HILLARY RODHAM CLINTON PROGRESS NOTE 9/14/16

HILLARY RODHAM CLINTON PROGRESS NOTE 9/14/16
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Mental status rapidly declined over past 24 hours.  Arousable by loud
voice commands, but immediately lapses into stupor without further
response.

MAP failed to improve with further increase in norepinephrine.
CPP < 50 despite increase of ventilatory rate in an effort
to decrease ICP.

Cererbal perfusion disturbances were observed on repeated
TCDs.

Diffusion-weighted imaging - cytotoxic and vasogenic edema
as well as neuronal damage

EEG - not utilized due to continued benzodiazepene infusion



Global Irreversible Brain Damage caused by Sepsis-Associated Encephalopathy.


HILLARY RODHAM CLINTON PROGRESS NOTE 9/13/16
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Hillary Clinton talks to CNN's Andersoon Cooper via phone
http://www.cnn.com/2016/09/12/politics/hillary-clinton-health-transparency/index.html

Audio is the spoken voice of Hillary Rodham Clinton. However the quick chat with
Anderson Cooper was scripted and rehearsed which is why it sounds canned.

Remember, "This is CNN."

Hillary Clinton is in a high-security, secluded and private, intensive care unit with
4:1 nursing 24/7.  She also has a team of physicians representing practically every
medical specialty.   There are no other patients anywhere near her secure care setting.

She is dying of Sepsis.   She is on broad-spectrum "big-gun" antibiotics to treat
the pnenumonia.  However she is still severely immunocompromised and the antibiotics
are not anticipated to be curative.   The pneumonia has continued to worsen and cause
further damage to her lungs.

She has been trach'd and PEG'd. She is on ventilator support with high FiO2 at low
tidal volume.   She is receiving nutritional feeds through her PEG tube.  She was
able to speak and spoke over the phone with Mr. Cooper with the aid of a Passy-Muir valve.

Agressive fluid resucitation in combination with vasopressor support were successfull
in making her hemodynamically stable for the time being.  She is conscious and partially
oriented.   However, vasopressor support is now maxed out and fluid resuscitation is
already leading to third-spacing.   APACHE scores indicate extremely high mortality.

Efforts to keep her oxygenated with mechancial venilation is causing further damage
to her lungs.  ECMO is not an option.    Her acute lung injury is expected to progress
to ARDS, to multisystem organ failure, and then to clinical death.

Palliative measures have been recommended but have not been accepted.
Advance healthcare directive stands.  Designated agent for medical decisions
refuses DNR status. Agent demands full code and complete and total heroic measures.

She will never be allowed to be seen in the public eye again, even on television.
Expect a closed casket ceremony due to the third-spacing.



HILLARY RODHAM CLINTON'S DEATH FROM SEPSIS IS IMMINENT
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"Dr. Drew" says he is "gravely concerned" about Hillary Clinton's
health and her healthcare on his recently canceled television show.
Physicians don't use the word "gravely" lightly.   When doctors use the
word "grave" or "gravely" they mean "death" is most likely outcome.

https://youtu.be/tRtdA1w7AAQ

Dr. Drew was ordered by CNN executives to retract his statements
but he refused to do so and was fired for it.

https://pagesix.com/2016/09/04/dr-drew-loses-show-after-discussing-hillarys-health

Dr. Drew said that the type of blood clot Hillary Clinton developed
is so exceedingly rare that it is proof alone that something is severely
wrong with her "coagulation system."  While he is right, he did not elaborate
what could have possible caused her coagulation system to so dysfunctional has to
become life-threatening. The medical term for that problems with human
"coagulation system" is Coagulapathy.

So it is a fact that, Hillary Clinton, who is known not to have
congenital coagulapathy, has acquired coagulapathy at an advanced age,
severe enough to cause a rare and exotic, life-threatening, thrombotic
event known as cerebral thrombosis of the right transverse venous sinus.


http://abcnews.go.com/Health/hillary-clinton-blood-clot-life-threatening-medical-experts/story

From ABC News:

"Dr. Keith Black, head of neurosurgery Cedars Sinai Medical Center in Los Angeles,
said he was 'surprised' by Clinton's diagnosis. 'If I were her treating physician,
you would have to ask, why did she develop a thrombosis. A very unusual event
following a concussion without a skull fracture.'"
...
He agreed that the condition could potentially have caused a brain hemorrhage
or stroke and been fatal.
...
"Assuming it was a follow-up MRI, that probably would not have happened for
regular people," he said.
...
"I suspect a lot of other people have poorer outcomes. I would call her lucky."


