TOUGH BREAK, LEFTIES...

The lefties, liberals, Democrats and confused Republicans were disappointed to learn yesterday that the President of the United States is not suffering from dementia. Trump has something far rarer: guts, nerves of steel, balls or cojones. He simply does not care what the hateful press and TV 'comics' think about him. Trump's support comes from real Americans. Tough Break, lefties... my president, in fact, your president is not suffering from dementia. I know that you are disappointed. May I suggest you find your safe space, grab your Play-doh and pet a llama until you can feel better.

White House physician Ronny Jackson told reporters that he hadn't planned to perform a cognitive assessment of Trump, but the president specifically asked him to in order to put rumors to rest about his mental health

Trump has NO dementia: White House doctor says president had a perfect 30/30 score on cognitive screening test that Trump REQUESTED

• White House has been beset with claims that the president is mentally impaired
• Charges were leveled in 'Fire and Fury' book by author who says most of Trump's close aides fear he's not mentally capable to be president
• Navy doctor Ronny Jackson examined Trump on Friday and added a cognitive screening test to the regimen because the president asked him to
• Trump scored perfect 30 out of 30 on the test, ruling out Alzheimer's Disease or other cognitive impairment 
• Jackson said this was the first time a sitting president has been given such a cognitive examination 

By David Martosko, Us Political Editor For Dailymail.com

PUBLISHED: 16:37 EST, 16 January 2018 | UPDATED: 06:01 EST, 17 January 2018

President Donald Trump's recent medical examination showed no indication of cognitive impairment or dementia, according to the physician who conducted and supervised it.

His White House physician, U.S. Navy Rear Admiral Ronny Jackson, added what he called 'a screening assessment for cognitive impairment' to Trump's annual health assessment. It resulted in a perfect score.

Based on his daily observations of the president, Jackson said, a mental screening would not normally be recommended.

But Trump himself asked for the test, he told reporters Tuesday at the White House.

'I had absolutely no concerns about his cognitive ability or his – you know, his neurological function. So I was not going to do a cognitive exam. I had no intention of doing one,' Jackson recalled.

'The reason that we did the cognitive assessment is, plain and simple, because the president asked me to do it.'

'He came to me and he said, "Is there something we can do, a test or some type of screening that we can do, to assess my cognitive ability?" And so I looked into it,' Jackson said.

Trump scored a perfect 30 out of 30 on the Montreal Cognitive Assessment, a standard test that helps primary care physicians spot early-onset Alzheimer's Disease and other forms of dementia.

Jackson said the test is 'sensitive enough' to identify any potential problems.

Your Food Diary For:

Tuesday, January 16, 2018

BREAKFAST	Calories kcal	Carbs g	Fat g	Protein g	Sodium mg	Sugar g
Sausage Patties	200	2	20	6	320	0
Bacon	200	3	18	13	800	3
Cheese Omelette	200	2	15	16	254	0
Quaker - Oatmeal	300	48	6	9	0	0
	900	55	59	44	1,374	3
L U N C H
Subway - Turkey Breast	560	92	7	36	0	14
Sun Chips- Harvest Cheddar	210	27	9	4	320	3
	770	119	16	40	320	17
D I N N E R
Broiled Grouper	200	0	3	40	0	0
Potato - Baked - Medium	200	46	0	5	19	3
Minestrone Soup	100	18	1	4	650	3
Garden Salad	100	6	0	4	400	4
Bread Stick	200	27	9	4	386	1
	800	97	13	57	1,455	11
Totals	2,470	271	88	141	3,149	31
Your Daily Goal	2,114	264	70	106	2,300	79
Remaining	-356	-7	-18	-35	-849	48
	Calories kcal	Carbs g	Fat g	Protein g	Sodium mg	Sugar g
	*You've earned 184 extra calories from exercise today

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THIRD CONSECUTIVE YEAR

I did something yesterday for the third consecutive year, that I might not have done for three consecutive years since I was literally three years old, and who knows if I even did that when I was three?  I could ask my Mom, but would she really remember? What I did yesterday for the third consecutive year was see my doctor for an annual wellness visit. Since I do feel healthy, this is a visit that I do not fear. The visit was inconsequential (that's good) and my doctor complimented me again on my success on my weight loss. I know that I have been struggling lately, but my weight on his doctors' scale, 234 lbs,  was 4 pounds down from my last visit, so from his perspective, I am continuing to do great. I also know that his very expensive scale is 'more friendly' than my cheapo scale which always shows a weight about 3 pounds more - so perhaps my weight at home is currently 237 lbs. I should eat less.  My appointment with the doctor was scheduled for 10AM. His office is a bit more than 3 miles away. I walked. I stretched the walk to 7 miles to get there. I walked back on a more direct route. And that was how I squeezed in a ten mile walk yesterday.

