Title: HOW ILLNESS IN WORLD LEADERS HAS AFFECTED HISTORY
1HOW ILLNESS IN WORLD LEADERS HAS AFFECTED HISTORY
2NARCISSISTIC PERSONALITY DISORDER (NPD).
- Defined as excessive preoccupation with power,
prestige and vanity. - Unable to see the damage done to themselves and
others. - Exaggerated feelings of self importance.
- Sense of entitlement.
- Lack of empathy.
- Affects 1 of the population and formerly known
as megalomania.
3- THE ONLY WAY TO DEAL WITH A PERSON WITH TYPE A
NARCISSISTIC PERSONALITY DISORDER IS AVOIDANCE.
4WORLD LEADERS WITH NPD.
- Mao Tse Tung.
- Stalin.
- Hitler.
- Napoleon.
5DEMENTIA.
- Dementia is a set of symptoms including memory
loss, difficulty with thinking, judgement,
language and or problem solving, and is
progressive. - Common causes of dementia are Alzheimers disease,
and a series of strokes.
6World leaders with Dementia.
- Woodrow Wilson in his second term.
- Paul Van Hindenburg.
- Ramsay MacDonald.
- Winston Churchill after 1951.
- Harold Wilson in his final office as prime
minister. - Ronald Reagan in his late second term.
7HUBRIS SYNDROME.
- Power in world leaders can become intoxicating
and affect their action and decision making. - The Greeks called it hubris syndrome
- They took comfort in the knowledge that the Gods
would punish the guilty ones (nemesis).
8WORLD LEADERS WITH HUBRIS SYNDROME OR TENDENCY.
- FDR (hubristic tendency).
- LLOYD GEORGE (hubris syndrome).
- GEORGE W BUSH (hubristic tendency).
- TONY BLAIR (hubris syndrome).
- MARGARET THATCHER (hubris syndrome).
9BIPOLAR DISORDER.
- Originally called manic depressive psychosis.
- A mental disorder characterised by periods of
elevated mood (hypomania) and periods of
depression. - A more minor variant is known as cyclothymic
personality disorder.
10WORLD LEADERS WITH BIPOLAR DISORDER.
- Teddy Roosevelt.
- Abraham Lincoln.
- LBJ.
- Winston Churchill.
11WORLD LEADERS WITH HISTORY OF ALCOHOL DEPENDENCE
OR ABUSE.
- Herbert Asquith (squiffy).
- Winston Churchill.
- Richard Nixon.
- George W Bush.
- Ulysses S. Grant
- Boris Yeltsin
- Also George Brown, John Smith, Joseph McCarthy,
Franklin Pierce.
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13ABRAHAM LINCOLN 1809 to 1865.
- He suffered with depression. He used to say when
I am alone I dare not carry a penknife. He may
also have had episodes of hypomania so maybe the
correct diagnosis would be bipolar disorder
(formerly manic depressive psychosis). - He was shot behind the left ear on April 14th
1865, by James Wiles Booth, (his guard had gone
over the road for a drink). The wound was
unsurvivable and he immediately lost
consciousness and died nine hours later. - It was 5 days after Robert E lee signed surrender
terms.
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15GROVER CLEVELAND 1837 to 1908.
- He was the only president to serve two non
consecutive terms as president, 1885 to 1889 and
1893 to 1897. - In 1893 he complained of soreness of the roof of
his mouth. - He was sat upright in a chair attached to the
mast of the yacht Oneida in New York Harbour, and
given a general anaesthetic by a dentist with
anaesthetic experience (a brave man indeed). Part
of his upper jaw and hard palate were removed
this took less than an hour. The surgeon must
have been very skilful (or foolhardy), and when
the story leaked to the press it was strenuously
denied. - He was given a dental prosthesis after, enabling
him to talk properly, and without a change in
appearance. - It was a verrucous carcinoma with a low potential
for metastasis.
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17JAMES GARFIELD 1831 TO 1881.
