Doctors expect Clinton’s full recovery from clot



THE ASSOCIATED PRESS

Published — Thursday 3 January 2013

Last update 3 January 2013 12:55 am

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WASHINGTON: Doctors treating US Secretary of State Hillary Rodham Clinton for a blood clot in her head said blood thinners were being used to dissolve the clot and they were confident she will make a full recovery.
Clinton didn’t suffer a stroke or neurological damage from the clot that formed after she had a concussion during a fainting spell at her home in early December, doctors said.
Clinton, 65, was admitted to a New York City hospital on Sunday when the clot was found on a follow-up exam on the concussion, Clinton spokesman Phillipe Reines said.
The popular secretary of state and former first lady had already planned to step down at the beginning of President Barack Obama’s second term, which begins this month. Whether she will return to work before she resigns remained a question.
The clot is located in the vein in the space between the brain and the skull behind the right ear. She will be released once the medication dose for the blood thinners has been established, the doctors said.
In their statement, Dr. Lisa Bardack of the Mount Kisco Medical Group and Dr. Gigi El-Bayoumi of George Washington University said Clinton was making excellent progress and was in good spirits.
Clinton’s complication “certainly isn’t the most common thing to happen after a concussion” and is one of the few types of blood clots in the skull or head that are treated with blood thinners, said Dr. Larry Goldstein, a neurologist who is director of Duke University’s stroke center. He is not involved in Clinton’s care.
The area where Clinton’s clot developed is “a drainage channel, the equivalent of a big vein inside the skull. It’s how the blood gets back to the heart,” Goldstein said.
Blood thinners usually are enough to treat the clot, and it should have no long-term consequences if her doctors are saying she has suffered no neurological damage from it, Goldstein said.
Clinton returned to the US from a trip to Europe, then fell ill with a stomach virus in early December that left her severely dehydrated and forced her to cancel a trip to North Africa and the Middle East. Until then, she had canceled only two scheduled overseas trips, one to Europe after breaking her elbow in June 2009 and one to Asia after the February 2010 earthquake in Haiti.
Her condition worsened when she fainted, fell and suffered a concussion while at home alone in mid-December as she recovered from the virus. It was announced Dec. 13.
This isn’t the first time Clinton has suffered a blood clot. In 1998, midway through her husband’s second term as president, Clinton was in New York fundraising for the midterm elections when a swollen right foot led her doctor to diagnose a clot in her knee requiring immediate treatment.

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