We had an incredible thing
Again. People continue to notice that Donald Trump’s brain appears to be crumbling to bits.
President Donald Trump’s recent confusion with words and facts, including about his own father, could be signs of pre-dementia and deteriorating cognitive skills, mental health experts warn.
“The ‘Tim Apple’ episode a few weeks ago, his calling Venezuela a company, and then yesterday, confusing his grandfather’s birthplace with his father’s, mispronouncing ‘oranges’ for ‘origins,’ and stating out of the blue, ‘I’m very normal,’” recited Bandy Lee, a professor of psychiatry at Yale University who has been waving red flags about Trump’s mental state for years. “There is no question he needs an examination.”
“I think he’s suffering from pre-dementia. And it’s only getting worse,” said John Gartner, a clinical psychologist with practices in New York City and Baltimore.
What is “pre-dementia”? It looks more like a euphemism than a medical term. Dementia is progressive anyway, so why isn’t it all just dementia?
Speaking in the Oval Office, Trump said that his father was “born in a very wonderful place in Germany.” In fact, his father was born in the Bronx. It was his paternal grandfather who emigrated from Germany. The president also said repeatedly that he wanted to take a look at the “oranges” of the special counsel investigation against him, when he clearly meant “origins.”
Last month, Trump called Apple CEO Tim Cook “Tim Apple” ― but later claimed that he had, in fact, said “Tim Cook Apple,” but people missed “Cook” because he’d said it very rapidly, and finally claimed that he was trying to save time by skipping some words.
Doesn’t sound very “pre.”
This is true even when he doesn’t make specific flubs, too. We’ve all seen it. He just comes across as profoundly dumb, especially when there are cognitively-intact people also in the room.
The White House this year did not make available the doctor who performed Trump’s annual physical exam and released scant information about its results.
In contrast, last year Trump authorized physician Ronny Jackson to field questions about his health for nearly a full hour. The president himself bragged about his performance on the Montreal Cognitive Assessment, a screening tool for Alzheimer’s disease that asks the patient, for instance, to identify a camel and to draw a clock.
“There aren’t a lot of people that can do that,” Trump said days later, boasting of his 30-out-of-30 score to a Republican National Committee audience.
Identify a camel and draw a clock? Err, I think you’ll find there are.
That test, though, was never designed to be an in-depth analysis of cognitive function, Lee and other experts said. “Ronny Jackson declared his boss and commander-in-chief ‘fit for duty’ based on a 10-minute cognitive screen on which full-blown Alzheimer patients and hospitalized schizophrenia patients are known to score in the normal range,” she said.
Large numbers of Americans who are not mental health professionals have also started to question Trump’s mental condition, including prominent critics like George Conway, the husband of top White House aide Kellyanne Conway. They’ve noted both the president’s actions and his televised speeches and public remarks, in which he is frequently incoherent and goes off on long, unrelated tangents.
Those tangents? Very Alzheimer’s-like.
On Tuesday night, during his speech at the National Republican Congressional Committee spring dinner, Trump, who was then in the middle of 90 minutes of rambling remarks, veered off on a two-minute, 22-second detour that touched on how wind turbines kill bald eagles and other birds, moved on to how North Korean dictator Kim Jong Un was not ready for a deal, came back to how people who use wind power can’t watch television if the wind doesn’t blow, and finished with former President Barack Obama playing golf in Hawaii:
Hillary wanted to put up wind. Wind. If you ― if you have a windmill anywhere near your house, congratulations: Your house just went down 75 percent in value. And they say the noise causes cancer. You tell me that one, OK? “Rrrrr, rrrrr” ― you know the thing that makes the ― it’s so noisy. And of course it’s like a graveyard for birds. If you love birds, you’d never want to walk under a windmill because it’s a very sad, sad sight. It’s like a cemetery. We put a little, we put a little statute for the poor birds. It’s true. You know in California, if you shoot a bald eagle, they put you in jail for five years. And yet the windmills wipe ’em all out. It’s true. They wipe ’em out. It’s terrible. And I told the other day at CPAC. Great people at CPAC. We had an incredible thing. I had nothing to do. It was early on a Saturday morning. I had just gotten back from dealing with Kim Jong Un. We had a walk. He wasn’t ready for a deal but that’s OK because we get along great. He wasn’t ready. I told him, you’re not ready for a deal. That’s the first time anybody has ever told him that and left. It never happened to him before. Nobody’s ever left. But I said you’re not ready for a deal, but we’ll make a deal. We have a good relationship. We have a good relationship. But I told a story about, at CPAC. The woman, she wants to watch television. And she says to her husband, “Is the wind blowing? I’d love to watch a show tonight, darling. The wind hasn’t blown for three days. I can’t watch television, darling. Darling, please tell the wind to blow.” No, wind’s not so good. And you know, you have no idea how expensive it is to make those things. They’re all made in China and Germany, but the way, just in case you’re ― we don’t make ’em here, essentially. We don’t make ’em here. And by the way, the carbon, and all those things flying up in the air, you know the carbon footprint? President Obama used to talk about the carbon footprint, and then he’d hop on Air Force One, a big 747 with very old engines, and he’d fly to Hawaii to play a round of golf. You tell me, the carbon footprint.
