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.