Dr. Nicole Saphier

Because so much of what we do is physician. The last time that I did rounds was probably approaching two decades ago, but that's okay. Let's play this little game. You have an 82-year-old man with an extensive past medical history.

Because so much of what we do is physician. The last time that I did rounds was probably approaching two decades ago, but that's okay. Let's play this little game. You have an 82-year-old man with an extensive past medical history.

Pertinent positives are chronic cardiovascular disease, including you have the chronic atrial fibrillation, throwing microemboli, you have the aneurysm rupture, followed by the clipping. I mean, all of this could lead to some of his cognitive decline that we have

Pertinent positives are chronic cardiovascular disease, including you have the chronic atrial fibrillation, throwing microemboli, you have the aneurysm rupture, followed by the clipping. I mean, all of this could lead to some of his cognitive decline that we have

obviously witness over you know the last five to ten years but on top of that you've also seen some physical signs of him just watching him i mean just just someone watching him you see a shuffling stiffened gate um you see him getting lost a little bit kind of needing to move

obviously witness over you know the last five to ten years but on top of that you've also seen some physical signs of him just watching him i mean just just someone watching him you see a shuffling stiffened gate um you see him getting lost a little bit kind of needing to move

know some of this can some of this can point to parkinson's his doctors or his medical report says it's just from degenerative change but it certainly makes me question i for one would want to see some brain imaging maybe a pet scan just to look at some of the areas to evaluate for certain types of dementia i'm certain they've done that and they just haven't disclosed it to us i mean there's there's no way a physician wouldn't have done that

know some of this can some of this can point to parkinson's his doctors or his medical report says it's just from degenerative change but it certainly makes me question i for one would want to see some brain imaging maybe a pet scan just to look at some of the areas to evaluate for certain types of dementia i'm certain they've done that and they just haven't disclosed it to us i mean there's there's no way a physician wouldn't have done that

And then on top of it, now he has an advanced prostate cancer diagnosis, very aggressive, metastatic to the bone. While it is hormone sensitive, there are some treatments for it, but this is most likely exacerbated his cognitive issues that he's already dealing with. You mentioned it. You can have metabolic issues making it worse, the stress, the medications. And also while he was president,

And then on top of it, now he has an advanced prostate cancer diagnosis, very aggressive, metastatic to the bone. While it is hormone sensitive, there are some treatments for it, but this is most likely exacerbated his cognitive issues that he's already dealing with. You mentioned it. You can have metabolic issues making it worse, the stress, the medications. And also while he was president,

He wasn't getting quality sleep. I mean, we know that he was sleeping a lot, but unless you're sleeping seven to nine hours the same time every single night, I mean, he certainly had disruptions. I think that this probably exacerbated his mental and physical health decline.

He wasn't getting quality sleep. I mean, we know that he was sleeping a lot, but unless you're sleeping seven to nine hours the same time every single night, I mean, he certainly had disruptions. I think that this probably exacerbated his mental and physical health decline.

Well, I mean, it's devastating. It's out of sight when anyone is, you know, having advanced terminal disease. But the good news is that he is now in should be in retirement. I mean, I guess he's still doing some speaking events. But this is the time where you should be focusing on your family and spending time and actually relaxing.

Well, I mean, it's devastating. It's out of sight when anyone is, you know, having advanced terminal disease. But the good news is that he is now in should be in retirement. I mean, I guess he's still doing some speaking events. But this is the time where you should be focusing on your family and spending time and actually relaxing.

I mean, the worst place he could have been was a second term in the White House. So he should be grateful that things turned out the way that they did.

I mean, the worst place he could have been was a second term in the White House. So he should be grateful that things turned out the way that they did.

Absolutely. Yes, first of all, so I actually had a conversation with President Trump last weekend, and anybody who's actually been one-to-one conversation with him, there's unequivocally no doubt that there's no level of cognitive decline there. His memory and recall are better than mine. He certainly has more energy than I do. He remembers names, remembers faces.

Absolutely. Yes, first of all, so I actually had a conversation with President Trump last weekend, and anybody who's actually been one-to-one conversation with him, there's unequivocally no doubt that there's no level of cognitive decline there. His memory and recall are better than mine. He certainly has more energy than I do. He remembers names, remembers faces.

He can look at an entire crowd, say hello to someone, and he can remind you about something you talked about five years ago. I mean, his memory recall is... is quite impressive. There is no sign, in my opinion, of any cognitive decline in President Trump. And in fact, I think we should study what he's been doing because he is doing so well in terms of his cognition.

He can look at an entire crowd, say hello to someone, and he can remind you about something you talked about five years ago. I mean, his memory recall is... is quite impressive. There is no sign, in my opinion, of any cognitive decline in President Trump. And in fact, I think we should study what he's been doing because he is doing so well in terms of his cognition.