Bethesda, Nov 20: US President Joe Biden remains healthy and vigorous and fit for duty, but is showing some signs of aging, his doctor said Friday after the oldest president in American history underwent his first routine physical in office and in a history-making moment briefly transferred power to Vice President Kamala Harris while he underwent a colonoscopy.

Harris, the first woman, first Black person and first person of South Asian descent to be vice president, was for one hour and 25 minutes acting president while Biden was under anesthesia.

Over more than five hours Friday at Walter Reed National Military Medical Center, the president underwent a battery of blood, physical, gastrointestinal, dental, vision and neurological examinations. Dr. Kevin O'Connor, who has been Biden's primary care physician since 2009, wrote in a six-page memo released by the White House that Biden, who turns 79 on Saturday, remains a healthy, vigorous, 78-year-old male, who is fit to successfully execute the duties of the Presidency.

O'Connor, however, revealed that he investigated Biden for increased instances of throat clearing during public remarks and a stiffening of his gait. O'Connor reported that Biden's coughing was the result of gastrointestinal reflux and that the stiffened gait was the result of a new diagnosis of mild peripheral neuropathy, spinal arthritis and compensation for a broken foot sustained a year ago.

Interest in Biden's health has been high ever since he declared his candidacy for the White House in 2019 and remains intense as speculation about a 2024 reelection bid swirls. The visit to the medical center in the Washington suburbs was for his first routine physical exam as president and his first since December 2019.

As part of the screening, Biden underwent an extremely detailed neurological exam that ruled out stroke, multiple sclerosis, Parkinson's and amyotrophic lateral sclerosis, but caught the neuropathy, which is nerve damage in the hands and feet. O'Connor said the most common cause of the condition is diabetes, but Biden is not diabetic. Biden, he said, would soon try custom orthotics to improve his gait.

During the course of Biden's colonoscopy a benign-appearing polyp of about 3 millimeters was identified and removed and would be studied over the coming week. O'Connor said Biden has never had colon cancer.

Biden's reported body mass index classified him as slightly overweight, but his cholesterol was under control. Biden, O'Connor said, is prescribed the anticoagulant Eliquis, the statin Crestor and the seasonal allergy spray Dymista, and regularly takes the over-the-counter allergy pill Allegra and the antacid Pepcid.

O'Connor reported that Biden does not use tobacco products or drink alcohol and that he exercises at least five days per week.

Press secretary Jen Psaki said he resumed his duties after speaking with Harris and White House chief of staff Ron Klain at approximately 11:35 a.m.

As Biden left the medical center in the afternoon, he said he was feeling Great!

Great physical and a great House of Representatives vote, he said, referring to the House passage of his roughly 2 trillion social and environmental agenda.

After arriving back at the White House, he said Nothing's changed with his health, joking, "We're in great shape, and I'm looking forward to celebrating my 58th birthday.

While serving as acting president Harris was working from her office in the West Wing, Psaki said. She later traveled to Ohio once Biden awoke from the procedure.

Biden was keenly aware of the history he was making when he selected Harris to be his running mate, Psaki said, adding that she made history every day in the job.

Today was certainly another chapter in that history I think that will be noted for women, young girls across the country," she added.

During Biden's last physical exam, doctors found the former vice president to be healthy, vigorous and fit to successfully execute the duties of the Presidency," according to a doctor's report at the time.

In that report, O'Connor said that since 2003, Biden has had episodes of atrial fibrillation, a type of irregular heartbeat that's potentially serious but treatable. At the time, O'Connor cited a list of tests that showed Biden's heart was functioning normally and his only needed care was a blood thinner to prevent the most worrisome risk, blood clots or stroke.

Biden had a brush with death in 1988, requiring surgery to repair two brain aneurysms, weak bulges in arteries, one of them leaking. Biden has never had a recurrence, his doctor said, citing a test in 2014 that examined his arteries.

Dr. Jeffrey Linder, chief of general internal medicine and geriatrics at Northwestern University's Feinberg School of Medicine, read the White House report and said it contained nothing that's particularly worrisome.

All in all, according to this report it seems like he's in pretty good shape, with very common age-related illness,'' including atrial fibrillation and stiff gait, Linder said.

While the cause of Biden's mild neuropathy is unknown, Linder said it is not an unusual problem and not a cause for concern unless it's bothersome for the president. He added that there is no reason to think the small polyp that was removed was cancerous, given Biden's previous medical history.

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New Delhi (PTI): Prime Minister Narendra Modi on Friday came down heavily on the Congress for the shirtless protest by its youth wing members at the AI Impact Summit recently, saying the opposition party can tear as many clothes as it wants, but his government will continue to work for the country's progress.

Addressing the News18 Rising Bharat Summit, Modi also said that the Congress did not just remove its clothes in front of foreign guests but also exposed its intellectual bankruptcy, asserting that the millennials have already taught the country's oldest party a lesson, and now Gen-Z is ready to do the same.

