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Understanding Stroke and It's After-Effects

 

Hillary Clinton has been coughing for over 2 years, when trying to speak. Not every time, because she is on a number of drugs, ones to suppress her coughing, but mostly to thin her blood, to keep ANOTHER CLOT from forming in her brain.

THERE IS NO DISPUTE: HER HUSBAND, AND HOSPITAL RECORDS SHOW, THAT SHE HIT HER HEAD AND HAD A CONCUSSION, LOSS OF CONSCIOUSNESS, IN 2012.

What they have HIDDEN, OF COURSE, is the fact that HILLARY HAD A STROKE. She was UNSEEN, FOR OVER 6 MONTHS, AFTER HER "BUMP ON THE HEAD".

EIGHT SEPARATE DOCTORS, 4 OF THEM NEUROLOGISTS, SAY SHE SHOWS ALL THE SYMPTOMS OF POST-STROKE PROBLEMS:

 

THE SYMPTOMS LISTED BELOW, I GOT FROM MEDIAL WEBSITES, MERELY LOOKING UP POST- STROKE SYMPTOMS. NEVER MENTIONED HILLARY CLINTON, THEY ARE DOCTOR WEBSITES.

 

1.)Dysphasia - Dysphagia is the medical term for difficulty swallowing or paralysis of the throat muscles. This condition can make eating, drinking, taking medicine and breathing difficult. Many stroke survivors experience dysphagia or trouble swallowing at some point after a stroke. Difficulty swallowing is most common after a stroke, but sometimes declines over time. The brain involuntarily controls the muscles that keep the fluids from the espohagus(stomach tube) from combining with the trachea (lungs tube). After a stroke, the brain's ability to control these muscles is greatly lessened. So when a stroke victim is swallowing, or trying to speak, the fluids from the espohagus start to get into the trachea, causing the stroke victim to sometimes have coughing fits, because the trachea senses there is fluids or food in it, and the person cannot stop coughing, until it is cleared.

2.) Dementia -

Stroke-Related Dementia Symptoms
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Cognitive symptoms may appear abruptly, over weeks or months in a stepwise manner, or even gradually over years. The appearance of symptoms varies by the type of stroke and the part of the brain affected. Cognitive decline usually occurs within 3 months of a recognized stroke and may indicate vascular dementia.

The following are common symptoms of vascular dementia:

  • Memory loss, especially problems remembering recent events
  • Inattention, poor concentration, difficulty following instructions
  • Difficulty planning and organizing tasks
  • Confusion
  • Wandering, getting lost in familiar surroundings
  • Poor judgment
  • Difficulties with calculations, reasoning, or problem solving
  • Psychosis - Agitation, aggression, hallucinations, delusions, loss of contact with reality, inability to relate appropriately to surroundings and other people
  • Mood and behavior changes
  • Depression
  • Laughing or crying inappropriately
Medically Reviewed by a Doctor on 9/1/2015
Medical Author:
Kannayiram Alagiakrishn, MD
Medical Editor:
Nicholas Y Lorenzo, MD
Medical Editor:
Mary L Windle, PharmD
Medical Editor:
Helmi L Lutsep, MD

Symptoms include:

  • Difficulty swallowing
  • Choking when food gets stuck
  • Coughing or gagging while swallowing or speaking
  • Liquid coming out of the nose after trying to swallow
  • Food getting caught in the lungs
  • Weak voice

 

 

 

