Dr. Ted Noel gives a concise explanation of Hillary's eye problem. Suffice it to say, she is a very sick woman.
https://www.youtube.com/watch?v=eY5CqjmqWVI
Hillary Clinton exhibited abnormal eye movements during her recent speech in
Philadelphia and they were not photo shopped.
Her eyes did not always move in the same
direction at the same time. It appears that she has a problem with her left
sixth cranial nerve. That nerve serves only one function and that is to make
the lateral rectus muscle contract. That muscle turns the eye in the direction
away from the midline.
It comes out of the
base of the brain and runs along the floor of the skull, immediately beneath
the brain before coursing upward to the eye. Dysfunction of that muscle causes
the striking picture of the eyes not aiming in the same direction and causes
the patient to suffer double vision.
Like all things medical, there is a long list of
potential causes but in my opinion the most likely one, based on Clinton's
known medical history is an intermittent lateral rectus palsy caused by damage
to or pressure on her sixth cranial nerve.
It is known that she
suffered a traumatic brain injury in late 2012 when she fell and struck her
head. What is also known is that she was diagnosed with a transverse sinus
thrombosis — blood clot in the major vein at the base of the brain. Almost all
patients with a transverse sinus thrombosis suffer swelling of the brain and
increased intracranial pressure. Most have headaches, balance issues and visual
disturbances — all of which Clinton was reported to have following that event.
Clinton's physician reported that she was placed on
Coumadin (a blood thinner) to dissolve the blood clot. Actually, that is
incorrect, because Coumadin has no effect on an existing clot. It serves only to
decrease the chance of further clotting occurring. Clinton's physician has also reported that on
follow up exam, the clot had resolved. That is surprising since the majority of
such clots do not dissolve. The way it was documented that the clot had
resolved has not been reported.
If, as is statistically likely,
Clinton's transverse sinus is still blocked, she would still have increased
pressure and swelling and decreased blood flow to her brain. That swelling
would place pressure on the exposed portion of the sixth cranial nerve at the
base of her brain, explaining the apparent lateral rectus palsy. And such a
deficit can be partial and/or intermittent.
Additionally, when patients who have decreased
intracranial blood flow becoming volume depleted (dehydrated) or have a drop in
blood pressure loss of consciousness can occur. That could explain her
witnessed collapse in New York City on 9/11.
One thing that is
taught early in medical school is that a patient's history, physical exam,
signs and symptoms should usually lead to a single diagnosis.
Crudely put
"when you itch, it is probably not lice and fleas but one or the
other." More professionally put, in most cases the patient's symptoms can
be explained by one unifying diagnosis, not a constellation of disparate ones.
The admittedly speculative scenario I propose is an attempt to understand and
rationally explain what is going on, based on known facts and the observable
signs exhibited by Clinton.
Having previously
written about this, I once again suggest that she undergo an independent
neurologic exam and have proper studies to determine whether or not she still
has a blood clot at the base of her brain, swelling of the brain, increased
intracranial pressure and whether or not her 2012 traumatic brain injury was
accompanied by a skull fracture with or without bleeding around or in the brain
itself and if there are any residual areas of scarring of the brain.
Critics will rightly
point out that I have not examined Clinton. They will point out that I am not
ophthalmologist or a neurologist. But I am a physician and the concepts discussed
above are taught to every medical student early in their education. Her
traumatic brain injury, transverse sinus thrombosis, subsequent symptoms,
falling, passing out and now the obvious problem with eye movement are all
fact, not speculation.
It would be very
helpful if Clinton agreed to an independent exam and to have the questions
raised here answered. It is too important not to get this right.
John R. Coppedge,
MD, FACS is a general surgeon from Texas
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