As I mentioned we went in for another EEG on Tuesday. I think little Miss Dylan just has everyone up there at the Children's hospital pretty confused as to what approach to take regarding her spasms!
When we went on Tuesday in the EEG girl greeted us with a huge "Hiiiii!" Pretty sad when they all know us, even another gal stopped in to say hi when we were wrapping up! So funny. Not good that they remember us, good that they seem to think fondly of us though right? (Bright side!)
The good news (in kind a sucky good news way) is that a few minutes into the EEG Dylan actually HAD spasms. I ran out to get the girl to ask her if she needed to note it on the reading and she came running in, typed, handed me a button to push when Dylan had them and ran out... but they had already stopped. I almost wish they would have lasted a little longer and I would have taken a picture of the screen. When she had a spasm, all of the lines jumped together, then normal, then a big jump again.
She was a good girl though and she fell asleep right after (they tend to wipe her out...) and she slept the rest of the EEG. So did her dad. When they came and pulled off the thingies, the lady was very gentle and she washed the glue out of her hair backwards, instead of just a towel on the head and a good scrub... so we don't get any goofy hair pictures! I prefer it this way anyway!
I left the camera in the car, so cel pictures wouldn't have been as great anyway.
We left telling the gals that we might just be back in a few weeks! They probably haven't quite gotten rid of us yet!
Dylan and I went up to the hospital to talk to Dr. Neuro today and to get a prescription. (The boys were at Ami's which I think has become their second home!) He said that her EEG is definitely abnormal and one of a person in which you would definitely expect seizures but nothing's typical! Again, they looked for Hypsarrythmia, which is where the left side of the brain isn't really working with the right side, but they also look for a few other things... I learn something new every time I talk with Dr. Neuro I swear! Typical IS EEGs also show larger wave patterns consistently through most of the reading, Dylan didn't have this. Also they look for meto-something... wish I could remember the term. Not because anyone cares, but because I like to learn new terms!! It's where a line spikes and another line spikes and another line... there's almost a consistent pattern of spikes in various areas, of course... Dylan didn't have this either! Then the age issue, she's really too old for IS.
So what to do... our Dr. Neuro said he consulted with a few other Dr. Neuro's there and they came to the conclusion that they would let the impact on her development determine how aggressively they attempted to stop the spasms. Since the only impact is that she is wiped out for a half hour after them, comparatively, that's not so bad.
He also mentioned a famous French Dr. Neuro by name who is very adamant that when it comes to Infantile Spasms, if the child has an abnormal brain they aren't worth treating (this would be about 90% of IS cases). NICE! But, yay for our Dr. Neuro who is so completely impressed with Dylan's abilities and development that this is not an option! He likes where she is going and will not let the IS impact her. In fact, I think if we called him right now and said we were concerned about development he wouldn't hesitate to throw a little ACTH at the problem.
Ultimately they decided the first medication to try would be
Zonegran which, Wiki actually mentioned being a treatment for IS. Isn't that encouraging? I hadn't heard of it before though my friendly (still seizure free, yes!) IS mom mentioned them trying it with her son as well. on the Epilepsy sites it's mentioned that it works by not allowing the spikes to reach max, in effect, stopping a seizure or a spasm before it starts. Worth a shot right?
Not nearly as many down sides as ACTH. Risks are basically sleeplessness (wahoo!), irritability, inability to sweat (Topamax also has this side effect), drowsiness, loss of appetite and potentially vomiting. Also acidosis (interesting..., not good!) but that they haven't seen any of the more severe side affects through their Neurology group. Clearly the side-affects are not nearly as bad as aggressive ACTH treatment would be, and Dylan can continue to go to school. He told me a few things to watch for, the vomiting would not be good, panting, rash, that sort of thing and we need to call him next Friday (Christmas Eve!) on his cel phone to touch base.
Anyone else find it funny that I have this doctor's cel phone? Good children's doctors are the bestest aren't they?
So we start with the medication as soon as we fill it (hopefully tonight) with half a pill (which they are capsules, this should be interesting!) twice a day. After a week, it's half a pill once a day, a whole pill once a day. Then a whole pill twice daily.
That's good for the Dylan update right? On to other things!
Thursday the kids had their very first school program! Yay! Matthew would have loved to go, but he just couldn't sneak out of work so mommy and Ian represented. Course, as soon as Duncan walked out and got on stage and finally saw me he said "Hi mommy! Where's daddy?" This would be my heart sinking, did you hear it? I don't know if they said something about mommy's and daddy's being there but he was definitely expecting daddy. Fortunately he got over it quickly.
They sang a couple of songs. Well, everyone did but the very young three year olds, there were maybe five young ones, Duncan in this group of course. He just was the naughty kid on stage and then he would clap after all the songs. In between he would sad "Mommy, I get down?" and I would tell him to stay up there next to Dylan. So, truth be told, if daddy had to miss a program, this would probably be it, but next year he might be on the line.
The last song they sang was Twinkle Twinkle Little Star and Shelly (the Aide, and the gal that works the closest with Dylan) turned around to me and said "She loves this one!!" and then it happened. Poor little Dylan had spasms through the song! Get out right?! Curses! It's a good thing it was the last song because she was done.
I explained to Shelly after the program that she had them, Shelly has never seen them, and people wouldn't typically notice. She said Dylan was just BEAMING through practice when they sang that song! Of course she was! Then conked out at the program. I suppose this is probably normal for an unpredictable three year old though!
Yesterday I was in with Dylan doing her thing and Duncan came in and told me he had a package for me. A package? So exciting! (It was his sippy) and then her busted this out "Special yib -ea - rhe - aa (only fast)" I paused, "did you just say special delivery?" and he said "Yes!" and said it again. It was so cute... sound NOTHING like delivery but it's adorable. Some day he will get his delivery of 'delivery' right and I will be sad!
He also says "not yet" as in... this afternoon when we went to grandmas and I said it was time to go "Not ye-eet." Uh, yea yet.
The kids were there while I had an OB appointment. I was really quite pleased to see the nurse open my file to reveal a post-it note that says "Do not reveal sex!" underlined. As I was leaving last time I asked him if I needed to make a post-it note for him and he told me he could make his own. I was happy to see he actually did! I almost brought one anyway! Yay! Go baby Dr.
We got Ian's stocking from Grandma Shirley today! YAY! Now he's matchy matchy with the rest of us! (Where I am not doing se well in keeping her making the stockings I had to have scored a few points in the ease - by shortness and straight lines - of adding IAN's name!
And... almost forgot, Ian's taking a few steps! He gets excited and lunges which gets him nowhere, fast, but he will take a few steps to me when his balance is right. It's adorable! He's going to be all over this place!
Tired girl on the way to the EEG - This is how I ended up leaving the camera in the car.

After the EEG, pretty wicked tired and cute right?

This is Shelly - Shelly is deaf (she has a hearing aide) and always signs to the kids while she's talking to them. I do believe a significant amount of her 'hearing' when you speak with her is reading lips.

There's mom, "Hi mom!" I moved to the mini-chairs in the front row when I saw Dylan's chair out. Me, my belly and Ian, in a wee tiny chair.

This would probably be while all the other kids were singing.


I threw this one in because that cute little guy next to Duncan kept getting a very special head rub during the program. I think it's cute, I hope his parents did too!

These were for Jingle Bells - I like that Dylan's smiling at it.