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                  <text>January 29, 1991
Jay Cohen, MD.

FAX: 305 321 8024

Dear Dr. Cohen,
This letter is with regard to Mrs. Sandy Ruttenberg of Pittsburgh, who
has sought your advice about a gynecological problem.

About a decade ago, Mrs. Ruttenberg had symptoms referable to the
CNS and in an examination, an abnormal electroencephalogram, consistent with
seizure disorder, was reported. Phenytoin was prescribed, with the admonition that
it be continued indefinitely.
After a number of years, she sought advice as to whether such treatment
Re-examination and repeat EEG found no evidence of CNS
terminable.
was
disorder, and phenytoin was discontinued, without recurrence of CNS symptoms.
Two years ago, she again experienced some symptoms which couold have
been of cerebral origin. Neurological, EEG and other imaging tests failed to define
a CNS lesion or disorder and no treatment was prescribed. Her symptoms remitted
and she has not had other CNS symptoms since.

In the absence of neurological complaints, there is no reason in this
experience which would preclude her receiving any treatment for a gynecological
disorder, including surgery requiring general anesthesia.
Sincerely yours,

Max Fink, M.D.

Attending Psychiatrist

�</text>
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              <text>1991 </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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