Your Food Diary For:

Thursday, December 22, 2016

BREAKFAST	Calories kcal	Carbs g	Fat g	Protein g	Sodium mg	Sugar g
Apples Cinnamon Instant Oatmeal	780	162	9	18	960	54
	780	162	9	18	960	54
L U N C H
Fried Chicken Tenders	450	26	30	21	1,148	2
Cream corn - Cream Corn	50	12	0	0	0	0
Creamed Spinach	50	6	2	2	368	3
Broccoli	100	10	1	9	81	0
	650	54	33	32	1,597	5
D I N N E R
BBQ Meatballs	300	3	23	20	0	0
Codfish	100	0	1	22	74	0
Fire Roasted Corn	100	22	1	3	0	2
Grilled Brussel Sprouts	100	20	4	9	35	0
	600	45	29	54	109	2
S N A C K S
Hersheys Dark Chocolate Bar	400	53	25	4	32	44
Volpi - Mozzarella and Prosciutto Roltini	360	3	24	36	2,370	0
Nabisco - Peppermint Creme Oreo	560	84	28	0	360	52
	1,320	140	77	40	2,762	96
Totals	3,350	401	148	144	5,428	157
Your Daily Goal	3,738	467	124	187	2,300	140
Remaining	388	66	-24	43	-3,128	-17
	Calories kcal	Carbs g	Fat g	Protein g	Sodium mg	Sugar g
	*You've earned 1,808 extra calories from exercise today

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       Your Exercise Diary for:

Thursday, December 22, 2016

Cardiovascular	Minutes	Calories Burned
Walk 7 miles to doctor	109	1,158
Walk home from doctor, 3 miles	65	650
Add Exercise Quick Tools
Daily Total / Goal	174 / 30	1,808 / 590
Weekly Total / Goal	615 / 210	6,254 / 4,130

SURGERY SURVIVOR

Well it appears that I will have to pay for my surgery.  I survived.  Would it not be an improvement in the field of medicine if in the rare cases when the patient dies on the operating table, that at least one would not have to pay for the surgery? I think that Dr. Nick Riviera from the Simpsons has the right attitude regarding this.  Anyway, as I mentioned I did survive. So...I am grateful that I will have to pay for the surgical repair done early this morning.

A revolutionary idea in the field of medicine proposed by the writers of The Simpsons.

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My wife, Jennifer, drove us to the clinic and we left promptly at 5:30AM.  We arrived at the clinic just a few minutes before 6:00AM. It was a re-assuring feeling that the people at the clinic were expecting me.  I do usually get annoyed when I try to check into a hotel and they can't find my reservation - that was not the issue yesterday.  I was almost immediately prepped for surgery.  My surgeon arrived precisely on time at 6:55AM.  I was wheeled into the operating room at 7:04AM.  Including my surgeon there were five people in the room aside from me. Everyone was busy doing something. The last thing I remember was being given oxygen which either had a sweet smell (or I imagined it).  The next thing I remember, I was awake back in first room and my wife was there asking how I was feeling. I was given some juice and cookies. (animal crackers).  My last function before I was released was that I had to prove that I could successfully urinate. By 930AM we were on on our way back home. Once I returned home, I think I was half sleeping and half awake for about 4 hours. One thing that I can report, is that although no pain has yet to establish itself - I am not finding it easy to move. My hope is that the recovery curve will look something like the global warming hockey sticks graph that Al Gore is so fond of when he is irrationally screaming that planet earth is doomed due to radical increases of carbon dioxide in the atmosphere in a short period of time. In my case, I am hopeful that my abilities to move about will increase at very fast levels as a function of time. I guess I am about to find out.

