If you'd suggested to me before yesterday that I might one day find myself in an office, trying to get my daughter to take her feet off of her chair while volleying the suggestions of two doctors and a nurse that we treat Mimi with sleeping pills and tricyclic antidepressants and benzodiazepines, I would have laughed hysterically.
Then came yesterday.
But first came a day in her pediatrician's office a few months ago, when, following a really bad night, I stomped my foot (true) and said I wasn't leaving the building (also true) until we had some idea of how to go about figuring out her persistent sleep terrors.
Terrors are ultimately benign and look a hell of a lot scarier than they apparently are, but seriously, several times a week, in the middle of the night, your child might be ...
- agitated but cannot be awakened or comforted
- sitting up or running helplessly about, possibly screaming or talking wildly
- appearing to not realize you are there even though his or her eyes are wide open and staring
- mistaking objects or persons in the room for dangers
B.D. Schmidt, MD, Your Child's Health, Bantam Books
I've talked before about
Mimi's sleep terrors, or pavor nocturnus, or partial arousals from non-REM sleep, or whatever -- really super scary disturbances. After I pitched a fit in her doctor's office, we saw an allergist, a rheumatologist, a therapist, a pulmonologist, an otolaryngologist, and a neurologist. I think that's everyone.
My sister, whose now-cancer-free teenager has been screened and scanned for everything as part of his cancer treatment, had warned us that when you poke around enough you're bound to find something, and we found a lot of little somethings. Enlarged tonsils. Convex eardrums. Allergies. Mild asthma. PTSD.
But no real answers to the terrors.
I've now lived the lesson so many have shared: when it's your child, the tension between thrusting her at every doctor who just might have an answer and gathering her in my arms and running for the hills is just about unbearable.
The one test result that caught our attention was her EEG, which wasn't quite right. So we took another look, and then a few more. Those kinds of tests are easy to say yes to because they are non-invasive. I take her in her favorite pajamas to the hospital, plug in her lullaby CD, tuck in her doll, she and I cozy up in the bed and she sleeps through the test. Works a charm.
But there is a blip in her EEG, in the lower left part of her brain, recurrent, always there. We've ruled out the big-bads, tumors and such; at least I think we have. It's terribly disturbing for a neurologist to say, "I don't know" and I have to bite back a rude retort: You're supposed to know. How can you not know? You're not allowed to not know. That's not how this works.
But there we have it. Like the far more common seizure disorders, she will likely age out of this. Like the far more common seizure disorders, there are no real answers, just mitigation of symptoms, at least for a young child.
Their recommendation remains firmly behind the medications: tricyclic antidepressants (been there) and benzodiazepines (done the hell out of that).
No.
One of the doctors looked through her chart and said, But you've immunized her. So you don't stand against medicines on principle.
No.
Do you want to think about it? Because we realize these terrors are very disturbing. We can help.
No.
So we left it there: we'll call if we want to pursue this any further. We have an idiopathic blip on an EEG and a manageable case of sleep disturbances. This is, in part, why I'm staying home, after all.
I am still shaking, the kind of bone-deep vibration that comes when I've been rattled to the core. The kind I definitely can't control and that makes my think my fillings are going to shake loose. This is just surreal, that one year post-rehab I'd be facing the very same drugs but this time they are circling the person who means the most to me.
Irony, perhaps; I choose to think of it like this: If I had no experience with these drugs, then I might have given them to her, following medical recommendations. And then what? But I do know, firmly know, the dangers of those drugs and I do say, firmly say, that those drugs are not going in her body. I can stand between her and this danger, and for that, at least, I am grateful.