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                  <text>March 25, 1983
David Behar, MD.

V.A. Medical Center

University 6: Woodland Avenues
Philadelphia, Pa. l9l04
Dear Dr. Behar,
As a start on your questions of 3/21/83, you may search the APA Task
Force Report #14 (1978) or my book (Convulsive Therapy: Theory and Practice,
Raven Press, N.Y., 1979). Both present the incidence of mortality in ECT. It is very
low, and as a consequence, it is very difficult to define 'risk factors'.

For morbidity, the question must be refined, since there are many
consequences of the ECT process, from hematoma at the injection site or postseizure excitement to complaints of amnesia. Again, the two books will help you
refine your question.
know of no studies of ECT in right (? _v_§ left) cerebral lesions since EC!”
is not ordinarily used in individuals with brain lesions. There is an extensive
I

literature of the safety and efficacy of ECT among diabetics, patients with thyroid

dysfunction, and hypertensives; and some case reports of patients successfully
treated in the absence of adrenals, with Cushing's syndrome, 939. Again, some
focus can be gleaned from these two volumes. For more recent material, you may
wish to write to Dr. Arthur Gabriel at the Mount Sinai Hospital in New York City.
He is an electrotherapist with an extensive experience with medically ill patients.
Sincerely yours,

Max Fink, M.D.

Professor of Psychiatry

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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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