Two developments:
1. Dr. Weiner (Josh's surgeon) came in earlier and said Josh was "a model patient" and things were going just right. He tentatively put Josh on the O.R. calendar for Thursday to finish the phase one surgery. But Josh will need to have at least two or three seizures before Thursday to get a good enough sampling. If not, they will wait up to 2 weeks to get enough seizures before removing the electrodes and finishing phase one.
2. Josh had slurred speech and numbness on his left side, which may have been some kind of seizure. Those are unusual symptoms for him, although he has twice experienced something called Todd's Paralysis.
The EEG showed a "mini-seizure," although it did not present itself clinically as a typical seizure, the neurologist on call said. The abnormal electrical activity lasted quite a long time (almost 2 hours on and off) so they gave him Ativan, which is a pretty strong anti-seizure med.
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Josh,
ReplyDeleteGlad to hear things are going so well! I hope your impressed that I'm blogging - still working on the cellphone, though!
Mrs. Dalbec
Did the numbness and slurring last long? Does the electrical activity seem localized or at least lateralized?
ReplyDeleteYes, it lasted two hours, on and off. The activity was primarily on the right side. Josh's epileptologist has long believed his seizures begin on the right side.
ReplyDeleteWe are anxiously following your blog and happy to know everything is progressing positively.
ReplyDeleteHang in there Josh! (....and family)
Cathy & Patrick
Sounds good. If the numbness was on the L side that would add support to the case for R side seizures and it sounds like the EEG is confirming that. How did he react to the numbness? Is there any chance that they could do the resection when they go in to remove the electrodes?
ReplyDeleteFriday is the earliest we could swing a road trip, but we will check in as it gets closer. If the second surgery is Thursday already, he might not be up to visitors on Friday.
No chance of doing the resection all in one stay. I think the reason is too much stress on the brain/body to do another major surgery.
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