It should go without saying that the past month has been extremely trying – what I like to call "living in shades of gray".
The good news is that Maggie is much better than she was when this all started. She is doing so well that the doctors are considering releasing her on Friday. She’ll have the vagal nerve stimulator (VNS) implanted either Friday or next Tuesday through outpatient surgery. We’ll learn more about the scheduling later today. If it is done Friday, we’ll be home this weekend. If it is next Tuesday, we’ll be home on Wednesday / Thursday. UPDATE: The VNS surgery won’t be happening until Tuesday.
The bad news is that the most recent SPECT scan, done on Tuesday, was not as helpful as the doctors were wanting. It made some things clearer to them, but not enough to show them where to stop resecting – which isn’t good. It is likely that she was still having minor seizure activity during the test. So, the doctors would like Maggie to do another inter ictal SPECT test ( completely seizure free) sometime in the next couple of weeks after things settle down at home, the VNS begins to work, and the new seizure med ramps up. The doctors have to rule out that her seizures are not originating from the other side of her brain, as well as getting good data on where to stop resecting. The last thing they want to do is go in to resect part of her brain and it not be enough to be effective in stopping her seizures.
While we wait to see how effective the VNS and new seizure med will be, the doctors have begun preparing us for the real possibility of a hemispherotomy – disconnecting the right hemisphere of Maggie’s brain. We don’t know if that will be weeks, months, or years away, but it is becoming more and more clear that this is likely where things will end up, as we have exhausted all other options known to us and Maggie’s doctors. Much of this depends on how the new drug works, how helpful the VNS is, if we can keep Maggie out of the hospital, and if they can get more solid info from the inter ictal SPECT test for a possible resection. The doctors are not hopeful about a possible resection, though. There is a lot more risk of something going wrong during the resection, which would cause much more damage and no benefit, than a hemispherotomy would.
Once we get home and recover from this past month, we’ll begin the process of seeking second opinions. We’ll also be talking with parents of kids who have had hemispherotomy’s, praying for Jesus to return quickly, and ensuring that we have not left a single bridge untraveled.
We can’t wait to return home to our kids, wonderful friends, and church family. We had a good visit from PJ Mendickie last night, bringing us a welcome hug from home and a much needed financial gift from their Sunday School community, Jars of Clay. Thank you! We also enjoyed some awesome Vietnamese food together. Thank you to everyone for your faithful prayers for our family and Maggie. They were effective and God used them for His Purposes.
I’ll post another update when her VNS surgery is set and we have a firmer date on when we’ll return home.