Clinton's Blood Clot Could've Been Life Threatening

Hillary Clinton's latest health update -- cerebral venous thrombosis -- is a rare and potentially "life-threatening" condition, according to medical experts, but one from which the globe-trotting secretary of state is likely to recover from.

In an update from her doctors, Clinton's brain scans revealed a clot had formed in the right transverse venous sinus, and she was being successfully treated with anticoagulants.

"She is lucky being Hillary Clinton and had a follow-up MRI -- lucky that her team thought to do it," said Dr. Brian D. Greenwald, medical director at JFK Johnson Rehabilitation Center for Head Injuries. "It could have potentially serious complications."

The backup of blood flow could have caused a stroke or hemorrhage, according to Greenwald.

"Imagine this vein, where all the cerebral spinal fluid inside the head and spine no longer flows through this area," he said. "You get a big back up and that itself could cause a stroke. In the long-term … the venous system can't get the blood out of the brain. It's like a Lincoln Tunnel back up."

A transverse sinus thrombosis is a clot arising in one of the major veins that drains the brain. It is an uncommon but serious disorder.

Morne de Klerk/Getty Images

Hillary Clinton Has Blood Clot From Concussion Watch Video

Members of Hillary Clinton's State Department Team Resign Watch Video

Hillary Clinton's Concussion: Doctor Orders Rest Watch Video

According to Greenwald, the clot was most likely caused by dehydration brought on by the flu, perhaps exacerbated by a concussion she recently suffered.

"The only time I have seen it happen is when people are severely dehydrated and it causes the blood to be so thick that it causes a clot in the area," said Greenwald. "It's one of the long-term effects of a viral illness."

Drs. Lisa Bardack of the Mt. Kisco Medical Group and Dr. Gigi El-Bayoumi of George Washington University discovered the clot during a routine follow-up MRI on Sunday.

"This is a clot in the vein that is situated in the space between the brain and the skull behind the right ear," they said in a statement today. "It did not result in a stroke, or neurological damage. To help dissolve this clot, her medical team began treating the secretary with blood thinners. She will be released once the medication dose has been established."

Clinton is "making excellent progress," according to her doctors. "She is in good spirits, engaging with her doctors, her family, and her staff."

Clinton, 65, was hospitalized at New York-Presbyterian Hospital Sunday. She suffered a concussion earlier this month after she hit her head when she fainted because of dehydration from a stomach virus, according to an aide.

Dehydration can also precipitate fainting, according to Dr. Neil Martin, head of neurovascular surgery at University of California, Los Angeles Medical Center.

He agreed that the condition could potentially have caused a brain hemorrhage or stroke and been fatal.

"In patients with no symptoms after many days, full recovery is the norm," said Martin. "However, some cases show extension of the thrombus or clot into other regions of the cerebral venous sinuses, and this can worsen the situation considerably -- thus the use of anticoagulants to prevent extension of the thrombus."

But, he said, anticoagulants can be a "double-edged sword." With even a tiny injury within the brain from the concussion, these medications can cause "symptomatic bleed," such as a subdural or intracerebral hemorrhage.

The clot location is not related to the nasal sinuses, but are rather large venous structures in the dura or protective membrane covering the brain, which drains blood from the brain.

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Hillary Clinton hospitalized with blood clot

Secretary of State Hillary Rodham Clinton was hospitalized in New York on Sunday after doctors monitoring her recovery from a concussion discovered a blood clot, according to a statement from her office.

The statement said that “in the course of a follow-up exam, Secretary Clinton’s doctors discovered a blood clot had formed, stemming from the concussion she sustained several weeks ago. She is being treated with anti-coagulants and is at New York-Presbyterian hospital so that they can monitor the medication over the next 48 hours.

“Her doctors will continue to assess her condition, including other issues associated with her concussion. They will determine if any further action is required.”

Clinton aide Philippe Reines, who issued the statement, declined to provide further details.

Reines said on Thursday that Clinton’s recuperation was continuing and that she was expected to resume her office schedule this week.

The State Department first disclosed Clinton’s concussion on Dec. 15, saying that she had fallen at her home. The department said that the fall resulted from dehydration caused by a stomach virus. Aides and doctors said that Clinton’s concussion was diagnosed on Dec. 13 and that she has not been seen in public since.

