After weeks of rampant speculation and political
intrigue of the highest order, the mystery of Viktor Yushchenko's rapid and
startling facial disfigurement was settled with a simple blood test and reported
with bold finality: The Ukrainian presidential candidate was poisoned with dioxin.
Not just routinely poisoned. No, it was a silver-medal performance, scoring
a blood dioxin level 6,000-times higher than normal the second-highest level
ever recorded. The case was immediately closed in dramatic fashion. Major media
collectively breathed a sigh of relief that rippled across the Internet: Their
unfounded and rash medical assumptions of poisoning were confirmed, and they
were off the hook. After all, just because you jump to conclusions doesn't mean
you can't land on solid ground.
With Yushchenko's medical mystery cleared up and off the table, the Ukraine
and the world could go on with the new elections, elections that almost
certainly will crown the righteous and harmed opposition party candidate.
Except Yushchenko could not have been admitted to the Rudolfinerhaus Clinic
in Vienna for dioxin poisoning. And the medical records obtained from that clinic
do not indicate that diagnosis. In fact, Viktor Yushchenko's problem is likely
much more severe than record blood levels of dioxin. His problems are in all
probability so severe and of such import for him and his party that he and the
Rudolfinerhaus medical claque chanced a daring and bold gambit in order to hide
the truth and simultaneously implicate his opponent. The truth is, Viktor Yushchenko
may well be the victim of two poisonings, the more severe of which his physicians
have yet to reveal.
How We Got to Here
Viktor Yushchenko claims
he was poisoned during a Sept.
5 dinner with the head of the Ukrainian Security Service, Ihor Smeshko,
and his deputy, Volodymyr Satsyuk. Yushchenko claims to have developed symptoms
almost immediately, and during the next day, Sept. 6, he suffered severe abdominal
and back pain. Yushchenko first sought treatment at Vienna's private Rudolfinerhaus
clinic five days later, on Sept. 10. He went home in mid-September to resume
campaigning, but he came back to the hospital later that month for more treatment
and was released in early October although still unwell to continue his
pursuit of the Ukrainian presidency. Yushchenko is certain that the poisoning
took place at the dinner on Sept. 5, saying:
"That was the only place where no one from my team was present and no precautions
were taken concerning the food. It was a project of political murder, prepared
by the authorities."
Speculation was rampant in the media and on the Internet as to how Yushchenko's
face became disfigured. The overwhelming opinion was a groundless assumption
that, given the unusual appearance of the skin disease and the political circumstances
surrounding an ideologically charged election, Yushchenko surely must have been
poisoned, as he claimed. At the same time, the Ukrainian election was declared
invalid and a second round of voting was scheduled.
At first, Yushchenko resisted further tests that would easily determine whether
or not he was actually poisoned. However, certain blogs, including CodeBlueBlog,
turned up chronological and medical inconsistencies in the story, and the undercurrents
created by these voices forced Yushchenko to pursue a definitive diagnosis as
a second election loomed.
During the obviously contrived and farcical
weekend of Dec. 10, Yushchenko returned to the Rudolfinerhaus clinic, where
his doctors drew blood and sent it off to Amsterdam for a "new" test
that had not been previously available. Yushchenko was thereafter rapidly (within
12 hours) diagnosed with dioxin poisoning a diagnosis that had previously
stumped Yushchenko's physicians for months.
Poison Number One: Dioxin
Because dioxin does its damage by binding to cell
material on a molecular level, the effects of its actions are delayed. It takes
weeks to months to years to manifest dioxin poisoning. Chloracne the skin
condition Yushchenko is said to have develops months to years after exposure.
In the only two known analogous dioxin poisoning cases, the patients involved
had no clinical symptoms besides upset stomach for six to eight months after
the presumed exposure. Even then, they sought medical help only because of the
development of acne.
Yushchenko, on the other hand, developed dramatic and severe symptoms almost
immediately after his meal with the secret service on Sept. 6. After four days,
the persistent, severe pain and generalized malaise forced Yushchenko to have
himself admitted to the Rudolfinerhaus clinic in Vienna. There is no scientific
or medical explanation that can account for this chronology of symptoms on the
basis of dioxin poisoning.
Poison Number Two: Alcohol
There is another poison, however, that accounts
for the timing, severity, and character of Yushchenko's symptoms as they relate
to the dinner on Sept. 6: alcohol.
New York Times reported that on the night of Sept. 5, 2004, Yushchenko
and the Secret Service agents "drank beer and ate boiled crayfish from
a common bowl, as well as a salad made of tomatoes, cucumbers, and corn. Later,
they selected vodka and meats, and then cognacs for a last drink."
It was the next day, after drinking beer, vodka, and cognac at dinner, that
Yushchenko developed the symptoms that drove him to Rudolfinerhaus four days
later. The doctors at that Vienna clinic surely knew immediately what we can
also deduce now: Yushchenko's symptoms indicate pancreatitis (inflammation of
the pancreas), and the cause was binge drinking on the night of Sept. 5.
