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It's not a question of being able to diagnose him (a blood test is needed for that anyway). It's a matter of a few basic facts, all of which are readily available on the internet:

1. Syphilis is easily diagnosable with a simple blood test and has been 100% curable since the mid 1940s (basically Trump's entire life).

2. As a result of the above, tertiary syphilis (the final, most advanced stage of the disease) has become extremely rare in industrialized countries. At one time, it was deadly, but it is now virtually unheard of in people with ready access to half decent medical care.

3. A person has to go untreated for years, if not decades, for syphilis to reachan advanced stage. The possibility of this happening to someone in Schlump's position (i.e. wealthy and with good medical care at his fingertips) in this day and age seems wildly unlikely to me.

I don't understand why this rumor still persist. It needs to die once and for all. Trump almost certainly has frontotemporal dementia and congestive heart disease. There's no need to resort to something as exotic and unlikely as tertiary syphilis to explain his condition.