...that bit at the end about high pressure jobs accelerating dysfunction doesn't apply.
Trump is doing anything; isn't running anything; just focusing on his pet, pointless "projects".
His dysfunction may be accelerating but it's not because of job pressures.
Assuming he is enduring the same pressures as other presidents presumes he's doing the job like the others.
He is not a normal president (in a bad, incurious, lazy way). Applying any "normalness" to his situation is misplaced.

Sounds exhausting!

It's all he's ever done.
The goals, objectives, and intentions change every 36 hours so there is never any pressure to deliver.

He has no notion of what he should be doing, so he works hard trying to make it look and sound like he’s on top of it with some nonsensical double talk and bluster. And he seems to think that directing building construction is the main job qualification of a POTUS.

consequences

He's like a cockroach.

Hell I used to say it! I know this doctor is an expert, but doctors were predicting his demise and/or him losing his marbles in his first term too.

No man is feeble and degenerate until he's feeble and degenerate. I swam the Red River in hs... I'd be surprised if he survives another 18 months without a severe blowout, blowup and blow.

essentially the same story 2-3 times a week.

So what's new? His poll numbers have been in the high 30s for most of the last decade and his cognition has been steadily declining.

Tell us something we don't know.