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                  <text>DatezFebruary 22, 1996
TO:

D.R. Milne

FAX #

419 382-2378

Total Pages (including this sheet)-1-

Dear Mr. Milne,

I do not participate in public debates except for and with mypeers.
The tragedy in public discussions of electroshock is the anger shown by
many in the laity and some in my profession to the mentally ill. The same persons who
would undergo coronary artery bypass surgery or hysterectomy or other surgery with
alacrity are distressed out of all proportion at the idea of electricity coursing through
their brains, not realizing that their brains are hotbeds of electrical circuits already.
You would do better to ask the question: Why is it that E CT is available at

the leading academic centers in the nation but not in almost all the state and veterans
administrationpublic mental hospitals? Why do we have a two-tier treatment
program? [It is notﬁnancial since mentally ill patients are equally likely to be
admitted to the academic hospitals in your state as to the publicfacilities.] Try the
professor ofpsychiatry in your [or any] state and its commissioner of mental health.
Max Fink
From:
Max Fink, M.D.
P.O. Box 457
St. James, New York 11780
FAX:

516 862-8604

TEL: 516 862-6651

�Date: Feb 21, 1996

TO:

Mr. D. Milne
L9

FAX # 419 382-23175

Total Pages (including this sheet)-lDear Mr. Milne,
The essay by Gary Figiel is in the nature of ‘Chicken Little’s fears.
The four articles to which he refers ﬁnd no justiﬁcation for the routine use of
labetolol or esmolol other than the anxiety of the physicians. ECT is no more
riskful to the heart than climbing a ﬂight of steps -- indeed, less so.
More harm is probably done by routine use of anti-hypertensives
than by unmodiﬁed seizures, since severe and persistent hypotension is a
common accompaniment of such use.
If you publish such anxious statements, perhaps at the least you
would ask the author to specify what he means by ‘MAJOR’ and what he
means by “MINOR’ effects. Also, a complication is an unexpected, and
potentially damaging event. You may ask the author what the consequent
‘complications’ were in the unmedicated series.
I will not consider a reply. You do no service by such publication.
Max Fink

From:
Max Fink, M.D.

P.O. Box 457
St. James, New York 11780
FAX:

516 862-8604

TEL: 516 862-6651

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