26,000 for a moment were looking at a major turn here, reversal going on right now while the dow is down 63, it had been up more than 200, so after hitting the magical mark at the open of 26,000 and then speaking higher the dow began shedding and at its worst point more than 350 points off its highs of up to 83. S p 500 and the nasdac following suit we have the s p down 10 nasdac lower by 36, so the fastest 1000point move in history for the dow will likely have to wait another day as the markets fade fast from earlier highs. The fight for dreamers will surely be a major topic at today S White House press briefing thats supposed to happen in about 28 minutes and we also expect to learn the results of President Trumps physical from his doctor, were going to take you there as soon as it starts because this is clearly a big story that is developing and weve got more on this breaking news that were getting. Its got to be the question of fears off a Government Shutdown now getting closer to reality and this major reversal has it been sparked by what we are hearing. Here is whats fueling the sell off right now that we are seeing at the moment and it ghana pair rantly right at around 1 50 p. M. Eastern. House minority whip hoyer tweet ed today on the floor the house will consider eight bills none of which address the urgent priorities of the american people, including the need to fund government, protect dreamers, and re authorize chip which is Childrens Health care program. Hoyer also told our fox news congressional reporter off camera that democrats and republicans cant even agree on the things we agree on, like daca for example, because thats been an 80 20 issue where 80 of all of congress seemed to be fine with letting them say and he also said that while he Hopes Congress will get a deal to fund government,times up a daca deal must be included or what thats it . The more than 300 point sell off began as i said at around 1 50 p. M. And you can see that we lost everything we had gained and then some. Once we dip below the 26,000 level you can see it now. It was losing, we went 50 points higher than 40 points higher than 30 and thats why we speed this up so you can see as its superimposed right next to the Dow Jones Industrials intraday chart that becomes the issue. But again, we have to mark the fact that the dow 26,000 level was breached for the First Time Ever and that happened shortly after the opening bell rang, but theres too much going against it at least today. Ge wants the Gold Standard of wellrun corporations is the biggest loser on the dow bleeding off about 3. 5 . More disarray hitting the stock in this final hour of trade after admitting that the company s been hit by a massive 11 billion charge for its legacy reinsurance business Ceo John Flannery had to admit hes renewing talks to break up the shrinking conglomerate which is something our own Charlie Gasparino had predicted back in october. Here is what it is so lets at least look at the positive and it was merck the pharma giant announcing its lung cancer drug keytruda, was part of a Combination Trial along with two other chemotherapy drugs and that trial showed the Combination Treatment prevented lung cancer from worsening in patients and then those patients lived longer. A lot of hope going into the stock right now. Its still up 6 2 3 . United health the second biggest mover on the dow says thank you to the new lower Corporate Tax rate not only did the insurer beat on profit estimates that came out today but raised full year forecasts saying thanks to lower federal taxes, the company will speed up Technology Investment that will in turn cut customer costs so United Health is up about 2 . A hostile chatter right now, hostile standoff chatter boiling up right now around qualcomm look at the stock up 4. 25 the leader on the s p and the nasdac. The smartphone chip giant speaking at this hour and it appears qualcomm will put up its dukes even higher and fight to keep broadcom outside the gates and broadcoms efforts to take over qualcomm with its 105 billion offer. Forget it were tearing up the run down lets go to the floor show and bring our traders in at the New York Stock Exchange, matt cheslock, what are you sensing is the real reason and is it stemming from stuff thats happening in d. C. . Yeah, usually, you know washington has muddled our markets and as usual this morning we were playing a bit of a catch up based on what was going on in asia and europe so being off yesterday we had a little catching up to do. We got that and got it fairly quickly, we accelerated to the upside, then we got news out of d. C. And that ruined the parade here. Liz i know oil has been holding up at around three and a half year highs but usually energy names can really i guess put a foundation, a Solid Foundation under the dow but we dont see that right now although i should note that while we have been down more than 70 points now were down just 12 so it appears were climbing back for the dow to the flatline. Well you know liz i dont think that Energy Stocks are really going to drag the dow down too far. Theyre still especially with crude up here. And natural gas. Liz sorry let me interrupt for the intraday for crude and elliott it saw a big drop i should say right around the same time. Well i was looking at crude just a minute ago saw it down about 0. 