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Woody Yocum's avatar

The ‘Hinge of Fate’ Redux

I joined the Bulwark in response to a wonderful article by Cathy Young/Charlie Sikes entitled, ‘The Hinge of Fate’ published shortly after the’22 Russian invasion of Ukraine. It seems we are at a similar moment now where the future of the free world hangs very much in the balance. We all know what we saw in Thursday’s debate and Bob Woodward is very much on mark in saying we MUST learn the ‘How and Why’ of this immediately to plan next steps. We have all seen the effects on family members aging and this experience that many of us have had over decades should point us towards some very specific questions. I am not a doctor and will only relate experiences of my mother’s illness as it relates to these questions.

As my mother’s cognition failed, we sought every kind of test and she was found negative for Altheimers and many other specific dementias. In the end a number off doctors explained to us that her diminishment was more likely the result of many small events that they called ‘micro-strokes ‘.They said that the vascular problems that run in our family especially a tendency towards aneurism could cause tiny pieces of arterial plaque to float free and become lodged in the very smallest blood vessels in the brain causing a number of tiny almost imperceptible stroke like events. These are individually almost impossible to diagnose but their effect is cumulative. Over time, as my mother lost recognition of me as anyone other than the nice young man who brought her milkshakes, everyone in our family accepted this explanation. It fit every aspect of the progression of her disease.

I recount our experience not as uninformed amateur diagnoses for the President but to point us towards questions that need be comprehensively answered immediately. These are in nature utterly different than the general findings of even the most thorough standard physical medical examination. The President needs to undergo all five major types of brain scan repeatably of a period of several weeks. The most important of these would be the CT Angiography which would show any variation in circulation within the brain over time. The question that needs to be answered is not whether the President is a healthy 81 year old, but rather are there any detectable accumulating changes in brain circulation over time in the brain or other anomaly that could suggest changes in cognition. These questions are made all the more urgent by the fact that the President suffered a life-threatening aneurism decades ago and should be counted as member of a high-risk group in this regard

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The answer to these questions would go some way towards answering at least the ‘How’ that Bob Woodward posits and point to a prognosis for the President. Anything less would indicate only further gaslighting from members of this administration.

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