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Chapter 1: What is the visible rash on Donald Trump's neck?
Dr. Freitas here, triple board certified nephrologist and a medical expert in internal medicine, pediatrics and obesity medicine. And also we cannot forget she has a live stream on Mondays at noon on YouTube, which is great. It's on celebrity.
health uh on the topics in the head medical topics in the headline in celebrity health the topic in the headline is hello dr frida is hello donald trump's neck i'm going to first put up the picture but we have video of it um that sort of came the latest question of donald trump's health is like what oh my gosh what is this no seriously oh my gosh
Oh, gosh. So when I first saw it, I had all kinds of speculations. Could it be shingles? Could it be a fungal infection?
Chapter 2: What are the possible medical conditions causing the rash?
Could it be cellulitis? Is he just irritated? With him having the history of bruising, is it some type of a big bruise that turned into a hematoma that eroded? But then his doctor shared a somewhat general statement saying that the rash is due to a skin cream that is being used for preventive measures. That's all that was said.
Let me read the full statement for you, and then I'll let you comment on it. So the doctor is Dr. Sean P. Barbara Bella, Mr. Trump's physician, said in a statement on Monday that the president was using a medicated cream as a preventative treatment of the skin condition, which was seen extending out of his shirt collar behind his right ear.
Dr. Barbabella did not say what the skin condition was or what medication Mr. Trump was taking. President Trump is using a common cream on the right side of his neck, which is a preventative skin treatment prescribed by the White House doctor. The statement read, the president is using this treatment for one week and the redness is expected to last for a few weeks. That's the statement.
Chapter 3: How does a medicated cream relate to Trump's neck rash?
What say you, doctor?
I believe that based on his statement, first of all, when I first saw it, I told you the things that I thought it could be in really high on my differential was shingles and shingles is a blistering disease. It's a reactivation of the chickenpox virus. So if you've ever had chickenpox and the chickenpox has gone away, it lives like in your, your spinal cord, it lives in your nervous system.
And if you are elderly, especially. If you are stressed out, if you have a compromised immune system, then you can get a reactivation of this chickenpox virus and it presents as a red blistering, sometimes crusty rash. Usually, not usually, always just on one side of the body in a dermatome. And so that was my top differential because I'm like, okay, he's launching a war.
He just had the longest state of the union in history. I was like, this man is stressed out, probably immunocompromised.
Chapter 4: What does Dr. Frita Fisher think about the preventive cream?
That's what I thought that it was. But now given this mysterious statement by his doctor, I'm thinking that the preventive cream is for something else. Most rashes, if you treat them with the cream, the cream is to treat, not to prevent. The fact that Trump's doctor said that it's a preventive cream. Makes me believe, and of course, I don't know. I'm not his doctor.
But my top diagnosis now is that he has either basal cell carcinoma, like a skin cancer, or it's showing signs.
Let's see it, Andy. I want to see it.
Chapter 5: What are the implications of Trump's health disclosures?
There it is. Wait, a basal cell carcinoma or what? A skin cancer? Yes. Or he's showing signs of what?
Yes.
So of course, I don't know, but just based on him having the preventive skin treatment. And so the thing about basal cell carcinoma The five-year survival rate is practically 100%, okay? Basal cell carcinoma is actually the most common skin cancer.
Chapter 6: How does age and stress factor into Trump's health?
80% of skin cancers that are non-melanomas are basal cell carcinomas. So it's not the big scary one that you think about that will take people out. He'll very likely, if that's what this is, he'll live until, until, until. So with basal cell carcinoma, the basal cells are like the bottom cells of the outer layer of your skin.
And if you are someone who has a lot of sun exposure, for example, if you play a lot of golf in the sun, then you are at high risk. If you don't have much melanin, if you have pale skin or, you know, if your skin is orange, sometimes if your baseline skin is pale, you're at high risk. And so, you know, with him having pale skin, especially being elderly.
and being someone who's in the sun a lot playing golf, that will put him at high risk. And he wouldn't be the first president. President Biden shared that he's had different skin cancers that have been removed.
Chapter 7: What are the risks associated with basal cell carcinoma?
Again, if this is pre-cancerous for basal cell carcinoma, or even if it is basal cell carcinoma, then survival rate is very, very high. The chances of it spreading, metastasizing, very, very low. But here's why that's on the top of my differential. We actually do have a preventive treatment in the form of a topical cream, a topical medication, and it's called 5-FU or Fluoracil.
And so that is actually a chemotherapy that if you use it intravenously, like in a vein, it can treat colon cancer, breast cancer, different types of cancer.
But when it's used topically like a cream, then if your dermatologist is suspicious of basal cell carcinoma, or if they detect it in just some very early stages, if you put that cream on for a week, then what it will do, initially it'll get red, then it'll get angrier, more red, and it'll start crusting over.
after it's been on for a while and while you have that rash it tends to be painful it almost feels like a sunburn but once all of that skin crusts over then it's believed that the basal cell carcinoma or the precancerous lesions are removed and so through my little detective work even though the doctor didn't say what it is that seems like it's most likely oh one more thing if you're using this cream it's recommended that you not go out in the sun
When's the last time he played golf?
I don't know.
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Chapter 8: Why is transparency in presidential health important?
Do you? I haven't seen him as much, right?
Yes. I don't know. But it'd be really interesting if he hasn't been out in the sun for the past couple of weeks, then more likely than not, that's what it is. So again, I don't know.
Yeah. Okay. Let me ask you this. So you don't know. The thing is, though, is that everyone believes, not everyone, I should say a lot of people believe, including some physicians I know, that Donald Trump is sicker than they are letting on to. So this one may not be. People have skin cancer or they get little things cut out or they have whatever rashes or whatever that they treat.
But Donald Trump not only has this, He's got the thing with his ankles that gives him the cankles, right? And he's supposed to wear compression socks, but they say he hates wearing them, so he doesn't. And then on top of that, he's got the hand bruising that he often covers with makeup. And it was just one hand, and now it's two hands. And now you have this thing on his neck.
That's a lot of shit.
It's a lot. It's a lot. I mean, he's going to be 80 this year, you know, and he's in arguably arguably the most stressful job, you know, in the world. So if you were any other almost 80 year old, it wouldn't even make us pay attention.
But really, the fact that his doctors say things like he's in excellent health or he's the healthiest president in the history of all presidents, all of that hyperbole, we can be pretty assured that very likely he's much sicker than he lets on. Plus the fact that they're not transparent. You know, he had that second annual visit. Like who has two annual visits?
And the...
the imaging or whatever that he that he had that they didn't let on to but the other question is is that this happened uh at a um at a medal ceremony in the east room a day or two after the state of the union and we were just showing some state of the union things there did you notice anything i did not notice in real time at the state of the union but um in in going back you can kind of see where there was a little redness if you kind of super super zoom in even at the state of the union
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