A Teenager with Half a Brain (Life After a Hemispherectomy)

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- I honestly never knew that someone could live this well, this functionally, with half a brain. So, she's very impressive. (chuckles) - [Chris] What do you think when your mom says that? - Mm, my family so caring about me. They all help me when I need someone. They help me with to buy food and clothes. - If somebody wants to be your friend, what should they do first? - What? - If somebody wants to be your friend, what should they say to you? - Ask permission. - They have permission to be your friend? - No, ask permission if you want to be my friend. - It's pretty cool that you are able to do this much with only half of your brain. You have half of what I have in my head, and you're able to do pretty much all the things I can do. - Wow. - Yeah, so she had a functional hemispherectomy in 2014, and it was to treat intractable epilepsy, which medications were not able to control her seizures. So she was having hundreds of seizures a day, and all throughout the night. It was causing a lot of problems developmentally and physically, and it was really dangerous the amount of seizures she was having. So the surgery cured her epilepsy, which is amazing. She's a miracle, and she's living with half a brain, and doing a really great job of it. Right, Mikisa? - Yes. - Yeah. - [Chris] Can you describe what the surgery was? - Yeah, a functional hemispherectomy is where they disconnect the two hemispheres of the brain, and remove a large part of the damaged hemisphere. Hers was damaged from cerebral malaria when she was a baby in Uganda. So once they disconnected the, you know, the affected side of her brain, then it no longer was wreaking havoc on the other half of her brain. So then her healthy hemisphere was able to start developing more normally. So, she was still significantly affected by the seizures before the surgery, but she's been able to make some progress since the surgery and is living a much, much better life since having the surgery. So we're very grateful. - [Chris] How old was she at that time? - She was nine. - Do you remember having seizures? - No. - I don't think she remembers much of anything before the surgery because when she would sleep, her brain would essentially erase itself. So she would just forget everything that she had learned, and she really doesn't have a lot of memories from before that time. - How can you tell if somebody's gonna be a good friend? - Like, be positive by yourself. - They're positive about themselves? - No, I said, now, all friends are different, and that's okay. But, it's really hard to transition when you go one place to another place. Yeah. Wish I could have more friends today. - So you said, "All friends are different and that's okay, but it's hard to transition from one place to another." - Mm-hm. - Why is it hard to transition from one place to another? - Because every morning on a school day, I have to sit on the bus, and I have to walk in the hallway, and people make loud noises and talking. Yeah. - There is a lot of noise at a typical school. So what is it like for you when you hear all the noise in the hallway? - Stress. - A lot of stress? - Yeah. - Do you like it better when it's quiet? - Yeah. - How have you learned to cope? How do you deal with all the noise? - I mind my own business. - She has some sensory processing challenges, and because she is only using one half of her brain, it can get very easily overwhelming. - [Chris] Tell me about your dad. - Hmm, so my daddy, he packs me a lunch every day. Yeah. - I what every day? - Pack me lunch every day. - Oh, pack you a lunch every day. Yeah. - It feels good to do that every day. - You like that? - Do that every day. - [Chris] What was it like when you first met Mikisa? - Well, for me it was love at first sight. I met her in Uganda, and she had been in a really, really difficult situation. - How long was I living in the streets for? - In the street... Yeah, in Uganda you were there for... So Mom met you when you were about five-years old. So you were in Uganda for about five years. - Oh. - Spending a few days with her, I realized very quickly that I wanted to be her mom. So, I was single at the time, and decided to adopt her. And then we moved back to the States, and shortly after that I got engaged to my husband, Troy. - [Chris] What is your top priority for Mikisa as her father? - My top priority is to make her feel that she's loved, and make her feel that she's included, and she's part of the family, and she's valued. Yeah. And I always want that for her. And, you know, she's a wonderful gift to us. - How long were you guys married? - We've been married 11 years. - Ooh. - (chuckles) Yeah. - Mom. You're married for 11 years right now. - Yep. And we had three more kids, so we have four beautiful daughters now. - Oh. It's hard to keep up a lot of work. - It is a lot of work, but it's a lot of fun, too, right? - Yeah, I think I wanna be a mom. - One day? - Yeah. - Well then you have to be okay with the chaos (laughs) and the noise. - What's the chaos? - (laughs) You always complain about it. - Mom, I'm not complain, I'm okay about it. - You're okay with the chaos? - Yeah. - That's good. - I think I wanna be a mom and sell art like you do. - And sell art? - Yeah. - That's what I do. (chuckles) She wants to be like me. - [Chris] Do you admire your mom? - Mm, no. - Do you know what admire means? (mom laughs) - [Chris] Do you look up to your mom? Do you wanna be like