Showing posts with label Health. Show all posts
Showing posts with label Health. Show all posts

June 11, 2018

The Reason for US Life Expectancy To Have Gone Down {Inequality}


This statement should answer any question about the "inequality" on the title:
Who gets the best health care in this country(US or any country)? the ones that have all the money, not the best insurance. Insurance does not pay a Doctor to cure you but only to try not to hurt you and he/she most medicine you. You have to keep coming back to make this system keep going. Along the way, a particular congress paid by Insurance companies and an ignorant president decided the Insurance companies were not making enough money because there were too many people insured; So they even started to kill this system.

Living in the US increasingly looks like a health risk. Average life expectancy here dropped for the second year in a row, according to recent data from the Centers for Disease Control and Prevention. The grim trend stems from a toxic mixture of more drug- and alcohol-related deaths and more heart disease and obesity in many parts of the country. And it puts Americans at a higher risk of early death compared to their counterparts in other wealthy countries.
But what’s often lost in the conversation about the uptick in mortality here is that this trend isn’t affecting all Americans. In fact, there’s one group in the US that’s actually doing better than ever: the rich. While poor and middle-class Americans are dying earlier these days, the wealthiest among us are enjoying unprecedented longevity. 
So when we talk about life expectancy slipping, what we should also talk about is the growing problem of health inequality in America. And it’s an increasingly urgent discussion, health researchers are warning, because of policy changes on the horizon that are poised to make the mortality gap even wider. 
Some of these policies will hamper access to medical care (such as failing to fund CHIP, the health insurance program for low-income children) but others that aren’t even directly related to health care — like tax cuts — may have even more insidious effects on the American mortality gap. 

America’s alarming life expectancy gap 

The rich have long-enjoyed more longevity than the poor, but the gap in life expectancy has been widening in the US over the last few decades, along with other types of social and income inequality here. 
The CDC’s Division of Vital Statistics, which tracks mortality in the US, uses death certificates as the data source and doesn’t collect family income data. But we do have good data on the mortality gap and income from a study published in JAMA in 2016.  A group of researchers, led by Stanford University economist Raj Chetty, analyzed income data for the US population from 1.4 billion tax records between 1999 and 2014. They then compared it with mortality data from Social Security Administration death records. They found that, from 2001 to 2014, the richest Americans gained about five years of longevity, while life expectancy for the poor didn’t budge: 


Changes in race- and ethnicity-adjusted life expectancy by income group, 2001 to 2014.

 JAMA


 They also found that men who were among the top 1 percent of income earners lived 15 years longer than men at the bottom 1 percent. For women at the extremes of the income distribution, life expectancy differed by 10 years. At Vox, we broke their data down by state, and you can see that wealthier Americans are living longer than poorer Americans all across the country. (Here’s the data on men, but the same trends hold for women.)   his life expectancy divide between rich and poor Americans has been growing for decades. A report from the National Academies of Science looked at life expectancy by income groups between 1980 and 2010. In 1980, the richest cohort of middle-aged American men could expect to live until about 83 and the poorest, to 76. By 2010, the richest American males had gained six years in life expectancy, living to 89 on average, while life expectancy for the poorest men hadn’t improved. (The Washington Post has nice visualizations of the data in the report here.)

“Because we have widening income inequality and there’s a bigger gap between the haves and have-nots,” said Steven Woolf, a researcher at Virginia Commonwealth University who has been researching income and mortality. “We are seeing a bigger divide in mortality.” 

