Health
After Biden’s 'terrible' debate, health experts warn of denial dangers, call for investigation of symptoms
Amid the ongoing fallout from Joe Biden’s lackluster debate performance on June 27, experts continue to react to potential signs of cognitive decline in the 46th president, with the president himself acknowledging on Monday morning, July 8, that he had a “terrible night” and “really regrets” that it happened.
Judy Gaman, CEO of Executive Medicine of Texas — a luxury medical services provider in Southlake — told Fox News Digital over the weekend that Biden’s behaviors highlight a very real health crisis in the U.S.
“As a country, we need to be talking about the realities of this health crisis — the fact that families are often torn apart by denial,” she said.
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While Biden has not been diagnosed with dementia, Gaman said she sees many of the same signs she experienced with her own mother, who suffered from Alzheimer’s disease before her death.
“The person with dementia or Alzheimer’s truly believes they are fine, and can be angered by anyone believing they are not,” Gaman said. (She has not examined or treated Biden.)
President Biden is shown on stage during a campaign rally at Girard College on May 29, 2024, in Philadelphia. Amid the ongoing fallout from Biden’s lackluster debate performance on June 27, experts continue to react to potential signs of cognitive decline in the 46th president. (Getty Images)
Fox News Digital reached out to both the White House and the Biden campaign but did not receive a response.
Red flags
Based on his speech and behaviors, Gaman said she believes Biden “certainly” shows signs of a neurological deficit, with Alzheimer’s being a possibility.
“He stares, loses his thoughts and is rumored to get angry quite easily,” she said. “Watching him is like watching my own mother who had Alzheimer’s,” she added.
“As a country, we need to be talking about the realities of this health crisis — the fact that families are often torn apart by denial.”
Almost all early Alzheimer’s patients rely on notes to help them remember, Gaman pointed out.
“As the disease progresses, they require visual aids and instructions to help them complete even the simplest tasks and to remember dates and events.”
Based on his speech and behaviors, Gaman of Executive Medicine in Texas told Fox News Digital she believes Biden shows signs of a neurological deficit. She has not examined the president. Biden is shown here during the June 27 debate with former President Trump. (Getty Images)
Given Biden’s shuffling feet and lack of arm movement when he walks, Gaman said that Parkinson’s disease could be another possibility.
“If you notice, he also leans forward, which is classic,” she said. “Slowed movement, also known as bradykinesia, is another classic sign. We have all noticed how he looks to be in slow motion.”
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Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, said it is more likely that Biden has vascular dementia, which is the second most common type of dementia after Alzheimer’s.
“His gait is not consistent with Parkinson’s disease,” Siegel, who has not treated Biden, told Fox News Digital.
“He was visited by a Parkinson’s expert in January 2024, but the subsequent White House physical said he didn’t have it.”
“I think what he has is much more consistent with vascular dementia.”
Siegel also said he believes Biden is not showing signs of advancing Alzheimer’s, which would generally involve worsening behavioral issues, delusions and hallucinations.
“I don’t believe this is Alzheimer’s,” the doctor added. “I think what he has is much more consistent with vascular dementia (insufficient blood flow to areas of the brain) from his long-term atrial fibrillation and a result of his brain aneurysm repairs in 1988 and brain bleed at that time.”
One physician called for an MRI to determine whether Biden has vascular dementia, which is when impaired blood flow to the brain causes problems with memory, reasoning, judgment and other thought processes. (iStock)
Vascular dementia is when impaired blood flow to the brain causes problems with memory, reasoning, judgment and other thought processes, according to Mayo Clinic’s website.
It is often caused by strokes, but can also stem from other medical conditions that affect the blood vessels in the brain.
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Most of the cognitive tests — such as the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment — are designed to assess mild cognitive impairment, according to Siegel.
“Biden appears to be far past that,” he said. “I was calling for that from 2020 to 2023.”
Added Siegel, “He needs an MRI now most of all. We should ask for an MRI.”
The dangers of denial
Regarding the Biden family’s apparent failure to seek help for the president, Gaman said that in her view, she feels there are only three explanations.
“Either they are in denial and have watched this take place over a period of time, so they are less sensitive to the contrast, or they are fully aware but can’t bear the thought of what happens to the family (on many levels) if Joe is no longer president,” she said.
President Biden listens as first lady Jill Biden speaks at a post-debate campaign rally on June 28, 2024, in Raleigh, North Carolina. (Getty Images)
Or, Gaman added, it could be that they are actually grieving and want to hold onto the hope that he will somehow get better.