40 on the day. Liz youre correct on that. But to be honest, i really have been focusing more on that in the natural gas because its been way more volatile lately. We had a big sell off today. Crude i still think im with you usually, liz on crude. I always think that its over price. Liz i just think its so interesting. Its over priced at 60. Liz its so interesting to see the Energy Market kind of moved in lock step with the equity market larry and youve got to tell me what it was like on the floor of the cme, he hit the dow 26,000 spike above it by more than 200 points and we do see that reversal although the dow down now just about 15. You know liz it was really really exciting in the morning but more people scratching their head like why the rally . I know we were playing catchup being off for a day and the Global Market rallied so no one seems to know and pointing blame at washington that makes sense but it doesnt takeaway the fact that we have synchronized Global Growth recovery going on, inflations in check, Central Banks are doing what they need to do right now, and earning season is going to be really good with a low hurdle rate so this might be a shortterm fade. The Global Market still looks really good. Consider the hurdle rate 9 year on year, earnings per share growth in the u. S. 10 in europe 5 in japan is a low hurdle rate , taxes are going to help. Headwinds will be the currency of course up 9 against u. S. Dollars in the Fourth Quarter alone but positive operating leverage should be a good season. Liz although the volatility index which indicates fear in the market is definitely jumping its up about 15 and its now above 11. It had been around nine and change. I do have to say though, youre right elliott. Thank you for putting it into perspective. I mean weve had multiple 1000 point gains and folks i guess the message here is that you missed the buying opportunity those waiting for a dip, it came and went. Listen weve got to run guys matt, larry, elliott thank you for the perspective. There is this daca situation and perhaps what steny hoyer the democrat minority whip said is getting the Trump Administration to take a potential Government Shutdown on friday so seriously its considering sending in a military general to talk to congress. Our fox news capitol Hill Reporter is hearing white house chief of staff general john kelly may come to capitol hill as soon as some time this afternoon or tonight to work on breaking the daca stalemate. Republican congressman Drew Ferguson of georgia sits on the house budget committee. Congressmen have you heard from or been contacted by the white house as to whether the general or maybe his staff might come to the hill tonight maybe for a planning conference or maybe tomorrow . Liz ive not heard that i flew back from the district today and hearing it from you is the first ive heard of that. Liz okay because our reporter was saying that and it does make a bit of sense if you look at what President Trump wants. He was the one last year, late last year who said im for daca, im for the dreamers but congress has to get this done. You have to agree that the president does not forge, he doesnt make the law. Thats up to you and your fellow democrats and republicans specifically republicans who control the house, the senate and as you know, the white house is that going to get done . Liz, i could not agree with you more and i am so thankful that the president put this issue back in congress where it should have been all along and listen, i think that the thing that weve got to do right now is that we have got to separate out this incredibly important issue for these young people and for our American Economy and our American Safety from spending. I believe and i believe thats the right thing to do and i believe that we can reach those four pillars that the president and our leadership have been talking about regarding safety and for the dreamers, Border Security, looking at removing chain migration and doing away with the lottery system we can accomplish all those things together and i believe that we can do that. As a republican majority in conjunction with the democrats. Liz but congressman if you just named a whole sort of laundry list of things of where there is a disagreement or where there is wiggle room for some type of compromise whether it be the Childrens Healthcare program, chip, or Something Like the dreamers, they would not, the democrats would not like to see this as a standalone because if they put it off they figure maybe the republicans wont come clean on this, but you have the u. S. Homeland security leader Kristin Nielsen today saying it would be disingenuinous to suggest and this is about the wall that the Trump Administration is proposing a large monolific border voila long the southern border. That sounds like a little bit of wiggle room there too and the president himself said well its not one straight wall. Youve got the rio grande and certain areas of private land where it cant be done but why cant it be part of this hope physically not a continuing resolution, hopefully a budget deal. Well first of all, i dont think that it should necessarily be a continuous wall. Weve heard all along Border Security entails many Different Things and you also heard the department of Homeland Security secretary say that a big part of that was also the policies that were in place that gave her agents the tools that they needed to do their job so i think that was a very important point. Liz absolutely. Listen weve got a lot on our plate and i believe that were going to get it done. I believe and here is the thing youve got to remember. There are an awful lot of members of congress on both sides that want to get the immigration system fixed here in america and its important for our economy and look, its the fair thing to do for american citizens that are here now and for those dreamers. Here is the other thing that we cannot do. We cannot shutdown our military and put this nation at risk and do that in favor of supporting people that are here illegally. It is a tough