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Record W2166420850 · doi:10.1111/epi.12664

Sofie's journey

2014· article· en· W2166420850 on OpenAlexaboutno aff
Candy Levy, Brad Levy

Bibliographic record

VenueEpilepsia · 2014
Typearticle
Languageen
FieldMedicine
TopicChildhood Cancer Survivors' Quality of Life
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineEpilepsyPsychologyPsychiatryPediatrics

Abstract

fetched live from OpenAlex

Until our only child, Sofie, developed epilepsy, Brad focused on his consulting and children's retail business while I worked representing composers and volunteering with our local special needs group and Holocaust survivor programs. Sofie was 5 and a half years old when we noticed her first seizure; we are not sure how many went undetected, as they were pretty mild in the beginning. Sofie's first identified seizure was on Friday, May 20, 2005 just before 6 a.m., a day we will never forget. Sofie woke up and her speech was “stuck” (for lack of a better word). At first we thought she was playing around, but then we panicked. Like any scared parent, we called 9-1-1. By the time they arrived, 3 (of the longest) minutes later, she was yapping up a storm and questioning us about the paramedics in the house! Sofie continued to have seizures despite many medications and many (mis)diagnoses. We sought several opinions and consulted renowned neurologists and neurosurgeons nationwide, including UCLA/Mattel Children's Hospital, which was practically in our backyard at the time. Sofie had numerous electroencephalography (EEG) and magnetic resonance imaging (MRI) studies at different hospitals. One of the first misdiagnoses was that we were told that she had a cancerous tumor and we were immediately being sent to speak to a pediatric oncologist to discuss radiation. REALLY? Well, after more testing, we learned it was not a cancerous tumor, but in fact a lesion. We saw more doctors and tried more medications but seizures were getting worst, and her quality of life was not what she deserved at her age. Three and a half years later, we were presented with the opportunity for Sofie to have a neurosurgical evaluation to see if she was truly a surgical candidate. The evaluation included neuropsychological testing, as well as the Wada test. In order for Sofie to go through surgery, she had to be able to get through the Wada; not a fun test, and if you ask her today what the worst part about her brain surgery was, she'll tell you the Wada! She did it, she got through it (with a lot of help!) and passed with flying colors. Passing meant her language had switched sides and there was no worry (well, we worried, but her surgeon didn't!) that her language would be compromised. We always thought that surgery was a last option, not understanding that sometimes it's just an option, not always the last one. Now it was time to explain how fortunate she was to be a surgical candidate, that she wound up a lucky one to have a surgically treatable disorder! Once we understood, our focus changed to doing whatever we had to do to fix Sofie, and now, others like her with epilepsy. We didn't realize what stigma epilepsy carries; looking back we are guilty of it too by telling people she had “seizure disorder.” What is often called seizure disorder is really EPILEPSY, but it doesn't sound as bad! Friday, February 27, 2009, became the scariest and at the same time, the best day of our lives. Sofie had a left temporal medial lobectomy; her “troublemaker” was removed, and it was the lesion that was the cause of her focal dyscognitive seizures that she used to call her “crookies.” We had agreed the surgery was the best chance for Sofie to be a “regular” kid, but it was still hard to grasp that she was having brain surgery. We had plenty of friends and family question our decision; some thought we weren't making the right choice, and to them I can only say we followed our heart; we trusted the tests and the doctors didn't let us down. When the surgery was described as “just another day at the office” we were in awe. We brought our Rabbi and Doc to the hospital (along with family and friends) on the big day and prayed for this surgery to be Sofie's cure. Brad added the promise to ensure others would have opportunities like our daughter, including building our local private neurologists medical practice. Both of these things happened. Brad has become the practice manager for our referring neurologist, as well as general manager of a full service ambulatory video telemetry monitoring EEG lab catering to kids with special needs. We are ecstatic and ever so grateful that Sofie is 5 years seizure-free!! Each year on the anniversary of surgery, we celebrate with Sofie, by adding a numerical charm to her bracelet, which now has the numbers 1, 2, 3, 4, and 5 dangling from it as a constant reminder of how lucky she is. Sofie is currently in 8th grade, working on student council, and has become a very typical teenager; she loves her iPhone, swimming, and the beach (and sleeping in!). She volunteers by delivering food to the elderly twice a month, and she has been a part of a unique group that pairs up special needs children with a big buddy—SHE is the big buddy. We are truly blessed. Sofie has a unique connection with younger kids and plans on being a pediatric neuro EEG technician, as she understands and can relate to what the young patients are going through. As a family, we focus our passion on epilepsy awareness, volunteering with youth and elderly, and ensuring others obtain opportunities for great epilepsy care. We created EPILEPSY AWARENESS DAY AT DISNEYLAND RESORT (EADDL). Our first event, on November 7, was an amazing day uniting 972 people together for the same reason, wearing their EADDL purple T-shirts, to help raise awareness and end the stigma related to epilepsy. On November 8, 2013, Candy volunteered to continue as the coordinator of EADDL for 2014 and beyond. We are determined to make this event the biggest gathering of epilepsy support groups anywhere! Last year people came from as far as the United Kingdom and Canada; this year we are working on getting folks from as far away as Australia as well as representation (hopefully!) from all 50 states at EADDL 2014, on November 6, 2014. We are able to gather kids with epilepsy, adults with epilepsy, and trained dogs that work for people with epilepsy all together to find friends and support. It has been AMAZING. People do what they have to in order to help their kids. We did it; a lot of people do it. We are just trying to give back to those who need some guidance, or handholding. When we started on Sofie's journey, we did not know about support groups, there were not a lot of “Brain Surgery” Facebook pages, but those times have changed! PLEASE look us up, pass the information on to someone you know that is affected by epilepsy, or knows someone who is. It can be the best thing you do for them! Please come and support someone you love! The author has no conflicts of interest to disclose. We confirm that we have read the Journal's position on issues involved in ethical publication and affirm that this report is consistent with those guidelines. Editor's Note: Epilepsia's Epilepsy Stories is a venue for nonprofit organizations to educate our professional readership about their mission for people with epilepsy from around the world. Many organizations raise awareness about epilepsy including the International League Against Epilepsy's (ILAE's) sister organization, the International Bureau for Epilepsy (IBE) and its chapters. Epilepsia does not endorse one organization over another. If you would like your nonprofit organization recognized, please contact us at [email protected].

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.008
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.133
Threshold uncertainty score0.444

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.008
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0160.003
Scholarly communication0.0090.007
Open science0.0020.013
Research integrity0.0040.013
Insufficient payload (model declined to judge)0.1330.059

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.031
GPT teacher head0.318
Teacher spread0.287 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designCase report
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2014
Admission routes1
Has abstractyes

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