Objective cough measures were also evaluated in these 96 patients. Three of these objective measures of voluntary cough—expulsive phase rise time (EPRT) >55 m/s, volume acceleration (VA) <50 L/s/s, and expulsive phase peak flow (EPPF) <2.9 L/s—had higher sensitivities (82%, 88%, 91%, respectively) to predict the risk of aspiration than clinical signs such as absent swallow, difficulty handling secretions, or reflexive cough after water bolus. Expulsive phase peak flow and VA measure the rapidity of rise to high flow and high volume cough and both were shown to be independently associated with aspiration as measured by VSE or FEES. Reflexive cough after ice chips or water showed a sensitivity of 39% and specificity of 82%. This indicates that a simple water swallow may miss a significant number of aspirating patients. The authors also noted that 75% of patients that aspirate had cognitive deficits and nearly 90% had speech or language difficulties. Further tightening the cutoffs of cough measures to an EPRT of >67 m/s or a VA of <33 mL/s/s successfully predicted aspirators >90% of the time and >90% of those patients who did not need interventions to reduce their risk for aspiration.17 Measures of EPRT and VA appear to be promising tools for predicting aspiration risk. These may be superior to simple swallow tests or other clinical parameters.

The 2006 American College of Chest Physicians' (ACCP) evidence-based clinical practice guidelines for diagnosis and management of cough contained a section on cough and aspiration of food and liquids due to oral-pharyngeal dysphagia.12 There were 15 recommendations overall. Most of these were moderate recommendations (grade B) with a low level of evidence but a substantial net benefit. The guideline panel recommended patients with cough and high risk of aspiration on history and screening should be referred to a speech-language pathologist (SLP) for oral-pharyngeal swallow evaluation. Those patients that are at high risk for aspiration by diagnosis are patients with Alzheimer’s disease, cerebrovascular disease, and those that are intubated or ventilated for >48 hours. Patients at high risk have the following clinical signs: malnutrition, dysphonia, weak cough, reflexive cough, drooling, require oral pharyngeal suctioning, or a history of cough or choking with eating or drinking. They should also have a careful assessment of nutritional needs.

Understanding Stroke and It's After-Effects

 

Physical effects on either side of the brain

  • Stroke usually affects one side of the brain. Movement and sensation for one side of the body is controlled by the opposite side of the brain.

    • This means that if your stroke affected the left side of your brain, you will have problems with the right side of your body.
    • If your stroke affected the right side of your brain, you will have problems with the left side of your body.

    Changes that may happen after a stroke on either side of the brain include the following.

Abnormal muscle tone

  • This is a nerve problem that can make your movements slow and jerky. There are stages of muscle tone recovery:

    • Your limb or joint may be limp and floppy.
    • Your limb or joint may move on its own when your muscle tone starts to return. It doesn't always do what the brain tells it do to.
    • Your limb or joint begins to respond to your brain.

Bladder changes

  • You may have problems urinating or controlling your urine (urinary incontinence).

    These problems can be caused by damage to the parts of your brain that control your bladder. You might also have an infection.

    Your doctor or nurse can help you regain your normal control.

Bowel changes

  • Constipation is the most common problem after a stroke. This may be caused by lack of liquids or limited physical activity.

    Your doctor or nurse can help you regain your regular bowel pattern.

Cognitive problems

  • You may have problems with memory, thinking, attention or learning. For example, you may:

    • have trouble following directions
    • get confused if something in a room is moved
    • be unable to keep track of the time and date
    • have trouble making decisions
    • have short-term memory loss.

    Because of these concerns, you may do things that are not safe.

Coordination problems

  • You may have reduced hand-eye coordination. When reaching for an object, your arm may waver or your hand may overshoot the object.

Dysarthria Signs of aspiration

  • Watch for these signs of aspiration:

    • a wet-sounding voice
    • a persistent cough, when speaking
    • breathing you can hear
    • struggling when breathing or swallowing
    • shortness of breath
    • rattling sound in your lungs
    • higher body temperature.

    Dysarthria (dis-AR-three-a) means you have a speech problem caused by damage to the motor center in your brain. You know the right words, but have problems saying them.

    Weakness or lack of coordination in your lips, tongue and mouth muscles may affect your:

    • voice
    • word pronunciation
    • speech rate, rhythm and/or resonance
    • ability to chew, suck or swallow
    • breathing.

