that his ego blocks out all rational facts and information. His handlers will have to go to extreme lengths to hide his rapidly deteriorating mental state. Just like his slurred speech, sagging face, gibberish, etc they won't be able to hide this any longer either.

His irrational behavior, sleeping in public and bodily aberrations always seem to make the news.

room as he is and having to pretend that he's a pillar of strength while you smell him pooping his pants.