Biden's Cognitive Health: Neurologist Explains

[@neurogalmd]

Someone in the comments insightfully asked about Biden's confabulation and quick temper. Here are some examples to provide evidence: Evidence of confabulation: 1. Falsely claiming he was at Ground Zero the day after 9/11. 2. Recalling conversations with leaders who had passed away years ago. 3. Biden kept telling a story suggesting that his late uncle was eaten by cannibals after his plane was shot down in World War II. Biden’s dramatic details of the story do not match the Defense Department’s official account of the plane crash. Regarding irritability, multiple news outlets have reported instances of Biden's quick temper with staff. Even when we listen to Biden's speech, he has inappropriately lashed out at people. For instance, during the debate, some of this behavior was evident, when he exhibited sudden anger seemingly out of the blue, lashing out at Trump and calling him a "sucker" and a "loser."

[@georgekelley3044]

Thank you for this! Thank you for your courage. The US versus them mentality in this nation has got to stop. Sometimes it comes down to humanity. It's not about power. If we are to thrive as a nation, we must be honest with ourselves. People seem so worried & passionate regarding whether or not their team wins, regardless of competency. I think it's time that we as a nation, take a step back, and detangle this mentality from our consciousness. If we scrutinize our own team as rigorously as we do our opponents, I think we'll find that we are not so different. Under the waves we are all the current. Let's seek to understand the "them!" Perhaps one day they will all become "us" and we will become "them"... Together... United in understanding & compassion. ✨🤍☘️🕊️✨✨

[@teri2466]

Ugh, I'm so afraid of this happening to me. My mom & her sister had dementia. Hope I have my dad's brain. 😊

[@teri2466]

​@@georgekelley3044We are actually very different when it comes to things like the rights of women & people of color, to name one. There's project 2025, to name another. This goes way beyond the candidates.

[@spikedaniels1528]

Confabulation yes! The DOD report - well, maybe (call me paranoid). Situational impulsive irritability yes! Though given the stresses of the job, not necessarily a symptom of neurological disorder. With regard to the debate, some of that (e.g. sucker and loser) could have been drilled in the week of rehearsal.

[@spikedaniels1528]

@@georgekelley3044 // Although this isn’t a video addressing politics directly, I do agree with the sentiment that as a people we are more alike than not. However with regard to our current political situation, this isn’t the time to line up behind Rodney King and “… can’t we all get along?” Contemplate for a moment living under authoritarian rule. There is no rational debate based on indisputable facts.

[@nicoleduncan4056]

One would think cognitive test would be standard for any U.S. sitting president

[@wellinever1558]

Like pilots

[@alabdo1749]

politics, Political Parties, and Government (in general) hide more than you might realize … unfortunately … while the public looks for "the truth" from these/those entities, nothing could be further from the truth

[@extendprogram]

Best fucking comment on YT!!!!!

[@ST52655]

And candidates

[@gordrichardson1553]

@@ST52655 - Excellent comment! There is a constitutional provision for removal from office due to infirmity but as a Canadian looking in, I can't quote the pertinent section. Why have to go through the complicated removal process when a candidate screening could eliminate those who are unfit? In Trump's case, screening before or during office would end up in the USSC.

[@Absaalookemensch]

Neurogal MD is spot on. I'm a nurse who has worked with many patients with age related neurocognitive disorders. I've also seen people with acquired age related cognitive disorders become stubborn and dig in when being asked to do things they do not want to do.

[@GGTanguera]

So sad. The patients are probably not aware of their issues.

[@Williamb612]

This is an enormously traumatic event to ask Biden to step down, his entire life has been devoted to govt service, and this is akin to asking him to obliterate his identity. When my grandfather had to go to a care facility he went through all the phases of change: shock, disbelief, anger, negotiation, compromise, acceptance and then adoption. The arc of these stages is psychologically brutal, some cannot make it through and crash and burn, whereas others finally make it. It requires love and care and feedback and empathy along the way, yet at the same time being firm on the new direction...and not just for the good of a person being targeted, but also for the collective he or she is in. In my opinion Joe has gone through the shock and disbelief stage, and now is in the anger and negotiation stage...soon he will move into the compromise and acceptance stage. Interestingly enough these fazes also apply to the country accepting this change, as well as Jill Biden who is perhaps will be one of the greatest hinderances to Joe's acceptance Important role in moving this along with dignity and respect and empathy, yet with firm direction for the greater good will be Barack Obama

[@carlosdanseco180]

​@@Williamb612Nicely put.

[@cathydimaria6454]

She worried about Donald Trump. He has dementia.

[@hazelwood55]

My dad had dementia and refused to stop driving. We had to sabotage his car. Same thing with Biden, he refuses to withdrawal from the race. I see so much of my dad in Biden, and it never gets better.

[@patriciagrubb1616]

Everything she mentioned is spot on. Let this man retire with dignity!

[@neilreynolds3858]

That's not an option. If he gives up power without a guarantee that the family will get pardons, they all end up in jail. Not the legacy he hoped for, is it?

[@JC-lk6uc]

@@neilreynolds3858that would be the case for others, but no one in his family is going to jail. The law is different for democrats. His loss of power is not an option for him. He’s craved it all of his life. That’s why he won’t step down.

[@timtadeo8614]

​@@neilreynolds3858what a fucking retarded response

[@GraceKelly-ni5jp]

Very sad

[@shimaalcarrim7949]

What do you mean let? Nobody is holding onto him... Dude just ain't budging. Something tells me that even if he had no kids to jail-block, he would still be a stubborn old geezer in denial.

[@paulvest3157]

My father went through this and it was heartbreaking. He was a highly regarded thoracic surgeon with board certifications in pathology and vascular surgery along with a stint as Midwest president of the american cancer society. We witnessed a change in gait, a propensity toward sudden anger outbursts and memory loss. Our family had to act fast into getting him into a care facility. The thought of him practicing surgery in this condition is of course absurd, however, this country is expected to accept Biden as President. Now, that's not only absurd, it's both frightening and dangerous.

