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                  <text>March 5, 1979

.

Dr. L. K. George Hsu

St. Getrge's Hospital Medical School
London, England
Dear Dr. Ken,

for your inquiry regarding a position in this
laboratory. At this time, we have no openings, but I will keep your
application on file in the event our situation changes.
Your interest as anorexia nervosa is of-special interest
Dr. Michael
to me, and in this regard, I any suggest that you.write to Chicago
of
Psychiatry,
Department
Taylor,(Chairman and Professor,
medical School, VA Hospital, North Chicago, Illinois ‘6006h). He has
an interest in the same condition and may have a position open.
Thank you

In the recent literature on anorexia nerVOsa,

'

it

has

been unclear whether the vegetative disturbances, particularly the
evidence of hypofunction of the hypothalimo-pituitary axis, are primary
loss. In a recent
to the disease or secondary to the anorexia and weight have
come to the
others
we
ECT,
among
of
analysis of the mode of action
ECT
stimulating
in
much
of
the
is
process
of the thrust
conlcusion that
substances.
hermenal
of
release
axis
to greater
the hypothalmo-pituitary
respond
should
anorexia
nervosa
with
'If this be true, then patients
well to ECT, and the-evidence in the literature are that they do. However,
unable to find any
the reports are clinical and anecdotal and we hare beenanorexia
nervosa. In
ECT
of
the
course
on
of
sytematic study of the effects
the
7
share
can
ECT
you
received
If yes,
your studies, have any patients
schedule,
treatment
hormonal
status,
date with me- state of subject,
outcome, etc . ?'

If this

problem

interests you, perhaps

you could apply

for support for such a project in a center where such cases are available
(as in Chicago or Iowa City)or New York), and defray your support by this
A

mechanism.

I trust these

comments

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

Max

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