Joe Biden’s fit for duty, after the president’s routine medical exam, which included a colonoscopy and an extremely thorough neurologic exam. So now, he’s fighting fit to fully execute all of his duties without any exceptions or accommodations, and that was what Dr Kevin O’Connor, the president’s longtime physician wrote in a six-page memorandum to press secretary Jen Psaki, which was released by the White House.
In the first public medical report of Joe Biden’s presidency, Dr Kevin O’Connor addressed a couple of items that had become the topic of public disclosure, which was the president’s notable increase in coughing and clearing his throat and whether his stiffer gait was perhaps a symptom of a neurological problem, such as a stroke.
And he said that there were no findings that would have been consistent with any cerebellar or other central neurological disorder, and he concluded that anything that was going on was fairly insignificant.
However, the doctor acknowledged that Joe Biden’s increasing frequency and severity of throat clearing and coughing during speaking engagements over the last few months did justify some thorough examination.
The cause was determined to be gastroesophageal reflux, which has him clear his throat more frequently, and it also adds to his occasional cough and sinus obstruction, and his symptoms worsen after meals.
The president, who turned 79 on Saturday, also has a mobile gait that’s perceptibly stiffer and less fluid than it was a year or so ago, but the neurological exam found no indications of stroke, multiple sclerosis, Parkinson’s or ascending lateral sclerosis, but it did find a mild peripheral neuropathy in both feet.
O’Connor wrote that a combination of significant spinal arthritis, post-fracture limp and compensation and mild sensory peripheral neuropathy of the feet would be the reasons for his subtle movements.
The doctor noted that Joe Biden admits being stiffer in the day but that it eases during the day, which is attributed to the number of orthopaedic and sports-related traumas the president has had over the years, including when he wore a boot on his right foot last year, and the doctor said that Joe Biden would likely benefit from some shoe orthotics and was in physical therapy.
Joe Biden’s colonoscopy discovered a benign appear polyp that was quickly removed.
No cognitive assessment was done on Joe Biden. What Dr O’Connor said was that he completed a thorough neurological exam, but he didn’t say if he’d performed the Montreal Cognitive Assessment, which should have been done.
Fit for duty, does anyone buy that one for a moment? I don’t even suppose his own administration believe it, and no signs of a neurological disorder, I’m sure half the population of Americans would want a second opinion.
Dementia is a loss of cognitive functioning, such as thinking, remembering and reasoning, to such an extent that it hinders a person’s daily life and activities. It also varies in severity from the mildest stage, when it’s just starting to affect a person’s functioning, to the most severe stage, when a person has to depend entirely on another person for basic living activities.
Signs and symptoms of dementia result when once-healthy neurons, or nerve cells, in the brain stop working, lose connections with other brain cells and die, and while everyone loses some neurons as they age, people with dementia experience far greater loss.
The symptoms of dementia can vary and may include:
Experiencing memory loss, poor judgment, and confusion
Difficulty speaking, understanding and expressing thoughts, or reading and writing
Wandering and getting lost in a familiar neighbourhood
Trouble handling money responsibly and paying bills
Using unusual words to refer to familiar objects
Taking longer to complete normal daily tasks
Losing interest in normal daily activities or events
Hallucinating or experiencing delusions or paranoia
Not caring about other people’s feelings
Losing balance and problems with movement
To diagnose dementia, a doctor would first evaluate whether a person has any underlying, potentially treatable condition that may be linked to cognitive problems, such as a physical exam to measure blood pressure and other vital signs, as well as laboratory tests of blood and other fluids to check levels of various chemicals, hormones, and vitamins, which can help uncover or rule out possible causes of symptoms.
Then they would do cognitive and neurological tests, brain scans, psychiatric evaluations, genetic testing and blood tests to determine if that person is suffering from dementia, although I’m sure we never thought it would be used on our president. Oh, I forgot, not all of it has!