Thursday, March 13, 2014

John's seizures Tuesday, March 11th

Many of you have heard that John experienced two seizures Tuesday night. The first was at his cousin Courtney's home in Pleasant Hill, where he stopped by to pick her up as they were to attend the Warriors game.

While there he experienced a focal motor seizure. He never lost consciousness but was not responsive. By the time the EMT team arrived he had somewhat recovered. He was transported to John Muir hospital in Walnut Creek for observation and evaluation.  While there he suffered a gran mal seizure.  The ER team responded with heavy doses of anti-seizure medication.

He had a CT scan which showed nothing not already known but he was admitted overnight as a precaution. Wednesday he had an MRI which was also fine. Specifically the doctors were looking for any signs of bleeding at the tumor site or anything significantly different than seen on his last MRI. Neither of these concerns were manifest.

Based on information taken from his medical history, specifically the fact that John had missed a dose of his anti-seizure medication on Sunday, suggested strongly to the doctors that John's maintenance dose of the medication is likely too low. The missed dose was sufficient to lower his overall load of  medication, essentially the minimum baseline of anti-seizure medication in his system sufficient to prevent a seizure, was no longer reached.  This level is different for everyone as each person metabolizes medication at a different rate.

He is now taking a higher dose on an ongoing basis and the doctors have recommended he have his baseline checked in about a week.

We are all very thankful this happened while he was with family who could attend to him, especially Frank and Courtney.