Wishes for Robert

Hello. My name is Carolyn and my son Robert is 15. Robert has epilepsy. My wish for him is that he is able to achieve all that he can in his life. I also wish that my son can be happy to live his life as it is. This is his story…

Our family was introduced to seizures some four years ago when, one night, our carefree son fell asleep on the couch while watching TV. Suddenly he threw his arm back as if he was trying to get up. The next 18 hours were horrific. Every time Robert went to sleep he had a seizure. That was the start of a life we would never have imagined for our happy little boy.

It was 12 months before Robert’s paediatrician referred him to a neurologist. This was when none of the usual drugs for epilepsy were holding the seizures for more than a few weeks. After a series of tests a lesion showed up under Robert’s cerebellum. Over the next few months great concern arose as the lesion continued to grow and to change shape. There were more tests, doctors, specialists, drugs, and of course, seizures. Finally it was decided that Robert would have to endure an open brain biopsy. Up until this point, we really felt like we were doing this alone, but to our amazement we discovered that there were many people who cared, really cared. This was not only immediate family and friends, but acquaintances through everyday life. I am sure we had half of Australia praying for Robert by the time he was ready for his surgery.

My family will never forget the day of the scheduled surgery. We were sitting with Robert in the theatre holding area preparing for him to go into surgery when his neurologist came to us and said "Pack up and go home. We’re not operating today." We couldn’t believe our ears. The MRI taken that morning showed that the lesion had actually shrunk. The doctor said that he wasn’t prepared to operate on the unknown because a brain tumour just does not shrink in that way without treatment. If someone had have jumped out at us and said "smile, you’re on candid camera" we would have not been more stunned.

The next three months consisted of more seizures, doctors, tablets, lumbar punctures and the lesion continued to shrink. No one had any answers.

Shortly afterwards, following more testing, we found out that Robert was having "twins". A second lesion had appeared up on the line where the two hemispheres of the brain meet. This is when laughter became good medicine for my family. We decided that the first lesion had become lonely over Christmas and invited a friend to stay and we referred to the lesions as the "twins".

Robert began having even more seizures. A distressing side effect of this increased seizure activity is that his sight is affected more and more. His ophthalmologist told us that Robert had lost most of his left hand side top quadrant vision. He said that due to the depth of the loss he didn’t expect Robert to regain his sight. Defying the odds, Robert’s sight losses have not been permanent. His sight varies depending on the severity and type of his seizure. Sometimes he has total loss of sight on his left hand side. Other times he experiences tunnel vision where he can only see what is directly in front of him.

Not only did we have to deal with the "twins" and the vision issues but we also had to deal with Robert as a person, a teenager, and the onset of puberty. We had a dreadfully unhappy and scared child. He told us one day that he just wanted to die, and then all this would be over. My husband, Bob, and I then realized that we needed professional help for Robert. The teenage years are hard enough without the other problems that our son was experiencing. Robert had already been blaming himself for his seizures and we explained to him that it wasn’t something that he could control.

Robert’s seizure activity has been complex though he doesn’t have seizures everyday now. He has a run of seizure activity and then it will plateau out. Sometimes he sees an aura pre-seizure. Other times there’s no warning. He can have absence seizures for a few seconds or they can roll into ten minutes or more. These absences have had a severe impact on his education. He has had tonic clonic seizures. One such extremely dangerous seizure finally passed after two hours in a hospital emergency department. He has focal seizures that affect only his left hand side. It starts with twitching of his toes, moves up his leg and into his stomach. This one we call the chicken dance because of a rolling action caused by the muscle spasms of his stomach. He also has laughing seizures when he has no control over the attack and can only laugh. The laughter can range from giggles to full belly laughs. After hours of this it becomes far from funny. Life is so unpredictable now.

Robert is currently on a combination of various anticonvulsant drugs along with a steroid. His neurologist thinks there is a chance that Robert has Rasmussen’s encephalitis that attacks the brain. Rasmussen’s encephalitis is a rare progressive neurological disorder, where there are frequent and severe seizures, loss of motor skills and speech, paralysis on one side of the body, inflammation of the brain, dementia, and mental deterioration.

The disorder, which affects a single brain hemisphere, usually is found in children under 15 years of age. Steroids are now being used to close down Robert’s immune system so that the brain stops attacking itself. Hopefully when the immune system is switched back on that it has lost its memory of attacking.

We also have a daughter Lauren who is 11. She has found this an extremely difficult time. We know how important it is that she doesn’t feel isolated because of the constant attention Robert needs. We’re doing our best to help her and we appreciate the advice Epilepsy Queensland has given us regarding this concern.

We have also decided as a family that it is better to laugh than to cry. At times I think people think we are a little bit crazy. All through this, Robert has always known what is going on. At no time have we kept any secrets from him because ultimately this is happening to him. It is affecting the rest of my family greatly, but it is not happening to us.

Bob and I see our job as keeping our son as safe as possible and to make fully informed decisions with the help of Robert’s doctors and information made available to us by Epilepsy Queensland. Robert also has a lot of input into the decision making process. I am so proud of him.

One of the biggest lessons for us to learn was to ask for help. We greatly appreciate the support of Carol from Epilepsy Queensland who visited Park Ridge State High School and helped make a plan for Robert’s care. It’s reassuring to know that she is always at the other end of the phone when we need her.

We simply can’t do this by ourselves. It is only because of the help made available to us, our family and friends, and Robert’s strength that we have been able to move forward.

Yours sincerely

Carolyn

PS When choosing which charity to help, please think of the great need for Epilepsy Queensland’s services. They do everything in their power to provide the help that we need. And then they do more.

Epilepsy Queensland Inc:

PO Box 1457,
Coorparoo BC, QLD 4151

Tel: (07) 3435 5000 or 1300 852 853 (outside Brisbane)
Fax: (07) 3435 5025

Email: give@epilepsyqueensland.com.au

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