[@neilreynolds3858]

My brother was an engineer with eidetic memory and a long secession of important jobs in the MIC: Mostly ones he couldn't talk about. He was always what we called weird so it wasn't until he kept making terrible decisions that anybody noticed that something was wrong. Eventually, he had to be put into a facility where he couldn't hurt anybody. Alzheimer's.

[@BluPhone-e1v]

@@neilreynolds3858All illlness is terrible but AD is perhaps the cruelest of all.

[@fredharvey2720]

It's been this way his entire presidency

[@andrzej21111]

Biden's electorate is brainless. They will definitely vote for him.

[@XYZ-g9w4e]

Both Biden and Trump are frightening and dangerous to become presidents again - what Trump did on January 6th due to his huge ego should have been a disqualifier from running again. We are stuck with not having a good candidate to vote for

[@barryrichins]

Thanks for your insight. I am now 83, and as a result, I ask my self many of the things that you mention here. take good care, my intelligent friend!

[@dandefoe]

Very balanced, informative, educational video from a concerned expert. No armchair needed. Our country needs more information like this. Thank you very much, Neurogal MD.

[@gails.newberg2945]

( check the end of your comment for correction )

[@bkkidd2112]

I thought you did a good job keeping this apolitical, fact and evidence based. I'm sure you'll get angry comments from overly passionate political team players but I found this very interesting as someone who has watched loved ones struggle with Alzheimers and Parkinsons.

[@americanexile]

If this were any one's uncle, father, or older brother, the family members would understand it as the individual suffering from some sort of progressive dementia or neurocognitive disorder, and would be working to protect that individual. This is a person who needs less responsibilities and difficult decisions to make -- not more.

[@theliftexpert]

Extremely well said ❤

[@spikedaniels1528]

@@theliftexpert // Your sentiments are sound. You also mention two discrete disorders; Neurogal MD offers some differential info… and I would guess there’s more in the mix for Jill.

[@vaneast411]

this man is not the one making decisions...

[@Silvamayo]

@@vaneast411we,the voters make this decision for him,Biden can do the job(his amazing accomplishments)I will vote for him,nothing to fear about.

[@jforester7]

While I do agree that the family SHOULD have that ability, you have to also think of the possibility that because they are family, that might be clouding their judgement, almost to the point of denial, because for them to accept this would be absolutely crushing for them given how much trauma and grief the family has been through for a very long time. Whether or not that's the case is obviously not known, but we can't definitive say what the family should be doing when we really don't know.

[@BluPhone-e1v]

For anyone familiar with the normal aging process, it doesn't require the "expertise" of a doctor to conclude that the President is likely suffering from a neurodegenerative condition. The pattern of decline and overall cognitive and motor presentation is completely consistent with this likelihood, if one has been paying attention to it.

[@JC-lk6uc]

It might be a surprise to those who only watch certain news outlets. Anyone who has seen him fall up stairs, fall over on a bike or fall flat on a graduation stage has known he’s had problems from the beginning. Add his heated remarks to his own constituents & inability to get off a stage, shake hands with invisible people & wander aimlessly about have figured it out. And the screaming alternating with the whispers are a big red sign. Having to carry notecards with names & photos of which reporters to call on was a big indicator. I’m surprised anyone is surprised.

[@BluPhone-e1v]

​@@JC-lk6ucAnd still the USSA media was complicit in perpetrating garbage explanations, ignoring it, or pretending what one was witnessing wasn't in fact occurring. Does it qualify as a cover-up when you can see it right out in the open?

[@carolhill8917]

I've had several family members that were in 90s when they passed away, my dad was almost 100. No "age-related" ways that Biden shows. Dementia in aunt but that was all.

[@dariosandoval3608]

@@carolhill8917 Presidents, politicians had more stressful and hectic lifestyle. Just look how Ronald Reagan, Margaret Thatcher were in their final years. Their quality of life and health were poor. If you father had a high stress job, he wouldn't had made it to the age of 85.

[@rickwelch8464]

Our next Pres is just as bad now.

[@tracipanzica5930]

For those of us who have gone through this with our parents it is obvious

[@Illawarrian]

Very. I see problems in Donald Trump as well.

[@ST52655]

@@Illawarrianme, too

[@leonardchecchio1655]

Neurocognitive testing is mandatory for physicians beyond 70 yrs old in many medical systems. It would be very reasonable to have annual testing for all members of the government.

[@forgogeorge6872]

Yeah true 👍 over the age of 70 !!! All members of the government mandatory ⚠️ Neurocognitive test should be mandatory!!! There after yearly No exceptions! Or excuse 🙄 allowed!!!

[@piaggiok]

The Presidents have extensive testing every year. The problem is that the medical professionals are not independent of the President. A good example of a problem person was the previous President’s doctor who has since lost his licence but is now an elected member of Congress. Go figure.

[@IsabelleSt.Pierre-q2n]

As Marine vet, I’ve seen a lot of permanent brain damages on the battle field and recovery after gunshot or shrapnel wounds. What I saw during the debate was terrifying. More so than watching fellow Marines with permanent disabilities. He needs to step down. I just don’t see how he can even host foreign leaders if he can’t even form a cohesive sentence.

[@tcarroll3954]

This VN combat vet thanks you for your service, Marine.

[@IsabelleSt.Pierre-q2n]

@@tcarroll3954 Thank you, sir, for your sacrifice. Semper Fi.

[@garyrintelmann1183]

Your explanation was informative and important for many reasons. Thank you for investing the time and work to explain these things to us!

[@Jennifermcintyre]

He blew my mind when he thought it was appropriate or acceptable to lament about the “close call” in _almost_ losing his corvette while speaking to the hundreds of people in Lahaina who had just lost *EVERYTHING* many who had lost their loved ones. Insulting, apathetic and disrespectful… Beyond comprehension that he or his “people” thought this was acceptable. He has zero business being in the White House or in any position of power. He’s reminded me of My grandfather fighting against giving up the keys to his car.. Biden needs to have the keys to the white house taken away!

