I really don't like how the amount of time between seizures is decreasing. First it was 10 days, then 5, and now 4. It's been a long time since he had one in the daytime. Tonight's, he was sleeping on my computer desk chair. This one seemed to have a little trouble getting going, or something - I was in the living room, and I could tell that he was having a seizure, but aside from very minimal foaming, he seemed to be just laying on his side. It was very short, too - probably not more than 45 seconds. He moved very little, but the growling/snarling noise started about a third of the way into it. There was some mild shoulder jerking. When it was over, he let me wipe his face, and lay without moving - virtually in his original position - for about a minute. (Sounds short, but when it's happening, it seems endless.) He was making eye contact - in fact, his left eye was jerking - but I'm pretty sure he wasn't seeing me. Eventually, he jumped down. I got a can of food out for him, and he ate about 2/3 of it. No pacing. I added a little water and some dry food, and he ate almost all the rest. His coordination appears to be off now, which I didn't notice happening before. He's not walking quite right, and he's just sitting erect and looking around. Usually, there don't appear to be any lingering effects after a seizure. I wish I'd thought to grab the camera since it's daylight.
I have been a little worried for the last few days - Milk's balance doesn't seem to be as good as it was recently. I noticed that, when he shakes his head, there's that instant of "tilting" that I haven't seen since the phenobarb was reduced. It may just be the magnification of my concern about him, I don't know. He seems fine otherwise.
Just fifteen minutes before the seizure, I opened the envelope containing the Keppra prescriptions from the IM specialist. A little late, huh? I called Sam's Club, which had the best price ($93 for 45 pills - if they didn't make a mistake when I originally called them or something). They can order the pills in the 250mg size that we need, but it won't arrive until Monday. Which is very annoying, since all that time from last Saturday - when the phenobarb levels came back, until today (Friday) when the prescription arrived - was essentially wasted. I never did get to talk to Dr. L. She kept having technicians call me. I'd ask a question, the tech would say "Wait a minute", and then come back with the answer. I don't know why the doctor couldn't just have picked up the phone herself, when she was obviously standing right there. I still have a couple of things I wanted to ask her. Like, what about the liver function - I would have thought that they would have done those blood tests on Friday, too. And what about giving him milk thistle?
I hope he makes it through the rest of the weekend without any more seizures so we can start the increased Keppra dosage. And that I can find a Canadian pharmacy to fill the other prescription, and quickly (especially with the Canadian customs ordeals), since there are no refills on this prescription for Sam's..... There seems to be some sort of trust issue with this vet hospital and prescriptions; they wanted me to return the initial prescription they gave me - not just tear it up, but drive back down there and hand it to them. I'm hardly likely to abuse seizure medication that my poor cat needs desperately.
I have a huge knot in my stomach, worrying about how many more seizures he's going to have and how close together before we start the increased Keppra. And if it's going to work.
