General Discussion

The monthly bruising on the right hand leads to one, almost certain conclusion. He's on blood thinners, and is getting a monthly IV treatment of some sort. What they could be can range from diuretics and vasodialaters to iron treatments and a myriad of other such treatments, depending on what exactly is going on. Combine this with his swollen ankles, and yes, something his going on with his heart. This would also explain his decreasing cognitive ability, which is obvious. With poor circulation your cognitive abilities go down, you suffer memory loss, lack of concentration and focus, among other things.

I 5hink they trotted out the CVI as a smokescreen for far more serious problems, and that handshaking excuse is just straight up laughable.

The man is not well, and be it CHF or something else, it has to do with his cardio and circulatory system. I think he's going to be lucky if he makes it to the 2026 elections, and after that, well, say hello to President Vance, which will be a special nightmare all its own.