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HILLARY RODHAM CLINTON PROGRESS NOTE 9/14/16

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  1. HILLARY RODHAM CLINTON PROGRESS NOTE 9/14/16
  2. ---------------------------------------------------------------------------
  3. Mental status rapidly declined over past 24 hours.  Arousable by loud
  4. voice commands, but immediately lapses into stupor without further
  5. response.    
  6.  
  7. MAP failed to improve with further increase in norepinephrine.    
  8. CPP < 50 despite increase of ventilatory rate in an effort
  9. to decrease ICP.  
  10.  
  11. Cererbal perfusion disturbances were observed on repeated
  12. TCDs.
  13.  
  14. Diffusion-weighted imaging - cytotoxic and vasogenic edema
  15. as well as neuronal damage
  16.  
  17. EEG - not utilized due to continued benzodiazepene infusion
  18.  
  19.  
  20.  
  21. Global Irreversible Brain Damage caused by Sepsis-Associated Encephalopathy.  
  22.  
  23.  
  24. HILLARY RODHAM CLINTON PROGRESS NOTE 9/13/16
  25. ---------------------------------------------------------------------------
  26. Hillary Clinton talks to CNN's Andersoon Cooper via phone
  27. http://www.cnn.com/2016/09/12/politics/hillary-clinton-health-transparency/index.html
  28.  
  29. Audio is the spoken voice of Hillary Rodham Clinton. However the quick chat with
  30. Anderson Cooper was scripted and rehearsed which is why it sounds canned.  
  31.  
  32. Remember, "This is CNN."
  33.  
  34. Hillary Clinton is in a high-security, secluded and private, intensive care unit with
  35. 4:1 nursing 24/7.  She also has a team of physicians representing practically every
  36. medical specialty.   There are no other patients anywhere near her secure care setting.      
  37.  
  38. She is dying of Sepsis.   She is on broad-spectrum "big-gun" antibiotics to treat
  39. the pnenumonia.  However she is still severely immunocompromised and the antibiotics
  40. are not anticipated to be curative.   The pneumonia has continued to worsen and cause
  41. further damage to her lungs.  
  42.  
  43. She has been trach'd and PEG'd. She is on ventilator support with high FiO2 at low
  44. tidal volume.   She is receiving nutritional feeds through her PEG tube.  She was
  45. able to speak and spoke over the phone with Mr. Cooper with the aid of a Passy-Muir valve.  
  46.  
  47. Agressive fluid resucitation in combination with vasopressor support were successfull
  48. in making her hemodynamically stable for the time being.  She is conscious and partially
  49. oriented.   However, vasopressor support is now maxed out and fluid resuscitation is
  50. already leading to third-spacing.   APACHE scores indicate extremely high mortality.  
  51.  
  52. Efforts to keep her oxygenated with mechancial venilation is causing further damage
  53. to her lungs.  ECMO is not an option.    Her acute lung injury is expected to progress
  54. to ARDS, to multisystem organ failure, and then to clinical death.  
  55.  
  56. Palliative measures have been recommended but have not been accepted.  
  57. Advance healthcare directive stands.  Designated agent for medical decisions
  58. refuses DNR status. Agent demands full code and complete and total heroic measures.
  59.  
  60. She will never be allowed to be seen in the public eye again, even on television.    
  61. Expect a closed casket ceremony due to the third-spacing.  
  62.  
  63.  
  64.  
  65. HILLARY RODHAM CLINTON'S DEATH FROM SEPSIS IS IMMINENT
  66. ---------------------------------------------------------------------------
  67. "Dr. Drew" says he is "gravely concerned" about Hillary Clinton's
  68. health and her healthcare on his recently canceled television show.
  69. Physicians don't use the word "gravely" lightly.   When doctors use the
  70. word "grave" or "gravely" they mean "death" is most likely outcome.
  71.  
  72. https://youtu.be/tRtdA1w7AAQ
  73.  
  74. Dr. Drew was ordered by CNN executives to retract his statements
  75. but he refused to do so and was fired for it.  
  76.  
  77. https://pagesix.com/2016/09/04/dr-drew-loses-show-after-discussing-hillarys-health
  78.  
  79. Dr. Drew said that the type of blood clot Hillary Clinton developed
  80. is so exceedingly rare that it is proof alone that something is severely
  81. wrong with her "coagulation system."  While he is right, he did not elaborate
  82. what could have possible caused her coagulation system to so dysfunctional has to
  83. become life-threatening. The medical term for that problems with human
  84. "coagulation system" is Coagulapathy.
  85.  
