Orangina does not look well... [View all]

I’m not saying he’s dying, I’m not saying he’s had a stroke, I’m not saying he is doomed.

He looks like one of those people who would come to my practice, whom I hadn’t seen in a number of months and I’d walk in the room, begin with my usual “Howdy” or “Hiya” greeting, take one look and begin to ask questions.

There is no question that something has changed in his facial appearance -the musculature of the face is different, the eyes and associated structures and again , the skin and fascia and muscles are significantly altered from where they were a year ago.

I first noticed a change during the NY trial but it wasn’t clinically remarkable because you could chalk it up to pure stress of standing trial. But it has progressed and his speech in Detroit, aside from apparently evacuating his bowels in the middle, was eye-opening not only for the content, but for the delivery and his appearance.

I sincerely believe that he’s running out of “reserve”. In this case it may be both physiological and brain reserve. He looks like “Death warmed over”: if I were his physician, I would immediately order him to rest and perform a full panel of tests -something is significantly wrong here.

He may also be decompensating: I include the Wiki definition:

In medicine, decompensation is the functional deterioration of a structure or system that had been previously working with the help of compensation. Decompensation may occur due to fatigue, stress, illness, or old age. When a system is "compensated," it is able to function despite stressors or defects.

This happens often in individuals his age who have been treated for many years successfully with medicine or other modalities. It also occurs psychiatrically: people get by…until they snap to one degree or another.

They will absolutely cover up any malady he may exhibit, but I’m telling you, he’s not “the same”.