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    Will Shortz, New York Times Crossword Editor, Says He Is Recovering From a Stroke

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    Mr. Shortz, who has been with The Times for three decades and also hosts NPR’s “Sunday Puzzle,” said on Sunday that he had a stroke in February but was recovering.Will Shortz, crossword editor of The New York Times and the host of NPR’s “Sunday Puzzle,” is recovering from a stroke, he said on Sunday.Mr. Shortz, who is 71 and has been with The Times for three decades, shared the health update in a recorded message that aired on Sunday at the end of the puzzle quiz segment during the NPR program “Weekend Edition Sunday.”“Hey guys, this is Will Shortz. Sorry I’ve been out the last few weeks. I had a stroke on February 4, and have been in rehabilitation since then, but I am making progress,” he said in the message. “I’m looking forward to being back with new puzzles soon.”Ayesha Rascoe, the host of “Weekend Edition Sunday,” wished Mr. Shortz a speedy recovery.“We here at ‘Weekend Edition,’ we love Will and I know that everybody at home does too and we are rooting for him and we are so hopeful and know that he will feel better soon,” she said during the segment.Mr. Shortz, who last year celebrated his 30th anniversary as crossword editor at The Times, also founded the American Crossword Puzzle Tournament, spent 15 years as the editor of Games magazine, and has appeared weekly as the puzzle master on “Weekend Edition Sunday.”“When I was a kid, I imagined a life where I’d be sitting in an attic somewhere, making my little puzzles for $15 each, somehow surviving,” he said in a 2017 interview with The Times. “I actually wrote a paper in eighth grade about what I wanted to do with my life, and it was to be a professional puzzle maker.”Despite skepticism from his middle school teacher about that dream, Mr. Shortz went on to self-design a degree at Indiana University in enigmatology — the scientific study of puzzles as it is related to semiotics, culture and cognition. He also studied law.In 1993, Mr. Shortz became the Times’s fourth puzzle editor, and, in an interview last year, he recalled telling his hiring editor at the time that he hoped to “maintain the quality and intellectual rigor of the Crossword” while bringing in young contributors, fresh themes and modern vocabulary.The content of the crosswords, he said, should have lasting cultural impact, which he defined as “at least five to 10 years.”Mr. Shortz could not be immediately reached on Sunday for further comment about his recovery, and when he might return to work.Jordan Cohen, a spokesman for The New York Times, said in an email that the newspaper had been in “regular contact” with Mr. Shortz and wished him “the best on his path to what is expected to be a full recovery.” Mr. Cohen added, “We look forward to having him back at work when he is ready.”A spokeswoman from NPR shared Mr. Shortz’s aired statement by email on Sunday, but did not immediately respond to questions about when he might return to work. More

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      For Fetterman, Campaign Trail Doubles as Road to Recovery

