White House doctor: Trump in ‘excellent health’

US President Donald Trump shakes hands with White House Physician Rear Admiral Dr. Ronny Jackson, following his annual physical at Walter Reed National Military Medical Center in Bethesda, Maryland, on Friday. (AFP)
Updated 13 January 2018
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White House doctor: Trump in ‘excellent health’

WASHINGTON: President Donald Trump’s White House physician declared him in “excellent health” after the president received his first medical checkup at Walter Reed military hospital on Friday, undergoing a physical examination amid suggestions in a recent book and by his detractors that he’s mentally unfit.
Dr. Ronny Jackson, in a statement released by the White House, said the examination “went exceptionally well. The President is in excellent health and I look forward to briefing some of the details on Tuesday.” Trump spent about three hours at the medical facility in Bethesda, Maryland, outside Washington, for the Friday afternoon checkup, his first as president, before departing for Florida for the weekend.
The fairly routine exam for previous presidents has taken on outsized importance in the age of Trump, given the tone of some of his tweets, comments attributed to some of his close advisers and Trump’s recent slurring of words on national TV.
Some of the comments were published in a new book about Trump’s first year, “Fire and Fury: Inside the Trump White House” by Michael Wolff, which White House press secretary Sarah Huckabee Sanders has denounced as “complete fantasy” for portraying her 71-year-old boss as undisciplined and in over his head as president.
Trump himself has pushed back hard against any suggestion that he’s mentally unfit, declaring himself “a very stable genius.” He told reporters on Thursday that he expected the exam “to go very well. I’ll be very surprised if it doesn’t.”
The examination lasted several hours and measured things like Trump’s blood pressure, cholesterol, blood sugar, heart rate and weight. The White House did not provide specific results of those tests. Jackson, who also provided care for President Barack Obama and became a White House physician in 2006, is expected to provide a detailed readout of the exam on Tuesday and answer questions from reporters.
But conclusions about Trump’s mental acuity were not expected. The White House said Trump would not undergo a psychiatric exam. Officials did not address a different type of screening: assessments of cognitive status that examine neurologic functions including memory. Cognitive assessments aren’t routine in standard physicals, though they recently became covered in Medicare’s annual wellness visits for seniors.
While the exams are not mandatory, modern presidents typically undergo them regularly and release a doctor’s report declaring they are “fit for duty.”
Two months before the November 2016 election, Trump released a five-paragraph letter from his longtime physician, Dr. Harold Bornstein, who concluded that Trump “is in excellent physical health.” A year earlier, Bornstein said in a December 2015 letter: “If elected, Mr. Trump, I can state unequivocally, will be the healthiest individual ever elected to the presidency.”
The 2016 letter put Trump’s blood pressure and cholesterol measurements in the healthy range, though he uses a cholesterol-lowering statin medication. His EKG, chest X-ray, echocardiogram and blood sugar were normal.
The 6-foot-3 Trump weighed 236 pounds (107 kilograms), and his body mass index, or BMI, of 29.5 put him in the category of being overweight for his height.
Trump takes Crestor for his cholesterol, a low-dose aspirin for heart attack prevention, Propecia to treat male-pattern baldness and antibiotics for rosacea. The doctor’s 2016 letter stated that Trump’s testosterone level, 441.6, was in the normal range, as were his PSA reading for prostate abnormalities and tests of his liver and thyroid.
Trump was 70 when he took office on Jan. 20, 2017, making him the oldest person ever elected to the nation’s highest office.
How much of Trump’s health information is released to the public is up to the president, but Sanders said she expects the White House to release the same kind of details past presidents have made public.
Obama’s three medical reports included sections on vital statistics; physical exam by system, such as eyes, pulmonary and gastrointestinal; lab results; his past medical and surgical history; his social history; and medications, among others.
Trump has said he gets most of his exercise playing golf. The American Heart Association has said the best types of exercise increase the heart rate and make a person breathe heavily, but that activities like golf don’t provide as much cardiovascular benefit since they don’t require much extra effort. The association suggests players walk the golf course instead of renting a golf cart. Trump drives a cart from hole to hole.
Obama played basketball, lifted weights, worked out on an elliptical machine or treadmill and played golf. George W. Bush traded running for mountain biking to preserve his knees. Bill Clinton was a runner who installed a jogging track at the White House. He also played golf and indulged in Big Macs.
Trump likes fast food, too, along with well-done steaks, chocolate cake and double scoops of vanilla ice cream. He reportedly downs 12 Diet Cokes a day. In their recent book, “Let Trump Be Trump,” former top campaign aides Corey Lewandowski and David Bossie described the four major food groups on Trump’s campaign plane as “McDonald’s, Kentucky Fried Chicken, pizza and Diet Coke.”
 


South Sudan foes in new peace talks to end deadly war

Updated 25 June 2018
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South Sudan foes in new peace talks to end deadly war

  • A first round brokered by Ethiopian premier Abiy Ahmed in Addis Ababa on Thursday failed to achieve any breakthrough
  • The war has killed tens of thousands of people and driven about four million others from their homes

KHARTOUM: South Sudanese President Salva Kiir and arch-foe Riek Machar were set to hold a new round of peace talks Monday after a first meeting last week faltered.
Sudanese President Omar Al-Bashir is hosting in Khartoum the second round of talks between the two bitter rivals, aimed at ending South Sudan’s four-and-a-half year brutal civil war.
A first round brokered by Ethiopian premier Abiy Ahmed in Addis Ababa on Thursday failed to achieve any breakthrough.
Regional East African leaders have launched new efforts to secure peace in South Sudan where warring factions face a looming deadline to avert UN sanctions.
The war has killed tens of thousands of people and driven about four million others from their homes.
It erupted after Kiir fell out with his then deputy Machar in December 2013, dashing the optimism that accompanied independence of South Sudan just two years earlier from Sudan.
“In this round of talks we are looking for a breakthrough to this thorny issue,” Sudanese Foreign Minister Al-Dierdiry Ahmed told reporters on Sunday.
Kiir and Machar’s meeting in Addis Ababa was their first face-to-face encounter in nearly two years.
Their meeting in Khartoum will be the first since fighting erupted in South Sudan.
It comes after South Sudan’s government declared that it “had enough” of Machar, dashing hopes of any breakthrough at the Addis Ababa talks.
“As the people of South Sudan, not the president alone, but as the people of South Sudan, we are saying enough is enough,” South Sudanese government spokesman Michael Makuei said Friday.
Makuei rejected Machar’s presence in any transitional government but did not rule out the involvement of other rebel figures.
His remarks show the personal enmity between Kiir and Machar, that lies at the heart of the conflict, is as strong as ever.
Before the start of talks in Ethiopia, Machar’s SPLM-IO rebel group had also dismissed the latest peace efforts as “unrealistic.”
South Sudan descended into civil war after Kiir accused Machar of plotting a coup against him, sparking violence between the two factions that was fueled by brooding ethnic tensions.
Since a 2015 peace deal collapsed in July 2016 with Machar fleeing to South Africa, Kiir’s government has gained the upper hand militarily as the opposition has splintered into a myriad of factions.
Initially largely fought out between South Sudan’s two largest ethnic groups — Kiir’s Dinka and Machar’s Nuer — smaller groups have since spawned their own militias raising question marks about the ability of either leader to halt the war.
In May, the UN Security Council gave the two warring sides a month to reach a peace deal or face sanctions.
A landlocked state with a large ethnic mix, South Sudan gained independence from Sudan in 2011 after a long and brutal war.