(WASHINGTON) — A lack of notice. Past failures to level with the American people. A tough week for the White House as public impeachment hearings got under way.

Add it all up, and President Donald Trump’s unscheduled weekend visit to Walter Reed National Military Medical Center raised suspicions about his health, despite White House officials’ insistence that the president was merely getting a head start on his annual physical.

For any president, a sudden trip to the hospital would raise questions. But such scrutiny was magnified with a president who has a history of exaggeration and playing loose with the facts, giving skeptics room to run with their own theories.

“The one thing you can be absolutely sure of is this was not routine and he didn’t go up there for half his physical,” tweeted Joe Lockhart, a press secretary under President Bill Clinton, who was himself impeached for perjury and obstruction. “What does it mean? It means that we just won’t know what the medical issue was.”

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