President Trump’s April health report from White House physician Dr. Sean Barbabella declares him “fully fit” to serve, citing a perfect cognitive score, normal scans of his heart and organs, and generally robust physical health. It notes his height, weight, routine medications, a benign colon polyp, mild diverticulitis, and recent cataract surgery.

Trump himself emphasized nailing every question on a cognitive exam and highlighted the comprehensive nature of his medical checks. On the surface, these findings reinforce the image of an active, healthy near-79-year-old leader.

However, psychologist Dr. John Gartner and colleagues argue that video evidence of Trump’s current gait—marked by a slow, stumbling stair-climb and a “dead-weight” leg swing—could signal early frontotemporal dementia, contrasting sharply with footage of his once-agile volleyball play.

The debate underscores a tension between medical privacy and public accountability: supporters trust the official summary, while critics call for independent assessments or more detailed disclosures to fully vet a president’s fitness for office.