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                  <text>January 2, l968
Dr. Hilliam Karliner

Franklin Road
Scarsdale, New York
20

Dear

Bill,

Miss Harriet hernstein had a repeat electroencephalogram
on December 28. The record indicates that she received dilantin,
390 mg/day and Tofranil. 150 mg/day. She appears less depressed
and is in good contact. Emotional lability is no longermmanifest.
The electroencephalogram was repeated (#406). The rhythms
were symmetric with the same amount of alpha and beta activity
as previously. The amount of theta activity was increased and

the beta activity

was more prominent

in all leads.

0n hyperventilation, high voltage spike and wave
activity
appeared for let seconds after 180 seconds and after llO seconds.
There was no additional seizure type activity in the record.

There is no evidence of increased seizure

result of imipramine.

would suggest

it

activity as a
status,

In view of her improved mental

that she continue

on imipramine.

In the event that you plan to discontinue her medications

may

be useful

to repeat the

dose of imipramine.

EEG 7 ~

l0 days after her last

Sincerely yours,
Fink. M.D.
Professor of Psychiatry

Max

MF:kp

I

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              <text>Correspondence to: Karliner, William</text>
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              <text>1968 </text>
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              <text>&lt;a title="Fink, Max, 1923-" href="http://id.loc.gov/authorities/names/n79039548" target="_blank"&gt;Fink, Max, 1923-&lt;/a&gt;</text>
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              <text>Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York).</text>
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