“Denial is a stage of grief,” she said. “This is worsened by the fact that they’re surrounded by people pressuring them not to let their opponent win.”
“This is a medical situation, though, of course, it has enormous political implications.”
As far as Biden himself, Siegel said, “He does appear to be in denial. This is very common with dementia or cognitive impairment, as is depression, as those around you start to treat you differently.”
Another possibility, according to Gaman, is that “he probably doesn’t know he has an issue, or he excuses his symptoms. He may not be knowingly covering it up.”
“He stares, loses his thoughts and is rumored to get angry quite easily,” an expert said. “Watching him is like watching my own mother who had Alzheimer’s.” (Saul Loeb/AFP)
“This is why family members of those affected must be advocates, protecting them from themselves.”
She went on, “Ask any family who has dealt with Alzheimer’s, dementia or Parkinson’s, and they will tell you that what we are seeing play out [here] is classic with most families who face this.”
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“His story just happens to be playing out on the big stage. Remember, everyone rallying around Biden and covering up the truth has something personal to gain by him continuing to hold office.”
If Biden is experiencing cognitive decline, failure to get him the medical attention he needs could be putting his health in danger, according to Gaman.
“As a physician, I feel compassion for the president,” Dr. Marc Siegel said. “I have learned to feel empathy for anyone who is ill. This is a medical situation, though, of course, it has enormous political implications.” (Fox News)
“While there are certainly no cures for Alzheimer’s or Parkinsons, these conditions are often accelerated by stress and lack of sleep,” she told Fox News Digital.
“From Joe’s health standpoint, this is like pouring gasoline on a fire. From the standpoint of the country, we need to address this as a health crisis and not a political crisis.”
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Gaman also noted that if Biden does have one of these conditions, he will not ask for help.
“This is a prime opportunity to increase funding for research, raise awareness and encourage others dealing with this to come out of denial.”
Siegel added that he is also concerned about the possibility of depression, which could make dementia worse.
“As a physician, I feel compassion for the president,” he said. “I have learned to feel empathy for anyone who is ill. This is a medical situation, though, of course, it has enormous political implications.”
If Biden does have a neurodegenerative condition, Siegel said, the symptoms may wax and wane, but “do not generally get better.”
He added, “He will likely get worse, especially under all this stress and scrutiny.”
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A study from Sweden’s Uppsala University discovered a link between microplastics and multiple sclerosis (MS).
The research, published in the journal Environmental International, discovered that exposure to two common environmental contaminants, PFAS and PCBs, could increase the risk of the autoimmune disease.
PFAS, or per- and polyfluoroalkyl substances, known as “forever chemicals,” are used in some common household products, such as non-stick cookware, textiles and cleaning products. They have also been found in drinking water throughout the U.S., according to the U.S. Environmental Protection Agency.
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PCBs, or polychlorinated biphenyls, are toxic industrial chemicals once widely used in electrical equipment before being banned decades ago, as stated by the National Institute of Environmental Health Sciences.
The new study findings were based on blood samples of 1,800 Swedish individuals, including about 900 who had recently been diagnosed with MS, according to a university press release.
PFAS, or per- and polyfluoroalkyl substances, known as “forever chemicals,” are used in some common household products, including non-stick cookware. (iStock)
The first phase of the trial studied 14 different PFAS contaminants and three substances that appear when PCBs are broken down in the body. These were then investigated for a link to the odds of diagnosis.
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“We saw that several individual substances, such as PFOS and two hydroxylated PCBs, were linked to increased odds for MS,” lead study author Kim Kultima said in a statement. “People with the highest concentrations of PFOS and PCBs had approximately twice the odds of being diagnosed with MS, compared to those with the lowest concentrations.”
The researchers then examined the combined effects of these substances and found that the mixture was also linked to increased risk.
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Fellow researcher Aina Vaivade noted that risk assessments should consider chemical mixtures, not just individual exposures, because people are typically exposed to multiple substances at the same time.
“We saw that several individual substances, such as PFOS and two hydroxylated PCBs, were linked to increased odds for MS,” the lead study author said. (iStock)
The final phase of the study investigated the relationship between inheritance, chemical exposure and the odds of MS diagnosis, revealing that those who carry a certain gene variant actually have a reduced MS risk.
However, individuals who carried the gene and had higher exposure to PFOS — a singular type of chemical in the PFAS family — had an “unexpected” increased risk of MS.
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“This indicates that there is a complex interaction between inheritance and environmental exposure linked to the odds of MS,” Kultima said.