situation but we have to make sure that we support the men and women that defended this nation. Liz at a time where we definitely need the military. Absolutely. Liz we have a drum beating in north korea. Sir the dow punched bag into positive territory, up nine points i wanted to let our viewers see that thank you so much for joining us congressman. Congressman ferguson saying he really does not want to see a government shut done but democrat steny hoyer said the same thing with the closing bell ringing in 49 minutes, bitcoin is also dramatically dropping, but as it becomes more widely accepted what does the cryptocurrency mean for the number one Global Payment Services company in the world . The can can ceos from world pay are about to join us live from the floor of the New York Stock Exchange first on fox business countdown coming right back. Yeah, bitcoin is dropping. Achoo snap achoo snap achoo achoo snap snap achoo achoo feel a cold coming on . 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Liz for those of you who just started recently paying attention to bitcoin january tends to typically be a very volatile month for cryptocurrency in general but bitcoin sliding as much as 18 today, its still down about 17 this triggered a sell off across the broader cryptocurrency market with biggest rivals rather, atherium down as much as 23 and ripple plunging by a third. The whole world and the way we pay for things is changing before our eyes. Who better to discuss this Perfect Timing than heads of the world leading credit card process or, worldpay. This company processes transactions cross dashboarder, crosscountry when you swipe your credit card it insures immediate payment for the merchant. First on fox business ceo Charles Drucker on the floor of the New York Stock Exchange you marked the completion of a. Todd ball dollars merger and worldpay, Charles Drucker, ill begin with you we talked for years about mobile payments and today, you guys become the largest payment processor. Whats it liked to on the floor of the New York Stock Exchange when one minute we saw the dow jumping 26,000 and now were down 28 points and well below it well first of all thank you for having us. Very exciting for worldpay and our employees today. Weve come a long way and were excited for the long term so its not about yesterday its the long term of where were going changing the face of payment. Liz phillip again because its news today, bitcoin is feeling a lot of oxygen from the headlines here, but how does that fit in to the world of payment and what you all do . Well i think what id say is the combination of worldpay is a unique combination and were putting two Great Companies together that will be Even Stronger as one new company the new worldpay. What we do as a company is we take payments all over the world and we cover 146 countries, 126 currencies and we have about 300 payment methods. Cryptocurrencys could be a new method in the future. I mean at this moment in time theres not a lot of demand from our customers for bitcoin and other Digital Currencies but who knows where it might go in the future and what id say about our new company and our platform our technology whichever way it goes and however important those kind of Bitcoin Cryptocurrency is well be well prepared to deliver that for our customers should that be something they want. Liz charles your timing i guess is great in the grand scheme of things as it pertains to whats going on in the United States. The Corporate Tax cuts seems to be spurring all kinds of activity and if people get more money in their pockets whether its bonuses or individual tax cuts, thats money they perhaps made sense and use their credit cards for. Have you modeled for that in your earnings . You know, at this point in time, were still evaluating the effects of the taxes obviously very positive for the company and very positive for consumers and were very hopeful that the consumers will get out to our clients and spend there and improve the samestore type of growth for the stores and continue to improve the economy, so were pretty excited about the developments that are happening and what congress has done. Liz im just checking right now to see what you guys are doing here and good luck ringing the bell. I think its absolutely fabulous that you guys are able to really launch and well look forward to that thank you so much for joining us. Thanks for having us. Liz the coceos of worldpay, Charles Drucker and film jansen. We are awaiting Sarah Sanders the White House Press secretary for the briefing and it is expected to start in about nine minutes as soon as we see her get to the podium we will take it live and make sure to tune in for two new episodes of strange inheritance beginning tonight 9 00 p. M. Eastern only on fox business the dow still a little bit in the red down eight points a rocking day here youve got to stay with me. Met regularly with our ameriprise advisor. We plan for everything from retirement to college savings. Giving us the ability to add on for an important member of our family. Welcome home mom. With the right financial advisor, life can be brilliant. When it comes to travel, i sweat the details. Late checkout. Downalternative pillows. And of course, price. Tripadvisor helps you book a. Hotel without breaking a sweat. Because we now instantly. Search over 200 booking sites. To find you the lowest price. On the hotel you want. Dont sweat your booking. Tripadvisor. The latest reviews. The lowest prices. Liz we are getting more news at this hour that the road to retirement will get a little easier because of the Corporate Tax cuts. Auto nation, the Worlds Largest auto retailer has joined a growing list of companies that say they will use savings from the lower new Corporate Tax cut to bolster employees retirement funds. Auto nation says it will now double its 401 k savings match and will increase cancer benefit s for kids. Company estimates savings of 70 to 100 million annually aftertax reform, mike jackson saying automation is excited about the progrowth environment for businesses right now in the Corporate Tax reform will greatly benefit not just shareholders but workers and customers as well. Auto nation growing, joining a growing list of companies, countdown coming right back. Stay with us. Youre still here . Were voya we stay with you to and through retirement. 