  86. So it is a fact that, Hillary Clinton, who is known not to have
  87. congenital coagulapathy, has acquired coagulapathy at an advanced age,
  88. severe enough to cause a rare and exotic, life-threatening, thrombotic
  89. event known as cerebral thrombosis of the right transverse venous sinus.  
  90.  
  91.  
  92. http://abcnews.go.com/Health/hillary-clinton-blood-clot-life-threatening-medical-experts/story
  93.  
  94. From ABC News:
  95.  
  96. "Dr. Keith Black, head of neurosurgery Cedars Sinai Medical Center in Los Angeles,
  97. said he was 'surprised' by Clinton's diagnosis. 'If I were her treating physician,
  98. you would have to ask, why did she develop a thrombosis. A very unusual event
  99. following a concussion without a skull fracture.'"
  100. ...
  101. He agreed that the condition could potentially have caused a brain hemorrhage
  102. or stroke and been fatal.
  103. ...
  104. "Assuming it was a follow-up MRI, that probably would not have happened for
  105. regular people," he said.
  106. ...
  107. "I suspect a lot of other people have poorer outcomes. I would call her lucky."
  108.  
  109.  
  110. Her doctors are using warfarin (coumadin) for anti-coagulation. Coumadin is
  111. used as rat poison.   That is official word from her current personal physician.
  112. Her physicians are also using armour thyroid for hypothyroidism instead of the more
  113. commonly prescribed levothyroxine which is also telling.   That is official from
  114. her official treating physician.
  115.  
  116. http://time.com/3980454/hillary-clinton-health-doctor
  117.  
  118. Dr. Drew insinuates Hillary Clinton’s doctors are stuck in the dark ages
  119. of medicine.   Hillary Clinton is Hillary Clinton.  Hillary Clinton has
  120. access to the best healthcare money and power can obtain.  She has the best
  121. doctors, better than Dr. Drew even.   If those doctors put her on warfarin
  122. they had very good reason for doing so as opposed to use of safer
  123. anti-coagulants which are widely available.   They selected warfarin
  124. because they are aggressively treating her with warfarin not to provide
  125. stroke prophylaxis but to treat Provoked Coagulapathy induced by Malignancy.
  126. Her INR is being checked daily and warfarin or coumadin dose is adjusted
  127. accordingly as the cancer spreads.   She is on a diet that delivers a
  128. controlled amount of Vitamin K as well, given that she is on coumadin.  
  129.  
  130. To be kind to Dr. Drew, if he knew the full story of Hillary Clinton's health
  131. condition he would not have criticized her care so cavalierly.   He would
  132. have known that her doctors had no choice but to treat this severe provoked
  133. coagulapathy with coumadin.   Coumadin is the best choice in her case since they
  134. can regularly monitor "coagulability" (blood's willingness to form clots) with
  135. a simple test called an INR and adjust coumadin dosage accordingly.   As the cancer
  136. spreads they will have to increase the dose to maintain efficacy.  However, they run
  137. the risk of causing a hemorrhagic stroke to occur if her blood becomes too thin.
  138. Coumadin is a double-edged sword with what doctors call a "narrow-therapeutic index."
  139.  
  140. What that terms means is the difference between a therapeutic dose and a toxic dose
  141. is small.  The medication itself is dangerous and difficult to control even with the
  142. best medical care.  
  143.  
  144. Dr. Drew probably finds it impossible to believe that her doctors would not disclose
  145. the cancer diagnosis but he is not taking into account that Hillary lies about
  146. everything and uses proxies including her own doctors to lie for her.  
  147.  
  148. Beware the video below. Be highly critical of the narrator's conclusions and
  149. interpretation. He is obviously not a physician.   But certain facts are revealed
  150. that are important findings nonetheless.  These findings are easy to misinterpret.
  151. Please pay close attention to the video below and do not get easily distracted by
  152. speculative commentary.
  153.  
  154. https://youtu.be/OqbDBRWb63s
  155.  
  156.  
  157. Signs and symptoms.
  158.  
  159. 1. Brief alterations in movement, rhythmic movements, head turning,
  160. exaggerated eye and mouth movements
  161.  
  162. 2. Motor tics
  163.  
  164. 3. Chronic coughing, throat clearing, hoarseness, dysphagia
  165.  
  166. 4. History of concussion brought about by fall in 2012
  167.  
  168. 5. Weakness and fatigue
  169.  
  170. 6. Narcissistic Personality Disorder.  However, that's perfectly
  171. common for politicians seeking high office.  And compared to her
  172. opponent she is actually less narcissistic.
  173.  
