Continuing with the discussion of VIP medical treatment (Very Important Person medical treatment primarily affected by the importance of the person), based on my clinical knowledge and experience, I can devise a simple scenario that might easily explain the medical predicament that Mr. Sharon's physicians and family now face. I see two factors involved and perhaps both apply.
1) Would it be reasonable to assume that, in response to the thrombotic (? or embolic) CVA in a man with great social importance and responsibility and the great need not to be again incapacitated,his physicians began him on a very energetic anti-coagulation therapy, perhaps 2 or more drugs started together without careful and more prolonged monitoring of the effects of the individual pharmacologic agents?
2) Mr. Sharon, after the ischemic event, felt well and because of his personal strong will and need to resume his governmental and political functions, was not as willing as some other person to remain under careful daily anti-coagulation monitoring, couldn't find time for the necessary venipunctures and, of course, his physicians may have been psychologically oriented or pressured by Sharon's colleagues not to interfere with the "strong man". And so.. the consequence: massive cerebral hemorrhage due to inappropriate anti-coagulation program and/or inadequate monitoring of the anti-coagulation.
The scenario could be as simple as that and behind the whole story was the VIP medical treatment. Again, I must make this disclaimer--this is only a reasonable possible scenario since obviously I don't know the clinical facts.
Will we ever know if this is what happened? If we will and the scenario is correct, this should add more weight against the practice of VIP medical management that to me seems, generally, not at all beneficent to the patient. ..Maurice.
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