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rahul k. parikh

rahul k. parikh
Location
Walnut Creek, California,
Bio
Physician & Writer www.rahulkparikh.com www.twitter.com/docrkp The information here is not direct medical advice.

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JULY 30, 2008 12:04PM

Why Robert Novak Hit a Pedestrian

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Novak
+
pedestrian 
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Brain Tumor?

                                

                  

 

       Conservative columnist Robert Novak has been getting a lot of bad news lately--last week he pummelled a pedestrian with his car.  This week, he ended being diagnosed with a brain tumor.  Whether you like (Karl Rove), hate (Valerie Plame), or don't know the man, that's sad news. 

     Novak got a lot of blowback because when he hit the pedestrian while driving his black Corvette, he just kept a right on goin'.  In fact, it took a biker to stop him down the road before he claimed he had any idea what happened.  Yeah right.  Except...medical science could actually prove him right. That is, his ignorance in nearly cutting down an innocent may have been a symptom of his yet undiagnosed brain tumor. 

    People who develop brain tumors often have their visual system affected.  That's because the neurons that help us see actually travserse the brain from the back of your head (occipital lobe, where the visual cortex is located) all the way to your eyeballs.  Here's a picture for you:

 

visual system 

    

 Tumors can grow anywhere, but because of the extensiveness of the visual system, they often affect it.  And a common visual problem is called a hemianopsia.  In this condition, you lose half of your visual field.  Need another picture? 

 

300px-Rhvf 

This is called right hemianopsia because of the loss of things on that side. 

 The weird and sad thing is that people with hemianopsia often don't realize they have it, and they go right along doing their thing until...BAM! 

Such may have been the case with Novak.  Apparently, he was taking a right turn when he hit the pedestrian, who had the right of way, as he stepped into the crosswalk.  A person with a hemianopsia could have done if he or she had visual loss on the same side as the bystander. 

All of this is theory--I have no idea where Novak's tumor is or what kind it is (benign or malignant).  But as I said, it could explain why Novak drove an entire block

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That's an interesting overview on the partial loss of vision as related to brain tumors. Thanks for sharing your expertise!
People with brain tumors and other maladies should not be allowed to drive. Perhaps walking more often would help restore them to better health.
It was the first thought I had when I heard about his diagnosis, that maybe it was responsible for his hitting the pedestrian.

A friend died of a brain tumor a few years ago, and it was awful to hear his description of what suddenly happened to his vision while he was driving home. Even worse than your photos above.

Perhaps when there's more news you could update this post?
ktm,
I will update when I hear more
Thanks for this in depth description. As I've said on other blogs, I know Novak, and while his politics are genuine and genuinely horrible, his PofD persona is trumped up. He's a pussycat. Really. A nice guy who helps people, privately. Not the type to hit someone and just keep going. This brain tumor has rocked all who know him.
M Chariot,
He probably won't be driving anytime soon. His neurologist will likely have to fill out permission for him to do so again
It's so much more gratifying to think of him as an evil gnome, bent on doing his thing and getting his way with no regard for collateral damage or unintended consequences.

instant karma gonna get you...
Lonnie,
I'm sure Joe Wilson, Valerie Plame and Keith Olbermann probably agree with you.
Thank you for this post -- it explains a lot.
As far as what Lonnie wrote:
Joe Wilson and Valerie Plame -- not Keith Olbermann...
Yeah, I don't know if Olbermann has the capacity for empathy.
Lonnie, the fact that he has a brain tumor doesn't mean that he's not and evil gnome - the two are not mutually exclusive. I believe taht he's perfectly capable of both simultaneously.
Yes! An evil gnome with a brain tumor is no less evil, just "not-responsible" under the law. And so he should not drive. He has plenty of money for a drver anyway.
We would like a second opinion here.
Also for your new little one, some pointers on changing nappies in restrooms with no changing tables here.

Hope you are loving Fatherhood as well as Doctorhood!
Elizabeth,
thanks for the links--changing diapers without a table is definitely an art, but it can be acquired!
Robert Novak announced last week that his tumor was malignant and that his prognosis is dire.

M. Chariot, even though I lost a friend to brain cancer in January, I do not think that I am being oversensitive when I say that your comment is quite cruel. No amount of walking has ever cured any brain tumor, malignant or benign.

Robert Novak had no idea that he had a brain tumor at the time of this accident. You can rest assured that between the radiation therapy and the chemotherapy, Novak will not feel well enough to even attempt to drive (without a license) during the brief amount of time that he has left to him.

It will be brief. My friend (an otherwise very healthy 46 year-old) was diagnosed with a glioblastoma, the most malignant kind of brain tumor. She was dead three weeks later.