Clinton canceled an overseas trip and scheduled testimony before Congress about the Sept. 11 attack on a U.S. diplomatic compound in Benghazi, Libya. She also did not appear at the White House on Dec. 21, when President Obama introduced Sen. John F. Kerry (D-Mass.) as his nominee to succeed Clinton, 65.

Republicans have said they are likely to hold up Kerry’s nomination hearing until Clinton testifies about the Benghazi attack, but the impact of this new disclosure was unclear.

Clinton said last summer that she would not serve a second term if Obama was reelected.

Before the announcement about Clinton’s hospitalization, Obama appeared Sunday on NBC’s “Meet the Press” and reaffirmed an earlier decision by Clinton to carry out all 29 recommendations made by a State Department review panel that examined the circumstances surrounding the attacks in Benghazi that killed U.S. Ambassador J. Christopher Stevens and three other Americans on Sept. 11.

“My message to the State Department has been very simple, and that is we’re going to solve this,” he said. “We’re not going to be defensive about it; we’re not going to pretend that this was not a problem — this was a huge problem.”

Obama said one major finding — that the State Department relied too heavily on untested local Libyan militias to safeguard the compound in Benghazi — reflected “internal reviews” by the government.

“It confirms what we had already seen based on some of our internal reviews; there was just some sloppiness, not intentional, in terms of how we secure embassies in areas where you essentially don’t have governments that have a lot of capacity to protect those embassies,” he said.

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Talks stall as fiscal cliff looms

WASHINGTON: Two days of last-gasp talks produced no deal Sunday between US political leaders struggling to averting a fiscal calamity due to hit the American and world economy within hours.

Party leaders in the US Senate groped for a compromise to head-off a punishing package of spending cuts and tax hikes that is due come into force on January 1 and which could roil global markets and plunge the US into recession.

Senate Republican minority leader Mitch McConnell warned that, despite through-the-night talks, negotiators were still a long way from success, as they raced against the ebbing 2012 calendar in search of a compromise.

McConnell told AFP he received no response to a "good faith offer" to Senate Democrats and had spoken twice by telephone with his old friend and sparring partner Vice President Joe Biden in the hope of breaking the stalemate.

Senate Democratic Majority Leader Harry Reid agreed that talks were at a standstill, and warned that Americans could ring in the New Year with no deal to avert a budget disaster known as the "fiscal cliff."

"There is still significant distance between the two sides, but negotiations continue," Reid told the Senate, after huddling for nearly two hours with his Democratic caucus on one of the latest December Senate workdays in 50 years.

"There is still time left to reach an agreement, and we intend to continue negotiations," he said, as he ordered the Senate back into session at 11:00am (1600 GMT) Monday, New Year's eve and the last day before the deadline.

Reid said Democrats were unwilling to brook talk of social security cuts.

"This morning, we have been trying to come up with some counter-offer to my friend's proposal," Reid told the Senate. "We have been unable to do that."

The already tense mood on Capitol Hill had soured during Sunday's confusing hours, when some lawmakers tossed out varying versions of what may or may not be in Democratic and Republican offers.

"I'm incredibly disappointed we cannot seem to find common ground. I think we're going over the cliff," Republican Senator Lindsey Graham said on Twitter.

Moderate Democrat Clair McCaskill was also pessimistic.

"This is definitely not a kumbaya moment," she said.

Earlier, President Barack Obama accused Republicans of causing the mess, saying they had refused to move on what he said were genuine offers of compromise from his Democrats.

"Now the pressure's on Congress to produce," Obama said, in an interview with NBC's "Meet the Press" that was recorded on Saturday, a day after he expressed modest optimism that a deal could be reached.

Obama said it had been "very hard" for top Republican leaders to accept that "taxes on the wealthiest Americans should go up a little bit, as part of an overall deficit reduction package."

But Republicans were irked by Obama's tone.

"I don't know if this is the president saying $250 (thousand) or 'Go to hell'," Graham told reporters, referring to Obama's insistence that taxes rise on households income greater than a quarter million dollars per year.

The Senate's number two Democrat, Dick Durbin, said Republicans want the tax threshold be raised to $550,000 per household and that Democrats might counter with $450,000, considerably higher than the president's $250,000.

