Holley Navarre Medical Clinic - Joel Rudman, M.D.
My Blog

A MEDICAL Q&A ON THE HEALTH OF HILLARY CLINTON

SO WHAT DO WE KNOW FOR CERTAIN?
For me, the only things you can take as fact are the actual reports from her doctor and the things we have personally witnessed, i.e., a fall or a fainting spell. Reports from the patient's critics, political operatives, or hangers-on have to be ignored, due to bias or possible false reporting.
Thus, from the patient's private doctor's letter dated July 28, 2015, Dr. Lisa Bardack admits that Secretary Clinton has an interesting past medical history that began in December 2012 with a concussion sustained from a fainting fall. During this evaluation, she was found to have transverse sinus thrombosis, a rare and potentially fatal condition involving clotting of one of the veins from the brain. She has been on blood thinners ever since.
We also know from videos that the patient falls. A lot. We have pictures of Clinton being physically helped up stairs. We now also have footage of the odd incident on September 11.

WHAT IS SO INTERESTING ABOUT HER HISTORY?
First of all, counting the clot in the head, Secretary Clinton has had three known serious blood clots since 1998. Most healthy patients have zero. Patients with such clots usually have an underlying reason for them, i.e. obesity, smoking, autoimmune disease, cancer, clotting disorders.
Secondly, a transverse sinus thrombosis is an unusually rare condition, even among neurologists and neurosurgeons. It is never seen in practice, and is rarely even a test question for certification exams. I have never ever seen a single case of this in 20 years.
There is also the problem with all these falls, and the wisdom of a patient taking Coumadin while falling with alarming frequency.

COULD DR. BARDACK LIE IN HER NOTES?
I guess, but that would not be wise. She could lose her medical license by doing so. Besides, that's not how a physician would go about things. One just simply wouldn't tell you every single thing, omitting the damaging details.

SO WHAT DO YOU NOT BELIEVE?
Where to start?
Her doctor says she tested negative for clotting disorders. Something had to cause these 3 clots. Pick your reason- sedentary lifestyle, occult cancer, autoimmune disease, etc.
Her persistent coughing fits are NOT "allergies".
Her incident on September 11 was NOT "overheating", " fainting", and certainly NOT pneumonia.

WHY DO YOU DOUBT THE PNEUMONIA?
I don't necessarily doubt the presence of a walking pneumonia, I'm simply saying it would not cause the incident in question. Saying someone has pneumonia is an easy diagnosis to put in a press release, and it is something a doctor could say based on clinical findings. But the collapsing incident witnessed on video and the Clinton campaign's reaction to said incident is not compatible with pneumonia. Pneumonia is a severe infection in the lung itself; it is deadly because people can literally become unable to exchange air. Such patients usually display air hunger, gasping for breath, hyperventilating, and turning blue prior to any loss of balance or consciousness. At no time did Mrs. Clinton show any signs of respiratory distress. Nor did any of her handlers respond as if she were not breathing. The cure for respiratory distress from pneumonia is oxygen. Did anyone bring her an oxygen tank? Why would you not get a paramedic or go to the ER if she had a potentially life threatening pneumonia severe enough to cause a fainting spell? Why was she not on oxygen when she reappeared outside her daughter's apartment?

SO WHAT DID YOU THINK WHEN YOU WATCHED THE VIDEO?

I took away several important points.
First, she was held by the arm and propped up on a concrete block until her car arrived.
Anyone knows you don't ask a lightheaded person who nearly fainted to stand up. You lay that person down, or at least let them sit down. 
Secondly, I was struck by the fact that no one seemed terribly alarmed in her entourage. They all seemed unusually calm, as if this was not unexpected. I would think if I attended a public event with pneumonia and all of a sudden got lightheaded, my family would probably panic or at least call a paramedic over. No one offered her water, no one fanned her. no one gave her orange juice or a Snickers bar.
Third, there was a distinct disruption of muscular tone seen as Secretary Clinton was handed from one person to another. She was either too rigid to walk, or too flaccid to stand under her own power. Several things can give this appearance, including vasovagal syncope, hypoglycemia, hypotension, and seizure activity.
The most important point is what happened next. She was taken to her daughter's residence instead of a hospital or urgent care center. Hypoglycemia would have required sugar measurements and lab workup, especially in someone with no documented history. Hypotension would not have improved without IV fluids and medical intervention.
Vasovagal syncope cannot be diagnosed without first ruling out those other 2 things.

