Passing the torch
One difficult responsibility as a physician is to recognize physical frailties especially those indicating patients are incapable of driving.
Too often in my medical practice, most resistance to giving up car keys comes from older men. Understandably, it is a clear and present threat to their independence if they can’t freely drive to the market or post office.
“I’ve been driving for 60 years and haven’t had an accident!” “Don’t be foolish, I can still drive!” is followed by guilt-laden doubters, “What if you run over some kids?!!”
This confrontation sometimes divides families, with some pro and others against. Our strong-willed mother in her 90s fought back by putting an alarm on her car when my brother kept rightly removing the car battery, and she persistently called AAA for a replacement!
Often, the physical debility can progress to mental deterioration in getting lost or confused by signs or new traffic patterns.
Recognition of these problems is often brought to the attention of doctors by family members who we rely on. Fortunately, physicians don’t have to administer a driving test, but we do have to send them to the DMV for further evaluation.
As we age, physical and mental problems creep up on us, and sometimes, it is hard to look in the mirror and see ourselves faltering. That’s right, Mr. President. I’m talking to you.
Unlike our mom and her bullish attitude, some families use video of driving to convince their loved ones it is time to relinquish their car keys. It is time, Mr. President, to look at the debate video to see what we, the public, see.
You have a strong track record in Congress and as President, and historically, no matter what naysayers might spout, you have made profound changes in your career for the American people. But it is time, as many have said, to “pass the torch.”
I am not your doctor, but I know a good neurologic evaluation is necessary. You can sustain your place in history without calling AAA or going to the DMV.
Our nation is at a crossroads, and this road is fraught with danger. As a geriatric physician, this is painful to say, but I do not see your physical or mental condition improving, and undoubtedly will be used against you as you dig in.
At this point, I recommend you give up your car keys.
Gene Dorio, M.D.
Santa Clarita, CA
Yes, it seems that it time for a newer generation to lead the country. Biden will hurt his legacy if he stays in the race and loses. He seems like a good person and is an honest man.
Thank you Steve.
Running for office is not an easy task, and can be quite dangerous. The country is divided and needs counseling badly.
You and I grew up in a blended area of Los Angeles and enjoyed a mixed bag of cultures. Not everyone had this experience, and therefore still harbor fears of others. Maybe one day this will change.
Thank you Steve for your comment.
Gene
While I see the president as aging and not having the same kind of power in movement and clearly in forceful talking as evidenced in his “bad night”, I do not think he is impaired enough to not lead the country. We have processes in place to pass the torch should he be disabled. In contrast, he is not a sociopath, misogynist, racist, classist, lying POS who has been convicted of crimes or has done other horrific crimes which have not been rightfully prosecuted in court. Joe has my support, even though he is hardly the person I want leading the country. I will however, look forward to see if any other democrat steps forward to run against Biden/Harris at the DNC convention as there are amazing people such as Jeffries, Newsome, Michelle Obama and even you Gene, who would have my total support! And if you run, I want to be on your healthcare reform committee as HUGE changes need to be made!
Well stated, Doctor!