[@josephrapp]

Vote then for a sociopath!!

[@kalikeleka]

@@josephrapp HIllary is not running in 2024

[@houtansabahi5976]

@@josephrappYou mean Kamala ? 😂

[@jmorrison5206]

Thank you for this clear analysis. In my estimation, whether this is expected normal decline from aging or a diagnosable syndrome or disease, it is problematic when occurring in the President of the United States. Full and transparent evaluation is not only indicated, but should be demanded.

[@carlosdanseco180]

I agree!

[@zeeleo6115]

I believe every president should have to have a cognitive test and be held to the same hiring practices as a civilian trying to get a job on a government military base,

[@neilreynolds3858]

Don't exempt Congress and the bureaucracy.

[@zeeleo6115]

@neilreynolds3858 Sure, why not! This was about the president, but We might as well include term limits and cog tests on the Supreme Court while we are at it.

[@fredharvey2720]

That's not a thorough diagnostic test

[@zeeleo6115]

@@fredharvey2720 thank you Dr. I'll keep that in mind. I don't give a damn about the diagnosis. That's his business. We just need to know if they are fit to serve.

[@secretspy4819]

Congress also

[@johnangelformby106]

Thanks for taking this topic on. My mom has dementia, and I can see all the signs in Biden. Thanks for your honest expert opinion!!

[@vickyburton2434]

I worked with seniors for years and know age does not mean you are mentally diminished. Pres. Biden not only shows mental issues, but physical issues. He shuffles while he walks and has lapses of memory and slurring speech. If this man were my father, I would want him to retire and enjoy his last years without the stress of being in the Oval Office.

[@Woodman-Spare-that-tree]

How many more years do you think he’s got, based on your experience?

[@vickyburton2434]

@@Woodman-Spare-that-tree without seeing edited cuts of video, it is hard to tell. People with dementia usually get worse each year. It breaks my heart to see anyone (including family) to go through this.

[@ricktrogdon2332]

doubt he's in oval office that much.

[@mariozullio5801]

😅😅​@@vickyburton2434

[@doctorrobert60]

Being a retired FP Doc appreciate your knowledgeable discussion of Joe Biden's clinical presentation. I know is difficult without being the examining/treating physician of Joe Biden but the discussion was very informative. Being almost 75 I know would be a disservice to patients if I was still managing their care. One needs to know when it is time to retire, especially if one if responsible for the population of the United States.

[@phyllisbennett5414]

And indirectly for the rest of the world. When he last visited the UK he came out with some frighteningly folksy views on UK history based on his recollection of his Irish granny's stories about Irish history. Goodness alone knows what is now lodged in the back of his mind about Ukraine

[@doctorrobert60]

@@phyllisbennett5414 So right Phyllis. I am sure our allies are not very secure about the support from this administration.

[@kmarsh089]

​@@doctorrobert60Thats funny because when he was just over seas for the summit all the leaders he met with said from what they saw interacting with him he was fine.

[@kmarsh089]

​@@phyllisbennett5414 The fact that he remembers those "folksy" tales is a good thing. Having a parent with cognitive issues that was the first thing we notice they could no longer remember their past. Thats what prompted us to have them evaluated. Having been through the testing with my parent I can tell you there is no way for this doctor to make any assessment based off of videos of Biden or Trump for that matter

[@doctorrobert60]

@@kmarsh089 The leaders were not board certified neurologists. One of the leaders needed to grab Joe's arm and lead him back to the group when he was wandering.

[@mariescott2820]

I think cognitive testing should be standard for anyone in this role on a regular basis. This is the most important position in the country and we have the right to be sure this person is mentally and physically up to handle the challenges of the role. It is sad that he keeps refusing testing and insisting he is just fine. Is this delusion part of what is going on with him or family not putting his health first?

[@pauladuncanadams1750]

It didn't help when Donald Trump's physician just lied for him.

[@pamelahays-lx1to]

A Great suggestion & I would add having a Psychological evaluation, including assessment of Personality ( to r/o Sociopathic and Malignant-Narcissistic Personality traits & structure). This being recommended, given the depth & scope of responsibilities & power of the Presidency- this should be done on the final Presidential Nominees. And, it might actually serve as a deterrent for those with deviant Personality histories, Criminal or those with personal history for violence. Sounding outlandish? You then, weigh the risks to the American Public & the Global Community. Sociopaths & Predatory-inclined Personality types are drawn to having access to People & Power.---------- Psalms 27 & 91.

[@kristend344]

Family of a regular person would be taking the car keys. Or removing the car battery.

[@deepdrag8131]

Cognitive Testing: Woman, Man, Person, Camera, Television.

[@pauladuncanadams1750]

@@pamelahays-lx1to I like this idea. Keep people like Trump out.

[@AllTheHandlesTaken]

Thank you for having the courage to say publicly what many in our field are saying behind closed doors but too afraid of cancellation to speak further on. Unfortunately, in my workplace, we were told to discontinue such discussions, even in our free time (not that they can control that or have the right to ask) because our institution is rather politcally motivated in its administration.

[@lisalambrecht6676]

There’s strength in numbers! Speak out!

[@johndominicamabile]

As someone who spent years competitively debating it was clear to me that some of Biden's comments during the debate were the items his staffers prepped him with to rebut possible Trump talking points. Biden mentioned illegal immigrants assaulting women. He also mentioned beating medicare. Biden got the republican talking points mixed up with the democratic ones. Just like he mixed up Putin and Zelensky as well as Trump and Harris. The real problem here is that the democratic party political machine's discipline makes it hard to be, well, democratic.

[@nancyj795]

Dr. Tom Pitts, board certified neurologist, said he could diagnose President Biden "from across a parking lot."

[@arjunratnadev]

I mean I'm sorry I'm probably mostly wrong but after going through a number of videos & info on Alzheimer's, mostly seems like an onset of that, I mean you want any kinda leader to be capable with his full conviction that shows, not to end up being a puppet at that level

[@kentfletcher7532]

Actually he said "from across the mall". Either way, Biden is unfit for office.