“We therefore think it is important to understand how environmental contaminants interact with hereditary factors, as this can provide new knowledge about the genesis of MS and could also be relevant for other diseases.”
Multiple sclerosis is a disease that leads to the breakdown of the protective covering of the nerves, according to Mayo Clinic. (iStock)
Fox News senior medical analyst Dr. Marc Siegel commented on these findings in an interview with Fox News Digital.
“MS is a complex disease that is somewhat autoimmune and somewhat post-inflammatory,” said Siegel, who was not involved in the study. “Epstein-Barr virus infection greatly increases the risk of MS.”
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“There is every reason to believe that environmental triggers play a role, including microplastics, and this important study shows a correlation, but not causation — in other words, it doesn’t prove that the microplastics caused MS.”
The study had some limitations, the researchers acknowledged, including that the chemical exposure was measured only once, at the time of blood sampling. This means it may not accurately represent participants’ long-term or past exposure levels relevant to MS development.
“There is every reason to believe that environmental triggers play a role.”
Fox News Digital reached out to several industry groups and manufacturers requesting comment on the potential link between PFAS chemicals and multiple sclerosis.
Several have issued public statements, including the American Chemistry Council, which states on its website that “manufacturers and many users of today’s PFAS are implementing a variety of practices and technologies to help minimize environmental emissions.”
In April 2024, the EPA enacted a new federal rule that sets mandatory limits on certain PFAS chemicals in drinking water, aiming to reduce exposure. The agency also aims to fund testing and treatment efforts.
A woman working out outdoors takes a sip of water from a plastic bottle. (iStock)
Multiple sclerosis is a disease that leads to the breakdown of the protective coverings that surround nerve fibers, according to Mayo Clinic.
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The immune system’s attack on these nerve sheaths can cause numbness, weakness, trouble walking and moving, vision changes and other symptoms, and can lead to permanent damage.
There is currently no cure for MS, Mayo Clinic reports, but treatment is available to manage symptoms and modify the course of the disease.
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Sitting next to a window may help people with type 2 diabetes control their insulin levels, according to new research.
The study, published in Cell Metabolism, found that exposure to natural light — even indoors next to a window — changes how the body processes glucose and uses energy.
People in Western societies spend 80% to 90% of their time under artificial lights, which are much dimmer and less dynamic than sunlight, the researchers noted. Natural daylight is a powerful cue for the body’s internal clock, also known as the circadian rhythm.
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The body’s internal clock influences many processes, including digestion, hormone release and metabolism, according to research. When it gets out of sync, it can worsen insulin resistance and blood sugar control, which are two of the main issues caused by type 2 diabetes.
Typical lighting in homes and offices is much dimmer and lacks the biological signals provided by natural daylight. (iStock)
To test the effects of daylight on blood sugar, scientists recruited 13 adults with type 2 diabetes. Each person spent two separate 4.5-day periods in a controlled office setting, according to a press release.
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In one period, they worked in front of large windows with natural daylight streaming in. In the other period, participants worked in the same room with the windows covered and were exposed only to typical indoor lighting.
Daylight isn’t a replacement for medication or traditional management strategies like diet and exercise, the researchers noted.
Everyone ate similar meals, followed the same schedule and continued their usual diabetes medications in both conditions.
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While average blood sugar levels didn’t differ drastically between the two conditions, people spent more time in the healthy glucose range when they were exposed to natural daylight — their blood sugar fluctuated less and stayed within a desirable range for a greater portion of the day.
Participants who were exposed to daylight burned more fat and fewer carbohydrates, a metabolic pattern linked to better blood sugar regulation. (iStock)
Exposure to natural light also affected metabolism. In daylight, participants burned more fat and fewer carbohydrates for energy.
Muscle biopsies and laboratory tests further showed that the genes responsible for the body’s cellular clocks were more synchronized under natural light conditions, the study revealed.
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Better alignment of these genes can improve nutrient processing and how cells respond to insulin, the researchers concluded.
Sitting near windows or spending more time outdoors could support diabetes management alongside standard treatments, researchers say. (iStock)
However, daylight isn’t a replacement for medication or traditional management strategies like diet and exercise, according to the team.
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The study did have some limitations, including that the group of patients was small. The researchers cautioned that larger studies are needed to confirm these results and determine how much natural light exposure is optimal.
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“This study also highlights the often unnoticed impact of the built environment on our health, and raises further concerns about the prevalence of office environments with poor (natural) daylight access,” the researchers noted.
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