Tax reform and other Trump-era policies are expected to make the gap worse

This growing gap should be “a dramatic reminder of what actually affects our health,” Woolf added. 
We often think about health status in terms of access to doctors, hospitals, and medicines. But access to health care only accounts for about 10 to 20 percent of our health outcomes. Far more influential on our health is our socioeconomic status and certain health behaviors, like smoking, eating healthfully, and getting exercise.  
In Chetty’s study, for example, the researchers found that life expectancy among the poorest individuals was “significantly correlated” with health behaviors like smoking, obesity, and exercise. Poorer people are more likely to be overweight, smoke, and drink compared to their wealthier counterparts. Interestingly, these effects seemed to be mitigated in places that had enacted policies to curb poor health behaviors — such as anti-smoking laws or trans fat bans in cities. 
Right now, there are several policies on the horizon that are not only expected to hamper health care access but exacerbate income inequality — and widen the life expectancy disparity, David Blumenthal, president of the Commonwealth Fund, says. Blumenthal has written about the potential effects of the tax bill, which passed through the Senate in December, on low- and middle-income Americans in particular, and how it’ll disproportionately ding them while rich Americans and corporations will enjoy tax breaks:
Blumenthal told Vox, “We can expect ... to see the gap in life expectancy and health care outcomes between low- and high-income Americans grow in coming years if gaps in income increase.” 
Vox’s Dylan Scott and Alvin Chang have also argued that the tax bill — because of its tax breaks for the rich — “takes the wheel of America’s already-dramatic income inequality and presses the accelerator.” It’ll also repeal Obamacare’s individual mandate, resulting in an estimated 13 million fewer Americans with health insurance. That’s not to mention Congress’s failure to fund CHIP and its proposed cuts to Medicaid — health insurance programs for low-income American children and adults — both moves that have been endorsed by the Trump administration, 
So instead of just focusing on the overall decline in life expectancy, we need to start talking about these links between policy, and worsening income inequality and its relationship to the growing mortality gap. If we don’t, Woolf warned, we’ll fail to see the solutions to America’s early death problem.

March 21, 2018

From The NIH " Minoxidil May Improve Blood Vessel Structure"

Grow your 'hair while making your blood vessels stronger'. I can already see the ads but that is not the reason this is being published but because you have two conditions that affect millions and you have a known substance that helps one and possibly the second. On the second it could be a lifesaver not just cosmetics like having more hair. Adam


Blood vessel sliced open to show wallThe structure of blood vessel walls can affect the flow of blood through the vessels. alex-mit/iStock/Thinkstock 

Elastic fibers in the walls of large blood vessels enable them to bounce back after being stretched. The diameter of vessels is controlled by both the amount of elastic fibers present and the degree of squeezing from smooth muscle cells in the vessel walls. A larger diameter allows more blood through. As adults age, their blood vessels slowly begin to lose flexibility. The increased vessel stiffness and reduced vessel diameter that result contribute to the aging-related risk of heart attack, stroke, and dementia. There are also rare diseases that can cause lifelong vessel stiffness from insufficient elastic fibers.

The dozens of drugs on the market for reducing blood pressure work in very different ways. Minoxidil, which also promotes hair growth when used on the scalp, can relax the smooth muscle cells in blood vessels by opening certain potassium channels. Prior studies with animals suggested that another function of the drug is to turn on the genes for elastin (a protein found in elastic fibers) and other elastic fiber genes, such as Fbn-1 and Lox, causing elastin deposits within the blood vessel wall.

To find out whether an oral form of minoxidil can remodel the vessel’s wall to reduce blood vessel stiffness and enhance blood flow to the brain, researchers studied the drug’s effects in mice. The team was led by Dr. Beth A. Kozel of NIH’s National Heart, Lung, and Blood Institute (NHLBI) and Washington University School of Medicine’s Dr. Joel R. Garbow and Dr. Michael Shoykhet (now at Children’s National Hospital). The study was also funded in part by NIH’s National Institute of Neurological Disorders and Stroke (NINDS). Results were published online on March 2, 2018, in the American Journal of Physiology-Heart and Circulatory Physiology.

The research team studied mice that were genetically modified to have low levels of elastin in their blood vessels. As a result, the mice had high blood pressure, increased blood vessel stiffness, and reduced blood flow to the brain. One group of modified mice received minoxidil in their drinking water from weaning until 3 months, a second group was treated for only the two weeks before elastin gene studies, and a third group had plain water instead.