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Your Food Diary For:

Thursday, April 28, 2016

BREAKFAST	Calories	Carbs	Fat	Protein	Sodium	Sugar
3 Egg Omelette - Ham and Cheese, 1 Omelette	400	1	30	40	1,225	0
Kirkland - Bacon	240	0	18	18	1,050	0
	640	1	48	58	2,275	0
L U N C H
Quaker - Chewy Granola Bar	200	38	4	2	150	16
Weight Watcher's - Cabbage Soup	100	10	0	2	79	6
Homemade - Crockpot Pot Roast	300	0	5	15	273	0
	600	48	10	19	502	22
D I N N E R
Orecchiette Pasta, 0.75 cup	300	62	2	11	0	3
Beet Gemelli Salad	150	31	1	5	0	2
Teriyaki Salmon Steaks	540	6	16	93	730	10
	990	98	18	109	730	15
S N A C K S
Entenmann's little bites - Little Bites	190	27	9	2	135	17
	190	27	9	2	135	17
Totals	2,420	175	85	188	3,642	53
Your Daily Goal	2,413	301	80	121	2,300	90
Remaining	-7	126	-4	-66	-1,341	36
	Calories	Carbs	Fat	Protein	Sodium	Sugar
	*You've earned 483 extra calories from exercise today

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AMAZINGLY USELESS FACT:
Today the  MARC JACOBS WEIGHT LOSS JOURNAL is publishing its 500th post. I am certain that at least a dozen of them have been interesting.  Perhaps if I was being charitable to myself, perhaps even two dozen. I try to be at least a little bit interesting every day. At least I try to try.

My last session on the treadmill prior to surgery on Friday morning

VISIT TO DOCTOR DELAYED

Yesterday after all my activity on Monday, I struggled a bit. There were a few times during the day when I felt some twangs of discomfort. Late in the day, I received a phone call confirming an appointment for today which I thought was not until Friday. Obviously, I made some error in recording my appointment. Now my appointment is scheduled for Tuesday, six days more from now. I am looking forward to that, so that I can start looking forward to a surgery date. I am really not enjoying being sidelined. And when I think about what an inguinal hernia actually is - I only get more nervous about walking around with this condition, even though I was told I could do so indefinitely.

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Your Food Diary For:

Tuesday, April 19, 2016

BREAKFAST	Calories	Carbs	Fat	Protein	Sodium	Sugar
Instant Oatmeal Apples & Cinnamon	480	99	6	12	600	36
Hotel - Scrambled Eggs Sausages	499	0	0	0	0	0
	979	99	6	12	600	36
L U N C H
Culvers - Butterburger "the Original"	360	39	16	20	510	6
TOASTED COCONUT ALMONDS	240	11	20	8	0	5
	600	50	36	28	510	11
D I N N E R
Panera Bread - French Baguette	360	72	2	8	880	0
PANERA BREAD - BISTRO ONION SOUP	320	34	0	12	1,780	14
Panera - Roasted Turkey & Avocado Blt, 1/2 sandwich	260	24	11	16	470	1
	940	130	13	36	3,130	15
S N A C K S
Banana Chips	200	23	13	1	0	13
	200	23	13	1	0	13
Totals	2,719	301	68	77	4,240	75
Your Daily Goal	2,123	265	70	107	2,300	79
Remaining	-596	-36	2	30	-1,940	4
	Calories	Carbs	Fat	Protein	Sodium	Sugar
	*You've earned 193 extra calories from exercise today

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PLACEBO EFFECT

I am currently the beneficiary of the placebo effect as regarding my discomfort due to my inguinal hernia. During my visit with my doctor, did actually indicate that the pain would soon dissipate over the next week or two - and I believe that that is the case. The hernia will never repair itself, the problem remains until it is addressed, but it is at least a bit comforting to know that it should stop hurting. Knowing that the pain should decrease helped make the pain decrease. I have made an appointment to see a doctor who can do the surgery for me. My appointment is scheduled for Friday April 22. From the moment that I took action and made this appointment, I think I started feeling a bit better. I am attributing this to a placebo effect. Simply the belief that I will soon address my problem quickly made the problem seem less significant. It matters not why I am feeling less pain, I am simply grateful that I am. I am still unwilling to do much physical exercise until I know that there is little chance of aggravating this injury. On Monday, I expect to be walking around the Mall of America for a good number of hours. I am hopeful that this will present no problems that I cannot handle. 