Who Gets Pneumonia After Stroke and Why

There are many different causes of pneumonia. These causes can be grouped into broad categories: community-acquired pneumonia, hospital-acquired pneumonia, health care−associated pneumonia, ventilator-associated pneumonia, aspiration pneumonia, pneumonia caused by opportunistic organisms, and other. Most available data suggests post-stroke pneumonia is often due to aspiration. Ill hospitalized patients routinely aspirate and patients with an impaired swallowing mechanism due to neurological injury are at especially high risk.9 While the presence of an endotracheal tube may provide some protection against large volume aspiration, the endotracheal tube also interferes with normal defense mechanisms and does not prevent smaller aspiration of pharyngeal or gastric contents.10,11

Normal swallowing involves multiple complex and coordinated interactions. These interactions involve both the central and peripheral nervous system. Normal swallowing involves 4 phases: (1) oral, (2) oral propulsive, (3) pharyngeal, and (4) esophageal. Mastication and preparation make up the oral phase. The oral propulsive phase begins as the soft palate lifts to close the nasopharynx and propel the bolus posteriorly. During the pharyngeal phase, there is upward movement of the hyoid and larynx, closure of the vocal cords, closure of the epiglottis over the airway, and pharyngeal contraction to propel the bolus. The esophageal phase involves propulsion of the bolus along the esophagus to the stomach. The term penetration refers to the leakage of material into the larynx to the level of the true vocal folds (Figure 1 ). This is a strong indicator of aspiration risk. True aspiration indicates tracheal contamination.12

10.1177_1941875210395775-fig1.gif

Objective cough measures were also evaluated in these 96 patients. Three of these objective measures of voluntary cough—expulsive phase rise time (EPRT) >55 m/s, volume acceleration (VA) <50 L/s/s, and expulsive phase peak flow (EPPF) <2.9 L/s—had higher sensitivities (82%, 88%, 91%, respectively) to predict the risk of aspiration than clinical signs such as absent swallow, difficulty handling secretions, or reflexive cough after water bolus. Expulsive phase peak flow and VA measure the rapidity of rise to high flow and high volume cough and both were shown to be independently associated with aspiration as measured by VSE or FEES. Reflexive cough after ice chips or water showed a sensitivity of 39% and specificity of 82%. This indicates that a simple water swallow may miss a significant number of aspirating patients. The authors also noted that 75% of patients that aspirate had cognitive deficits and nearly 90% had speech or language difficulties. Further tightening the cutoffs of cough measures to an EPRT of >67 m/s or a VA of <33 mL/s/s successfully predicted aspirators >90% of the time and >90% of those patients who did not need interventions to reduce their risk for aspiration.17 Measures of EPRT and VA appear to be promising tools for predicting aspiration risk. These may be superior to simple swallow tests or other clinical parameters.

The 2006 American College of Chest Physicians' (ACCP) evidence-based clinical practice guidelines for diagnosis and management of cough contained a section on cough and aspiration of food and liquids due to oral-pharyngeal dysphagia.12 There were 15 recommendations overall. Most of these were moderate recommendations (grade B) with a low level of evidence but a substantial net benefit. The guideline panel recommended patients with cough and high risk of aspiration on history and screening should be referred to a speech-language pathologist (SLP) for oral-pharyngeal swallow evaluation. Those patients that are at high risk for aspiration by diagnosis are patients with Alzheimer’s disease, cerebrovascular disease, and those that are intubated or ventilated for >48 hours. Patients at high risk have the following clinical signs: malnutrition, dysphonia, weak cough, reflexive cough, drooling, require oral pharyngeal suctioning, or a history of cough or choking with eating or drinking. They should also have a careful assessment of nutritional needs.
Video swallowing study of 67-year-old male with recent stroke with evidence of aspiration.