But Reid warned: "We're still left with a proposal they've given us that protects the wealthy and not the middle class. I'm not going to agree to that"

If no deal is reached, a package of tax cuts for all Americans that was first passed by then-president George W. Bush will expire on January 1.

All American workers will see their own paycheck hit and the broader economy will suffer from massive automatic spending cuts across the government.

Experts expect the US economy to slide into recession if the standoff is prolonged, in a scenario that could cause turmoil in stock markets and hit prospects for global growth in 2013.

The president won re-election partly on a platform of raising taxes on the rich, but Republicans who run the House of Representatives oppose tax hikes as a point of principle and claim Obama is addicted to runaway spending.

Any deal must pass the Senate, before going to the House, where such is the power of the conservative bloc of the Republican Party, it is unclear whether any solution backed by Obama can win majority support.

If leaders fail to find agreement, Obama has demanded a vote on his fallback plan that would preserve lower tax rates for families on less than $250,000 a year and extend unemployment insurance for two million people.

Republicans admitted such an option could emerge on Monday.

-AFP/ac

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Castrate all rapists, says Zubin Mehta

BEIJING: World famous composer of Indian origin, Zubin Mehta, called for castration of all accused in the Delhi gang-rape case and others found committing the rape in India. He expressed excitement about the protests against the gang-rape of Nirbhaya and expects positive changes to come out of it.

"I am fuming, but I see a very healthy sign of public objection, public demonstration. I hope it will not die down. I hope it will not be short-lived," Mehta told Toi in an exclusive interview.

He said the Indian government should realize what the people really want from it. "It is not only about justice, but the future of India. Police has to take it seriously".

Mehta said the issue is being discussed the world over like the case of Malala, the Pakistani girl, and brought shame to Indians. He also questioned the government's decision to shift the rape victim for medical treatment to Singapore. "Where they trying to remove her from the locality, for her own safety?" he asked.

The least that should be done is to castrate all the four accused in the Delhi gang rape case, he said. "I heard that a girl who reported rape was advised to marry one of the criminals. How can a human being do such a thing?" he asked.

"An important issue that needs to be addressed is how to look after the poor ladies who have been attacked," he said.

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How to Banish That New Year's Eve Hangover

For those of us who enjoy the occasional cocktail, the holiday season would be incomplete without certain treats of the liquid variety. Some look forward to the creamy charms of rum-laced eggnog; others anticipate cupfuls of high-octane punch or mugs of warm, spiced wine.

No matter what's in your glass, raising one as the year winds down is tradition. What could be more festive? The problem is, one drink leads to two, then the party gets going and a third is generously poured. Soon, the music fades and the morning arrives—and with it, the dreaded hangover. (Explore a human-body interactive.)

Whether it's a pounding headache, a queasy stomach, sweating, or just general misery, the damage has been done. So now it's time to remedy the situation. What's the quickest way to banish the pain? It depends who you ask.

Doctors typically recommend water for hydration and ibuprofen to reduce inflammation. Taking B vitamins is also good, according to anesthesiologist Jason Burke, because they help the body metabolize alcohol and produce energy.

Burke should know a thing or two about veisalgia, the medical term for hangover. At his Las Vegas clinic Hangover Heaven, Burke treats thousands of people suffering from the effects of drinking to excess with hydrating fluids and medications approved by the U.S. Food and Drug Administration.

"No two hangovers are the same," he said, adding that the unfavorable condition costs society billions of dollars-mostly from lost productivity and people taking sick days from work.

Hot Peppers for Hangovers?

So what's the advice from the nonmedical community? Suggestions range from greasy breakfasts to vanilla milkshakes to spending time in a steamy sauna. A friend insists hot peppers are the only way to combat a hangover's wrath. Another swears by the palliative effects of a bloody mary. In fact, many people just have another drink, following the old "hair of the dog that bit you" strategy.

Whether such "cures" actually get rid of a hangover is debatable, but one thing's for sure: the sorry state is universal. The only people immune to hangovers are the ones who avoid alcohol altogether.

So for those who do indulge, even if it's just once in awhile, see our interactive featuring cures from around the world (also above). As New Year's Eve looms with its attendant excuse to imbibe, perhaps it would be wise to stock your refrigerator with one of these antidotes. Pickled herring, anyone?

