Saturday, August 20, 2011

Cookies For Cole


It's a bake sale! Coming to your neighborhood, September 17th.

If you have been reading Warriors for any length of time and want to know how you can help, here is a great way to do just that.

I am not a professional pastry chef like my sister, but most of my friends and family would say that I can bake with the best of them. However, you don't need to necessarily know your way around the kitchen for this. This is something that anyone can get involved in, no matter where you live, any time or any place. Even if you only make one batch and sell it to your neighbors, every dollar counts.

Here's what you do: bake something, sell it and donate all of the proceeds to Cole's Cause. It can be really small and simple, like one batch of cookies, or you can recruit your friends and it can have lots of variety and involve lots of people getting something delicious. So many of the people we love live far away from us, so this is a way to come together at the same time and do something great.

It doesn't just have to be cookies. Cakes, pies, eclairs, brownies, popcorn, any treat will do! We are also going to have sugar-free, gluten-free, and keto-friendly goodies at ours :)

If you want the file to print out your own awesome poster or flyers, just e-mail me epilepsywarriors@gmail.com

Every little bit helps.

Friday, August 19, 2011

Drugged


Dravet is a very complex disorder. Things are constantly changing, especially in the first 5 years or so of life. Cole is a true testament to, "Never Get Comfortable".

We had a great honeymoon with Depakote. You may recall my love letter. His long seizures were less frequent, they were shorter. He seemed to be able to handle overstimulation better and started exploring the world outside of our four walls. There were still plenty of seizures, but most of them were small. Then the small seizures increased to the point that I had to use extra medication to stop the clusters. Almost every day. So we decreased the dose and added Topamax. We changed things around, lowering the dose twice and things seemed to even out again where I was only using extra rescue meds a couple of times a week instead of every day. That lasted for a week or so and the myoclonics were back, with a vengeance. It seemed that he couldn't even go 5 full minutes without some sort of seizure activity. So we changed things again, and they got worse...not better. So we doubled one med and they got just plain awful. Cole was only having 45 seconds to a minute of respite in between clusters and he also started having a lot of myoclonic eye flutters, something he has only had a handful of times in his life so far.

SO-what do we do? More meds=more seizures. Less meds=more seizures. We can't go back on the diet or he will stop eating completely. Neurofeedback didn't work. Homeopathy didn't work. SPIO and other special equipment is not enough. Is it time for stiripentol already? I'm not sure what to do since we have tried Plan A, B and C. Is it time for Plan D so soon?

To stop the cycling, today we gave him a loading dose of clonazepam, "To throw water on the fire". We've done this with other meds before, but never with a benzodiazepine. The doctor reassured me that it would make him very tired and told me to make sure he got a good nap. We've used clonazepam before as a rescue drug (0.25 mg) and I knew it worked well for Cole to stop small seizures. So, with a quadruple dose in his system (basically 4 pills equaling 1 mg), plus 3 other seizure medications, he should be knocked out cold, right? Um, no...if you recall, my son has the nickname "Mini Hulk". He can withstand incredibly high doses of medication and has a very high pain threshold. Remember when I won the Mother of The Year Award when I broke his foot during therapy? Yeah, high tolerance for pain and drugs is an understatement. I actually chuckled when I read the new protocol this morning.

Instead of sleeping, like a regular person would if they had this amount of benzos in them would, he is a total chatterbox. Right now, he is alternating between talking like a pirate, singing Old MacDonald, and having conversations with inanimate objects. You can totally tell he is drugged, especially if you know him. Yet, hardly a seizure since the big dose. Oh, it is such a balance. Seizures or being strung out? All in the day of the life of Cole.

Wednesday, August 17, 2011

Cole's Cause

Hi, this is Brian. I know it’s not often I write on the blog. Let’s be honest, I’m more of a reader just like you. I’m grateful Niki spends the time to record our journey with epilepsy. It’s amazing to look back a year ago and see how far we have come. In fact, it was almost one year ago we got Cole's official Dravet diagnosis and started the fundraising effort for his seizure dog. Thanks to our families, friends, friends of friends, co-workers, strangers, and blog readers around the country, together we raised enough money to begin the training process for Cole’s seizure alert service dog. Cole’s service dog will soon be a reality – all because of you. Words will never be enough to show how grateful we are for your generosity.

I say ‘begin the process’ because we won’t actually get to meet Cole’s dog until the end of October. For the last several months, we have been sending Cole’s shirts to the trainers so his dog can know his scent after he has a seizure. Though we never like to see Cole have a seizure, it will help his dog become familiar with his smell and hopefully alert us before he has a seizure.

