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Trump And Dementia

Yes, he really should be worried about it.

I wrote about Trump’s mortal fear of getting dementia because he watched his father deteriorate with Alzheimer’s disease because he watched his father mentally deteriorate with Alzheimer’s disease. In today’s Washington Post (gift link) they tackle that subject in depth:

Donald Trump invited his extended family to Mar-a-Lago in the mid-1990s. As the clan gathered at the palatial Florida estate, though, his father was badly struggling, according to Mary L. Trump, Donald’s niece.

Fred Trump Sr., the pugnacious developer then in his late 80s, didn’t recognize two of his children at the party, recalled Mary L. Trump, who attended the gathering. And when he did recognize Donald, the family patriarch approached his son with a picture of a Cadillac that he wanted to buy — as if he needed his son’s permission.

The incident, Mary L. Trump said, left Donald Trump visibly upset at his father’s descent into dementia, which medical records show had been diagnosed several years earlier.Trump reflected his anguish in an interview around that time, with Playboy in 1997 reporting that seeing his father “addled with Alzheimer’s” had left him wondering “out loud about the senselessness of life.”

“Turning 50 does make you think about mortality, or immortality, or whatever,” Trump, who had recently reached that milestone, told the magazine. “It does hit you.”

Today, as the 77-year-old Trump seeks to return to the White House, he is still focused on the ravages of dementia — but this time he is using the condition as a political weapon, alleging without medical proof that President Biden, 81, is “cognitively impaired.” Those attacks follow a long pattern for the former president, who for years has bashed enemies as mentally frail while boasting in public about “acing” the Montreal Cognitive Assessment, a basic test that flags signsof early dementia.

Trump regularly claims to have passed the test twice, but through a spokesman, his campaign declined to release his test results or to specify when he most recently took it. Rep. Ronny Jackson (R-Tex.), the former White House physician, said in an interview this monththat he administered it to Trump once, in January 2018. Trump in November released a three-paragraph letter in which Bruce Aronwald, a doctor of osteopathy, said that Trump’s health was excellent and that “cognitive exams were exceptional” but provided no details. Aronwald did not respond to a request for comment.

Ziad Nasreddine, the neurologist who created the test, said in an interviewthat if an individual in their 70s had not taken the Montreal test since 2018, the results would not be valid to cite today.

Trump’s longfixation on mental fitness followed years of watching his father’s worsening dementia — a formative period that some associates said has been a defining and little-mentioned factor in his life, and which left him with an abiding concern that he might someday inherit the condition. While much remains unknown about Alzheimer’s, experts say there is an increased risk of inheriting a gene associated with the disease from a parent.

“Donald is no doubt fearful of Alzheimer’s,” said a former senior executive at the Trump Organization, who worked for years with Trump and saw him interact with Fred Trump Sr., and who spoke on the condition of anonymity to describe a confidential relationship. “He’s not going to talk about and not going to admit to it. But it’s relevant because every day he is hitting Biden with whether or not he is capable mentally of doing the job.”

Trump’s father’s condition also drove a wedge into his family, which fell into years of lawsuits that alleged in part that Donald Trump sought to take advantage of his father’s dementia to wrest control of the family estate — litigation that introduced reams of medical records detailing Fred Trump Sr.’s condition.

The full story of Trump’s father’s illness, and the family turmoil it sparked, casts new light on his views of an issue that’s become central to the presidential campaign, with pollsters finding a majority of voters have concerns about the mental fitness of both Trump and Biden. Those concerns have sharpened as both candidates have had lapses on the trail, with Biden mixing up the names of the leaders of Mexico and Egypt and Trump confusing former South Carolina Gov. Nikki Haley with former speaker of the House Nancy Pelosi, and warning that the United States could face “World War II” under Biden.

Ok, wait a minute. Biden misspoke and said the wrong country in a passing comment which I’ve done myself while Trump very, very weirdly kept saying the name of Nikki Haley over and over again as he was campaigning against her and it was very unclear if he was literally blaming her for failing to stop the insurrection. They are not the same at all.

Try this one on for size:

Anyway:

In the early 1970s, as Donald took a leading role in the firm, Fred Trump Sr. told the New York Times that “Donald is the smartest person I know.”

By 1990, though, the claims of Trump’s business genius were being questioned as he fell into desperate financial condition. He eventually filed six corporate bankruptcies, and he faced the prospect of personal bankruptcy as his first wife, Ivana, sought $1 billion in a divorce settlement. His high-profile casinos in Atlantic City were badly faltering.

That’s when Trump sought to change his father’s will.

Trump arranged for a lawyer to write an amendment called a codicil giving him control over the estate and to protect his inheritance from creditors.He then had two of his father’s most trusted associates deliver it to Fred Trump Sr. as if it were a formality. ButTrump’s mother, Mary MacLeod Trump, forbade Trump’s father from signing it immediately. Trump’s sister, Maryanne Trump Barry, later said in a deposition that her father didn’t like how the effort to change the will was being done “behind his back.”

Trump later admitted in a deposition that he hoped the gambit would rescue him from financial problems by giving him significant control over the estate. “It was a very bad period of time and if for any reason I was not able to come out of this well, then this would be giving me a trust to protect” his inheritance, Trump said.

That effort failed — but Trump’s actions would expose his father’s deteriorating mental state.

‘Obvious memory decline’

In October 1991, around the timeFred Trump Sr. turned 86 years old, hevisited his doctor, C. Ronald MacKenzie. In a report about that visit, the physician wrote that he had “significant memory impairment” with “early signs of dementia” and “obvious memory decline in recent years,” according to records disclosed in the court case.