  174. 7.  Concerning drug abuse. No evidence whatsoever been reported. She is a
  175. closely observed public figure and that says it all. She has thrived
  176. throughout her long career. What if contributing factors are side
  177. effects of medications, legally prescribed by her physicians. Also
  178. consider as contributing factors side effects from medications which
  179. are administered to her directly with no documentation.  See video:
  180.  
  181. https://www.youtube.com/watch?v=6I1Ebkg-hTA
  182.  
  183.  
  184. 8. Autism spectrum is apparently wrong diagnosis. There is no evidence
  185. of autism spectrum at all. Quite the opposite.  She has excellent
  186. interpersonal and communication skills.
  187.  
  188. 9.  Psychosis does not sound right. Psychosis should not to be
  189. confused with brief episodes of cognitive dysfunction and lapses in
  190. memory which Hillary Clinton is now experiencing.
  191.  
  192. 10. Mysterious public high-profile disappearances and frequent
  193. absences during the last stages of the campaign trail. For example,
  194. she walked off-stage in the middle of a nationally televised debate
  195. and did not return for 5 straight minutes.  She likely
  196. is seriously ill with so little stamina. She suffers from fatigue
  197. and malaise. And she knows every time she is seen in public there
  198. is high risk that symptoms of her underlying pathology will aggravate
  199. publicly and be recorded on audio and video. So public appearances
  200. are very carefully stage-managed and the number of those
  201. appearances are kept to an absolute minimum.
  202.  
  203. *BEGINNING OF PURE SPECULATION YOU SHOULD IGNORE*
  204. Could Hillary have experienced an aura indicating imminent onset
  205. of seizures requiring immediate emergency administration of
  206. benzodiazepenes off-stage during her sudden televised disappearance
  207. in order to arrest the oncoming break-through seizures? Bright camera
  208. lights and intense noise could have triggered enough visual and auditory
  209. stimulation to cause  break-through seizures despite, presumed
  210. yet undocumented, anti-convulsant therapy. For the record, her
  211. official physician claims Hillary is not on anti-convulsant therapy.
  212. Only warfarin and armour thyroid have been officially confirmed.
  213.  
  214. http://time.com/3980454/hillary-clinton-health-doctor
  215.  
  216. *END OF PURE SPECULATION YOU SHOULD HAVE IGNORED*
  217.  
  218. 11. Lesion at base of tongue - Definitely not syphilis.   Appears
  219. to be perfectly circumscribed, possible result of punch biopsy or
  220. surgical resection.  Here is a URL link to a photo of her
  221. accepting the Democratic Nomination for President of the United States
  222. at the Democratic National Convention. If the following URL
  223. is down by the time you read this use Google to find the original
  224. image and other images which are similar.
  225.  
  226. http://christiantimesnewspaper.com/wp-content/uploads/2016/08/hillary-neck-2.jpg
  227.  
  228. 12. Possible unintentional self-admission. Hillary admits that
  229. her brain may have “short-circuited.”
  230.  
  231. http://edition.cnn.com/2016/08/05/politics/hillary-clinton-attacks-donal
  232. d-trump-journalism/
  233.  
  234. 13. Pneumonia
  235. http://edition.cnn.com/2016/09/11/politics/hillary-clinton-health/index.html
  236. Likely due to immunodefiency which is a side of the effect from the radiation
  237. that is being used to treat her malignancy.  It should be noted that
  238. Hillary Clinton is at an advanced age and she is immunodeficient.
  239. This is not "walking pneumonia" or pneumonia from dyhdration.    
  240.  
  241. 14. Sepsis leading to Septic Shock
  242. In the following video we can see Hillary Clinton collapse.      She likely lost
  243. consciousness due to collapse in her blood pressure which was due to shock.
  244. Once her blood pressure dropped she fainted.  This type of fainting is called "syncope"
  245. which is just a medical term.  
  246.  
  247. https://en.wikipedia.org/wiki/Syncope_%28medicine%29
  248. From the article:
  249. Syncope, also known as fainting, is defined as a short loss of consciousness and
  250. muscle strength, characterized by a fast onset, short duration, and spontaneous
  251. recovery. It is due to a decrease in blood flow to the entire brain usually from
  252. low blood pressure. Some causes have prodromal symptoms before the loss of
  253. consciousness occurs. These symptoms may include lightheadedness, sweating, pale
  254. skin, blurred vision, nausea, vomiting, and feeling warm, among others. Syncope
  255. may also be associated with a short episode of muscle twitching. If a person does
  256. not completely lose consciousness and muscle strength it is referred to as presyncope.
