Trump neurological smoking gun, 99% chance of dementia | Dr. John Gartner
Summary
TLDRPsychiatrist John Gartner discusses assessments of presidents Trump and Biden's cognitive health. Gartner argues Trump shows clear signs of dementia based on memory issues, language breakdown, and disordered thinking, while Biden mainly slips on names and dates. Gartner claims the media falsely equates the two by ignoring Trump's incoherence and focusing disproportionately on Biden's gaffes. He asserts medical experts feel Trump likely has dementia but won't speak out publicly now due to fears of professional repercussions or political violence.
Takeaways
- 😊 Dr. Gartner believes many experts observe signs of cognitive decline and dementia in Trump, but won't speak publicly
- 😮 Gartner sees clear difference between normal age-related memory issues and dementia symptoms Trump displays
- 🤔 Trump often lies that his confusing statements are jokes when caught, a common dementia defense tactic
- 😳 Trump exhibits tangential, nonsensical speech indicating a thought disorder characteristic of dementia
- 🧐 Phonemic paraphasias like "Chrismas" show a neurological dysfunction beyond normal mispronunciations
- 😠 Experts tell Gartner they'd lose jobs for assessing Trump, unlike when first warning about him in 2018
- 🤨 Trump’s mixed presentation makes superficial health analysis deceptive to untrained observers
- 😌 Gartner argues Democrats should reassure people about Biden’s competence over replacement talk
- 😣 Corporate media edits out Trump's worst rambling moments while scrutinizing Biden gaffes
- 😡 Gartner wants to raise awareness that Trump's incoherence should be the real headline
Q & A
What is Dr. Gartner's background and credentials?
-Dr. Gartner is the founder of Duty to Warn and a former assistant professor at Johns Hopkins University Medical School. He has interviewed many experts in the field of assessing cognitive decline.
What are some of the symptoms of dementia that Dr. Gartner has observed in Trump's speech?
-According to Dr. Gartner, Trump shows signs of an inability to use language coherently, such as a lack of awareness when making verbal mistakes, an impoverished vocabulary, repetition, tangential/rambling speech, and phonemic paraphasias.
How does Dr. Gartner distinguish between normal age-related memory issues and pathological cognitive decline?
-Dr. Gartner explains that simple lapses like mixing up names and dates are normal with aging, but Trump exhibits confusion about people's identities and generations in a way that indicates pathological dementia.
What does Dr. Gartner say is the reason experts are afraid to speak out about Trump's apparent cognitive decline?
-Experts fear professional reprisals or stalled careers for appearing to criticize the president. There is a repressive political climate that punishes dissent.
What is Dr. Gartner's view on the media coverage comparing Biden and Trump's cognitive fitness?
-Dr. Gartner feels the media coverage falsely equates normal age-related memory issues with pathological dementia through a "both sides" narrative. He thinks they should focus more on Trump's incoherence.
How does Dr. Gartner counter arguments that Trump seems more energetic or healthier than Biden?
-Dr. Gartner explains that Trump's bursts of energy reflect underlying hypomania rather than cognitive fitness. His linguistic breakdowns point to an impaired brain regardless of outward appearance.
What advice does Dr. Gartner offer the Democratic Party regarding concerns over Biden's age?
-Dr. Gartner advises reassuring the public about Biden's competence versus raising doubts. He argues Biden compensates well through relying on expert advisers.
What does Dr. Gartner identify as the most important evidence of Trump's cognitive decline?
-Dr. Gartner says Trump's phonemic paraphasias (e.g. "beneficiaries" becoming "benefisharies") constitute a neurological smoking gun proving brain damage.
How might the media better cover the issue of Trump's cognitive fitness?
-Dr. Gartner urges the media to air extended clips of Trump's tangential, incoherent ramblings rather than only brief gaffes. This shows the severity of impairment.
What is Dr. Gartner's goal in speaking out publicly about his analysis of Trump's apparent dementia?
-Dr. Gartner hopes bringing attention to the evidence of Trump's linguistic decline will prompt the mainstream media to adjust their superficial "both sides" coverage of the issue.
Outlines
😮 Trump showing clear dementia symptoms; Biden just some normal age-related decline
Paragraph 1 summarizes the key perspectives of Dr. Gartner regarding the cognitive health of Trump and Biden. He explains that much diagnosis is based on observation and significant others rather than clinical interviews. He sees clear symptoms of dementia in Trump's confusion of generations and inability to use language properly. In contrast, he sees Biden's issues as more normal age-related decline like forgetting names and dates.