- James Garfield became 20th president on March 4th
1881. - On July 2nd 1881 he was shot by Charles Guiteau
at the Baltimore and Potomac train station in
Washington DC. One bullet grazed his shoulder and
the second entered his back at L1, missing the
spine, and coming to rest behind the pancreas. - Doctors probed the entry wound with dirty fingers
and unsterilised instruments, looking for the
bullet. - He died of sepsis on September 19th 1881.
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19WILLIAM MCKINLEY 1843 TO 1901.
- 6 months into his second term as 25th president
of USA on 6th September 1901 Mckinley was shot in
Buffalo, NY by Leon Czolosz. - The first bullet grazed McKinley but the second
bullet entered his abdomen and was never found. - He was taken to a nearby hospital and was
operated on by a gynaecologist who had no
experience of abdominal wounds. The operating
theatre was makeshift with no abdominal
retractors and inadequate lighting. - The wound was not adequately cleaned, and
Mckinley was nearly 60 and overweight. He died of
sepsis on September 14th 1901. - Autopsy showed the bullet had passed through his
stomach, transverse colon, and left kidney. It
also showed he was suffering from cardiomyopathy.
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21KING EDWARD V11th
- On June 24th 1902 King Edward Seventh had an
appendicectomy at Buckingham Palace. - He was 59 years old, obese, bearded, a smoker,
and with obstructive sleep apnoea. - The anaesthetist was Sir Frederick Hewitt and the
surgeon Sir Frederick Treves, both being knighted
before the operation. The story is that before
the operation the surgeon was given lunch at the
palace and the anaesthetist had to go off and
find himself a sandwich, plus ca change , plus
cest la meme chose. - Ether anaesthesia was administered and the King
turned purple. Dr Hewitt grasped his beard and
relieved the obstruction. - The operation was a success.
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23THEODORE ROOSEVELT 1858 TO 1919.
- Teddy Roosevelt was 26th president from 1901 to
1909. He suffered with bipolar-1 disorder and
asthma. He undertook body building exercises and
became a magnificent specimen of manhood. He
was a man of phenomenal energy. - On October 14th 1912 campaigning in Milwaukee,
Wisconsin he was shot in the chest. The bullet
was slowed down by passing through his steel eye
glass case and a 50 page copy of his speech in
his breast pocket. Since he was not coughing
blood he correctly concluded that it was not
serious (the bullet had lodged in his chest wall)
and despite the bloodtained shirt continued with
a 90 minute speech. The bullet was never removed.
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25VLADIMIR ULYANOV (LENIN) 1870 to 1924.
- He assumed power in the October (Julian calendar)
revolution of 1917, and remained as leader during
the Russian Civil War 1917 to 1922. - On 30th August 1918 he was shot twice by Fanny
Kaplan, one bullet passing through his neck and
puncturing part of his left lung, and stopping
near his right collar bone, and the other bullet
lodging in his left shoulder.
26- He never fully regained his health.
- The mental strains of leading a revolution, and
fighting a civil war, working 16 hours daily and
his physical debilitation consequent to the
wounds (one of the bullets was removed in 1922),
led to a series of strokes. The first stroke was
in May 1922, the second in December 1922 causing
a right hemiplegia, and the third in March 1923
which ended his career. - He died on 24th January 1924, aged 53.
- There are also reports that he had neurosyphilis.
27- On hearing of Lenins death Churchill commented,
- Russias greatest misfortune was Lenins birth,
their second greatest misfortune was his early
death. - His incapacity made him unable to prevent the
rise of Stalin.
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29WOODROW WILSON 1856 TO 1924.
- Woodrow Wilson was a severe hypertensive before
he became the 28th president in 1913. He had
neurological incidents as a result of high blood
pressure from 1889 onwards, and retinal artery
changes were noted as early as 1906. - He was president for two terms (1913 to 1921)
during a crucial period in world history, and in
his second term had a series of small lacunar
strokes producing progressive dementia. - On 8th January 1918 he enunciated to Congress his
14 points, the basis for a peace programme, and
which led to the November 11th 1918 armistice.