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      After a stroke and an uneven debate against his rival, Mehmet Oz, John Fetterman is leaning into his health challenges, to cheering crowds, as he campaigns for Senate in Pennsylvania.COLLEGEVILLE, Pa. — John Fetterman was getting fired up at a campaign rally on Thursday evening, vigorously bashing his Republican opponent, Mehmet Oz, as a “fraud,” when the lingering effects of the stroke he had in May abruptly surfaced.“This is a guy that’s, that’s made millions, with scam, ah — you know, scam …” Mr. Fetterman trailed off, trying twice more for the word he would eventually land on: “artist.”“Eh — that’s another one, somebody can film that,” he continued, laughing a little and flinging his arms out to his sides, as if daring his critics to mock him. “Stroke thing. He sold miracles that I just couldn’t even pronounce even before I had a stroke.”In the final days of the extraordinary Pennsylvania Senate race, in which a stroke survivor is running against a celebrity television physician, Mr. Fetterman is proactively acknowledging that his recovery remains a work in progress, leaning into the issue with a mix of humor, sarcasm and notes of empathy for others struggling with health challenges, as he competes in one of the most consequential contests in the nation.Over the course of four events — the Thursday gathering, a Friday discussion with a Philadelphia-area congresswoman and two major Saturday rallies — Mr. Fetterman came across as high-energy and forceful at times, but uneven in crispness and fluency. He sometimes stumbled over a word, corrected himself midsentence or tacked on extraneous words. Abortion decisions belong “only between a woman and their doctor,” he said on Thursday. “Always has — should — been, and always should — will.”But all of those appearances were a far cry from Mr. Fetterman’s debate performance last month, where his strikingly halting answers alarmed Democrats in Pennsylvania and nationally as they worried about a seat that could determine control of the U.S. Senate.Mr. Fetterman in Philadelphia on Saturday night. Kriston Jae Bethel for The New York TimesMr. Fetterman reaching out to a supporter after appearing with President Biden.Kriston Jae Bethel for The New York TimesAt his events, it was evident that Mr. Fetterman has fiercely devoted fans who know his biography, revel in his social media swipes at Dr. Oz and are eager to shout encouragement at any mention of the stroke. The gatherings sometimes had the feel of a movement campaign, but the question is how big that movement is, in a sharply divided state and at a challenging time for Democrats across the country.Mr. Fetterman often sounded clear and relaxed during a Friday conversation with Representative Mary Gay Scanlon at a senior center in Delaware County, the day after he received a prized endorsement from Oprah Winfrey, who was instrumental in Dr. Oz’s rise to fame. He engaged in exchanges over issues like the infrastructure package as he used a closed captioning system, which was barely detectable to the audience.The State of the 2022 Midterm ElectionsElection Day is Tuesday, Nov. 8.House Democrats: Several moderates elected in 2018 in conservative-leaning districts are at risk of being swept out. That could cost the Democrats their House majority.A Key Constituency: A caricature of the suburban female voter looms large in American politics. But in battleground regions, many voters don’t fit the stereotype.Crime: In the final stretch of the campaigns, politicians are vowing to crack down on crime. But the offices they are running for generally have little power to make a difference.Abortion: The fall of Roe v. Wade seemed to offer Democrats a way of energizing voters and holding ground. Now, many worry that focusing on abortion won’t be enough to carry them to victory.“Have people heard that I’ve had a stroke?” he asked wryly near the beginning of that appearance. “I thought I was always pretty empathetic before, but after that, it’s really deepened just how critical it is to make sure that there needs to be things like captioning, which I’m using now — right now.” He mentioned that such accommodations allowed more people to “fully participate.”And at rallies in Pittsburgh and Philadelphia on Saturday, he cracked self-deprecating jokes about the challenge of being a stroke survivor who had to speak before former President Barack Obama, widely regarded as the Democratic Party’s most powerful surrogate.At his Thursday rally in Collegeville, Pa., a suburb of Philadelphia, he had several noticeable verbal missteps, sounding choppy as he discussed abortion rights or dealings with China.But in tone and delivery, he often came across as vigorous and seemed to be enjoying himself during his roughly 18-minute performance that included riffs about sports — the Eagles and the Phillies were both playing that night. He was cheered on by a crowd that, by the end, was treating seemingly every other sentence as an applause line.The crowd in Collegeville, Pa., on Thursday listening to Mr. Fetterman’s speech.Ruth Fremson/The New York TimesWhen he mentioned his time as mayor “of a community out in western Pennsylvania,” one attendee shouted out, “Braddock!” Mr. Fetterman previously served as mayor of Braddock, Pa., where he attracted attention for his efforts to revitalize a struggling steel town.And as he ridiculed Dr. Oz over his real estate, he was cheered on by calls of “Yes, sir!” and “Crudité!”Earlier this year, a video of Dr. Oz shopping for, as he put it, “crudité,” became a subject of significant mockery as Mr. Fetterman’s campaign tried to use it to illustrate that the Republican was out of touch.A Marist poll conducted after the debate found Mr. Fetterman with a lead of six percentage points over Dr. Oz among registered voters and among those who said they definitely planned to vote. But an Emerson College Polling/The Hill survey of Pennsylvania voters, also conducted after the debate, found Dr. Oz with a narrow lead, but within the poll’s margin of error. Many party strategists on both sides of the aisle regard the race as very close.While questions about Mr. Fetterman’s health have been a significant theme of the race, crime, the economy and Dr. Oz’s biography have been equally or, in some cases, more dominant. Mr. Fetterman has been pummeled with attacks on his criminal justice record as Republicans have zeroed in on his tenure as chair of the state’s Board of Pardons, and Democrats face a difficult national environment amid high inflation and President Biden’s weak approval numbers.But polls also show warning signs for Dr. Oz, whose time as a TV doctor and ties to the state have repeatedly come under scrutiny. A Monmouth University poll released Wednesday found that 55 percent of Pennsylvanians surveyed thought he had little understanding of the concerns of voters like them. A Fox News poll showed that 44 percent of voters worried that Dr. Oz, whose longtime principal residence was in New Jersey, was not familiar enough with Pennsylvania to carry out the job of senator.At this point in the race, with few undecided voters left, “it comes down to the intangibles, the character attributes of the candidates themselves,” said Robert Blizzard, a Republican pollster.“What’s the more damning hit?” he said. “Is it Fetterman’s health and not being able to serve or ‘Oz is from Jersey’?”Mr. Fetterman with his wife, Gisele Barreto Fetterman, in Pittsburgh on Saturday.Ruth Fremson/The New York TimesMr. Fetterman had a stroke on the Friday before the May primary election, though he waited until Sunday to disclose it. On Primary Day, he had a pacemaker and defibrillator implanted, which his campaign described at the time as a standard procedure that would help address “the underlying cause of his stroke, atrial fibrillation.” The statement prompted questioning from doctors. His campaign offered few other details about his condition in the days that followed.In a statement in early June, his cardiologist said that he also had a serious heart condition called cardiomyopathy, but that “if he takes his medications, eats healthy, and exercises, he’ll be fine.”And last month, Mr. Fetterman released a letter from his primary care doctor saying that “he has no work restrictions and can work full duty in public office,” and that he “spoke intelligently without cognitive deficits.”“His speech was normal, and he continues to exhibit symptoms of an auditory processing disorder, which can come across as hearing difficulty,” said the letter from Dr. Clifford Chen, the primary care physician. “Occasional words he will ‘miss,’ which seems like he doesn’t hear the word, but it is actually not processed properly.”Dr. Chen has donated to Mr. Fetterman’s campaign and to other Democrats, The Associated Press has noted.The issue of auditory processing was evident on Thursday night as Mr. Fetterman worked the rope line after his event in suburban Philadelphia, shaking hands and posing for pictures but not stopping for long conversations over blaring music. The campaign has acknowledged that auditory processing is especially challenging for Mr. Fetterman in that setting.One man, who declined to share his name on the record for fear of losing his job, came up to Mr. Fetterman in tears. The man, 42, showed Mr. Fetterman what he said was his pardon letter for a marijuana conviction. The candidate, who as lieutenant governor is the chairman of the Board of Pardons, glanced at the document briefly and appeared to thank the man, but they did not have an extended exchange.“I just told him,” the man said afterward, still crying, “thank you for my freedom.”In the final days of the campaign, both candidates are competing hard in the Pennsylvania suburbs, with dueling appearances in Bucks County on Sunday.Dr. Oz campaigned with Senator Susan Collins of Maine and Representative Brian Fitzpatrick of Pennsylvania, two lawmakers regarded as more moderate Republicans, and his final pre-election rally on Monday is in suburban Montgomery County. He is walking a difficult line, though: He also appeared with former President Donald J. Trump and State Senator Doug Mastriano, the far-right nominee for governor who is anathema to many centrist suburban voters, at a rally on Saturday.Mr. Fetterman with Representative Mary Gay Scanlon in Upper Darby, Pa., on Friday.Ruth Fremson/The New York TimesMr. Fetterman, for his part, appeared on “The View” on Friday, which may have reached suburban women in particular, his team said. He campaigned with state Attorney General Josh Shapiro, the Democratic nominee for governor, in Bucks County on Sunday afternoon.And his advisers and allies were elated by the endorsement from Ms. Winfrey, which was heavily covered on the local news.“This week was ‘Fetterman Strikes Back,’” said Joe Calvello, a spokesman for Mr. Fetterman. He also noted the letter the candidate released from his doctor, and that Mr. Fetterman was “doing a recovery in public, in the public eye.”On the campaign trail, Mr. Fetterman has a habit of narrating what that process entails.“Sometimes I miss words, sometimes I might mush two words together,” Mr. Fetterman said on Thursday, to shouts of “We don’t care!”“This,” he said at another point, “is what recovery looks like.” More

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      Fetterman’s Debate Showing Raises Democratic Anxieties in Senate Battle

