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Levaquin Media Report 9/15/16

National Coverage

Doctor for Hillary Clinton Declares Her Healthy, Fit to Serve
Sep 14, 2016 | Wall Street Journal
By Peter Nicholas and Michael C. Bender

Hillary Clinton’s campaign on Wednesday released additional medical information about the Democratic presidential nominee, as the health and fitness of the two major-party candidates remained a central focus of the race.
Hillary Clinton, Tim Kaine release new medical information
Sep 15, 2016 | CBS News
By Emily Schultheis

Hillary Clinton’s doctor said in a letter released Wednesday that the Democratic nominee is “healthy and fit to serve as President of the United States,” characterizing her pneumonia diagnosis as “mild” and “non-contagious.”
Key Details of Hillary Clinton's Health Record, Explained
Sep 14, 2016 | Yahoo News
By Korin Miller

Just days after promising to release more information about Hillary Clinton’s health, her team has provided a detailed letter from the presidential candidate’s doctor on her physical well-being and medications.
Clinton campaign releases doctor’s letter describing ‘mild’ pneumonia
Sep 14, 2016 | Washington Post
By Abby Phillip and Anne Gearan

Hillary Clinton’s campaign released a letter from her doctor Wednesday describing her treatment for “mild” bacterial pneumonia and painting an overall picture of good health in an attempt to put to rest concerns about her medical condition following her illness over the weekend.
Update from Clinton's doctor: Democrat 'fit to serve' after mild pneumonia
Sep 14, 2016 | Associated Press

Hoping to put the issue of her health behind her as she gets ready to return to the campaign trail, Hillary Clinton on Wednesday released an updated review of her physical fitness and details about a recent bout of pneumonia.
Hillary Clinton's doctor releases note, disclosing some additional medical information
Sep 14, 2016 | Los Angeles Times
By Evan Halper

Hillary Clinton is releasing an updated doctor’s note Wednesday afternoon as her campaign tries to get past the political problems caused by keeping her recent pneumonia diagnosis secret.
Clinton campaign releases some medical records
Sep 14, 2016 |
By Associated Press

Hillary Clinton’s doctor says she is recovering from her pneumonia and remains “healthy and fit to serve as President of the United States.”
The Surprises In Hillary Clinton's Newly Released Medical Records
Sep 14, 2016 | Forbes
By Judy Stone

Records released by Hillary Clinton’s long-time physician, Lisa Bardack, reveal several important things. Most importantly, she appears to be a normal, generally healthy woman who happened to get an infection.
Clinton campaign releases additional health details on candidate
Sep 15, 2016 | FoxNews

The Hillary Clinton campaign on Wednesday released what it called a “comprehensive update” on the candidate’s medical information, describing the illness that took her off the trail this week as a mild and non-contagious bacterial pneumonia.
Clinton returns to campaign trail for 1st time since revealing pneumonia diagnosis
Sep 15, 2016 | CBS News

The presidential race is now statistically tied, according to a CBS News/New YorkTimes poll of registered voters. It shows Hillary Clinton leading Donald Trump 41 to 39 percent when the two third-party candidates are included. That two-point lead is smaller than the margin of error.
Clinton campaign releases additional medical info
Sep 14, 2016 | USA Today
By Heid M. Przybyla

The Clinton campaign hopes to squash the narrative of Hillary's broader health concerns with the release of additional medical records.
Doctor’s Letter: A Detailed Look at Hillary Clinton’s Health, Medications
Sep 14, 2016 | Wall Street Journal
By Colleen McCain Nelson

Hillary Clinton’s campaign released a letter from the candidate’s physician declaring her “healthy and fit to serve as president of the United States,” while also giving further details about the medications she is taking and her recent bout of pneumonia.
Hillary Clinton and Donald Trump Give More Details on Their Health
Sep 14, 2016 | New York Times
By Amy Chozick and Maggie Haberman

With less than eight weeks until Election Day and pressure mounting for the candidates to give details about their health and medical histories, Donald J. Trump acknowledged on Wednesday that he was overweight and taking a cholesterol-fighting drug, and Hillary Clinton elaborated on the circumstances that led to her contracting pneumonia and the medicine she was taking to recover.

Local Coverage

CLINTON HAD 'NORMAL' PHYSICAL, IN 'EXCELLENT MENTAL CONDITION': DOCTOR
Sep 14, 2016 | ABC7 Chicago
By Liz Kreutz

Hillary Clinton on Wednesday released more information about her medical history after the announcement on Sunday that she was diagnosed with pneumonia and amid a flurry of questions about her health overall.

Trade Coverage

Hillary Clinton's Doctor Declares Her Fit to Be President as She Releases Medical Records
Sep 14, 2016 | People Magazine
By Tierney McAfee

Hillary Clinton's doctor declared her fit to be president on Wednesday as her campaign released more details on the Democratic nominee's health.
Read The Letter Hillary Clinton’s Doctor Wrote About The Presidential Nominee’s Health
Sep 14, 2016 | The Huffington Post
By Paige Lavender

Hillary Clinton’s doctor penned a letter Wednesday with more information about the Democratic presidential nominee’s health. The letter comes as Clinton recovers from a bout of pneumonia. Clinton’s physician, Dr. Lisa Bardack, said the presidential hopeful “is recovering well with antibiotics and rest.”
Hillary Clinton's Doctor Says She Is
Sep 14, 2016 | The Slatest
By Jim Newell

Hillary Clinton “continues to remain healthy and fit to serve as President of the United States,” Dr. Lisa Bardack, Clinton’s physician, says in a detailed letter providing more information about Clinton’s current condition and her overall health. n
Hillary's Doc Claims She's
Sep 14, 2016 | Independent Journal Review
By Maegan Vazquez

Following a bout of pneumonia, Hillary Clinton's presidential campaign revealed additional medical information to the public, including her medications. In a letter, Clinton's physician, Dr. Lisa Bardack, says the former Secretary of State "continues to remain healthy and fit to serve as president" despite her recent illness.

International Coverage

Hillary Clinton 'healthy and fit', says doctor
Sep 15, 2016 | BBC

The statement said the Democratic presidential nominee "continues to improve" after a pneumonia diagnosis. The disclosure came as her Republican rival Donald Trump released health data of his own on a medical chat show.

Full Text of Stories Below

National Coverage

Doctor for Hillary Clinton Declares Her Healthy, Fit to Serve

Sep 14, 2016 | Wall Street Journal

By Peter Nicholas and Michael C. Bender

Hillary Clinton’s campaign on Wednesday released additional medical information about the Democratic presidential nominee, as the health and fitness of the two major-party candidates remained a central focus of the race.
A two-page note by Mrs. Clinton’s doctor aimed to reassure voters she is in good overall health coming off a pneumonia diagnosis and a near-collapse over the weekend while she was getting into her vehicle. In the letter, her physician pronounced her healthy and “fit to serve as president.”
Under pressure to reveal more about his health, Donald Trump’s campaign initially said it would publicly release more medical details. Instead, the Republican nominee on Wednesday provided a written summary of a recent physical exam to TV doctor Mehmet Oz during a taping of his show, which is to air on Thursday.
At a rally Wednesday evening, Mr. Trump mocked Mrs. Clinton’s recent health woes, suggesting she lacked his ability to endure giving a speech in a hot auditorium. “I don’t know, folks, do you think Hillary would be able to stand up here for an hour and do this? I don’t think so,” he said to a crowd in Canton, Ohio.
After three days recuperating at home in Chappaqua, N.Y., Mrs. Clinton will return to the campaign trail Thursday with an appearance in North Carolina. She is facing one of the most severe tests of the campaign, with polls showing her losing ground nationally and in key battleground states. Mr. Trump and his running mate, Indiana Gov. Mike Pence, will meet with the Economic Club of New York on Thursday and will later hold an event in New Hampshire.
Age is one reason health has emerged as a campaign issue likely to play out through Election Day. Beginning with Bill Clinton’s election in 1992, the past three presidents were first elected in their 40s or 50s.
Mr. Trump is 70 years old, and if he prevails he would be the oldest newly elected president, eclipsing Ronald Reagan, who was 69 when he took the oath of office in 1981. Mrs. Clinton, who turns 69 next month, would be the second-oldest.
“They’re among the oldest to run for president,” said Lawrence Altman, a physician who has written extensively about the health of U.S. presidents. “That’s all the more reason the public needs to know as much as it can about the health of the candidates, and have reasonable assurance that the person can fulfill the full term.”
While conservative critics have drawn attention to a prolonged cough that occasionally interrupted Mrs. Clinton’s speaking appearances, the stakes rose appreciably for the Democrat when amateur video posted to social media showed her nearly collapsing Sunday after abruptly leaving a 9/11 memorial ceremony in New York. About 90 minutes after she left the event, her campaign put out a statement saying she felt “overheated.” Hours later, campaign aides said she had been diagnosed with pneumonia two days earlier.
The information released Wednesday offered more details about her condition.
Mrs. Clinton’s physician, Lisa Bardack, said that after several evaluations in recent days the former secretary of state is recovering well with antibiotics and rest. She said a chest CT scan on Friday revealed that Mrs. Clinton had a mild, noncontagious bacterial pneumonia.
In the letter released by the campaign, Dr. Bardack also described lab-test results that were normal, including cholesterol, heart rate and respiratory rate, as well as a normal mammogram and blood pressure.
The medications Mrs. Clinton takes include the blood thinner Coumadin and the antihistamine Clarinex, the doctor said. Mrs. Clinton has experienced deep vein thrombosis, and previously had disclosed she takes such blood thinners to prevent blood clots. She also had an elbow fracture in 2009 and fainted and had a concussion in late 2012, which were discussed in a note from Dr. Bardack last year.
Dr. Bardack said Mrs. Clinton’s blood levels have been relatively stable and that the former secretary of state has had several allergy flares during the past year. When Mrs. Clinton struggled with coughing last week, she initially attributed it to seasonal allergies.
To combat the pneumonia, Mrs. Clinton is taking Levaquin for 10 days. The drug is widely prescribed, but the Food and Drug Administration in May decided to require heightened warnings about serious side effects from an oft-used class of antibiotics that includes Levaquin and its generic version levofloxacin. The warnings cite possible damage to tendons, muscles, joints, nerves and the central nervous system.
Dr. Bardack concluded that, beyond the recent diagnosis and a past sinus and ear infection, the Democratic nominee has “remained healthy and has not developed new medical conditions this year.”
The Clinton campaign also released a one-page doctor’s letter attesting to the health of running mate Tim Kaine, saying the Virginia senator is “in overall excellent health.”
Until his appearance on the Dr. Oz Show, Mr. Trump had released only a letter from his longtime doctor that offered scant details and ample superlatives, describing his health as “extraordinary.” That physician, Harold Bornstein, also performed the physical examination that was discussed on Wednesday’s show, according to a release by the show.
In a clip of the appearance released Wednesday, Mr. Trump turned the moment into a bit of theater, asking the TV audience if he should publicly release more health information. “Should I do it? I have no problem,” he said, pulling several pieces of paper from a pocket inside his navy-blue suit.
The Trump campaign didn’t release the report he gave to Dr. Oz. Audience members interviewed afterward by cable-television news shows said the GOP nominee conceded he doesn’t get much exercise and could lose a few pounds.
“Donald Trump said that he makes a lot of speeches, and that his hand gesturing is the main source of his exercise,” Daniel Sinasohn, an audience member, said on MSNBC. “That’s how he exercises.”
Many presidents have endured illness and infirmity while in office. Democrat Franklin Roosevelt died in office in 1945. Republican Dwight Eisenhower suffered a heart attack. Mr. Reagan underwent cancer surgery.
“Health is an important issue for any candidate, but it’s especially true with two candidates who would be governing in their 70s,” said David Gergen, who worked in Bill Clinton’s White House and has served three Republican presidents.
“We need to make health records part of the standard. The standard is you release them and if you don’t, voters can assume that you’re hiding something,” he added.