In an apparent jibe at Congress leader Rahul Gandhi, Modi said the opposition was unhappy seeing the statue of "Babbar Shers" (lions) installed atop the new Parliament building, but their own “Babbar Shers" were running away after facing the "shoes" of the general public.

Gandhi, the Leader of Opposition in the Lok Sabha, had said on February 24 that he was proud of the "Babbar Shers" of the Indian Youth Congress, who "fearlessly" raised their voice at the AI Summit.

"Congress ke Babbar Sher logon ki jute kha ke bhaag gaye (The 'lions' of Congress ran away after being hit by shoes by the public)," Modi said.

The prime minister was apparently referring to the protesting Youth Congress workers being heckled by some people at the AI Summit.

On February 20, a group of Indian Youth Congress (IYC) workers staged a dramatic protest inside Hall No. 5 of the summit venue in Delhi by removing their shirts to reveal T-shirts printed with anti-government slogans, triggering a political slugfest between the BJP and the Congress.

“Congress can tear as many clothes as it wants, but we will continue to work for India's development. Congress not just shed clothes at the AI Summit, it also exposed its incapabilities in front of foreign guests,” Modi said in his nearly 45-minute speech.

He said the AI Summit was a moment of pride for the entire nation, but unfortunately, Congress attempted to tarnish this national celebration.

"When the frustration and despair of failure weigh on the mind, and arrogance makes one's head spin, such a mindset emerges to defame the country," he said.

The prime minister also alleged that the Congress always takes refuge in Mahatma Gandhi to hide its failures, but tries to give credit to one family for anything good.

"People of our country welcomed every good step taken by our government, but the Congress only knows how to oppose everything. The votes of Congress are not stolen; rather, people do not consider Congress worthy of their votes. Millennials first taught a lesson to Congress, now Gen-Z is ready to do the same," he said.

Modi also said that in a democracy, the role of the opposition is not just about blindly opposing every move of the government, but presenting an alternative vision, and that is why the "enlightened public" of the country is "teaching a lesson" to Congress now.

In 1984, the Congress got 39 per cent of the votes and more than 400 seats. But its votes declined consistently in the subsequent elections, Modi said.

"Today, the condition of the Congress is such that it has more than 50 MLAs in just four states. Over the past 40 years, the number of young voters in the country has increased, but the Congress has clearly diminished," Modi said.

On the recent trade deals that India signed with foreign countries, Modi said the country has discovered its inherent strength and strengthened its institutions, which prompted developed nations to come forward and sign deals with India.

He also said that even after Independence, some people ensured that the colonial mindset remained for their own benefits.

"No country would have done trade deals with us had we not discovered our inherent strength and strengthened our institutions. Because of this, developed nations have come forward to sign trade deals (with India)," he said.

Modi also said that even after Independence, India was unable to break free from the mentality of slavery, for which the country is still paying the price.

"The latest example of this can be seen in the ongoing discussions on trade deals. Some people are shocked – ‘what has happened, how did this happen? Why are developed countries so eager to do trade deals with India?’ The answer is – a confident India is emerging from despair and frustration," he said.

Over the long span of history, centuries of slavery had instilled a feeling of inferiority, while the ideology imported from other countries deeply ingrained in society the notion that Indians were uneducated and subservient, the prime minister said.

"If the country was still mired in the despair of the pre-2014 era, counted among the 'Fragile Five', and gripped by policy paralysis, who would strike a trade deal with us?

"Over the past 11 years, a new surge of energy has flowed into the nation's consciousness. India is now striving to reclaim its lost potential," Modi said.

The prime minister also said that due to the recent series of reforms initiated by his government, the world's most powerful nations are now coming forward to sign trade deals with India.

"There was a time when India was only a consumer of new technology. But now we are not just developing them, but also setting standards," he said.

The prime minister also said that India's digital public infrastructure has become a subject of global discussion today, and every move India makes is closely watched and analysed across the world.

"The AI Summit was a clear example of this," he said.

The government's 'Viksit Bharat by 2047' is not a political slogan but an effort to correct the mistakes of the previous Congress governments by making India self-reliant, he said.

“So far, in every industrial revolution, India and the Global South largely remained followers, but in this age of artificial intelligence (AI), India is not only participating but is also shaping it. India now has its own AI startup ecosystem,” Modi said.

He also said the world is astonished that India, where around 30 million families lived in darkness until 2014, has now risen to become one of the top countries in solar power capacity.

India, where many cities had no hope of improving their public transport system, has now become the country with the world's third-largest Metro network, Modi said.

“The Indian Railways was known only for chronic delays and sluggish speeds, yet semi-high-speed connectivity like Vande Bharat and Namo Bharat has now become possible,” he said.

Nation-building never happens through short-term thinking; it is shaped by a long-term vision, patience and timely decisions, the prime minister added.