http://exhibits.library.stonybrook.edu/mfp/files/original/2f1c754dd8a39da53bcfa9cecb67b38f.pdf 9540841bb88506d1664767d0a7ffc976 PDF Text Text “State University of New York at Stony Brook School of Medicine — Department of Psychiatry Phone: 516 4442929 Max Fink, M.D. Professor of Psychiatry PO. Box 457 St. James, New York 1780 516 862-6651 Fax: 516 862-8604 1 April 29, 1994 TO: FAX: Greg Fricchione, MD. 617 738-1275 FROM: Max Fink, MD. 516 862-8604 FAX: There is no secure literature on ECT in patients with amyotrophic lateral sclerosis. The closest are the early reports of the successful use of ECT in patients with multiple sclerosis [Savitsky and Karliner, N YSla/e .1. Med. 1951; 512788] and Alexander [JNMD 1951; 1 14:283-306]. Others have written about the usefulness ofECT in Parkinson Disease, general paresis, progressive muscular dystrophy, and intractable epilepsy, in each case without negative effects on central nervous system fimctions. While none of these experiences are directly relevant to a case with amyotrophic lateral sclerosis, I believe the consensus today is that if ECT is compelled, there are no systemic disorders that would prevent the administration of ECT. I would anticipate no specific difficulty other than that associated with swallowing and respiration -— if brainstem signs are present sufficient to compromise these functions, the anesthesiologist may well decide to intubate. patient, keep good records and have your junior write up. While cannot promise the response of my successor as Editor of Comm/Siva 'l'herapy, I expect that he would look upon such a report with favor. Ifyou decide to treat such it a I Good luck, and my best regards. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Correspondence Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Correspondence to: Fricchione, Greg Type The nature or genre of the resource Text Identifier An unambiguous reference to the resource within a given context mfp-05-00-033-5-096 Date A point or period of time associated with an event in the lifecycle of the resource 1994 Creator An entity primarily responsible for making the resource <a title="Fink, Max, 1923-" href="http://id.loc.gov/authorities/names/n79039548" target="_blank">Fink, Max, 1923-</a> Subject The topic of the resource Correspondence -- Correspondence Relation A related resource The Max Fink Collection Description An account of the resource Rights Information about rights held in and over the resource <a title="IN COPYRIGHT - EDUCATIONAL USE PERMITTED" href="http://rightsstatements.org/vocab/InC-EDU/1.0/" target="_blank">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a> Source A related resource from which the described resource is derived Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York). Language A language of the resource en-US Format The file format, physical medium, or dimensions of the resource application/pdf Publisher An entity responsible for making the resource available Contributor An entity responsible for making contributions to the resource Correspondence