Stellars et al in a prospective study identified several independent risk factors for developing post-stroke pneumonia in the hospital.3 Ten parameters were assessed in 412 patients as predictors of pneumonia following stroke. Standardized criteria were used to establish the presence of in-hospital chest infection.13The findings of this study confirm the multifactorial nature of post-stroke pneumonia. It also identified many predictors of which stroke patients would develop pneumonia. Five of the ten tested parameters were useful predictors: age >65 years, dysarthria or no speech due to aphasia, modified Rankin Scale ≥4, abbreviated mental test score <8, and a failed bedside progressive water swallow test. Two or more of these factors correctly predicted pneumonia with 90.9% sensitivity and 75.6% specificity. Interestingly, oral health was not an independent predictor in this study. Other studies have indicated an association of COPD, smoking,14level of dependence,15 oral health status, and presence of bacterial pathogens in the mouth16 with the development of pneumonia in patients post stroke.

As many as one-half of patients with stroke have a dysfunctional swallow and about one-third aspirate on video swallow.12,17,18 Among patients that aspirate, one-third develop pneumonia. Half the patients that aspirate do it silently.18 The location of the stroke does not appear to assist in aspiration risk assessment. McCullough et al noted in a series of 160 patients that bilateral subcortical stroke patients seemed to have an increased occurrence of aspiration over other types of unilateral and bilateral stroke patients.

 

 

www.youtube.com/watch?v=2dCJ2ohcP2M

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P.S. - Dr. Drew AND OTHERS ARE SERIOUSLY CONCERNED, FOR THE HEALTH OF HILLARY CLINTON, BECAUSE IT APPEARS THESE SYMPTOMS ARE BEING "IGNORED" FOR THE SAKE OF POLITICAL PURPOSES. HER HEALTH MAY BE IN DANGER, IF SHE SUFFERS ANOTHER STROKE, BECAUSE HER ENTOURAGE IS BEING TOLD TO "JUST KEEP PUSHING HER OUT THERE", AND SHE NEEDS SERIOUS MEDICAL ATTENTION!

 

 

LISTEN TO WHAT DR. MARC SIEGEL SAYS!

 

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If Hillary dies, we get Tim Kaine. Still better than Trump.

But Hillary is in better shape than JFK.

 

 

HAAAAAAAAAAAAAAAAHAHAHAHAAAHHA!

 

THE PEOPLE ON THIS SITE WHO SAY YOU ARE A COMPLETE MORON ASSHOLE ARE RIGHT!

 

YOU MEAN, "JFK", THE PRESIDENT WHO HID THE FACT HE HAD ADDISON'S DISEASE, AND A SEVERE, DEBILITATING BACK CONDITION, WHO WAS "SHOT UP" WITH A DRUG COCKTAIL, IMMEDIATELY BEFORE GOING OUT TO DEBATE NIXON?

 

 

(Hey, Up-Ass-iss....How 'bout ATLANTIC MAGAZINE?- EVEN THOUGH THE WHOOLE WORLD KNOWS THIS! (except for you, evidently- ou ARE a Total MORON! Haahaha!)

 

******************************************************************************************

 

The Medical Ordeals of JFK

The core of the Kennedy image was, in many respects, a lie. A presidential biographer, granted access to medical files, portrays a man far sicker than the public knew.

Subscribe to The Atlantic’s Politics & Policy Daily, a roundup of ideas and events in American politics.

Kennedy's chronically bad back was only one of his enduring ailments. Here, he is heading to the presidential yacht in June 1961 to host the Japanese prime minister. (Associated Press)

the lifelong health problems of John F. Kennedy constitute one of the best-kept secrets of recent U.S. history—no surprise, because if the extent of those problems had been revealed while he was alive, his presidential ambitions would likely have been dashed. Kennedy, like so many of his predecessors, was more intent on winning the presidency than on revealing himself to the public. On one level this secrecy can be taken as another stain on his oft-criticized character, a deception maintained at the potential expense of the citizens he was elected to lead. Yet there is another way of viewing the silence regarding his health—as the quiet stoicism of a man struggling to endure extraordinary pain and distress and performing his presidential (and pre-presidential) duties largely undeterred by his physical suffering. Does this not also speak to his character, but in a more complex way? …

