In the most serious episodes, Lia would remain unconscious for twenty minutes or longer as she seized, a condition labeled "status epilepticus." She would remain in this state until she received large doses of anticonvulsant medication intravenously, which, in her convulsing state, was very challenging to do. Her seizures became more frequent and severe as she grew, with symptoms including severe arching of her back, thrashing limbs, halting of breathing, foaming at the mouth, vomiting, urinating, or defecating. Foua and Nao Kao learned to recognize the signs signaling the onset of Lia's seizures, such as twitching, staring, or hallucinating. Her record nearly always noted the communication difficulties brought about by language differences. Between the ages of 8 months and four and a half years, the Lees brought Lia to the hospital dozens of times.
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