her? - Yeah, I want to be like you, Mom. You have have all this personality. You get to do anything more you have to do. - Thanks, Mikisa. That's really sweet. - I'm really try to tell you, you could do anything you want. - She said I can be anything I wanna be. (laughs) - [Chris] Do you always tell her that? - I do, yeah. She has a lot of dreams. So yeah, I try to encourage her to keep dreaming, but then also to keep working towards the dreams. (Mikisa laughs) - [Chris] Tell me about some of your dreams. - I want to be a mom, and moms have to do a lot. I want to have my own kids. - You wanna have your own kids? - Yeah. - Okay. - Like, I want to be a mom. - What do I tell you when you tell me that? - Like, do the dishes or clean up your room. - I tell you, you need to first learn how to take care of yourself, right. - Why? I am... - Because it's important. - But, mom, I wanna take care of myself. - Yeah. We're working on it, right? There's a lot to learn. - [Chris] Is it easy or hard to take care of yourself? - It's hard. - Yep. - [Chris] What's hard about it? - The "properation." - What? - The help give me my... - Yeah. You need a little help, right? Getting dressed and getting ready. That's okay. But you're working on becoming more independent, right? - I want to be more independent. - Yep. You just have to keep practicing. - I don't take care of myself more often. My mom has to take care of me for me. - How does it feel when people have to take care of you? - Stress. - Do you want to be more independent? - Yeah. I like independence, but I don't like my mom getting me ready for every day. I wish I could take care of my own stuff. I don't want mom to do it for me. - I understand. When you're 17, you kind of want to have independence, but it can be hard sometimes when you have a disability, right? - Say it again. I can't hear what you said. - I said, I understand that you're 17 and you want independence. It can be difficult when you have a disability and you need help from your parents, right? - Yeah. I don't want... Yeah, but my mom had to do it for me, and I don't... I do want to be independent, but I don't want my mom to take care of myself every day. I want to take care of myself. - Yes. You're lucky to have parents who help, but also you want to have your own independence. - How can I find, how can I work? How can I be more independent to myself, Mr. Chris? Give me some examples. - Thanks for asking a great, great question. My advice is to listen to your teachers. Tell them what you just told me. - What you say? Say it again. I can't hear what you said. - Tell your teachers that you wanna learn to be more independent, and then make sure when they give you advice and maybe create a lesson for you- - What's the advice? I don't know what that is. - Advice means if you tell your teachers you want to be more independent, they'll teach you ways to be more independent. - Yeah, but how much, how can I give it advice, Mr. Chris? Give me some more suggestions. How can I be more dependent to take care of myself every day? I mean, do everything I want to do. - I think the best thing to do is to take it one step at a time. - What do you mean? Give me some suggestions. Give me more idea. - What is something you want to do right now? - Get my own PJs on. Brush my teeth by myself. - Well, let's focus on one small step. Let's think about brushing our teeth. What are you struggling with? Is it hard to pick up the toothbrush? Is it hard to hold it? - I mean, it's hard to get on the toothbrush. - Oh, to get the toothpaste on the toothbrush? - Yeah. - Well maybe you could think of a way that that would be possible. An accommodation. I could bring- - What's that? - An accommodation is a way that you could do it. We could create something, or I would have to think about it and brainstorm it. But I'm sure somebody watching this video out there has already come up with a solution to something like that. So I encourage those people to comment it so we could see it and possibly use it. But I love that you're sharing that that you want to put toothpaste on the toothbrush. - Mr. Chris, how can I be more independent everyday at school? I mean, how be can I be more independent at the school? I mean, I like being independent, but how can I build up more independent struggle? I mean... - I think the biggest thing is- - How can I build up more independent level? - That's a great question. I think- - Give me some suggestions, honey. - I will. I think the biggest thing is attitude. I think the biggest thing, and the biggest way to learn to be independent is to have a can-do attitude. And remember that you can accomplish many things if you put your mind to it. - What a can-do attitude? - Yeah, good question. So like- - Explain that to me. - I will. A can-do attitude means that you believe in yourself, and that you believe you're capable of doing things. - I don't believe myself. How can I believe myself every day? - Thank you for telling me that. I think a great way to believe in yourself is to have affirmations. So, - What- - Do you have a question? - What's affirmation? - Affirmation is saying positive things about yourself. So for example, when you wake up you can look in the mirror and say, "I am smart, and I'm gonna learn something today." - I don't say about that. - [Chris] Has your mom ever taught you about how your brain is unique? - No. - Yes, I have. That's one of our big topics of conversation. - [Chris] What do you tell her? - I tell her that being unique is beautiful, and that I love that she's