Midozolam and called an ambulance. He didn't respond to diazepam or loazepam and was unconscious for about 8-9 hrs. They tried that smelly med (can't remember the name just now, but it's an old one) too. We were really scared. Then he woke up and was a bit groggy but nothing drastic. We were asked to reduce the Keppra dose on which he had been OK for a month prior to that. Just wondered whether Stella's could be a similar thing. Hope she's OK now and the VNS would kick in soon. Saro > > > >>What a roller coaster past few days. It started Wed which i >> >> >already > > >>posted. GM AM seizure during sleep, fine during the day. GM PM >> >> >seizure > > >>just before bed, then myoclonics in bed before falling asleep. >> >> >Woke at > > >>4:30am with multiple GM's, gave 1st dose of diastat since she was >>clustering. >>Woke up aprox 9am, and was in her 'comatose' state, no >> >> >responsiveness, > > >>not to pain, light, loud noise etc. This was her state for over >> >> >24 > > >>hours, however she would have another 8 GM's throughout out the >> >> >day, > > >>after 2 more doses of diastat to try to bring her round it was >> >> >obvious > > >>that was not going to happen. I called the neuro on call here in >>seattle at children's, she asked the attending, who said to give >> >> >her > > >>another dose of the diastat, and to crush up all her PM meds and >> >> >give > > >>them to her rectally along with another 200-mg of lamictal. We >> >> >were > > >>down in portland during this, so we drove back to seattle to be at >> >> >our > > >>hospital. >>In the AM we gave her another dose of diastat because she was >> >> >still > > >>having GM's. Told the hospital we were on our way. >>We get into the ER and she is still non responsive to the medical >> >> >team > > >>there. They gave her 2 doses of IV dilantin, and she still >> >> >seized, > > >>myoclonics which turned into forceful GM's, so a dose of ativan >> >> >was > > >>given, which knocked her out. She was moved to the ICU for >> >> >respiratory > > >>failure watch, then finally when she woke, down to the medical >> >> >floor. > > >>We are home now, with a very drunk little girl. The drugs they >> >> >gave > > >>her kept her up until 5-am, such a lot!! >>The funny things is her BHB level was the highest it has ever been >> >> >from > > >>the labs we took the day prior to her VNS surgery, she was eating >> >> >her > > >>food well, was on the klonopin. >> >>Now she is back on the klonopin for a month to wean her off of it >> >> >very > > >>slow, on dilantin which we know lowers the lamictal levels, there >> >> >is > > >>talk of adding Vit B6 but that has not been done yet. Way too >> >> >much has > > >>happened to my little girl. They took some blood to check for the >>mytocondrolyn diseases (i know I spelt that wrong) and a gene >>chromosome diffiency research, so maybe we'll get some news soon. >> >>amanda >> >> > > > > > > > " The Ketogenic Diet....a realistic treatment option, NOT just a last resort! " > > List is for parent to parent support only. > It is important to get medical advice from a professional keto team! > Subscribe: ketogenic-subscribe > Unsubscribe: ketogenic-unsubscribe > > > Quote Link to comment Share on other sites More sharing options...
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