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Donald Trump is talking about Hillary Clinton’s health, as are two doctors who have never evaluated Clinton.
They have apparently diagnosed her with all kinds of ailments using the long disproven Fox-Drudge equation.This attention on Clinton has renewed some interest in the letter Donald Trump released last year from his personal physician.
Last edited by DollyLongstaff (8/17/2016 7:53 pm)
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Many outlets have picked it apart, but I want to tell you as a doctor exactly how bad it is. I would never write anything this terrible for a jury duty excuse or a back to work note, never mind something that half the country (and possibly half the world) might see or could possibly end up one day in a presidential library!
There are so many issues with the letter I’m going to just start at the beginning:
1. The header has a non-working web address, and doctors don’t include e-mail addresses in letters.
It is incredibly rare for doctors to include an e-mail address in this kind of correspondence because we don’t want the person receiving the letter (e.g. the entire press corps or the place of work or the disability insurance company) to e-mail back with questions about our patient’s health.
This could lead to a HIPAA (privacy) violation. Also, gmail is not a secure method of communication, so most doctors don’t want to use it for medical information.
We doctors also don’t put our e-mail address in letters because we don’t want patients using unsecured methods of contact. I’m happy to have my patients e-mail me, they just need to do it through our secure server.
The e-mail address is really odd, but then again it could be a fancy concierge doctor thing.
Except a fancy concierge doctor would probably have a working website.
Really, you’re writing a letter for someone who wants to be President and this is what we get at , a weird website with a name and links to other services?
Last edited by DollyLongstaff (8/17/2016 7:57 pm)
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2. Lennox Hill has a Division of Gastroenterology, not a “Section,” and Dr. Bornstein isn’t listed on the website as a member. Dr. Bornstein is affiliated with Lennox Hill, but he is not part of their Division of Gastroenterology.
There also isn’t a Department of Medicine there is a Division of General Internal Medicine and Dr. Bornstein isn’t a member of that either. Having admitting privileges and being a division member are not the same thing. Many hospitals allow doctors to have admitting privileges and not be department or division members. And what’s with this made up “Section”?It is also very odd for a doctor in a private practice to use their admitting privileges address under their signature if it is not the same as their practice address.
Last edited by DollyLongstaff (8/17/2016 8:00 pm)
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3. The letter starts with a typo.
I’m the typo queen so I’m not really one to judge, but if a patient of mine were running for president and needed a letter, I’d make damn sure it was typo-free.
Last edited by DollyLongstaff (8/17/2016 8:02 pm)
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4. No doctor describes tests as “only positive results” or “astonishingly excellent.” “Only positive results” is gibberish. Some tests are good if they are positive and some are bad if they are positive. Some results are just not binary. For example, a hemoglobin (blood count) is a number and not positive or negative.What are “astonishingly excellent” laboratory test results? I’m a doctor, and I don’t know. Is it astonishing that a 70-year-old man has normal results? All his results are exactly average which is good — but wait, I thought his tests are all positive?And while we’re at it, doctors just don’t say “laboratory test results” that sounds like something on a soap opera.
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5. Doctors don’t say “test score” — we just give the results. The conventional way to reference PSA would be PSA 0.81 ng/ml (normal < 4 ng/ml). A test score is something that happens at the DMV.
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6. How did Dr. Bornstein test Donald Trump’s strength and stamina? Did he have him bench press in the office? Do a treadmill test? Doctor’s just don’t typically write vague, quasi-medical things in letters. I’ve also never heard of a stamina test.
An internist might test muscle strength as part of a physical exam, but the results are graded 0-5, and 5 is not secret code for extraordinary. It’s code for normal.
Last edited by DollyLongstaff (8/17/2016 8:04 pm)
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7. “The healthiest individual ever elected to the presidency.” Every news site has pointed out how ridiculous this is.
Dr. Bornstein is not a medical historian who runs a presidential health archive and, obviously ,Washington and Lincoln never had their PSA checked for comparison. The first blood pressure cuff was invented in 1881, so yeah.
Last edited by DollyLongstaff (8/17/2016 8:05 pm)
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8. There isn’t any useful health information. Someone with Parkinson’s or Alzheimer’s could have a normal blood pressure, normal PSA, take 81 mg aspirin and be on a “low dose” (we don’t know the exact dose or type) statin — so could someone with diabetes or someone who had a heart stent placed last year or who had a stroke four years ago.
