Dr. Vin Gupta

That's not something that typically is warranted unless there's a reason first.

But then secondarily, we're clearly seeing signs of cognitive decline.

These are not normal ways to give speech.

and just his thought process his sentence structure his ability to articulate a speech just the fundamentals of it are all seemingly impaired and i think if if anybody's just watching this sort of politics aside if you're just listening to the speech maybe not even looking at it optically on a tv you'd be hard-pressed not to come to that decision

you know so i think there is here's where i would draw a distinction i agree with everything you just said i do think that as he is whenever he is giving a public speech or a presentation in the evening it does appear to be that there is some sundowning effect that it seems like he's just not as sharp and spry some would say well you know what he's the oldest president in the office and that comes with age especially later in the evening that typically happens as we age

that we're not going to be as vigorous in the later hours of the evening.

We might slur our words.

Fine.

Somebody may suggest that you're just not as spry cognitively in the evening hours.

Let's take that at face value.

Okay.

But what we don't expect to happen and what is not necessarily a sign of normal aging is erratic decision making.

This juxtaposition, again, seemingly paradoxical policy prescriptions.

not completing sentences, jarbling basic words, inconsistencies throughout, that is not necessarily a function of age.

And so whereas some people may say sundowning is a function of somebody just getting older, not being the same, say, at 10 a.m.

as they are at 8 p.m., fine.

That's

From a medical standpoint, we can expect that with age.

We don't expect all the other traits, Ben.

And that is consistent now over the course of the first year of his second term, where these features of all his speeches seem to be consistent.