30- In 1919 he attended the Paris Peace Conference
which took place from 18th January 1919 to 28th
June 1919 when the Treaty of Versailles was
signed. - During this time his mental faculties were
impaired due to cerebrovascular disease secondary
to his hypertension. Had he been fit it is
possible that a treaty less penal to Germany
would have been signed. - In the last week of September 1919 he suffered a
progressive cerebral artery thrombosis to the
right hemisphere of his brain (a stroke). He
developed complete paralysis of the left side of
his body, slurring of his speech and visual
defect.
31- His physician Cary Grayson, and his wife lied
about his condition. - He continued as a seriously incapacitated
president for a further 16 months (his wife Edith
was spoken of as Americas first woman
President). - During this time the crucial negotiations leading
to the establishment of the League of Nations
were taking place (America never joined, had they
done so WW2 may have been avoided).
32- He should have been succeeded by his vice
president (Thomas Marshall). - In 1967 his complex case became a motivation for
the passage of the 25th amendment to the
constitution of the United States, providing a
way of dealing with just such a situation.
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34IOSIF DZHUGASHVILI (STALIN) 1879 TO 1953.
- Leader of Soviet Union from 1923 to 1953.
- Narcissistic personality disorder with paranoia.
- Responsible for between 20 and 40 million
unnatural deaths in The Collectivisation
programme 1928 to 1940, The Holodomor in the
Ukraine 1932 to 1933, The Great Terror 1937 to
1938, The Purges, and The Gulag Archipelago. - In addition an estimated 27 million Soviet troops
and civilians died during The Great Patriotic War
1941 to 1945.
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36CALVIN COOLIDGE 1872 TO 1933
- Silent Cal became the 30th president in 1923
when Warren Harding suddenly died. He was
reelected in 1924. He was a man of few words. - A wise old owl sat on an oak, The more he saw
the less he spoke, The less he spoke the more he
heard, Why cant we be like that old bird. - He had amazed everybody by marrying a vivacious
schoolteacher Grace.
37- His ideal day was one in which nothing whatever
happens. - He used to sleep for up to 11 hours a day.
- One Sunday on returning from church Grace asked
him what the sermon was about. Sin he replied.
Well what did the minister say about it she
asked. He was against it he replied. - Retrospectively he has been diagnosed as having a
major depressive illness whilst in office.
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39RAMSAY MACDONALD 1866 TO 1937.
- He led a Labour government in 1924, in 1929 to
1931, and a coalition government from 1931 to
1935. - He suffered with depression and later on in his
prime ministership began to develop Alzheimers
disease. - This was at a critical time in history during the
rise of Hitler which was not dealt with
satisfactorily.
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41FDR 1882 to 1945.
- FDR was arguably the most influential political
leader of the 20th century. - He contracted polio age 39 at a scout jamboree in
NY State and became symptomatic at the family
estate on Campobello Island, New Brunswick. - He was paralysed in both legs from the hips down,
and confined to a wheelchair.
42- Of 35,000 photographs taken of him since
contracting polio only 2 show him in the
wheelchair. - In the early stages of his presidency, which
lasted from 1933 to his death in 1945, his health
appeared excellent. - In May 1941 he was diagnosed as having raised
blood pressure and an iron deficiency anaemia and
had two blood transfusions.
43- During the period 1942 to 1944 his health
deteriorated. - His personal doctor was Admiral Ross McIntyre, an
ENT surgeon!, who largely failed to recognise
FDRs deterioration. - Eventually on 28th March 1944 Dr Howard Bruenn, a
naval cardiologist, made the first proper medical
examination of FDR for 11 years at the insistence
of FDRs daughter Anna.
44- Bruenn found severe hypertension, a large heart
and left ventricular failure, and said off the
record that the presidents condition was god
awful. - McIntyre was not ready to accept Bruenns
findings and only agreed to FDR receiving
digitalis after Bruenn had bravely said that
otherwise he would have nothing more to do with
the case. Bruenn also instituted a low salt diet
and a weight loss programme.