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      The debate performance on Tuesday night by Lt. Gov. John Fetterman, the Democratic nominee for Senate in Pennsylvania, left party officials newly anxious, injecting a fresh dose of unpredictability into one of the country’s most important contests less than two weeks before Election Day.Five months after surviving a serious stroke, Mr. Fetterman cut a sharp contrast with Mehmet Oz, a quick-spoken former talk show host, as he haltingly provided answers to questions using closed captioning to accommodate the auditory processing impairments he has been confronting. At times, Mr. Fetterman seemed to pause to seek the right words or offered a jumble of sentences to express his positions. In some cases, he contradicted himself or appeared to state the opposite of his actual view.The contentious matchup between Mr. Fetterman and Dr. Oz, his Republican rival, was a kind of political duel rarely seen in American life, upending the traditional pageantry of rapid-fire debates.Mr. Fetterman’s performance thrust questions about health and disability into the center of the final weeks of a nearly deadlocked race. Even as doctors and disability rights advocates praised his delivery, saying that his speech did not reflect any cognitive impairment and that he had offered an inspiring model for others with disabilities, some Democrats worried that ordinary voters might see it differently.“I was nervous before the debate began, and I’m still nervous,” said Ed Rendell, a Democratic former governor of Pennsylvania, who added that the format — with 60-second answers and 15- and 30-second rebuttals — made it more difficult for Mr. Fetterman to respond fluidly. “You never know which way this goes.”One senior Democratic official in the state described an intense level of anxiety, and an awareness that the debate could be decisive.Republicans clearly saw an opening.“Fetterman proved he’s incapable of the physical and communication demands of the job,” said former Representative Ryan Costello, a Republican from the Philadelphia suburbs who also criticized Mr. Fetterman over issues of transparency.“This is a six-year term,” he said. “This is a serious job.”The outcome of the contest could decide control of the Senate — determining whether President Biden will be able to keep confirming federal judges, and whether he will confront investigations and conservative legislation from both chambers of Congress or only from what is widely expected to be a Republican-controlled House.For many voters, the verdict on Mr. Fetterman will be decided in the days to come. Few voters watch entire debates, leaving most to learn about what happened through videos that circulate in the days and weeks that follow.Democratic officials and campaign operatives in Pennsylvania quickly seized on a statement by Dr. Oz that abortion decisions should be up to “women, doctors, local political leaders.” Those involved with the Fetterman campaign said they had made the right decision in going forward with the debate, arguing that it had given them a politically damaging moment for Dr. Oz that would linger longer than Mr. Fetterman’s overall performance.The State of the 2022 Midterm ElectionsElection Day is Tuesday, Nov. 8.Bracing for a Red Wave: Republicans were already favored to flip the House. Now they are looking to run up the score by vying for seats in deep-blue states.Pennsylvania Senate Race: Lt. Gov. John Fetterman and Mehmet Oz clashed in one of the most closely watched debates of the midterm campaign. Here are five takeaways.Polling Analysis: If these poll results keep up, everything from a Democratic hold in the Senate and a narrow House majority to a total G.O.P. rout becomes imaginable, writes Nate Cohn, The Times’s chief political analyst.Strategy Change: In the final stretch before the elections, some Democrats are pushing for a new message that acknowledges the economic uncertainty troubling the electorate.On Wednesday, the Fetterman team turned Dr. Oz’s remark into an ad for television and digital platforms and blasted it across social media.“I want women, doctors, local political leaders — letting the democracy that’s always allowed our nation to thrive — to put the best ideas forward so states can decide,” Dr. Oz said on Tuesday, after repeatedly declining to say directly whether he would support a 15-week federal ban on abortion.The comment, Fetterman allies said, allows Democrats to tie Dr. Oz to Doug Mastriano, the struggling Republican nominee for governor, who has vowed to ban abortion without exceptions. Mr. Fetterman’s campaign said it had raised $2 million since the debate, a number it said illustrated the steadfast commitment of the party’s base.“John obviously struggled with some words,” said Mike Mikus, a Democratic strategist in Pennsylvania. “I thought he would have performed better. But in the end, mashing up some words is not going to matter to swing voters.”Republicans, looking to capitalize on the debate, highlighted a moment when Mr. Fetterman was questioned on his views on fracking. In a 2018 interview, he expressed opposition to it; he now says that he has “always” supported the practice — a major issue in the state. But it was also a moment that showed Mr. Fetterman’s difficulties with articulating his thoughts. Mr. Fetterman said the captions did not make clear that the question was directed to him, causing him to pause before answering, according to a senior campaign aide.When pressed on his previous opposition, Mr. Fetterman paused and said: “I do support fracking and, I don’t, I don’t — I support fracking and I stand — I do support fracking.”Lt. Gov. John Fetterman of Pennsylvania last week.Haiyun Jiang/The New York TimesEarlier in the race, the Oz campaign mocked Mr. Fetterman repeatedly over his health. But at a campaign event on Wednesday in Harrisburg, Pa., as he appeared with Nikki R. Haley, the former United Nations ambassador, Dr. Oz sought to keep his focus firmly on matters of public safety, in keeping with Republican efforts to tar Mr. Fetterman as radically anti-law enforcement, a message he has vehemently rejected..css-1v2n82w{max-width:600px;width:calc(100% – 40px);margin-top:20px;margin-bottom:25px;height:auto;margin-left:auto;margin-right:auto;font-family:nyt-franklin;color:var(–color-content-secondary,#363636);}@media only screen and (max-width:480px){.css-1v2n82w{margin-left:20px;margin-right:20px;}}@media only screen and (min-width:1024px){.css-1v2n82w{width:600px;}}.css-161d8zr{width:40px;margin-bottom:18px;text-align:left;margin-left:0;color:var(–color-content-primary,#121212);border:1px solid var(–color-content-primary,#121212);}@media only screen and (max-width:480px){.css-161d8zr{width:30px;margin-bottom:15px;}}.css-tjtq43{line-height:25px;}@media only screen and (max-width:480px){.css-tjtq43{line-height:24px;}}.css-x1k33h{font-family:nyt-cheltenham;font-size:19px;font-weight:700;line-height:25px;}.css-1hvpcve{font-size:17px;font-weight:300;line-height:25px;}.css-1hvpcve em{font-style:italic;}.css-1hvpcve strong{font-weight:bold;}.css-1hvpcve a{font-weight:500;color:var(–color-content-secondary,#363636);}.css-1c013uz{margin-top:18px;margin-bottom:22px;}@media only screen and (max-width:480px){.css-1c013uz{font-size:14px;margin-top:15px;margin-bottom:20px;}}.css-1c013uz a{color:var(–color-signal-editorial,#326891);-webkit-text-decoration:underline;text-decoration:underline;font-weight:500;font-size:16px;}@media only screen and (max-width:480px){.css-1c013uz a{font-size:13px;}}.css-1c013uz a:hover{-webkit-text-decoration:none;text-decoration:none;}How Times reporters cover politics. We rely on our journalists to be independent observers. So while Times staff members may vote, they are not allowed to endorse or campaign for candidates or political causes. This includes participating in marches or rallies in support of a movement or giving money to, or raising money for, any political candidate or election cause.Learn more about our process.“Last night’s debate focused on my desire to bring balance to Washington, a desire to bring together left and right, on issues that are bipartisan in their very nature,” Dr. Oz said.Still, Dr. Oz’s allies are not being so sensitive about Mr. Fetterman’s health. A new ad from a super PAC affiliated with former President Donald J. Trump says that the Pennsylvania Democrat “just isn’t right.”During the debate, Mr. Fetterman tried to reposition his difficulties as a symbol of his grit, part of his brand as a tattooed former mayor of a battered steel town who can relate to working-class Pennsylvanians. His campaign had sought to lower expectations ahead of the clash, sending a memo to reporters that highlighted Mr. Fetterman’s challenges with auditory processing and noting that even before the stroke, debates were not his strong suit.Even as some pundits and strategists argued that skipping a debate would ultimately be forgiven, Mr. Fetterman wanted to appear, campaign officials said, because he believed Pennsylvania voters deserved an opportunity to hear from their candidates.In his opening remarks, he said of the stroke, “It knocked me down, but I’m going to keep coming back up.” He added, “This campaign is all about, to me, is about fighting for everyone in Pennsylvania that got knocked down, that needs to get back up, and fighting for all forgotten communities all across Pennsylvania that also got knocked down that needs to keep to get back up.”After the debate, his campaign said the caption system it had requested was “delayed” and “filled with errors” — a claim the media host denied.During the debate, Mr. Fetterman would not commit to releasing additional medical records. A CBS News/YouGov poll released last month found that 59 percent of registered voters in Pennsylvania believed Mr. Fetterman was healthy enough to serve.But for many voters, the debate was their first chance to watch and listen to Mr. Fetterman — or any politician who recently had a life-threatening stroke — for an extended period of time.Over the years, strokes have sidelined several senators, who have sometimes needed recoveries as long as a full year. Early this year, Senator Ben Ray Luján, Democrat of New Mexico, had a stroke, sending a jolt through his party given its narrow control of the Senate. He returned to work a month later, saying he was “90 percent” recovered.If Mr. Fetterman wins, his work in the Senate is unlikely to be significantly affected by his condition, said Senator Bob Casey, a Democrat from Pennsylvania who is supporting his bid. Mr. Casey said he had seen Mr. Fetterman rapidly improve since the summer.“He’s ready to do this job right now,” Mr. Casey said. “And I think by the time he would take the oath, he’ll be able to have then even additional recovery.”Mr. Fetterman had the stroke on the Friday before the May primary election, though he waited until Sunday to disclose it. On Primary Day, he had a pacemaker and defibrillator implanted, which his campaign described as a standard procedure that would help address “the underlying cause of his stroke, atrial fibrillation.”In a statement in early June, his cardiologist said he also had a serious heart condition called cardiomyopathy. Mr. Fetterman spent much of the summer off the campaign trail, returning in mid-August for a rally in Erie, Pa.Mr. Fetterman said during the debate that his stroke “knocked me down, but I’m going to keep coming back up.” Mehmet Oz, whose campaign mocked Mr. Fetterman’s health earlier in the race, has recently sought to focus on public safety.Nextstar Media GroupSince then, he has ramped up his appearances, regularly holding rallies and giving television interviews, and his team has been open about his lingering auditory processing challenges and his use of closed captions.This month, Mr. Fetterman released a letter from a different doctor — his primary care physician — that said “he has no work restrictions and can work full duty in public office.”Neurologists who have experience treating stroke patients with aphasia, which can disrupt a person’s ability to express speech, complimented his performance on Tuesday night.A political debate “is probably the most adversarial environment that someone with aphasia could face,” said Dr. Lee Schwamm, a vascular neurologist at Massachusetts General Hospital. “It doesn’t mean he can’t think, but his immediate ability to absorb information rapidly and deliver that canned message that all candidates practice is clearly impaired.”Disability advocates were thrilled with Mr. Fetterman’s showing, saying his appearance carried import beyond party politics by providing a positive image for the 26 percent of Americans living with disabilities.Darlene Williamson, the president of the National Aphasia Association and a speech language pathologist, praised Mr. Fetterman.“To have someone exhibit — the best word I can use is bravery — is enormously important to our families who live in a situation where people do not necessarily understand the language problems and oftentimes equate it with loss of intelligence,” she said. “And that is completely untrue.”Reporting was contributed by More