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Hillary Clinton, Tim Kaine release new medical information

Sep 15, 2016 | CBS News

By Emily Schultheis

Hillary Clinton’s doctor said in a letter released Wednesday that the Democratic nominee is “healthy and fit to serve as President of the United States,” characterizing her pneumonia diagnosis as “mild” and “non-contagious.”
The new information on Clinton came from her physician, Dr. Lisa Bardack, who both wrote the letter about her health last year and was the doctor who diagnosed Clinton with pneumonia on Friday. The release also included a one-page letter pronouncing vice presidential nominee Tim Kaine “in overall excellent health” from Dr. Brian P. Monahan, the attending physician in Congress.
The new information from Bardack, Clinton’s doctor, further addressed her pneumonia diagnosis from last week. Bardack said in the letter that she’s examined Clinton multiple times since then, as recently as Wednesday.
Clinton’s health has been front and center since Sunday, when she abruptly left a 9/11 memorial ceremony in New York after feeling “overheated” and “dizzy.” Clinton went to her daughter’s apartment in Manhattan to recover before returning home to Chappaqua, N.Y.; later that evening, her campaign revealed that she had been diagnosed with pneumonia the preceding Friday.
“I’m reassured by this—boy, it’s nice to have information isn’t it?” CBS News’ Chief Medical Correspondent Dr. Jon LaPook told CBSN Wednesday evening. “A bunch of the questions that I had had were, for example, how do we know she had pneumonia? Well now we know, she had a CAT scan. What was the size of the pneumonia? It was felt to be a small, right middle-lobe pneumonia, so that’s much better than if a lot of the lung was involved.”
According to Bardack’s letter, she saw Clinton on Sept. 2 for a low-grade fever, congestion and fatigue. Bardack advised rest; Clinton continued her campaign trail travel, and a week later—last Friday—she saw Bardack again when her symptoms had worsened.
On Friday, Clinton underwent a non-contrast chest CT scan, which showed a “a small right middlelobe pneumonia,” according to Bardack, which she characterized as a “mild, non-contagious bacterial pneumonia. Clinton was treated with Levaquin, which she was advised to take for 10 days.
In addition to her pneumonia diagnosis, Clinton has been treated this year for a sinus and ear infection she developed in January. In order to drain fluid from her left ear and relieve her symptoms, Clinton had a myringotomy tube placed in her ear in January by an ear, nose and throat (ENT) doctor; her symptoms have since abated, according to Bardack.
“Further follow-up evaluation with a CT scan of her brain and sinuses was done in March of 2016,” Bardack wrote. “This scan showed no abnormalities of the brain and mild chronic sinusitis. Her symptoms resolved and she continued symptom-free for the next six months.”
Bardack’s letter included an updated list of Clinton’s medications, which include Levaquin, Armor Thyroid, Coumadin, Clarinex and B-12 as needed. Her vaccinations are up to date, and she has had a normal mammogram and breast ultrasound. Clinton’s blood pressure at her last examination was 100/70 and her temperature was 97.8 degrees.
“My overall impression is that Mrs. Clinton has remained healthy and has not developed new medical conditions this year other than a sinus and ear infection and her recently diagnosed pneumonia,” Bardack wrote. “She is recovering well with antibiotics and rest. She continues to remain healthy and fit to serve as President of the United States.”
As for Kaine, Dr. Monahan pronounced him in “overall excellent health”—his only recommendation was that the vice-presidential candidate add a daily vitamin D supplement to his diet.
According to Monahan, who last examined Kaine for a full physical in February, the candidate’s lab and blood work all came back normal; he had an echocardiogram done in March to check a “left atrial enlargement” in his heart, but the results indicated “structurally normal heart valves without evidence of valve malfunction.” Kaine takes no medications and has no drug allergies; he has no history of tobacco use and his use of alcohol is “modest.”

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Key Details of Hillary Clinton's Health Record, Explained

Sep 14, 2016 | Yahoo News

By Korin Miller

Just days after promising to release more information about Hillary Clinton’s health, her team has provided a detailed letter from the presidential candidate’s doctor on her physical well-being and medications.
The letter, written by Lisa Bardack, MD, chair of internal medicine at CareMount Medical, paints a picture of a 68-year-old woman in good health, who has had some minor medical issues over the past few months.
Here are the highlights:Clinton takes Coumadin, a blood thinner.She has had several allergy flare-ups over the past year, “a typical pattern for most of her life,” Bardack writes.She had an ear infection and sinusitis in January. Doctors treated it with antibiotics and steroids, and placed a myringotomy tube in her left ear to help alleviate her symptoms.Her recent headline-making bout of pneumonia began as a low-grade fever, congestion, and fatigue that progressed. As a result, she’s taking Levaquin, an antibiotic.She has a coronary calcium score (used to predict someone’s future risk of a heart attack) of zero.She’s currently taking Armor Thyroid, a medication that helps with low thyroid hormone levels, Levaquin, Coumadin, and Clarinex (for allergies).She’s up to date on immunizations, including Prevnar and Pneumovax, designed to prevent disease caused by strains of the Streptococcus pneumoniae bacteria.She visits the dentist regularly.Her cholesterol level is normal.Her mammogram and breast ultrasounds are normal.These are her vital signs: Blood pressure of 100/70, heart rate of 70, respiratory rate of 18, temperature of 97.8 and pulse oximetry of 99%.
“My overall impression is that Mrs. Clinton has remained healthy and has not developed new medical conditions this year other than a sinus and ear infection and her recently diagnosed pneumonia,” Bardack says. “She is recovering well with antibiotics and rest. She continues to remain healthy and fit to serve as President of the United States.”
Sherry Ross, MD, a women’s health expert at California’s Providence Saint John’s Health Center, agrees. “I think she’s in excellent health for her age,” she tells Yahoo Beauty.
Clinton’s prescriptions all seem normal for someone of her age, Ross says. Coumadin is typically used to prevent blood clots and can lower a person’s risk of heart attack or stroke, Ross says. Armour Thyroid is used to treat hyperthyroidism and seems to be working for Clinton. “Her degree of thyroid abnormality wasn’t that significant and seems to be easily controlled,” Ross says.
Clinton’s pneumonia isn’t shocking, given her issues with allergies, women’s health expert Jennifer Wider, MD, tells Yahoo. “It would appear that her seasonal allergies and upper respiratory infection worsened into a bacterial pneumonia,” she says. “Due to the stress and hectic schedule of a presidential candidate, this scenario is not out of the ordinary.”
Wider points out that Clinton was advised to rest by her physician after running a low-grade fever and showing signs of an upper respiratory infection, but was clearly unable to do so. “As a result, the infection worsened, congestion got worse, and it moved into her chest, resulting in a pneumonia,” Wider says.
As for the tube in her ear, Ross says it’s a more common treatment for children, but likely was used to help drain fluid that had accumulated in Clinton’s ear. “It’s probably temporary,” she says.
Her vitals are also excellent, with Ross noting that her pulse-oximetry, a measure of how well your lungs exchange oxygen, is near perfect. Says Ross: “Those are the vitals of a very healthy young woman — I think they’re better than mine.”