  257. It is recommended that presyncope be treated the same as syncope.
  258.  
  259. Video:
  260. http://www.zerohedge.com/news/2016-09-11/hillary-clinton-reportedly-suffers-medial-episode-rushed-away-ground-zero-fox-news
  261.  
  262. Photo of "handler" (guy with diazepam auto-injector) and a nurse who is
  263. quite obviously checking Hillary's Clinton pulse.    
  264.  
  265. In the following video we can see Hillary Clinton collapse.      She likely lost
  266. consciousness due to collapse in her blood pressure which was due to septic shock.
  267. Once her blood pressure dropped she lost cerebral perfusion pressure and fainted.  
  268. Fainting this way due to sudden drop of blood pressure referred called "syncope" by doctors.
  269.  
  270. https://en.wikipedia.org/wiki/Syncope_%28medicine%29
  271. From the article:
  272. Syncope, also known as fainting, is defined as a short loss of consciousness and muscle strength,
  273. characterized by a fast onset, short duration, and spontaneous recovery. It is due to a decrease
  274. in blood flow to the entire brain usually from low blood pressure. Some causes have prodromal
  275. symptoms before the loss of consciousness occurs. These symptoms may include lightheadedness,
  276. sweating, pale skin, blurred vision, nausea, vomiting, and feeling warm, among others. Syncope
  277. may also be associated with a short episode of muscle twitching. If a person does not completely
  278. lose consciousness and muscle strength it is referred to as presyncope. It is recommended that
  279. presyncope be treated the same as syncope.  So syncope explains why they had to load her body in
  280. the Secret Service van.   By the way that van is not standard Secret Service vehicle.  It is is
  281. specially configured as an ambulance disguised as a Secret Service van.  
  282.  
  283. So it should be plain now what you see in the video.    
  284.  
  285. http://www.zerohedge.com/news/2016-09-11/hillary-clinton-reportedly-suffers-medial-episode-rushed-away-ground-zero-fox-news
  286.  
  287. Her pulse is constantly monitored.  See nurse checking her pulse in this photo on 9/11/16.  
  288. Also notice that Hillary Clinton's "handler" is standing right behind her.  
  289.  
  290. https://twitter.com/Cernovich/status/775017312319442944/photo/1
  291.  
  292. Why is her pulse so important?    Well if someone is at risk of going into shock, elevated pulse
  293. or tachycardia is the first indication of presyncope or of a full blown syncopal episode.      
  294. Her nurse was monitoring her radial purse not just for pulse rate but also to check for what
  295. is called a "bounding pulse."    Notice the way the nurse is measuring the radial
  296. pulse.   The nurse is checking the quality of the pulse not just pulse rate.
  297. It is also worth noting that Hillary Clinton's skin color has a certain pallor
  298. or skin discoloration which is consistent with sepsis due to poor blood perfusion
  299. of the skin which again is itself is due to the plunging blood pressure.  
  300.  
  301. http://www.medicinenet.com/sepsis/page5.htm
  302.  
  303. Mortality of septic shock is significantly higher when it is left untreated
  304. for more than 7 days which occurred under Hillary Clinton's care.
  305.  
  306.  
  307. Diagnoses
  308.  
  309. 1. Oropharyngeal Cancer diagnosed and treated with partial surgical
  310. resection of the base of her tongue in conjunction with targeted
  311. stereotactic radio-surgery.
  312.  
  313. 2. Coagulapathy caused by Oropharyngeal Cancer which has metastasized
  314. to lymphatic nodes.
  315.  
  316. 3. Early-onset Vascular Dementia caused by aforementioned Coagulapathy
  317.  
  318. 4. Complex partial seizures and/or abcence seizures caused by small
  319. infarcts or lesser ischemic damage to her cerebral vasculature;
  320. vascular damage itself is caused by aforementioned Coagulapathy
  321.  
  322. 5. Hypothyroidism as a side effect of radiotherapy.
  323.  
  324. 6. Immunodefiency as a side effect of radiotherapy.
  325.  
  326. 7. Pneumonia as a complication of Immunodeficiency.
  327.  
  328. 8. Sepsis and septic shock
  329.  
  330. 9. Acute Lung Injury which appears to be progressing to ARDS.    
  331.  
  332. 10. Global Irreversible Brain Damage caused by Sepsis-Associated Encephalopathy.  
  333.  
  334. 11. Putative Brain Death - Patient too unstable for apnea test.  
  335. Awaiting confirmation from SSEP and possible nuclear medicine study.  
  336.  
  337. PROGNOSIS AS OF 9/14/16
  338. Death no later than October 12, 2016.
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