to be!).
The doctor talked at length to Mr. Bell and then to his wife as she joined them. Dr. Martin quickly wrote a prescription for a tablet of 20 mg of Valium and sent Mr. Bell to a nearby pharmacy, just 3 blocks away, as he grabbed the phone and called the pharmacist in person so the pill would be ready immediately when he got there. Mr. Bell was back in the office within no more than 10 minutes. Soon Deidra’s EEG was completed. Dr. Martin ripped off several pages of the tracing and gave them to the Bells to keep. Though the girl was still ‘not quite with it,’ her mother was able to have Deidra take the Valium pill with some water.
They talked for a long time especially as Dr. Martin wanted to see if and when Deidra snapped out of it – which she did exactly after 20 minutes of having taken the pill. Dr. Martin also learned during that time a new bit of information he hadn’t heard when he had seen her a few days earlier and had a normal EEG; that a first cousin of hers, now a grown up and perfectly normal, with college education and a good office job, also had had ‘some form of seizures’ when he was young.
Dr. Martin gave them a prescription for Deidra to take regularly, daily, Sodium Divalproate (= Depakote), He told them about its reported possible side effects, they felt comfortable with the information given and they left. It was Sunday, nearly noon time. Deidra never had any more ‘trances’ in the next several years that Dr. Martin followed her.
In the next Thursday afternoon after that amazing EEG, in the regular conference of the Neurology Grand Rounds of the University Hospital, a different case and issue as scheduled, was presented. But it ended a few minutes short of the hour, so Dr. Martin, sitting quietly in the audience, and prepared with his long paper tracing in his attaché, came to the podium, asked everybody to remain briefly seated and gave in a nut shell the recent history of Deidra. Then he asked everybody to come up front, gave one page to hold to a resident, and he pulled the rest of the long tracing all across the auditorium on the floor to the opposite wall. They were all amazed to see such constant 3-Hz spike-and-wave recording, diagnostic of ‘Petit Mal Status Epilepticus.’ They would never need to see it again (and most of them never would!). It was a good teaching demonstration for all.
Dr. Jethro Finkel, the chairman of the Department of Neurology, told Dr. Martin:
“Frank, this is so unusual. Why don’t you send this for publication to Neurology?”
“Yes, it is unusual. The longest bouts of uninterrupted 3-Hz spike-and-wave activity I’ve ever seen were practically never longer than a page. I was already thinking about sending it to a Journal, but I’ll see.” And they left things there.
After a few months, Deidra’s mom, concerned about the advertised side effects caused by the drug her daughter was taking, asked Dr. Martin if it could be changed. He obliged. He placed her then on Lamotrigine. He told her in a next visit, of the side effects also possible with this newer drug and to be alerted to any possible ‘skin rashes.’ Mom and Deidra felt comfortable with the drug as it was promoted by the pharmaceutical as the safest for teenage girls with seizures. But after a couple of months Deidra reported to her mother ‘a rash,’ so again Dr. Martin switched her, this time to the oldest drug ‘for maintenance’ for Petit Mal seizures, Ethosuximide. To this writer’s knowledge, Deidra remains on it to this day and doing well with it.
As for publishing a brief communication of Deidra’s case with pages long of the amazing recording, Dr. Martin did send it… only to be shocked when the journal reviewers chastised him ‘for not having admitted her to the hospital on the spot when he saw her in his office that Sunday and her EEG was such.’But she was just in the Hospital E.R. (twice!) and she was sent home still ‘out of it’!… And she did for me so well after I treated her on the spot with oral Valium… Plus a kid with Petit Mal seizures never needs to be in the hospital as far as I am concerned!… Am I in another world?…
Needless to say, with such a negative reception, Dr. Frank Martin was turned off from ever trying to publish it and he never attempted to send it again either to the same or to another medical journal. The heck with them!
The criticism -he thought utterly stupid and unfair- and rejection of his paper by the most widely read medical journal by neurologists in the US, cemented his becoming more and more distant from official medicine and from its accepted establishment; even though he would continue for some time being a contributing member of a couple of medical speciality academies, of the state and county medical associations and of the local pediatric society. Ah well!…
[When one day he would really need them legally, besieged by the State Health Department, by OPC, The Wolves, none of those ‘associations’ would help him anyway! The case of this girl, Deidra, handled then by Dr. Frank Lee (name changed here), is that of the print and text #14 of the non-fiction picture book “FRANKLY” to which this is a prequel. “FRANKLY” shows, on page 56, a piece of her actual EEG with the classical 3 per second spike-and-wave discharges!”).
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