It will only get worse with the departure of General Mattis. The last vestige of any sanity in the White House will be gone. The President’s actions are escalating and will continue to do so as the pressures mount on him. His behavior in the last few weeks has been more dangerous and will be more difficult to correct once he is gone. Above it all we have a malignant narcissist as our Chief Executive and to protect us from any more of his unhealthy actions he must be removed immediately. The corollary in medicine is a sick and dying patient (our country), taking a serious “turn for the worse”. Act now!