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Clinton campaign releases doctor’s letter describing ‘mild’ pneumonia

Sep 14, 2016 | Washington Post

By Abby Phillip and Anne Gearan

Hillary Clinton’s campaign released a letter from her doctor Wednesday describing her treatment for “mild” bacterial pneumonia and painting an overall picture of good health in an attempt to put to rest concerns about her medical condition following her illness over the weekend.
The letter, from Clinton’s doctor, Lisa Bardack, noted that she received a CT scan confirming the pneumonia diagnosis and is now about halfway through a regimen on the antibiotic Levaquin. It came three days after Clinton’s illness caused her to stumble out of a memorial service and forced her off the campaign trail. Clinton’s campaign said the information updates a health history released last year.
The campaign came under fire on Sunday, when Clinton fell ill at a Ground Zero commemoration of the Sept. 11, 2001, terrorist attacks. For 90 minutes after her abrupt departure, when she was seen buckling and stumbling into her van, the campaign offered no information on Clinton’s whereabouts or condition. It was many hours later before aides revealed the pneumonia diagnosis, which had come on Friday.
“The remainder of her complete physical exam was normal and she is in excellent mental condition,” Bardack wrote in the letter. “She is recovering well with antibiotics and rest. She continues to remain healthy and fit to serve as President of the United States.”
Issues surrounding health and transparency have swirled around Clinton and her Republican rival, real estate mogul Donald Trump, in the past several weeks. Clinton, who turns 69 in October, would become the second-oldest president to enter the White House (after Ronald Reagan, who also was 69), while Trump, who turned 70 in June, would be the oldest. Neither has any known major medical problems.
Clinton had previously released more extensive health information than Trump. She has also been the subject of persistent rumors and conspiracy-minded claims about her health. Although her campaign has dismissed such theories as bunk and even sexist, Clinton fed into them by ditching her press corps Sunday and not releasing timely information on her health or whereabouts.
Trump discussed his own health during a taping of “The Dr. Oz Show” on Wednesday morning. He shared some of the results of his most recent physical examination, according to the show, even though earlier top campaign aides told reporters that he would not release any records on set and planned to talk about general wellness, not his personal health history.
At one point during the show, which is scheduled to air Thursday, host Mehmet Oz asked Trump why he has not yet released his medical records, given that his health seems so strong.
“Well, I really have no problem in doing it,” Trump said, according to a brief clip released by the show on Wednesday afternoon. “I have it right here. Should I do it? I don’t care. Should I do it?”
Trump then pulled two pieces of paper out of his suit pocket that he said contained test results from his latest physical examination and a letter from Lenox Hill Hospital in New York. In the video clip, Oz is shown studying the two pieces of paper. Reporters were not allowed to attend the taping, and the campaign has not released the documents. The campaign also would not say what sort of medical records Trump plans to release or how many years they cover.
Bardack is the chair of internal medicine at CareMount Medical in Mount Kisco, N.Y., and has served as Clinton’s personal physician since 2001. Her letter also described various medications that Clinton is taking, including Coumadin, a blood thinner. And it describes Clinton’s normal-ranging vital statistics: blood pressure of 100/70; a pulse of 70; and a total cholesterol level of 189.
Bardack examined Clinton as recently as Wednesday and has done so several other times since she was diagnosed with pneumonia Friday, according to a campaign aide.
The letter shows that Clinton has normal-ranging vital statistics, according to several doctors who reviewed the information but have never treated her. Her blood pressure and cholesterol levels are “good” or “excellent” and place her at low risk for illness for a woman her age, the doctors said.
Clinton has received two vaccinations against pneumonia — Prevnar and Pneumovax — according to the letter. The new information also reveals more about Clinton’s pneumonia diagnosis. She was tested with a non-contrast chest CT scan, which discovered a small right middle-lobe pneumonia.
David Scheiner, who was Barack Obama’s physician for more than two decades until his election in 2008, praised Clinton’s doctor for conducting a chest CT scan, which typically would not be done to diagnose pneumonia.
“I have to give the doctor credit for that one,” Scheiner said. “Because she has had blood clots, I think in the back of the doctor’s mind was, could she possibly have pulmonary embolism? That was a very smart move on the doctor’s part.”
But Scheiner said he was perplexed by some of the medications that Clinton takes. He said the blood thinner Coumadin can be hard to regulate and that better alternatives exist. In addition, the Armour Thyroid tablets she takes for hypothyroidism are used on only a small percentage of patients.
“That’s a bit unusual,” he said, noting that doctors rarely prescribe it.
Other doctors noted that while Levaquin is an appropriate treatment for her pneumonia, one of its side effects is dizziness and lightheadedness. That could have been a contributing factor to her fainting on Sunday, said Greg Rosencrance, an internist at the Cleveland Clinic.
Overall, Scheiner said the disclosures by Clinton’s campaign on Wednesday were “in the right vein.” But he argued that the current patchwork system that relies on campaigns to decide how much medical information to disclose, and often by a candidate’s personal physician, too often leaves Americans in the dark.
“The question is how much info is enough? . . . I think we need to know everything about the candidates, and not just because these are two old geezers,” said Scheiner, who has advocated for complete, objective health reports from any candidate who wants to serve as commander in chief and lead the world’s largest economy.
Clinton had previously released a letter from Bardack containing information about her health, medications and past health conditions, including a history of hypothyroidism and deep-vein thrombosis.
After Clinton’s pneumonia diagnosis, she kept the information secret and ignored her doctor’s advice to rest and modify her schedule. Instead, Clinton continued with a full day of campaign events, choosing to “power through” despite her illness.
But by Sunday morning, Clinton became severely dehydrated during the outdoor memorial at Ground Zero, according to the campaign. She left the event early and was seen in video footage buckling as she was helped into her van by her aides and security detail.
The campaign’s long delay in providing information to the media and the public prompted criticism from Democrats and Republicans alike.
Clinton canceled three days of scheduled campaign events and has been resting at home in Chappaqua, N.Y. She is expected to return to the campaign trail with an event in Greensboro, N.C., on Thursday.
“Obviously I should have gotten some rest sooner,” Clinton said on CNN’s “Anderson Cooper 360” on Monday. “I just didn’t think it was going to be that big a deal.”
Clinton previously suffered from severe dehydration in 2012, fainted and suffered a concussion. She was later diagnosed with a blood clot in her skull, discovered during routine testing while recovering.
At the same time, Clinton has criticized Trump for releasing a letter from his physician earlier last year that contained virtually no objective health information. Trump has since said that he would release more medical information from a physical he received last week.
Edward Geltman, a cardiologist at the medical school at Washington University in St. Louis, said the information released shows Clinton to be healthy, with normal range for vitals. Her blood pressure is on the “low side of normal,” he said, so she would be prone to fainting and sensitive to dehydration.
Geltman observed that the letter contained no information about the health of Clinton’s heart, such as an electrocardiogram. Those are fairly standard tests, and as people age, it is important to establish a baseline, he said. Heart disease is the number one killer in the United States. But because she does not smoke, does not appear to be particularly overweight and has good cholesterol levels, Clinton does not appear to be at risk for a heart attack, he said.
Doctors also noted that Clinton is on minimal medications and has had appropriate breast cancer screening — but there is no mention of colon cancer screening.
According to the letter, Clinton was diagnosed with a sinus infection and subsequently an ear infection in January, in the lead-up to the critically important Iowa caucuses and New Hampshire primary.
She was treated with antibiotics and steroids. Later, a tube was placed in her left ear as part of the treatment.
Bardack wrote that the symptoms improved, and a follow-up CT scan showed mild, chronic sinus infections but no abnormalities of the brain related to those illnesses.
The campaign also released a comparable letter about Clinton’s running mate, Sen. Tim Kaine of Virginia, who was said to be in “overall excellent health,” according to a letter released from the attending physician for Congress, Brian P. Monahan, who recommended only that Kaine, 58, add a daily vitamin D supplement to his diet. Monahan has been Kaine’s physician for three years.
In his letter, Monahan noted that Kaine’s past surgical history is limited to tooth extractions. Kaine’s most recent electrocardiogram showed his heart appeared normal with the exception of a “mild left atrial enlargement.” No other problem areas were identified.

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Update from Clinton's doctor: Democrat 'fit to serve' after mild pneumonia

Sep 14, 2016 | Associated Press

Hoping to put the issue of her health behind her as she gets ready to return to the campaign trail, Hillary Clinton on Wednesday released an updated review of her physical fitness and details about a recent bout of pneumonia.
"She is recovering well with antibiotics and rest," said her doctor, Lisa Bardack, in a letter released by her campaign. "She continues to remain healthy and fit to serve as President of the United States."
The details made public by the Democratic presidential nominee included a description of the pneumonia diagnosis she received last week. Her illness became public after she left Sunday's 9/11 memorial service in New York early and was seen on video staggering while getting into a van.
The health episode fueled long-simmering conservative conspiracy theories about Clinton's health and provided a fresh line of attack for rival Donald Trump, who has frequently questioned whether Clinton has the stamina to serve as commander in chief.
The Republican nominee, meanwhile, handed over a one-page summary of a recent physical exam to the celebrity doctor Mehmet Oz while taping an episode of Oz's talk show. But voters will have to wait another day for details: the show does not air until Thursday.
The letter from Bardack, the chair of internal medicine at CareMount Medical in Mount Kisco, New York, said a chest scan revealed the candidate had "mild, non-contagious bacterial pneumonia." She was treated with a 10-day course of Levaquin, an antibiotic used to treat infections.
The letter says the illness stemmed from a bout of seasonal allergies that developed into an upper respiratory tract infection and cough. Clinton's pneumonia symptoms began around the start of this month, and she saw Bardack on Sept. 2 for a low-grade fever, congestion and fatigue.
The letter also notes that in January, during the run-up to the Iowa caucuses, Clinton received treatment for a sinus and ear infection that included placing a drainage tube in her left ear. A CT scan of her brain and sinuses showed no abnormalities and mild chronic sinus inflammation.
Clinton, 68, has blood pressure of 100 over 70 — within healthy levels and not signaling the need for any medications. She has also had a normal mammogram and breast ultrasound, according to the letter.
The letter from Clinton's doctor made no mention of her weight, a key part of any medical exam, nor did a similar letter released last year.
"These numbers suggest she's a healthy 68-year-old woman with a very favorable cardiovascular risk profile," said Dr. Mark Creager, director of the Dartmouth-Hitchkock heart and vascular center in Lebanon, New Hampshire, and a past president of the American Heart Association.
Testing that shows no evidence of plaque building up in her arteries "is all very reassuring," he said.
Bardack, who also wrote the letter about Clinton's health released in July 2015, said her patient takes thyroid and allergy medicines and the blood thinner Coumadin, prescribed as a preventative after she suffered a blood clot resulting from a 2012 concussion that led her to spend a few days in New York-Presbyterian Hospital and take a month-long absence from the State Department.
Clinton has spent the past three days out of the public eye, recuperating at her suburban New York home. She'll return to the campaign trail Thursday.
"She's feeling great and I think she'll be back out there tomorrow," former President Bill Clinton said Wednesday, when he stepped in for his wife at a previous scheduled campaign event in Las Vegas. "It's a crazy time we live in, you know, when people think there's something unusual about getting the flu."
Vice presidential candidate Tim Kaine is in "overall excellent health," according to a letter the campaign also released Wednesday from his doctor, Brian Monahan, the attending physician of Congress. The letter said Kaine has never smoked and his alcohol use is "modest." He's 5-foot-9 and weighed more than 208 pounds during his last physical in February.
Clinton's campaign used the letters to argue that she's gone far beyond Trump in disclosing details about her personal life. Beyond health records, Clinton has released nearly four decades of tax returns; Trump has refused to make his filings public.
"It's fair to say the public now knows more about Hillary Clinton than nearly anyone in public life," said campaign manager Robby Mook in a statement. "Donald Trump is hands down the least transparent presidential nominee in memory."
Mook added: "It begs the question: what is he trying to hide?"
Trump has said he plans to release the details of a recent physical this week. Trump's Thursday appearance on "The Dr. Oz Show" was billed by the campaign as a discussion about his general well-being and his family's medical history.
But ever the showman, he pulled an outline of results of an exam, conducted by his longtime physician, Dr. Harold Bornstein, from his jacket pocket for Oz to review during Wednesday's taping. "Those were all the tests that were just done last week," Trump said in an excerpt released by the show.
Bornstein had previously written a note declaring the 70-year-old Trump, if elected, would be the healthiest president in history. He later said he had written the letter in five minutes as a limousine sent by the candidate idled outside.

