Anatoly Liberman suggests a conflation of two obsolete orderings of the alphabet, one with H immediately followed by K and the other without any K: reciting the formers ..., H, K, L,... as [...(h)a ka el ...] when reinterpreted for the latter ..., H, L,... would imply a pronunciation [(h)a ka] for H.

Use in writing systems
English
In English, ⟨h⟩ occurs as a single-letter grapheme (being either silent or representing the voiceless glottal fricative () and in various digraphs, such as ⟨ch⟩ , , , or ), ⟨gh⟩ (silent, /ɡ/, /k/, /p/, or /f/), ⟨ph⟩ (/f/), ⟨rh⟩ (/r/), ⟨sh⟩ (), ⟨th⟩ ( or ), ⟨wh⟩ (/hw/). The letter is silent in a syllable rime, as in ah, ohm, dahlia, cheetah, pooh-poohed, as well as in certain other words (mostly of French origin) such as hour, honest, herb (in American but not British English) and vehicle (in certain varieties of English). Initial /h/ is often not pronounced in the weak form of some function words including had, has, have, he, her, him, his, and in some varieties of English (including most regional dialects of England and Wales) it is often omitted in all words (see ⟨h⟩-dropping). It was formerly common for an rather than a to be used as the indefinite article before a word beginning with /h/ in an unstressed syllable, as in "an historian", but use of a is now more usual (see English articles § Indefinite article). In English, The pronunciation of ⟨h⟩ as /h/ can be analyzed as a voiceless vowel.
The 19th century saw the rise of targeted surgery for the treatment of epileptic seizures, beginning in 1886 with localized resections performed by Sir Victor Horsley, a neurosurgeon in London. Another advancement was that of the development by the Montreal procedure by Canadian neurosurgeon Wilder Penfield, which involved use of electrical stimulation among conscious patients to more accurately identify and resect the epileptic areas in the brain. Society and culture
Economics
Seizures result in direct economic costs of about one billion dollars in the United States. Epilepsy results in economic costs in Europe of around €15.5 billion in 2004. In India, epilepsy is estimated to result in costs of US$1.7 billion or 0.5% of the GDP. They make up about 1% of emergency department visits (2% for emergency departments for children) in the United States. Driving
Many areas of the world require a minimum of six months from the last seizure before people can drive a vehicle. Research
Scientific work into the prediction of epileptic seizures began in the 1970s.