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      What the Pennsylvania Media Is Saying About the Senate Debate

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      Pennsylvania voters are navigating through a vortex of headlines, commentary and opinion page takeaways about Tuesday night’s Senate debate between the celebrity physician Dr. Mehmet Oz, a Republican, and Lt. Gov. John Fetterman, a Democrat who is recovering from a stroke that he had in May.Mr. Fetterman lumbered through the hourlong encounter with his rival, a performance that dominated the news media’s coverage of the debate in a race that could determine control of the divided Senate.Here is what pundits in Pennsylvania are saying:Sharp critiques from The Philadelphia Inquirer’s opinion staffA panel of columnists and other contributors was less than charitable in its reviews of both candidates, giving Mr. Fetterman an average score of 4.3 out of 10 and Dr. Oz a score of 4.1.Here’s some of what the panelists said:“The only good thing you can say about Fetterman’s performance is that he didn’t put on airs. He is authentically inarticulate.” — Jonathan Zimmerman“Rather than counter his reputation as a snake-oil salesman, Oz leaned into it for most of the debate, with slick answers that were as empty as the diet pills that he once promoted (despite his ridiculous dodging answer) on TV.” — Will Bunch“Fetterman’s stumbling and verbal gaffes made the debate a complete cringefest from beginning to end.” — Jenice Armstrong“For all his years on TV, Oz came across as a fast-talking used car salesman.” — Paul DaviesPundits online and on the radio: ‘Painful’ vs. ‘slippery’Michael Smerconish, a Philadelphia lawyer-turned-political commentator for CNN and SiriusXM, on Wednesday panned Mr. Fetterman’s long-awaited return to the debate stage and called it “painful.”“Fetterman didn’t want to debate,” Mr. Smerconish said on his radio show. “Now we know why. He wanted to run out the clock.”The State of the 2022 Midterm ElectionsElection Day is Tuesday, Nov. 8.Bracing for a Red Wave: Republicans were already favored to flip the House. Now they are looking to run up the score by vying for seats in deep-blue states.Pennsylvania Senate Race: Lt. Gov. John Fetterman and Mehmet Oz clashed in one of the most closely watched debates of the midterm campaign. Here are five takeaways.Polling Analysis: If these poll results keep up, everything from a Democratic hold in the Senate and a narrow House majority to a total G.O.P. rout becomes imaginable, writes Nate Cohn, The Times’s chief political analyst.Strategy Change: In the final stretch before the elections, some Democrats are pushing for a new message that acknowledges the economic uncertainty troubling the electorate.Mr. Smerconish said that he felt sorry for Mr. Fetterman and that Dr. Oz’s demeanor gave him pause.“Oz was slippery,” he said.Dom Giordano, a conservative talk radio host in Philadelphia, was even more blunt about how Mr. Fetterman handled the debate.“Can any reasonable person say Fetterman is capable?” Mr. Giordano wrote on Tuesday night on Twitter.Still, Marty Griffin, a Pittsburgh-area talk radio host, wondered how much the debate would sway voters.“Does Fetterman’s condition matter?” Mr. Griffin said on Tuesday night on Twitter. “I’d say no! Voters will vote in their lanes!”The Pittsburgh Tribune-Review took both candidates to taskCalling the debate “chaotic” in a headline, the newspaper focused on Mr. Fetterman’s verbal delivery and Dr. Oz’s attacking style in its coverage. It called out Mr. Fetterman’s dodge of “questions about past statements made in opposition to fracking” and wrote that he “appeared to hit a stride and speak better when his answers were longer.”As for Oz: “He spoke frantically, but cohesively, and consistently brought his answers back to attacking Fetterman.”‘Fetterman struggles’: Penn Live/The Patriot-NewsThat’s how the headline from The Patriot News characterized his performance. The newspaper in Harrisburg, Pennsylvania’s capital, where Tuesday night’s debate was held, wrote:“In what was considered a pivotal moment for the heated contest, Fetterman’s consistently stilted speech and jumbled sentences in the rapid-fire debate format are likely to fuel more questions about his health following a May 13 stroke.”The Pittsburgh Post-Gazette found the debate heavier on attacks than substantive policyNeither candidate alleviated the newspaper’s lingering questions — for Mr. Fetterman, concerns about his health, and for Dr. Oz, his promotion of certain medical treatments and products that critics say are risky and unproven.Sound bites aplenty, but skimpy on specifics, The Pennsylvania Capital-Star saysThe nonpartisan news nonprofit described the tone of the debate as nasty and reported that former President Donald J. Trump and President Biden loomed substantially over the clash. More

