British teen arrives in Omaha Sept. 1 for rare brain surgery procedure

All Americans will swallow hard and reflect next week on the first anniversary

of Sept. 11. However, for a British family staying at the Lied Transplant

Center, Sept. 11 will have an extra special meaning.

Its quite symbolic, said Nigel Kendall, father of Katherine Kendall,

an 18-year-old girl who is in Omaha to undergo a rare brain surgery procedure

at the University of Nebraska Medical Center to relieve her ongoing epileptic

seizures. Katherines surgery will be finished on Sept. 11.

The Kendalls are hoping that Sept. 11 will mark the beginning of a better

life for their family. For the past 13 years, the Kendalls have watched

Katherines health deteriorate, as her epilepsy caused severe neurological

and developmental problems. Prior to the onset of epilepsy, Katherine had

survived acute lymphoblastic leukemia when she was one.

For six years, I have been researching epilepsy, said Anna Kendall,

Katherines mother. I would get up at 4 a.m. and research for about four

hours, then at the end of the day, I would put in another four hours. We

have 2,000 medical papers on epilepsy in our house.

The result of all this research led them to Omaha and Arun-Angelo Patil,

M.D., UNMC/Nebraska Health System neurosurgeon  Charles Polkey, M.D.,

a leading British neurosurgeon at Kings College in London, told the Kendalls

about Dr. Patil.

He told us that theres only one surgeon in the world that can help

Katherine, and hes in the United States in Omaha, Nebraska, said Nigel

Kendall at a news conference held Monday afternoon in the Lied Transplant

Center.

Getting to Omaha posed a whole new challenge for the Kendalls. They

needed to raise more than $200,000, so they turned to the public for help.

Through a variety of fund-raising events and by mortgaging the home of

Katherines grandmother, they were able to reach their goal.

The procedure Dr. Patil will perform on Katherine is called a multiple

subpial transection (MST). It involves disconnecting specific circuits

in the brain that create the seizures.

It is a difficult procedure, which actually involves three separate

surgeries. On Wednesday, Dr. Patil will place a grid on the areas of the

brain on which he will be operating. He will then perform subsequent surgeries

on Sept. 6 and Sept. 11, disconnecting the faulty brain circuits on each

side of Katherines brain.

Dr. Patil is one of the only neurosurgeons in the world who performs

the procedure on both sides of the brain. Each procedure can take up to

12 hours.

He (Dr. Patil) deserves a lot of credit because he persevered with

this procedure that gives families hope, said Vik Prabhu, M.D., a UNMC

neurosurgeon who spoke at a news conference yesterday. Its a brilliant

surgery. It takes a lot of intelligent thinking.

For the Kendalls, every day is a challenge with Katherine, who has about

six falls daily due to the seizures. She wears a protective headgear at

all times to reduce her risk of serious injury.

(In her present state) Katherine has no dignity, Nigel Kendall said.

Shes incontinent and cant go to the bathroom by herself. Yet, any bathroom

is a dangerous area (because she can fall). Twenty percent of people with

Katherines epilepsy die due to falls.

Last week, Nigel Kendall injured his back while trying to contain Katherine

during a serious seizure. Anna Kendall said, Were all in danger. She

throws me down the stairs a couple times a week (when she tries to contain

Katherine during her seizures).

Even if successful, the surgery cannot reverse the neurological and

developmental damage that Katherine has sustained. Rather, the best the

Kendalls can hope for is an end to the constant seizures and the risk of

a serious fall.

Every now and then, when shes laughing and smiling, we get a glimpse

(of the potential Katherine has), said Oliver Kendall, Katherines 22-year-old

brother. Thats what we want to get her back to.

For more information on the Kendall family, go to their Web site at

www.katherineappeal.com.