March 7, 2024 by DANIEL J. STONE, an internist and geriatrician in Beverly Hills

As a geriatrician, I discuss the effects of aging with patients every day. I wish I had a chance to give my usual talk to everyone who chortles or tears their hair out about President Biden’s fitness for his job.

First, memory. I explain to patients that there are three components to consider. One is formation. Then storage. And, finally, recall. The most common issue among seniors is slow recall. This is the familiar “tip of the tongue” phenomenon, when a word seems to hide or a name won’t come to mind. You know the name, it’s in your bank of memories, it just can’t be accessed quickly. Given time, it usually arrives.

This problem, called age-associated memory impairment, often starts for people in their 30s and gradually progresses. It’s a nuisance but not disabling. If, like me, you find yourself using the term “whatchamacallit,” you probably have it. Don’t worry, you’ll be fine.

Alzheimer’s disease, the most common cause of dementia, is a different story. Those affected lose the ability to store new memories. They can still access old memories in their memory bank and may recount events that occurred decades ago. But they can’t tell you what they had for breakfast because that never entered the memory bank. (I reassure my patients with age-associated memory impairment by asking whether they remember their breakfast. They do.)

Alzheimer’s is cognitively crippling. Losing the ability to form new memories freezes one in time. Those affected can’t make new friends or address new situations without fresh memories. Additionally, the disease progressively impairs other domains, including behavior and ultimately physical skills.

Fortunately, President Biden shows no signs of Alzheimer’s disease. At news conferences, he references new events and obviously creates new memories efficiently. He speaks slowly and pauses to find words like others with benign age-associated memory impairment. These issues are exacerbated by a chronic speech impediment. Biden has struggled with stuttering since childhood, and remnants of the condition have long been apparent in his speech.

Unfortunately, word hesitations coupled with the mild stutter can’t help but affect his public speaking. Biden’s political opponents and the uninformed exploit it, along with stereotypes about older people, to create a false narrative about intellectual impairment.

I take care of many high-functioning seniors like President Biden in my practice. One that I know, who is not a patient of mine, has been my family’s lawyer for five decades. Melvin Spears, at 96, recently responded to an emailed legal question with succinct and well-targeted advice, as he always has. When I spoke to him, he acknowledged some concessions to his age. He speaks more slowly, and transportation is a challenge because he’s stopped driving. (He considers Uber and Lyft “a hassle.”) Like Biden, Spears focuses on his work and lets others worry about his age if they choose.

Studies show that high-functioning seniors like Mel Spears and the president compensate for slower reaction time by applying superior knowledge and judgment. The presidency is not a job that requires lightning-quick reflexes. First-hand experience with the successes and failures of U.S. foreign policy over decades, for example, combined with time-tested judgment offers far more than speed in speech or decision-making.

Actuarial tables show that the 81-year-old president’s life expectancy extends nearly eight years, well beyond a second term. He gets excellent healthcare, has no major chronic illnesses, and at his recent physical at Walter Reed Military Medical Center, he was declared “healthy, active” and “fit for duty.” All that means that Biden is likely to beat the actuarial estimate. Given his overall health and the absence of current cognitive impairment, he would likely complete a second term with stable cognition.

All candidates for political office in the United States deserve to be evaluated on their accomplishments and capabilities rather than by their age. Seniors may be the last minority whose natural traits are singled out for ridicule and stereotyping. If the American people disagree with President Biden’s policies and prefer change, they should support his opponent. But in the absence of valid evidence of true cognitive impairment, their judgment should not be influenced by ageist social stereotypes. Biden and the American political process deserve better.

Daniel J. Stone is an internist and geriatrician in Beverly Hills.

March 7, 2024 by DANIEL J. STONE, an internist and geriatrician in Beverly Hills

As a geriatrician, I discuss the effects of aging with patients every day. I wish I had a chance to give my usual talk to everyone who chortles or tears their hair out about President Biden’s fitness for his job.

First, memory. I explain to patients that there are three components to consider. One is formation. Then storage. And, finally, recall. The most common issue among seniors is slow recall. This is the familiar “tip of the tongue” phenomenon, when a word seems to hide or a name won’t come to mind. You know the name, it’s in your bank of memories, it just can’t be accessed quickly. Given time, it usually arrives.

This problem, called age-associated memory impairment, often starts for people in their 30s and gradually progresses. It’s a nuisance but not disabling. If, like me, you find yourself using the term “whatchamacallit,” you probably have it. Don’t worry, you’ll be fine.

