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Thursday, October 07, 2004

Bush blows off another medical exam 

This time, however, nobody can ground him. Except the voters, of course, in November.

Anyhow, here (via Josh Marshall) is an odd little fact:

Bush postpones election-year doctor's visit
After undergoing his annual medical check-up in August 2001, 2002 and 2003, US President George W. Bush has put the procedure off this year until after the November 2 election, his spokesman said.
(via AFP)

I wonder why? Is he getting all he needs from the twins? Or.... Could it be something more serious? Actually, when I read Marshall's post, I thought at once of this letter, from last month's Atlantic:

James Fallows’s description of John Kerry’s debating skills (“When George Meets John,” July/August Atlantic) was interesting, but what was most remarkable was Fallows’s documentation of President Bush’s mostly overlooked changes over the past decade—specifically, “the striking decline in his sentence-by-sentence speaking skills.” Fallows points to “speculations that there must be some organic basis for the President’s peculiar mode of speech—a learning disability, a reading problem, dyslexia or some other disorder,” but correctly concludes, “The main problem with these theories is that through his forties Bush was perfectly articulate.”

I, too, felt that something organic was wrong with President Bush, most probably dyslexia. But I was unaware of what Fallows pointed out so clearly: that Bush’s problems have been developing slowly, and that just a decade ago he was an articulate debater, “artful indeed in steering questions and challenges to his desired subjects,” who “did not pause before forcing out big words, as he so often does now, or invent mangled new ones.” Consider, in contrast, the present: “the informal Q&As he has tried to avoid,” “Bush’s recent faltering performances,” “his unfortunate puzzled-chimp expression when trying to answer questions,” “his stalling, defensive pose when put on the spot,” “speaking more slowly and less gracefully.”

Not being a professional medical researcher and clinician, Fallows cannot be faulted for not putting two and two together. But he was 100 percent correct in suggesting that Bush’s problem cannot be “a learning disability, a reading problem, [or] dyslexia,” because patients with those problems have always had them. Slowly developing cognitive deficits, as demonstrated so clearly by the President, can represent only one diagnosis, and that is “presenile dementia Presenile dementia is best described to nonmedical persons as a fairly typical Alzheimer’s situation that develops significantly earlier in life, well before what is usually considered old age. It runs about the same course as typical senile dementias, such as classical Alzheimer’s—to incapacitation and, eventually, death, as with President Ronald Reagan, but at a relatively earlier age. President Bush’s “mangled” words are a demonstration of what physicians call “confabulation,” and are almost specific to the diagnosis of a true dementia. Bush should immediately be given the advantage of a considered professional diagnosis, and started on drugs that offer the possibility of retarding the slow but inexorable course of the disease.

"Started"? What does this guy mean, "started"?

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