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It has now been more than two weeks since I have burned an extra calorie over and above simply respiration.  (breathing)  My weight is currently 233.5.  It is not good. It sure could be worse. My prediction is that it will be better in the future.  Even after all this, down 75 pounds from where I started. I just can't let any more success slip away.

Your Food Diary For:

Friday, April 15, 2016

BREAKFAST	Calories	Carbs	Fat	Protein	Sodium	Sugar
Egg, whole, cooked, poached, 3 large	215	1	14	19	446	1
Bacon Style Turkey, 4 slices	140	2	12	8	600	0
	355	3	26	27	1,046	1
L U N C H
Johnsonville - Polish Kielbasa, 2 link	440	6	40	18	1,020	1
Chicken Noodle - Healthy Choice Soup, 2 cup (243g)	180	24	2	16	780	4
EARTHBOUND FARM - ORGANIC BABY SPINACH, 170 g (approx 3 oz, two cups)	40	0	0	4	130	0
	660	30	42	38	1,930	5
D I N N E R
Generic - Teriyaki Salmon Steaks, 9 oz	405	5	12	70	548	8
Spicy Curried & Kale Walnut Salad, 1 Cup	360	36	26	6	460	0
Roasted Beet & Quinoa Salad, 100 g	200	13	15	3	60	3
	965	54	53	79	1,068	11
S N A C K S
Snacks, popcorn, air-popped	200	40	2	7	4	0
Macaroons - Coconut, 6	510	51	21	3	105	36
	710	91	23	10	109	36
Totals	2,690	178	145	153	4,152	53
Your Daily Goal	1,955	244	65	98	2,300	73
Remaining	-735	66	-79	-55	-1,852	20
	Calories	Carbs	Fat	Protein	Sodium	Sugar
	*You've earned 25 extra calories from exercise today

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SNAP OUT OF IT

This is my admonition to myself: Snap out of it.
I am 'down' about my hernia.
I am 'down' about my increased inability to eat well.
I am 'down' about my recent weight gain.
I am 'down' about my inability to be exercising as I was for so long.
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Being 'down' about anything is a completely useless endeavor.
SNAP OUT OF IT!

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Next week, I am taking a four-day overnight trip with my daughter during her 8th Grade Spring Break. We are going to see some of my customers in the Minnesota. Our trip will begin in Minneapolis and end with a customer visit in Duluth, Minnesota. We will return home on Thursday. I am looking forward to this high intensity, high quality time with my daughter. Last summer, she accompanied me on a three day, two night trip to Ohio. Our first business trip together was an overnight in Madison, Wisconsin. This trip to Minnesota will be the longest trip for daddy/daughter and it should be memorable.

On this trip my daughter is very excited about seeing the Mall of America.
There will be no time to be 'down' during this special time together.
This will be good for me.
I will be spending time seeing some customers, and trying to insure that my daughter enjoys the trip too. No time to feel sorry for myself.
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Your Food Diary For:

Wednesday, April 13, 2016

BREAKFAST	Calories	Carbs	Fat	Protein	Sodium	Sugar
Quaker Oats - Instant Oatmeal Apples & Cinnamon	640	132	8	16	800	48
Sage - Red Delicious Apple, 2 medium apple	190	50	1	1	4	38
	830	182	9	17	804	86
L U N C H
Lunchables - Ham and Swiss, 1 package	260	22	13	14	750	5
Apples - Apples, 3 medium apple	240	66	0	0	0	48
Banana Chips, 1 cup	340	40	20	2	0	10
	840	128	33	16	750	63
D I N N E R
Chipotle - Burrito, 1 burrito	1,000	104	39	60	1,855	7
Endangered Species Chocolate Coconut - Chocolate, 1 bar	500	48	32	4	0	34
	1,500	152	71	64	1,855	41
Totals	3,170	462	113	97	3,409	190
Your Daily Goal	2,017	252	67	101	2,300	75
Remaining	-1,153	-210	-45	4	-1,108	-114
	Calories	Carbs	Fat	Protein	Sodium	Sugar
	*You've earned 87 extra calories from exercise today

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