Pathologist warns of Trump’s 'observable signs' of rapid 'severe decline'

French President Emmanuel Macron welcomes U.S. President Donald Trump for a dinner commemorating the 250th anniversary of the United States' independence, at the Palace of Versailles, near Paris, France, June 17, 2026. REUTERS/Evelyn Hockstein

President Donald Trump appears to be showing "observable signs" of a "severe decline" in a short amount of time, according to one pathologist, who also suggested that the signs might be consistent with a recent stroke, though stopped short of diagnosing.

Hilary Shae is a licensed speech-language pathologist with a specialty in concussion treatments, as well as a political content creator who shares various takes critical of Trump and gives professional examinations of his seemingly deteriorating cognitive and physical health. In one of her latest videos, she suggested that "something has changed" with Trump after noticing numerous worrying signs in clips from his G7 Summit visit.

Firstly, she noted an odd interaction with French President Emmanuel Macron, when it seemed like Trump was unable to hold up his own hand while giving him a handshake. She also argued that he seemed "unable to turn his body" and had "no idea what was going on" at this time. She also noted his "ability to go down stairs" while exiting Air Force One, suggesting that his mobility was worse than usual and seemed to require him to have "singular focus" on the task.

Beyond those points, Shae further explained potential signs of "dysarthria" in Trump's speech. This refers to a condition, typically following a stroke, in which changes in coordination and muscle control can lead to a patient's speech having a "breathiness, misarticulations" and speech that generally sounds more "unintelligible." This, she argued, was noticeable in a clip of Trump speaking at the G7, in addition to odd jaw movements and signs of him having to much saliva in his mouth, causing him to sound more "wet" and smack his lips more often.

Shae also noted signs of respiratory issues in the clip.

"He required such frequent breaths that he had very, very short phrases, and the phrases were not typically on an actual phrase ending," she explained. "They weren't at an appropriate place... It seems like it's breath-related, and part of dysarthria can be the muscle control and coordination for breathing as well."

She asserted that these dysarthria signs were new for Trump, and not things that she has observed in his behavior recently, noting that they were missing when he stormed out of an NBC interview earlier this month.

"All of this, everything that's happened kind of in the beginning of June, tells me that there's been a significant change in the last couple of days," Shae added. "He's been sleeping more frequently... falling asleep at the NBA Finals, falling asleep at the UFC championship."

She added: "And there's one final thing that I want to point out that, while it's somewhat dementia-related, I think it's much worse, it's that he seems to have zero awareness of his surroundings, absolutely none. There just seems to be nothing behind the eyes. Just no awareness whatsoever. And, I don't know how people continue to argue against this, but Donald Trump is sick, and he's got to go."

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