Mens sana? I think not.
Actually, that windmill vs. raptor issue has had some study behind it. Not sure what data is current, but it did have a lot of press a few years back, which just goes to show if you blather on enough you might sometimes get something right. Maybe. Sometimes.
Please, Ophelia, don’t diagnose.
Ha ha, who am I kidding?
The MOCA is a littler more complicated than the description indicates:
https://www.parkinsons.va.gov/resources/MOCA-Test-English.pdf
But it’s very easy for people of sound mind to get a perfect score (and if you didn’t graduate from high school, you can get 31/30!). I have a relative who took it while clearly suffering from early dementia, and she only missed a few items. We were actually surprised she got a passing score because she had clearly declined a significant amount (and her decline has unfortunately continued).
I honestly think it’s a sign of dementia that he’d brag about getting a perfect score on that. It would be very alarming for any president to not do so. To not understand what a small accomplishment this is says something.
As I mentioned here before, in Omarosa’s book she said she noticed a large decline. She said on the Apprentice he knew who everyone was, had memorized all their back stories, and could freely use this information when conversing with them, without notes. In the White House she said he couldn’t keep track of much and would repeat himself over and over.
Dementia progresses at different rates, and it often moves in fits and starts. He’s clearly gone downhill, but he could stabilize here for a while. Or he could be eating his napkin at the next fast food party he hosts.
Hopefully we can get through the next year and 10 months and get somebody else in there. What a travesty.
Oh, and I’ve been around massive wind farms, and the ground wasn’t covered with birds. I know birds do get killed, but there’s no scene like he describes. And is he claiming he personally put up bird tombstones (“statues”)?
Even a poorly drawn clock is right twice a day.
As for wind turbines and birds, the studies haven’t supported massive bird kills. There are many things that kill birds, more birds by long measures than any windmills have, and no one is out there noting that cars, cats, glass windows, communication towers, agriculture, hunters, etc, kill birds. Yet all of those things kill birds by orders of magnitude greater than wind turbines.
As for Trump, I wouldn’t hold my breath waiting for someone to 25th Amendment him. The GOP seems to have their fingers in their ears, and the Dems realize it will look like a partisan hatchet job. Plus I suspect they’d rather run against incumbent Trump than incumbent Pence, though I’m not sure why. I don’t think Pence could do what Trump did because he is a really scary dude, but he doesn’t go for the nasty, and that’s what brought Trump into office.
But there’s not much the Democrats can do. They can impeach him, of course, but they can’t convict him, so unless they have overwhelming evidence (i.e., evidence that would convince even Republican Senators), it’s a dead end. And the 25th Amendment has to come from the Cabinet + the VP (technically Congress could set up a some sort of committee to evaluate him, but again, the Republicans…). The Democrats are smart to focus on trying to govern the country and defeating Trump in 2020.
May we not live in interesting times. Perhapsf the White House needs a Dementia Wing for the incumbent megalomaniac, complete with closed-circuit state-of-the-art TV. That way, any time he felt a need to mock those with disabilities (on which he has form) he could switch on and mock himself.
I would call it win-win-win all round.
Surely that could be arranged? Couldn’t it?
Perhaps Lady Gaga could be recruited as Chief Minder. Just a suggestion.
IIRC correctly the first designs for wind turbines (I’ve been admonished on several occasions not to call them ‘windmills’) had light vanes that spun rapidly, and these were a danger to birds. The ones we use now have heavy vanes that spin slowly, and these are much less dangerous.
