In May, Dr. Henry Abraham and about 30 colleagues published a letter saying medical professionals have a duty to warn the public about what they are observing in the president of the United States. Five months later, Grant brought him back to ask one question: has anything changed? The answer is no, it's getting worse. Everything they warned about has been consensually validated by new examples. This is not a diagnosis. Dr. Abraham is explicit about that throughout. These are clinical observations based on thousands of hours of publicly observable behavior from the most recorded person in human history. The observations that have continued to accumulate since May: Trump asked "Where is Marco Rubio?" while Rubio was sitting next to him. He told the same story about Jon Ossoff twice in 15 minutes without remembering he'd told it. He wandered disoriented at a ceremony with the Japanese Prime Minister. He had to be physically guided to the microphone by President Erdogan in Turkey after a 10-hour night flight. He got distracted signing the Greenland agreement when a blonde woman approached him and forgot what he was doing. He wandered out of the room instead of letting Xi exit first during their meeting today. Dr. Abraham's assessment: worsening short-term memory consistent with early dementia, impoverishment of speech, polysyllabic vocabulary replaced almost entirely by monosyllables, inappropriate affect, and an increasing inability to modulate the rage response that has always been part of his pathology. Then, Dr. Abraham's explains Trump's history of violence. The president's love of it, his lack of understanding of what a nuclear weapon actually does, who he'll become when he is backed into a corner by an expected election loss, and his lack of prefrontal cortex function to recognize the consequences of his actions before he takes them, is a genuinely dangerous situation, and why he's offering a gentleman's bet that whatever Trump does after a midterm loss "won't be constitutional, won't be thought out, and will create a terrible crisis in the country." Dr. Henry Abraham's Stuff For Public Consumption Substack Join the SaySo News App! SaySo is a brand new news app built for people who actually want to be informed, not just keep scrolling. No outrage-chasing algorithm, no AI slop, just vetted creators delivering fact-driven coverage you can get through in a few minutes a day. I'm one of the early creators on the platform, posting there alongside others I trust. Check it out and download SaySo This episode is sponsored by Cozy Earth. Fall is almost here, but summer isn't done with us yet. Cozy Earth's bamboo sheets are temperature-regulating, so you're covered whether it's cozy sweater weather or 79 degrees at midnight for no reason. Use code MIMS25 at CozyEarth.com for 21% off and when you use that code, you're supporting the show. CHAPTERS: 0:00 Why Grant brought Dr. Abraham back: the president's behavior has been escalating and it's time for an update 4:42 Meet Dr. Henry Abraham: 30 years at MGH and Harvard Medical, former Tufts substance abuse director, psychiatrist 5:01 The update: has anything de-escalated since May? The answer is no. 5:45 Consensual validation explained: why seeing the same symptoms again and again is scientifically meaningful 7:00 "Where is Marco?" — Rubio was sitting next to him. What that specific moment tells a psychiatrist. 8:30 The Ossoff story told twice in 15 minutes: short-term memory loss vs. narcissism 10:32 The "weave" defense — and why the clinical evidence goes beyond explaining it away 11:00 Three strikes of disorientation: Japan, Turkey, Greenland — and strike four with Xi today 14:42 Impoverishment of speech: from polysyllabic sentences to "disgrace," "pig," "loser," "sad" 18:00 The White House called Dr. Abraham a "Trump-deranged loser." He explains why he considers it an honor. 21:00 The party test: how dementia affects impulse control and why Trump can't resist the contagion of a crowd 25:00 The Iran war as a neurological event: impulsivity, poor judgment, and no prefrontal guardrail 25:00 The Iran war as a neurological event: impulsivity, poor judgment, and no prefrontal guardrail 31:35 The institutions he's damaged: CDC, measles epidemic, things that can't simply be rebuilt 32:30 What actually drives him: not control, but wealth, adulation, and praise — with no guardrails 35:07 The serial killer patient and the two brain regions: prefrontal cortex vs. temporal cortex 37:00 Trump's love of violence: Bloodsport, WWF, and what that means when he has the nuclear codes 39:00 "He doesn't understand what a nuclear weapon actually does" — Dr. Abraham explains what Trump thinks it is 40:36 The ketchup thrower, the January 6th throttle, and why the rage is getting worsE 41:21 The gentleman's bet: "He will do something. It won't be constitutional. It will create a terrible crisis." Support the show Follow along on social media SaySo: @GrantHermes X: @GrantHermes Insta: @Grant__Hermes Tiktok: Grant_Hermes