👴 Further analysis of Trump's language degradation and why we're being 'gaslit'
Paragraph 2 provides more evidence of Trump's language degradation, including reduced vocabulary, incomplete sentences and thoughts, and phonemic paraphasias indicating likely brain damage. Dr. Gartner argues this shows clear differentiation from normal aging, but the media narrative makes a false equivalence between Trump and Biden's issues.
😥 Sudden changes in Trump's demeanor evidencing intermittent dementia symptoms
Paragraph 3 highlights Dr. Gartner's observation of sudden changes in Trump's demeanor and functioning, analogous to sundowning in Alzheimer's patients. This includes going blank, slurred speech, and failed word retrieval, providing further evidence of underlying dementia.
😡 Doctors seeing Trump's dementia symptoms afraid to speak out now due to political repression
Paragraph 4 covers why more doctors are now afraid to speak out about Trump's apparent dementia symptoms compared to 2018. Dr. Gartner shares that some doctors fear job repercussions or a repressive political regime if Trump is re-elected seeking revenge.
Mindmap
Keywords
💡cognitive decline
💡dementia
💡phonemic paraphasia
💡tangential speech
💡Goldwater rule
💡confabulation
💡baseline
💡differential diagnosis
💡high/low energy Trump
💡ageism
Highlights
Most experts diagnosing dementia rely primarily on observation rather than clinical interviews or testing
Trump often confuses people from different generations, indicating signs of dementia rather than just forgetting names/dates
Trump claims his obvious misstatements are "jokes" to cover up signs of cognitive decline
Biden shows normal age-related memory issues like mixing up names/dates, while Trump shows clear dementia symptoms
Trump's vocabulary has shrunk, he repeats himself more, and uses simplified language - signs of dementia regression
Trump's "phonemic paraphasias" (e.g. "Christmas" instead of "Christmas") indicate likely brain damage
Trump's tangential, irrational speech and confabulation of disjointed thoughts into incoherent stories suggest dementia
Trump sometimes seems alert but quickly becomes confused/disoriented - a dementia symptom called "sundowning"
The media falsely frames Trump and Biden's issues as equal "age-related decline", ignoring Trump's clear dementia
Biden should reassure people with his personality/humanity rather than planning for replacement due to age concerns
Biden's gaffes don't indicate mental deficiency - he relies on expert advice and wisdom from experience
Trump seems high energy which hides growing signs of dementia that trained doctors can recognize
Doctors see obvious dementia symptoms in Trump but don't speak out now due to politically repressive climate and threats of retaliation
Media edits out Trump's most incoherent rambling rather than showing how serious his mental decline is
The fact Trump can't speak English coherently for 5 minutes straight should be the headline
Transcripts
Speaker 1: It's great to have back on the program. Doctor John Gartner, who is the founder of Duty to
Warn and former assistant professor at Johns Hopkins University Medical School. It's great
to have you back on, I appreciate it. Speaker 6: Great. It's great to be back.
Speaker 1: So you were back in the news over the last week or so, with a number of articles
quoting your opinions about what is being observed through the publicly available audio and video of
President Joe Biden and former President Donald Trump with regard to potential cognitive issues,
dementia, gross dementia, memory loss, age related decline, etc.. So we last had you
on a while ago. I don't want to totally retread the perspective you have on the ethics of making
these assessments. People like to bring up the Goldwater rule, etc. but as we get into this,
can you just give us the framework for people to understand the context in which you're making
these comments? Neither Trump nor Biden are people you've personally examined in any way.
Speaker 6: Sure, sure. No, absolutely. And actually, I've interviewed a lot of experts
in this field, most of whom are unwilling to be quoted, on the record. But, one of the things
they tell me is, in clinical practice, most of this, diagnosis is made by observation. And by
talking to significant others, it's really not a as much as the clinical interview. And there's
other things we use as well that we obviously don't have your MRI's and neuropsychiatric
evaluation. But what we are seeing is a lot of clinical symptoms that we know something about,
even obviously, a lot of the average people know a lot about these symptoms because they've had
people in their family who've had dementia. The things that Joe Biden is evidencing are things
that I evidence he's been, mixed up people's names and mixed up dates. That's pretty much
been the gist of it. And you know what? I'm going to be 66. I'm accept people's names. I'm accept
dates. But I still would rather have me as a psychologist now than the psychologist. I was,
20 years ago. But you want to talk about memory. The kind of memory problems that Trump is showing
are clear signs of dementia. The, Dementia Care Society said that when people have dementia,
they begin to confuse people in generations. Not names and dates, people in generations.