Months later, a second doctor wrote in a neuropsychological evaluation that Fred Trump Sr. “did not know his birth date, was unsure of his age, and turned to his son [Robert] for help in responding to questions.” The exam by Rajendra Jutagir found that Fred Trump Sr.’s cognitive ability was below the 15th percentile for a person in his age group. He could only recall three of the previous nine U.S. presidents and could not draw the hands of a clock to show the time.

Those detailed medical reports, later entered into court filings, paint an early picture of what would be a long decline for Fred Trump Sr. — one that his son claimed not to notice for years.

“Do you recall your father suffering from any memory lapses in 1991?” an attorney asked Trump in a deposition conducted in 2000.

“No,” Trump responded.

“Do you recall him being diagnosed as having senile dementia in 1991?” the attorney said.

“No, I don’t,” Trump said in the deposition. To the contrary, Trump said that his father was “very, very sharp.”

Mary L. Trump said those claims were contradicted by other family members. Robert Trump, Donald’s younger brother, said that their father was in “notable decline” by 1990, as recounted by Mary L. Trump in a lawsuit over the will. Trump’s sister, Maryanne Barry, later was secretly recorded by Mary L. Trump as saying that “it was basically taking the whole estate and giving it to Donald” at a time when “Dad was in dementia.” (Maryanne Barry, who died last year, did not respond to a request for comment when The Post first revealed the secret tapes in 2020; Robert died in 2020.)

Regardless, by the mid-’90s even Donald Trump was publicly acknowledging the truth: that his father’s dementia was rapidly advancing.

A few years after his father’s diagnosis, Trump was driving down Fifth Avenue with his father when they passed by the Empire State Building, the iconic 102-story office tower, a landmark known well by both men. As Trump later recalled to the New York Times, his father said, “That’s a tall building, isn’t it? How many apartments are in that building?” Trump thought his father was “kidding” but eventually realized this was a sign of Alzheimer’s, he told the newspaper.

Around the same time, Trump held the family gathering at Mar-a-Lago, where Mary L. Trump says Fred Trump Sr. did not recognize her or two of his children, Robert and Maryanne. After the incident in which Fred Trump Sr. seemed to ask permission to get a new Cadillac, Robert said it would be taken care of, but “Donald just walked away, like, ‘Oh, God, get him away from me. He’s so annoying.’ He had no patience, none whatsoever,” recalled Mary L. Trump, who has more recently become an outspoken political opponent of her uncle, including writing a book that called him “the world’s most dangerous man.”

The former senior executive at the Trump Organization recalled Trump bringing his father to a party in the mid-1990s when it was clear the elder Trump was suffering from dementia. Hesaid Donald Trump had an abiding fear of germs and diseases.

“I remember distinctly he brought his father to the party and Donald was either holding his hand or close to him physically, and he introduced me to him and you could see his father wasn’t comprehending much of anything,” the former executive said. “Donald was not the type to show affection. It was just Donald being matter-of-fact that his father had Alzheimer’s.”

Trump later said in an appearance with television personality Mehmet Oz that his father in his last few years had developed what was “probably” Alzheimer’s, “which was very hard for us because he was such a smart guy, such a wonderful guy and, you know, that’s a rough thing.”

Trump’s father died at 93 years old in June 1999, eight years after the first formal diagnosis of dementia.

Mary Trump and her siblings sued Trump over the will and there was a settlement. The article goes on to recapitulate the Trump cognitive test story in which he claimed on TV that he could memorize five words, “person, woman, man, camera, TV” (all of which he was looking at in the moment) which meant that his mind was sharp as a tack.

Trump has long emphasized his belief in the importance of genetics. He has said he is a “super genius” because of his “great genes.”

Trump’s niece, Mary L. Trump, said such beliefs are noteworthy. “If intelligence is a genetically inherited state” as Trump believes, she said, “then something like dementia, Alzheimer’s, which do have very strong genetic components, is more of a concern to somebody who is directly related to Fred Trump Sr. as Donald is. I’m not saying he has dementia, but you can’t say the one thing and not also acknowledge the other.”

Experts said much remains unknown about how people get Alzheimer’s, but research has shown that genetics may play a role. […]

Forty to 65 percent of people who have the diseaseinherited a gene particularly associated with increased risk, according to Allison Reiss, who studies the gene and is a member of the Alzheimer’s Foundation of America’s Medical Scientific and Memory Screening Advisory Board. That risk can further increase depending on whether an individual has the gene from one parent or from both, she said. (There is no indication that Trump’s mother had dementia.)

Reiss, who stressed she was speaking in general and not about any individual, said that a blood test can determine the presence of the gene. Experts said it is important to note that having the gene or other potential markers does not mean that a person will get the disease; nor does the absence of them mean a person won’t get Alzheimer’s.

Trump has not said whether he has taken a number of specialized tests for Alzheimer’s, including genetic testing. Such exams can also include brain scans, cerebrospinal fluid tests and blood tests, according to the Alzheimer’s Association.

Trump has not released a full medical report during the campaign, so far providing only the brief assessment from his physician, Aronwald.

Of course he hasn’t taken any of those tests. I’m not convinced he ever took the simple one that Jackson signed off on either. He’s such a sycophant that he could easily have just told Trump what was on the test so he could brag that he aced it. Trump’s given some weird descriptions of it.

It’s natural that Trump would be worried. I think anyone would be. What’s not natural is that he’s such a narcissistic sociopath that he’s accusing Joe Biden of having the disease that he’s so terrified of having himself. Has there ever been a more obvious example of projection? The bigger question is why so many in the media are determined to let him do it.

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