[@nancyj795]

@StringerNews1 Biden had six Parkinsonian episodes just today. Sadly, it was on the world stage. He should be in a home where he can get proper care.

[@nancyj795]

@StringerNews1 President Putin of Ukraine and Vice President Trump. Get educated.

[@forgogeorge6872]

Bravo 👏! Joey's Parkinson is real " So if you know someone with this very debilitating disease,, Which is now 🤔 revealed!! You will understand the above mentioned 6 Parkinsonian -Episodes suffered in one day @ very honestly described symptoms,, Stringer News1 You can 👀 see this from the Rooftop of your House 🏠! also Chek this out on your Tablet? You won't be disappointed!!! Joey's should be Replaced Urgently,, No time to waste !!!

[@Peaceshiet812]

It’s certainly NOT normal aging , my 92 year old Father communicates just like he did in his 40s .

[@kimberleysmith1539]

Normal sort of means 'average'.

[@jakeeasterwood3204]

It doesn’t take an expert, a rocket scientist or certified evaluation to see and understand that he is old and has changed drastically over the last few years. Anyone with any common sense can see the stark decay. Anyone who says he’s ok and there is no problems or issues should be examined for their own mental health issues.

[@eastern2western]

Out of 350 million people, the best two candidates for presidency are 78 and 81. They might be healthy now, but they are not going to improve in 4 years.

[@pdquestions7673]

Jimmy Carter, when questioned 4 years ago, said he couldn't have managed the presidency at age 80 and opined that there should be age limits. Yes, Biden's degeneration is probably abnormal, but - just as a basic safeguard - it's probably not a good idea to have 80 yr old presidents. Or senators, or supreme court justices... I think we have a lot of elderly people in very very high positions in the US, and maybe we need across the board reform as to age limits. We do it for air traffic controllers and pilots, and I think it makes sense for very high level government positions. Maybe we could allow elderly people to serve 2 year terms in the house of representatives, but things like the Senate or the presidency are probably too critical to allow people past 80 to serve.

[@sunlight4169]

When the Constitution was drafted, the average life expectancy was 35 to 40 years old, (depending upon the source); therefore, during this period in history - and with fewer significantly old(er) people living in society by virtue of average life expectancy, it would be less common (although not impossible) to have encountered a person with any type of senile dementia routinely back then. Nowadays this is not at all the reality of the more widespread prevalence of this condition/disease we are witnessing within our families and our communities, and these statistics are quite a cause for concern, as per National Institute of Health (NIH), "One in Seven Americans Age 71 and Older Has Some Type of Dementia" (2007). Per wording of the Constitution: "In Case of the Removal of the President from Office, or of his Death, Resignation, or Inability to discharge the Powers and Duties of the said Office..." It can be inferred that although our Forefathers did not explicitly define "inability to discharge the Powers and Duties", nor did the Constitution expressly confer a duty to a sitting president to determine their own capacity for "inability to discharge their Powers and Duties", it follows that (1) a president who does not have the ability to discharge the Powers and Duties is legitimate cause for concern and removal; and (2) by any reasonable standard of interpretation of this wording in the Constitution, an ability to perform implies a measurement on some valid battery or scale that by convention would not be a self - directed nor self- reported assessment.

[@pdquestions7673]

@@sunlight4169 good points. Maybe we need some legislation yo give teeth to that amendment

[@joehutter7083]

I agree, end key jobs at 80. You can't vote for Pope after 80.

[@sunlight4169]

​@@pdquestions7673 Yes, agreed, we do need it. "I do solemnly swear (or affirm) that I will faithfully execute the Office of President of the United States, and will to the best of my ability, preserve, protect and defend the Constitution of the United States." The word/word root "ability" is key - and also in this wording in the Constitution: "inability to discharge the Powers and Duties of the said Office." How is ability (conventionally) measured throughout our lives in a formal education program? NOT based on self reporting. How is our "ability" to perform in any job/career determined? NOT based on self reporting. In terms of presidential ability and the "job of the POTUS" and performance of POTUS, it should be a determination of ability based upon a broad spectrum of psychosocial domains / "abilities", which include cognitive "ability". And cognitive ability, in particular requires objective measurement and testing.

[@pdquestions7673]

@@sunlight4169 nicely said

[@jacksonfl]

The members of his Cabinet should have banded together long ago to demand that he be fully and properly tested, with the threat that they would invoke the 25th Amendment if he refused. They were derelict in the duty that they owed to the rest of us. Disgraceful. We now know that the Amendment needs to be modified.

[@alanjones8573]

Other doctors have shown the same over emphasis on diagnosing a cause. I want to scream: We don’t care if this is just normal aging. His ability to campaign and lead the country is not going to get better. These symptoms are already a problem and will get worse regardless of the cause.

[@MrArdytube]

The problem i see is the direction of the more effective leadership provided by Biden’s alternative

[@judychambers919]

No way. His opponent is a horrible problem.

[@HOWLYDOG]

3am emergency we are SCREWED

[@franciscouderq1100]

But he has a great team behind him ready to take over. Do you really want a convicted felon xenophobic autocrat (at best) with no or dangerous team at the White House?

[@GoodStuffForeverMore]

Thought this was a fair, impartial assessment on the information at hand. Good job!

[@jeff3olsen]

Seems like it might be helpful for Nuerologists around the country to call on Biden to take a cognitive test.

[@lisalambrecht6676]

Strength in numbers

[@theliftexpert]

We are designed to self destruct,physically and mentally and the best way to assist the elderly that have surpassed the average age of life expectancy is for their friends,family and medical doctors to help guide them into a realistic understanding of what they should and shouldn’t be doing on a daily basis. His friends , family and medical doctors need to assist Joe in stepping aside ,slowing down and understanding that he’s not mentally stable enough to handle the responsibility of running the country and the world.

[@spikedaniels1528]

At what age would you suggest? There are currently scores of the "elderly " - beyond the (dubious) average age of life expectancy - providing invaluable services, consultation, and much more.

