A recovery update

A photo of a jar of calcium and vitamin D supplements, and a box of Levetiracetam tablets

It’s been four weeks since I last wrote about my recovery, following my seizure in May. Because August is my busiest month at work, most of this month’s blog posts were written in advance and so I haven’t talked about what has happened with my health since last month. Things have happened and so it’s about time for an update.

I had a third seizure

Earlier this month, I had seizure number three. Number one, as mentioned, was in May and resulted in me breaking both my arms; seizure number two was in June. I managed not to have a seizure in July, but then had a minor one earlier this month. Like the second time, I was already in bed, so I didn’t fall and my head was supported. And again, like last time, Christine was there and was able to time it. As per Epilepsy Action’s advice, it’s not really necessary to call for an ambulance for seizures lasting less than five minutes, and once I’d come round, we all went to bed. I even went off to work as normal the following morning, with only a sore tongue from when I’d bitten it to show for it.

I’ve been fine since, although my neurologist advised my GP to increase the dose of my anti-seizure medication, Levetiracetam (more commonly known by its brand name, Keppra). I’m still on a relatively low dose for now though. It also, unfortunately, resets the 12 month seizure free period that I need to have to get my driving licence back. So, I won’t be able to do any of the driving for next summer’s holiday either.

I have a formal epilepsy diagnosis

Speaking of my neurologist, I had a call with them at the end of last month, where they stated that I met the requirements for a formal diagnosis of epilepsy. This, incidentally, was before seizure number three.

We’re still trying to work out what is actually causing the seizures, as there doesn’t seem to be a specific trigger. I’ve had two electroencephalograms (commonly known as an EEG or ‘brain wave scan’):

  • a standard EEG test last month, which came back normal and included a strobe light test
  • a ‘sleep deprived’ EEG test last week, where I stayed up all night, and then had the test first thing in the morning. That meant that I fell asleep during the test, and so they could monitor my brain activity whilst asleep. I then spent the rest of the day in bed. I’m still waiting for the rest of this.

Meanwhile, my ENT surgeon is looking at booking me in for an ear procedure that may help, whilst I await the results of another CT scan.

I also have an osteopenia diagnosis

On top of all of this, last week my DEXA scan results came back, showing that I have low bone density for someone of my age. This would likely explain why I ended up fracturing both arms during my first seizure. The medical term for having low bone density is osteopenia, and people with osteopenia are at greater risk of developing osteoporosis if it’s not managed well. I’ve probably developed it partly as a side-effect from having been on steroid-based asthma medication for over 30 years, but being able to breathe is important to me so I’ll take the compromise.

The good news is that osteopenia doesn’t need to be managed with medication – regular vitamin D and calcium supplements are usually sufficient, as is regular exercise and avoiding smoking and excessive alcohol consumption.

I still have some further blood tests to do, just to make sure that there’s nothing else causing my osteopenia that needs flagging up.

My mobility is getting there

I’m starting to regain strength in my arms, and my dexterity and mobility is improved. There’s some way to go before things are back to normal – I still struggle with getting things over my head, and putting a backpack on and off is a bit of a challenge, especially when wearing a coat. But I can do almost everything on my own now, with Christine just helping a little bit with showering and sorting out my shirt collars, for example.

I’m also in significantly less pain – whilst I’m still taking paracetamol and/or ibuprofen most days, it’s more as a response to acute pain flare-ups, rather than keeping chronic pain at bay.

I’m back at work full-time

I’ve been back at work full-time this month, and worked the extra hours for Clearing as per usual. Whilst I have been a little more tired on an evening than I would have expected to have been before May, I feel I’m coping well.

So I’m getting there. There’s still more tests and procedures to come, but I reckon I’ll be closer to my pre-May normal by the end of the year. I’m already not far off.

The injury explanation post

A photo of me wearing a sling

As it’s been almost five weeks since my fall, it’s probably about time that I explained what happened, and how I’m recovering.

How did I fall

I actually don’t remember the fall, or getting up from the fall. What I do know was that I had felt faint a couple of times earlier in the day, and had lunch much later than I would do normally. I was at home on my own, so there was no-one else there to see what happened, and no CCTV footage, so we don’t know for sure what happened. It’s likely that I fainted, which would explain why I didn’t stop the fall by putting my arms out. I also had a bruise on my nose, and I was treated for an infection in hospital, which may have been a contributory factor to me fainting.

What we can’t yet rule out is that it was a seizure instead of fainting. That’s more of a problem; if I’ve had one seizure then it’s possible that I may have others in future. As such, even once my arms are better, I can’t start driving again until I’ve been signed off by neurology, as having a seizure whilst driving would be dangerous. I have a phone call with them next month, but it may be some months before I’m seen in person.

What did I break

The specific injury I’ve sustained is a stable bilateral humeral fracture. Let’s, ahem, break that down (pun not intended):

  • Stable – though the bones are broken, they’ve not moved out of place. This is the ‘good’ kind of fracture to have, as it’s meant that I haven’t needed an operation to pin the bones back together, or a cast.
  • Bilateral – I fractured the same bone on both sides of my body.
  • Humeral – the fractures are in my humeri – better known as the funny bone. It’s the bone that makes up the top part of your arm and connects your shoulder to your elbow. Both breaks are at the top, by my shoulders.

For someone like me, who is relatively fit and healthy and in my forties, to sustain such an injury is unusual. As such, I’ve had a number of blood tests to check calcium levels, and I’m due to have more to check my liver and kidney functions.

The good news is that the fractures are healing well – I had follow-up X-rays last week which show significant improvement. However, I still have pain in my rotator cuffs, which are the muscles surrounding my funny bones at the top, and limited mobility in my arms.

I didn’t study Biology past GCSE, and so I have learned quite a bit about my anatomy in recent weeks.

Treatment

I spent six nights in hospital, which included treatment for the infection, investigations, and fitting with slings. Until last week, I had both arms in slings, but I have stopped wearing the one on my right arm now. I should be able to stop wearing the left sling next week. The fracture on my left arm was slightly more severe, but I’m also right-handed.

I’ve then had three and a half weeks of recovery at home. Yesterday, I started a phased return to work – 25% hours initially, and only working at home. By next month, provided I make good progress, I should be back up to full-time hours and also be able to go back into the office in person.

I’m receiving fortnightly physiotherapy sessions to work on regaining mobility in my arms. As it stands, I can mostly dress myself, but can’t put on t-shirts or jumpers without assistance. I also need assistance with washing myself on a morning, and I’m still not allowed to lift anything for at least another week. I’m still taking painkillers, although I only need prescription-strength medication (Codeine) at night now. The pain comes and goes, and depends on how active I have been.

A month on, and I still have a way to go before I’m mostly recovered. But I’m getting there.

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