Her doctors are using warfarin (coumadin) for anti-coagulation. Coumadin is
used as rat poison.   That is official word from her current personal physician.
Her physicians are also using armour thyroid for hypothyroidism instead of the more
commonly prescribed levothyroxine which is also telling.   That is official from
her official treating physician.

http://time.com/3980454/hillary-clinton-health-doctor

Dr. Drew insinuates Hillary Clinton’s doctors are stuck in the dark ages
of medicine.   Hillary Clinton is Hillary Clinton.  Hillary Clinton has
access to the best healthcare money and power can obtain.  She has the best
doctors, better than Dr. Drew even.   If those doctors put her on warfarin
they had very good reason for doing so as opposed to use of safer
anti-coagulants which are widely available.   They selected warfarin
because they are aggressively treating her with warfarin not to provide
stroke prophylaxis but to treat Provoked Coagulapathy induced by Malignancy.
Her INR is being checked daily and warfarin or coumadin dose is adjusted
accordingly as the cancer spreads.   She is on a diet that delivers a
controlled amount of Vitamin K as well, given that she is on coumadin.

To be kind to Dr. Drew, if he knew the full story of Hillary Clinton's health
condition he would not have criticized her care so cavalierly.   He would
have known that her doctors had no choice but to treat this severe provoked
coagulapathy with coumadin.   Coumadin is the best choice in her case since they
can regularly monitor "coagulability" (blood's willingness to form clots) with
a simple test called an INR and adjust coumadin dosage accordingly.   As the cancer
spreads they will have to increase the dose to maintain efficacy.  However, they run
the risk of causing a hemorrhagic stroke to occur if her blood becomes too thin.
Coumadin is a double-edged sword with what doctors call a "narrow-therapeutic index."

What that terms means is the difference between a therapeutic dose and a toxic dose
is small.  The medication itself is dangerous and difficult to control even with the
best medical care.

Dr. Drew probably finds it impossible to believe that her doctors would not disclose
the cancer diagnosis but he is not taking into account that Hillary lies about
everything and uses proxies including her own doctors to lie for her.

Beware the video below. Be highly critical of the narrator's conclusions and
interpretation. He is obviously not a physician.   But certain facts are revealed
that are important findings nonetheless.  These findings are easy to misinterpret.
Please pay close attention to the video below and do not get easily distracted by
speculative commentary.

https://youtu.be/OqbDBRWb63s


Signs and symptoms.

1. Brief alterations in movement, rhythmic movements, head turning,
exaggerated eye and mouth movements

2. Motor tics

3. Chronic coughing, throat clearing, hoarseness, dysphagia

4. History of concussion brought about by fall in 2012

5. Weakness and fatigue

6. Narcissistic Personality Disorder.  However, that's perfectly
common for politicians seeking high office.  And compared to her
opponent she is actually less narcissistic.

7.  Concerning drug abuse. No evidence whatsoever been reported. She is a
closely observed public figure and that says it all. She has thrived
throughout her long career. What if contributing factors are side
effects of medications, legally prescribed by her physicians. Also
consider as contributing factors side effects from medications which
are administered to her directly with no documentation.  See video:

https://www.youtube.com/watch?v=6I1Ebkg-hTA


8. Autism spectrum is apparently wrong diagnosis. There is no evidence
of autism spectrum at all. Quite the opposite.  She has excellent
interpersonal and communication skills.

9.  Psychosis does not sound right. Psychosis should not to be
confused with brief episodes of cognitive dysfunction and lapses in
memory which Hillary Clinton is now experiencing.

10. Mysterious public high-profile disappearances and frequent
absences during the last stages of the campaign trail. For example,
she walked off-stage in the middle of a nationally televised debate
and did not return for 5 straight minutes.  She likely
is seriously ill with so little stamina. She suffers from fatigue
and malaise. And she knows every time she is seen in public there
is high risk that symptoms of her underlying pathology will aggravate
publicly and be recorded on audio and video. So public appearances
are very carefully stage-managed and the number of those
appearances are kept to an absolute minimum.

*BEGINNING OF PURE SPECULATION YOU SHOULD IGNORE*
Could Hillary have experienced an aura indicating imminent onset
of seizures requiring immediate emergency administration of
benzodiazepenes off-stage during her sudden televised disappearance
in order to arrest the oncoming break-through seizures? Bright camera
lights and intense noise could have triggered enough visual and auditory
stimulation to cause  break-through seizures despite, presumed
yet undocumented, anti-convulsant therapy. For the record, her
official physician claims Hillary is not on anti-convulsant therapy.
Only warfarin and armour thyroid have been officially confirmed.

http://time.com/3980454/hillary-clinton-health-doctor

*END OF PURE SPECULATION YOU SHOULD HAVE IGNORED*

11. Lesion at base of tongue - Definitely not syphilis.   Appears
to be perfectly circumscribed, possible result of punch biopsy or
surgical resection.  Here is a URL link to a photo of her
accepting the Democratic Nomination for President of the United States
at the Democratic National Convention. If the following URL
is down by the time you read this use Google to find the original
image and other images which are similar.

http://christiantimesnewspaper.com/wp-content/uploads/2016/08/hillary-neck-2.jpg

12. Possible unintentional self-admission. Hillary admits that
her brain may have “short-circuited.”

http://edition.cnn.com/2016/08/05/politics/hillary-clinton-attacks-donal
d-trump-journalism/

13. Pneumonia
http://edition.cnn.com/2016/09/11/politics/hillary-clinton-health/index.html
Likely due to immunodefiency which is a side of the effect from the radiation
that is being used to treat her malignancy.  It should be noted that
Hillary Clinton is at an advanced age and she is immunodeficient.
This is not "walking pneumonia" or pneumonia from dyhdration.