The scientists found that minoxidil lowered blood pressure and vessel stiffness to levels similar to healthy mice. Imaging tests showed that vessel diameter and blood flow to the brain increased in the minoxidil-treated mice. One month after the drug was stopped, the diameter was still enlarged, suggesting that the structure of the blood vessel walls had changed. Using protein analyses and tissue studies, the team showed that minoxidil increased elastin deposits in blood vessels. Gene studies revealed that minoxidil revs up not only elastin and elastic fiber genes but also more than 100 other genes related to blood vessel structure.

Taken together, the findings suggest that treatment with minoxidil lowers blood pressure in part by remodeling large blood vessel walls. The structural changes reduce stiffness, increase blood vessel diameter, and improve blood flow to the brain.

“These results in mice are promising,” Kozel says. “We are looking forward to future clinical trials to test how this medication impacts blood flow in people.”

 —by Geri Piazza
National Institutes of Health

It is adamfoxie's 10th🦊Anniversay. 10 years witnessing the world and bringing you a pieace whcih is ussually not getting its due coverage.

February 3, 2018

Trump Reduces Money to CDC and Thus 80% of Global Health Efforts Cancelled


Where did The money go?? Tx Breaks for the rich and a few dollars for working people plus newer and better nukes

AIDS/HIV         Swine FLU                     Lung Pathogens                    
                Ebola                   Spanish FLU                           Vaccines      ...............................................XMoreX  Less To Come 

                                                                    


Four years after the United States pledged to help the world fight infectious-disease epidemics such as Ebola, the Centers for Disease Control and Prevention is dramatically downsizing its epidemic prevention activities in 39 out of 49 countries because money is running out, U.S. government officials said.

