Walter Reed's medical staff did not receive a staff announcement for a presidential visit to Bethesda Medical Center, Maryland, prior to Trump's arrival, according to this source.
Typically, Walter Reed's medical staff will receive a general notice of a VIP visit to the medical center prior to a presidential visit informing them of certain prison closures. This did not happen this time, indicating that the visit was an irregular visit and scheduled at the last minute.
The source said that a small group of doctors participating in Trump's medical examinations may be notified before Trump arrives at Walter Reed, but said that all medical officers in Walter Reed are usually aware if the president arrives on a routine medical examination .
His two previous physical exams at the office were announced some time ago by the White House and were noted on his daily public schedule, but a knowledgeable source told CNN on Saturday that the president's sudden trip to the medical center was not even over the president's internal schedule from Saturday morning.
The presidential car card went to the medical center suddenly, with reporters directed not to report his move until they arrived on Saturday at Walter Reed. Usually, Trump takes the Marine One helicopter to Walter Reed, but on a clear day, the president chooses a motor vehicle.
A separate source familiar with the situation described Trump's visit as "abnormal," but added that Trump, 73
White House press secretary Stephanie Grisham in response to a request from CNN on Sunday said: " We will not go into security and traffic protocols when it comes to the president, but as I said in my statements, he is in good health and this was a routine check as part of his yearly physical work. I have provided many of the records that are true and accurate ̵
Grisham said on Saturday that Trump had decided to do parts of his physical early because he had a" free weekend "in Washington, but did not answer why Trump did not get his full physical exam – which usually takes 4 hours – done this weekend. Grisham also denied the president had any health issues.
Trump, Grisham said Saturday, has passed "quick exams and labs." Several experts familiar with the White House's medical procedures have said Trump can get routine lab work in a clinic and at the White House in a place that shows Trump needs tests that can't be done there.
Trump tweeted on Sunday morning that he had no plans to complete his physical activity until next year.
At the February physical exam, Trump weighed 243 pounds, four pounds more than last year's exam. His blood pressure was measured as 118/80 and the results showed that he had increased his daily dose of rosuvastatin, a drug used to treat high cholesterol, according to exam results.
Then White House doctor Dr. Ronnie Jackson recommended that the president diet, start exercising and aim to shed a dozen pounds, but sources told CNN in February that Trump had only done minor changes to his diet and exercise after his 2018 exam.
Jackson also revealed that Trump underwent coronary calcium computed tomography as part of his routine physical examination. Trump's result was recorded as 133, and Gupta noted that everywhere over 100 indicate that there is plaque and that the patient has heart disease.
Jim Acosta, Noah Gray and Veronica Straccalurci of CNN contributed to this story.