Alzheimer’s disease, the most common cause of dementia, is a different story. Those affected lose the ability to store new memories. They can still access old memories in their memory bank and may recount events that occurred decades ago. But they can’t tell you what they had for breakfast because that never entered the memory bank. (I reassure my patients with age-associated memory impairment by asking whether they remember their breakfast. They do.)

Alzheimer’s is cognitively crippling. Losing the ability to form new memories freezes one in time. Those affected can’t make new friends or address new situations without fresh memories. Additionally, the disease progressively impairs other domains, including behavior and ultimately physical skills.

Fortunately, President Biden shows no signs of Alzheimer’s disease. At news conferences, he references new events and obviously creates new memories efficiently. He speaks slowly and pauses to find words like others with benign age-associated memory impairment. These issues are exacerbated by a chronic speech impediment. Biden has struggled with stuttering since childhood, and remnants of the condition have long been apparent in his speech.

Unfortunately, word hesitations coupled with the mild stutter can’t help but affect his public speaking. Biden’s political opponents and the uninformed exploit it, along with stereotypes about older people, to create a false narrative about intellectual impairment.

I take care of many high-functioning seniors like President Biden in my practice. One that I know, who is not a patient of mine, has been my family’s lawyer for five decades. Melvin Spears, at 96, recently responded to an emailed legal question with succinct and well-targeted advice, as he always has. When I spoke to him, he acknowledged some concessions to his age. He speaks more slowly, and transportation is a challenge because he’s stopped driving. (He considers Uber and Lyft “a hassle.”) Like Biden, Spears focuses on his work and lets others worry about his age if they choose.

Studies show that high-functioning seniors like Mel Spears and the president compensate for slower reaction time by applying superior knowledge and judgment. The presidency is not a job that requires lightning-quick reflexes. First-hand experience with the successes and failures of U.S. foreign policy over decades, for example, combined with time-tested judgment offers far more than speed in speech or decision-making.

Actuarial tables show that the 81-year-old president’s life expectancy extends nearly eight years, well beyond a second term. He gets excellent healthcare, has no major chronic illnesses, and at his recent physical at Walter Reed Military Medical Center, he was declared “healthy, active” and “fit for duty.” All that means that Biden is likely to beat the actuarial estimate. Given his overall health and the absence of current cognitive impairment, he would likely complete a second term with stable cognition.

All candidates for political office in the United States deserve to be evaluated on their accomplishments and capabilities rather than by their age. Seniors may be the last minority whose natural traits are singled out for ridicule and stereotyping. If the American people disagree with President Biden’s policies and prefer change, they should support his opponent. But in the absence of valid evidence of true cognitive impairment, their judgment should not be influenced by ageist social stereotypes. Biden and the American political process deserve better.

Daniel J. Stone is an internist and geriatrician in Beverly Hills.

March 7, 2024 by DANIEL J. STONE, an internist and geriatrician in Beverly Hills

As a geriatrician, I discuss the effects of aging with patients every day. I wish I had a chance to give my usual talk to everyone who chortles or tears their hair out about President Biden’s fitness for his job.

First, memory. I explain to patients that there are three components to consider. One is formation. Then storage. And, finally, recall. The most common issue among seniors is slow recall. This is the familiar “tip of the tongue” phenomenon, when a word seems to hide or a name won’t come to mind. You know the name, it’s in your bank of memories, it just can’t be accessed quickly. Given time, it usually arrives.

This problem, called age-associated memory impairment, often starts for people in their 30s and gradually progresses. It’s a nuisance but not disabling. If, like me, you find yourself using the term “whatchamacallit,” you probably have it. Don’t worry, you’ll be fine.

Alzheimer’s disease, the most common cause of dementia, is a different story. Those affected lose the ability to store new memories. They can still access old memories in their memory bank and may recount events that occurred decades ago. But they can’t tell you what they had for breakfast because that never entered the memory bank. (I reassure my patients with age-associated memory impairment by asking whether they remember their breakfast. They do.)

Alzheimer’s is cognitively crippling. Losing the ability to form new memories freezes one in time. Those affected can’t make new friends or address new situations without fresh memories. Additionally, the disease progressively impairs other domains, including behavior and ultimately physical skills.

