President declared fit after physical exam
— President Biden on Wednesday was declared “fit for duty” by his longtime doctor, who said that the president had undergone an “extremely detailed” neurological exam that did not turn up evidence of stroke, neurological disorders, or Parkinson’s disease.
In a summary of Biden’s third presidential physical at Walter Reed National Military Medical Center, Dr. Kevin O’Connor did not say whether the examination contained common tests for assessing cognitive decline or detecting signs of dementia that are often recommended for older adults.
O’Connor said that a team of doctors, including a neurologist, two orthopedists, and a physical therapist, examined the president, whom O’Connor described as an “active 81-year-old white male.” Earlier in the day, Karine Jean-Pierre, the White House press secretary, declined to give specifics about the tests Biden had undergone but said that the president “doesn’t need” a cognitive exam.
Biden, the oldest president in the country’s history, is facing widespread concerns over his age as he campaigns for a second term. Earlier this month, he was described in a special counsel report as a “well-meaning, elderly man with a poor memory” — a characterization the president vehemently opposed.
On Wednesday, Biden answered questions about the results of his exam with a joke.
“They think I look too young,” he told reporters during a roundtable with law enforcement officials at the White House.
The summary released by O’Connor reflected a lengthy and detailed examination. But the president, his advisers and a team of 20 physicians ultimately declined to provide detailed information about Biden’s cognitive abilities. Doctors use their discretion in providing assessment tests, and not all doctors perform them. Physicians often use conversations with patients as a screening device.
“For the physician who interacts with a patient on a regular basis, it is perfectly valid for the physician to say, ‘I can assess the mental status on a daily basis,’” Dr. Thomas Wisniewski, director of the Center for Cognitive Neurology at NYU Langone Health, said in a telephone interview. “But not if they see each other once a year.”