Donald Trump’s recent speeches have taken on a level of incoherence that’s raising new concerns about his mental acuity. As noted by MSNBC columnist Zeeshan Aleem, Trump’s latest address in Potterville, Michigan, exemplifies this unsettling trend, demonstrating a degree of confusion that seems more pronounced than ever.

Aleem cited a recent speech in Potterville, Michigan, where Trump’s usual rambling took on an even more confusing dimension. “The words below were taken verbatim,” Aleem wrote, quoting Trump’s disjointed remarks:

“She destroyed the city of San Francisco, it’s — and I own a big building there — it’s no — I shouldn’t talk about this but that’s OK I don’t give a damn because this is what I’m doing. I should say it’s the finest city in the world — sell and get the hell out of there, right? But I can’t do that. I don’t care, you know? I lost billions of dollars, billions of dollars. You know, somebody said, ‘What do you think you lost?’ I said, ‘Probably two, three billion. That’s OK, I don’t care.’ They say, ‘You think you’d do it again?’ And that’s the least of it. Nobody. They always say, I don’t know if you know. Lincoln was horribly treated. Uh, Jefferson was pretty horribly. Andrew Jackson they say was the worst of all, that he was treated worse than any other president. I said, ‘Do that study again, because I think there’s nobody close to Trump.’ I even got shot! And who the hell knows where that came from, right?”

Aleem then attempted to make sense of the speech, noting its disjointed and confusing nature. “This is … impossible to follow,” he concluded.