And, just out of curiosity, who says the noise causes cancer? Can noise cause cancer?
https://www.facebook.com/144310995587370/photos/a.271728576178944/2386025138082600/?type=3&theater
https://www.facebook.com/144310995587370/photos/a.271728576178944/2385890561429391/?type=3&theater
As I understand it, ‘pre-dementia’ refers to a person who has regularly demonstrated a number of related but distinct slips such as forgetting names, not being able to find their keys or whatever (I’m sure it is a lot more complicated than that). These symptoms can occur for a wide variety of reasons and it’s only when lots of them are regularly present at the same time that dementia proper becomes a likely diagnosis.
That speech though…. Fucking hell, I mean these things always look quite a bit worse written down rather than spoken but even so… It’s like Grampa Simpson’s story about going to Shelbyville with an onion on his belt (which was the style at the time. One of the yellow ones, they didn’t have the white onions because of the war.)
It also reminds me (and I’m aware that I might be driven out of here with a stick for excessive geekiness, even for this place) of Frank Miller’s graphic novel Batman: The Dark Knight Returns. In this book, Reagan is still president and obviously completely senile. He doesn’t have all that many lines but they all look exactly like a transcript of anything Trump says.
It seems to me (not a medical professional) that it ticks a lot of the boxes for dementia. I’ve watched videos of Trump from a while ago and he is not nearly as blatheringly incoherent as he is today. While he certainly never said anything important, worth listening to or right, it was certainly less inconsequential babble than his current craziness. Like most of us I’ve watched the mental faculties of friends and relatives decline into dementia and Trump’s behaviour looks awfully familiar to me.
I’m no comics expert, but everyone knows it’s Incredible Hulk.
@Not Bruce:
Well I think you’ve demonstrated that you are a comics expert and we’ll both be driven out of here together.
Did he forget what aeroplanes are called?
In The Art of the Deal Trump claimed that his father was Swedish, but that was apparently a deliberate attempt to obscure hisGerman heritage because…well…as a great man once said, ‘Don’t mention the war!’
Nigel Fawltey, another in a long line of people who would make a better President than Trump.
Apologies for this derail.
latsot, I’ll be in your neck of the woods tomorrow, driving up to Ashington from Notts for my brother-in-law’s (well, my wife’s sister’s husband, a difference with no distinction) funeral, then back home after the wake (c. 300 miles round trip). Timing is tight, so I was wondering if you know of any problems on or around the A1 up there that might delay us? I’ve checked travel reports but there’s nothing like local knowledge. I won’t mind being late for my own funeral, but if we’re late for this one I’d likely end up in the ground with him.
Basil, that is.
Ack, how did I forget?
Though if there is a Nigel Fawlty, he’d probably be better too.
The corpore certainly doesn’t seem very sano.
AoS:
There were the usual problems this morning with people deliberately crashing into each other like fucking bumper cars, but I don’t know of anything in particular. I’ll let you know if I hear anything and if you get stuck in between you are welcome to use our spare room. Fortran might happen to you if you do.
I think we can blame Farage of that ilk. His name had just been uttered.
Yes, pre-dementia is a thing. Also known as mild cognitive impairment. We rate dementia on a staging scale, there are 7 levels. Diagnosis is clinical, and therefore somewhat subjective (compared to say, cancer or infection where a laboratory test is conclusive). And I would agree that Trump would likely qualify as MCI.
But hey, why worry? It’s not like he could start a nuclear war or anything because his cheeseburger was cold. Oh, wait…
Thanks, latsot, much appreciated.
Thanks for the explanation Claire and latsot. Now that you explain I recognize it.
@AoS: As it happens I’ll be up and down that section of the A1 from 08:01 onwards, so I’ll let you know at 07:59 if anything is broken.
And if you do happen to get stuck in one direction or the other, you are most welcome to stay here.
I really appreciate the offer, latsot. Thank you. Ashington is my wife’s home town and most of her family are still there, so as long as we get there we’ll be fine. However, should you see a silver Citroen C2 at the side of the A1, with a large-ish, bald old git looking stressed and kicking it, do stop and say hello.
We’re leaving home at around 6am and hope to be close to Newcastle before the rush hour snarl-ups start at every junction.
Thanks again.
@latsot and AoS – I didn’t realize when you were talking about the A1 you were talking about the Northeast! I grew up in the Felling and spent my teen years in Ponteland. I live a long long way away now, but it still warms my heart to hear other people talking about my old stamping grounds. :-)
How cool is that? Three of you in this one small crowd.
We get everywhere. You’re never more than 10 feet away from a geordie.
The A1 is looking good at the moment, slow around chester-le-street, but it always is.
Of course, immediately after hitting send I found out there’s a crane pulling a truck out of a ditch near Durham. Traffic is moving.