Fortunately, President Biden shows no signs of Alzheimer’s disease. At news conferences, he references new events and obviously creates new memories efficiently. He speaks slowly and pauses to find words like others with benign age-associated memory impairment. These issues are exacerbated by a chronic speech impediment. Biden has struggled with stuttering since childhood, and remnants of the condition have long been apparent in his speech.

Unfortunately, word hesitations coupled with the mild stutter can’t help but affect his public speaking. Biden’s political opponents and the uninformed exploit it, along with stereotypes about older people, to create a false narrative about intellectual impairment.

I take care of many high-functioning seniors like President Biden in my practice. One that I know, who is not a patient of mine, has been my family’s lawyer for five decades. Melvin Spears, at 96, recently responded to an emailed legal question with succinct and well-targeted advice, as he always has. When I spoke to him, he acknowledged some concessions to his age. He speaks more slowly, and transportation is a challenge because he’s stopped driving. (He considers Uber and Lyft “a hassle.”) Like Biden, Spears focuses on his work and lets others worry about his age if they choose.

Studies show that high-functioning seniors like Mel Spears and the president compensate for slower reaction time by applying superior knowledge and judgment. The presidency is not a job that requires lightning-quick reflexes. First-hand experience with the successes and failures of U.S. foreign policy over decades, for example, combined with time-tested judgment offers far more than speed in speech or decision-making.

Actuarial tables show that the 81-year-old president’s life expectancy extends nearly eight years, well beyond a second term. He gets excellent healthcare, has no major chronic illnesses, and at his recent physical at Walter Reed Military Medical Center, he was declared “healthy, active” and “fit for duty.” All that means that Biden is likely to beat the actuarial estimate. Given his overall health and the absence of current cognitive impairment, he would likely complete a second term with stable cognition.

All candidates for political office in the United States deserve to be evaluated on their accomplishments and capabilities rather than by their age. Seniors may be the last minority whose natural traits are singled out for ridicule and stereotyping. If the American people disagree with President Biden’s policies and prefer change, they should support his opponent. But in the absence of valid evidence of true cognitive impairment, their judgment should not be influenced by ageist social stereotypes. Biden and the American political process deserve better.

Daniel J. Stone is an internist and geriatrician in Beverly Hills.

March 7, 2024 by DANIEL J. STONE, an internist and geriatrician in Beverly Hills

As a geriatrician, I discuss the effects of aging with patients every day. I wish I had a chance to give my usual talk to everyone who chortles or tears their hair out about President Biden’s fitness for his job.

First, memory. I explain to patients that there are three components to consider. One is formation. Then storage. And, finally, recall. The most common issue among seniors is slow recall. This is the familiar “tip of the tongue” phenomenon, when a word seems to hide or a name won’t come to mind. You know the name, it’s in your bank of memories, it just can’t be accessed quickly. Given time, it usually arrives.

This problem, called age-associated memory impairment, often starts for people in their 30s and gradually progresses. It’s a nuisance but not disabling. If, like me, you find yourself using the term “whatchamacallit,” you probably have it. Don’t worry, you’ll be fine.

Alzheimer’s disease, the most common cause of dementia, is a different story. Those affected lose the ability to store new memories. They can still access old memories in their memory bank and may recount events that occurred decades ago. But they can’t tell you what they had for breakfast because that never entered the memory bank. (I reassure my patients with age-associated memory impairment by asking whether they remember their breakfast. They do.)

Alzheimer’s is cognitively crippling. Losing the ability to form new memories freezes one in time. Those affected can’t make new friends or address new situations without fresh memories. Additionally, the disease progressively impairs other domains, including behavior and ultimately physical skills.

Fortunately, President Biden shows no signs of Alzheimer’s disease. At news conferences, he references new events and obviously creates new memories efficiently. He speaks slowly and pauses to find words like others with benign age-associated memory impairment. These issues are exacerbated by a chronic speech impediment. Biden has struggled with stuttering since childhood, and remnants of the condition have long been apparent in his speech.

Unfortunately, word hesitations coupled with the mild stutter can’t help but affect his public speaking. Biden’s political opponents and the uninformed exploit it, along with stereotypes about older people, to create a false narrative about intellectual impairment.

I take care of many high-functioning seniors like President Biden in my practice. One that I know, who is not a patient of mine, has been my family’s lawyer for five decades. Melvin Spears, at 96, recently responded to an emailed legal question with succinct and well-targeted advice, as he always has. When I spoke to him, he acknowledged some concessions to his age. He speaks more slowly, and transportation is a challenge because he’s stopped driving. (He considers Uber and Lyft “a hassle.”) Like Biden, Spears focuses on his work and lets others worry about his age if they choose.