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Hillary Clinton's doctor releases note, disclosing some additional medical information

Sep 14, 2016 | Los Angeles Times

By Evan Halper

Hillary Clinton is releasing an updated doctor’s note Wednesday afternoon as her campaign tries to get past the political problems caused by keeping her recent pneumonia diagnosis secret.
The release came amid calls for both Clinton and Donald Trump, two of the oldest presidential nominees in history, to reveal more about their personal health.
Earlier on Wednesday, Trump shared some new medical information during a taping of the “The Dr. Oz Show,” which will be broadcast Thursday. Though it is unclear how much Trump shared, it appears neither candidate has released detailed medical records.
The letter from Clinton’s doctor, Lisa Bardack, explains the pneumonia diagnosis and otherwise mostly offers the same information about Clinton’s health Bardack already had shared with the news media more than year ago.
Read the letter from Hillary Clinton’s doctor >>
The letter says that Clinton has been evaluated by Bardack several times since she nearly collapsed after becoming overheated, dehydrated and dizzy during a 9/11 memorial event at ground zero on Sunday.
Before the incident, a noncontrast chest CT scan revealed that Clinton had a small right middle-lobe pneumonia, according to Bardack. It is a mild, noncontagious form of the bacterial infection, the doctor wrote.
Clinton was prescribed the medication Levaquin, which she will be taking for 10 days, according to Bardack, who wrote that Clinton “continues to improve.”
The doctor also reported that Clinton continues to take medication for an underactive thyroid, as well as the blood-thinning medication Coumadin. She also takes allergy medication and vitamin B12. The doctor shared various results from Clinton’s physical exam suggesting she is otherwise in good health.
“[T]he remainder of her complete physical exam was normal and she is in excellent mental condition,” the doctor wrote. “She is recovering well with antibiotics and rest. She continues to remain healthy and fit to serve as President of the United States.”

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Clinton campaign releases some medical records

Sep 14, 2016 |

By Associated Press

Hillary Clinton’s doctor says she is recovering from her pneumonia and remains “healthy and fit to serve as President of the United States.”
The statement was part of medical information Clinton’s campaign released Wednesday after her pneumonia diagnosis last week.
The campaign says that Clinton’s physician found that the remainder of the Democratic presidential nominee’s complete physical exam was “normal” and she is in “excellent mental condition.”
Dr. Lisa Bardack adds that Clinton is “recovering well with antibiotics and rest” after she became overheated, dehydrated and felt dizzy at a 9/11 memorial ceremony on Sunday.
Clinton’s aides say she’ll return to the campaign trail on Thursday.
...
Hillary Clinton is releasing additional medical information that provides more detail about her recent pneumonia diagnosis.
The campaign says the additional information explains that a Clinton got a chest scan Friday that showed a “mild, non-contagious bacterial pneumonia.” Clinton was treated with an antibiotic called Levaquin, which she was prescribed for 10 days.
Clinton’s doctor has evaluated her several times since she became dehydrated at Sunday’s 9/11 memorial event in New York City. Dr. Lisa Bardack saw Clinton on Wednesday and says through the campaign that the Democratic presidential nominee “continues to improve” after a few days of rest.
Clinton’s aides say she’ll return to the campaign trail on Thursday.

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The Surprises In Hillary Clinton's Newly Released Medical Records

Sep 14, 2016 | Forbes

By Judy Stone

Records released by Hillary Clinton’s long-time physician, Lisa Bardack, reveal several important things. Most importantly, she appears to be a normal, generally healthy woman who happened to get an infection.
Dr. Bardack’s letter shows what a real letter of evaluation from an internist should look like, instead of the sloppy note from Donald Trump’s doctor, Harold Bornstein. In fact, that superficial note—dashed off in five minutes while Trump’s limo waited—was so filled with superlatives that it sounded like something Trump himself likely said. Trump’s results were “astonishingly excellent” and he would be the “healthiest individual ever elected.” Little substance, big bravado, and YUGE ego.
Dr. Bardack’s letter gave considerable detail. I would have added that Hillary must be extraordinarily fit to sustain the level of work and campaigning that she has for such a prolonged period. Despite having a mild pneumonia, she did a two-hour national security briefing, a press conference, and more on September 9th, the day of her diagnosis. Bloomberg reporter Jennifer Epstein tweeted
"Friday, day Clinton diagnosed w pneumonia, she appeared at 2 fundraisers, ran a 2-hour natl security mtg, did a presser, sat for CNN intvu"
Hillary felt “overheated” at the 9/11 service and became felt dizzy. While this was attributed to dehydration, which is quite likely, the antibiotic she received may also have contributed to this.
Treatment of Clinton’s pneumonia
Dr. Bardack’s letter gives us quite a bit of detail as to Hillary’s health—perhaps more than we are entitled to. I can only comment based on information in that letter and what I see in Hillary’s public appearances. But I can say that I was a little bit surprised by two things revealed in the letter.
The first is that Clinton had CAT scan done to evaluate her cough, rather than a regular chest x-ray. Was this VIP extra-cautious care or perhaps to avoid criticism that she hadn’t had a thorough enough examination? It did enable her physician to say that she had no calcifications in her coronary arteries, which would be a risk for heart disease.
The choice of antibiotics troubles me. A mild, community-acquired pneumonia could be treated with an amoxicillin type drug and a macrolide (azithromycin or clarithromycin) or doxycycline. These drugs are much safer than Levaquin, a quinolone type of antibiotic.
Why was Levaquin prescribed? I can obviously only guess, but it is commonly overprescribed because of irresponsible marketing, clinical guidelines that do not discourage its use, and harried physicians who use it as a short-cut, thinking it will “cover everything.” In this case, perhaps they wanted to bring out “the big guns” as a just in case.
As I’ve written before, I am loath to use a quinolone. They are far more likely to have serious side effects, including dizziness and confusion, than a beta-lactam (penicillin type of antibiotic). I would also hesitate to use a quinolone in someone with a prior head injury, as they carry a small risk of seizure.
Levaquin and other quinolones also carry greater risk of cardiac rhythm disturbances (QTc prolongation), tendon rupture, and C. difficile colitis—as well as promoting antibiotic resistance. Azithromycin can also cause the same serious arrhythmia, QTc prolongation.
Double standards
Most of what this whole brouhaha tells us is that Clinton is being scrutinized and held to standards that no other candidate has been subjected to. The media has been echoing Trump, hounding her to release personal details of her health, which she has done. Trump has yet to release either basic health information or his tax returns, which are highly relevant to the current election. Why is he allowed to hide his past and is given a pass on most of his outrageous statements and behavior? Speaking to Dr. Oz is hardly being transparent.
Hillary is placed in an unfair and untenable position. She is damned no matter what she does, including not resting as advised by her physician. Ignoring such advice and pushing on is common among high-achieving women. I’ve done that, as have most people I know. You charge ahead, doing what you have to do as best you can. Had she curtailed her schedule immediately, the conspiracists would have said she was weak and dying. Damned whatever she does.
Conclusion
In sum, Clinton was treated aggressively for her mild pneumonia and the choice of antibiotic may well have contributed to her dizziness or faintness. She has far more stamina and energy than most people. And given the level of stress and abuse she has been dealing with, she is one tough woman. Now the media should do what it has neglected all season—ask the same questions of Donald Trump and demand that he immediately answer and open his medical and tax records for scrutiny.

