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Posts Tagged ‘Montreal Cognitive Assessment’

Today, President Trump gave an “interview” on Fox where he described how great his memory was because he claims he was able to pass a test used to determine if the patient being tested has early signs of dementia.  #LyingDonald said he “aced” the test which took over 30 minutes for him to take.  Trump stated the test was administered the last time he was at the hospital, “probably a year ago” and the test was administered by Dr. Ronny Jackson.
Trump’s “last” trip to the hospital (Walter Reed Hospital) was in November of 2019.  Not quite a year ago, but whatever…
Dr. “Ronny” Jackson was replaced by DO Sean Conley in March 2018 as the President’s personal physician.  Trump had nominated Jackson for appointment as the Secretary of the Veterans Affairs.  Jackson withdrew his nomination the following month after allegations of misconduct and concerns over his lack of management experience.
DO Conley released the report about the President’s “visit” to Walter Reed for a partial physical examination and Conley, not Jackson, was seen on video getting into the SUV with Trump going to the hospital.
From February 2019 through December 2019, Jackson served as “Chief Medical Advisor to the President”.  The position was created for him and ended when he left the “position” to run for Congress.  I have NOT been able to determine what are the job duties of the “Chief Medical Advisor” from a Google search.
I “guess” it is possible Dr. Jackson accompanied DO Conley (and the President) to Walter Reed and participated in the “examination”, but again, I have not found ANY previously published accounts of Dr. Jackson being present for the trip and I note there is no mention of his (Jackson’s) being present on Conley’s press release (below).

Visit to Walter Reed Hospital Press Release

So…
  • Does anyone believe Trump took a test which is meant to take about 10 minutes (15 minutes maximum) and that it lasted over 30 minutes?
  • Does anyone believe it was recommended, administered or reviewed by Dr. Jackson?
  • Does anyone believe the test was twelve months ago?
  • Does anyone believe Trump passed the test?
  • Does anyone believe Trump would remember any of it (the assessment or the circumstances) accurately now?
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On This Day In:
2019 Where Today’s Republican Party Is Failing America (And The President)
2018 Either / Or
2017 Redemptive Power
2016 On Calls To Renew Waterboarding / Torture
2015 Still Struggling
2014 How To Become A Saint
2013 Not Much Change
Our Biggest Fear
2012 Brain, n.
2011 Styles Of Leadership
2010 Face Front!

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The image below is one “sample” copy / version of the Montreal Cognitive Assessment (MOCA) “test” which President Trump claims his physicians recently asked him to take and which he claims they said he “Aced”.  The President also stated he felt the last five(5) questions were very difficult.  You be the judge…
Sample of MOCA-Test-English

MOCA-Test-English

Double-click on the image to see a larger version.
My opinion: if you find ANY part of this assessment difficult, you should not be President!
The assessment is meant to be a quick test of cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation.  The measure can be used for, but is not limited to patients with stroke, early dementia, Alzheimer’s or concussive injury.  Please note:  the above sample is the “quick” version.  I understand their is another more extensive version of approximately thirty(30) questions which takes about 10 to 15 minutes to complete.  The White House did not state which version the President took, but they have not specifically denied he took this “quick” version.
I’d like to know why multiple physicians felt it was necessary for this President to take this assessment, when he actually took the assessment, and what was his actual score.  Just asking…
Just a small addendum:  You’ll note the assessment sample (above) has a score of thirty(30) points maximum.  It is not clear to me if there is some confusion between the above “sample” test maximum score and the “extensive” version.  I did a quick Google for the extensive version and it seems the on-line versions are only available for health professionals (which I am not).  Other than the requirement to wait five(5) minutes before the word recall portion, it doesn’t seem to me this assessment would take 10 to 15 minutes to complete.  And I’m not the stable genius which President Trump claims to be.
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On This Day In:
2019 Historic Contact
All Good
2018 History Judges Incompetent Presidencies, Too
2017 Our Confident New President
2016 Ways
2015 Be Happy, Too
2014 At Least Smile
2013 Comfortably Bound
2012 Certainty
Thinking About Fathers
2011 And In Every Level Of Media

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