Evidence of Kennedy’s medical problems has been trickling out for years. In 1960, during the fight for the Democratic nomination, John Connally and India Edwards, aides to Lyndon B. Johnson, told the press—correctly—that Kennedy suffered from Addison’s disease, a condition of the adrenal glands characterized by a deficiency of the hormones needed to regulate blood sugar, sodium and potassium, and the response to stress. They described the problem as life-threatening and requiring regular doses of cortisone. The Kennedys publicly denied the allegation …

It appears that Richard Nixon may have tried at one point to gain access to Kennedy’s medical history. In the fall of 1960, as he and JFK battled in what turned out to be one of the closest presidential elections ever, thieves ransacked the office of Eugene J. Cohen, a New York endocrinologist who had been treating Kennedy for Addison’s disease. When they failed to find Kennedy’s records, which were filed under a code name, they tried unsuccessfully to break into the office of Janet Travell, an internist and pharmacologist who had been relieving Kennedy’s back pain with injections of procaine (an agent similar to lidocaine). Although the thieves remain unidentified, it is reasonable to speculate that they were Nixon operatives; the failed robberies have the aura of Watergate and of the break-in at the Beverly Hills office of Daniel Ellsberg’s psychiatrist.

Using personal letters, Navy records, and oral histories, biographers and historians over the past 20 years have begun to fill in a picture of Jack Kennedy as ill and ailment-ridden for his entire life—a far cry from the paragon of vigor (or “vigah,” in the family’s distinctive Massachusetts accent) that the Kennedys presented. After a sickly childhood he spent significant periods during his prep-school and college years in the hospital for severe intestinal ailments, infections, and what doctors thought for a time was leukemia. He suffered from ulcers and colitis as well as Addison’s disease, which necessitated the administration of regular steroid treatments. And it has been known for some time that Kennedy endured terrible back trouble. He wrote his book Profiles in Courage while recovering from back surgery in 1954 that almost killed him.

JFK dismissed questions about his doctor’s injections, saying, “I don’t care if it’s horse piss. It works.”

But the full extent of Kennedy’s medical ordeals has not been known unt

*****************************************************************************

 

AND THIS OP ISN'T ABOUT KENNEDY - WE ALREADY KNOW, HE LIED, AND KEPT HIS HEALTH A SECRET......

 

WHAT THIS OP IS ABOUT, WHAT I HAVE BEEN TELLING YOU ALL FOR OVER 2 MONTHS, IS THAT HILLARY AND HER PEOPLE ARE HIDING MUCH WORSE, THAN EMAILS, A LYING, CROOKED CANDIDATE, WHO'S WILLING TO LET PEOPLE DIE, TO SAVE HER POLITICAL FORTUNES!...WE ALREADY KNEW THAT!

 

SHE ISN'T CAPABLE OF DOING THE JOB!- NOT ONLY DANGEROUSLY INCOMPETENT, SHE'S SERIOUSLY ILL, AND HER "HANDLERS" MAY CAUSE HER TO END UP IN A PERMANENT HOSPITAL BED!

 

SHE'LL COLLAPSE AFTER A MONTH!

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P.S. - Dr. Drew AND OTHERS ARE SERIOUSLY CONCERNED, FOR THE HEALTH OF HILLARY CLINTON, BECAUSE IT APPEARS THESE SYMPTOMS ARE BEING "IGNORED" FOR THE SAKE OF POLITICAL PURPOSES. HER HEALTH MAY BE IN DANGER, IF SHE SUFFERS ANOTHER STROKE, BECAUSE HER ENTOURAGE IS BEING TOLD TO "JUST KEEP PUSHING HER OUT THERE", AND SHE NEEDS SERIOUS MEDICAL ATTENTION!

 

 

LISTEN TO WHAT DR. MARC SIEGEL SAYS!

 

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ALLRIGHT - THIS SAYS IT ALL!

 

 

https://www.youtube.com/watch?v=a-xjiXfJ58Q&app=desktop

 

 

 

 

 

 

 

 

 

 

P.S. I DON'T KNOW WHO THAT LONG HAIRED DIRTY GUY IS, THAT SHIT-O-HEAD PUT UP THERE...

