Doctors said the blood clot, which seemed to take members of the
secretary of state's staff by surprise, had not resulted in a stroke
or neurological damage.
Doctors for Secretary of State Hillary Rodham Clinton have said
that a blood clot has formed in her head, a potentially serious
condition from which they nonetheless stress that they expect her to
fully recover.
Mrs. Clinton, 65, was hospitalized on Sunday at NewYork-
Presbyterian Hospital for the blood clot -- in a vein between the
brain and the skull and behind her right ear -- and the doctors said
Monday that it had not resulted in a stroke or neurological damage.
They said they were trying to dissolve the clot by treating her with
blood thinners.
"She will be released once the medication dose has been
established," according to the statement from Dr. Lisa Bardack and
Dr. Gigi El-Bayoumi.
Clots like the one Mrs. Clinton has can be serious, said doctors
not involved in her care. Dr. David Langer, a brain surgeon and an
associate professor at the North Shore-Hofstra-Long Island Jewish
School of Medicine, said that if this type of clot were to go
untreated, it could cause blood to back up and could lead to a
hemorrhage inside the brain.
Mrs. Clinton's doctors struck an upbeat tone in their statement.
"In all other aspects of her recovery, the secretary is making
excellent progress, and we are confident she will make a full
recovery," it said. "She is in good spirits, engaging with her
doctors, her family and her staff."
The sudden turn in Mrs. Clinton's condition appeared to take her
aides by surprise. As recently as Sunday afternoon, they thought
that she was on the mend and ready to return to work this week.
"Yep, she's looking forward to getting back to the office this
week and resuming her schedule (plan is Wednesday)," a close aide,
Philippe Reines, replied to an e-mail inquiry.
But by 7:30 p.m. Sunday, all that had changed. Mrs. Clinton, who
had been home for more than two weeks nursing injuries sustained
after she fainted and hit her head, suffering a concussion, had been
admitted at NewYork-Presbyterian with an ominous diagnosis: a blood
clot stemming from the concussion, Mr. Reines said.
Instantly, the woman who, before even announcing, has been widely
viewed as a front-runner for the Democratic presidential nomination
in 2016, someone who has spent the past four years keeping up a
grueling schedule in which she racked up miles as the most-traveled
secretary of state and visited 112 countries, was seeming
uncharacteristically fragile.
Instead of talking about who might be her running mate, or how
she had, even on Monday, again been named the most admired woman in
the United States in a Gallup poll, the chatter on the Potomac
shifted to talk about how, at the end of the day, she is a 65-year-
old woman trying to recover after falling and hitting her head.
This being Washington, there was plenty of political finger-
pointing.
On Twitter, those sympathetic to Mrs. Clinton lashed out at
Republican critics who had accused her of faking her illness.
BuzzFeed helpfully chronicled the top "eight people who thought
Hillary Clinton was faking her concussion" because she did not want
to testify before Congress on the attacks in Benghazi, Libya. They
included The New York Post, which called her concussion a "head
fake," and the Fox News contributor Charles Krauthammer, who called
her illness "acute Benghazi allergy."
David Rothkopf, an acting commerce under secretary in the Bill
Clinton administration, strongly criticized the quick politicizing
of Mrs. Clinton's health, both by allies and foes.
"It's a sign of the level of politicization that this woman could
be lying in a hospital bed dealing with a serious issue and the
first reaction of all these people is politics," Mr. Rothkopf said.
"There's no politics in a blood clot."
"The point is," he added, "people should just stop and be human
beings."
Mrs. Clinton's friends say they have become increasingly
concerned about her since she fell ill in mid-December from a
stomach virus that left her severely dehydrated. She was vomiting
constantly, friends said, and fell forward, hitting her head and
blacking out. The result, one friend said, was a contusion on her
eye and on her brain. She was forced to cancel a trip to the Middle
East and Africa that had been planned for the next week.
On Dec. 13, doctors diagnosed a concussion, and she had been kept
since then to limited activity, according to a friend of Mrs.
Clinton's who spoke on the condition of anonymity because he did not
want to discuss her illness publicly.
Mr. Reines said that on Sunday, during a follow-up exam, doctors
found a blood clot and hospitalized her. "Her doctors will continue
to assess her condition, including other issues associated with her
concussion," he said in a statement Sunday night.
Dr. Geoff Manley, vice chairman of neurological surgery at the
University of California, San Francisco, said patients with this
condition generally needed to be treated in an intensive care unit,
by specialists with expertise in this kind of clot. The treatment
usually begins with intravenous blood-thinning drugs, and scans to
monitor the clot. After a few days, patients can usually be moved to
a regular hospital floor and be gradually switched from intravenous
drugs to pills.
Barring complications, after a few more days they can usually go
home. But the clot may take weeks or months to dissolve, and
treatment will continue for even longer to prevent a recurrence.
This type of venous clot is more common in women than in men, Dr.
Langer said, particularly with dehydration. But it is impossible to
say exactly what caused it in Mrs. Clinton's case -- her head
injury, the illness, some other factor or a combination.
Given that she has had a blood clot in the past -- in her leg in
1998 -- she may be prone to form clots and may need lifelong
treatment to prevent them, possibly with low doses of aspirin or
other blood-thinning drugs.
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News Column
Clinton Expected to Recover from Clot
Jan. 1, 2013
Helene Cooper and Denise Grady
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Source: (C) 2013 International Herald Tribune. via ProQuest Information and Learning Company; All Rights Reserved
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