Hillary's health.....

[NOVA]

In July 2015, the Clinton campaign asked Bardack to give the candidate a clean bill of health. She was to disclose, selectively, some of her patient’s medical history. But the letter was not widely analyzed until after the disturbing September 11 video by Zdenek Gazda, the Zapruder of 2016. It was no longer possible to dismiss those asking questions about Hillary’s health as right-wing conspiracy theorists, and the campaign now requested a second letter from Dr. Bardack explaining the event. The physician duly issued a report on September 14. Now her real problems began.

Let’s take a look at the two letters and some of questions doctors have asked about the diagnoses and treatment.

I. The letter of 12 July 2015

Bardack’s summary revealed a couple of major health problems that had not been previously disclosed. We had been told that Clinton suffered an elbow fracture in 2009 and a concussion in 2012. The fact that a woman in her mid-60s would fall twice ought perhaps to have raised some red flags. In particular, unless you’re being tackled or attacked, a concussion can usually be avoided by the body’s reflexes. Arms are extended to break the fall.

But now the public learned that some time in 2009 and in December 2012, the month of the concussion, Clinton had suffered blood clots.

She already had a history of clotting. Running for the Presidential nomination in the fall of 2007, Hillary gave an extended interview on her 60th birthday in which she disclosed that she’d had a life-threatening medical emergency in 1998. The crisis had been kept a secret not only from the public, but from her staff, who were told she had a sprained ankle. Clinton’s foot had swollen and she was in great pain. A White House doctor told her to rush to Bethesda Naval Hospital, where the diagnosis of a blood clot was made. "That was scary,” Hillary said, “because you have to treat it immediately -- you don't want to take the risk that it will break lose and travel to your brain, or your heart or your lungs. That was the most significant health scare I've ever had." Clinton assured the reporter that she was no longer on blood thinners. This was probably the last time Hillary spoke candidly about her health.

What Clinton had was a deep vein thrombosis, or venous thromboembolism (VTE). The blood clot is usually in the leg, and in Hillary’s case, it was behind the right knee.

Now Dr. Bardack revealed that Hillary had had two others. The first, in 2009, was another VTE, but the second was still more serious. It was a right transverse cerebral venous sinus thrombosis (CVST). This is a clot in one of the two channels between layers of the dura, the membrane enclosing the brain, which receive blood and cerebrospinal fluid. A clot here means that blood flow out of the brain is impeded, and there is the potential for a hemorrhage if there’s leakage into the cerebral tissues. The Johns Hopkins Health Library refers to it as a rare form of stroke affecting only five in one million individuals. It’s treated with anti-seizure medicines as well as anticoagulants, and the complications range from impaired speech, difficulty moving parts of the body, and vision problems to death.

There were two problems in the 2015 letter relating to the clot:

1) Clinton, her physician wrote, “began anticoagulation therapy to dissolve the clot.” But this is not something anticoagulants do. Two of these drugs are mentioned by Bardack: Lovenox, which was discontinued in 1998, and Coumadin (warfarin).

Bristol-Myers-Squibb, its manufacturer, says explicitly that the medication doesn’t dissolve clots:

COUMADIN has no direct effect on an established thrombus, nor does it reverse ischemic tissue damage.
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[signalmankenneth]