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Hi, Joshua,

@joshua posted:

Clinton walked out arm-in-arm with his wife and former Secretary of State Hillary Clinton before greeting hospital staff and giving a thumbs-up when asked how he was feeling.

In the noun phrase "his wife and former Secretary of State Hillary Clinton," both "his wife" and "former Secretary of State" are titles for "Hillary Clinton": Hillary is both Clinton's wife and a former Secretary of State of the United States of America.

@joshua posted:

Don't you feel that it could lead to be misinterpreted?

No. If two people were involved, there would be another "with" or another determiner for "former Secretary of State":

- Clinton walked out arm-in-arm with his wife and (with) a former Secretary of State.

Imagine this analogous example:

- On this forum, I work with my colleague and grammar expert David Evans.

It is clear that David is both my colleague and a grammar expert.

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