We were sitting at the dojo, watching our 9 year old daughter test for her green belt in Tae Kwon Do when we got the call. Our son had just had a seizure. He is seven and has special needs. He had never had a seizure before. He had been fine earlier that morning. We had dropped him off at our oldest daughter’s house so that our son-in-law could watch him while we went to the test. No sign of illness. He ate well. He was happy to go into their house and that was it. We went on our way.
I quickly made arrangements for our daughter to be cared for and my husband and I ran outside. We live in a small Texas town but since I’m from New York, running out into traffic to cross the street and get to our van was natural for me. Not so much for the folks driving, but I made it, as in a game of Frogger. We jumped into the car and my husband drove us the six or seven blocks to our son. We hit every light. Every car in front of us dragged. When we pulled into the driveway, I jumped out before the van stopped moving and ran through the front door. Our son was asleep on the couch. We found out that he had been watching his tablet, had looked up at the ceiling and his eyes had rolled back and he had begun shaking. Our son-in-law immediately called us. He said it lasted about 30 seconds. When we tried to wake our son and got no response, I picked him up (not an easy feat, he is 4’4 and weighs over 60 pounds) and carried him to the van. We buckled him in and I told my husband that I was driving. My husband handed me the keys and got in the back with our son. I backed out and floored it.
I drove 95 miles an hour to the emergency room which is usually a 20-30 minute drive away. On a country highway. The hazards were on, I leaned on the horn and I wove my way in and out of traffic like the cab drivers I used to sit behind in New York City. I went up the middle lane. I drove on the shoulder. And I drove like this right up to the door of the emergency room, where I threw the van into park and jumped out. There is a reason why my husband jokingly calls me Mara O. Andretti.
I picked up my still unconscious son and ran into the emergency room while my husband went to park the car. I announced myself to the woman at the desk by stating, “My son had a seizure, we need medical attention, NOW!” She, to her credit, immediately got up and went to get assistance. The door opened and three nurses were already there. They offered a wheelchair and assistance carrying my son. I declined and said, “Just point the way.” I carried him into the room we were assigned, set him, still unconscious, on the bed and it all began.
Because, if you are a special needs caregiver, you know what is about to happen, don’t you?
I started with the opening statement, “Our son has special needs.”
They came back with, “What is his diagnosis?”
And, if you are lucky, yours is short. Ours, however, is not. “The first is PVL.”
They said, “What’s that?”
I said, “Periventricular Leukomalacia.”
They said, “Huh?”
I said, “Right.”
I offered to spell it for them, for which the nurse taking it down was grateful. Then I explained that it was damaged white brain matter.
They said, “Is that it?”
I smirked. “No. He also has Duplicate Chromosome 16.”
She wrote it down.
“And autism.”
She glanced up at me and went back to her writing.
“And apraxia.”
“And Sensory Processing Disorder.”
“And coprophagia.”
“And delays in all developmental areas.”
The woman was scribbling away. I tried to recall if I was finished or not and damned myself once again for not having a copy of this in my wallet, as I do EVERY SINGLE TIME I find myself in this situation. Wouldn’t it be lovely to just hand her a copy? I think so too. Damn.
By this time my husband had entered the room, alarmed eyes searching out his son, his shining star, checking to see if he was OK. He was on the bed, still not conscious. We explained what we knew and the interventions began in earnest.
While he was still unconscious, they put his IV in. This was a good move on their part, a lot simpler. When he came to and my husband could see for himself that our son was OK, I asked him to go back and be with our daughter who was having a milestone event. And her parents ran out with no explanation. Such is the life of a special needs family (by the way, we explained later, and she was AWESOME about it, as usual, her only concern being her brother).
My son regained consciousness and, not surprisingly, couldn’t and/or wouldn’t follow their directions. I had to help. They wanted to look in his nose and I had to hold his head and force it since when others do it, he invariably escapes. They wanted to look in his throat. I have lots of practice at this. I slid my fingers into his mouth on the outside of his teeth and pushed down on his jaw, forcing his mouth open. Only, this time my angle is off because of the crowd of people and how I am standing. So my finger gets in the way and, of course, my son bites down. It hurts like hell until I get resituated. My fault. Bad angle. They checked his throat and my hand was freed.
They discover that my son has a fever of 102.9. And a bad ear infection. This morning, his ears were a normal color and his skin felt cool. It happened in the blink of an eye. After a fun event of getting my son in position for a chest x-ray, we discovered that his chest was clear. No flu, no strep. No evil childhood diseases like measles or chicken pox (yes, he is vaccinated, and, AS A SPECIAL NEEDS PARENT, I WOULD DO IT AGAIN, but that is another story for another day).
So the doctor thinks that the fast spike in fever caused the seizure.
He may be right.
But he may be wrong.
The doctor is an expert in what he knows. He knows general medicine. He knows emergency room situations. He has experience with children who have seizures because of fast rising temperatures.
I am an expert on my son. And, I have greater knowledge of Periventricular Leukomalacia than the doctor does, as evidenced when he heard the term and gave me the common deer in the headlights expression that means, ‘What the heck is that?’
So, what do I and my husband know that he doesn’t? That PVL is linked to cerebral palsy, and, yes, to seizures. That we have to watch him closely pretty much forever, because seizures could occur at any time. He hadn’t had one before today. And yes, it coincided with the quick rising fever. But this saga isn’t over yet.
Because, while we are grateful that our son got excellent care, quick intervention and medication to address the situation, we need to go back to the neurologist. Our son needs another EEG to determine if there is abnormal seizure activity occuring in his brain.
Has it begun, then? Or do we get a pass this time? The seizure definitely happened but what was the cause? Fever? Or PVL?
I call the pediatrician’s office right from his bedside to leave a message (it’s Saturday) explaining that I need a referral to a neurologist ASAP first thing Monday morning. After a snarky answering service rep doesn’t want to do her job and I put her in her place I Ieave a message that I know may never get there after our less than stellar interaction. I need a new neurologist because we moved last year and don’t have one near our new home.
And the beat goes on.
My husband returned, having dropped our daughter off with relatives. Our son has received his first round of antibiotics via IV and it is time to get him dressed and take him home. We have our instructions to stay up throughtout the night, making sure he has medication every three hours for the first 24 hours so there is no chance of a quick spiking fever returning, risking another seizure. If that’s what caused it. We are exhausted and beyond grateful that all we have to do is stay up on and off all night after this event.
We are hopeful that the seizure was caused by the fever and not the PVL. We will be GRATEFUL if this is the case. And if not, we will be GRATEFUL that we still have our son with us. Seizures or not.
It is just another day when you are living the special needs life.