Dr. Gupta was very nice. He said her EEGs are very complicated. He is seeing spiking. He has not seen a seizure. He thinks she could be a surgery candidate if her medicine quits working again and therefore we will stay as long as feasible to capture a seizure so that if it comes to that later, we will have that information.
He thinks the previous 4 hour episodes were seizures, not medicine effects because they are consistent with her type of seizures and because they were "episodes" with a start and end time. This is a different opinion than the other doctor here so this proves it must be a difficult call since we also had varying opinions in Jackson.
Madalyn's Jackson neurologist thought they were seizures as did one other neurologist in the ER. One other doctor in Jackson we saw while she was inpatient during an episode felt it may be medication induced. I go back and forth on it. I hate not knowing!
Today Dr. Gupta explained the results from her MRI. It's the same news as 7 years ago, but very helpful to hear it again, and he used a model of the brain and her scans to explain it to me. The summary is that more than 50 percent of her right hemisphere was damaged, but more significantly is that the area of damage are the primary pathways of the hemisphere, so it is is in an area that is more significant. It affected all the lobes of that hemisphere.
The injury isn't very significant except to point to the origins of her seizures. Most of her functioning has been transferred to the non-damaged hemisphere.
So, for now she will stay in the monitoring unit to see what happens since she is off her medicine.
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