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                  <text>‘September 17. 1965
a

Tureu

clo

ltil.

K. 613

H.D.

Topkepi Satay
Istanbul. Turkey

Deer futon:

for your letter from Stuttgert end for the
slides.
I returned to St. Louie, I found the program running very well. Everyone seemed quite content and I wee moot
pleased with the progress that occurred during the month of
Ansuet in the laboratories and nice in the petient studies. As
for specific questions and problems, I will ehere some of these

Thank you very much
When

with you and none of the decieioue which I have made.

butepereeine study is good. and I reviewed with Ali his proeentetiou to the E.GiD.E.U. group. Instead of making up slides,
he will make up a number of tables and will have these winner
graphed for presentation to the group.
The

etudiee of pentothel activation are running well.
10 day interwele, six patients receiving
and
triﬂluperidol,
I eeked Ali to give Mrs. Dierker three names
of petiente receiving butepereriue and three patients who V111
receive thiorideeine. These twelve petiente should receive
peutothel EEG: and computer analysis about every 10 days until
each one hes had six to eight measurements. These will be taken
during the drug—free period and then while on a drug.
The computer

,

we

will be following at

.

study is in progress. I reviewed the one record using
the computer in which you have pentothel eetiwetion. To my eye,
this did not help the discriminetiou. Two of the volunteers have
been done, but one in Mrs. McDonald. who he: been pregnant end I
think this series will not be «petal for us. Charlie is able to
do two recordings e week.
The SKI

I reviewed your protocol of EEG computer study of different pheno—
thielinee. Richardson could not start. end Ali suggested Tucker
instead. The protocol is eetieieetory except that I would like to
add on examination with trifluperidol end one with librium to
bring the group to six. I am rewriting the protocol and will eend
you e copy es soon as it is ready. Will librium et.l mglkg end
trifluperidol at 0:2 ms/kg be e eetiefaotory dosage schedule?

�Turan

sept.

M.D.
Itil,
17. 1964

Page Tun

In reviewing the LSD work with Andy, it became obvious that he
has had an extensive experience. The clinical changes are re*
corded well and I thought it was important to have him start
some EEG analyses to determine the EEG criteria for threshold
and for tolerance. we began this yesterday and hopefully, dur»
ina the next two weeks, we will have some preliminary work in
this area. Would you like to suggest how he is to determine the
threshold affect on £36?

I

met with Mike Holden and reviewed the lobotomy and combined
drug therapy projects. The combined drug therapy project is
quite good, and-he has most of the patients for this group. The
initial studies are in progress. The lobotomy study was unclear
and we discussed this at some length. I suggested that the same
problem would be faced by him as Andy faces. mainly the determina-

tion of the differences in

LSD.

Ditran sensitivity for the
will discuss this further.

lohotomy and the non~lobotomy groups. we

Magrinat began this week with Ali, and in principal, I accepted
your recommendation that he participate in the study of epileptic
disorders. The Oapolat protocol has some questions in it which
can wait until your return. In the meantime, he is to get to know
Ali's patients and will help him so that he can spend some more
time in the laboratory.
1 reviewed some of the tapes made by Mrs. Wright and find that the
.Offner is set with time consonants which lose the fast frequencies.
Gene and Mrs. Dierker say that this has been done with your approval. Is there some reason why you wish the Ofﬁcer set so that
fast frequencies are lost? I would like to change the time con~
stants so that some of the fast frequencies will appear in the
0!£ner_rscords as well, but will not do so until I hear from you.

with Harry and Sam. The Ditran study
has progressed very well and they have an excellent clinical paper.
Don has done a good job on the statistics. We agreed that they
would prepare two reports, one of the clinical material in which
the EEG would appear simply as a summary; and a second report in
which the Ditran and lhorasine combination would he discussed at

.1 had some wonderful meetings

length. A third reports. on the EEG and behavioral relationships
will await your return. In large measure. this is because we will
have to undertake a detailed quantitative analysis of the Ditran
records and I know no good way of doing this except by a visual
analysis using your quantitative schema. While Harry will already
have gone to England, I believe we should be able to write that
report this Fall. I would like to send in an abstract to the
American Psychiatric Association similar to the one you read at
C.I.ﬁ.P. Since it has to be in befora_0ctoher l, I shall assume
that I have your concurrence in sending in an abstract of this

nature.

�Torah

Sept.

M.D.
Itil,
1966
17.

PageIThrea

Jim has oarriad out some of the biochemical studies in spinal
fluid and I have a summary of your observations on my desk.
I hope to so over these with him as soon as I havo a chance.
In the meantime. he has come to on with an inquiry as to whether
he can assuoo responsibility_for the biochemistry laboratory;
and whether we can-support or are interested in s biochemical
program about the catachol amines.' I told him that this was
difficult since we had neither the funds nor the stature in the
research world to study this type of neurohumor. but recommended
strongly that ho participate in our studies of cholinargic moth»
aaians. He has demorrod. stating that his participation in such
a program would be of secondary interest to him. After all, such
s program would be largely ours and not his, and he has to make
his mark in the world. I accepted his comments but indicated
that it was not proper for us to assign the responsibility for the
biochemistry laboratory to him since we were anxious to have s bio—
chemist.primarily of s collaborating scientist. He has agreed,
however. that the spinal fluid studies which you and be are under~
taking should be continued, and more important, that he would be

pleased to carry out additional spinal fluid studies in patients
receiving psychotropic drugs. with this in mind. and to broaden
the coobined drug study program. I wonder if you would agree to the
following associated study for Mike Holden? If we wore to collect
the spinal fluid of patients on the combined drug study during
their free period and again at various times when they receive one
or two drugs, and measured the spinal iloid for cells. protein.
the qualitative distribution of proteins. transsminese, cholinesterase, and any additional enzymes that we may be able to mossure
in our laboratory - this would he a good supporting study for determining if spinal fluid changes markedly during drug administration.
What do you think?
-

I

vacation. Please give
regards to our many friends in Istanbul. Ali sends his regards.
and the whole staff misses you.
hope you, Ellen and Kurt have a wonderful

my

Sincerely yours,
Mex

Fink,

Director
HP/Jb

M. D.

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