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Clinton campaign releases additional health details on candidate

Sep 15, 2016 | FoxNews

The Hillary Clinton campaign on Wednesday released what it called a “comprehensive update” on the candidate’s medical information, describing the illness that took her off the trail this week as a mild and non-contagious bacterial pneumonia.
“She is recovering well with antibiotics and rest,” said Dr. Lisa Bardack, Clinton’s physician, who provided the information to the campaign.
Bardack also said Clinton, the Democratic presidential nominee, remains “healthy and fit to serve.”
The report follows Clinton having public coughing spells in recent weeks and stumbling on Sunday morning during a 9/11 memorial service in New York City.
Several hours after that incident, the campaign said that Clinton had been diagnosed Friday with pneumonia and was leaving the campaign trail for a few days to convalesce.
Bardack said she detected a “small” sign of pneumonia in the right middle-lobe of Clinton’s lung during the examination last week. And she described the pneumonia as “mild” and “non-contagious bacterial.”
The release Wednesday also shows Clinton takes thyroid medication and the blood-thinner Coumadin, which had been previously known.
Clinton also was recently prescribed Clarinex and Levaquin, which treats bacterial infections, to help get rid of the pneumonia.
Bardack, chairwoman of Internal Medicine at CareMount Medical in Mount Kisco, N.Y., diagnosed the pneumonia after taking a CT scan of Clinton’s lungs.
The campaign said Bardack also examined the 68-year-old Clinton on Wednesday and indicated she “continues to improve."
The report appeared to show all of Clinton’s other health indicators in the normal range, including her blood pressure, heart rate and cholesterol levels.
Bardack also found Clinton to be in “excellent mental condition,” according to the campaign’s release.
In December 2012, when Clinton was secretary of state, she fell, hit her head and sustained a concussion.
Aides said she fell because she had a stomach virus and became dizzy. About two weeks after the fall, doctors found a blood clot in Clinton’s head that was dissolved through medication. A July 2015 report confirmed the incident.
Clinton later said she needed about six months to fully recover from the problems related to the fall, including double vision.
That report and the one released Wednesday also shows Clinton suffers from allergies.
Her running-mate, Virginia Gov. Tim Kaine, released a letter Wednesday from his congressional doctor stating he is in “excellent medical health.”
Republican presidential nominee Donald Trump on Wednesday shared a summary of the results of his latest physical with television host and doctor Mehmet Oz. The show is set to air Thursday.
The details were provided during a taping. The Dr. Oz Show said in a press release that Trump "shared with Dr. Oz the results of his physical examination performed last week by Dr. Harold Bornstein," Trump's longtime doctor.
Oz also "took Mr. Trump through a full review of systems," including his nervous system, hormone levels and family medical history.
Trump running mate Indiana Gov. Mike Pence has vowed to release his records soon.
Clinton is expected to return to the campaign trail Thursday.
She did not attend fundraisers in California and a rally Wednesday in Nevada, instead turning to a reliable surrogate: her husband and former President Bill Clinton.
He hobnobbed with wealthy donors earlier this week at a pair of Beverly Hills fundraisers, including a $100,000-per couple dinner at the home of designer Diane Von Furstenberg. And he snapped selfies with fans during a surprise stop at a trendy coffee shop in Los Angeles before heading to swing state Nevada.
"I'm glad to have a chance to stand in for Hillary today," he told voters in Las Vegas on Wednesday. "She did it for me for a long time. It's about time I showed up and did it for her."
Having a former president on standby is an unprecedented luxury for a White House candidate. It's also a reminder to voters that, when it comes to the Clintons, the couple is a package deal, for better or worse.
Campaign aides quickly called Bill Clinton's chief of staff to see if he could step in for a few days. The timing wasn't ideal. His schedule was packed with interviews and other events in New York ahead of next week's last-ever meeting of the Clinton Global Initiative, a wing of the family's philanthropy.
But aides said he quickly agreed to clear his schedule and fly to California. He reportedly has been calling his wife multiple times a day to check on her health and report back on conversations with donors and other Democrats.
"She's married to the best surrogate in the world," said Jerry Crawford, an Iowa Democrat and longtime Clinton ally.
For all his political gifts, Bill Clinton has been an imperfect messenger on his wife's health this week.
He volunteered in an interview that she had had episodes like this before and on Wednesday said she had flu, not pneumonia. A spokesman said he misspoke and meant pneumonia, but such moments provide grist to conspiracy theorists who think Hillary Clinton is hiding health issues.
In Nevada, Clinton said, “I just talked to her, and she’s feeling great and getting back out there. And last time I checked, millions of people still get the flu.”
Hillary Clinton has an impressive stable of other surrogates on hand for the campaign's final stretch. President Barack Obama, whose favorability is on the rise in his final year in office, campaigned for her on Tuesday in Philadelphia. Vice President Joe Biden opened the week in North Carolina. Michelle Obama, the hugely popular first lady, will help rally voters in Virginia on Friday.

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Clinton returns to campaign trail for 1st time since revealing pneumonia diagnosis

Sep 15, 2016 | CBS News

The presidential race is now statistically tied, according to a CBS News/New YorkTimes poll of registered voters. It shows Hillary Clinton leading Donald Trump 41 to 39 percent when the two third-party candidates are included. That two-point lead is smaller than the margin of error.
Both candidates are revealing some new information about their health, and Clinton is going back to campaigning for the first time since revealing herpneumonia diagnosis.
Clinton is trying to make up for lost time. She’s had a D.C. speech on the books for some time but just added a campaign stop in Greensboro, North Carolina, where she will head first. She has some work to do because despite her narrow lead, the new poll shows her voters are not as enthusiastic as Trump’s, reports CBS News correspondent Nancy Cordes.
Forty-five percent of Trump voters say they are very enthusiastic about voting, compared to 36 percent of Clinton voters.

She still has a big advantage among women: 13 points. She also has an 83 point advantage among black voters, while Trump leads by 11 points among men and among white voters.
With his wife out sick, pinch hitter Bill Clinton argued in Las Vegas that Trump has narrow appeal.
“When Hillary’s opponent says, ‘I’m going to make America great again,’ let me tell you, you have to be a certain age -- and it helps to be a white Southern man. I know what that means,” Bill Clinton said.
The Clinton campaign released a two-page letter from Clinton’s doctor Wednesday detailing her recent illness. Dr. Lisa Bardack says Clinton was examined nearly two weeks ago with a “low grade fever, congestion and fatigue,” which Clinton initially passed off as allergies.

Last Friday, a “CT scan revealed a small right middle lobe pneumonia.” She was prescribed a 10-day course of the antibiotic Levaquin and rest.

Clinton’s decision to skip the prescribed rest left her “overheated,” “dehydrated” and “dizzy.”

Bardack said, “Mrs. Clinton has since been evaluated by me several times and continues to improve. She continues to remain healthy and fit to serve as president of the United States.”
Clinton’s campaign says despite the unusual nature of this race, she wants to focus on policy in the coming weeks. They say one upside to her downtime is that she’s been able to sharpen her closing message to voters.
In North Carolina Thursday, she’s going to talk about supporting children and families, two days after Trump unveiled his child care plan.

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Clinton campaign releases additional medical info

Sep 14, 2016 | USA Today

By Heid M. Przybyla

The Clinton campaign hopes to squash the narrative of Hillary's broader health concerns with the release of additional medical records.
Hillary Clinton released more detailed medical information Wednesday that describes the form of pneumonia she's been diagnosed with as a mild, non-contagious bacterial infection. The campaign also released more details about the results of routine lab tests given to the Democratic presidential nominee, such as blood cholesterol levels and her annual mammogram.
Clinton has been at her home in Chappaqua, N.Y., resting since she was recorded leaving a Sept. 11 memorial ceremony on Sunday in New York City stumbling and being held up by her aides. After receiving a CT scan of her chest on Friday, Clinton was diagnosed with a small right middle-lobe pneumonia, according to a letterreleased by the campaign from her physician, Dr. Lisa Bardack. Clinton is being treated with the antibiotic Levaquin for 10 days.
Sunday's health incident was preceded by Internet rumors fanned by conservative websites that the Democratic nominee has broader health issues, a narrative the campaign wants to squash after Clinton spent much of August fundraising in private instead of holding public events.
Spokesman Brian Fallon said earlier this week the former secretary of State has no underlying health condition. Clinton suffers from seasonal allergies that developed into pneumonia, according to her doctor.
Also included in the Wednesday letter are the results of additional lab tests as well as that of an annual mammogram, which was reported as normal. According to Bardack, "the remainder of her complete physical exam was normal and she is in excellent mental condition."
Bardack added: "She is recovering well with antibiotics and rest. She continues to remain healthy and fit to serve."
The campaign also released a health letter on her running mate, Virginia Sen. Tim Kaine, written by Dr. Brian P. Monahan, the attending physician of the U.S. Congress that stated Kaine is in "overall excellent health."
Bardack placed Clinton's condition in the context of a number of recent allergy flairs, "a typical pattern for most of her life." In January, Clinton received a tube in her left ear to treat an infection and sinusitis. On Sept. 2, she was found to have a low-grade fever, congestion and fatigue, conditions that worsened and developed into a cough as she traveled over the following week.
Clinton has come under criticism for not disclosing that she was sick until two days after the pneumonia diagnosis. In a Monday night interview on CNN, Clinton said she did not share her condition earlier because she "didn't think it was going to be that big a deal" and called on the press to hold Donald Trump to the "same standard" of transparency. She said she thought she “could power through It," but that “didn’t work out so well.”
In July 2015, Bardack, an internist in Mount Kisco, N.Y., said Clinton was "healthy" and "fit to serve," noting the candidate suffered from hypothyroidism and seasonal pollen allergies.
Clinton's history of blood clots has been a focus of attention. She underwent anticoagulation therapy to dissolve a blood clot and had to wear special glasses to correct double vision for nearly two months starting in late 2012. In last year's medical report, Bardack said follow-up exams in 2013 “revealed complete resolution of the effects of the concussion as well as total dissolution of the thrombosis.” She’s had two prior blood clots in her leg, once in 1998 and once in 2009.
Wednesday's letter said recent testing, in coordination with her hematologist, all within the past month, had come back normal.
Trump, meanwhile, on Wednesday discussed records from a physical he had last week during an appearance on The Dr. Oz Show, which is set to air Thursday, according to a summary provided by the show.
The Republican presidential nominee shared information about the exam just hours after his campaign signaled he would only talk about health matters in a very general sense. Earlier Wednesday, campaign manager Kellyanne Conway told Fox News the results of Trump's exam would be shared publicly "this week."
The statement from the Oz program also said Trump's physical was performed by Dr. Harold Bornstein, his personal physician, who in a brief letter last year proclaimed the real estate mogul would be the "healthiest individual ever elected to the presidency."
At 70, Trump would be the oldest candidate ever elected president for the first time; Clinton turns 69 in October, making her just months younger than Ronald Reagan was when he first took office.
In her CNN interview earlier this week, Clinton noted that her medical disclosure is in line with what was provided by President Obama and his Republican challenger, Mitt Romney, in 2012.
In 2008, Republican Sen. John McCain released more than a thousand pages of medical records to show he was cancer-free and fit to serve as president.

