Skip to content
Search AI Powered

Latest Stories

READ: Families are Denied Surgery by Aetna to Stop Seizures

READ: Families are Denied Surgery by Aetna to Stop Seizures

For people suffering from seizure disorders, a new type of surgery could be the answer they've been looking for.


Laser ablation surgery, a minimally-invasive procedure that involves cutting a small hole in the skull and using a laser to target lesions on the brain that cause seizures, has been considered much safer by neurologists than traditional brain surgeries, which involve removing the top of the skull.

Two families were excited about the prospect of the surgery, which is widely regarded as an effect alternative to open brain surgery, but were later informed by Aetna that they had been denied approval.

For Cara Pressman, a 15-year-old who has battled the debilitating seizures since she was nine, it was a crushing blow. She was just three days away from the life-changing surgery why she got the news, and immediately broke down in tears.

"When my parents told me, I went kind of blank and started crying," she said. "I cried for like an hour."

In their rejection letter, Aenta claimed that laser ablation surgery is "experimental and investigational for the treatment of epilepsy because the effectiveness of this approach has not been established," adding that "clinical studies have not proven that this procedures effective for treatment of the member's condition." They did, however, approve a more traditional and expensive temporal lobectomy, which Pressman's medical team hadn't sought approval for.

Dr. Jamie Van Gompel, a neurosurgeon at the Mayo Clinic, disagreed with Aetna, saying: "I would not call it experimental at all. It's definitely not an experimental procedure. There've been thousands of patients treated with it. It's FDA-approved. There's a lot of data out there to suggest it's effective for epilepsy."

Jennifer Rittereiser, a 44-year-old mom of two who had suffered from seizures since the age of 10, also faced a rejection for the surgery from Aetna. Both the Pressman and Rittereiser families reached out to CNN to try and get some answers from the insurance giant.

Aetna stood by their denials when pressed by CNN, saying:

"Clinical effectiveness and our members' safety are the primary criteria we use in determining whether a treatment or service is medically necessary. There is currently a limited amount of evidence-based, clinical studies related to laser ablation surgery. As noted by the Epilepsy Foundation, only studies with a very small number of participants have been used to report the effectiveness of this procedure. We consistently evaluate any new studies or additional evidence when developing our clinical policy bulletins, and will continue to do so for this procedure."

The Epilepsy Foundation disagreed, saying that Aetna took its information out of context, with their chief science officer stating: "This path should be available, if the treating epilepsy physician has recommended it, without delay or barriers."

Phil Gattone, the president and CEO of the Epilepsy Foundation added: "The Epilepsy Foundation can understand no reason why an insurance company would place any barrier to delay a treatment that may save an individual's life, promote the development of the young child's brain or bring about seizure control."

For Ms. Pressman, in the six weeks since her denial, she's dealt with more than two dozen seizures. "It's like having a nightmare but while you're awake," she says.

And when asked what she'd say to Aetna, she had a very blunt, honest message: "Considering they're denying me getting surgery and stopping this thing that's wrong with my brain, I would probably just say, 'Screw you.'"

Twitter had similar sentiments:

Please SHARE this with your friends and family.

H/T: CNN, Twitter

More from News

Dr. Sandra Lee
TODAY with Jenna & Sheinelle/YouTube

'Dr. Pimple Popper' Star Reveals She Suffered Stroke While Filming Series: 'I Had A Part Of My Brain That Died'

It's already scary to witness a younger person go through a life-changing medical diagnosis, but it's especially jarring to see a medical professional, who presumably knows best about how to care for themselves, go through the same.

Sandra Lee, known as "Dr. Pimple Popper" on Lifetime, is well-known for her bedside manner, medical knowledge and ability to share her knowledge in an accessible way, and, of course, her unique approach to dermatological care.

Keep ReadingShow less
Rob Schneider; Elizabeth Banks
Slaven Vlasic/Getty Images; Frederic J. Brown/AFP via Getty Images

Rob Schneider Dragged For Criticizing Elizabeth Banks' 'Dangerous Rhetoric' After She Called Out White Female Trump Voters

After actor and filmmaker Elizabeth Banks—who played Effie Trinket in The Hunger Games—called out white women who voted for President Donald Trump, MAGA actor Rob Schneider lashed out against what he referred to as her "dangerous rhetoric."

Those who've read the book and seen the film adaptation of The Hunger Games know that Trinket—known for joyfully announcing, "Happy Hunger Games and the odds may be ever in your favor!"—is a mistress of propaganda for a hostile government that forces teenagers to fight to the death every year to intimidate critics and keep society's poorest and most vulnerable in line. Trinket eventually embraces the rebellion.

Keep ReadingShow less
Kid Rock
Anna Moneymaker/Getty Images

Kid Rock Dragged After Offering Massive Discount To His MAGA Festival Due To Abysmal Ticket Sales

Musician Kid Rock has hitched his wagon to president Donald Trump for quite some time now, and it seems he too is in the "find out" stage of that particularly exercise in FAFO.

It seems that when the president you form your entire personality around craters to a catastrophic approval rating even for him, your ship starts to sink too.

Keep ReadingShow less
Dan Driscoll; Tammy Duckworth
Cheriss May/Getty Images; Chip Somodevilla/Getty Images

Army Secretary Sparks Outrage After Shutting Down Army Social Media Accounts For Honoring Tammy Duckworth's Military Service

Army Secretary Dan Driscoll is facing heavy criticism after he ordered that all accounts associated with the Army unit "Soldier for Life" (SFL) be shut down after the unit shared a post on social media celebrating Illinois Democratic Senator Tammy Duckworth's military service.

Duckworth is a double amputee who lost both of her legs in combat in 2004 when her Black Hawk helicopter was hit by a rocket-propelled grenade fired by Iraqi insurgents.

Keep ReadingShow less
Screenshot of Tom Homan; Pope Leo XIV
Fox News; Vatican Media/Vatican Pool - Corbis/Getty Images

Trump's Border Czar Ripped For Hypocrisy After Telling Pope Leo To 'Stay Out Of Politics'

President Donald Trump's border czar Tom Homan was called out for hypocrisy after telling Pope Leo XIV to "stay out of politics" after he clashed with Trump over the widely unpopular war in Iran.

Last week, Pope Leo criticized the war and called on the world "to reject war, especially a war which many people have said is an unjust war, which is continuing to escalate and is not resolving anything."

Keep ReadingShow less