The CDC programs, part of a global health security initiative, train front-line workers in outbreak detection and work to strengthen laboratory and emergency response systems in countries where disease risks are greatest. The goal is to stop future outbreaks at their source.
Most of the funding comes from a one-time, five-year emergency package that Congress approved to respond to the 2014 Ebola epidemic in West Africa. About $600 million was awarded to the CDC to help countries prevent infectious-disease threats from becoming epidemics. That money is slated to run out by September 2019. Despite statements from President Trump and senior administration officials affirming the importance of controlling outbreaks, officials and global infectious-disease experts are not anticipating that the administration will budget additional resources. 
Two weeks ago, the CDC began notifying staffers and officials abroad about its plan to downsize these activities, because officials assume there will be “no new resources,” said a senior government official speaking on the condition of anonymity to discuss budget matters. Notice is being given now to CDC country directors “as the very first phase of a transition,” the official said. There is a need for “forward planning,” the official said, to accommodate longer advance notice for staffers and for leases and property agreements. The downsizing decision was first reported by the Wall Street Journal.
The CDC plans to narrow its focus to 10 “priority countries,” starting in October 2019, the official said. They are India, Thailand, and Vietnam in Asia; Jordan in the Middle East; Kenya, Uganda, Liberia, Nigeria and Senegal in Africa; and Guatemala in Central America.
Countries, where the CDC is planning to scale back, include some of the world’s hot spots for emerging infectious disease, such as China, Pakistan, Haiti, Rwanda, and Congo. Last year, when Congo experienced a potentially deadly Ebola outbreak in a remote, forested area, CDC-trained disease detectives and rapid responders helped contain it quickly. 
In Congo's capital of Kinshasa, an emergency operations center established last year with CDC funding is operational but still needs staffers to be trained and protocols and systems to be put in place so data can be collected accurately from across the country, said Carolyn Reynolds, a vice president at PATH, a global health technology nonprofit group that helped the Congolese set up the center. 
This next phase of work may be at risk if CDC cuts back its support, she said. “It would be akin to building the firehouse without providing the trained firemen and information and tools to fight the fire,” Reynolds said in an email.
If more funding becomes available in the fiscal year that starts Oct. 1, the CDC could resume work in China and Congo, as well as Ethiopia, Indonesia and Sierra Leone, another government official said, also speaking on the condition of anonymity to discuss budget matters.
In the meantime, the CDC will continue its work with dozens of countries on other public health issues, such as HIV, tuberculosis, malaria, polio eradication, vaccine-preventable diseases, influenza and emerging infectious diseases.
Global health organizations said critical momentum will be lost if epidemic prevention funding is reduced, leaving the world unprepared for the next outbreak. The risks of deadly and costly pandemic threats are higher than ever, especially in low- and middle-income countries with the weakest public health systems, experts say. A rapid response by a country can mean the difference between an isolated outbreak and a global catastrophe. In less than 36 hours, infectious disease and pathogens can travel from a remote village to major cities on any continent to become a global crisis. 
On Monday, a coalition of global health organizations representing more than 200 groups and companies sent a letter to U.S. Health and Human Services Secretary Alex Azar asking the administration to reconsider the planned reductions to programs they described as essential to health and national security.
“Not only will CDC be forced to narrow its countries of operations, but the U.S. also stands to lose vital information about epidemic threats garnered on the ground through trusted relationships, real-time surveillance, and research,” wrote the coalition, which included the Global Health Security Agenda Consortium and the Global Health Council.
The coalition also warned that complacency, after outbreaks have been contained, leads to funding cuts, followed by ever more costly outbreaks. The Ebola outbreak cost U.S. taxpayers $5.4 billion in emergency supplemental funding, forced several U.S. cities to spend millions in containment, disrupted global business and required the deployment of the U.S. military to address the threat. 
“This is the front line against terrible organisms,” said Tom Frieden, the former CDC director who led the agency during the Ebola and Zika outbreaks. He now heads Resolve to Save Lives, a global initiative to prevent epidemics. Referring to dangerous pathogens, he said: “Like terrorism, you can’t fight it just within our borders. You’ve got to fight epidemic diseases where they emerge.”
Without additional help, low-income countries are not going to be able to maintain laboratory networks to detect dangerous pathogens, Frieden said. “Either we help or hope we get lucky it isn’t an epidemic that travelers will catch or spread to our country,” Frieden said.
The U.S. downsizing could also lead other countries to cut back or drop out from “the most serious multinational effort in many years to stop epidemics at their sources overseas,” said Tom Inglesby, director of the Center for Health Security at the Johns Hopkins Bloomberg School of Public Health.
CDC spokeswoman Kathy Harben said the agency and federal partners remain committed to “prevent, detect and respond to infectious disease threats.”
The United States helped launch an initiative known as the Global Health Security Agenda in 2014 to help countries reduce their vulnerabilities to public health threats. More than 60 countries now participate in that effort. At a meeting in Uganda in the fall, administration officials led by Tim Ziemer, the White House senior director for global health security, affirmed U.S. support to extend the initiative to 2024.
“The world remains under-prepared to prevent, detect, and respond to infectious disease outbreaks, whether naturally occurring, accidental or deliberately released,” Ziemer wrote in a blog post before the meeting. “. . . We recognize that the cost of failing to control outbreaks and losing lives is far greater than the cost of prevention.”
The CDC has about $150 million remaining from the one-time Ebola emergency package for these global health security programs, the senior government official said. That money will be used this year and in fiscal 2019, but without substantial new resources, that leaves only the agency's core annual budget, which has remained flat at about $50 million to $60 million.
Officials at the CDC, the Department of Health and Human Services and the National Security Council pushed for more funding in the president's fiscal 2019 budget to be released this month. A senior government official said Thursday that the president's budget "will include details on global health security funding," but declined to elaborate.
The Washington Post