Studies show that high-functioning seniors like Mel Spears and the president compensate for slower reaction time by applying superior knowledge and judgment. The presidency is not a job that requires lightning-quick reflexes. First-hand experience with the successes and failures of U.S. foreign policy over decades, for example, combined with time-tested judgment offers far more than speed in speech or decision-making.

Actuarial tables show that the 81-year-old president’s life expectancy extends nearly eight years, well beyond a second term. He gets excellent healthcare, has no major chronic illnesses, and at his recent physical at Walter Reed Military Medical Center, he was declared “healthy, active” and “fit for duty.” All that means that Biden is likely to beat the actuarial estimate. Given his overall health and the absence of current cognitive impairment, he would likely complete a second term with stable cognition.

All candidates for political office in the United States deserve to be evaluated on their accomplishments and capabilities rather than by their age. Seniors may be the last minority whose natural traits are singled out for ridicule and stereotyping. If the American people disagree with President Biden’s policies and prefer change, they should support his opponent. But in the absence of valid evidence of true cognitive impairment, their judgment should not be influenced by ageist social stereotypes. Biden and the American political process deserve better.

Daniel J. Stone is an internist and geriatrician in Beverly Hills.

March 7, 2024 by DANIEL J. STONE, an internist and geriatrician in Beverly Hills

As a geriatrician, I discuss the effects of aging with patients every day. I wish I had a chance to give my usual talk to everyone who chortles or tears their hair out about President Biden’s fitness for his job.

First, memory. I explain to patients that there are three components to consider. One is formation. Then storage. And, finally, recall. The most common issue among seniors is slow recall. This is the familiar “tip of the tongue” phenomenon, when a word seems to hide or a name won’t come to mind. You know the name, it’s in your bank of memories, it just can’t be accessed quickly. Given time, it usually arrives.

This problem, called age-associated memory impairment, often starts for people in their 30s and gradually progresses. It’s a nuisance but not disabling. If, like me, you find yourself using the term “whatchamacallit,” you probably have it. Don’t worry, you’ll be fine.

Alzheimer’s disease, the most common cause of dementia, is a different story. Those affected lose the ability to store new memories. They can still access old memories in their memory bank and may recount events that occurred decades ago. But they can’t tell you what they had for breakfast because that never entered the memory bank. (I reassure my patients with age-associated memory impairment by asking whether they remember their breakfast. They do.)

Alzheimer’s is cognitively crippling. Losing the ability to form new memories freezes one in time. Those affected can’t make new friends or address new situations without fresh memories. Additionally, the disease progressively impairs other domains, including behavior and ultimately physical skills.

Fortunately, President Biden shows no signs of Alzheimer’s disease. At news conferences, he references new events and obviously creates new memories efficiently. He speaks slowly and pauses to find words like others with benign age-associated memory impairment. These issues are exacerbated by a chronic speech impediment. Biden has struggled with stuttering since childhood, and remnants of the condition have long been apparent in his speech.

Unfortunately, word hesitations coupled with the mild stutter can’t help but affect his public speaking. Biden’s political opponents and the uninformed exploit it, along with stereotypes about older people, to create a false narrative about intellectual impairment.

I take care of many high-functioning seniors like President Biden in my practice. One that I know, who is not a patient of mine, has been my family’s lawyer for five decades. Melvin Spears, at 96, recently responded to an emailed legal question with succinct and well-targeted advice, as he always has. When I spoke to him, he acknowledged some concessions to his age. He speaks more slowly, and transportation is a challenge because he’s stopped driving. (He considers Uber and Lyft “a hassle.”) Like Biden, Spears focuses on his work and lets others worry about his age if they choose.

Studies show that high-functioning seniors like Mel Spears and the president compensate for slower reaction time by applying superior knowledge and judgment. The presidency is not a job that requires lightning-quick reflexes. First-hand experience with the successes and failures of U.S. foreign policy over decades, for example, combined with time-tested judgment offers far more than speed in speech or decision-making.

Actuarial tables show that the 81-year-old president’s life expectancy extends nearly eight years, well beyond a second term. He gets excellent healthcare, has no major chronic illnesses, and at his recent physical at Walter Reed Military Medical Center, he was declared “healthy, active” and “fit for duty.” All that means that Biden is likely to beat the actuarial estimate. Given his overall health and the absence of current cognitive impairment, he would likely complete a second term with stable cognition.