45- Bruenn stated confidentially that it was
impossible for FDR to run for a fourth term. - In August 1944 FDR developed angina due to
coronary artery disease and his blood pressure
was 240/130. - FDR ran for a fourth term, but showed insight
into his health problems by naming the
extraordinary ordinary man Harry S Truman as
his running mate.
46- In February 1945, shortly after being sworn in
for a fourth term, FDR travelled by ship and
plane to Yalta and back for the meeting with
Churchill and Stalin. - Here the future of Eastern Europe was decided.
- It is still highly contentious how important an
issue FRDs health was to the settlement.
47- Towards the end of the conference FDR developed
pulsus alternans. - Churchills doctor Sir Charles Wilson (Lord
Moran) could hardly fail to notice FDRs
condition and only gave him a short time to live. - FDR died of a cerebral haemmorhage on 12th April
1945 in Warm Springs Virginia, he was 63 years
old.
48- On March 21st 1947 Congress passes the 22nd
amendment to the Constitution of The United
States of America, limiting any individual to a
maximum of two terms as president. - FDR is the only president to serve more than two
terms.
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50ADOLF HITLER 1889 TO 1945.
- Hitler suffered with narcissistic personality
disorder. - He was addicted to amphetamines.
- The origins of his disastrous (for the world)
accession to power were multifactorial, but the
increasing dementia of octogenarian president
Paul Von Hindenburg, hero of the battle of
Tannenburg in WW1, was paramount. - Thus the world suffered the catastrophic WW2.
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52FAMOUS QUOTES BY HARRY TRUMAN.
- I fired him (McArthur) because he wouldnt
respect the authority of the president. I didnt
fire him because he was a dumb son of a bitch,
although he was, but thats not against the law
for Generals. If it was half to threequarters of
them would be in jail. - The buck stops here.
- If you cant stand the heat get out of the
kitchen.
53- Comment to reporters after becoming president on
the death of FDR. Boys, if you ever pray, pray
for me now. I dont know whether you fellows ever
had a load of hay fall on you, but when they told
me yesterday what had happened , I felt like the
moon, the stars and all the planets had fallen on
me. - Letter to Paul Hume of Time magazine, I have
read your lousy review of Margarets concert and
Ive come to the conclusion that you are an eight
ulcer man on a four ulcer job.....Some day I hope
to meet you. When that happens youll need a new
nose, a lot of beefsteak for black eyes and
perhaps a supporter below.
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55MAO TSE-TUNG 1893 TO 1976
- Mao seized power in 1949.
- The Great Leap Forward 1958 to 1963 led to mass
famines unprecedented in history, particularly
from 1959 to 1961. - The Cultural Revolution was from 1966 to 1976.
- It is estimated that Mao was responsible for up
to 80 million unnatural deaths, eclipsing Stalin
and Hitler. - Mao was a man in a hurry. Knowing his mortality
he wanted to get the changes he wanted made in
China done in his lifetime, with no consideration
for others. - Mao was a heavy smoker and drinker all his life,
and overweight, and in later life was beset by
heart and breathing problems. - He had narcissistic personality disorder.
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57WINSTON CHURCHILL 1874 to 1964.
- Churchill was prime minister from 1940 to 1945
and 1951 to 1955. - He was a moderate to heavy drinker and smoker.
- He suffered with bipolar disorder and would avoid
edges of platforms in case he jumped impulsively
into the path of a train. - In 1931 forgetting that in the USA they drive on
the right he was hit by a taxi in New York City.
58- His hypomania together with his powers or oratory
enabled Britain to stay in the war during the
dark days of 1940. Probably a saner prime
minister like Halifax would have given in - To Churchill America and FDR were the key to
survival, and Churchill had the advantage of an
American mother. - Churchills sinking of the French Fleet at Mers
el Kebir in July 1940 made Roosevelt realise that
Britain wasnt going to surrender, and he agreed
to lendlease which before the sinkings he had
refused. - Churchills great fear was the U boat sinking of
British shipping starving Britain into
submission. Lendlease, the convoy system,
Bletchley Park and Pearl Harbour saved Britain.