January 20, 2018

Justice Sotomayor Suffers a Sugar Low From Diabetes One







CNN Reported the following Fridy afternoon: US Supreme Court Justice Sonia Sotomayor suffered "symptoms of low blood sugar" and paramedics were called to her home Friday, according to a Supreme Court spokesperson. 
The spokesperson said Sotomayor, 63, is doing fine. The associate justice was treated and then returned to work.
Earlier this morning, Sotomayor attended the court's weekly closed door conference. The justices discussed whether to take up a challenge to President Donald Trump's latest version of his travel ban and later announced they would do so. 
    Sotomayor was diagnosed with type 1 diabetes at the age of 8 and has been public about her struggle with the disease, writing about it in her memoir "My Beloved World." 
    In 2013, she discussed her illness in an interview with Diabetes magazine.
    In the article, Sotomayor said she watches her diabetes closely and always has glucose tablets and a blood glucose meter on hand. 
    "I'm super vigilant when I'm in court," she told the magazine, saying her most "obvious sign" of an issue coming on is paleness. "If I start feeling any sort of lightness coming on, I immediately check."
    In 2014 at an event at the New York Public Library, Sotomayor noted that when she was diagnosed as a child, life expectancy for diabetes was poor.
    She said there was a "fear" in her but the fear turned into a "determination" to live life to the fullest. 
    She also writes in her memoir, "I believed most of my childhood, and I probably didn't change my mind until I reached 50, that I was going to die young. And the one thing that that thought gave me was a drive to pack as much as I could in my life as fast as I could."


    August 29, 2017

    20,000 People and10 Yrs Suggests Heavy Coffee Drinkers Live Longer





    Feel free to pour that second, third, or even fourth cup of coffee this morning.
    Higher consumption of coffee is connected to a lower risk of death, says a study presented by Spanish researchers during the European Society of Cardiology Congress held in Barcelona.
    The study, conducted by Hospital de Navarra in Pamplona, Spain, featured nearly 20,000 participants and followed up with them for an average of 10 years. 
    The study found participants who drank at least four cups of coffee a day had a 64% lower risk of death than those who never or almost never drank coffee.
    The research also found for participants who were 45 or older, drinking two additional cups of coffee was linked to a 30% lower risk of death.
    "Our findings suggest that drinking four cups of coffee each day can be part of a healthy diet in healthy people," said Dr. Adela Navarro, a cardiologist at Hospital de Navarra, in a statement.
    The findings back up a pair of studies published earlier this year touting the benefits of drinking coffee. One of the studies found coffee was linked to a lower risk of death due to heart disease, cancer, stroke, diabetes and kidney disease.

    August 5, 2017

    DEA Proposes Cutting Production of Opioid Pain Killers But No Word on People That Legally Need Them



     "Opium is only a Puppy"

    No body can accuse the Trump Administration of not coming out with solutions with problems. Right solutions? Illegal immigration problem? built a wall, people abusing opiods? let's not manufacture them. They haven't suggested complete shut down of that market but cutting down on precription pain relieving medication is drastic and it might not be the end of that solution. Prescription as we all know, means a doctor prescribes and opiods are today one of the best legal ways to relief "extreme" pain. 

    The first problem is that on some people it works too well. The Doctors prescribes it because you broke a bone. During the first 10 days you are prescribe opiods to help you have a life instead of being in bed crying from pain. Great so far. The problem occurs on these people that are taken off a pill that took the pain away but they now want to continue feeling with no pain even if there is no pain because now they want to eleiminate our daily human problems. They might convince the doctor to give them some more. The thing is that at some time the doctor will cut off that med. So What is the other problem?

    The other problem is, a black market that will manufacure anything from heroin to must oipiods and any other drug. Obviously not regulated. That black market also has the real stuff by people that will sell for good money the pills the doctor prescribed. They will rather deal with the pain of a broken bone but have something else they want or need. That is one of the legs that make the opiod problem move around.

    Obviously if you take the opiods away it will solve that problem of people overdosing on them. Just like if you take the cars away there will be no highway deaths or if you take the booze away like it was done during the days of prohibition, then there will be no drunk driving and no deaths related to it. But smart people have recognized that '0 tolerance' is not the way to go.

    Simplistic solutions to complex problems are just that, simple are non-workable.


    Let me add that the DEA is going by a report from a Presidential Comission on Opiods headed by the Governor and soon to be unemployeed Chris Christie of New Jersey. As a matter a fact Mr. Christie made a trip to see his old pal President Trump to ask for aa declaration of emergency. Funny for people whose ambion is as big as their pants and on the way to nowhere will try to get ahead and pigy back on a serious problem to make it a state of emergency and have him be in charge of such emrgency. Lots of coverage. lots of news to be made.
    He did not get the emrgency but someone very important at the White House gave a substitution suggestion to the problem to slow down manufacturing of the drug, which will bring the prices sky high for the real needy user and for the one selling it. People with cancer are feeling just more pain as they learn about this.