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      Why Candidates Owe Voters Full Medical Transparency

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      The principal intent of campaigns is to give voice to the candidates’ positions on major issues. When casting their ballots, voters consider personality, party allegiance, character traits and other factors. In Pennsylvania’s Senate election, a candidate’s personal health has come to the fore, and the outcome could be a key in determining control of the Senate.In my experience, politicians who are not fully transparent in disclosing their health information can become vulnerable to the spread of misinformation, rumors and antics that detract from the candidate’s stances on major issues. That risk is playing out in the Fetterman-Oz race in Pennsylvania.It began in May, when the Democratic candidate, Lt. Gov. John Fetterman, experienced a stroke, a common affliction. But his campaign has undergone criticism for delays in disclosing relevant health information. It was learned that Mr. Fetterman was diagnosed with a serious abnormal heart rhythm, atrial fibrillation, in 2017. Since that diagnosis, Mr. Fetterman had failed to take prescribed medications and to visit a doctor until the stroke emergency. After his stroke, Mr. Fetterman received a pacemaker-defibrillator for another heart ailment, cardiomyopathy, which reduces the organ’s strength in pumping blood to the body.During recovery he has stammered, spoken haltingly and acknowledged difficulty in auditory processing, a common problem in strokes. In the upcoming Oct. 25 debate with his opponent, Mehmet Oz, Mr. Fetterman has requested accommodations, like a closed-caption monitor so he doesn’t miss words.Like other stroke survivors, Mr. Fetterman has benefited from an increasingly sophisticated understanding of the plasticity of the brain and from medical advances in detecting and treating strokes. He says his health is “robust,” and has responded to journalists’ questions about his fitness for office by saying, “Sometimes I might miss a word and sometimes I might mush two words together.” Such slips, while embarrassing, do not necessarily indicate cognitive problems like deficits in problem solving, reasoning and critical thinking.But the Fetterman campaign has given the public little opportunity to clarify his medical issue. Over the years, my reporting has found that, for various reasons, doctors’ statements concerning a political leader are not always as complete as they should be. The Fetterman campaign has released only one statement from his cardiologist, in June. Although his campaign has said the candidate has received normal scores on cognitive tests, it has not released his full cognitive testing results or information from a neurologist about the stroke-affected area of his brain.Mr. Fetterman may have avoided his health becoming a political issue had he, party officials and journalists met their civic responsibilities to check on his health when he entered the primary campaign. Mr. Oz, a former heart surgeon, only just released his own personal medical information, on Friday.In an election, voters expect that candidates can fulfill their duties for a full term. In my view, no ailment should prevent individuals from seeking elected office provided they have disclosed their full medical information. Voters define and decide fitness for office.A “Get Well Soon” card for John Fetterman at a watch party in Pittsburgh, PA in May while he was in this hospital recovering from a stroke.Maddie McGarvey for The New York TimesSome view disclosing a candidate’s health as a clash between an individual’s right to medical confidentiality and the public’s right to know about that candidate’s health. Because no one forces anyone to run for office, candidates can easily avoid such a clash by volunteering and authorizing their doctors to disclose complete health information.Seekers of elected offices may not relish disclosing personal health information. Their doctors may be annoyed at armchair physicians not involved with a politician’s medical care second-guessing their diagnostic and treatment decisions. Politicians should realize that disclosing limited information about their health can make it more of an issue than full transparency.Full disclosure is no guarantee that a healthy candidate will serve effectively in office or an ailing one will perform poorly. Nor does it guarantee that a healthy candidate will escape experiencing a serious ailment in office. When that occurs, the public generally supports allowing the office holder a reasonable recuperative period. Two sitting U. S. senators (Ben Ray Luján, Democrat of New Mexico, and Chris Van Hollen, Democrat of Maryland) experienced strokes earlier this year and have returned to work.But when ailments become incapacitating or interfere with members fulfilling their duties, Congress lacks its version of the 25th Amendment to the Constitution, which determines steps to remove a disabled president from office or appointing the vice president as acting president. Without such a provision, seriously ailing members of Congress are allowed to retain their seats until they face re-election at term’s end, and voters should be aware of that possibility.A benefit of candidates disclosing their health status, and attending to their own well-being, is that publicity about a politician’s medical care can be instructive. For example, discovery of President Reagan’s colon cancer after a colonoscopy in 1985 encouraged many other Americans to undergo the screening procedure. Perhaps Mr. Fetterman’s saga will encourage Americans to follow their doctors’ advice and journalists to motivate politicians to release fully transparent health information.Dr. Lawrence K. Altman, a former New York Times senior medical correspondent and columnist, is writing a book on the personal health of political leaders.The Times is committed to publishing a diversity of letters to the editor. We’d like to hear what you think about this or any of our articles. Here are some tips. And here’s our email: letters@nytimes.com.Follow The New York Times Opinion section on Facebook, Twitter (@NYTopinion) and Instagram. More

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      Fetterman Says Stroke Problems Have Not Slowed Down a ‘Normal’ Campaign

