The LEAF March/April 2016 | Page 9

This is the list of medication Jackson is currently taking: x x - CBD 20:1 - Diamox Progress with C B D T reatment: In November 2012, Jaxs cocktail began to include a trial of CBD rich butter. His dosing has increased and he is beginning to show signs of cognitive improvements, lessened seizure intensity and quicker recovery from seizure events. His VEEG background is now showing normal without slowing or spike waves. He has completely weaned from Phenobarbital (highly addictive barbiturate) Clonopin (highly addictive benzodiazepine) and Onfi (highly addictive benzodiazepine) Stiripentol, and a decrease in Depakote by 50%. Jaxs is also no longer on the ketogenic diet with 5 additional nutritional supplements. Despite all of the medications and other limitations, Jackson has the ability to wake up every morning with a smile and a warm greeting: "Good Morning Mom!". I am blessed with this greeting even on the mornings when he has seizures before waking up; sometimes he has 10+ seizures between 2 am and 6 am and still wakes with a smile and willingness to tackle the day. He is the inspiration and sunshine which empowers me to continue each day to fight for his needs, inspires me to request access to appropriate medical care and hope for the future for him to live the happiest and best life possible. Medications and/or treatments tried before M M J: Phenobarbital, Clonopin, Tranxene, Onfi, Versed, Diostate, Valium, Lorazepam, Tegretol, Depakote, L-Carnitine, Topomax, Keppra, Keto Diet with many nutritional supplements, Zonegram, Zaratin, Felbatol, Ritalin, Lamictal, Diamox, Vitamin B6, Prednisone, Clonidine, Gabapentin, Banzel, Stiripentol, Prozac. Surgical Interventions: VNS, Right Frontal Lobectomy, 2/3 anterior corpus Callosotomy. O ngoing Needs at T his T ime: Jackson needs safe access to the state approved medical cannabis with high CBD and low THC to control his seizures in both states in which he resides. At this time Jackson has been approved for nursing services with EPSDT/Medicaid to keep him safe while awake and asleep because of the risk of increased risk of injury resulting from seizures or SUDEP. The same insurance company is currently paying for the stiripentol (FDA Orphan Drug) with a prior authorization through the EPSDT/Medicaid program for compassionate use. The approval of the stiripentol will decrease the cost of Jackson's care with less FDA approved medication which are ineffective in controlling the seizures, decrease in frequency of emergency room visits, less med-flights to level 4 epilepsy centres, and avoidance of lengthy hospitalisations from intractable seizures. The nursing services decrease the cost of emergency rooms visits and hospital admissions. Both the nursing services and the medication improve Jackson's quality of life, allow his older sister to be a normal-typical teenager, and should provide the opportunity for mom to continue with her nursing education and ability to earn a living as a RN to support the family. Currently Jackson receives nursing care including the administration of the Stiripentol and other FDA approved medications through Loving Care Agency. Atlantic Private Care is unable to administer the medically necessary, doctor ordered stiripentol without IRB interference and politics.