Document wq07ngNEB41MLKv2rkRy09j1d

Hr. Summary of Bnprossions: September 28 19$$ 'History of present illness is characteristic of a cerebral intoxication (probably from ii) 'suffered in about 1951 or 1952 -- disturbing dreams which prevented sleep headaches, meraory disturbance -- covering up the memory disturbance so people wouldn't know. These symptoms gradually Improved but muscular pains continued, probably neuritic. Description of present pains "as if something traveling up and down through muscles" and general attitudes about present condition sound hypochondriacal. neurological examination 7-ondl - Small calibre arteries but no A.V* nicking Slightly tremulous tongue Deep reflexes all somewhat hyperactive and slightly positive Hoffmans on both Slight ctyscliadokokinoois but no other cerebellar signs. Otherwise motor, sensory and superficial reflex examinations show no abnormalities. Chvostck's and Trousseau's 3igns negative. In short no neurological findings indicating anything other than slight general psychomotor tension. Past History indicates stability before present illness in spite of wounding 'and gassing*in w'.v*. I and loss of financial resources in economic depression. Previous adjustraent, however, was upset b y present illness plus two significant events about 1 year ago -- w i f e 's sudden death and marital difficulties and excessive drinking by son. Patient tries to deny that those events bothered him. He is close to tears on these subjects and rigid and argumentative on subject of medical handling b y company. Dentai Status. Circumstantial, mildly depressed, with some strong resentments, obsessed about medical care, hypochondriacal. No defect in recent memory now to direct testing but says ho has some difficulty remembering now rnnes -- did not knew Di'. i&tsnillGr's name but knew mine. Conclusion: The most plmisiblo picture, taking into account tho kind of person this is, is that ho did have a cerebral intoxication, and possibly neuritis, that he has been gradually improving from this but became more rigid and developed hypochondriacal attitudes in response to previous incapacity plus family problems. He is iiiproving. Suggest that further course might bo followed by DuPont Compapy psychiatrist, Dr. Gerald Gordon. Ventilation of resentments but firm insistence that he continue at work would be helpful. CCs Dr. Kitzmiller / D. Doss, f.D.