unique. And we also talk a lot about disabilities, and having disabilities. She likes to point out, you know, the kids in her class, what their disabilities are. And so we talk about her disabilities. We talk about her hand, and we talk about her brain, and how she needs more rest. But then we also talk about how her disability makes her special, and that we love and value her uniqueness in our family. - How can I be part of, how can I think happy thoughts in my head? - It takes a while. It becomes part of your routine. - Give me one suggestion. - Maybe you can set aside time each day. - What's that? - Settings aside time like before meals, before breakfast, before lunch, before dinner, where you just say some nice things about yourself. You could say, "I'm smart, I'm talented, I'm capable." You could create your own affirmations. - Mm. Affir-who? - Affirmations. - What's that? - Just kind words to yourself. - I don't say kind words to myself. - Well, I want you to start 'cause you're an awesome person. - Maybe I could be positive to myself. Maybe I could think kindly to myself. - I love that idea. - I don't say, I don't say... Okay, let's say it together. - I am smart. - Give me another affirmation. - I am strong. - I mean, ooh, I had an idea. I am helpful, I am... - That's the perfect affirmation! You just made that one yourself! (laughs) - I know, I know. I wanna be positive to myself. - Every human being has struggles and challenges, and but we're also so valuable, and to understand that about each other is so important. - [Chris] What was it like to transition from just you, Troy, and Mikisa to having three more daughters? - Yeah, it's been a wild ride. We knew right away after we got married that we wanted more kids because we could see that Mikisa has a very outgoing personality, and she loves people. (Makisa singing) (sister giggling) - [Chris] What do you think when your sister gives you a hug and she acts silly, and loving? - Oh, it feels good. - [Chris] What do you love most about Gracey? - I have no idea. - [Chris] What do you love to do with Gracey? - Doing puzzles and do some coloring, Mr. Chris. - [Chris] What's your favorite thing about your sister? - Well, she's energetic, and she likes to tell jokes a lot and she's very good at puzzles. Very good. - Do you two ever do puzzles together? - Yes. - Yes. - She's so fast, she can finish it before I can. - I'm the puzzle master. - Yes. - Puzzle master. - [Chris] What was it like for you to see her have the hemispherectomy, and then the seizures stop after that? - Yeah, it was almost, I could use the term miraculous. It's very fascinating to see the level of expertise that some of these doctors have. The fact that you can literally cut into the brain, and do such a, you know, dramatic procedure, and for someone's like quality of life to be that much better after you do that. - The good thing in Mikisa's case was that her entire right hemisphere was damaged from the stroke when she was a baby. So the surgery didn't change any of her functioning actually because she already wasn't using that half of her brain. So there really wasn't any deficits post-surgery that we hadn't already seen before. So she's never been able to move her left hand, and her left leg has always been weak, and she has a field cut. So when she looks straight ahead, like half of her world is gray. - [Chris] With the hemispherectomy, when they detach the two hemispheres, do they remove the part that was causing the seizures? - Yeah, so there's two different kinds of hemispherectomies. There's anatomical and functional. So with the anatomical they remove the entire hemisphere. With the functional, they're still turning off the hemisphere that's damaged, but they, so they're disconnecting it. They're disconnecting the entire thing, but they take out the most damaged portion. So for her, it was about two thirds of that hemisphere that was taken out. And the reason they leave some in is because there can be some shifting in the brain after the anatomical surgery. So it can cause more issues with like the fluids in the brain. And so they recommend starting with a functional. - She's hilarious, and she likes to listen to music a lot. - [Chris] Do you guys have a favorite song together? (Mikisa singing) (Gracey giggles) - I don't know this song. (giggles) Well, I think we like old songs. - What? (Mikisa singing) ♪ Hey what ya who ♪ (Gracey laughing) - [Chris] That's a classic. - Yeah. Like it? - [Chris] Did you just make it up? - Yes. - When she was younger, she would, every day was a different profession. So she wanted to be an astronaut, firefighter, a teacher, a nurse, a doctor. Then once she had brain surgery, she wanted to be a neurosurgeon. And so I do try to keep it real with her. And I say, "You know, Makisa, neurosurgeons typically use both hands. So that's probably not gonna be our best option." - Why not? - Because you know when you have one hand that you can use, probably not the best to be working in someone's brain. - Why not? - (laughs) This is how it goes. - Why not? - So then what I try to do is when there is something that's a little more realistic, then I really encourage her. So for example, her dream to be an artist, I think that's great. She's already an artist.
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Channel: Special Books by Special Kids
Views: 439,291
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Length: 20min 0sec (1200 seconds)
Published: Thu Jan 12 2023
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