    "DEA Proposes Cutting Production of Opioid Pain Killers-Someone Hooked on Ice Cream Wants to Stop People Being Hooked on Pain Relievers"


     One drug also coming from a plant we know well helps with pain but is banned by the DEA.  Jeff Session , Attorney General wants to go after users, including those with precriptions with doctors. He also wants to stop doctors precribing in states that marijuana is legal. 

                                                                                                          


    (Reuters) - The U.S. Drug Enforcement Administration (DEA) on Friday proposed a 20 percent reduction in the manufacture of certain commonly prescribed opioid painkillers as well as other controlled substances for next year.

    The proposal comes as U.S. regulators and lawmakers take steps to limit the supply of opioids - a class of drugs that include prescription painkillers and heroin - to combat the epidemic of abuse, overdose and addiction.

    Under the Controlled Substances Act, which organizes drugs into groups based on risk of abuse or harm, most opioids come under the Schedule II category. The higher the category, the bigger the risk.

    Demand for certain Schedule II opioid painkillers including morphine, fentanyl, oxycodone and hydrocodone has dropped after the imposition of measures such as prescription drug monitoring programs, the DEA said.

    Still, opioid overdose kills 142 Americans a day, and drug overdoses now surpass deaths caused by gun homicides and car crashes combined, according to a White House commission formed to combat drug addiction and the opioid crisis. bit.ly/2hutFTZ

    The DEA's proposed production quotas for Schedule I and II substances reflect the amount needed to meet the United States' medical, scientific, industrial, export and reserve requirements, the agency said.

    Members of the public can comment on the proposal over the next 30 days. bit.ly/2hu6eu3

    The DEA recommendation comes about two months after the U.S. Food and Drug Administration took the rare step of asking a drugmaker to withdraw its opioid painkiller from the market, citing the public health crisis. Endo International Plc (ENDP.O) in early July agreed to pull the drug, Opana ER.

    Reporting by Natalie Grover in Bengaluru; Editing by Sai Sachin Ravikumar
    Introduction by adamfoxie blog

    May 31, 2017

    New Birth Cl. Regulations Will Badly Affect The Health of LGBT


    Birth control pills – Photo: ParentingPatch, via Wikimedia.

    John Riley is the local news reporter for Metro Weekly. He can be reached at jriley@metroweekly
    A leaked draft of a new birth control regulation could have far-reaching implications for the LGBTQ community.

    Under the Affordable Care Act, only churches, religious organizations, and their auxiliaries are exempt from having to cover procedures or medications, such as contraception, to which those churches religiously object.
    But the new proposed regulation would expand that exemption to any employer — including a for-profit companies, colleges and universities — who has a personal moral or religious objection to subsidizing such procedures or medications through the insurance coverage they provide to their employees.
    “It’s just a very very, very broad exception for everybody,” Tim Jost, a health law professor at Washington and Lee University, told Vox, which posted a copy of the leaked regulation on its website. “If you don’t want to provide it, you don’t have to provide it.”
    The Trump administration attempts to justify the proposal by painting the regulations under the Affordable Care Act as costing taxpayers’ money.
    “Despite multiple rounds of rulemaking, however, that accommodation process has not satisfied the religious objections of numerous organizations with sincere religious objections to contraceptive coverage or resolved the pending litigation,” the draft proposal reads. “To the contrary, the Departments have been litigating [Religious Freedom Restoration Act] challenges to the Mandate and related regulations for more than five years, and dozens of those challenges remain pending today.
    “That litigation, and the related modifications to the accommodation, have consumed substantial governmental resources while also creating uncertainty for objecting organizations, issuers, third party administrators, and employees and beneficiaries.”
    The administration then argues that broader exemptions are necessary to serve the interest of those people and organizations with sincerely held religious or moral beliefs opposing contraception or other medical treatment.
    But it’s that broad nature of the exemption that has LGBTQ advocates sounding the alarm. Many fear that the exemption will essentially allow employers to justify any denial of insurance coverage, for any reason.
    For instance, an employer could refuse to provide coverage for certain types of medications for gay men, whether it’s pre-exposure prophylaxis, or life-saving HIV medications. As with women whose employers refuse to provide contraceptive coverage, those men would then be forced to pay thousands or even millions out of pocket just to obtain the drugs needed to live.
    “This rule would not only deny hundreds of thousands of women access to birth control, but lays the groundwork for a sweeping license to discriminate against women, LGBT people, religious minorities, and deny health care when people need it most,” Mara Keisling, the executive director of the National Center for Transgender Equality, said in a statement. “The logic behind this proposal would turn our civil rights laws into civil rights suggestions.”