59- In December 1941 shortly after Pearl Harbour
(which gave him his first decent nights sleep
since becoming prime minister because he knew
Britain was safe) he probably had a heart attack
in the White House. - He had a severe stroke in June 1953 which
affected his speech and walking ability. Anthony
Eden the heir apparent was sick after his gall
bladder operation in April 1953. The public were
told Churchill was suffering from exhaustion. - He had a mild stroke in December 1956, and a
severe stroke in January 1965 from which he
subsequently died.
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61George V1th Pneumonectomy, 23/9/51,Buckingham
Palace.
- Clement Thomas was the surgeon and Robert Machray
the anaesthetist assisted by Cyril Scurr who had
to attach a wire between the oscilloscope (below)
and a cold water tap. He survived the operation
but died 5 months later.
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63ANTHONY EDEN
- Until 12th April 1953 he had lived a charmed
life, then his luck ran out. - Unlike two of his brothers he survived WW1.
- He was charming and handsome and much admired by
the ladies. - He had a hat named after him.
- He had been a successful foreign secretary
64- On 12th April 1953 60yo surgeon Basil Hume
performed gall bladder surgery on Eden. - He was Edens choice, against other advice,
because he had previously removed Edens appendix
successfully. - Hume was not an expert at biliary surgery and had
to delay the operation for an hour while he
composed himself. - The three hour operation was a disaster, Edens
common bile duct was damaged and his health
permanently ruined.
65- He underwent many subsequent operations, 3 in the
USA. - He was on a combination of amphetamines and
barbiturates often, including during Suez. - During the Suez crisis of 1956 he had a fever of
106 Fahrenheit due to cholangitis. This probably
affected his judgement.
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67DWIGHT EISENHOWER 1890 to 1969.
- Eisenhower served two terms as president from
1952 to 1960. - On September 24th 1955 he developed severe chest
pain at 2.30 in the morning. His doctor Major
General Howard Snyder correctly diagnosed a heart
attack and gave the president morphine, a
coronary dilator and an anticoagulant, but in
order to avoid public alarm took the enormous
risk of not admitting him to hospital for 12
hours. - Eisenhower also had a stroke in November 1957
from which he recovered. - Being a VIP is dangerous to your health.
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69JFK.
- He suffered with Addisons disease,
hypothyroidism and chronic severe low back pain. - He was on many medications including steroids and
amphetamines. - On 17th April there was the disastrous Bay of
Pigs invasion. - The Cuban Missile Crisis was from 14th to 28th
October 1962.
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71VASIL ARKHIPOV 27th OCTOBER 1962.
- The Soviet diesel powered submarine B59 which
unbeknown to the Americans carried a nuclear
torpedo, was detected in the quarantine area
(international waters), during the Cuban Missile
crisis. - The gungho US Admiral Anderson, who had fallen
out with US secretary of defence Robert
MacNamara, ordered depth grenades to be dropped
to force it to the surface. - The submarine was out of touch with Moscow
- The captain Valentin Savitsky believing war may
have started wanted to launch the nuclear
torpedo.
7227th OCTOBER 1962.
- According to protocol 3 officers had to agree in
order to launch. - They were Captain Savitsky, the political officer
Semonovich Maslennikov and a third officer Vasil
Arkhipov. - Maslennikov agreed with Savitsky. Arkhipov who
was only 36 and under enormous pressure said no
and explained his reasoning and prevailed. - The submarine surfaced and possibly, maybe
probably, thermonuclear war was averted. - In 2002 former US defence secretary Robert
McNamara said we came very close to nuclear war.
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74LEONID BREZHNEV.
- For the last 10 years of his life Brezhnev, who
was a heavy smoker and drinker, suffered every
disease known to man. In the last years of his
life the Soviet Union was governed by Andrei
Gromyko, foreign secretary Dmitry Ustinov,
defence secretary Mikhail Suslov, chief
ideologist and Yuri Andropov, KGB chief. Indeed
these four took the crucial and disastrous
decision to invade Afghanistan on Christmas Eve
1979, took no minutes of the decision, and
presented a document for Brezhnev to sign to
authorise it.
