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Screening tools. and short of having any type of issue with a cognitive screening tool. i wouldn't recommend doing anything beyond that. >> are you saying, this is my ignorance. are we saying because of reagan, we had issues with reagan. and the issues about this president. cognitive testing, mental acute testing is not commonly part of an annual physical? >> i'm unaware of this ever being done before. as far as i know, no president has ever had a cognitive assessment as president of the united states. this is the very first time it has ever happened. if anyone is aware of it happening before,...

Acuity. and sarah said stay up there until those questions are answered. going forward, would you recommend presidents undergo that time of testing? >> i don't think so. i'm comfortable with the algorithms out there. most of them start with personal observation. and observation of the physician and the patient and the family and the patient. then they go to screening patients. and then they go to a screening tool like the one we used. if that's -- then they go to other times of more detailed testing. so i think there is a health y algorithm in place. in the future that should be between the pr...

Friday was a good day. it gave me a lot of -- it made me enthusiastic about being up here today. that's where we're going. >> [question inaudible] >> one more question about montreal exam. they're good but they're not sensitive to someone high functions. they're not good at finding early stages of dementia. if the president is worried about it, would you recommend more sophisticated exams? >> yeah, if he's worried about it but he's not. i think they're specific at finding, you know, subtle cognitive changes. everything i've read about them, you know, they will tell you, the psychiatrists and p...

Any other cognitive testing. it's a screening tool. if you do well on it. anything above 26 is normal. if you do -- certainly if you get a 30 out of 30, you can confidently assume that you're done on the cognitive workup for now. >> do you have any concerns that the president is on twitter? >> i don't have any concern on that. >> thank you drshgs jackson. >> the president is the first nonsmoker to sit in the oval office since jimmy carter. can you say that that has extended his life in any way? makes him unusually healthy for his age? >> in my opinion, it's had a big impact, especially the smo...

Can you assess his mental fitness for office? >> absolutely. so many of you pay have picked up on the fact that we did do a cognitive assessment. initially i had no intention of entering the cognitive exam. per all the guidelines out there, it's not indicated at this time. a lot of the guidelines would suggest you do cognitive screening questions. if you have a positive or concerning answer, then you engage with a cognitive screening tool. so i had no intention to do that like i said because i didn't feel it was clinically indicated. part of the reason i didn't think it was indicated is i've s...