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      Four months after suffering a stroke he described as a “near-death experience,” Lt. Gov. John Fetterman of Pennsylvania acknowledges lingering problems with his speech and hearing that sometimes cause verbal miscues. He has relied on closed captions or the help of staff members to smooth his interactions with voters and reporters as he runs for Senate.But in one of his most extensive interviews since the stroke in May, Mr. Fetterman said he was fully capable of handling the rigors of a campaign that may decide the balance of power in the U.S. Senate. He described driving his children to school, walking several miles a day and rapidly improving his auditory processing — while also lacing into his opponent, the celebrity television physician Mehmet Oz, who trails in the polls and whose campaign has mocked Mr. Fetterman’s health challenges.“I’m running a perfectly normal campaign,” Mr. Fetterman said in a 40-minute interview with The New York Times, conducted by video on Tuesday. He added at another point, “I keep getting better and better, and I’m living a perfectly normal life.”Indeed, Mr. Fetterman’s campaign has seemed increasingly normal in many ways.Lt. Gov. John Fetterman, a Democrat running for Senate in Pennsylvania, at a rally in Blue Bell on Sunday. He acknowledges lingering problems with his speech since a stroke in May.Hannah Beier for The New York TimesThe candidate, whose personality-driven political style has inspired an unusual degree of fandom for a Senate hopeful, speaks at raucous rallies, jokes about his opponent at private fund-raisers and makes occasional news media appearances. His onetime Democratic rivals have moved to show a united front with their party’s nominee. Several Democratic officials who have interacted with Mr. Fetterman closely also said recently that they were encouraged by his progress. On Wednesday, he committed to debating Dr. Oz late next month.Yet in other respects, clashes over health and transparency have shaped the contest to a remarkable degree, fueled by attacks from the Trump-backed Dr. Oz and Republicans promoting out-of-context clips of Mr. Fetterman — and by the realities of Mr. Fetterman’s personal situation.He suffered a stroke on the Friday before the May primary election, though he waited until Sunday to disclose it. On Primary Day, he had a pacemaker and defibrillator implanted, which his campaign described at the time as a standard procedure that would help address “the underlying cause of his stroke, atrial fibrillation.” In a statement in June, his doctor said he also had a serious heart condition called cardiomyopathy.Mr. Fetterman thanked his supporters in a video at his election-night party in May. He has not tended to take questions from the news media at events since the stroke.Maddie McGarvey for The New York TimesIn Tuesday’s interview, Mr. Fetterman said, “We have never been hiding any of the health issues.”Those issues have plainly shaped how Mr. Fetterman campaigns now. He has not tended to take questions from the news media at his events, in contrast to his approach right before his stroke. He is still using closed captioning to conduct video conversations, as he did in the interview on Tuesday. And in some appearances over the last month, he jumbled a few words, a problem he has acknowledged.At a Labor Day event last week, he had to restart an occasional sentence, and he promised to “champion the union way of life in Jersey — excuse me, in D.C.,” after he sought to cast Dr. Oz as more comfortable in New Jersey, his longtime principal residence, than in Pennsylvania.The State of the 2022 Midterm ElectionsWith the primaries over, both parties are shifting their focus to the general election on Nov. 8.Midterm Data: Could the 2020 polling miss repeat itself? Will this election cycle really be different? Nate Cohn, The Times’s chief political analyst, looks at the data in his new newsletter.Republicans’ Abortion Struggles: Senator Lindsey Graham’s proposed nationwide 15-week abortion ban was intended to unite the G.O.P. before the November elections. But it has only exposed the party’s divisions.Democrats’ Dilemma: The party’s candidates have been trying to signal their independence from the White House, while not distancing themselves from President Biden’s base or agenda.For in-person appearances, Mr. Fetterman has sometimes relied on staff members to repeat questions he has trouble hearing over background noise.Many voters appear untroubled: A CBS News/YouGov poll released this week found that 59 percent of registered Pennsylvania voters surveyed believed Mr. Fetterman was healthy enough to serve.A cutout of Mr. Fetterman at his campaign rally in Erie, Pa., in August. A doctor found the candidate’s results on neurocognitive tests reassuring.Jeff Swensen for The New York TimesOn Wednesday, his campaign said he had taken neurocognitive tests, mentioning two: the Saint Louis University Mental Status Examination, administered on July 14, and the Repeatable Battery for the Assessment of Neuropsychological Status, or RBANS, taken on Wednesday morning. The campaign said his score on the St. Louis test was 28 out of 30. That score is typical for people with at least a high school education.His score on the RBANS was within the normal range for his age, according to his campaign.Stroke patients often undergo many neurocognitive tests, including brief ones administered by speech therapists and hourslong cognitive evaluations, said Dr. Lee Schwamm, a stroke expert at Massachusetts General Hospital.Dr. Schwamm found Mr. Fetterman’s scores reassuring but added that they “don’t preclude the possibility that his performance is lower than it might have been before his stroke.”But, Dr. Schwamm said, the emphasis on Mr. Fetterman’s cognitive tests plays into what he sees as a bias against people who have had strokes. “It is playing on the fear that a stroke made him vulnerable, weak, incapable of leadership,” he said. “Judge the guy on his merits.”Mr. Fetterman’s campaign said he continued to take all the medications he was prescribed, including the blood thinner rivaroxaban. The campaign also said he had exhibited no stroke symptoms or bleeding since the stroke.Mr. Fetterman’s campaign did not make his doctors available for interviews, and efforts to reach them independently were unsuccessful. Dr. Ramesh Chandra of Alliance Cardiology signed the June letter about Mr. Fetterman’s heart condition. Dr. Chandra’s office said health privacy laws prohibited him from discussing patients without their permission.Mr. Fetterman returned to the campaign trail last month with a splashy rally in Erie, Pa. He has held a number of big campaign events since, including a large one on Sunday, when, The Philadelphia Inquirer noted, “he stumbled over very few words compared with previous speeches.”Mr. Fetterman greeted a large crowd in Blue Bell. Even in appearances when he has halting moments, he can come across as high-energy.Hannah Beier for The New York TimesBy his campaign’s count, he has held more than two dozen fund-raisers since his stroke, conducted dozens of political meetings both in person and over video, and held or attended a number of public events. Even in appearances when he has halting moments, he can come across as high-energy, sometimes adopting the cadence of a stand-up comic to rip into Dr. Oz. He has also used his personal health challenges to bond with voters, asking at events for a show of hands from those who have experienced health problems in their families.“Who has someone, maybe personally, yourself, has ever had a big, major health challenge? OK, all right, how about any of your parents?” Mr. Fetterman said on Sunday. “I’m so sorry. I mean, I certainly have. And I hope, I truly hope for each and every one of you, you didn’t have a doctor in your life making fun of it.”Asked for comment, Barney Keller, an Oz campaign consultant, said that the Fetterman campaign “hasn’t been transparent at all about his health challenges.”Representative Mary Gay Scanlon, a Pennsylvania Democrat who attended the rally and a fund-raiser with Mr. Fetterman on Sunday, said he had strong exchanges at the private event.“There were no closed captions,” Ms. Scanlon said. “He fielded questions and had a sense of humor and was entirely what one would hope for for the next senator from Pennsylvania.”The issue of Mr. Fetterman’s health intensified in recent weeks as Dr. Oz used the matter of debate participation to question Mr. Fetterman’s fitness to serve. Mr. Fetterman’s campaign said Wednesday that he would debate on Oct. 25, two weeks before Election Day, noting that it had held conversations with several TV stations to determine how to accommodate his lingering auditory challenges.Shanin Specter, a Philadelphia lawyer and son of the late Senator Arlen Specter of Pennsylvania, said in an interview some voters might regard one debate as insufficient.“The recent indication of agreement to one debate in late October may be seen by voters as too little and too late, especially for those who vote by mail,” said Mr. Specter, who donates to candidates in both parties. He said at another point, “He hasn’t done much campaigning. The film of that which he’s done has been unreassuring. The drip, drip lack of forthrightness about his problems has been corrosive.”Mr. Specter said he supported the Democratic nominee for governor, Josh Shapiro, but was not involved in the Senate race.Dr. Mehmet Oz showed a photo of Mr. Fetterman from a Democratic debate before his stroke. Dr. Oz’s campaign has mocked his rival’s health challenges.Kriston Jae Bethel for The New York TimesShould he win, Mr. Fetterman, 53, would be far younger than many leaders in Washington, including President Biden (79), House Speaker Nancy Pelosi (82) and a number of octogenarian U.S. senators, some of whom have faced scrutiny over their mental acuity.“The goal posts for John keep moving. John is already healthier and more articulate than about 80 percent of the Senate, and he’s getting better every day,” said Rebecca Katz, a senior adviser to the Fetterman campaign.Senator Ben Ray Luján, a New Mexico Democrat who suffered a stroke earlier this year, has been in touch with Mr. Fetterman since his illness and said he had no doubt that Mr. Fetterman could handle the demands of the office.“If anyone wants to see what a stroke survivor looks like, they can just take a look at me,” the senator said, noting his participation in an all-night voting session. “He’s strong. He’s working. He’s connecting with constituents. He’s going to keep doing that.”Mr. Fetterman, for his part, suggested the health scare had given him a new perspective.“I had to be faced with the idea that this could have ended my life when I have three young children,” he said. “That’s 10 times harder than anything that I’m having, dealing with, right now.” More

