George W. Bush’s recent heart problems were far more dangerous than generally believed — potentially life-threatening, in fact.
Sources familiar with the former president’s medical situation told National Journal that a major blockage in a coronary artery discovered during Bush’s annual physical exam in August had almost completely shut off blood flow to one of his heart chambers.
“He was more than 95% occluded,” an authoritative source said. “With a blockage like that in a main artery you’re supposed to die. He was pretty lucky they caught it.”
Dr. Jonathan Reiner, an interventional cardiologist at George Washington University who has treated former Vice President Dick Cheney but was not involved in Bush’s care, noted that a blockage of that magnitude wouldn’t necessarily be fatal in all patients but is a very serious situation requiring prompt treatment.
“Every case is different,” Reinert said. “It depends on several factors, including how quickly a blockage has developed. But it’s a very important vessel. If you occlude that particular artery it can kill you.”
A prominent internist who asked not to be identified added that Bush’s blockage, if undiagnosed, would almost certainly have risked “a grave cardiac event.”
Even with a 95 percent blockage, Reiner said, blood will still be flowing through the impaired artery, but the heart muscle must work harder, particularly during vigorous activity. The added strain when blood flow is diminished can lead to serious cardiac complications, including a heart attack.
The 43rd president has exercised regularly for years and is generally believed to be in excellent health. Nevertheless, a stress test that’s standard with all physicals at the renowned Cooper Clinic in Dallas turned up worrisome changes to Bush’s electrocardiogram readings. His physicians quickly ordered up a CT angiogram that revealed the magnitude of the blockage and prompted them to recommend inserting a stent to open the artery. That procedure was done the next morning at Texas Health Presbyterian Hospital without complication. Bush spent the night at the hospital for observation and is reported to be recovering normally.
At the time some physicians wondered whether the stent was medical overkill, given that Bush has no known family history of heart disease and is in good shape. Multiple sources knowledgeable about Bush’s condition, however, said there’s no question the treatment was medically necessary.
A spokesman for the Cooper Clinic declined to discuss any aspects of Bush’s care, citing patient privacy. Bush spokesman Freddy Ford also declined comment.
By all appearances, the ex-president has bounced back smartly from his health scare. He’s been cleared to travel, attending the President’s Cup golf matches in Ohio last weekend. He’s also returned to playing golf and riding mountain bikes, but doctors have put limits on his normally-manic speeds and the duration of his workouts.
“He’s back on the bike — easy, not hard,” a friend said. “But he’s feeling terrific and doing fine.”
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Before we get to the specifics of this exposé about escorts working the Iowa and New Hampshire primary crowds, let’s get three things out of the way: 1.) It’s from Cosmopolitan; 2.) most of the women quoted use fake (if colorful) names; and 3.) again, it’s from Cosmopolitan. That said, here’s what we learned:
- Business was booming: one escort who says she typically gets two inquiries a weekend got 15 requests in the pre-primary weekend.
- Their primary season clientele is a bit older than normal—”40s through mid-60s, compared with mostly twentysomething regulars” and “they’ve clearly done this before.”
- They seemed more nervous than other clients, because “the stakes are higher when you’re working for a possible future president” but “all practiced impeccable manners.”
- One escort “typically enjoy[s] the company of Democrats more, just because I feel like our views line up a lot more.”
No matter where you stand on mandating companies to include a backdoor in encryption technologies, it doesn’t make sense to allow that decision to be made on a state level. “The problem with state-level legislation of this nature is that it manages to be both wildly impractical and entirely unenforceable,” writes Brian Barrett at Wired. There is a solution to this problem. “California Congressman Ted Lieu has introduced the ‘Ensuring National Constitutional Rights for Your Private Telecommunications Act of 2016,’ which we’ll call ENCRYPT. It’s a short, straightforward bill with a simple aim: to preempt states from attempting to implement their own anti-encryption policies at a state level.”
Much has been made of David Brooks’s recent New York Times column, in which confesses to missing already the civility and humanity of Barack Obama, compared to who might take his place. In NewYorker.com, Jeffrey Frank reminds us how critical such attributes are to foreign policy. “It’s hard to imagine Kennedy so casually referring to the leader of Russia as a gangster or a thug. For that matter, it’s hard to imagine any president comparing the Russian leader to Hitler [as] Hillary Clinton did at a private fund-raiser. … Kennedy, who always worried that miscalculation could lead to war, paid close attention to the language of diplomacy.”
The New Covenant. The Third Way. The Democratic Leadership Council style. Call it what you will, but whatever centrist triangulation Bill Clinton embraced in 1992, Hillary Clinton wants no part of it in 2016. Writing for Bloomberg, Sasha Issenberg and Margaret Talev explore how Hillary’s campaign has “diverged pointedly” from what made Bill so successful: “For Hillary to survive, Clintonism had to die.” Bill’s positions in 1992—from capital punishment to free trade—“represented a carefully calibrated diversion from the liberal orthodoxy of the previous decade.” But in New Hampshire, Hillary “worked to juggle nostalgia for past Clinton primary campaigns in the state with the fact that the Bill of 1992 or the Hillary of 2008 would likely be a marginal figure within today’s Democratic politics.”
At first, “it was pleasant” to see Trevor Noah “smiling away and deeply dimpling in the Stewart seat, the seat that had lately grown gray hairs,” writes The Atlantic‘s James Parker in assessing the new host of the once-indispensable Daily Show. But where Jon Stewart was a heavyweight, Noah is “a very able lightweight, [who] needs time too. But he won’t get any. As a culture, we’re not about to nurture this talent, to give it room to grow. Our patience was exhausted long ago, by some other guy. We’re going to pass judgment and move on. There’s a reason Simon Cowell is so rich. Impress us today or get thee hence. So it comes to this: It’s now or never, Trevor.”