Pancreatitis is caused 65-80 percent of the time by either alcohol or gallstones.
Yushchenko did not have gallstones. Pancreatitis which can be caused by chronic
alcohol consumption or by one night of heavy drinking causes severe stomach
and back pain and can occur shortly after the alcohol ingestion.
discovered documents, including Yushchenko's official medical records, obtained
from the Rudolfinerhaus clinic show conclusively that Yushchenko had pancreatitis.
The Viennese doctors themselves flatly state that there is pancreatitis, and
the laboratory and diagnostic test results shown are all consistent with that
diagnosis. In addition, the test results show that Yushchenko also has an enlarged
liver. This indicates that his drinking pattern is probably chronic and, because
of that, he is on the road to developing severe liver disease. Here is the CT
scan report from Rudolfinerhaus:
"Pancreas intermittently massive without clearly-defined edges,
And the ultrasound report states:
"Gallbladder without concretion [meaning: no gall stones].
"Diffusive enlargement of the liver [hepatomegaly]."
The ultrasound report states that the pancreas is normal, but this is a known
and common error in abdominal ultrasound. This test is not sensitive for evaluation
of the pancreas because of the pancreas' position in the abdomen. A CT scan
is like a photograph of the abdomen, so it is much more accurate in evaluating
Despite claims that such imbibing is "typical" for an important meal in the Ukraine, such behavior represents an abnormal drinking pattern:
"The U.S. government defines moderation as no more than one drink per
day for women and no more than two drinks per day for men."
Liver enlargement (hepatomegaly)
is a frequent finding in alcoholics and can be a precursor to cirrhosis (an
often fatal, end-stage liver disease). As stated previously, pancreatitis
is a frequent complication of alcohol over-indulgence (acute or chronic), and
"massive" enlargement of this organ, associated with blurred edges,
is diagnostic (the medical term for conclusive) for pancreatitis.
The Rudolfinerhaus clinic advertises itself as a discrete and posh clinic.
I have questioned, right from the beginning, the rationale for Yushchenko entering
this medical facility if he truly had a mysterious ailment or needed high-end
care. One of my readers, a computer scientist and an "expat Austrian," by his
own description, commented:
"Had I an actual health problem, I would prefer, say, the U. of Vienna's
teaching hospital (for most things), or the Lorenz-Boehler (trauma, accidents),
and so on.
"A few years ago, the Rudolfinerhaus had the reputation of a Betty
Ford clinic for the affluent, with an add-on wing for the yearly checkups of
rich oil sheiks. Unless that rep has experienced a sea change since then, I
must ask: Why would someone who claims to have been poisoned check into the
place when the AKH is a stone's throw away?"
More has been learned about goings-on at Rudolfinerhaus that deepen the mystery
of Yushchenko's choice of treatment centers. As first reported in the
Intelligencer, and then by Justin
Raimondo, there were some serious behind-the-scenes internecine struggles
at the Rudolfinerhaus Clinic after Yushchenko's visit, culminating in the resignation
of the clinic's chief, Dr. Lothar Wicke, after he made some skeptical remarks
about the Yushchenko diagnosis of poisoning.
Raimondo quotes this source (a pay link, in German):
"[Y]ushchenko's people made clear to Wicke that he should not say anything
more concerning the affair, since otherwise [as Wicke puts it] 'one would resort
to other means against me and the hospital.' Dr. Wicke is also supposed to have
received death threats at the time."
Newer revelations indicate there were other intertwining relationships on both
sides of the political spectrum at Rudolfinerhaus. Regardless, the controversy
and accusations in the clinic's board rooms as well as the confusing and contradictory
press reports that streamed from the clinic demonstrate clearly that this
is not a typical major medical center with high-end academic physicians. It
isn't the place one goes for the best care. Bill Clinton didn't have heart bypass
surgery at his local hospital in Westchester, N.Y. Neither did he look for some
facility that provided privacy and five-star amenities to its patients. He went
to the top heart hospital in area, The New York Hospital-Columbia Presbyterian
Medical Center. Rudolfinerhaus is neither an academic institution nor major
medical center; rather, it is a posh, private clinic, steeped in local and international
politics, and able to provide more than just medical coverage, especially for
the famous, rich, and politically connected patients it covets. This is not
a hospital you would choose to solve a medical mystery or to access the highest
levels of care. You would choose Rudolfinerhaus, however, to treat your alcohol-related
The conclusion of Yushchenko's official clinical medical record proves my point.
Notice that although the physicians list the diagnosis of pancreatitis in the
body of the medical report (not many reporters can read or understand the body
of a medical report), they neglect to name those findings specifically in the
report's conclusion. In fact, it took me quite a while to decode this bizarrely
phrased report conclusion, and I will need to walk you through this. In the
two-line report summary, the first conclusion is a dodge. In basketball, it's
called a look-away pass. The report states:
"Acute proctolitis on the left side."