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      Fetterman Hopes to Return to Senate Campaign Trail Soon, He Says in New Interview

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      Lt. Gov. John Fetterman of Pennsylvania, the Democratic Senate nominee who has been off the campaign trail for more than two months after having a stroke in mid-May, told his hometown newspaper this week that he hopes to return to in-person campaigning “very soon” even as he acknowledged some persisting health effects.“I would never be in this if we were not absolutely, 100 percent able to run fully and to win — and we believe that we are,” Mr. Fetterman told The Pittsburgh Post-Gazette on Wednesday, his first interview since falling ill.Mr. Fetterman ​​had a stroke days before the Democratic primary in May and had a pacemaker and defibrillator implanted on the day of the primary. At the time, his campaign described the move as a standard procedure that would address “the underlying cause of his stroke, atrial fibrillation.” In early June, his campaign acknowledged that he also had a heart condition called cardiomyopathy, which can lead to heart failure, and his doctor said he had appeared to have left other heart issues untreated for years.Mr. Fetterman said he “almost died” and vowed to focus on his recovery before returning to the trail.Since then, his campaign has kept up an aggressive and attention-grabbing social media and television presence, painting his Republican opponent, Mehmet Oz, as more at home in New Jersey than Pennsylvania. But the public has seen little from Mr. Fetterman, save for the occasional brief video.In the Post-Gazette interview, which was conducted by video — and Mr. Fetterman used closed captioning to ensure he did not miss words, the paper said — the candidate said he was walking four to five miles a day, participating in campaign strategy sessions and is now increasingly attending fund-raisers, with several scheduled for this week. He greeted volunteers in person recently, and he also said he was working with a speech therapist.“I might miss a word every now and then in a conversation, or I might slur two words. Even then, I think that’s infrequent,” Mr. Fetterman told the paper. “So I feel like we are ready to run.”He stressed that “physically, I have no limits,” though he also acknowledged that “my hearing is still a little bit not perfect.”Several people who attended a virtual fund-raiser with Mr. Fetterman recently said they were encouraged to see that he seemed to be improving, but also said that he did not sound quite like he did before the stroke — as Mr. Fetterman has implicitly acknowledged.“We saw a candidate whom we all support but who was still recovering,” said Phyllis Snyder, a board member of J Street, the liberal Israel-focused organization. J Street Pennsylvania and the organization’s political arm were listed as hosting the fund-raiser. “We hope that that will continue. But he was very engaged.”She added that Mr. Fetterman typically “speaks what’s on his mind. I’d say he was just a little more measured and careful.”Other attendees said it was occasionally evident when he was reaching for a word.“I don’t think he’s totally back yet,” said Ed Feinstein, a lawyer in Pittsburgh who also attended the event. “But he was animated, and he answered questions.”“He seemed to have energy,” he added, “which I’d been worried about.”Indeed, plenty of Pennsylvania Democrats have privately been anxious about when Mr. Fetterman will return to making public appearances. He has led a number of public polls over Dr. Oz, who faces challenges with his own base. But Pennsylvania is a highly competitive state, and may represent Democrats’ best chance to pick up a seat.Given the stakes of the election and the intense nature of running a statewide contest, Mr. Feinstein said that “I came away encouraged. But I’m still concerned.”“A lot of his appeal is when you see him,” he continued. “He needs to get out there and talk to people in small and larger groups. And that’s grueling, there’s no question about it.”In a statement, Mr. Fetterman’s spokesman, Joe Calvello, said Mr. Fetterman was “doing incredibly well for a guy who had a stroke two months ago and is well on his way to a full recovery.”Noting Mr. Fetterman’s own assessment of his health, he continued, “he will occasionally miss a word or slur a word now and then. This is all part of the recovery process.”And certainly, he is not the first politician to suffer a stroke or heart problems. Former Vice President Dick Cheney had a defibrillator implanted in 2001. He finished two terms in the White House, including a re-election battle in 2004.In a sign of accelerating activity, Mr. Fetterman is set to attend three in-person fund-raisers in Philadelphia on Thursday, Mr. Calvello confirmed. More

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      After Fetterman’s Stroke, Doctors Look at Senate Campaign Prospects