14. Sepsis leading to Septic Shock
In the following video we can see Hillary Clinton collapse.      She likely lost
consciousness due to collapse in her blood pressure which was due to shock.
Once her blood pressure dropped she fainted.  This type of fainting is called "syncope"
which is just a medical term.

https://en.wikipedia.org/wiki/Syncope_%28medicine%29
From the article:
Syncope, also known as fainting, is defined as a short loss of consciousness and
muscle strength, characterized by a fast onset, short duration, and spontaneous
recovery. It is due to a decrease in blood flow to the entire brain usually from
low blood pressure. Some causes have prodromal symptoms before the loss of
consciousness occurs. These symptoms may include lightheadedness, sweating, pale
skin, blurred vision, nausea, vomiting, and feeling warm, among others. Syncope
may also be associated with a short episode of muscle twitching. If a person does
not completely lose consciousness and muscle strength it is referred to as presyncope.
It is recommended that presyncope be treated the same as syncope.

Video:
http://www.zerohedge.com/news/2016-09-11/hillary-clinton-reportedly-suffers-medial-episode-rushed-away-ground-zero-fox-news

Photo of "handler" (guy with diazepam auto-injector) and a nurse who is
quite obviously checking Hillary's Clinton pulse.

In the following video we can see Hillary Clinton collapse.      She likely lost
consciousness due to collapse in her blood pressure which was due to septic shock.
Once her blood pressure dropped she lost cerebral perfusion pressure and fainted.
Fainting this way due to sudden drop of blood pressure referred called "syncope" by doctors.

https://en.wikipedia.org/wiki/Syncope_%28medicine%29
From the article:
Syncope, also known as fainting, is defined as a short loss of consciousness and muscle strength,
characterized by a fast onset, short duration, and spontaneous recovery. It is due to a decrease
in blood flow to the entire brain usually from low blood pressure. Some causes have prodromal
symptoms before the loss of consciousness occurs. These symptoms may include lightheadedness,
sweating, pale skin, blurred vision, nausea, vomiting, and feeling warm, among others. Syncope
may also be associated with a short episode of muscle twitching. If a person does not completely
lose consciousness and muscle strength it is referred to as presyncope. It is recommended that
presyncope be treated the same as syncope.  So syncope explains why they had to load her body in
the Secret Service van.   By the way that van is not standard Secret Service vehicle.  It is is
specially configured as an ambulance disguised as a Secret Service van.

So it should be plain now what you see in the video.

http://www.zerohedge.com/news/2016-09-11/hillary-clinton-reportedly-suffers-medial-episode-rushed-away-ground-zero-fox-news

Her pulse is constantly monitored.  See nurse checking her pulse in this photo on 9/11/16.
Also notice that Hillary Clinton's "handler" is standing right behind her.

https://twitter.com/Cernovich/status/775017312319442944/photo/1

Why is her pulse so important?    Well if someone is at risk of going into shock, elevated pulse
or tachycardia is the first indication of presyncope or of a full blown syncopal episode.
Her nurse was monitoring her radial purse not just for pulse rate but also to check for what
is called a "bounding pulse."    Notice the way the nurse is measuring the radial
pulse.   The nurse is checking the quality of the pulse not just pulse rate.
It is also worth noting that Hillary Clinton's skin color has a certain pallor
or skin discoloration which is consistent with sepsis due to poor blood perfusion
of the skin which again is itself is due to the plunging blood pressure.

http://www.medicinenet.com/sepsis/page5.htm

Mortality of septic shock is significantly higher when it is left untreated
for more than 7 days which occurred under Hillary Clinton's care.


Diagnoses

1. Oropharyngeal Cancer diagnosed and treated with partial surgical
resection of the base of her tongue in conjunction with targeted
stereotactic radio-surgery.

2. Coagulapathy caused by Oropharyngeal Cancer which has metastasized
to lymphatic nodes.

3. Early-onset Vascular Dementia caused by aforementioned Coagulapathy

4. Complex partial seizures and/or abcence seizures caused by small
infarcts or lesser ischemic damage to her cerebral vasculature;
vascular damage itself is caused by aforementioned Coagulapathy

5. Hypothyroidism as a side effect of radiotherapy.

6. Immunodefiency as a side effect of radiotherapy.

7. Pneumonia as a complication of Immunodeficiency.

8. Sepsis and septic shock

9. Acute Lung Injury which appears to be progressing to ARDS.

10. Global Irreversible Brain Damage caused by Sepsis-Associated Encephalopathy.

11. Putative Brain Death - Patient too unstable for apnea test.
Awaiting confirmation from SSEP and possible nuclear medicine study.

PROGNOSIS AS OF 9/14/16
Death no later than October 12, 2016.
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