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Thanks, doc. Im not a doctor. What . [whispers] time to go. Whats in your wallet . Liz folks were witnessing the biggest intraday swing in the Dow Jones Industrial in nearly five months if you look at the intraday chart as we wait for the press briefing to happen at any moment in washington d. C. The hot topic is surely how the markets are moving on all kinds of chatter about a Government Shutdown. The dow has punched back into positive territory, its now up 16 points but the nasdac and the s p are well into the red still, stuck there and give you a little bit of context here the dow has been up more than 283 points earlier, but then it swung so dramatically that we witnessed about a 350 point swing from top to trough and right now, its just a rough going here after having seen a pretty decent morning breaching the 26,000 ceiling, but again, there is news out of d. C. That has spooked the markets and horses and democratic congressman dan kildy is the House Minority senior whip joining us live from capitol hill. We were hearing from republican congressman Drew Ferguson earlier and he was concerned obviously about a Government Shutdown friday. The markets forget concern they were outright worried because st eny hoyer the democrat congressman from maryland had said around 1 50 p. M. Eastern time and this coinsides with exactly when the market began to dropoff the highs of the session that no daca no deal for the government budget. What are you saying right now youre hearing . Well, i think everybody in our caucus wants to make sure government stays open but we really dont have as much to do with it as a lt. Of people might think we do and you know, the republicans obviously control the house. They have a majority that theyve been able to deliver votes for. If they want to keep government open they can get a bill through the house. The issue for us really is that we continually ask to essentially constitute the margin that creates the functional majority of the house and that is sort of the Rational Center but in this case were being asked to do that really without our priorities being included in the conversation. Daca is a Bipartisan Initiative and in fact the president just recently rejected a bipartisan effort on daca but democrats and republicans want to get this done. We could do it on the floor tonight, take 15 minutes. Liz on the floor tonight interesting. Lets standby for a moment if you could congressman here is Sarah Sanders the White House Press secretary no doubt she will be peppered with questions about a Government Shutdown. Here she is. Retired military officer and one of the longestserving white house physicians in history serving from 19952009. As a physician to the president he earned the trust and confidence of president s from differing parties. He trained under a physician who did the same and then trained dr. Ronnie jackson, the current physician to the president , who has also earned the trust and confidence of president s from both parties. He wrote i hired and trained admiral dr. Ronnie jackson. My patients, president and mrs. Bush knew and trusted him and i think its safe to assume that president and mrs. Obama trusted him as well. After all they personally select ed him to be their physician. Today, dr. Jackson will offer his professional assessment of the president s medical fitness for duty. Friday, dr. Jackson conducted and supervised Donald Trumps first periodic physical exam as president of the United States. Having had the opportunity to review the test, consult specialists, thoughtfully analyze the results and discuss them with his patient he will provide us with his considered assessment of the president s medical fitness for duty now and for the remainder of his term of office. With regard to fridays examination, knowing dr. Jackson i am confident that he practiced good medicine; however it would be in error to view that exam and dr. Jacksons assessment as an isolated event when in practice it is an ongoing process. Far more important to a meaningful assessment of the president s fitness for duty is the doctors evaluation, observation, interaction, conversations, examination during the remaining 364 days of the year. Dr. Jackson and his team have been doing precisely that from the moment donald j. Trump was elected. Beginning on november 9, 2016, the members of the white house medical unit began shadowing the new president elect figuratively develop crowed to his side, 24 7 on january 20, 2017 dr. Jackson became that velcro. Dr. Jacksons office is one of the very few in white house residence proper and is located directly across the hall from the president s private elevator on any given day the Physicians Office as it is known is generally the first and last to see the president. Dr. Jackson is built and leads an organization that is better than any other in history. I know that. I, as physician to the president was wellserved by this president s doctor. More importantly president and mrs. Bush were well served