All candidates for political office in the United States deserve to be evaluated on their accomplishments and capabilities rather than by their age. Seniors may be the last minority whose natural traits are singled out for ridicule and stereotyping. If the American people disagree with President Biden’s policies and prefer change, they should support his opponent. But in the absence of valid evidence of true cognitive impairment, their judgment should not be influenced by ageist social stereotypes. Biden and the American political process deserve better.

Daniel J. Stone is an internist and geriatrician in Beverly Hills.

So we are to ignore the Hurr interview ? It is perfectly normal when asked a simple direct question that requires a short answer, for the President of the United States, to go off on a long rambling tangent about irrelevant things, and then never answer the question ?????????????????????????????????????

Biden was asked about where he stored documents when he lived at the Vice President's residence. I posted his answer on one of my topics. It made zero sense.

When this man is briefed on important issues by his experts and must make critical decisions, I hope his mental processes are better than when he spoke to Hurr.

March 7, 2024 by DANIEL J. STONE, an internist and geriatrician in Beverly Hills

As a geriatrician, I discuss the effects of aging with patients every day. I wish I had a chance to give my usual talk to everyone who chortles or tears their hair out about President Biden’s fitness for his job.

First, memory. I explain to patients that there are three components to consider. One is formation. Then storage. And, finally, recall. The most common issue among seniors is slow recall. This is the familiar “tip of the tongue” phenomenon, when a word seems to hide or a name won’t come to mind. You know the name, it’s in your bank of memories, it just can’t be accessed quickly. Given time, it usually arrives.

This problem, called age-associated memory impairment, often starts for people in their 30s and gradually progresses. It’s a nuisance but not disabling. If, like me, you find yourself using the term “whatchamacallit,” you probably have it. Don’t worry, you’ll be fine.

Alzheimer’s disease, the most common cause of dementia, is a different story. Those affected lose the ability to store new memories. They can still access old memories in their memory bank and may recount events that occurred decades ago. But they can’t tell you what they had for breakfast because that never entered the memory bank. (I reassure my patients with age-associated memory impairment by asking whether they remember their breakfast. They do.)

Alzheimer’s is cognitively crippling. Losing the ability to form new memories freezes one in time. Those affected can’t make new friends or address new situations without fresh memories. Additionally, the disease progressively impairs other domains, including behavior and ultimately physical skills.

Fortunately, President Biden shows no signs of Alzheimer’s disease. At news conferences, he references new events and obviously creates new memories efficiently. He speaks slowly and pauses to find words like others with benign age-associated memory impairment. These issues are exacerbated by a chronic speech impediment. Biden has struggled with stuttering since childhood, and remnants of the condition have long been apparent in his speech.

Unfortunately, word hesitations coupled with the mild stutter can’t help but affect his public speaking. Biden’s political opponents and the uninformed exploit it, along with stereotypes about older people, to create a false narrative about intellectual impairment.

I take care of many high-functioning seniors like President Biden in my practice. One that I know, who is not a patient of mine, has been my family’s lawyer for five decades. Melvin Spears, at 96, recently responded to an emailed legal question with succinct and well-targeted advice, as he always has. When I spoke to him, he acknowledged some concessions to his age. He speaks more slowly, and transportation is a challenge because he’s stopped driving. (He considers Uber and Lyft “a hassle.”) Like Biden, Spears focuses on his work and lets others worry about his age if they choose.

Studies show that high-functioning seniors like Mel Spears and the president compensate for slower reaction time by applying superior knowledge and judgment. The presidency is not a job that requires lightning-quick reflexes. First-hand experience with the successes and failures of U.S. foreign policy over decades, for example, combined with time-tested judgment offers far more than speed in speech or decision-making.

Actuarial tables show that the 81-year-old president’s life expectancy extends nearly eight years, well beyond a second term. He gets excellent healthcare, has no major chronic illnesses, and at his recent physical at Walter Reed Military Medical Center, he was declared “healthy, active” and “fit for duty.” All that means that Biden is likely to beat the actuarial estimate. Given his overall health and the absence of current cognitive impairment, he would likely complete a second term with stable cognition.

