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July 2, 1982

Epilepsy and Occupational Placement

JAMA. 1982;248(1):32. doi:10.1001/jama.1982.03330010016018

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To the Editor.—  We are concerned about the response provided in the QUESTIONS AND ANSWERS section (1981; 246:1019) concerning what work restrictions, if any, should be placed on an adult with recent onset of seizures.Initially, Dr Fisher's response included factual information on the Federal Rehabilitation Act of 1972, which "precluded rejecting applicants or employees on the basis of physical or mental disabilities unless the disability is such as to render the applicant not qualified for the jobs that are available. An applicant or employee can be disqualified... only if his/her handicaps create a substantial risk of imminent danger to self or others." Dr Fisher than proceeds to advise that the examining physician should not try to advise on placement of the employee before obtaining a detailed medical history and obtaining information on the type, severity, duration, and control of seizures.From this individualized approach, Dr Fisher then imposes universal