by dr. Jackson as were president and mrs. Obama. In keeping with his oath i have every reason to believe that dr. Jackson will well and faithfully discharge the duties of his office an that president and mrs. Trump the office of the presidency and the country will be wellserved because of it. Thank you big a gear general dr. Richard tubb for that background and information and with that i tell turn it over to dr. Jackson and as always if you could please keep your questions on topic and after dr. Jackson finishes ill come back up to address any questions of the day thanks guys. Good afternoon, everyone. So to start with what im going to do is im going to read to you the summary of the president s physical and so ill just read through this and then after im done reading this immediately after the brief well make this available to everyone exactly as ive read it here and ill take a few questions. So, to start with, president donald j. Trump completed his First Physical examination as president of the United States. I performed and supervised the examination with appropriate specialty consultations and diagnostic testing. The exam was conducted january 12, 2018 at the Walter Reed National military medical center. The purpose of the exam was to provide the public with an update of the president s Current Health status and to ensure the president continues to enjoy all of the benefits of good health. This examination focused on evidencebased Health Screening and disease prevention. With the president , with President Trumps consent i released the following Health Information vitals as follows. Age 71 years and seven months at the time of the exam. Height 75 inches, weight 239 pounds, resting heart rate 68, Blood Pressure 122 74, pulse ox 99 on room air, temperature was 98. 4, physical examination by system to include any studies that were done by system. Eyes, the president s un corrected visual acuity is 20 30 with corrective visual acuity of 20 20 and his visual fields were normal. Exam was normal bilaterally his intraocular pressures were norm pal and no ocular pathology was discovered. Head, ears, nose and throat normal exam of the head, ears nose mouth and throat, dental exam, he has healthy teeth and gums, no other dental findings. Neck, normal thyroid exam, no noted carotid arteries were normal, pulmonary exam his lungs were clear, a screening low dose ct of the chest demonstrated no pulmonary pathology. Cardiac exam, heart exam was normal. Regular rhythm no murmurs or other abnormal heart sounds were noted his ecg or commonly ekg was normal sinis rhythm with a rate of 71 with a normal axis and no other significant findings and he had a trans thoracic echocardiogram done which demonstrated normal left ventricular systolic function and ejection fraction of 6065 , normal left ventricular chamber size and wall thickness, no wall motion abnormalities, his right ventricle was normal, and all valves were normal. He had an exercise stress echocardiogram done which demonstrated above average exercise capacity based on age and sex and a normal heart rate, Blood Pressure and cardiac output response to exercise. He had no evidence of ischemia and his wall motion was normal in all images. Gastrointestinal exam he had a normal exam, no masses, no splenomegaly and he had a normal optical colonoscopy done in 2013 june of 2013 that demonstrated no about normal findings and because of that, a repeat colonoscopy was not indicated at this time and will be deferred until his next periodic physical exam. Urinary exam was normal. Extremities and musculoskeletal normal throughout and full range of motion in all joints with strong distal pulses and he had no swelling or edema. Neurological exam, examination of the cranial nerves, deep tendon reflexes, motor function and sensory system were all normal. A cognitive screening exam using the cognitive assessment was normal with a score of 30 30. No evidence of melanoma, squamous cell carcinoma or any other significant diseases. Im going to very briefly go over some of the labs that i feel are most important, most providers would be interested in and you can look at the details when i put out the written, but Laboratory Results summarized lipid panel he had a total cholesterol of 223, triglycerides of 129, hdl of 67, and ldl cholesterol of 143, and his total cholesterol to hdr ratio, complete blood count to include white blood cell count, hemoglobin, and platelet count were all normal and values are on the written copy youll get. His extended Metabolic Panel as follows, his fasting blood glucose was 89, his bun was 19, are at anyone was 0. 98 indicator s of his renal function , his liver enzymes, his alt was 27, his ast was 19, normal and his hemoglobin a1 c was 5 and his vitamin d was 20, his psa was 0. 12 and his thyroid screen with the tsh was 1. 76. He had a youre youre it until a says done that was clear and had no evidence of protein, key tones, glucose or blood. His past medical history includes hypocholesterol and his past surgical history had an app endectomy at age 11 and social history has no pastor present use of alcohol, no past or present use of tobacco, his medicine as follows. He takes crestor 10 milligrams daily to lower cholesterol, aspirin 81 milligrams daily for cardiac health, takes propecia, 1 milligram daily for prevention of melissa pattern hair loss, and he takes a multivitamin each day for health maintenance. Immune stations the president during his physical exam had a p revnar 13 to prevent pneumonia and he had number two dose of his twinricks to prevent hepatitis a and b. Routine vaccinations to include seasonal influenza are all uptodate and all indicated travel vaccinations are uptodate. In summary, the