Dr. Pierce teeters on the edge of making a diagnosis, but his remarks "Bush should immediately be given the advantage of a considered professional diagnosis,..." suggest that he means to offer a professional opinion, rather than a diagnosis.

Elliot

On 08 Sep 2004, at 12:53, John Ellingsworth wrote:

It seems terribly unprofessional for a doctor to make a diagnosis through
a letter to the editor, even with the disclaimer of accountability.


A more plausible theory is that Carl Rove said "George, THINK BEFORE YOU
SPEAK!"


[
http://news.google.com/news?hl=en&lr=&ie=UTF -8&tab=wn&scoring=d&q=%22carl+rove%22&btnG=Search+News
]


On Wed, 8 Sep 2004, Suzanne Minnis wrote:

These letters were in the current (October) issue of the Atlantic.
sue

When George Meets John

ames Fallows's description of John Kerry's debating skills ("When George Meets John," July/August Atlantic) was interesting, but what was most remarkable was Fallows's documentation of President Bush's mostly overlooked changes over the past decade-specifically, "the striking decline in his sentence-by-sentence speaking skills." Fallows points to "speculations that there must be some organic basis for the President's peculiar mode of speech-a learning disability, a reading problem, dyslexia or some other disorder," but correctly concludes, "The main problem with these theories is that through his forties Bush was perfectly articulate."

I, too, felt that something organic was wrong with President Bush, most probably dyslexia. But I was unaware of what Fallows pointed out so clearly: that Bush's problems have been developing slowly, and that just a decade ago he was an articulate debater, "artful indeed in steering questions and challenges to his desired subjects," who "did not pause before forcing out big words, as he so often does now, or invent mangled new ones." Consider, in contrast, the present: "the informal Q&As he has tried to avoid," "Bush's recent faltering performances," "his unfortunate puzzled-chimp expression when trying to answer questions," "his stalling, defensive pose when put on the spot," "speaking more slowly and less gracefully."

Not being a professional medical researcher and clinician, Fallows cannot be faulted for not putting two and two together. But he was 100 percent correct in suggesting that Bush's problem cannot be "a learning disability, a reading problem, [or] dyslexia," because patients with those problems have always had them. Slowly developing cognitive deficits, as demonstrated so clearly by the President, can represent only one diagnosis, and that is "presenile dementia"! Presenile dementia is best described to nonmedical persons as a fairly typical Alzheimer's situation that develops significantly earlier in life, well before what is usually considered old age. It runs about the same course as typical senile dementias, such as classical Alzheimer's-to incapacitation and, eventually, death, as with President Ronald Reagan, but at a relatively earlier age. President Bush's "mangled" words are a demonstration of what physicians call "confabulation," and are almost specific to the dia!
gnosis of a true dementia. Bush should immediately be given the advantage of a considered professional diagnosis, and started on drugs that offer the possibility of retarding the slow but inexorable course of the disease.

Joseph M. Price, M.D. Carsonville, Mich.

he whole of James Fallows's article on Bush and Kerry's debate styles was interesting, but one comment jumped out at me: "[Bush] has rarely been interested in the details of any policy matter, believing that he 'has people' who can master the subject for him." What further proof is needed that Bush's policy decisions are based on whatever his "people" choose to tell him? Naturally they will tell him whatever (and only whatever) supports their own agendas.

Although, as Mary Beth Rogers says in the Fallows article, his "ability to stick to his message and repeat it" might be "remarkable," it implies to me that he doesn't know enough to answer questions that go beyond the text he has been given by his "people." I suspect that his "widely noted lack of eloquence" is due to his understandable insecurity. If the ideas he is expressing are not his ideas, based on his own knowledge and decision-making, then he can only repeat by rote what he has rehearsed.

Bush's lack of interest in details gives unprecedented power to his advisers (read "puppeteers")-in this case the extremists of the military/industrial/religious-right coalition who are currently running the White House, the country, and, if they have their way, the world. We need an independent thinker in the Oval Office.

Anne Carpenter
Fair Haven, N.J.


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