Important Warning for taking Medications while in a KLS Episode
Posted: 07 July 2008 03:21 PM   [ Ignore ]
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My name is Lori Haller and my 18-year old son, Eric has KLS.  He has battled this disease since he was 11 years old.  I am sharing this experience so that nothing like this happens to you or your loved ones.

On the first day of an episode, we started Eric on the medication Provigil, in an effort to minimize his KLS episodes. After three days on Provigil, he started convulsing and an ambulance took him to the hospital.  I took many articles about KLS to give to the emergency room staff so that they would better understand this disease.

Eric became extremely agitated and physical in the hospital and talked incessantly, which he never does in an episode.  He told the nurses that he couldn’t stand having KLS anymore and he wanted to kill himself.  With that said, he was then put into the jurisdiction of the police department and transported to a psychiatric hospital.  By the time he arrived, the Provogil had worn out of his system.  He was in a normal KLS state and did not remember any talk of suicide.

Eric was begging to be taken home.  The nurses at the hospital had the security guards remove Eric’s dad and me from his side and we were not allowed to see him until the visiting hour the next evening.  We stayed in the lobby all night and all day and NO ONE would answer any of our questions.  Meanwhile, Eric’s doctor, the psychologist who diagnosed him with KLS, and two other doctors- both experts on KLS and KLS research called on our behalf, e-mailed and faxed information regarding KLS.  They all recommended that Eric be released to his parents immediately to diffuse the fear and horror that Eric was experiencing by being forcibly held and separated from his parents while in an episode.  We even sought the help of a patient advocate. 

The psychiatrist assigned to Eric finally arrived 18 hours after Eric was admitted.  He evaluated Eric in five minutes. He said that he had treated someone with KLS before (an obvious lie).  He said Eric was depressed and needed to stay the legal 72-hours in the lock-down ward.  He made this decision even though he had the authority to release Eric to us immediately.  He said Eric “needs group therapy when he is here.”  He would only allow us to talk with him for five minutes because he said we were wasting his time.  I responded by saying “Wow”.  The doctor mimicked me and left.  We then hired an experienced attorney who handles such matters.

When we went to see Eric in the lock-down ward during the visiting hour, he was emotionally distraught; he was sick to his stomach and was throwing up on the floor.  Eric begged to be sedated so he could sleep through this nightmare.  We later learned Eric could not sleep nor eat when he was in this facility.  He was put in seclusion in a tiny room for 16 hours because he cried for his parents too much.  The staff told us he needs to learn to be “more independent” from his parents.  They still did not understand or care about KLS, it’s symptoms or the patient’s needs.

Eric was finally released three days later, only 12 hours early from the 72-hour hold, probably from the pressure of a lawsuit from our attorney.

Once a person utters the words suggesting that they will harm themselves they can legally be held for 72 hours.  Eric’s episode lasted 13 days.  He is fine now, but he was very traumatized for months after this experience.  My hope is that you learn from our story.  If you wish to find out more details, please feel free to contact me.

Lori Haller, Eric’s mom
Placentia, California, USA
.(JavaScript must be enabled to view this email address)

[ Edited: 11 July 2008 11:15 PM by LoriHaller ]
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Posted: 08 July 2008 07:18 AM   [ Ignore ]   [ # 1 ]
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Dear Lori,

Thank you for sharing this terrible story to get the information out there to other KLS families.  Clearly, education is BADLY needed in the psychiatric world about this disorder.  It is appauling to think that someone could be treated this way, even if they were depressed! 

Others will be helped from your sharing and we can only hope that the mental health care in our country for adolescents will improve because what happened to you guys is unacceptable!  Thank god you had the presence of mind to get an attorney and to get experts on the phone with the folks at the facility.  Your son is lucky to have parents who are advocating for him and on top of it!

Let’s hope this never happens to another KLS person EVER AGAIN!!!
Gaylene

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Posted: 08 July 2008 09:25 PM   [ Ignore ]   [ # 2 ]
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Hey Lori!  It’s me, Jillian….Tyler’s mom.  Your phone number isn’t on my caller ID anymore and I’ve got an important question for you!  If you happen to get this tonight or tomorrow, can you call my cell phone?  We have our appointment with Dr. Mignot in the morning at 930 and I JUST realized, despite getting all prepared with medical records, etc….that I never once asked them for their address.  I have NO CLUE where I am going!!  You can call me anytime tonight if you happen to get this.  I have about 4 different address’ and don’t know which one is correct.  You can say it…I’m an idiot! LOL

Jillian

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Posted: 26 July 2008 03:37 AM   [ Ignore ]   [ # 3 ]
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I am so sorry to hear about the terrible treatment of Eric whilst in an episode.  When I had my first ever episode of KLS, (8 years before I was properly diagnosed) I was held for 24 hours in a psychiatirc ward.  I was terribly confused about what was happening to me, as were my mum and dad.  They kept me there and locked me in over night but luckily they realised this was not the case and sent me to an neurology ward instead!!  Natxxx