SO YOU THINK SHE HAD A SEIZURE?
I believe, given the acuity of the symptoms, the patient's quick loss of tone and balance, and the nonchalant attitude of her staff before and after the incident, the possibility of a seizure disorder has to be considered.
A person with complex partial seizures could have an event with little or no warning. A seizure could potentially render its victim unable to walk or stand. Those accustomed to dealing with a seizure patient would appear nonchalant and unfazed by an otherwise disturbing development.
The handlers of a seizure patient would know not to go to an ER, they would give the victim a shot of Valium and take the patient home to rest. And finally, a seizure patient could magically appear "fine" 45 minutes later with no ill effects.

ARE YOU AN EXPERT ON SEIZURES?
My oldest sister has had seizures since the age of 5. She can talk and be in a seizure, she can watch a movie while in a seizure. She may blink her eyes, she may "fall out", she could smack her lips, or she could repeat the same phrase over and over.
I recognized that video of the Secret Service shoving a limp Hillary Clinton into her vehicle; it reminded me of all the times my family has had to physically place my sister in the car while having a seizure. Legs will not move, knees will not work.

WHERE DO THE COUGHING FITS FACTOR INTO THIS?
I'm unsure. It could be a separate issue. It could be pneumonia. It could be secondary to aspiration, which is when a person inhales food, liquid, or saliva in a period of altered consciousness or impaired neurological function.

SO, DR. RUDMAN, IN YOUR OPINION, HOW COULD ALL THE PIECES POTENTIALLY FIT?
1. Hillary Clinton has some type of clotting dysfunction, as evidenced by her three clots. The cause of the disorder is uncertain.
2. After not being given long term anticoagulants after 2 serious DVTs, she suffers a clot in her head, which causes the first unexplained fainting episode in 2012. This "fall" could have been her very first seizure.
3. Either the fall itself or the clot causes injury to the brain. We know she didn't have a bleed in the brain, or the clotbuster would have killed her.
4. Complex partial seizures and ataxia (balance issues) result from the injury to the brain.
5. These short but disruptive seizures account for some of the odd behaviors seen, including her falls and loss of coordination/muscle tone.
6. Knowing these are short-lived complex partial seizures, her staff decide to forego ER visits in favor of outpatient medication and Valium pens for emergencies.
7. Because these brief seizures can occur at any time, her staff purposely limits her time in public to minimize the odds of a witnessed seizure. Without the benefit of cameras on cellphones, her events would still remain unwitnessed to this day.
8. Press conferences are kept to a minimum to avoid the potential of a witnessed event.
9. The possibility of seizures could also explain Secretary Clinton's behavior in 2015 when she was late returning to the stage in 2 separate Democratic debates.

FINALLY, WHAT WOULD YOU NEED TO PROVE OR DISPROVE YOUR THEORY ON COMPLEX PARTIAL SEIZURES?
 You would want to see actual medical records, not the one page summary provided by Dr. Bardack. You would want to see if Dr. Bardack has prescribed any anticonvulsant medication. It would also be imperative to see all EEGs on Mrs. Clinton since 2012. Multiple normal EEGs effectively squash the possibility of any seizure disorder.


DISCLAIMER
This report is a medical opinion based on the public information available at present. It is not intended to dissuade anyone from voting for a candidate. I have many patients with seizure disorders who live healthy, productive lives. For the most part, these seizures can be well controlled with oral medication. This report is simply an attempt to use medical knowledge to explain in clear terms a series of events that are nonsensical based on recent press releases.