president s Overall Health is excellent. His cardiac performance during his physical exam was very good. He continues to enjoy the significant longterm cardiac and Overall Health benefits that come from a lifetime of abstinence from tobacco and alcohol. We discussed diet exercise and weight loss and would benefit from a diet lower in fat and he has a history of elevated cholesterol and is currently on a low dose of crestor. In order to further reduce cholesterol level and decrease his cardiac risk we will increase the dose of this particular medication. The president is currently uptodate on all recommended Preventive Medicine and screen ing tests and exams. All Clinical Data indicates that the president is currently very healthy and he will remain so for the duration of his presidency. Okay, with that, ill take some questions. Before we get started let me make one comment. Id just like to point out for all of you here many of you which know me, just if something should happen to you over the next few months and you should fall ill at some point most likely i will be the one called to come and take care of you. [laughter] so when you ask your questions please keep that in mind. [laughter] yes, sir . Reporter dr. Jackson how much weight have you suggested the president loss and he has not exactly been enthusiastic about exercising, the president believes we all have a finite battery why waste it on exercise when you can put it elsewhere what did you say about that . Thats right. So, you know, i think the president he and i talked and he would like to lose i think a reasonable goal over the next year is to lose 1015 pounds. We talked about diet and exercise a lot. Hes more enthusiastic about the diet part than the exercise part but were going to do both. He and i will Work Together over the next year to incorporate a good plan so we can meet those goals. Yes . Reporter thank you, two questions for you number one there have been questions as part of your exam im wondering if you talked to the president about his Mental Fitness he has pushed back on that. Can you assess the president s Mental Fitness for office . Absolutely. So many of you may have picked up on the fact that we did do a cognitive assessment as part of the exam and initially i had no intention of including the cognitive assessment of this exam because to be honest with you per all of the guidelines that are out there, its just not indicated at this time. A lot of the guidelines would suggest that you do cognitive screening questions and if you have a positive or concerning answer in the screening questions that then you engage with a cognitive screening tool, so i had no intention whatsoever of doing that because i didnt feel it was clinically indicated and part of the reason i didnt think it was clinically indicated is because ive spent almost every day in the president s presence since january 20, last year when he got into office and ive seen him every day. I see him sometimes three times a day because of the location of my office we have conversations about many things most dont revolve around medical issues at all but ive got to know him pretty well and 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 the reason we did the cognitive assessment is plain and simple because the president asked me to do it. He came to me and said is there something we can do, a test or some type of screen we can do to assess my cognitive ability and so i looked into it and once again, in my initial question was that i didnt think it was indicated and we should do it and after looking at the guidelines there are a few guidelines out there that lean in the direction of potentially doing the medicare guidelines and some of the Nih National Institute of aging theyve indicated the might be a good thing to start doing in the future and with that in mind i went through and looked at a variety of the cognitive assessments available most of them were very simple very short and i think thats the goal actually for primary care providers in doing this is to keep it simple and keep it short we picked one of the ones a little bit more involved it was longer and it was the more difficult one of all of them and it took significantly longer to complete but the president did exceedingly well on it so that was not driven at all by any clinical concerns i have it was driven by the president s wishes and he did well on it. Reporter just a followup the president s personal doctor said during the campaign he would be the healthiest individual ever in the presidency. Do you agree with that assessment . Im not going to comment on that. My job is to basically give you my assessment of President Trump today and im not going to make any comparison with the president s over the last 200 years. Reporter there was an incident recently where the president appeared to slur his words while giving an address. Did you look into what the cause of that might have been at all . I did, yeah we talked about that and actually, one of my ent consultants was involved in that. We evaluated him and checked everything out and everything was normal. We even went so far as to do an ultrasound of his parotid glands and there was absolutely no clinical findings that would suggest. I think the reason for that was quite honestly maybe i think i need a drink of water, but i think that i had given the president some medication specifically some sudafed over the days previous and i had kind of dried up his secretions a little bit more than i intended to and that led to or precipitated it. Reporter something suggested that could be related to denture s does he wear dentures . The president has no partial dentures of any kind. Reporter two questions. Wonder