Speaker 1: So talk a little bit about the difference. So and we can maybe talk through
some examples, you know, with regard to Joe Biden. There was this moment a few weeks ago where he
referred to the Mexican president as El-Sisi, who, of course, is not the Mexican president. Or times
where he seems to kind of, mumble and kind of trail off, lose his train of thought, or maybe
look, maybe disoriented on stage. Talk about that relative to what you observed with Trump.
Speaker 6: Well, actually, some of these sort of non-verbal things are a little bit
hard to characterize. But again, you're talking about the wrong name, the wrong date. You know,
I can call my older daughter, my younger daughter, my older daughter's name. Trump actually,
on some days thinks he's running against Nancy Pelosi and and Barack Obama. And I'm not saying
that to be funny. He's actually confusing people. On the stump, he said, that he was running against
the person who was in charge of security at the Capitol. He said it more than once. In
other words, he is actually confusing people. He's not confusing names. And the same thing
with he said seven times he's running against Barack Obama. Okay, that's not a slip or a gaffe.
Speaker 1: Now he says that it's satire. He now says it's sarcasm and satire meant to suggest
that Obama is really in charge. Do you buy that? Speaker 6: Not in the least. And he's told that
lie a thousand times. Whenever he gets caught, he says he was joking. We know by now that when he
says he's joking, he's lying about joking. Joking is the way he covers up his cognitive decline or
his other, horrible, things that he does in plain sight. But it's absolutely never true
that he's joking. And by the way, when you look at these clips, he doesn't look like he's joking,
because one sign of cognitive decline is a lack of awareness that you have cognitive decline
when you are making these mistakes, you know, you don't correct yourself because you're not
aware you've made a mistake. Okay. Whereas I think a lot of these name situations oh, no, of course.
Sorry. The other one. You know, you immediately he shows no awareness of that. And so that's
actually part of ironically part of the syndrome. Speaker 1: Is there is something that is being
said in the media about either Biden or Trump that you think is like flat out inaccurate.
Speaker 6: Well, yes, because they're they basically what's happening is we're being
gaslit again, okay. By a kind of what about ism? The the narrative in the media, two old men are
running for president. Is either of them really up to it? And there's a certain amount of ageism
actually implied in that, you know, meaning that if you're old and you're showing some signs of
an aging brain, you know, you're really not up to it. But what I'm saying is, we're not making
the differential diagnosis between an aging brain and a demanding brain. There's a big difference.
Okay. And Trump is showing the kind of confusion not just of memory but of language. He's showing
a basic breakdown. And this is what all of the experts are telling me in his ability to use
language. First of all, we're noticing an enormous regression. This is someone who used to be very
articulate with a sophisticated vocabulary, who spoke in complete, polished sentences and
paragraphs. Now he has an impoverished vocabulary. He repeats himself and uses superlatives, which
are also signs of dementia. And he can't complete a thought or can't even complete a word. And this
gets to what I call the neurological smoking gun. Okay. All of the experts I talked to said nobody
without brain damage commits these kinds of a phonemic paraphrases, which we have dozens of
example of these, you know, blooper reels and whatnot. Instead of saying missiles as misses,
instead of saying Christmas, he says Christmas. These are non words that he's using in place of
real words that have the stem of the real word, but he's unable to complete the word. So we just
kind of garble an ending. And there's lots of blooper reels, you know. I think Morning Joe
had one and comedy shows have them when it have all of his mispronunciations. But it's not a
joke. It's hard clinical evidence of brain damage. When I ask these people, do you ever see this in
someone who is not brain damaged? They said no. Speaker 1: So let me see if I can get the kind
of big picture of what you are observing. On the one hand, we're using Trump's own baseline
from the endless hours of prior interviews. You look at interviews from five years ago,
they're very different. You go back to ten and 15 years ago with Dave Letterman or whomever,
dramatically different. So we're looking at the base, correct. You're also looking at the fact
that some of these things aren't so much a verbal slip, but they're indicative that he's confused
about the subject matter rather than this is a verbal or linguistic element. And then you're
also talking about the phonemic paraphrase for the beneficiaries instead of beneficiaries or
renovations that are renovation. And then if I recall correctly, there's the tangential speech.
Now talk a little bit about what that means. Speaker 6: Yeah. Thank you for for bringing
that up because that is another important component. When people, start to become demented,
they become more tangential. They ramble and they go from one sort of unrelated thought to another.
