Dear Mrs. Axelrod,
I was touched by your daughter Lauren's stoty and your personal family experience. I was also deeply moved and inspired by all the articles about Epilepsy and seizures and the determination and pasion that families like yours and doctors like Orrin put into the common effort of finding the cure. It was like hearing for the first time the voice of a trapped person coming out of the rubble after several days of search, filled with hope that everybody else would listen and help dig him out. Because of the economical crisis and coincidentally the 'programmed death" of brand name medications, like Keppra, and the replacement of such for generic "equivalents", the "magic bullet" will be no more. The impact of these substitutions is unmeasurable, specially for the patients who responded well to the brand name medication and suddenly began having breakthrough seizures because of it, some even presenting on "status epilepticus". Patients like Lauren that had been seizure free, could begin to have seizures on generic antiepileptic medications and we know that in a large number of cases, once it recurrs, the seizures may be refractory to the usual therapy, often needing more than one drug, and sending everything back to square one, not even taking in consideration that in attempts to save money, the insurance companies would inadvertently increase the global economical burden of disability that these patients will impose with ER visits, hospitalizations, etc. It is once more that the voice of many is needed so somebody can rescue the desperate, specially the ones with no choice, since they don't have money to pay for the brand name and the insurance companies would not approve them, even if doctors spend countless hours trying to obtain authorization instead of spending time seeing patients, some which already waited many months to be seen. I praise Dr. Devinsky and his team for being such a loud voice as well as all the contributors for the Epilepsy edition. I hope we can be heard in congress about this issue, which has the potential to be disastrous.
Rolando Sousa, MD. Pediatric Epileptologist. NY/NJ









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