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Posted: 17 October 2008 07:56 AM   [ Ignore ]   [ # 4 ]
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I can hardly belive the dickension way you and you poor son were treated! How disgusting! We may complain of our NHS here in uk but I think our approach is a little less aggressive albeit a bit slow.
regards Beth

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Posted: 21 October 2008 02:12 PM   [ Ignore ]   [ # 5 ]
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i was takin provigil since around feburary and my girlfriend says i always seem mean or angry but ive never noticed it myself thank you for sharing that with me i will not take it again!!!!

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Posted: 03 December 2008 06:58 AM   [ Ignore ]   [ # 6 ]
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As an older KLS reporter, I am concerned as to whether the various drugs such as cholesterol lowering medication, blood pressure medication and so on have any potential for triggering or otherwise affecting KLS.  I have Kaiser Insurance so asking my dr. is not an option, just mentioning KLS brings about a tirade including statements that I am mentally ill for even thinking I have KLS.  In the meantime, I am trying protect myself from being harmed by a Kaiser Dr.  What a terrible health care mess.

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Posted: 19 November 2010 06:56 AM   [ Ignore ]   [ # 7 ]
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My younger daughter has met the criteria for both a form of narcolepsy (without having the genes for it) and KLS. As two completely separate conditions. She took provigil (now Nuvigil) regularly and then took even higher doses while in an episode. The high doses did not get her out of an episode, but did allow her body to be in class (walking with assistance) for a couple hours.
It has been some years since she was in an outright episode we could call a KLS episode, but she still gets some days she needs to sleep all day. But everything gets so muddled because she has low energy - she feels like sometimes she borrows from the next day - I guess like chronic fatigue. The doctors think there are multiple problems going on at once.

Anyway, that’s our story with provigil - it seems right now that she could not have any kind of meaningful life without it. On the other hand, she was once given an amphetamine and that was disastrous.

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Posted: 12 January 2011 02:22 PM   [ Ignore ]   [ # 8 ]
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Naomi,
I just read your posting.  I seems a bit overwhelming to be diagnosed with both narcolepsy and KLS.  How old is your daughter?  It must be a relief that she hasn’t had a KLS episode in a long while.  Do you think that the physicians may have added the KLS diagnosis to the narcolepsy one just because she had some unusual symptoms that they couldn’t understand?  It does sound like there may be other issues going on.  I hope she feels better.

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Posted: 15 January 2011 03:38 PM   [ Ignore ]   [ # 9 ]
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Varda - 12 January 2011 02:22 PM

Naomi,
I just read your posting.  I seems a bit overwhelming to be diagnosed with both narcolepsy and KLS.  How old is your daughter?  It must be a relief that she hasn’t had a KLS episode in a long while.  Do you think that the physicians may have added the KLS diagnosis to the narcolepsy one just because she had some unusual symptoms that they couldn’t understand?  It does sound like there may be other issues going on.  I hope she feels better.

My daughter now is in her early twenties. Her first KLS episode was when she was ten - she slept for 3 weeks.  She met the criteria for KLS as these episodes repeated over the years. The narcolepsy was diagnosed in a similar fashion - after a sleep study - simply, she met the criteria for narcolepsy via the sleep study. She was given the sleep study not because of the KLS type episodes but because of other strange sleep phenomena.

She has hypothalamic involvement. Again - this is known because of downstream problems - not because of something that can be seen on MRI. The hypothalamus regulates—well, you probably know all about that, so never mind. 

As for feeling better…. :-(  Yes and no.  She is a whole lot better than she used to be when the doctors thought everything was “mental” and was only giving psychiatric medications. But even knowing better - we cannot fix everything. She has low immune system (although better than it was as a child). They don’t know why - they can see it on blood work, but that doesn’t answer the WHY.  We are still dealing with some hormonal issues. And she still gets fatigued-feeling. But she sleeps well, and stays awake during the day. She’s able now to take a full load of classes at college. That’s something, although she misses a lot because she is frequently sick.

The diagnoses of narcolepsy and KLS is not overwhelming - lol - she’s been diagnosed with so many things in her life. The symptoms are sometimes difficult, but her attitude is terrific.

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Posted: 20 January 2011 12:06 PM   [ Ignore ]   [ # 10 ]
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It is inspiring how our kids with KLS cope and succeed despite a the difficult challenges presented by the lose of time in school, time to socialize with friends and family etc.  It takes a lot of determination to just move forward as best they can.  Hooray for your daughter!  it is fabulous that she is taking a full load in school.  I wish her well!

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