Sometimes they kind of tie it together in a made up story. We call this confabulation. And it's
not lying. It's somehow trying to take all these disparate things and make a story out of it. And
I'll give you a recent example. When Trump said something about the USS Gerald Ford aircraft
carrier. No one knew why he was talking about that. And he said, you know, they're not using
the John Deere Hydraulics hmhm what that means, and neither do you. They're using magnets. They're
using magnets. He said they're using magnets. And that's crazy because magnets melt in water. Okay.
So when people this is what I mean about the press, even the press that picked up on this
magnets melt in water. Comments. Right. Actually, you need to hear the whole ramble to really
understand how disordered his thinking has become. Speaker 1: In other words, it wasn't just that he
got. I don't know that he said the the magnets melt, but something like if they get wet,
they stop working or something like. Speaker 6: That, they dissolved. Yeah.
Speaker 1: You're saying it's not just about a misunderstanding of how magnets work, it's that
it was sort of like a series of non-sequiturs that didn't logically follow from each other.
Speaker 6: Correct. And that is a formal thought disorder. That's not a I mean,
that's something that we. That we're trained to assess. Okay. And what I'm saying is the
people who are specialists in the area are assessing it. They're telling me they feel
with 95% probability that he has dementia. They just don't want to sign their name to it because
they're telling me they might lose their jobs. Speaker 1: Let me ask you about something I've
observed casually as a as as the son of a psychiatrist, but not a medical professional
myself. There seem to sometimes be two different trumps, and sometimes we call it high and low
energy trump. Sometimes it's called upper and downer trump. And sometimes Trump will come out
and he seems sped up to some degree. And I observe him doing the tangential speech you just described
much more frequently. Other times Trump comes out and he seems almost like depressed, bummed
out to be there. He's using a lower tone of voice, speaking very slowly, and seems like he just seems
sad and depressed to some degree. Now, obviously people have different energy levels on different
days. You might be in a good mood or a bad mood. Who knows what went on five minutes before he went
on stage? But is is that in any way relevant to what you're observing or talking about?
Speaker 6: I'm so glad you brought that up, because one of the reasons that we're being
gaslit is I believe that Trump and I've written about this has a hypomanic temperament. So he had
biologically he has a lot of energy. So when he's on he's charismatic. He shows a bullish kind of
energy. And that is part of his his charismatic appeal, obviously. But you do see these dramatic
changes. And now that I mentioned this you will start to notice it. You notice this dramatic
change in demeanor like you described when he can't find a word right before his eyes go blank,
his jaw goes slack. Suddenly he looks confused. And then he talks in a slurred way. Yeah. Tries
to say the word, and sometimes he tries to say the word several times, like again this weekend. He
tried to say three years later, but he said, three years lady, lady, lady. It was like an engine with
a bad battery trying to turn over. He was just trying to say later, but he kept saying, lady, he
was slurring while he was saying it. So in other words, look just like people with Alzheimer's have
sundowning, right? They can be fine at one in the afternoon and then at five, they're they're
they're off the hook. Okay. And disoriented. Okay. He becomes momentarily disoriented. And you can
see it in a sort of the healer. And so now that I mentioned, it's not just the slip of the not just
that he's not using the word you can literally see he's his the lights are out mentally, but someone
has pulled the plug and he is not there. Speaker 1: When it comes to the Joe Biden
stuff. It seems to me that in general, if you have someone who's in their 80s running the country,
it makes sense to have a backup plan and to know exactly what happens if X, Y, or Z. Now, with
presidents, we know that there's a vice president, and then we have the speaker of the House, etc.