Last edited by DollyLongstaff (8/17/2016 8:06 pm)
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Things I don’t find concerning:
That Dr. Bornstein is a gastroenterologist. Often when internal medicine specialists start out, they accept both general medicine and specialty patients. As the years go by, they stop accepting general patients, but often hang on to a few favorites or high-profile patients. It’s done less now, but in the ‘70s and ‘80s, it was more common.
Bornstein may very well have been seeing Trump in that capacity. But yes, a healthy man would not need to see a gastroenterologist until the age of 50
Newsweek pointed out the letter was made on Microsoft Word, but the header on my work letters is generated in the same type as the letter. Sadly, many doctors don’t use lovely heavy bond paper with nice letterhead anymore. But you know when I would? If I were writing a letter for someone who is running for president.T
Last edited by DollyLongstaff (8/17/2016 8:09 pm)
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It’s a terrible letter. Did Dr. Bornstein write it? If so he should be embarrassed. It’s medically illiterate. If he doesn’t know his website doesn’t work or if that he’s not in the Division of Gastroenterology, that’s an issue.Did Trump write it?
He’ll never tell. It certainly reads like a letter written by someone with close to no knowledge of Dr. Bornstein’s practice or medicine.All I can say is, typos and weird links and mentions of non-existent sections of gastroenterology and nonsensical medical information aside, the letter provides essentially no medical information.
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After this was originally posted someone mentioned that Dr. Jacob Bornstein died in 2010.Was an old doctor’s letter used as a template with the person copying the letterhead not knowing or remembering that the elder Dr. Bornstein had passed away?
Is this Dickensian six-year-old letterhead with the name of the deceased still at the top?
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Jennifer Gunter@DrJenGunterOB/GYN, writer, sexpert, defender of evidence-based medicine,
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I read an article on CNN written about Dr. Sanjay Gupta and what his thoughts were on this letter.
Sanjay Gupta challenged the credentials of Donald Trump’s personal physician after questioning language the doctor used to promote the presidential candidate’s health and vitality.The CNN medical correspondent appeared last Tuesday morning on “New Day” to explain some of his findings after digging into the background of Dr. Harold Bornstein, who announced last year by letter that Trump would “be the healthiest individual ever elected to the presidency.”
“He’s been a doctor with Trump for 36 years, between him and his father,” Gupta told CNN’s Chris Cuomo. “He says he’s a fellow of the American College of Gastroenterology, so a GI doc. Interestingly, we called that particular organization (and) they said he was a member — but he hasn’t been a member there in over 20 years, since ’95 now.”
Trump announced the letter, which he offered in lieu of medical records, on Twitter by saying it had been issued by Dr. Jacob Bornstein — Harold’s father, who died in 2010 at age 93.
This statement by DT proves that he doesn't even know that the FATHER has been dead since 2010!! And he paid the son to write it....haha!! So I guess JACOB (the father) came back from the dead to write this letter....lol
Just wanted to add...I don't really care about DT and his health issues....you just have to look at him and that ugly, fat RED face is an indication that his BP is through the roof.....
Last edited by Spunky (8/26/2016 7:23 pm)
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I'm no doctor but even I feel like there's something just not right about this letter.
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Sanjay is very reliable. This goofball doesn't look like he should have his privileges anywhere LOL (yes, that's a horrible judgmental thing to say) but I mean really, would you allow him to examine you? I'm not sure he can even move LOL.
I think its funny that nbc actually got in the door with him and their cameras and they didn't do him or the any favors
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NESunrise wrote:
Sanjay is very reliable. This goofball doesn't look like he should have his privileges anywhere LOL (yes, that's a horrible judgmental thing to say) but I mean really, would you allow him to examine you? I'm not sure he can even move LOL.
I think its funny that nbc actually got in the door with him and their cameras and they didn't do him or the any favors
I know...and DT didn't even know that the father died in 2010....and actually said that the father wrote the fake letter...lol
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this is interesting. The dr admits he wrote the letter in 5 min and didn't proof read it.
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I saw the interview with him; what a trippy dude!