We just got back from taking her out to Johns Hopkins to see Dr. Kossoff and team. They followed her through the 2 years she was on the Ketogenic diet so they know her history very well. Plus they see the rare seizure disorders and are so much more experienced in them then Primary Children's. We wanted to get his opinion on what if anything we should do with her medication. A lot of time at 2 years of being seizure free you can start weaning the medication. We are sooo nervous about changing anything even though the medication never seemed to help much, the taking of it away always was hard for her. She is currently on 3 seizure medications (felbatol, Keppra, and vimpat). That is a lot of medication!
It was such a good visit with Dr. Kossof, I really love that place. We had his first appt after lunch and when we were in the waiting room he came walking back from lunch and stopped because he had recognized us, he introduced his team to us and tried to give Lauren a hug. It has been 3 years since we had seen him, he is a world famous doctor in this field and sees so many children, I was shocked that he remembered us. Not only that he remember details about her condition and things we had done over the years with her that were not in the notes. Such an amazing doctor.
During the visit he wanted to know exactly what had happened and what we had done that could of made her go seizure free for so long. We have often wondered why the doctors at Primary Children have not done this with us. It is such an amazing thing that she went seizure free we would of thought that they would be using her for research and stuff. I had one doctor at Primary's sort of ask what happened but nothing that extensive. Dr. Kossoff wanted all the details, I guess the difference between a research hospital?
He then looked at a copy of an EEG we had done in August. He brought in 3 pages of copies of concerned area in her EEG and explained them. Said that overall her EEG looked good but that there were 3 spots where there are abnormal activity (all when she was walking up and going to sleep). It showed that this syndrome is not gone but that it might be on the way out?
He then recommended that we start weaning Flebatol very slowly, just for the fact that she is on 3 drugs and that one being the most dangerous and hard on her body. Then if that goes well in a year wean another drug. He did say there was a small chance if she did loose control through doing this that we would never be able to get control of her seizure again. But he thought that would be low and thought it would be best to not have her on so many drugs. The job of these drugs is to slow the brain down to lower seizure thresholds. When you are on 3 drugs slowing the brain down the effect is pretty high, plus the drugs are not the best for the liver/body(it has been amazing that she is doing as well as she is). Especially when we don't know if these drugs are even doing anything because she has been on 2 of them when she was in a very bad seizure state.
I don't know what we are going to do right now, I am just sitting on the info. I am very scared to change anything but know deep down it is worth a try?
Overall it was such an amazing visit and worth a 4 hour plan ride any day. Just to have someone talk to you that deals with this on a daily basis, sees the long term, has such confidence and knowledge to share was so refreshing!
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