Visible deterioration of Daniel Ortega's health, doctor explains complications
Richard Sáenz Coen, a Nicaraguan doctor, analyzes Daniel Ortega's recent reappearance and questions his health status, pointing to possible medical complications.

TL;DR
- Dr. Richard Sáenz Coen analyzed Daniel Ortega's recent public appearance, questioning the official narrative on his health.
- Sáenz Coen observed signs of physical weakness, including a "wasted, staggering" appearance and difficulty walking.
- The doctor also noted speech alterations, describing a "hoarse, deep voice, difficulty articulating words (dysarthria), almost babbling."
- These symptoms suggest potential conditions like peripheral arterial disease, chronic kidney disease (CKD), and associated metabolic complications.
- Sáenz Coen believes the observed deterioration contrasts with the official image of political strength.
- Ortega's health has been a subject of speculation due to past absences and sporadic appearances.