about the ejection fraction. My wife suffers from that so is that a concern Going Forward for him . Because thats in some cases indicates low activity . Not at all 6065 is normal ejection fraction no concern about that at all. Reporter second followup on cholesterol do you hope to get it under 200 . Well, were not focusing on the total cholesterol as much as the ldl. We would like to get the ldl down below 120. Reporter and is in any way with a low i understand the Blood Pressure was normal but with the high cholesterol are there any concerns for his heart valves . No not at all. I think the one good thing there are many good things that came from his exam. I think he had great findings acrosstheboard but the one that stands out more than anything to me is his cardiac health. His cardiac health is excellent and so i think that with all the other things in place, he doesnt have really a Family History of premature cardiac disease. He doesnt smoke. He doesnt have diabetes. A lot of the traditional risk factors he doesnt have and so i think that those things in combination with the excellent cardiac results that we got from the exercise stress i think are very reassuring. Reporter thank you. Could you just elaborate you did a great job at that, what you ruled out in these cognitive tests . There have been reports that the president has forgotten names, that hes repeating himself. Are you ruling out things like early onset alzheimers . Are you looking at dementia like symptoms and then a second question, a lot of doctors at the back end of a physical like to give their patients tips before they walk out the door things they should change in terms of lifestyle or behavior. What did you tell this president outside of diet he might want to change . Yeah, so i think that cognitive test, its well respected. Its a test thats used throughout the United States lots and lots of institutions use that test. Its the one that they use at walter reed for patients that they feel like they need to do cognitive screens on so its a universally accepted test and like i said its a little bit more extensive than some of the shorter ones that are in some of the guidelines, but yeah, it screens for all those things any type of cognitive issues, alzheimers and all of the other things and so the fact that the president got 30 30 on that exam i think theres no indication whatsoever that he has any cognitive issues and on a daytoday basis like i said before its been my experience that the president , hes very sharp and hes very articulate when he speaks to me and ive never known him to repeat himself around me. He says what hes got to say and he speaks his mind and i found no reason whatsoever to think that the president has any issues whatsoever with his thought process. Reporter did you recognize he would make any changes to lifestyle, behavioral . No not really. I think the main thing we focused on with regards to Lifestyle Changes are diet and exercise and if we get diet and exercise right then weight loss will come, so those are the things that we focus on. I think that there wasnt a lot to go on here as far as making him healthier in the year coming other than incorporating the exercise routine working on his diet and those will make him much healthier although his health is excellent right now. Dr. Gupta, do you want to answer one . Reporter there was pretty intensive tests including a ct scan of his chest. Transthoracic. Reporter does he need to be sedated at all and is there something to be worried about specifically . No not at all we got the ct scan because we were debating i didnt have any Background Information on him at all from a pulmonary standpoint i didnt have old chest xrays to look at or anything like that so i was going to initially get a chest xray and be done with it but its so easy now days to whip in and it takes a minute or two, about as much time to get a cat scan in the way we did it to get a chest xray and gives you a lot more information about other structures in the chest so it made more sense to get the ct done. With regards to the echocardiogram, one of the reasons that i did that was because i wanted to prescribe a exercise program for the president and so i think that it makes sense to get a good cardiac assessment in a controlled environment like the hospital before you prescribe an exercise program to a patient so that is my thinking there. Reporter he doesnt have Heart Disease . He does not have it. Reporter the ct scan before showed calcium. He does. He did. He had, so i think so technically he has nonclinical atherosclerotic so thats been mentioned in previous physical exams hes had done and he had a coronary calcium score done in 2009 and it was 34 and he had a coronary calcium score done in 2013 that was 98 and then we did get a calcium score from this one i didnt mention it because i think that it was clinically good information, it was 133, so had a long conversation with the cardiology, not only the cardiology at walter reed but at Cleveland Clinic and several other wellknown institutions and everyone saw that as reassuring that hes gone this period of time and he had that little of a change in his coronary calcium load, so i think overall, his coronary calcium score is very reassuring and goes along with the rest of his cardiac workup. Reporter ill ask a question following the philosophy of the fitness of the president. A lot of people in the country have been talking about it that basically contemplates a group of senateconfirmed laymen will weigh in on whether the president is able to discharge and he has certainly given this thought on what basis would you and this is just a philosophical question advice the cabinet that the