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Doctor’s Letter: A Detailed Look at Hillary Clinton’s Health, Medications

Sep 14, 2016 | Wall Street Journal

By Colleen McCain Nelson

Hillary Clinton’s campaign released a letter from the candidate’s physician declaring her “healthy and fit to serve as president of the United States,” while also giving further details about the medications she is taking and her recent bout of pneumonia.
In the two-page letter, Dr. Lisa Bardack explained Mrs. Clinton’s pneumonia diagnosis and assessed her overall health, saying that the remainder of the candidate’s physical exam was normal and that she is in “excellent mental condition.”
A chest CT scan on Friday revealed a small right middle-lobe pneumonia that Dr. Bardack said was mild, noncontagious bacterial illness.
“I advised her to stay home and rest for the next several days,” Dr. Bardack said of her instructions to Mrs. Clinton after the former secretary of state became overheated and felt dizzy on Sunday. “Mrs. Clinton has since been evaluated by me several times and continues to improve.”
The release of Wednesday’s medical information came as the campaign worked to reassure voters that Mrs. Clinton is healthy, aside from her recent illness. She has been sidelined from the campaign trail this week with pneumonia, and both she and Republican rival Donald Turmp have faced intensifying questions about their health.
The doctor’s letter also detailed Mrs. Clinton’s current medications and lab tests.
Dr. Bardack described normal lab tests, including cholesterol, heart rate and respiratory rate, as well as a normal mammogram and blood pressure within a normal range.
The medications Mrs. Clinton takes include the blood thinner Coumadin and the antihistamine Clarinex, the doctor said. In the past, the Democratic nominee has experienced deep-vein thrombosis, and she previously disclosed that she takes blood thinners to prevent new clots.
Dr. Bardack said Mrs. Clinton’s blood levels have been relatively stable and that the former secretary of state has had several allergy flare-ups during the last year. When Mrs. Clinton struggled with persistent coughing on the campaign trail last week, she attributed it to seasonal allergies.
Mrs. Clinton also is taking Levaquin for 10 days, presumably to treat her current illness. The drug is widely prescribed, but The Food and Drug Administration in May decided to require heightened warnings about serious side effects from an oft-used class of antibiotics that includes Levaquin and its generic version levofloxacin. The warnings cite possible damage to tendons, muscles, joints, nerves and the central nervous system.
Dr. Greg Rosencrance, an internal medicine doctor and chairman of the Cleveland Clinic’s Medicine Institute, said that a fluoroquinolone antibiotic like Levaquin “is appropriate for community-acquired pneumonia. Her illness has been handled appropriately.”
He added, “We’ve moved away from a fluoroquinolone for simple infections, but for community-acquired pneumonia, it’s appropriate.”
Dr. Bardack offered a generally positive assessment of Mrs. Clinton’s health, saying that beyond the recent pneumonia diagnosis and a past sinus and ear infection, the Democratic nominee has “remained healthy and has not developed new medical conditions this year.”
The former secretary of state’s illness has ramped up calls for her to release additional medical records and to provide more information about any underlying conditions. Mrs. Clinton, who previously made public a summary of her medical records, has remained resolute in saying she already had met the “standard of disclosure,” but she and her advisers decided this week to make more information about her health available for review.
On Wednesday, Mr. Trump discussed the results of his recent physical examination during a taping of “The Dr. Oz Show,” but didn’t disclose the details publicly. The episode is scheduled to air Thursday. Previously, Mr. Trump had released only a short letter from a physician who wrote about his health in vague but glowing terms.
Mrs. Clinton has been dogged by questions about her health this week after making a hasty, stumbling exit from a 9/11 memorial ceremony. After Mrs. Clinton nearly collapsed while walking toward her motorcade van, campaign officials initially said only that she “felt overheated.”
Several hours later, the Clinton camp released a statement from the candidate’s doctor revealing that she had been diagnosed with pneumonia on Friday.
Mrs. Clinton and her aides have said she initially had made the decision to try to push through her illness and continue campaigning. But after Sunday’s episode, Mrs. Clinton agreed to heed her doctor’s advice and take a few days to rest and recover.
Mrs. Clinton hasn’t been seen in public since Sunday but is expected to return to the campaign trail on Thursday.
In a one-page letter, Dr. Brian Monahan wrote that Democratic vice-presidential candidate Tim Kaine, a Democratic senator from Virginia, is “in overall excellent health and active in your professional work and physical fitness endeavors without limitation.” The doctor noted that an electrocardiogram had shown mild left atrial enlargement and that a left mandibular tooth was awaiting repair. Dr. Monahan also recommended that Mr. Kaine add a daily vitamin D supplement to his diet.

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Hillary Clinton and Donald Trump Give More Details on Their Health

Sep 14, 2016 | New York Times

By Amy Chozick and Maggie Haberman

With less than eight weeks until Election Day and pressure mounting for the candidates to give details about their health and medical histories,Donald J. Trump acknowledged on Wednesday that he was overweight and taking a cholesterol-fighting drug, and Hillary Clinton elaborated on the circumstances that led to her contracting pneumonia and the medicine she was taking to recover.
Mrs. Clinton’s doctor said she “continues to improve” after contracting a “mild, noncontagious” form of pneumonia diagnosed on Friday, two days before she grew dizzy and was seen losing her footing while leaving a ceremony for the 15th anniversary of the Sept. 11 terrorist attacks.
In a letter released by the Clinton campaign, the physician, Dr. Lisa R. Bardack, said she had evaluated Mrs. Clinton several times since Sunday, including on Wednesday. “She is recovering well with antibiotics and rest,” Dr. Bardack said. “She continues to remain healthy and fit to serve as president of the United States.”
After Mrs. Clinton left Sunday’s Sept. 11 ceremony early, a spokesman initially said only that she had felt overheated. But after video shot by an onlooker showed Secret Service agents helping a wobbly Mrs. Clinton into a van, her campaign released a statement from Dr. Bardack saying that Mrs. Clinton had pneumonia.
Since then, Mr. Trump’s campaign has urged supporters to refrain from talking about Mrs. Clinton’s health, a frequent topic of speculation among some Republicans before her pneumonia diagnosis. But at a rally in Ohio on Wednesday night, Mr. Trump said he hoped Mrs. Clinton was improving but added that she was “lying in bed.”
He also noted his ability to keep standing in an overheated room. “I don’t know, folks,” he said. “Do you think Hillary would be able to stand up here for an hour?”
Despite fanning conspiracy theories about Mrs. Clinton’s health, Mr. Trump provided scant information about his own. On Wednesday, he taped an appearance on Dr. Mehmet Oz’s daytime television show in which he discussed his health to some degree, including the results of a physical last week, according to people present for the taping and a clip released by the show’s publicists.
But little information was available about what was said on the show, which will be broadcast on Thursday, other than that Mr. Trump, 70, said he was taking regular doses of a statin, a drug that lowers cholesterol, and gave his weight as 236 pounds.
At about 6-foot-2, Mr. Trump would have a body mass index of 30.3. The National Heart, Lung and Blood Institute defines obesity as a B.M.I. of 30 or more, and overweight as 25 to 29.9.
NBC News reported that Dr. Oz pronounced Mr. Trump “slightly overweight.”
Democrats have seized on Mr. Trump’s weight this week, with Harry Reid, the Senate minority leader, noting Tuesday that he was hardly “slim and trim,” and David Plouffe, a former senior adviser to President Obama, suggesting on Twitter that he would rival William Howard Taft in portliness.
Mr. Trump has yet to make public as much personal medical information as Mrs. Clinton has. Earlier this week, he said he would soon release new medical records, and he was expected to discuss the results of his physical on Dr. Oz’s show. During the taping, he theatrically produced what he described as the results and allowed Dr. Oz to review them, according to the brief clip released.
Until this week, the latest medical information about Mr. Trump had come in December in a letter from his longtime physician, Dr. Harold Bornstein, which included a few numbers — Mr. Trump’s blood pressure and PSA test score — and little else aside from superlatives and boasts. The letter also said that Mr. Trump had lost 15 pounds over the previous year, though it did not give his weight before or after.
In the letter released by the Clinton campaign, Dr. Bardack said that she had examined Mrs. Clinton, 68, on Friday for a prolonged, allergy-related cough, discovered “small right middle-lobe pneumonia,” put her on antibiotics and advised her “to rest and modify her schedule.” At the Sept. 11 ceremony, she said, Mrs. Clinton “became overheated and dehydrated,” but was “rehydrated and recovering nicely” later that day.
Criticized for concealing Mrs. Clinton’s illness, her aides apologized on Monday and promised to release more information about her medical history.
Mrs. Clinton canceled trips to California and Nevada this week to rest, but she planned to return to the campaign trail on Thursday.
Dr. Bardack’s letter also cast some new light on the persistent cough that Mrs. Clinton complained of before she was found to have pneumonia. Dr. Bardack said she had examined Mrs. Clinton on Sept. 2, a week before the pneumonia diagnosis, after Mrs. Clinton experienced a low-grade fever, congestion and fatigue. She prescribed antibiotics and rest, but Mrs. Clinton continued to travel, and over several days, “her congestion worsened and she developed a cough,” Dr. Bardack wrote.
That Monday, Mrs. Clinton had an extended coughing attack while trying to deliver a Labor Day speech in Cleveland.
Dr. William Schaffner, a professor of infectious diseases at Vanderbilt University, said that the information suggested Mrs. Clinton may have had the pneumonia for a longer period, and that she needed a follow-up examination and X-rays to make sure it was responding well to the antibiotics.
Dr. Bardack wrote that “the remainder of her complete physical exam was normal, and she is in excellent mental condition.” Her letter did not include Mrs. Clinton’s height or weight.
It did note, however, that in January, Mrs. Clinton developed a sinus and ear infection that caused “progressive pain in her left ear.” She was treated with antibiotics as well as the placement of a myringotomy tube in her ear, and her symptoms resolved by March.
Before Sunday, Dr. Bardack’s last public comment about Mrs. Clinton’s health had come in a two-page letter in July 2015 describing her as a “healthy female with hypothyroidism and seasonal allergies” who was in “excellent physical condition.”
Mrs. Clinton has expressed frustration with what she says is a double standard, in which she is expected to adhere to traditional levels of transparency but Mr. Trump is not penalized for ignoring them. She has quickly shifted from questions about her medical records to criticizing Mr. Trump for not releasing his tax returns.
“It’s really past time for him to be held to the same standards,” she told CNN on Monday night.
The details released Wednesday included that Mrs. Clinton has been taking the antibiotic Levaquin, “as well as B-12 as needed.”
Mrs. Clinton’s running mate, Senator Tim Kaine of Virginia, also released a doctor’s letter Wednesday, saying he was in excellent health and worked out three times a week. Dr. Brian Monahan, the attending physician to Congress, said Mr. Kaine’s cholesterol and blood lipids were elevated, but made no mention of a statin drug. The upper chamber of the left side of Mr. Kaine’s heart is enlarged, but Dr. Monahan noted nothing else unusual about his heart or major arteries.
Mrs. Clinton’s disclosures may help her campaign bat down rumors about her health that have been driven by conservative news outlets with Mr. Trump’s encouragement.
After her coughing fit in Cleveland, Mrs. Clinton casually told reporters on her campaign plane that she was taking more antihistamines. “It happens like twice a year, in the spring when the pollen comes, and it happens in the fall,” she said. “It lasts a couple days, and then it disappears.”
“There is a long video recording that someone is compiling right now, going back decades,” she added jokingly.
Mrs. Clinton has tried to bounce back quickly from medical issues in the past. In 2009, she slipped in a State Department garage and fractured her elbow, but traveled to India and Thailand a few days later with her arm in a sling and her joint held together with wire and pins.
She took longer to recover after dehydration brought on by a stomach virus led her to faint and hit her head on a toilet at her home in 2012. She sustained a concussion and was later found to have a blood clot in her head. Among the events she missed was testifying before Congress about the Sept. 11, 2012, attack in Benghazi, Libya.
The timing led to widespread speculation by Republicans, who accused Mrs. Clinton of faking an illness. One Fox News contributor called it an “acute Benghazi allergy.”
Some have expressed concern about a similar politicizing of Mrs. Clinton’s current diagnosis.
“They’re hitting each other on the heads with stethoscopes to try to earn points,” said Arthur L. Caplan, a professor of medical ethics at New York University.
But Dr. Caplan said both candidates needed additional scrutiny, given their ages. “You’ve got older candidates, so you’re going to see health problems and risks detected in both of them,” he said. “Seventy is still the new 70.”

