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                  <text>_-.~rwm-W_w-..wu

May 4, 1985

Barry 5. Fogel, M.D.

Director, Inpatient Psychiatry
Departments of Psychiatry and Neurology

Rhode Island Hospital

Providence, RI 02902
Dear Barry,

Thank you for the opportunity to review your protocol. It is interesting
and ambitious, and it is about the ambition reflected in many studies that I
anticipate the most criticism.
am pleased to work with you in developing these studies, and include the
necessary letter of agreement. For the curriculum vitae, I have marked up a copy
of the historical pages from my record and given you some of the more recent
citations which may be relevant to this application. These can be used to make up
the appropriate historical page in the application.
1

also include two reports that may be of particuir interest -- one by
Regestein and Reich that is in press in the second issue of CONVULSIVE
THERAPY; and one by Dr. Dubovsky that reviewed for Hosp 95 Commun Psych. i
presume the report is accepted; the copy is from my files, but it may not be cited
as yet.
1

Also, the most recent issue of JAMA (May 3, 1985; pg 2525-2529) has an
excellent article on the effects of ECT on ECG and serum cardiac enzyme levels
by Dec, Stern and Welch which must be cited in your application.
I have some specific comments on the protocol, and append these in
an
informal note. I hope these are helpful.

My

regards.
Sincerely yours,

Max Fink, M.D.

Professor of Psychiatry

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