He's also been getting IV fluids in the top of the hand. This causes visible bruising that he's been trying to hide with the same make-up he uses on his face. In some recent photos the make-up on his hands is very obvious.

The evaluations he keeps "acing" is the MCAS - the diagnostic that is given to track cognitive decline in dementia patients. With dementia, there is no getting better. Every day that passes is another day of decline toward a cessation of all function. His recent speeches highlight how advanced his case is. Sooner or later, he's going to choke on a Big Mac.