I make every attempt to be medically objective

[PCIntern]

and without any hesitation I will state for the “record” or whatever the heck this is, that he is spiraling downward and the rate of change, so to speak, is increasing. The first derivative (d-shithead/d-trump for you calculus fans) is growing rather rapidly.

If a formerly cogent, high-functioning individual attended my office and possessed the affect which he had at the Davos speech, I would immediately contact the spouse or next-of-kin and recommend a full professional evaluation.

Now because he makes me violently ill, I can only watch and worse, listen to him very occasionally. It had been some time since I had and that performance demonstrated a significant decline from the last time I saw him. It is definitely a marked decline.

This is not a sentient individual and is decompensating more rapidly than ever. Hold onto your hats, it’s gonna get exciting.

[Kid Berwyn]

1. Hoping the meds keep him functioning until the trials.

After the record is clear for history, he can continue the necrosis.

[Kennah]

35. Find Dr. Humberto lvarez Machan (nt)

[tinrobot]

37. I hope he consults RFK for his next round of medication

Trials or not, the sooner he croaks, the better.

[CaliforniaPeggy]

2. I fully appreciate your analysis, my dear PCIntern. And I concur, absolutely!

[MiHale]

3. State of the Union address...

If he decides to have one should be fun. Democrats should be heckling him all throughout…government is a joke now anyway may as well drive him into a ketchup rage.

Chants of “release the Epstein Files”, maybe “Jack is right”, loudly point out every lie..”That’s a lie” works well. “Show us the proof” at some of his statements.

No PedoPrez comments…keep it a little civil.

[Ilsa]

6. Has there been any announcement of a SOTU scheduling?

I won't watch him blather shamelessly.

[MLWR]

8. Feb. 24, 2026 (as of now)

[vapor2]

27. You're no fun lol

[sop]

32. Judging by his declining physical and mental state, Trump's 2026 SOTU address promises to be historically unhinged.

[Ocelot II]

4. He's not decompensating fast enough for me.

He's still waddling around, though unsteadily; he can still make word-adjacent sounds with his face that are understood well enough to scare the entire world; and he is still able to ingest grease-exuding foodlike substances sufficient to keep that quivering bundle of meat that passes for his body in an apparently undead state. By decompensating I hope what is really meant is something more like deliquescing. I won't be happy until some minion walks into the Oval Office and finds nothing behind the Resolute Desk but a puddle of foul-smelling goo.

[littlemissmartypants]

9. Hahaha...

"word-adjacent sounds"... with his face...had to be added there to clarify and that is brilliant. Big bonus points for "deliquescing" too.

I'm right there with you.

[Pacifist Patriot]

15. He's not decomposing fast enough for me.

[leftieNanner]

16. PERFECT description!

And so eloquent too.

[LoisB]

5. IT doesn't have a spouse or next-of-kin who cares enough about him to recommend any

medical intervention. They are probably as anxiously awaiting "that day" as we are.

[Kennah]

36. Is there no White House nurse with a lethal injection?

[3Hotdogs]

7. I'm still hoping for "Swan Lake." At the very least, I look forward to the neighborhood fireworks discharge

from my neighbors. I don't care if their celebration keeps me up all night.

[crimycarny]

10. Narcissistic Collapse

I think part of the spiraling is due to his malignant narcissism and the pathological intolerance for criticism and ridicule. There is a name for it: "narcissistic collapse," and I think that's what we're seeing. That, combined with some cognitive decline.

[radical noodle]

17. That's what I believe as well

The things he is saying and doing are only different in that they're more extreme versions. He's still the lying con man he's always been, only more so.

[erronis]

11. I like your use of "exciting". Another good one is "interesting".

As in the curse: May you live in exciting times.

[Fil1957]

12. Don't get your hopes up, his dad lived to be 93, 8 YEARS after he was diagnosed with Alzheimers.

His mother lived to be 88.

So he can easily finish out his term, although he may be less functional than he is now. And as long as doesn't drool, throw feces or run into the middle of the street naked and screaming, no matter how mentally incompetent he gets, there's no way the 25th amendment will be invoked by this Republican party.

