Nope that's just extremely typical of midline dementia patients who have either equal good and bad days or slightly more bad than good days, depending on which side of the curve they're on with their disease.

And you know what makes it kick into progression overdrive? Stress like the type that naturally comes along with something like presidential campaign during an election year........

Actually, I think he is still pumped up. This is as good as he gets. Four syllables is to hard to manage.