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                  <text>Dr. Denise White

July 29, 1994

Department of Psychiatry
Groote Schuur Hospital
Observatory 7925
Cape, South Africa
Dear Dr. White,
Thank you for the recommendationof Dr. Ian Lewis for the position as Fellow in
our Department of Psychiatry. The application needs documented evidence of the completion of
medical training; satisfactory completion of residencytraining in psychiatry; letters of
recommendationfrom three sponsors [he should advise us to whom to write]; and satisfactory
grades in the FMGEM or USMLE examinations. [The last is essential for all trainees in the US]
It is my understanding that the examination schedule can be obtained from the US. Consular
offices. Please ask him to write a letter of appliication addressed to me.
I attach a copy of the letter I recently formulated for another applicant; it will give
Dr. Lewis a better idea of the work that is ongoing and planned.

It was a pleasure to work with you again in Philadelphia. It has taken me more
time than it has taken you, but I am now convincedthat NMS is a variant of catatonia. In talking
to Teri Rummans of the Mayo Clinic who recently described their experience with malignant
catatonia, she added the modiﬁcation that NMS should be seen as a variant of ‘malignant
catatonia’ -- a correction which I consider reasonable. Such associations lead logically to a
different protocol for the treatment of NMS -- that of‘lorazepam and ECT rather than dantrolene,
bromocriptine, amantadine, and l-dopa.
I am rather pleased with the changes in DSM-IV regarding catatonia, and decided
that since it is most likely that the APA Task Force will get brickbats and complaints, that perhaps
someone should extend a friendly hand. I did so in an editorial for Biological Psychiatry; a copy of
the accepted article is enclosed for your interest.

from him.

Thank you for the recommendationof Dr. Ian Lewis. I look forward to hearing
My best regards.
Sincerely yours,

Max Fink, MD.
Professor of Psychiatry
and Neurology

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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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