[PCIntern]

13. I guarantee you that

his daddy didn’t eat mcDonald’s three times a day.

[littlemissmartypants]

23. Or snort speed...allegedly.

[NJCher]

34. to add to that...

his daddy didn’t eat mcDonald’s three times a day.

He has three sandwiches at each "meal" from McD's. I posted about this a few weeks ago. Can't recall my source at the moment, but when I do I'll edit this post.

Back in the early 80s, McDonalds national headquarters in Oak Brook, IL had a regular employee cafeteria.

They changed it over to serving only McDonald's food, i.e., what you would find at their restaurants. They called this cafeteria "The Golden Arches."

Within a few years their executives began keeling over with heart attacks and other illnesses caused by such a diet. Needless to say, the company cafeteria went back to the prior format.

[spanone]

14. K&R

[FakeNoose]

18. I'm sure you're correct ... he is going downhill ...

... but he was also seriously jet-lagged, probably on speed or some other drug as a pep-me-up.

Even in Chump's first term, he used to show up in Europe, or Japan, or wherever on the day of his appointment and never a day early. The jet-lag (super-tired goofiness) was always noticeable even then. I can't believe his minders allowed this, old people are really affected by it much worse than younger people.

He should have arrived at least 24 hours ahead, and slept or rested for most of the first day. THEN he would have been ready and perhaps a little more coherent.

Not that it mattered, because his speech was ridiculous anyway. But his delivery would have been a little better.

[twodogsbarking]

19. You give me hope. Thanks.

[paleotn]

20. Is the decline linear? I hope exponential.

Maybe even factorial! n! The faster the better not only for our sanity but to limit the damage.

[mercuryblues]

21. Karoline leavitt"s

new excuse.

Trump is merely getting Botox in his hands to make them bigger. The bruise was caused by the Dr. getting distracted by Trump's big brain, Trump knows more about this than the Dr's. They are so impressed that the gave him a Medical degree.

They gave him some needles and Botox. On the way out the door, they told him he knows more about it than they do, he can go ahead and do it himself.

[ColoringFool]

22. And By "Exciting" I Take It You Mean "Extraordinarily Dangerous."

[ancianita]

24. Thanks, but I gotta ask... when you said decompensating, did you mean decomposing?

The second word seems more to your point about his health.

[hay rick]

25. Next in line is less erratic and more focused.

We are in a bad place and the hoped-for fair 2026 elections are an unreliable lifeline.

[JustABozoOnThisBus]

26. You might contact his next-of-kin, but good luck ...

... finding a next-of-kin who actually gives a shit.

[mr715]

28. "Not a sentient individual"

Wow! Pigeons are sentient. I love your assessment.

[Horse with no Name]

29. Weekend at Bernie's comes to mind

What was that other movie? Dave?
This bastard is not long for this earth. Thanks god.

[struggle4progress]

30. Maybe he just needs to drink more bleach

[Botany]

31. My own professional assessment of Trump is full on bat shit crazy.

Just a few days ago he said, that was an insane asylum and the democrats in New York closed them
So in California they have a problem… and did I tell you that I was the best baseball in N.Y. state?
…. Skipping over the whole Mickey Mantle thing

Or some kind of gibberish like that

[Kennah]

33. I am neither a medical professional nor have I stayed at a Holiday Inn express, but ...

... I used to be a very activist Union Shop Steward. More than once, I've had the experience of a person going through medical issues, Reasonable Accommodation, and unfortunately, Medical Separation. I would tell people not to tell me their medical issues as I didn't need to know, but I would say if they wanted to share to feel more comfortable, then they could. I know more than I ever wished to know about so many people.

There is one person who sticks in my mind. HR contacted me and said this person needs a Steward. I said, well okay, but it's up to them, and if they tell me to fuck all the way off, then I have to step out. HR understood. Five minutes talking to this person, and I was reasonably confident they'd suffered a stroke and their short-term memory was shot. I never got confirmation, and fortunately, no one ever shared what they should not have shared. I never asked the person, and the person never volunteered their medical issues. I remain 99% certain about what they'd been through.

I am even more certain that Trump suffered a stroke, dementia, or a combination thereof.