75THE YOUNG BRITISH SOLDIER, 1895, RUDYARD
KIPLING. (DO WE NEVER LEARN).
- When youre wounded and lying on Afghanistans
plains, - And the women come out to cut up what remains,
- Jest roll to your rifle and blow out your
brains, - An go to your Gawd like a soldier,
- So-oldier of the Queen.
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77YURI ANDROPOV.
- Andropov became general secretary on 12th
November 1982. - In February 1983 age 68 he suffered total renal
failure, requiring dialysis. - He spent the remaining year of his life in the
Central Clinical Hospital west of Moscow. - March 8th 1983 Reagans evil empire speech.
- September 1st 1983 KAL 007 shot down.
- September 26th 1983 Petrov saves the world.
- November 2nd_12th 1983 exercise Able Archer.
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79STANISLAV PETROV, THE MAN WHO SAVED THE WORLD BY
DOING NOTHING.
- On September 26th 1983 Petrov was (civilian
fortunately) duty officer at the nuclear early
warning command centre near Moscow, when the
system (which was in its early stages after being
opened and for which Petrov was aware there had
been teething problems) reported a missile being
launched from the USA. Contrary to protocol
Petrov did nothing. - Later the system reported 4 more missiles being
launched. Again contrary to instructions Petrov
did nothing. - It was later determined that they were false
alarms caused by a rare alignment of sunlight on
high altitude clouds and a satellite orbit. - Fortunately Andropov, who was perceived as being
trigger happy and was terminally ill, was never
notified. - In January 2006 Petrov was personally honoured at
the United Nations in New York City.
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81KONSTANTIN CHERNENKO.
- He was general secretary from 13TH February 1984
to 10th March 1985. - He was a heavy smoker and drinker.
- He suffered with emphysema, right heart failure
and cirrhosis of the liver. - He died age 73.
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83RONALD REAGAN 1981 to 1989.
- He was shot on March 30th 1981 by John Hinkley.
He was close to death on arrival at George
Washington University Hospital. - The bullet entered his left lung which collapsed
and he lost over 3 litres of blood. - He was stabilised in the emergency room with a
chest drain and blood transfusion. - He then had a thoracotomy and his life was saved.
- It was many months until he recovered his health,
- In his second term he had a right hemicolectomy
for a villous adenoma and developed early
Alzheimers.
84- In February 1987 White House chief of staff
Donald Regan was forced to resign over the Iran
Contra controversy. - He was replaced by Howard Baker who found a badly
demoralized White House staff over Ronald
Reagans lack of attention to the duties of the
presidency. - All he wanted to do was watch movies and
television at the residence. - Baker considered applying section 4 of the 25th
amendment, but after interviewing the president
decided against that course of action.
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86VLADIMIR PUTIN.
- He was born in Leningrad in 1952.
- His parents were both 41 when he was born and
were survivors of the 872 day siege of Leningrad,
in which there were up to 2 million deaths and in
which in all of history is unequalled in terms of
the resistance and refusal to surrender of the
Russian people. - Both his elder brothers died.
- He had a very difficult upbringing in conditions
of hardship unimaginable to westerners. - NPD often has roots in childhood where family
life is marked by trauma and emotional chaos. - This may account for his narcissistic personality
disorder and bullying personality.
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88HILARY CLINTON.
- Hilary Clinton had a life threatening cerebral
venous sinus thrombosis (CVST) following a fall
while secretary of state. It was the second time
she had had a CVST. - She is probably thrombophilic and probably on
warfarin or rivaroxaban. - Should she run for the presidency?
89- MATERIAL FOR THIS PRESENTATION HAS BEEN COLLATED
FROM THE INTERNET AND FROM - WHEN ILLNESS STRIKES WORLD LEADERS BY JERROLD
M. POST, M.D. AND ROBERT S. ROBINS. - IN SICKNESS AND IN POWER BY DAVID OWEN
M.B.B.S. - THE IMPACT OF ILLNESS ON WORLD LEADERS BY BERT
EDWARD PARK, M.D.