[@theliftexpert]

@@spikedaniels1528 being in charge of the stability of the world order ,the country and has control of the nuclear football is probably best left for people who are a little more coherent than Joe is at this point in his life…..

[@CarlMartin-hw3ev]

Very well said.

[@lindafish2789]

In his position as leader of the free world, a cognitive exam is warranted based on his behavior and speech. It is reasonable, expected, and it is necessary for someone who is this compromised and "has his finger on the button."

[@CHIEF_420]

🧂

[@doesexistthisname]

Dr. Tom Pitts, a board-certified neurologist, in an interview with NBC's Tom Llamas was pretty sure that Biden is affected by parkinsonismi even if diagnostic exams are needed to understand the cause of parkinsonism. From a political point of view, we already have a President who, by his own admission. and/or by his "magic circle" is active from 11am to 8pm and that after the debate he has imposed himself to "work less and take more naps". Practically a working President. part-time... Regardless of the cause. (aging, vasculopathic dementia, Alzheimer's disease,... ) already now it is unsuitable for the demanding role of the President (unless we hope that China will attack Taiwan using the courtesy of respecting the president's "opening" hours)

[@siobhantracey213]

I'm sure we all recall that Trump was a part-time president.....didn't listen to, or read, briefings, as acknowledged by staff, and spent a lot of time playing golf and out of the White House

[@tonystorcke]

The past brain aneurysm alone should have been disqualifying for this position. When you are a sitting US President or President-elect, you should forfeit any claim to medical privacy.

[@goldstar846]

agreed!

[@harrybarrow6222]

Perhaps medical information about candidates should be made available before a presidential election. For a sitting president, it might be better to keep that information confidential, and not broadcast it to hostile powers.

[@zamyrabyrd]

My husband had an MRI in December, 2019, for cancer screening. While there was no growths in the brain, there was finally for me validation of FTD, Frontal Temporal lobe dementia, that I discovered in 2018 and joined a forum for this still little known condition. It is different from Alzheimer and Parkinson's as on some levels he was functional. It could br these conditions overlap but in my husband's case his impulsivity and reckless disregard of consequences was evident quite early on, at least 20 years before that. When a president makes a snap decision like he wants to leave Afghanistan no matter what and is stubborn enough to double down, this is decidedly playing with fire. My husband used to like to flirt with danger. At times though he was able to pull things together and seem normal to the outside world. In the words of the FTD forum, this is called "showtime". I could write much more... he also was falling towards the end had frightening lack of effect shown in photos, a blank stare in his eyes. From what I see, I believe nature will make the decision for everybody. My husband was in a similar state about 5 months before a complete collapse. Things cannot be expected to get better. These brain cells will not rejuvenate no matter how much adrenaline or uppers are pumped into him.

[@5714sqd]

The surgeon who performed my first knee replacement did so while suffering early onset dementia. He was always angry and would dismiss anything you said he deemed intrue. During my treatment the local authority suspended him for throwing a tray of surgical instruments at a scrub nurse. In my case, I found another surgeon to take over from him. He never practiced medicine again and died a year or so after his firing.

[@vijaynadkarni]

Thank you. Very nice video that assesses Biden’s potential condition thoroughly and objectively. I liked the fact that it was apolitical and did not make a definitive conclusion but rather indicated that there were sufficient concerns to warrant a formal neuro-cognitive assessment. I hope Biden takes this assessment, to avoid speculation that he’s hiding a condition.

[@JDH_MUSIC]

Your videos are always amazing - don't let triggered political comments get to you, you're doing amazing as usual

[@neurogalmd]

Thank you! It can be challenging, but supportive, encouraging comments like yours are greatly appreciated and welcomed :)

[@piaggiok]

As a medical consultant myself - specialising in mental health I have been more concerned for the country with the mental health of the other candidate for President. In that person’s case there is a life long public record of concerning erratic behaviour but also an overriding cognitive deterioration in recent years. I would agree that extensive medical assessments should be a prerequisite for anyone putting themselves forward for leadership of the country. If prospective CEO’s of large companies, pilots of aircraft, anyone wanting to sign up for the military etc have to be healthy enough to be employed, then Presidential candidates need, at least, to prove they are capable. Since my assessment is that the other candidate is more of a problem win the mental and cognitive health areas than President Biden, I would like to see a similar assessment done, here, about that fellow. I note quite a number of medical specialists have done these ‘at a distance’ assessment and they seem to agree with me. It seems to me that it is the team members of a President’s Administration ( the cabinet members), under the leadership of the President, determine more the success and safety of a presidency than the President alone. Who the President chooses for those roles tells me how mentally capable a President really is.

[@annettehansen6329]

😂😂😂😂

[@houtansabahi5976]

Your ‘assessment’ is deranged.

[@HeleneLouise]

This is the clearest video I've seen on the President's cognitive ability. It is concerning to me that when the President's cognition raises questions, rather than address the issue, attempts are made to conceal or gloss over facts. I would like to see the President continue to be treated with dignity, but I don't think this is best served by presenting a misleading image of his health. Thank you for presenting this so informatively and yet kindly.

[@JCMShadow1994]

Thank you for this dispassionate assessment. We need more of these so the American people have context. He is the President of all Americans and we all have a vested interest in a high-functioning leader - regardless of party.

[@phyllisbennett5414]

So does the rest of the world

[@JoeHonestTruth]

You should be commended for a neutral, professional assessment that Americans should be aware of as they vote in November. Objectively, Biden has speech impediments with slurring his words so bad it is so hard to comprehend what he is saying. How awful is it if Biden talks and world leaders and diplomats and politicians “struggle” to understand his speech. Every president must possess clear and cogent speech which everyone can understand without troubles and wondering what he said.

[@BillHesse]

Good work and observation as always! As a PT I’d note that it’s possible if what is said to be true of his spine could result in moments of pain that might be exacerbated on stairs. While it’s possible his gait and falls are a result of orthopedic causes he presents in a manner I’ve seen more in the neuro population and tend to lean in your direction that it’s entirely possible. It’s not just the gait and movement, it’s the whole picture to include behavior, affect and speech.