president is unable to discharge his duties . How does that get met . Well i mean, you know, section 4 of the of that amendment doesnt really give me a specific duty or role in there , like you said it falls upon the cabinet and members of congress and all. I think im just like any other member of the administration who he talks to on a regular basis if i were to see something that was concerning or had concerns about his cognitive ability or something to that extent that i would bring that up to the proper people in the chain of command maybe starting off with the chief of staff or something and i think thats what everyone else in the administration would do, so i dont think my role as a physician would be much different than any other member of the president S Administration if they thought something lick that were going on. I just think that, you know once that happened if there was someone else in the administration i would immediately be brought into it to make a clinical assessment and see if i agreed with that assessment, but i mean, i think at this particular point, based on my exam and the cognitive testing that we did and just my daytoday interactions with the president , the president is mentally very sharp, very intact reporter do you believe he is fit for duty . Absolutely hes fit for duty and will remain fit for duty for the remainder of this term and even remainder of another term if elected. Reporter dr. Jackson, you talked a bit about President Trump and your daily dealings. Hang on did you say reporter how can you determine that . Yeah, absolutely. I dont have a crystal ball i cant look into it but based on his cardiac assessment you can make predictions. You can make cardiac calculations and you can see what his risk of having a cardiac or a cv event might be and so if you look at that stuff where he falls out on his cardiac assessment, he falls into a category that portends years of eventfree living, so i mean, sure i myself could have a big event tomorrow. I mean i dont have that kind of im not making that kind of prediction but im saying based on the clinical information that i have right now over the year of me observing him and the few kings that happened with him medically over the year and in large part on the objective data that we gained from this particular exam i feel very confident that he has a very strong and very probable possibility of making a complete through this presidency with no serious medical issues. Reporter dr. Jackson so you talked about dealing with President Trump on a daily basis can you talk a bit about him as a patient like what type of patient he is does he take all of your advice and you also talked about since you were dealing him on a daily basis has he had any ongoing illness or anything like that, sometimes it sounds like he has the sniffels when hes talking and does he have any allergies or anything like that . He does and on occasion he suffers from the same viral upper respiratory stuff you and i do and he gets congestion and things of that nature but for the most part, one of the things i found about President Trump is that hes very independent when it comes to his medical stuff and so i guess, you know, the way he grew up i guess he just takes care of most of the little stuff himself. He doesnt come to me for band aids and things of that nature and im easily accessible and a lot of folks will, so i think hes a good patient. He sometimes convince him why i want him to do something, so he doesnt just take everything i say and just take it face value and move on. He will ask me questions about why would i do that or why should i do that, that this and the other so most of the part hes very cooperative. Hes just like every other president ive taken care of i have to get the first lady involved to make sure hes doing what hes supposed to be doing but hes a good patient. Reporter just to make sure were clear on this when you analyze this cognitive ability or do a neurological functions that is not the same thing as a psychiatric exam or a psychological exam . It is not no. Its a screening assessment for cognitive impairment. Reporter dr. Jackson does the president do anything at all right now in terms of exercise . What is his daily exercise routine if there is one . So i would say right now on a daytoday basis he doesnt have a dedicated defined exercise program and so thats what im working on. The good part is that we can build on that pretty you said you were discussing that with him. What were you discussing . What would you like to see him doing . Like i said he doesnt have a daily exercise regimen. Some people exercise. Some peep dont. Some people just didnt, didnt, you know, havent done that, you know, as part of their routine i would say that is the category he falls in right now. I would say though, you know, despite that one of the things being with the president on daytoday basis impressive to me has a lot of energy, a lot of energy and a lot of stamina. I think i first noticed that, we traveled overseas, travel last year and, i was really surprised because i didnt know the president early on when, the days we would get these 14, 16hour days. The staff is just spent after a while. Man, when are we going to the hotel . You have issues of different time zones and things of that nature too. Out of everybody there, the president had more stamina and energy than just about anybody there. He said well not skip this event. Well not skip this, well do this, do that, stuck to the schedule, to lets forget the rest of the day. Reporter explain to me how a guy who eats mcdonalds, diet cokes, never exercises in as good a shape as you say he is . Called genetics. Some people have great genes. I told