Today, at 6:00 p.m. local time in Évian-les-Bains, France, Donald Trump stepped behind the podium and quickly looked into the audience with a lost look in his very swollen eyes. And before he could get more than a few words out, he was already struggling to catch his breath. For the next hour and eight minutes, his voice faltered as he delivered the most concerning press conference of his presidency. Not just because of the large patches of flesh-colored makeup covering bruises, scratches, and gashes on the backs of his hands. But because he struggled at times to pronounce words, complete thoughts, and understand questions that had been asked only moments earlier.