All candidates for political office in the United States deserve to be evaluated on their accomplishments and capabilities rather than by their age. Seniors may be the last minority whose natural traits are singled out for ridicule and stereotyping. If the American people disagree with President Biden’s policies and prefer change, they should support his opponent. But in the absence of valid evidence of true cognitive impairment, their judgment should not be influenced by ageist social stereotypes. Biden and the American political process deserve better.

Daniel J. Stone is an internist and geriatrician in Beverly Hills.

March 7, 2024 by DANIEL J. STONE, an internist and geriatrician in Beverly Hills

As a geriatrician, I discuss the effects of aging with patients every day. I wish I had a chance to give my usual talk to everyone who chortles or tears their hair out about President Biden’s fitness for his job.

First, memory. I explain to patients that there are three components to consider. One is formation. Then storage. And, finally, recall. The most common issue among seniors is slow recall. This is the familiar “tip of the tongue” phenomenon, when a word seems to hide or a name won’t come to mind. You know the name, it’s in your bank of memories, it just can’t be accessed quickly. Given time, it usually arrives.

This problem, called age-associated memory impairment, often starts for people in their 30s and gradually progresses. It’s a nuisance but not disabling. If, like me, you find yourself using the term “whatchamacallit,” you probably have it. Don’t worry, you’ll be fine.

Alzheimer’s disease, the most common cause of dementia, is a different story. Those affected lose the ability to store new memories. They can still access old memories in their memory bank and may recount events that occurred decades ago. But they can’t tell you what they had for breakfast because that never entered the memory bank. (I reassure my patients with age-associated memory impairment by asking whether they remember their breakfast. They do.)

Alzheimer’s is cognitively crippling. Losing the ability to form new memories freezes one in time. Those affected can’t make new friends or address new situations without fresh memories. Additionally, the disease progressively impairs other domains, including behavior and ultimately physical skills.

Fortunately, President Biden shows no signs of Alzheimer’s disease. At news conferences, he references new events and obviously creates new memories efficiently. He speaks slowly and pauses to find words like others with benign age-associated memory impairment. These issues are exacerbated by a chronic speech impediment. Biden has struggled with stuttering since childhood, and remnants of the condition have long been apparent in his speech.

Unfortunately, word hesitations coupled with the mild stutter can’t help but affect his public speaking. Biden’s political opponents and the uninformed exploit it, along with stereotypes about older people, to create a false narrative about intellectual impairment.

I take care of many high-functioning seniors like President Biden in my practice. One that I know, who is not a patient of mine, has been my family’s lawyer for five decades. Melvin Spears, at 96, recently responded to an emailed legal question with succinct and well-targeted advice, as he always has. When I spoke to him, he acknowledged some concessions to his age. He speaks more slowly, and transportation is a challenge because he’s stopped driving. (He considers Uber and Lyft “a hassle.”) Like Biden, Spears focuses on his work and lets others worry about his age if they choose.

Studies show that high-functioning seniors like Mel Spears and the president compensate for slower reaction time by applying superior knowledge and judgment. The presidency is not a job that requires lightning-quick reflexes. First-hand experience with the successes and failures of U.S. foreign policy over decades, for example, combined with time-tested judgment offers far more than speed in speech or decision-making.

Actuarial tables show that the 81-year-old president’s life expectancy extends nearly eight years, well beyond a second term. He gets excellent healthcare, has no major chronic illnesses, and at his recent physical at Walter Reed Military Medical Center, he was declared “healthy, active” and “fit for duty.” All that means that Biden is likely to beat the actuarial estimate. Given his overall health and the absence of current cognitive impairment, he would likely complete a second term with stable cognition.

All candidates for political office in the United States deserve to be evaluated on their accomplishments and capabilities rather than by their age. Seniors may be the last minority whose natural traits are singled out for ridicule and stereotyping. If the American people disagree with President Biden’s policies and prefer change, they should support his opponent. But in the absence of valid evidence of true cognitive impairment, their judgment should not be influenced by ageist social stereotypes. Biden and the American political process deserve better.

Daniel J. Stone is an internist and geriatrician in Beverly Hills.