increasingly, there's a discussion from some about Joe Biden might not make it to November. And what
do we do? What is the Democratic Party do? Because there isn't really a primary being run, etc.. From
a strictly actuarial perspective, does it seem logical to you, at least for the Democratic
Party to have an answer to that question? Speaker 6: You know, I think the Democratic Party
is very bad at politics. True. And I think that, I would actually disagree with you. And I would
take an opposite tack. I think we need to take in the sense that instead of answering that question,
we need to reassure the people that Joe Biden is here. I think he's running sort of a Rose garden
campaign, and he's he needs to show us Uncle Joe. Okay. We need to feel like we know him,
like he's with us. I don't care if he commits a gaffe. I don't care if he gets someone's name
wrong. We don't need to be hit. But we need to know he's with us and he's here. He's actually
doing a good job, by the way. Speaker 1: I agree with
that. I agree with that for sure. Speaker 6: And people actually, again, sort of,
you know, I say to people, look, you know, I messed up patients appointments. Now I never used
to do that. I used to have it all in my head, you know, and I'm calling someone up. Oh. Hey, Joe,
where are you? Doctor Grossman, I told you, we're not meeting this week. Didn't you remember? Oh,
sorry. You know, meanwhile, I'd rather have me as a psychologist now than the me of 20
years ago because I'm wiser. Okay. And so the point is, is. Yeah. Or maybe Joe has a,
you know, because he's a normal president, he's got an army of advisers and technocrats,
right. Backing him up and giving him options and, and yeah, helping to structure and organize his
day and his decision making process. That team is in place. He's using it well and he's using his
judgment and his wisdom and his humanity. To make good decisions. Okay. That's really the. I mean,
yes, anyone can die. That would be really messed up. But I think there's really a way in which the
press is really committing a kind of ageism. You know? Yes, I get it. His voice is a little
raspy. He's got apparently muscle tension, you know, from his, the. He recently had a white
House physical. He doesn't walk with a lot of, you know, limber sort of, energy. Apparently,
he's got some muscle stiffness. I mean, meanwhile, the guy still tries to walk ride his bike at the
Delaware National Park. God bless him. You know, he's not. I don't count him out. I think we need
to see him in. That's my personal opinion. I don't know, do you? There's no question that your.
Speaker 1: Do you agree that, but and by the way, you know, I, I'm essentially, seeing this
that the way that you are, do you agree that there's some superficial way you mentioned the
raspy voice and the moving around, maybe with a lack of effervescence and and this sort of
thing. Do you agree that the, the picture of it all sometimes gives the superficial impression
that Trump actually is, quote, healthier? And I know that that's such a fraught term because are
we talking about mental health, cardiovascular health? What are we talking about? Do you see.
Speaker 6: How a lot of energy, you. Speaker 1: See how someone could
see the two and say Trump seems healthier? Speaker 6: That's why the doctors need to speak.
That's what I'm trying to explain, is that if you're not trained you don't know that a phonemic
pathology is a neurological smoking gun. What you know is what you see. And so if one guy looks a
little slower or talks a little raspy, or he looks like he's got less ability. But what we have is,
a whole basically, it's like the emperors, the man who would be emperor has a broken brain,
and all of the people see it and know it, but but the people have the authority to say it or
not saying it because of things like the Goldwater rule. You know, it's really interesting. There's a
different atmosphere now than there was in 2018. A lot of the people that spoke out,
in 2018 are afraid to speak out now. Speaker 1: And what is it exactly
they're afraid of? Speaker 6: Well,
one of them has already told me his promotion's been held up because of his past,
Trump activities. You know, the thing is, is that when we first came out, who we defined the
American Psychiatric Association, you know, what are they going to do to us? You know,
you're so brave, doctor. Guard. Just. No. I'm not. I don't even work for Hopkins
anymore. They can't even fire me. Speaker 1: But what's happening.
Speaker 6: Now is this. Yeah, what's changed now is people feel like this politically violent,
repressive regime could take over. And there's an atmosphere of reprisal and revenge and also
kind of an ethos that that's okay, that maybe your boss might feel that he could take revenge,
you know, because that's the new thing you're supposed to do to the people who, you know,
say bad things about the Dear Leader. Speaker 1: That is, that is chilling,
for lack of a better term. And, hopefully at least we will get a more precise coverage of
this from corporate media between now and November. If nothing else, although I'm not
super optimistic, I have to admit. Speaker 6: Yeah, well, you know,
one of the reasons I'm sort of getting out here and saying all this is because, we need
to get that message into the into the mainstream media, right? Because right now the narrative is
just that. They've got this, you know, both side ism, two old men narrative down pat. And actually,
there's also a disproportionate way that they edit the tape. You know, they focus so much on
every stumble, or, or malapropism of Biden's, but then they edit it out, the mad rambling rants,
you know, so if he has a rally and five minutes of it is incomprehensible, that's
actually the most important five minutes, right? Speaker 1: The whole thing. Yeah. Well, it doesn't
fit into corporate media, isn't going to run a five minute portion of the speech that you would
need to understand the the rambling context. They just don't do that. They want 15 seconds.
Speaker 6: Well even. Right. So part of it, you're right, is is the time limit. But they rarely show
the you'll see it on late night television. You'll see it on Twitter. But you'll won't. You won't see
it on the 6:00 news. But that's the headline. The man who's running for president is unable
to use English coherently. Speaker 5: Right? Wow.
Speaker 1: We've been speaking with Doctor John Gartner, founder of Duty to Warn and
former assistant professor at Johns Hopkins University Medical School. Always great
having you on. I really appreciate it. Speaker 6: Yeah. Thanks for having me.
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