07/18/2025
SPECT day 4!
Jemma had another full day on EEG monitoring and had upwards of 10 seizures today.
After yesterdays fiasco with the IV placement, then that failing during sedation, trying 6 times with ultrasound and all of those failing, today the one they finally had in her wrist started bleeding so they tried another time, only for it to also fail two hours later, while trying to push the propofol, again. So she was put to sleep with gas instead (not our favorite way to go out at all), but the anesthesiologist placed another one with one stick and it has held so far. In the ankle of all places. Sometimes I’ve wished they could do them every time, they are just so good!
I advocated for experienced techs to do the placements, comfort holds every time, cold spray vs the JTip, and ultrasound with vascular team, and even with all of that she still had to have so many sticks. Feeling pretty defeated about it tonight. 💔
As far as results on the scans and resection surgery, unfortunately there is just no way. Jemma is NOT a candidate after all for a resection. This was a huge disappointment today. We met with her epileptologist and she explained there was just way too much activity in too many places to safely go in and remove anything without causing more damage and cognitive deficit. So the door is closed on that option for her for now.
BUT, in better news.. she does believe Jemma is a candidate for a Vagus Nerve Stimulator(VNS) implant. She plans to expedite the process for this surgery and hopefully get one in Jemma in about a month. It would be implanted int her right chest and has a wire that wraps around the vagus nerve. It works by detecting a change in heart rate that happens just before her seizures and sending an electric pulse to the vagus nerve that would interrupt the seizure and stop it. It may take time to fine-tune it for her, but we’ve heard of great success with this treatment too so we are still hanging on to hope that this is what is meant for her at this time and it’s coming to this instead of resection for a reason. We’ve prayed for the best thing possible for her and are trusting that God’s leading the way to that, whatever it is.
Therapy at AbilityKC will be delayed for now, she was supposed to start next week but with getting loaded back up on new medications, it would not be in her best interest to start an intensive therapy program while she’s miserable and not herself. We’re disappointed in this too because we were so excited for her to get to work on therapy, especially speech/communication.
Tonight they started Jemma back on her usual medications, but added 3 more. So she’ll be going home on 6 total. She has steroid antibiotic ear drops for the drainage she’s developed around her ear tubes recently. Then treatment for the Epileptic Spasms relapse includes a burst of high dose steroids for 4 weeks, at the same time as she will titrate over a couple weeks up to full dose of the Vigabatrin medication she had previously been on for a year. We love/hate this one. It definitely works, but has more side effects that slow her down in coordination, speech and general brain function and can cause vision loss with retinal damage over time. So, she will see ophthalmology here periodically again to monitor that. She will also see her pediatrician once every week while on the steroids to make sure her blood sugar and weight stay in a safe zone and she can tolerate it. Prilosec, to prevent stomach ulcers from the steroids. Steroids will also lower her immune system function again so we’ll have to be more careful around illness too, cue the mom anxiety about this especially since her siblings school starts next month.🤪😅
Neurosurgery consult consult hopefully in the next couple of weeks to talk about VNS with the surgeon, go home to ‘roid rage it out and get these seizures under control again hopefully, and anxiously await implant date. Help us pray that it can work! That she can get off these drugs! All the doctors have agreed that no kid should have to live on this many drugs if there’s a better option, and we need VNS to do that for her. We want our lively, energetic girl to keep marching FORWARD into getting a better quality of life instead of taking so many steps back, which is exactly how this week has felt.. like such a setback.
The best news is that tomorrow we go home!! We’re so ready, we miss our kids and our beds and even our silly dog, lol. Thank you for taking the time to read Jemma’s rollercoaster of life updates as they come and continuing to care so much about her, please know we see every share and read every comment and we appreciate your support so much! 💜🎗️
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