President Donald Trump’s cankles were in full view once again on Friday during a September 11 remembrance event in which he appeared to struggle to stay awake.
Trump, 80, looked tired sitting beside First Lady Melania Trump at the Pentagon, while all other living presidents and their spouses were in New York City. Over the course of the event, which Trump reportedly attended because he was allowed to give a speech, photographers captured visible signs of the president’s chronic venous insufficiency (CVI).
CVI is a common condition in older people that makes it more difficult for blood to return to the heart from the lower extremities. The White House revealed last July that Trump has it. Before Friday, the condition was last evident in June, while he was at the G7 Summit in France.
In January, Trump told The Wall Street Journal that he had previously tried wearing compression socks to deal with the condition, but that he “didn’t like them.” Instead, he said he has tried to avoid sitting for long periods. The president golfs for exercise, but often takes a cart.
The White House did not immediately respond to a request for comment, but spokesperson Davis Ingle has previously told the Daily Beast that Trump “is the sharpest, most accessible, and energetic president in modern American history.”
The Daily Beast has chronicled the octogenarian’s various ailments throughout his second term, including his bruised hands—which the White House attributes to handshaking and Trump’s aspirin dosage—his sudden neck rash, slurred speech, bouts of confusion, and appearing to doze off during midday meetings.
Trump hasn’t been known to get the recommended hours of sleep—something that his social media feed reflects, given the frequency of his late-night and early morning posts, as the Daily Beast has noted.
On Friday night, the president left Washington, D.C. for Ireland, where he is scheduled to spend the weekend.
