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From: MARK TRAMO 
Sent: 10/14/2018 5:16:21 PM 
To: Jeffrey Epstein [jeeyacation@gmail.com] 
Subject: Donald Trump, Kanye West, and the diagnosis of Bipolar Disease 
Importance: High 
Given your interest in Creativity: 
Did you see the entire Kanye West soliloquy in the Oval Office with Trump and Jim Brown? I am using that 
clip in my Talent & Creativity class when we discuss "Creativity & Psychopathology." In Psychiatry, the formal 
terms that apply are "flight of ideas," "pressured speech," "delusions of grandeur,", and "clang associations." A 
truly great example of Hypomania. There's an interesting book on hypomania and success in America today. 
xxx 
Mark Jude Tramo, MD PhD 
Dept of Integrative Biology & Physiology, UCLA School of Letters & Science 
Dept of Neurology, David Geffen School of Medicine at UCLA 
Dept of Musicology, UCLA Herb Alpert School of Music 
Director, The Institute for Music & Brain Science 
Co-Director, University of California Multi-Campus Music Research Initiative (UC MERCI) 
http://www.BrainMusic.org 
http://merci.ucsd.edu 
HOUSE OVERSIGHT 029516 

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