Huh? Skipping right over the enlarged liver and the "massive" inflamed
pancreas, the doctors instead focus on the one asymmetric finding in
the entire case: proctitis. Now that our attention is distracted (sort of like
asking a computer to solve for pi) with this disconcerting conclusion, the clever
doctors at Rudolfinerhaus tell us what's really wrong without really telling
us at all. They say:
"The negative general and alimentary condition could have been caused by either an acute viral infection or by chemical substances that are not generally found in food products."
There may be translation problems here, but I believe by "negative"
they mean unsatisfactory. His negative "general" condition would be
his overall malaise and prostration. But the kicker in this conclusion the
nasty bug at the bottom of the coffee cup is the word "alimentary."
In this sense, alimentary means all the organs of digestion, which, in its
broadest definition, entails not only the esophagus, stomach, and bowel, but
also the liver and pancreas.
So they are admitting that Yushchenko has problems with his liver and pancreas,
as these organs are part of the alimentary tract and the alimentary tract is
in a "negative condition." But they are not specifically saying hepatomegaly
This is certainly done on purpose, as proven by the juxtaposed diagnosis of
proctitis, which is an inflammation of the rectum the tail-most portion of
the alimentary tract. Proctitis would have been included in the second conclusion,
but they dissected it out (instead of pancreatitis and hepatomegaly) to deceive
us by deflecting our attention and concentration.
The last phrase in the report is rather astounding: "could have been
caused by either an acute viral infection or by chemical substances
that are not generally found in food products."
So the reason for his illness is either a virus or
what is not generally
found in food products? Poison. This statement specifically tosses the ball
away from alcohol ingestion the most common reason for Yushchenko's symptoms
which is clearly a food product.
This report was designed purposely to deceive the world by putting them on
the trail of poisoning while deflecting attention from the obvious diagnosis:
alcoholism. This is the type of report one would expect from a fawning celebrity
halfway house, not a significant or major medical center.
From the beginning, I have said it seems ridiculous to imagine that anyone
with any amount of sophistication or purpose would have dosed Yushchenko with
poison. Especially dioxin, which has never been used to poison anyone! Detractors
of this theory write variously that I don't understand how backward, stupid,
and incompetent these spies are and life in the Ukraine is. I can't buy that.
And neither can most other reputable sources and experts. As stated by Dr.
Andrea Sella of University College, London: "If you really want to kill
someone, you use cyanide or ricin or strychnine." And The
New York Times said:
"Murder by poison has largely been relegated to the history pages,
principally because science has overtaken the great advantage that the poisoner
of old had over his pursuers: the ability to hide his work beneath the normal
calamities that afflict human life."
Similar comments are common throughout the Internet and the media.
Finally, there is the theory that Yushchenko was poisoned not to kill him but
only to disfigure him. This is a dubious proposition, because a moment's reflection
would lead to the conclusion that the disfigurement could (and did) have the
opposite effect. Also, chloracne cannot be predicted as a definite complication
of dioxin poisoning, and its exact manifestation given the rarity of its occurrence
also could not be predicted.
What are we left with?
1. Yushchenko may have been exposed to a large amount of dioxin (barring outright
fraudulent manipulation of the blood drawn in Vienna and sent to Amsterdam).
However, dioxin poisoning was not why he was admitted to Rudolfinerhaus on Sept.
2. The chronology of the proposed exposure to dioxin, the manifestation of
symptoms, and the appearance of chloracne do not fit the chronology of the claims
made by Yushchenko and the Rudolfinerhaus clinic.
3. Yushchenko drank too much alcohol the night of Sept. 5 2004, and he likely
drinks too much frequently.
4. Test results released from Rudolfinerhaus show conclusively that Yushchenko had pancreatitis and an enlarged liver, both of which are common sequelae of alcoholism.
5. Rudolfinerhaus tried to cover these findings with inaccurate press releases and a grossly and purposely misleading clinical report "conclusion."
6. If Yushchenko keeps drinking, it is not unlikely that his liver and pancreatic disease will progress and he will be left with chronic pancreatitis (which can lead to diabetes and insulin dependence) and/or cirrhosis (which can lead to death by numerous pathways).
What we are left with is a story by Dickens or Hugo, and a tale for the ages.
Scheming politicians, nefarious spies, and bearded Viennese doctors weave in
and out of a gloriously contrived plot set in a tottering former Soviet state.
Titans struggle for the political helm as a rigged election falls apart, replaced
by a second round of voting. Towering at the podium, the monstrously disfigured
Yushchenko declares that he has been poisoned an act completely at home in
the Byzantine plot structure and apocalyptic themes of the story.
No writer worth his ink would deflate the balloon of this grand epic. The denouement
calls for a soaring finish, not a tawdry crash. So the elections went off with
the successful subterfuge that was crafted in Rudolfinerhaus and sold to a media
that wanted to go along with the Dickensian tale.
But as Boris Yeltsin showed the world with his disgraceful public decline 10
years ago, alcoholism is not a disease that will be ignored. The occurrence
of pancreatitis and hepatomegaly in Viktor Yushchenko spells out an ending that
will not be disguised by fairy tales, just as it cannot be covered up by acne
or a new election.