You know, Slats, you can put new tires, and a paint job on an old car, and some 90 weight in the engine, sawdust in the transmission, and make it sound good till you get it sold.
But, the fact is that it has a bad engine, and transmission.
I'm guessing, but I would bet you folding money they have him amped up on amphetamines, or something for certain events. And, look at him walk!! He's a broken hip looking for a place to happen, for crying out loud!
And the stuttering thing....
I've seen videos of him from the earliest days of his career as a politician, and never seen him stutter. Not once. That political career has been his whole life long. Well, except for his football days in college when he couldn't be drafted because he had asthma.
But anyway, I have, and have had relatives older than good ole Puerto Rican, Jewish, Lunchbox Joe who exhibit none of his obvious mental issues.
Mrs. B. took her mother, who is 86 for her yearly at the doctor about 3 weeks ago, and they gave her a cognitive test as part of the check up. She passed with flying colors.
Why won't good ole truck driving Joe take one when he's 5 years younger than her?
I honestly don't understand how you can try to defend this when it's perfectly obvious that this guy is every bit as sharp as the blunt side of a bowling ball.

March 7, 2024 by DANIEL J. STONE, an internist and geriatrician in Beverly Hills

As a geriatrician, I discuss the effects of aging with patients every day. I wish I had a chance to give my usual talk to everyone who chortles or tears their hair out about President Biden’s fitness for his job.

First, memory. I explain to patients that there are three components to consider. One is formation. Then storage. And, finally, recall. The most common issue among seniors is slow recall. This is the familiar “tip of the tongue” phenomenon, when a word seems to hide or a name won’t come to mind. You know the name, it’s in your bank of memories, it just can’t be accessed quickly. Given time, it usually arrives.

This problem, called age-associated memory impairment, often starts for people in their 30s and gradually progresses. It’s a nuisance but not disabling. If, like me, you find yourself using the term “whatchamacallit,” you probably have it. Don’t worry, you’ll be fine.

Alzheimer’s disease, the most common cause of dementia, is a different story. Those affected lose the ability to store new memories. They can still access old memories in their memory bank and may recount events that occurred decades ago. But they can’t tell you what they had for breakfast because that never entered the memory bank. (I reassure my patients with age-associated memory impairment by asking whether they remember their breakfast. They do.)

Alzheimer’s is cognitively crippling. Losing the ability to form new memories freezes one in time. Those affected can’t make new friends or address new situations without fresh memories. Additionally, the disease progressively impairs other domains, including behavior and ultimately physical skills.

Fortunately, President Biden shows no signs of Alzheimer’s disease. At news conferences, he references new events and obviously creates new memories efficiently. He speaks slowly and pauses to find words like others with benign age-associated memory impairment. These issues are exacerbated by a chronic speech impediment. Biden has struggled with stuttering since childhood, and remnants of the condition have long been apparent in his speech.

Unfortunately, word hesitations coupled with the mild stutter can’t help but affect his public speaking. Biden’s political opponents and the uninformed exploit it, along with stereotypes about older people, to create a false narrative about intellectual impairment.

I take care of many high-functioning seniors like President Biden in my practice. One that I know, who is not a patient of mine, has been my family’s lawyer for five decades. Melvin Spears, at 96, recently responded to an emailed legal question with succinct and well-targeted advice, as he always has. When I spoke to him, he acknowledged some concessions to his age. He speaks more slowly, and transportation is a challenge because he’s stopped driving. (He considers Uber and Lyft “a hassle.”) Like Biden, Spears focuses on his work and lets others worry about his age if they choose.

Studies show that high-functioning seniors like Mel Spears and the president compensate for slower reaction time by applying superior knowledge and judgment. The presidency is not a job that requires lightning-quick reflexes. First-hand experience with the successes and failures of U.S. foreign policy over decades, for example, combined with time-tested judgment offers far more than speed in speech or decision-making.

Actuarial tables show that the 81-year-old president’s life expectancy extends nearly eight years, well beyond a second term. He gets excellent healthcare, has no major chronic illnesses, and at his recent physical at Walter Reed Military Medical Center, he was declared “healthy, active” and “fit for duty.” All that means that Biden is likely to beat the actuarial estimate. Given his overall health and the absence of current cognitive impairment, he would likely complete a second term with stable cognition.

All candidates for political office in the United States deserve to be evaluated on their accomplishments and capabilities rather than by their age. Seniors may be the last minority whose natural traits are singled out for ridicule and stereotyping. If the American people disagree with President Biden’s policies and prefer change, they should support his opponent. But in the absence of valid evidence of true cognitive impairment, their judgment should not be influenced by ageist social stereotypes. Biden and the American political process deserve better.

Daniel J. Stone is an internist and geriatrician in Beverly Hills.