 

OBVIOUSLY SOME WINO-BUM, THE HILLARY PEOPLE FISHED OUT OF A SHELTER, PUT IN A WHITE COAT, AND PAID TO READ SOME WORDS ON YOUTUBE..........

 

BUT I DO KNOW, THAT RESPECTED, HONORED DOCTORS (FOUR OF THEM NEUROLOGISTS, ALONG WITH DR. DREW PINSKY, WHO'S AN EXPERT ON PEOPLE "HIDING THINGS", DR. MARC SIEGEL, ABOVE, AND HERE'S SOME MORE DOCTORS:

 

 

 

 

WHERE ARE THE DOCTORS WILLING TO SWEAR SHE IS HEALTHY, EXCEPT FOR THAT PAID-SHILL-LESBIAN THAT HILLARY KEEPS AROUND?

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Ahh, the concern over Hillarys health. What about Trump? He would be the oldest President ever elected, who is obviously insane, changes policys daily, sometimes by the hour, and is a child molester. Where is his health report? The real one? We know he is on prescribed drugs, canceling campaign stops, why aren't they listed in the 5 minute joke of the year health report?

 

 

 

 

Why these guys are just both so unfit to be President. Let

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*****************************************************************************************************************************

 

SHIT-O-HEAD : DON'T YOU SEE HER??

 

SHE'S FALLING DOWN, WALKING ON STAGE, THEY HAVE TO WALK HER, HOLD HER UP, SHE FREEZES AND CAN'T THINK, HER BIG SECRET-SERVICE GUY HAD TO KEEP TELLING HER..."Just keep talking, say something, we'll get you outa here.."

Because of her dysphasia, she can't SPEAK, WITHOUT HAVING A COUGHING FIT!

THESE ARE ALL SERIOUS SYMPTOMS, OF A POST-STROKE CONVALESCENCE THAT IS NOT GOING WELL!

 

IF YOU REALLY LOVE HILLARY, HAVE HER CHECKED INTO A HOSPIATL, WITH SOME REAL DOCTORS, WHO CARE ABOUT HER!

 

**********************************************

 

 

P.S. I DON'T KNOW WHO THAT LONG HAIRED DIRTY GUY IS, THAT SHIT-O-HEAD PUT UP THERE...

 

OBVIOUSLY SOME WINO-BUM, THE HILLARY PEOPLE FISHED OUT OF A SHELTER, PUT IN A WHITE COAT, AND PAID TO READ SOME WORDS ON YOUTUBE..........

 

BUT I DO KNOW, THAT RESPECTED, HONORED DOCTORS (FOUR OF THEM NEUROLOGISTS, ALONG WITH DR. DREW PINSKY, WHO'S AN EXPERT ON PEOPLE "HIDING THINGS", DR. MARC SIEGEL, ABOVE, AND HERE'S SOME MORE DOCTORS:

 

 

 

 

WHERE ARE THE DOCTORS WILLING TO SWEAR SHE IS HEALTHY, EXCEPT FOR THAT PAID-SHILL-LESBIAN THAT HILLARY KEEPS AROUND?

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*****************************************************************************************************************************

 

SHIT-O-HEAD : DON'T YOU SEE HER??

 

 

 

WHERE ARE THE DOCTORS WILLING TO SWEAR SHE IS HEALTHY, EXCEPT FOR THAT PAID-SHILL-LESBIAN THAT HILLARY KEEPS AROUND?

 

Cumm drinker, you are not a doctor, your masturbating all over yourself because another cumm drinking con is coming up with nonsense. Just take a deep drink from your cumm cup and calm down. Did you bother to read her extensive health report? It tells you she has hypothyroidism, and a symptom of dry coughing. Clinton’s current medications, include Armour Thyroid, antihistamines, Vitamin B-12 and Coumadin, an anticoagulant. Her latest physical exam was March 21. Now go blow a bucket of cocks you paranoid child molesting lover pedophile.

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