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Local Coverage

CLINTON HAD 'NORMAL' PHYSICAL, IN 'EXCELLENT MENTAL CONDITION': DOCTOR

Sep 14, 2016 | ABC7 Chicago

By Liz Kreutz

Hillary Clinton on Wednesday released more information about her medical history after the announcement on Sunday that she was diagnosed with pneumonia and amid a flurry of questions about her health overall.
The statement said that a recent physical "was normal and she is in excellent mental condition."
In a letter released by the campaign, Clinton's longtime physician, Lisa Bardack, who visited with Clinton at her home on Wednesday, said Clinton's pneumonia diagnosis on Sept. 9 started as a "low grade fever, congestion and fatigue."

Bardack wrote that after Clinton's travel, which included numerous flights on her new campaign plane, her congestion worsened and she developed a cough, evidenced by a coughing attack during a campaign rally in Ohio on Labor Day. When Clinton returned home to New York, her doctor performed a CT scan, which revealed pneumonia.

Bardack added that she has evaluated Clinton several times since she became "overheated" at a 9/11 memorial ceremony and that she is "recovering well with antibiotics and rest." Clinton currently takes a handful of medications, including for her thyroid, and Bardack said "she continues to remain healthy and fit to serve as president of the United States."

A statement released last summer said her "current medical conditions includehypothyroidism and seasonal pollen allergies."

According to the letter released today, Clinton's lab work was normal, she has a blood pressure of 100/70 and has had a normal mammogram and breast ultrasound.

Bardack also revealed that in January as Clinton was campaigning before the Iowa caucuses, she developed a sinus and ear infection and had a tube placed in her left ear to help drain fluid from her middle ear. Clinton reported having "significant improvement in her symptoms" since this procedure.

The release of this information comes three days after the Democratic presidential nominee, 68, abruptly left a 9/11 memorial ceremony in New York City. Her campaign initially said her early departure was due to her being "overheated." However, after video surfaced showing the former secretary of state struggling to walk, the campaign revealed she was diagnosed with pneumonia on Friday.

The statement released today said a chest CT scan was performed on Clinton last Friday, the results of which revealed pneumonia. The statement said that this is a noncontagious bacterial pneumonia and that she was treated with Levaquin, which she has been advised to take for 10 days.

Clinton's campaign, in an attempt to downplay questions over her health, insisted recently that the presidential nominee has "no other undisclosed condition" and promised to release more information about her medical records.

Last summer, Clinton released a two-page statement from Bardack, saying "she is in excellent physical condition and fit to serve as president of the United States."

The statement also said Clinton has no lasting effects from a concussion she suffered while serving as secretary of state in 2012, backing up statements that she has made in the years since the incident.

Clinton, following her doctor's advice to rest and modify her schedule this week, canceled her plans to campaign on the West Coast and has remained at home in Chappaqua, New York, since Sunday.

She is scheduled to return to the campaign trail on Thursday, with a campaign event in Greensboro, North Carolina.

Asked during a phone interview with CNN's Anderson Cooper on Tuesday why she did not reveal her pneumonia diagnosis before Sunday, Clinton explained that she just "didn't think it was going to be that big a deal."

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Trade Coverage

Hillary Clinton's Doctor Declares Her Fit to Be President as She Releases Medical Records

Sep 14, 2016 | People Magazine

By Tierney McAfee

Hillary Clinton's doctor declared her fit to be president on Wednesday as her campaign released more details on the Democratic nominee's health.
The health update comes amid concerns over Clinton's recent pneumonia diagnosis, and shows that the 68-year-old has seasonal allergies, but is in otherwise good health. Her medications include a thyroid medication, a blood thinner, an antihistamine for seasonal allergies, and B-12 for mild anemia.
The Clinton campaign also posted to its official website a comprehensive letter from her physician, Dr. Lisa Bardack, with more information on the former secretary of state's health as well as the details of her pneumonia diagnosis. After undergoing a non-contrast chest CT scan on Friday, a small right middle-lobe pneumonia was found. It was non-contagious and bacterial. Clinton was treated with Levaquin, which she was told to stay on for 10 days.
"The remainder of her complete physical exam was normal and she is in excellent mental condition," Bardack wrote in the letter. "She is recovering well with antibiotics and rest. She continues to remain healthy and fit to serve as President of the United States."
The campaign said that Wednesday's letter is intended to supplement the last disclosure of Clinton's health status in July 2015.
Clinton's running mate, Tim Kaine, also released his medical records on Wednesday. His doctor said he's in "excellent health."
The report included medically insignificant tidbits that gave a peek into the very personal lives of two very public people.
Clinton, according to her doctor, suffers from mild chronic sinusitis that flared up – complete with a complementary ear infection – in January, just as the candidate was heading into a long and grueling primary season of nonstop travel.
When antibiotics and steroids did nothing to alleviate the pain in her left ear, an ear, nose and throat specialist inserted an ear tube – one of those tiny myringotomy tubes so familiar to parents of toddlers with chronic ear infections. It did the trick. "Her symptoms resolved and she continued symptom-free for the next six months," Bardack wrote.
As for Kaine, his doctor revealed that the Virginia senator is in "overall excellent health," works out three times a week – cardio and calisthenics – and has battled the notoriously painful plantar fasciitis, but it's not bothering him now. Kaine has a history of "a clavicle fracture and shoulder dislocations that are asymptomatic." (A spokeswoman did not immediately respond to a request for the backstory on these.)
And his cholesterol, at 224, is not as good as his boss', which clocks in at an impressive 189.
Hillary for America campaign manager Robby Mook said in a statement, "It's fair to say the public now knows more about Hillary Clinton than nearly anyone in public life. Hillary Clinton's release of updated medical information today meets a standard followed by presidential candidates like Barack Obama and Mitt Romney.
"Additionally, Hillary has made public nearly 40 years of tax returns over her lifetime. In stark contrast, Donald Trump is hands down the least transparent presidential nominee in memory," the statement continued. "His Doctor Oz charade is as completely unserious as his original joke of a letter written in five minutes. He continues to hide his taxes and business dealing behind fake excuses. And it begs the question: what is he trying to hide?"