[@54bonkers]

Even tho I don’t care for Biden as President I do care for him as a human being and it saddens me to see his family allowing him to be on display like he is and not providing him the help he obviously needs. Shame on them!

[@gabrielesaint-ives3748]

Missing Donald Trumps cognitive fallouts every day ! Waiting for that 😊Thank you !

[@lifespanwellnessbeauty-60i64]

Right. He's almost as bad.

[@sbvish2000]

He is a specimen of great cognition 😅 stay away from sharks!

[@ariadnesusanperez8532]

You are so biased. Trump is clearly on a decline

[@stewiecountry]

Impressive and thorough rundown! I also appreciate your willingness to step into this minefield for the sake of viewer requests. (Unaffiliated voter here, for context…I vote for the person, not the party.)

[@neilreynolds3858]

I vote for none of the above. Anybody who wants to be a politician shouldn't be one.

[@Hickalum]

One minefield carefully avoided though:- He was perfectly ok in 2020 and 2021 … This all started in 2023 after he had taken six doses of the kool-aid. Interested students should search for a paper in the Quarterly Medical Journal, May 2024 “A Potential Association Between … … “. If I type the whole title this comment will get deleted. Which tells you all you need to know really.

[@katrinatl]

@@Hickalumhe was not perfectly ok

[@katrinatl]

Now do Trump! Rambling incoherent tangential. Confabulation. What does it mean?

[@houtansabahi5976]

@@katrinatlYeah, speaks off the cuff coherently, succinctly for over an hour regularly. Spits out prepped hostile journalists (CNN) who even with help in their earpiece fail miserably in their interviews …I mean interrogations/debates

[@billballard2019]

Hi Anna, I found your channel with looking for more information a cerebellar stroke with ataxia, which I experienced 6 weeks ago. I'm enjoying your content immensely. Thank you for producing it. For the record, I have no lingering effects of the stroke at all. I know I am very, very, fortunate!

[@arryaxx263]

Interesting video. Unfortunately, none of this should be surprising given the age of the people involved. At the time Reagan's age was questioned, he was only 69. They've really managed to make the Sophie's Choice of elections this time around.

[@jackflanagle6079]

More like Hobson's choice.

[@Jdw6848]

Well done so what it boils down to is for him to have a proper non biased exam..

[@jimadkins4772]

Impossible now days

[@RunOs3]

This was an excellent video, and very educational. I do believe that our current president has a lot of issues that are starting to get worse. But it is also good information for all those who have an aging parent or grandparent.

[@richardsimms251]

I feel sorry for Mr Biden because he is a politician of integrity and reliability. Great video.

[@houtansabahi5976]

Integrity? Remember 1988 elections 😂. As dishonest and corrupt as it gets

[@thomaskendall452]

A detailed and even-handed assessment. Thank you, Doctor!

[@misunmoser2738]

Thank you for sharing your medical observation. We don't have any room to lose our democracy.

[@glenmartin2437]

Thank you. I have serious concerns about President Beiden and our country. He should be home and retired. I am surprised he is still alive! Is this elder abuse having him burdened with the crushing stresses that go this high political office? Thank you again.

[@robinsavard84]

This information was very clear and concise and without any bias. Thank you!

[@ThePipemiker]

I’m kind of having flashbacks to when my mom developed Alzheimer’s. We managed to get her into an appropriate facility before anything tragic happened, but I think we were just extremely lucky. I’m afraid we’re going to run out of luck with Biden, and there a lot more at stake than just the welfare of one person.

[@marybrand1977]

This was very helpful. My husband had a stroke and has vascular dementia however I’m not aware of the testing that was performed. I was told by a neurologist, 2 neurologist that he had vascular dementia and I saw the MRI scans I assume. I wanted an evaluation and 2 physicians told me it wasn’t necessary. His Lange including writing , memory and his gait and eyesight were all affected. He goes along for a while and stairsteps down. That was why I ask for the evaluation. Thank you for what I learned personally from this video.

[@mzncjdkslakpd]

What I'd like to know is whether Biden is able to make decisions independently, free from undue influence from his entourage, and evaluate principles, opinions, facts, analyses etc to make defensible decisions, pick options and understand trades-off when facing choices. In other words, can he act as a responsible executive and agent for his client, the American people?? That's the real question, not his physical condition. Think Stephen Hawking at the top of his game but unable to perform without assistance much that we take for granted

[@stuartlee6622]

That awful lady, Jill, is running the country. Nobody voted for her!

[@patojo10529650]

Excelent clinical approach.Thank you Dr.

[@matthewgaffney4972]

Since we have two elderly men competing for the presidency, the public would be better served by explaining the situation of both candidates - since both seem to have serious issues. Just talking about one seems lacking.

[@LoveGuards]

I agree with this writer. Let's hear what you have to say about Donald Trump as he has made literally thousands of "conflabulatory" statements throughout his last term in office and his multiple campaigns. I do realise that most of Trump's issues are due to his personality disorders as described by 37 prominent psychiatrists and mental health professionals . ( See The Dangerous Case Of Donald Trump, updated and expanded, headed by Bandy Lee, M.D, Yale University ) I'd be very interested in your professional opinion concerning Trump's rambling and excessively long speeches . Why he jumps from one subject to another that has nothing to do with his original topic. Why does he constantly repeat his words or his sentences. And what about his constant monotone delivery during those excessively long speeches ? By the way, did you know President Biden broke his foot several months ago. Us older folks don't heal as rapidly as you younger people. Might have been partially responsible for some stumbling or tripping--don't you think? I'll be watching for your critique of Trump's neurological issues .

[@porfiripetrovich7323]

This was really informative and, I would say, brave of you to jump into this minefield. Thank for sharing your expertise with us, and for your compassionate and professional approach to the subject.

[@Woodman-Spare-that-tree]

Why does he keep freezing and staring into space, with his arms bent at the elbow and his hands clenched into fists? Why does he keep trying to shake hands with an invisible man? Hallucinations?

