The Palm Beach Post

Days after kidney treatment, first lady back at White House

- By Darlene Superville

WASHINGTON — Melania Trump returned to the White House in “high spirits” on Saturday following a weeklong hospitaliz­ation for kidney treatment, a lengthy stay that raised questions about whether the first lady’s condition may have been more complicate­d than first revealed.

Her spokeswoma­n, Stephanie Grisham, has declined to release additional details, citing Mrs. Trump’s right to privacy.

“The First Lady returned home to the White House this morning,” Grisham said in an emailed statement. “She is resting comfortabl­y and remains in high spirits. Our office has received thousands of calls and emails wishing Mrs. Trump well, and we thank everyone who has taken the time to reach out.”

Mrs. Trump’s quiet return to the White House, her husband and their 12-year-old son, after five days at a nearby U.S. military hospital resolved a brewing mystery about when she would eventually be released. What remain are questions about the state of her health.

First ladies are under no obligation to make their medical histories public.

She had been at Walter Reed National Military Medical Center near Washington since Monday, when she had an embolizati­on procedure to treat an unspecifie­d kidney condition the White House described as benign. Word of the hospitaliz­ation came as a surprise, as there was no indication during her public appearance­s in recent weeks, including during a state visit by France’s president, that Mrs. Trump had been ailing.

One week before the procedure, a beaming Mrs. Trump, 48, presided over a splashy announceme­nt ceremony in the White House Rose Garden to introduce her “Be Best” public awareness campaign to help teach kindness to children.

Grisham said Monday that the procedure was “successful,” there were no complicati­ons and that Mrs. Trump would probably remain hospitaliz­ed for “the duration of the week.”

President Donald Trump then tweeted Tuesday that his wife would be released in “2 or 3” days, but Thursday and Friday passed without word from the White House on her whereabout­s. Trump had visited her during her first three days of hospitaliz­ation. But he did not visit Thursday or Friday, leading some to wonder whether that meant the first lady had been discharged.

The first lady said Wednesday on Twitter that she was “feeling great” and looking forward to going home but gave no indication of when that might happen. On Friday, she tweeted about the deadly school shooting at a Houston-area high school but did not update her followers on her medical situation.

Urologists with no personal knowledge of Mrs. Trump’s condition said the most likely explanatio­n for the procedure is a kind of noncancero­us kidney tumor called an angiomyoli­poma. They’re not common but tend to occur in middle-aged women and can cause problemati­c bleeding if they become large enough, said Dr. Keith Kowalczyk of MedStar Georgetown University Hospital.

Doctors often treat the con- dition by cutting off the blood supply so the growth shrinks, added Dr. Lambros Stamatakis of MedStar Washington Hospital Center. That is done with an embolizati­on, meaning a catheter is snaked into the blood vessels of the kidney to find the right one to block.

Most of the time, these tumors are found when people undergo medical scans for another reason, but sometimes people have pain or other symptoms, Kowalczyk said. Many times, embolizati­on patients go home the same day or the next.

Grisham on Saturday characteri­zed speculatio­n about the first lady as “uninformed,” adding that every patient is different.

“Mrs. Trump has a medical team that is comfortabl­e with her care, which is all that matters,” she said. “Her recovery and privacy are paramount, and I will have no further comment beyond this.”

The question of what level of accountabi­lity should be expected of first ladies is difficult because they are private citizens, yet public figures who draw keen interest from the public, have taxpayer-supported staff and sometimes involve themselves in politics and policy.

Myra Gutin, a Rider University professor who studies presidents’ wives, recalled the backlash Rosalynn Carter suffered for attending Cabinet meetings; she explained that she just wanted to get things right because she was so often out and about representi­ng President Jimmy Carter.

She had been at Walter Reed National Military Medical Center near Washington since Monday, when she had an embolizati­on procedure to treat an unspecifie­d kidney condition the White House described as benign.

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