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      What really is the prognosis for John Fetterman, the Democratic Senate nominee from Pennsylvania who had a stroke on May 13?The 52-year-old lieutenant governor of Pennsylvania clinched his party’s nomination just a few days later, setting up one of the most consequential Senate contests of the midterm elections. But urgent medical questions remain.He was discharged from the hospital, his campaign said on Sunday, and Mr. Fetterman has said doctors assured him that he would make a complete recovery — but the campaign has not said when he will be able to return to campaigning.“I am going to take the time I need now to rest and get to 100 percent so I can go full speed soon and flip this seat blue,” Mr. Fetterman said in a statement on Sunday, adding that he felt “great” but intended to “continue to rest and recover.”With such an important race in the balance, one that could decide the Senate majority, the state of Mr. Fetterman’s health is of intense public interest. Yet, despite repeated requests, his campaign did not make him or his doctors available to discuss his stroke and his medical treatment.And specialists in stroke, heart disease and electrophysiology said that some of the campaign’s public statements do not offer a sufficient explanation for Mr. Fetterman’s described diagnosis or the treatment they say he has received.The stroke, he said in a statement released by his campaign, was caused by a blood clot. He said the clot was the result of atrial fibrillation, a condition in which the upper chambers of the heart beat chaotically and are out of sync with the lower chambers of the heart. The campaign said the clot was successfully removed by doctors at a nearby community hospital, Lancaster General Hospital.On May 17, the day of the primary election, Mr. Fetterman had a pacemaker and a defibrillator implanted in his heart which, his press office said in a statement, “will help protect his heart and address the underlying cause of his stroke, atrial fibrillation (A-fib), by regulating his heart rate and rhythm.” His press office said he is expected to fully recover from his stroke.Medical specialists asked questions about Mr. Fetterman’s treatment with a defibrillator. They say it would make sense only if he has a different condition that puts him at risk of sudden death, like cardiomyopathy — a weakened heart muscle. Such a heart condition may have caused the blood clot. Or, the doctors say the campaign could be correct about afib causing the clot.Thrombectomy, the method likely used to remove the clot, also indicates that Mr. Fetterman experienced more than a tiny stroke, although prompt treatment may have averted damage and saved his brain.“I was just in the hospital for over a week,” Mr. Fetterman said in a statement. “I am aware that this is serious, and I am taking my recovery seriously.”In a brief interview on May 20, Gisele Barreto Fetterman, Mr. Fetterman’s wife, told the story of his stroke, from her perspective.“We had been on the road campaigning,” she said. “We had had breakfast, and he was feeling fine.”The couple got into a car to go to an event at Millersville University when, she said, “the left side of his mouth drooped for just a second.”“I had a gut instinct that something was happening,” Ms. Fetterman said. “I yelled to the trooper, ‘I think he’s having a stroke.’ He said, ‘I’m fine. What are you talking about? I feel fine.’”Gisele Barreto Fetterman, Mr. Fetterman’s wife, spoke at a watch party in Pittsburgh on May 17.Maddie McGarvey for The New York TimesThe state trooper soon drove Mr. Fetterman to Lancaster General Hospital where his treatment began. Ms. Fetterman said it involved going through his groin, which suggests he had a thrombectomy, a procedure in which doctors slide a small plastic tube through the groin, advance it into the brain and then pull the blood clot out using suction or a wire mesh.It was not until two days later that his campaign reported that Mr. Fetterman had been hospitalized with a stroke. Asked about the delay, Ms. Fetterman said, “Less than 48 hours is pretty impressive timing when dealing with sensitive medical issues.”Shortly after that question, Rebecca Katz, a senior adviser in Mr. Fetterman’s campaign, abruptly ended the call with Ms. Fetterman.Medical specialists said that some aspects of the story were difficult to reconcile with their knowledge of stroke treatment.Dr. Lee Schwamm, a stroke specialist at Massachusetts General Hospital and professor of neurology at Harvard Medical School, said doctors do a thrombectomy only when a large artery in the brain is blocked.“You typically wouldn’t do it for someone with just a little bit of facial droop,” he said. Dr. Schwamm wondered if the doctors who examined Mr. Fetterman in the hospital had noticed other symptoms, like a loss of vision on his left side or lack of awareness of his left side, often called “neglect.”“These strokes tend to be very severe,” Dr. Schwamm said. “He is fortunate that he went to a hospital that could treat it.”Pressed about the stroke symptoms as described by Ms. Fetterman, a spokesman for Mr. Fetterman wrote in an email that he “told The Associated Press last week that Gisele ‘noticed that John was not himself, and shortly after he started slurring his speech.’”But what caused the stroke?Ms. Fetterman said her husband knew he had atrial fibrillation, which confers a high risk of stroke, and that he had taken anticoagulants, a standard method of reducing the stroke risk in people with atrial fibrillation, “on and off.”But the treatment with a pacemaker and defibrillator is a puzzle if all he had was atrial fibrillation, medical specialists said.“This doesn’t entirely make sense,” said Dr. Brahmajee Nallamothu, an interventional cardiologist at the University of Michigan.Dr. Elaine Wan, an associate professor of medicine in cardiology and cardiac electrophysiology at Columbia University Medical Center, said defibrillators — which always come with pacemakers — are used to prevent sudden death. They usually are implanted in people with weakened heart muscle, or those who survived an episode in which the heart stopped, or in people with a genetic predisposition for sudden cardiac death.“We would not use it for atrial fibrillation,” Dr. Wan said.Dr. Rajat Deo, an associate professor of medicine and a cardiac electrophysiologist at the University of Pennsylvania’s Perelman School of Medicine, agreed about the use of defibrillators and said he shared Dr. Wan’s suspicion that Mr. Fetterman has a damaged heart.“I think it would be fair to say he has at least two separate issues,” Dr. Deo said of Mr. Fetterman. “One is afib, from which he most likely suffered a stroke that was successfully treated.”He added, “The second issue is that he likely has some underlying cardiac condition that increases his risk for ventricular arrhythmias and thus sudden cardiac death.”The afib could be related to the other condition, Dr. Deo said. Patients with a weakened heart muscle are also at risk of developing atrial fibrillation.On the other hand, Dr. Deo says, Mr. Fetterman’s atrial fibrillation may have nothing to do with his weakened heart. Without more information from his doctors it is impossible to know.Dr. Deo added that if Mr. Fetterman is receiving appropriate state-of-the-art medical therapies and is protected with a defibrillator from sudden cardiac death, “he should do quite well while he continues his campaign.”Experts also raised concerns about the prospects for former Vice President Dick Cheney, who had a defibrillator implanted in 2001. He finished two terms in the White House, including a hard-fought re-election in 2004.And there is time before general election campaigning in Pennsylvania begins in earnest: It is unclear who Mr. Fetterman’s opponent will be, as the Republican race remains too close to call and may head to a recount.But Dr. Wan was less sanguine than Dr. Deo about Mr. Fetterman.“He is at risk for sudden cardiac death,” she said. “For someone on the campaign trail that might raise concerns.” More