A MIRACLE!

Henna was 2 years old when she was admitted to the hospital with a traumatic brain injury. She had been thrown against a concrete wall by her biological father for crying too long. She had two depressed skull fractures, old blood on the brain from previous abuse, a lacerated liver, collapsed lung, suspected sexual abuse, and shaken baby syndrome. Henna coded while on the way to the hospital via helicopter and was brought back to life only to go into surgery to relieve pressure on her brain. She was not expected to live through the night. Henna was in a coma for one month hanging on to life. Then the miracle happened! Henna woke up and was able to move all her limbs and speak, shocking all of the medical professionals. We took Henna into our home and shortly after her arrival she started having seizures.

Henna's journey continues as we try to control her seizures. She received the Vagus Nerve Stimulator (VNS) on Feb. 4, 2011 at Children's Hospital in Washington, DC. The VNS will send an electrical impulse to Henna's brain every 3 minutes for 30 seconds to interrupt her seizures. Over two months we have increased the electrical current and we have seen no change in her seizure activity. It looks as though Henna is in the third of children who receive a VNS that sees no relief from the VNS. We are very disappointed! We have started her on a new medication in addition to her current medications. Maybe it will help.

On August 6th, 2012, Henna had a full corpus callosotomy. This surgery is for people who have generalized seizures with no focal point. The corpus callosum is a band of nerve fibers located deep in the brain that connects the two halves (hemispheres) of the brain. It helps the hemispheres share information, but it also contributes to the spread of seizure impulses from one side of the brain to the other. A corpus callosotomy is an operation that severs (cuts) the corpus callosum, interrupting the spread of seizures from hemisphere to hemisphere. Seizures generally do not completely stop after this procedure (they continue on the side of the brain in which they originate). However, the seizures usually become less severe, as they cannot spread to the opposite side of the brain.

Henna received a white Labradoodle, Leo, from 4 Paws for Ability in Oct. 2010. We sent 4 Paws 2 shirts a week to help train her dog. One shirt was when Henna had a seizure and they used it for her dog to smell the chemical change during her seizure. The other shirt was when Henna had NOT had a seizure. This helped her dog differentiate between the two scents. It's a fascinating process. We trained for 10 day in Ohio with Leo and a trainer before bringing Leo home.

Leo had been going to school with Henna but started to bark and growl at different people when they came into her classroom. We worked with Leo's barking and growling when people would knock on the door and for a while he seemed better. He is very protective at home also. He then barked and growled at some boys who came into Henna's classroom and had to be removed from school. The trainer at 4 Paws said that some dogs bond so closely with their child that they become protective. Leo took on Henna's classroom as another home and felt he had to protect her. Sadly, because of his aggressive behavior, Leo can no longer be a service dog. The trainer said Leo would behave lthat way with any child he bonded to. Just his nature. We will keep Leo as a pet. Leo LOVES being just a pet. He still alerts to Henna's seizures and lives to get his hot dog reward!

Henna now has Snoball, a beautiful Golden Retriever. Snoball was born June 3, 2011. She is so sweet and a bundle of energy! Sno is doing an excellent job alerting to Henna's seizures BEFORE she has them! She is alerting up to one hour before Henna has a seizure. Sno goes to school with Henna and proudly wears her school ID badge. Snoball will be a great seizure alert dog and will serve Henna well.

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Thursday, January 6, 2011

Animals and Your Health: Dogs as Disease Detectors

by Skye Schulte, MS, MPH

There is no question that dogs can provide companionship, protection, and other services. But could there be another use for our canine friends? Some anecdotal evidence and a sprinkling of scientific studies suggest that dogs can detect seizures and cancers (like skin melanoma and prostate cancer). Though a lot of research is still needed, early results have provided insight on developing new medical technologies.

Detecting Seizures

Though many anecdotal stories suggest dogs can alert their owners before a seizure, there has been little research on how dogs might detect seizures before they happen. Some theorize that the dogs may smell a chemical or other scent that is released just prior to a seizure. Others believe the dog’s attachment to his owner helps in detecting subtle scent and behavioral changes. Only a very small percentage of these service dogs are currently able to reliably warn their owners before a seizure. Some researchers have studied whether these skills could be taught.

Researchers in the United Kingdom found that the people using specially trained dogs actually reported fewer seizures. Though these results are promising, in most cases, it still seems that this skill is inherent in a dog’s personality, rather than something that can be taught. Future research may reveal what these dogs are detecting and how this information can be applied in the hospital setting.

There is no doubt that these dogs can alert help, help prevent injury, and watch over someone when they are having a seizure. However, the Epilepsy Foundation urges people to wait until research supports a specific training regimen.

Detecting Cancer TOP

There has also been anecdotal evidence of dogs being able to sniff out cancer and warn their owners. A brief report in the journal Lancet describes how one dog discovered a cancerous skin tumor on her owner’s leg. Researchers have been able to teach bomb-sniffing dogs how to detect cancer using similar training techniques. Other research supports the theory that dogs have the ability to smell cancer. But the real promise may be in learning how dogs can do this and possibly developing medical technology to do the same.

Looking Toward the Future TOP

Dogs may never be used in the doctor's office. However, studying how animals can detect diseases in humans could lead to future advancements in medicine and medical technology. For instance, by learning about the ways dogs “smell” a seizure or cancer cells, we can develop technologies to detect those same molecules. Medical “sniffing machines” have already been developed and are providing insight into the smells of disease for disease detection.


RESOURCES

The Epilepsy Foundation

http://www.efa.org/

The National Cancer Institute

http://www.nci.nih.gov/

CANADIAN RESOURCES:

Epilepsy Canada

http://www.epilepsy.ca/

Epilepsy Ontario

http://www.epilepsyontario.org/client/eo/eoweb.nsf/web/Home

References:

Brown SW, Strong V. The use of seizure-alert dogs. Seizure . 2001;10:39-41

Questions and Answers about seizure dogs. The Epilepsy Foundation website. Available at: http://www.epilepsyfoundation.org/epilepsyusa/seizuredogs.cfm . Published August 2002. Accessed April 14, 2010.

Strong V, Brown SW, Walker R. Seizure-alert dogs—fact or fiction? Seizure . 1999;8:62-65.

What about seizure dogs? Epilepsy Association of Central Florida website. Available at: http://www.epilepsy-cf.org/seizure_dogs.htm . Accessed June 14, 2008.

Williams H, Pembroke A. Sniffer dogs in the melanoma clinic? Lancet . 1989;1(8640):734.

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