We are counting the days (as you can see to the right on the blog) until we meet the newest member of our family. We won’t know which dog will be Cole’s until just before we leave for training at 4 Paws For Ability.

In the meantime, we have a few hurdles ahead that really have us worried. Unfortunately, they are three major financial hurdles: the 2 week dog training trip to Ohio, a portable FAA approved oxygen concentrator, and a return visit to Miami Children’s Medical Center.

The trip to Ohio

Even though we raised enough money to train Cole’s dog (thank you again!!), we came up short for the trip. We’re driving so we don’t have the airline ticket or rental car expenses but we’ll have other expenses. We’ll spend about 2 weeks in a hotel so that will be the largest expense along with gas for the car, food, and dog supplies. We have a hotel reserved where most of the other families in our training class are staying since the hotel has been very accommodating to prior groups. We figure with the hotel, gas, food, and dog supplies, we’re looking at about $3000. The hotel is in the Hilton family. We’re open to people that are willing to donate some points. There’s probably nobody out there with 2 weeks worth of points, but we’d be more than happy and extremely grateful for any contribution toward our trip to get Cole’s dog.

FAA approved portable oxygen concentrator
Cole has to have oxygen available at all times. Sometimes his seizures cause him to stop breathing and he will quickly turn blue. It can happen very fast and some seizures are worse than others and sometimes he needs more oxygen than other times. It’s very random and completely unpredictable. The one thing we do know – he needs it ready and available always. We take it with us swimming, to the store, or anywhere else we go. It is located in two different places in our house and we also have it in our car. This is an added cost to us, even with insurance. We really run into problems if we are going to travel. Cole sees a team of specialists at Miami Children’s Hospital in Florida every six months. His first visit was a 5-day hospital stay in May. Each time he gets on a plane, there is the chance that he will have a seizure and need oxygen. You can only take special FAA approved concentrators on airplanes, and Cole's has to be continuous flow, because he stops breathing. There are only two models that do this. Cole needs this concentrator. His doctor has approved it, written a letter and we have been battling with the insurance to try and get it paid for. Their response is to pay for it out of pocket, and then they we can try and submit a claim for reimbursement – not likely to get approved. We do not have the funds to pay out of pocket for a concentrator, so it is costing us $500 or more each time we travel, just for special oxygen since we can’t take our own. We spent $1,000 in two months on travel oxygen, to move out to DC and to take him to the doctors in Florida. The travel oxygen rental fee ends up being far more than the price of an airline ticket. In order to buy an FAA approved, continuous flow, portable oxygen concentrator, it’s about $3800 – but it would save us in the end from all the rental fees.

Return visit to Miami Children’s
Since we’ve moved to Virginia, we are now able to take Cole to a specialized team of doctors at Miami Children’s Hospital. His first visit was in May - a 5 day hospital stay - and he needs to return every six months. We are so grateful to the team at Miami Children’s. We have been so impressed with their level of care, knowledge, anxious concern, prompt responses, and the list goes on. These guys are the best for Cole. But just as a regular check up with your doctor is good, so is one with your neurologist – especially in Cole’s case since his seizures are always changing. We’re set to take Cole back to Miami in December. Three airline tickets, food, and rental oxygen add up. Thankfully we have health insurance that helped cover a majority of Cole’s very expensive first visit. But we still had some expensive co-payments since his visit was so long, he saw several specialists, had lots of tests, and much more.

It’s difficult writing this. It’s hard to ask for your help, especially since so many of our family and friends and others have already donated. We couldn’t have made it this far without you. Cole's care is complicated and ever-changing. It’s expensive, even with insurance. But we do know we’re in the right place. We are where we supposed to be. More has happened here in our first six months than in the last three years with Cole’s care. Since we moved, Cole has a nurse during the day; has been accepted to the school district’s special education pre-school program –he starts next month, he’s having fewer long major seizures, and we’re able to get out a little more (but armed with rescue medication and oxygen).

We’re trying to do all we can to give Cole the very best to fight for a better day, every day. It's hard to see him suffer on a daily basis but his smiles, laughs, and hugs make it all worth it. I’m holding down one job and looking for another, hopefully teaching part time in the evenings. If nothing happens, I’ll keep searching and looking, even working at Home Depot if I need to.

Above all, thank you. Thanks to all of you who have helped us. Cole would hug every one of you if he could, and so would we. Thank you again to those of you who have been generous. Thank you for your sacrifice in our behalf. We recognize and appreciate our loved ones and others who have already given so much. We have learned some amazing life lessons along the way in our journey together. Our eyes have been opened to the goodness of people’s hearts. It’s humbling to see how many people really do care. It’s sometimes harder being served by others than giving the service. I’d rather give, give, and give. And we hope to give back as much as we can for the rest our lives and pay it forward. If you or someone you know is able to contribute to Cole’s cause, thank you so very much! You can use the “donate” button at the top right of the side bar, you do not have to have a PayPal account. Or if you have another way you’d like to donate, please email us: epilepsywarriors@gmail.com.