[@tunatony]

Muscle memory- it's the same reason a headless chicken will still run around the yard😂🎉

[@FluxingNarrative]

Thank you for making this video. We need to talk about these things out in the open like this.

[@neurogalmd]

Agreed! Thanks so much for the supportive comment!

[@daveh893]

Thank you, Doctor. That was very helpful.

[@dskalzzz4988]

Excellent impartial evaluation. Very hard to find in today's political environment. It was very much appreciated.

[@bettyjohnson2964]

Thank you for a great video!! I felt you were very thorough. In addition to giving me information related to our president, you also helped me understand some issues I have. I'm 72 and in October, 2022, I went numb from the neck down and the doctors finally realized it was not my lumbar spine this time but my cervical spine and the disc was putting tremendous pressure on my spinal cord. Had my 4th cervical fusion in December. Much better, but feel unsteady walking and do experience occasional falls. Thanks for answering so many questions!! God bless you!! ❤🤗🙏🇺🇲🇺🇲

[@BGTuyau]

A fine presentation, seemingly objective, thorough and well-explained for the lay viewer.

[@pianoredux7516]

The doctor raises a good point in regard to the possibility that some neurodegeneration could be a late sequel of a history of brain aneurysms. Some people who believed that Reagan had early Alzheimer's during his second term argued that the interval of prolonged hypoxia between the time Reagan was shot and the time he was in surgery may have accelerated the later development of his dementia. However, this theory is speculative and not widely accepted.

[@georgetsoubanos6154]

Hi

[@crystalkauffman3322]

That is very interesting, I had never heard that about Reagan's cognitive issues. Thanks for the theory.

[@davidhigby3607]

Some honesty for a change. Thanks.

[@MMargaretRiley]

Thank you for providing this information. Please give us a similar analysis of Trump's behavior.

[@goldstar846]

Trump doesn't have dementia. stop looking the other way..looking for deflection.. Look at your president who is senile and can not finish a coherent sentence.

[@kathybrem880]

He’s great!

[@ConstantinChirpac]

Very professional and accurate

[@judithm.2399]

Excellent, informative presentation. Thank you.

[@ronmeyer7126]

Could you also do an analysis of Trump. Thank you. This was very informative. An important conversation for the nation regarding both candidates.

[@kathri1006]

This could also be an early Lewy Body , dementia. The intermittent worsening of cognition, falls, stiffness , in ordination, confabulation to fill on memory gaps, the slowing down and seemingly impaired emotional control centrally an diminished facial expressions all could be due to Lewy Body as a differential diagnosis. Diminished repertoire of thinking, stubborness, obsessive features appearing or worsening, and new tremors if any, rigidity etc etc if present will be contributory. A challenging role which is stressful, would be detrimental and possible decline is a definite concern.

[@crystalkauffman3322]

I agree my Dad had that.😢

[@scoot77777]

Thank you Doctor for your un-biased opinion on this matter, very refreshing to actually hear the truth. Thank you 🙏 it’s very much appreciated 🙏🙏🙏🙏🙏

[@grantfaulkner5371]

Not sure it’s unbiased, when only focusing on one candidate. Unbiased would be providing an even assessment for both candidates.

[@scoot77777]

@@grantfaulkner5371 President Trump has done several Cognitive tests……Biden refuses? If he has nothing to hide take this simple test! If we could get those tapes the truth would finally be out! They represent a true cognitive test and is why they refuse UNDER A DIRECT COURT ORDER TO RELEASE THEM! BY THE CORRUPT DOJ GARLAND!

[@houtansabahi5976]

@@grantfaulkner5371Trump shows none of Biden’s signs or symptoms.

[@TheMajorActual]

Prior to 2016, I worked for several years at a gated retirement community in Dallas, TX, initially as a security officer, then as a concierge and valet. Our facility had an "independent living" side, which was essentially an apartment complex, and a "managed care" side, which had a 24/7 nursing staff, and included a memory-care wing. All members of the staff on the independent living side were trained to engage with the residents as often as possible, and to note any signs of concern in their physical or cognitive faculties. If we noted anything resembling a _pattern_ of concern (because everyone has the occasional "bad day"), we were to immediately report those observations to the medical/management staff, who would speak to the resident's family, to see if the resident should be placed into managed care. Going by the video evidence that was publicly available at that time, I stated then, and restate now, that Joe Biden would have been seriously recommended for managed care, and possibly direct transfer to memory care, as early as 2018, and definitely by 2019. Pushing Joe Biden into the Presidency is a public example of Elder Abuse.

[@spikedaniels1528]

It would have been a challenge to unite NATO from a managed care facility.

[@TheMajorActual]

@@spikedaniels1528 NATO is united? *Turkey has entered the chat*

[@sunlight4169]

This whole situation with Biden is so very sad to witness. Millions watched and are convinced that this is not normal aging. And to your point, yes, many like myself question the motive of those close to Biden, when at an "arm's length" objectivity (and beyond), it is clear something is amiss. A first - year nursing student could appreciate the signs and symptoms pointing to some form of Parkinsonism or neuropathology. And when elder abuse is so prevalent and should be taken very seriously (unfortunately, the laws have little teeth as I have witnessed first hand in my family - sister financially exploited my mother) - it sickens me that what is going on the White House on so many levels undermines people getting the care they need and also invalidates the excruciating betrayal that victims of elder abuse endure.

[@larsnystrom6698]

I would contend that Biden already is in managed care. He is occationally stimulated and brought out for interesting events where he get applauded and appreciated, but not involved in sternous things like real presidential functions.. He's allowed an harmless fantasy that he is the president and involved in things. That's not bad for combating dementia! I think we should allow him to live in this blissful managed care as long as he can. Four more years!

[@TheMajorActual]

@@larsnystrom6698 Congratulations on identifying yourself as the problem.

[@CarlMartin-hw3ev]

Excellent video. Very informative without overloading. Very well presented, wonderful healing caring tone of voice. Very easy on the eyes as well. Couldn't possibly be any better.