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Read The Letter Hillary Clinton’s Doctor Wrote About The Presidential Nominee’s Health

Sep 14, 2016 | The Huffington Post

By Paige Lavender

Hillary Clinton’s doctor penned a letter Wednesday with more information about the Democratic presidential nominee’s health.
The letter comes as Clinton recovers from a bout of pneumonia. Clinton’s physician, Dr. Lisa Bardack, said the presidential hopeful “is recovering well with antibiotics and rest.”
Below, the full text of Dr. Bardack’s letter on Clinton’s health:
This letter is a summary update on Hillary Rodham Clinton’s health since the release of my previous medical statement in July 2015.
Mrs. Clinton has been seen by me regularly this year for routine care. She has had recurrent blood testing for Coumadin dosing and adjustments. Her blood levels have been relatively stable. She also has had several allergy flares over the past year, which has been a typical pattern for most of her life. In consultation with her allergist, she responded well to her medication adjustments.
In January of 2016, Mrs. Clinton developed symptoms of sinusitis and an ear infection, which was treated with antibiotics and steroids. Over the ensuing few weeks, she noted progressive pain in her left ear despite treatment, and subsequently was evaluated by her ENT physician. This evaluation confirmed a sinus and ear infection, with increased fluid in her left ear. To help alleviate her symptoms, a myringotomy tube was placed in her left ear in January of 2016. After the tube was placed, Mrs. Clinton had significant improvement in her symptoms. Further follow-up evaluation with a CT scan of her brain and sinuses was done in March of 2016. This scan showed no abnormalities of the brain and mild chronic sinusitis. Her symptoms resolved and she continued symptom-free for the next six months.
On Friday, September 2nd, I evaluated Mrs. Clinton for a 24-hour history of a low grade fever, congestion and fatigue. On examination, she was noted to have a temperature of 99.4; her vital signs were otherwise normal as was her physical exam. She was advised to rest, put on a short course of antibiotics and continued on her allergy medications for an upper respiratory tract infection in the setting of her seasonal allergies. 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. On Friday, September 9th, she was seen and evaluated in my office. A non-contrast chest CT scan, including a CTA calcium score, was performed. This test allowed for specific imaging of her lungs while also following up on cardiac risk stratification from 2010 given her family history of heart disease. The results of the CT scan revealed a small right middlelobe pneumonia; her coronary calcium score was again zero. She was treated with antibiotics for pneumonia and advised to rest. This was a mild non-contagious bacterial pneumonia. On Sunday, September 11 at the 9/11 Memorial event, she became overheated and dehydrated and as a result felt dizzy. I examined her immediately upon her return home; she was re-hydrating and recovering nicely. I advised her to stay home and rest for the next several days. Mrs. Clinton has since been evaluated by me several times and continues to improve.
Mrs. Clinton’s current medications include Armor Thyroid, Coumadin dosed as directed, Levaquin (for a total ten days), Clarinex, as well as B12 as needed. After consultation with her hematologist, it was decided again not to change her anticoagulation to a newer agent. Her recent testing, all of which was done within the past month, has been normal. She remains up to date on all of her immunizations, including Prevnar and Pneumovax. Her Coumadin levels have been adjusted as needed according to regular lab testing. She had a normal mammogram and breast ultrasound. She receives routine dental care. Her thyroid blood tests are within normal limits. Of note, she has remained stable for many years on Armor thyroid to treat her hypothyroidism (a low T3 level). Her laboratory testing (vitamin D, CBC, fasting blood glucose, comprehensive metabolic panel, hemoglobin A1-C, vitamin B12) was normal, including cholesterol of 189, LDL of 103, HDL of 56 and triglycerides of 159. Her vital signs showed blood pressure of 100/70, heart rate of 70, respiratory rate of 18, temperature of 97.8 and pulse-oximetry of 99%. The remainder of her complete physical exam was normal and she is in excellent mental condition.
My overall impression is that Mrs. Clinton has remained healthy and has not developed new medical conditions this year other than a sinus and ear infection and her recently diagnosed pneumonia. She is recovering well with antibiotics and rest. She continues to remain healthy and fit to serve as President of the United States.
Sincerely
Lisa Bardack, MD
Diplomat of the American Board of Internal Medicine
Chair of Internal Medicine, CareMount Medical

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Hillary Clinton's Doctor Says She Is

Sep 14, 2016 | The Slatest

By Jim Newell

Hillary Clinton “continues to remain healthy and fit to serve as President of the United States,” Dr. Lisa Bardack, Clinton’s physician, says in a detailed letterproviding more information about Clinton’s current condition and her overall health.
Bardack first detected a “low-grade fever” of 99.4 degrees in Clinton on Sept. 2, along with congestion and fatigue. “She was advised to rest," according to the letter, "put on a short course of antibiotics and continued on her allergy medications for an upper respiratory tract infection in the setting of her seasonal allergies,” but the condition worsened. After a CT scan last Friday, she was diagnosed with “mild non-contageous bacterial pneumonia.”
“I advised her to stay home and rest for the next several days,” Bardack writes. “Mrs. Clinton has since been evaluated by me several times and continues to improve.”
We also learn that Clinton had a sinus and ear infection in January. A “myringotomy tube was placed in her left ear” to make things better. (I have had this exact same wintry sinus-ear infection combo and it's the worst! A fancy tube would've been nice.) “Her symptoms resolved and she continued symptom-free for the next six months,” Bardack writes.
Clinton’s “current medications include Armor Thyroid, Coumadin dosed as directed, Levaquin (for a total ten days), Clarinex, as well as B12 as needed.” Her blood pressure is 100/70, her cholesterol is 189 (LDL 103, HDL 56), for those keeping score at home. “The remainder of her complete physical exam was normal and she is in excellent mental condition.”
So ... there ya go! Read the full letter here.

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Hillary's Doc Claims She's

Sep 14, 2016 | Independent Journal Review

By Maegan Vazquez

Following a bout of pneumonia, Hillary Clinton's presidential campaign revealed additional medical information to the public, including her medications.
In a letter, Clinton's physician, Dr. Lisa Bardack, says the former Secretary of State "continues to remain healthy and fit to serve as president" despite her recent illness.
On Sunday, Clinton was spotted leaving a 9/11 anniversary ceremony early, and collapsing into her van.
According to the letter, Clinton was diagnosed with a noncontagious, bacterial pneumonia following a CT scan last Friday, and has been prescribed a few medications. Here's what they are and what they do.
Levaquin
According to the letter, Clinton has been prescribed Levaquin for 10 days. Levaquin is an antibiotic which, according to the FDA, could have side effects such as feeling "faint" or feeling "lightheaded."
Armour Thyroid
Clinton, who has previously been diagnosed with hypothyroidism, regularly takes Armour Thyroid — a medication made from animal parts intended to replenish hormones in a patient's thyroid. The medication is known to cause intolerance to heat.
Coumadin
Much like Armour Thyroid, Coumadin is another medication Clinton has been taking regularly. Coumadin is a blood thinner.
Clarinex
Clarinex is an antihistamine. In the letter, Dr. Bardack writes that Clinton has had multiple "allergy flares," including one this past January. It was allergies that incited the long cough that triggered the pneumonia.
B12, as needed
Vitamin B12 is commonly found in meat, fish, and dairy. However, it can also be taken as a supplement, often intended to boost energy. Following a visit to Dr. Bardack this week, Clinton complained of exhaustion, which might be reason for the B12.
In addition, the letter states that Clinton's breast exam results, vitals, and cholesterol levels are normal.
Clinton is expected to get back to campaigning on Thursday.

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International Coverage

Hillary Clinton 'healthy and fit', says doctor

Sep 15, 2016 | BBC

The statement said the Democratic presidential nominee "continues to improve" after a pneumonia diagnosis.
The disclosure came as her Republican rival Donald Trump released health data of his own on a medical chat show.
Clinton aides say she will return to the campaign trail on Thursday after falling ill in public at the weekend.
Both candidates, among the oldest ever to run for the White House, have been under intense pressure to share more medical information.
Health issues have dominated the race for November's election since a dizzy spell forced Mrs Clinton, 68, to leave a 9/11 ceremony in New York on Sunday.
Her campaign said on Wednesday that her physician found her complete physical examination was "normal" and she is in "excellent mental condition".
Dr Lisa Bardack said Mrs Clinton was "recovering well with antibiotics and rest".
The campaign said she had a chest scan on Friday that showed a "mild, non-contagious bacterial pneumonia".
Mrs Clinton - who has been recuperating at her suburban New York home - was treated with an antibiotic called Levaquin, which she was prescribed for 10 days.
"She continues to remain healthy and fit to serve as President of the United States," concluded Dr Bardack in the letter.
The physician said Mrs Clinton was up to date on all vaccines, including two given to help prevent pneumonia, Prevnar and Pneumovax.
The letter did not state when she received those vaccines.
Mrs Clinton's blood pressure (of 100 over 70) and total cholesterol (189) were all within healthy levels, according to the letter.
The former Secretary of State also had a normal mammogram and breast ultrasound, said the doctor.
She takes thyroid and allergy medicines and the blood thinner Coumadin, prescribed after she suffered a blood clot resulting from a 2012 concussion.
The blood clot was said to have been in a vein in the space between the brain and the skull behind the right ear.
The complication led Mrs Clinton to spend a few days in hospital and take a month off from her job at the State Department.
Mr Trump, meanwhile, has said he is planning to release details this week of a recent physical.
The Republican White House nominee handed over a one-page summary of that examination while appearing on The Dr Oz Show.
He told the host he is 236lb and 6ft 3in tall, which would make him clinically overweight.
The syndicated television show will not be broadcast until Thursday and the campaign declined to immediately disclose the results.
Mr Trump told a rally in Canton, Ohio, on Wednesday night that he doubted Mrs Clinton would have the stamina to lead one of his events.
He asked the crowd: "You think Hillary would be able to stand up here for an hour and do this? I don't think so, I don't think so."
Mr Trump later said she was "lying in bed, getting better".

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