Dr. Nicole Saphier

I mean, that's a great question. I mean, do presidents actually have to submit their annual exam to us every year? They don't have to. They just do. And of course, I mean, you've read these. I mean, we read them every year because we're asked about to comment on them. And they're full of like hyperbole and bombastic claims. And it's like, oh, look at how strong our president is.

I mean, that's a great question. I mean, do presidents actually have to submit their annual exam to us every year? They don't have to. They just do. And of course, I mean, you've read these. I mean, we read them every year because we're asked about to comment on them. And they're full of like hyperbole and bombastic claims. And it's like, oh, look at how strong our president is.

And I mean, that's a great thing. But when it comes to a medical doctor reviewing a medical chart, I mean, this is not a medical chart by any stretch of the imagination.

And I mean, that's a great thing. But when it comes to a medical doctor reviewing a medical chart, I mean, this is not a medical chart by any stretch of the imagination.

The Goldwater rule, you're not allowed to comment on a patient unless you've treated them personally. It's like, oh, stop it.

The Goldwater rule, you're not allowed to comment on a patient unless you've treated them personally. It's like, oh, stop it.

Or if the president develops a shuffling gait, I think we can comment on that too.

Or if the president develops a shuffling gait, I think we can comment on that too.

Well, from what I understand, they essentially said he had some symptoms. They didn't disclose exactly what they were, but I'm sure we can imagine some sort of urinary symptoms. Or maybe he had bone pain. We don't really know. They didn't tell us. But it elicited examination of his prostate because he said after he presented with symptoms, he looked at his prostate. What was that?

Well, from what I understand, they essentially said he had some symptoms. They didn't disclose exactly what they were, but I'm sure we can imagine some sort of urinary symptoms. Or maybe he had bone pain. We don't really know. They didn't tell us. But it elicited examination of his prostate because he said after he presented with symptoms, he looked at his prostate. What was that?

Did they do a PSA? Did they see it was elevated? Did they do a rectal exam? Because they mentioned a nodule. Did they feel it? Did they do a prostate MRI? How did they diagnose the metastatic disease, by the way? I mean, you don't just go from a raised PSA to a prostatic biopsy to now diagnosing metastatic disease unless there's evidence of advanced disease.

Did they do a PSA? Did they see it was elevated? Did they do a rectal exam? Because they mentioned a nodule. Did they feel it? Did they do a prostate MRI? How did they diagnose the metastatic disease, by the way? I mean, you don't just go from a raised PSA to a prostatic biopsy to now diagnosing metastatic disease unless there's evidence of advanced disease.

One thing that I found very interesting, Drew, is He had MRIs throughout his tenure of presidency of his spine. At least they say that when they were evaluating his degenerative change of the spine, there was no nerve compression, which leads me to think they were looking at the soft tissues with an MRI, not just an X-ray.

One thing that I found very interesting, Drew, is He had MRIs throughout his tenure of presidency of his spine. At least they say that when they were evaluating his degenerative change of the spine, there was no nerve compression, which leads me to think they were looking at the soft tissues with an MRI, not just an X-ray.

So therefore, if there had been metastatic disease earlier on, at least in the spine, which is a very common location for metastatic disease, we would have seen something as the last one we heard about was 2024. But he did get diagnosed with COVID in the summer of 2024. And you remember right after that, about a week later is when he dropped out of the presidential campaign.

So therefore, if there had been metastatic disease earlier on, at least in the spine, which is a very common location for metastatic disease, we would have seen something as the last one we heard about was 2024. But he did get diagnosed with COVID in the summer of 2024. And you remember right after that, about a week later is when he dropped out of the presidential campaign.

Now we know that every time that a president got COVID, they got a CT chest, whether it was indicated or not. So did he get a CT chest during the summer? And maybe they saw something on that examination and that prompted maybe a metastatic disease workup at that time. That's the only thing that has me as a maybe.

Now we know that every time that a president got COVID, they got a CT chest, whether it was indicated or not. So did he get a CT chest during the summer? And maybe they saw something on that examination and that prompted maybe a metastatic disease workup at that time. That's the only thing that has me as a maybe.

Like, can we just call it what it is? There's no way he was not. He was being treated for BPH in 2019. He was getting a PSA. But the thing is, they said he was being treated for BPH. Maybe he was taking like finasteride or some of the other medications to treat the BPH.

Like, can we just call it what it is? There's no way he was not. He was being treated for BPH in 2019. He was getting a PSA. But the thing is, they said he was being treated for BPH. Maybe he was taking like finasteride or some of the other medications to treat the BPH.