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Hillary Clinton Hospitalized With Blood Clot

Dec 30, 2012 8:11pm

(MICHAL CIZEK/AFP/Getty Images)

Secretary Hillary Clinton was hospitalized today after a doctors doing a follow-up exam discovered a blood clot had formed, stemming from the concussion she sustained several weeks ago.

She is being treated with anti-coagulants and is at NewYork-Presbyterian Hospital so that they can monitor the medication over the next 48 hours, Deputy Assistant Secretary Philippe Reines said.

Her doctors will continue to assess her condition, including other issues associated with her concussion. They will determine if any further action is required, Reines said.

Clinton originally fell ill from a stomach virus following a whirlwind trip to Europe at the beginning of the month, which caused such severe dehydration that she fainted and fell at home, suffering a concussion. No ambulance was called and she was not hospitalized, according to a state department official.

The stomach virus had caused Clinton to cancel a planned trip to North Africa and the United Arab Emirates, and also her scheduled testimony before Congress at hearings on the attack on the U.S. consulate in Benghazi, Libya.

According to a U.S. official, the secretary had two teams of doctors, including specialists, examine her after the fall.  They also ran tests to rule out more serious ailments beyond the virus and the concussion. During the course of the week after her concussion, Clinton was on an IV drip and being monitored by a nurse, while also recovering from the pain caused by the fall.

SHOWS: World News

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Any ‘fiscal cliff’ deal must get through political obstacle course in next few days

Turning the newfound optimism for a deal to avoid the “fiscal cliff” into an actual deal will take 72 hours of deft political and procedural maneuvering through many of the same traps that have so far prevented an agreement.

Democrats and Republicans still have very different notions of who should pay higher taxes and who shouldn’t. And whatever party leaders come up with must still go through the thicket of politics in the slow-moving Senate and the anything-goes House.

“We’re trying to get the Rubik’s Cube all lined up,” Sen. John Barrasso (R-Wyoming) said Friday evening.

The first step began Friday night, when senior aides to President Obama, Senate Majority Leader Harry M. Reid and Senate Minority Leader Mitch McConnell began negotiating pieces of a fiscal puzzle that must be fit together by the time the ball drops on New Year’s Eve.

Those talks are expected to continue on Saturday, when both chambers of Congress will be shut down so Senate leaders can craft a deal that both of their caucuses are willing to accept.

Taxes remain the primary sticking point. Republicans want to extend the George W. Bush-era tax cuts for all income up to $400,000, while Democrats prefer the $250,000 figure that Obama campaigned on, according to sources in both parties.

Tied into that discussion was another over the estate tax, with Republicans and some western Democrats pushing to keep estates worth up to $5 million exempt from taxes, while Obama pushed to lower the threshold to $3.5 million.

Politically, the key is not just to pass something out of the Democratically-controlled Senate, but also to do so with enough votes from Republicans to compel their House counterparts to support a deal. A bill with limited support from Senate Republicans would be dead on arrival in the GOP-dominated House, aides in both chambers said.

The critical deadline for the Senate-based negotiations is Sunday afternoon, according to Reid and McConnell. If they can come up with something by then, the Senate could approve it by late Sunday or late Monday morning, giving the House the rest of New Year’s Eve to consider it.

Even under this optimistic timeline, Senate and House leaders would need cooperation from the hard-liners in their respective caucuses, who could turn to procedure to block a compromise.

Under normal Senate rules, for instance, a new piece of legislation could take a full week to begin consideration, have full debate and then final passage.

To avoid that, the Senate would instead likely take up a bill that has already passed the House — and which keeps all taxes at their current rates — gut it and replace it with new language. Even so, McConnell would need to ensure that the most conservative Republicans don’t filibuster the measure or then force a lengthy 30-hour debate, which is allowed under Senate rules.

If all of that can be worked out, the Senate would ship a bipartisan deal across the Capitol Rotunda by Sunday night.

The first thing that would have to happen in the House is an agreement to waive a rule instituted under Speaker John A. Boehner (R-Ohio) that requires a full day between the time a bill is published and when it is voted on.

Boehner has also discussed amending a Senate-passed bill with a more conservative tilt on taxes — a possibility he again raised during Friday’s White House meeting.

“Let us know what you come up with, and we’ll consider it — accept or amend it,” Boehner told the other leaders, according to the notes of a Boehner aide.