    September 15, 2016

    Clinton Makes Health Stats Public-Trump Had Dr. Oz Say He is Healthy






    Hillary Clinton released medical records on Wednesday providing new details about both her pneumonia diagnosis and general health — just hours after Donald Trump offered some new information about his own well being in a taped appearance on the "Dr. Oz Show." 
    The dueling releases shed some new light on Clinton's condition and added little to an already-thin amount of known details about Trump's health. 
    A letter from Clinton's doctor states that the Democratic presidential nominee last Friday was diagnosed with mild, non-contagious bacterial pneumonia. "She is recovering well with antibiotics and rest. She continues to remain healthy and fit to serve as president of the United States," said Dr. Lisa Bardack, Clinton's doctor. 
    Dr. Bardack also revealed she evaluated Clinton a week earlier, on Sept. 2 for a fever, congestion and fatigue. 
    "Over the next several days as she traveled, her congestion worsened and she developed a cough. She was advised to see me when she returned from her travels for further testing," Dr. Bardack wrote. During the follow-up, a non-contrast chest CT scan revealed the pneumonia.  
    The release of Clinton's records came just hours after Trump provided some new medical information of his own in a taped an appearance of "The Dr. Oz Show," which is scheduled to air Thursday. Trump handed the show's host a letter containing new details from a recent examination Dr. Harold Bornstein — the same physician that vouched for Trump's health in a brief letter he wrote in just five minutes earlier this year. That information has not been provided to reporters by the campaign. 
    Dr. Mehmet Oz told NBC News after the taping he was "surprised" Trump provided him with the information. 
    "I looked at them and tried to process it pretty quickly and I got to say as a doctor, if he was my patient, they are good for a man of his age," Dr. Oz said. 
    Those in the audience told NBC News after the interview that Dr. Oz gave Trump a clean bill of health. "Even Dr. Oz said that, you know, if it was his patient he would be extremely happy and just, kind of, send him on his way," audience member Bryan Manzali told NBC News following the taping in New York City. 
    "Other than apparently his body mass index being a little high, the man is in incredibly good shape. Dr. Oz was very, very impressed," said Matthew Stevens, who also was in the audience. 
    Clinton's campaign released a far more detailed look at her health and some of the highlights include: 
    Clinton is currently taking Armor Thyroid, Coumadin, Levaquin (temporarily), Clarinex and B-12 as needed. Her blood pressure is 100/70; heart rate of 70; respiratory rate of 18; temperature of 97.8 and pulse-oximetry of 99 percent. 
    Clinton's vaccinations are "up to date" and include Prevnar and Pneumovax.  
    She has had a normal mammogram and breast ultrasound. Lab testing (vitamin D, CBC, fasting blood glucose, comprehensive metabolic panel, hemoglobin A1-C, vitamin B-12) is "normal," including cholesterol of 189, LDL of 103, HDL of 56 and triglycerides of 159. 
    Dr. Bardack said, "the remainder of her complete physical exam was normal and she is in excellent mental condition." 
    The Clinton campaign on Wednesday also released a letter from vice presidential candidate Tim Kaine’s doctor declaring him to be in "excellent health" and add a daily vitamin D supplement.

      and 

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