Even if you’re not able to donate or are one of our many previous generous donors, please keep visiting us on our blog. Thanks for your interest, concern, and encouragement. You are part of Cole's success and happiness. Thanks for your prayers. We feel it and need them every day. Those are things money can’t buy and we’ll be forever grateful for.

Thank you, and may God bless you.

Tuesday, August 16, 2011

Magical Memories

Due to some really hard work, and generosity of others, I was able to sneak away for a few days and get together with some fellow Dravet moms. The paramedics actually made their first house call to our new home while I was away. Another reminder that leaving just can't happen very often.We had a lovely time, with lots of food, laughter and fun. There were some tears involved too. I can not explain the immediate bond you have with another Dravet parent. Our numbers are so small, we immediately understand each other. I got to work on a new pamphlet that I have been a part of for newly diagnosed patients families, talked about my role on the a4cswn committee and realized once again that I can be a resource for others, after having 30+ years of experience with epilepsy. Some one called me wise. What? I'm not wise, but I am totally willing to share whatever information I have. I'm so grateful that these women were willing to share their weekend with me. What a magical place with incredible memories.

Sunday, August 7, 2011

Just A Peek

Warriors is getting a facelift
and all without Botox


Here is a little taste of what is to come.
Awesome photography by E Moon

Saturday, August 6, 2011

Presents

While trying to convince Cole to create a sample for the nice people in the lab yesterday, I took him around town so we didn't have to go home, and then come right back with the yellow stuff. I don't blame him, who wants to have a bag attached to their body? Still, if you have been reading Warriors for any length of time, you know that he is practically famous for not cooperating when we need him to perform whether it be blood, or any other type of bodily fluid. Yesterday, only two pokes and one blown vein for 7 tubes of blood. Hallelujah! Compared to the multiple sticks and multiple trips last time, this was a cake walk. Now if I could only get him to go on command! TMI.

I took him to a little diner, since I had to wake him up early and these were fasting blood draws. No food, no meds and little sleep makes for an interesting morning, but I didn't want to have to go home and turn right back around. We had a lovely time, just the two of us. He had pancakes with some orange marmalade and I had caramel french toast. Compared to other restaurant nightmares, he was pleasant. Yes, we still had to administer meds while waiting for our food, he still stood on the banquet, was banging on the window, yelled greetings at the other customers (including the ones who were on the other side of the window) and dropped multiple items of silverware. However, he did not lay on the floor or scream bloody murder once. Like I said, it was lovely. What a gift to be able to take him to a restaurant and watch him eat a meal. No major seizure, no special diet, just hanging out with my special boy.

After our little breakfast, he had still not cooperated with his sample for the UA, so I took him to a thrift store. There, with a little digging, I found three precious gems. I have read the entire Mitford series probably 3 times. I always borrowed from my mom, grandma or aunt. However, they live too far away to peruse their library shelves. For $1 each, I found the first three books. Tonight, I am going to curl up with Father Tim and visit a little town that has characters who have become like family over the years. They each have their struggles. Their likes and dislikes. Some of them are downright crazy. Overall, the feeling you get from them is love. It is so nice to just escape to a nice little, charming Carolina town and pull yourself out of the real world; even if it is just for an hour or two.

I finally gave up trying to get Cole to cooperate. We headed home so we could let in the nurse who was arriving for her shift. Wouldn't you know, the minute we got through the door, he went. I should have just come home in the first place! At least I didn't have to pack him back into the car and tote him with me to the lab. It was wonderful to just leave him home with the nurse and not have to worry about putting any additional strain on him. It had already been a long day and it was only noon! He got the privilege of taking a nap, I got the privilege of taking a sample to a lab, alone. Sometimes we all have to give presents to ourselves, even if it is $1 books and 45 minutes of alone time in the car:)

Thursday, August 4, 2011

Diagnostics

Have an appointment for Cole today. Something's up, I just don't know what.

Back to being a detective.

What do excessive thirst, interrupted bowel routine, lethargy, poor appetite, constipation, excessive urine output (that is colorless), decreased ability to handle overstimulation, increased myoclonic activity and fever spiking equal??

I don't know either.

Hypercalcemia? Skeqwampus depakote levels? Unbalanced nutrition?

Your guess is as good as mine :)
 
Photos by Capture Me Candid

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