Amending the bill would send it back across the Senate for last-minute consideration, with many of the same procedural hurdles applying again and with the clock ticking steadily toward midnight.

Most congressional aides, however, have little faith in the speaker’s ability to amend anything, because Democrats would withhold their votes and he would need at least 217 Republicans to support him. That would set up a replay of Boehner’s ill-fated “Plan B” from last week, in which several dozen Republicans refused to support any increase in tax rates.

If there were not 217 GOP votes to amend the bill, Boehner would then hold a vote. And if enough Democrats and Republicans supported it and Obama was willing to sign it, Washington would have a deal.

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The gang-rape on a bus that sickened India

NEW DELHI: After spending her evening watching "Life of Pi" in a New Delhi mall, the 23-year-old student and her male companion were looking for a quick lift home when a bus with tinted windows pulled over.

The pair were then subjected to a catalogue of violence and sexual depravity which has evoked comparisons with Anthony Burgess's novel "A Clockwork Orange" and brought simmering anger over the plight of women to the boil across India.

The Indian news channel NDTV greeted news of her death in the early hours of Saturday in a Singapore hospital with the banner headline "RIP: India's Daughter", in a reflection of how her plight had moved the nation.

Ever since she was attacked on the night of December 16, the country's leaders have lined up to offer their prayers and condemn the attack as well as paying for her treatment in Singapore.

Although the identity of the young woman has not yet been released, reports have said she was a medical student who hailed from a rural area of Uttar Pradesh, India's largest state which borders the capital New Delhi.

Her parents, who had travelled to Singapore after she was flown out by air ambulance on Wednesday night, are said to have sold their small piece of land in order to fund their daughter's education, often limiting their own meals to little more than rotis with namak (bread with salt), according to NDTV.

"These are simple, rustic people, who have never dreamt of boarding an aircraft, much less travel to a foreign country in an air ambulance," a source at the hospital told Singapore's Straits Times after meeting her relatives.

Before flying out to Singapore, the woman had managed to give an interview to police at Delhi's Safdarjung Hospital about the events on the night of her attack.

Police and prosecutors have outlined how six men picked the pair up outside the mall in a school bus which they had taken for a joyride after drinking heavily.

Even before they stopped outside the mall, they had allegedly picked up another passenger and then forced him to hand over the contents of his wallet.

After getting into an argument with the woman's male companion, the group are then alleged to have lashed out at the pair before taking turns to rape the woman in the back of the bus while driving around Delhi for some 45 minutes.

They also sexually assaulted the woman with a rusting metal bar, leaving her with severe intestinal injuries, before hurling her out of the vehicle.

The bus would have had to cross numerous police checkpoints at that time of night but at no stage was the vehicle pulled over by officers.

After news of the attack emerged, small-scale protests quickly swelled and were then repeated across the country -- fuelled in part by anger at the police's use of teargas and water cannon.

The Indian government has set up a commission of inquiry to investigate what mistakes were made on the night of the attack and in its aftermath.

But in an address to chief ministers from the country's states who gathered in New Delhi on Thursday, Prime Minister Manmohan Singh acknowledged that it was far from an isolated event.

"We must reflect on this problem, which occurs in all states and regions. It requires greater attention by the central government and states," he said.

Gang-rapes happen on such a regular basis that they are rarely reported in the Indian press although the attack in Delhi has led papers to shine a rare spotlight on such attacks.

On Thursday night, it emerged that a 17-year-old girl had committed suicide after police allegedly tried to persuade her to drop a complaint of gang-rape and instead either accept a cash settlement or even marry one of her attackers.

After quoting from the infamous gang-rape scene in Burgess's novel, a columnist for The Hindu wrote this week that "few Indians will need a dictionary of the teenage slang Burgess invented to grasp the horror of this passage".

"For progress to be made, we must begin by acknowledging this one fact: the problem isn't the police, the courts or the government. The problem is us," wrote Praveen Swami.

- AFP/ck

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Short-tenure appointments to top security posts raise eyebrows

NEW DELHI: A flurry of senior postings in paramilitary, intelligence and home ministry have raised more than a few eyebrows as appointments to key jobs fail to keep in view the need to provide incumbents at least a year in their assignments.

