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It's a repetitive appearance, someone needs to track the time frame of this patching effort.
Might be a big hint there.

He has been looking more gaunt, low energy, more confused, and has lost weight over the last few months.

My Bingo card says . . . kidney failure, dialysis can be done via a vein in the hand and can leave a bruise.
Poor diet, long term abuse of uppers, yep that fits.

If he was a human being, he'd say . . . I'm not well, I'm no longer up for his, someone else take over.

But Trump being Trump, he will live in a permanent state of denial and believe in his immortality or whatever he has been searching so desperately for all his life.
I don't mind Trump fading away to the state of non-viability known as Death, but why does he need to take the whole country with him?

(On reflection, it probably is embalming fluid going into his veins.)