[@JustWatchMeDoThis]

Test both candidates and let's see what's going on with their cognition.

[@GEKENILWORTH]

Along with medical testing, what about giving candidates tests on history, including the U.S. Constitution?

[@IndiB1575]

Good morning and I’m glad you you heard this song. Thank you 🦋🦋🦋🦋🦋🦋🦋🇺🇸🦋🦋🦋

[@ritabutler1951]

I would be interested in an observation of Trump behavior.

[@guitargod6997]

Bravo! An articulate and extensive "curbside consult" as regards cognitive and physical conditions affecting Joe Biden and millions of aging individuals around the world.

[@rayfellers]

😊 Excellent explanation. There's zero chance that true results of any neurological exams would see daylight.

[@muzaaaaak]

Thank you for your professional and medical review of the public information presented to you and us. In a world that’s full of agendas and biases, it’s refreshing to learn about the facts and not the politics of the candidates we have to choose from.

[@emphasis20]

To refrain from an agenda would especially mean not responding with likes to comments disparaging Biden. Comments like "Joe Biden is ruining this country" etc. Medically evaluating anyone you have never met is already subjective, and some of the comments this doctor is responding to makes this videos intentions understandably questionable.

[@muzaaaaak]

@@emphasis20 then move on. you don't have to believe or value everything you consume. i'm so over partisan bickering.

[@emphasis20]

@@muzaaaaak No need for partisan bickering here. I was just letting you know that the doctor was in fact not unbiased.

[@Lonigo77]

A well organized and well delivered discussion. It was a pleasure to listen to it Thank you.

[@samuelbonacorsi2048]

I learned something new today - most politicians suffer from confabulation. I feel so much better knowing that they aren’t intentionally lying to the American people.

[@r.p.8906]

😄

[@DrOmarDanoun]

Nice review.. Thank you for taking the time to make this wonderful and professional video... Can't wait to see you get the silver play button.. Sooo close 😎

[@neurogalmd]

Thank you, Dr. Danoun! I'm excited to hit 100K soon 😊 Hope you're doing well, and I look forward to seeing more amazing videos from you. Take care!

[@tanbw922]

Very educational. Thanks.

[@schermnaam5811]

Very thorough and measured observations from which your entirely appropriate recommendations followed. Particularly in light of former President Trump’s specious interpretation and misrepresentation of his MoCA performance, your focus on pathognomonic indicators helps educate the public regarding what neurologists (particularly those specializing in differential dementia diagnosis) and neuropsychologists routinely observe to guide their diagnostic impressions. I agree that an atypical Parkinsonism seems most likely, perhaps mild, yet potentially exacerbated by OSA (CPAP wasn’t mentioned in the report, but even if on board it may not be consistently applied given frequent travel or during an upper respiratory infection).

[@johnpittman3756]

Don't need CPAP addressed. It has been noted by many Anti-Bidens that he has marks on the sides of his face at events that show he is probably using a CPAP, or was. Those marks have disappeared lately. It would be the best assumption due to his age, his past aneurysm, and the marks on the side of his face. It would also explain why his performance is up and down. Could it be not wearing the CPAP at times? All of these issues are his and his family to address; but the problem remains: Do we, as citizens, have a right for the government to tell us the truth about a President who may be cognitively compromised? We have the recognized most powerful armed forces, and best nuclear weapons. The President is in control of these.

[@davestambaugh7282]

Being a cyclist like me Biden may have shortened hamstrings, resulting in a stiffened gait. I just went through six weeks of PT to stretch them. The results are alarmingly positive. I am seventy eight and have forgot to stretch for six years. If you cycle don't forget to stretch your hammers every day.

[@blanchekovalewski9215]

I'll bet its the actor and not Joe.

[@goldstar846]

HAHAHAHA how does calf shortening make him call KAMILLA HARRIS donald trump and the ukraine president putin....so....and.....anyway.......its bed time.

[@williamkissane4261]

Or if you have Parkinson

[@grit1679]

So his face is freezing and he makes things up because of his... Hamstrings?...

[@davestambaugh7282]

@@grit1679 I only had one point to make. Aparentlly you have many!

[@rayray-ch2xt]

very informative, and objective, definitely a good guide on cognitive disorder and neurology tests

[@tsmotherof3]

My mom died at 92. The last two years of her life we saw a significant downward slide. Very similar to what I observe with Biden. Her speech, language, posture and facial posture/expression were very similar to what we see with Biden. I’m a speech language pathologist so I really know what I’m observing. My mom a retired nurse got it into her head that she had an older adult onset MS. I could find very little research on this and do not know where she heard this. Is this a thing? If so could this be what Biden has. Also, mom was adamant she was always right but made lots of errors. Thoughts?

[@LisaAntonelli-bz7ly]

Thank you Neurogal. Your presentation was complete and concise, apolitical. I understand the situation with Biden much better now.

[@edaytrade2157]

Excellent assessment. Well done!

[@zialuna]

Thank you! This needs to be seen and backed up by other neurologists so that the demand for a thorough cognitive psychological evaluation gets done. I feel angry that the administration has been hiding this from us and still asking us to put our trust in old Joe.

[@user-iq42]

Have you been watching Trump's rallies? I watch every one on RSBN for 4 years. it's rich to call out one candidate and barely the other. The other's 'Man, Person, TV, Camera' test was hardly adequate and that candidate's slurring is noticeably worse.

[@spikedaniels1528]

Yes, many have had these concerns (note spelling of neuropsychological in PowerPoint). Thanks! 🧐

[@sjmiller6012]

Appreciate your discussion. Found it very balanced & informative. Thanks. 🤔

[@BM-hb2mr]

Ita a disgrace that hos family and colleagues are making him in public. They should all be ashamed of themselves. Ita elder abuse period. Oh and hw happens to be running (RUINING) The most powerful country in the world

[@AN-cy7xm]

Nice job with this! I appreciate the fact that you were willing to make this video in an environment like the one we find ourselves.