The shift of Ajay Chadha, who was special secretary (internal security) in the home ministry, as Indo-Tibetan Border Police chief seems puzzling as he was holding an important assignment in North Block and will retire by August next year.

If shifting Chadha -- a well regarded officer who has served in Delhi Police -- is surprising, the move to replace him with an officer who will have a short tenure is also causing some comment although the decision is yet to be finalized.

In the meantime, Subhash Joshi, who was serving as director general of National Security Guard, has moved to Border Security Force where he will remain till February 2014. Arvind Rajan, who takes charge of NSG, is also slated for a short stint.

Joshi headed NSG for a little more than six months while before him, Rajan Medhekar was in charge for nearly 20 months.

The postings seem to reinforce the impression of a degree of ad-hocism in dealing with important security-related assignments with some officers arguing that the Manmohan Singh government has lacked a serious engagement with policing and intelligence.

The nature of appointments to intelligence arms like IB and RAW in recent years have not resulted in the strategic upgrade in capacities and analysis that a major terror event like 26/11 should have resulted in. When West Bengal governor M K Narayanan was national security advisor, he took a keen interest in police appointments although he was also not seen to have built systems although he was a hands-on spook.

Chadha has moved to BSF but continues to hold effective charge of special secretary (internal security). His move to the paramilitary outfit was necessitated by Ranjit Sinha being appointed chief of the Central Bureau of Investigation.

Sinha's appointment has already drawn some controversy with Delhi Police commissioner Neeraj Kumar objecting to being excluded from the shortlist and BJP leaders Arun Jaitley and Sushma Swaraj asking the appointment to be stayed till a collegium is set up.

The appointment of Asif Ibrahim as Intelligence Bureau chief saw the claims of Yashovardhan Azad and S Jayaraman being overlooked. The latter is now seen in the running for special secretary (internal security). Some feel that the appointment of Ibrahim's predecessor Nehchal Sandhu as deputy national security advisor could mean his continued say in IB matters as he is unlikely to have a foreign policy role.

The other intelligence appointment saw Alok Joshi being named head of the Research and Analysis Wing. His tenure follows that of Sanjeev Tripathi who is seen to have enjoyed an unremarkable tenure as RAW head.

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How to Banish That New Year's Eve Hangover

For those of us who enjoy the occasional cocktail, the holiday season would be incomplete without certain treats of the liquid variety. Some look forward to the creamy charms of rum-laced eggnog; others anticipate cupfuls of high-octane punch or mugs of warm, spiced wine.

No matter what's in your glass, raising one as the year winds down is tradition. What could be more festive? The problem is, one drink leads to two, then the party gets going and a third is generously poured. Soon, the music fades and the morning arrives—and with it, the dreaded hangover. (Explore a human-body interactive.)

Whether it's a pounding headache, a queasy stomach, sweating, or just general misery, the damage has been done. So now it's time to remedy the situation. What's the quickest way to banish the pain? It depends who you ask.

Doctors typically recommend water for hydration and ibuprofen to reduce inflammation. Taking B vitamins is also good, according to anesthesiologist Jason Burke, because they help the body metabolize alcohol and produce energy.

Burke should know a thing or two about veisalgia, the medical term for hangover. At his Las Vegas clinic Hangover Heaven, Burke treats thousands of people suffering from the effects of drinking to excess with hydrating fluids and medications approved by the U.S. Food and Drug Administration.

"No two hangovers are the same," he said, adding that the unfavorable condition costs society billions of dollars-mostly from lost productivity and people taking sick days from work.

Hot Peppers for Hangovers?

So what's the advice from the nonmedical community? Suggestions range from greasy breakfasts to vanilla milkshakes to spending time in a steamy sauna. A friend insists hot peppers are the only way to combat a hangover's wrath. Another swears by the palliative effects of a bloody mary. In fact, many people just have another drink, following the old "hair of the dog that bit you" strategy.

Whether such "cures" actually get rid of a hangover is debatable, but one thing's for sure: the sorry state is universal. The only people immune to hangovers are the ones who avoid alcohol altogether.

So for those who do indulge, even if it's just once in awhile, see our interactive featuring cures from around the world (also above). As New Year's Eve looms with its attendant excuse to imbibe, perhaps it would be wise to stock your refrigerator with one of these antidotes. Pickled herring, anyone?

Read More..