RUSH TRANSCRIPT Very much ░░░░░░░░ lead with Jake Tapper ░░░░░░░░ right now President Trump ░░░░░░░░ got a lot to ░░░░░░░░ about His two hour ░░░░░░░░ call today With Putin ░░░░░░░░ lead Starts right now ░░░░░░░░ president working the phones ░░░░░░░░ what could be a ░░░░░░░░ in Russia s brutal ░░░░░░░░ against Ukraine According to ░░░░░░░░ President Trump the two ░░░░░░░░ are ready to negotiate ░░░░░░░░ big request He says ░░░░░░░░ wants if three years ░░░░░░░░ his brutal war against ░░░░░░░░ finally comes to an ░░░░░░░░ Plus brand new details ░░░░░░░░ in on the Mexican ░░░░░░░░ ship that hit the ░░░░░░░░ bridge killing two people ░░░░░░░░ the vessel One investigators ░░░░░░░░ now saying about how ░░░░░░░░ boat ended up on ░░░░░░░░ deadly course But first ░░░░░░░░ President Joe Biden s ░░░░░░░░ reaction today after the ░░░░░░░░ learned of his aggressive ░░░░░░░░ of prostate cancer and ░░░░░░░░ well wishes and prayers ░░░░░░░░ to the lead I ░░░░░░░░ Jake Tapper and we ░░░░░░░░ going to start today ░░░░░░░░ our health lead and ░░░░░░░░ tragic news of former ░░░░░░░░ Joe Biden s prostate ░░░░░░░░ diagnosis Here s what ░░░░░░░░ know Last Monday The ░░░░░░░░ York Times was the ░░░░░░░░ to report that President ░░░░░░░░ visited a Philadelphia hospital ░░░░░░░░ previous Friday where quote ░░░░░░░░ small nodule was discovered ░░░░░░░░ his prostate that required ░░░░░░░░ evaluation A Biden spokesperson ░░░░░░░░ most of that to ░░░░░░░░ but would not elaborate ░░░░░░░░ when or where the ░░░░░░░░ examination or future evaluation ░░░░░░░░ conducted Biden is 82 ░░░░░░░░ s kept a relatively ░░░░░░░░ profile since leaving office ░░░░░░░░ January Now yesterday afternoon ░░░░░░░░ s personal office revealed ░░░░░░░░ a prostate nodule was ░░░░░░░░ after the former president ░░░░░░░░ increasing urinary symptoms The ░░░░░░░░ continues that last Friday ░░░░░░░░ was diagnosed with an ░░░░░░░░ form of prostate cancer ░░░░░░░░ has spread to his ░░░░░░░░ The statement goes on ░░░░░░░░ say that while this ░░░░░░░░ a more aggressive form ░░░░░░░░ the disease the cancer ░░░░░░░░ to be hormone sensitive ░░░░░░░░ allows for effective management ░░░░░░░░ has told the Biden ░░░░░░░░ treatment options include hormone ░░░░░░░░ as well as chemotherapy ░░░░░░░░ radiation And obviously everybody ░░░░░░░░ at CNN is sending ░░░░░░░░ our thoughts and prayers ░░░░░░░░ best wishes to the ░░░░░░░░ first family Today Biden ░░░░░░░░ a picture of himself ░░░░░░░░ wife and a family ░░░░░░░░ with the message cancer ░░░░░░░░ us all Like so ░░░░░░░░ of you jill and ░░░░░░░░ have learned that we ░░░░░░░░ strongest in the broken ░░░░░░░░ Thank you for lifting ░░░░░░░░ up with love and ░░░░░░░░ And as I said ░░░░░░░░ well wishes came quickly ░░░░░░░░ national and world leaders ░░░░░░░░ Sunday on Truth Social ░░░░░░░░ President Trump posting quote ░░░░░░░░ and I are saddened ░░░░░░░░ hear about Joe Biden ░░░░░░░░ recent medical diagnosis We ░░░░░░░░ our warmest best wishes ░░░░░░░░ jill and the family ░░░░░░░░ we wish Joe a ░░░░░░░░ and successful recovery unquote ░░░░░░░░ coverage of this story ░░░░░░░░ with CNN s Jeff ░░░░░░░░ at the White House ░░░░░░░░ re hearing some reaction ░░░░░░░░ the Trump White House ░░░░░░░░ the diagnosis Jeff Well ░░░░░░░░ certainly some of the ░░░░░░░░ and warm words and ░░░░░░░░ words from the trumps ░░░░░░░░ the bidens in a ░░░░░░░░ yesterday the president has ░░░░░░░░ yet been asked about ░░░░░░░░ but he is in ░░░░░░░░ Oval Office at this ░░░░░░░░ at an event with ░░░░░░░░ We will see if ░░░░░░░░ speaks about it But ░░░░░░░░ s no question there ░░░░░░░░ a lot of discussion ░░░░░░░░ at the White House ░░░░░░░░ the Biden condition And ░░░░░░░░ president jd Vance weighed ░░░░░░░░ from rome We really ░░░░░░░░ need to be honest ░░░░░░░░ whether the former president ░░░░░░░░ capable of doing the ░░░░░░░░ whether it was doctors ░░░░░░░░ whether there were staffers ░░░░░░░░ the former president I ░░░░░░░░ t think he was ░░░░░░░░ to do a good ░░░░░░░░ for the American people ░░░░░░░░ that s not politics ░░░░░░░░ s not because I ░░░░░░░░ with him on policy ░░░░░░░░ s because I don ░░░░░░░░ think that he was ░░░░░░░░ good enough health In ░░░░░░░░ ways I blame him ░░░░░░░░ than I blame the ░░░░░░░░ around him So President ░░░░░░░░ has not yet weighed ░░░░░░░░ In that vein we ░░░░░░░░ see if he does ░░░░░░░░ But Jake the president ░░░░░░░░ current president talks significantly ░░░░░░░░ his predecessor In fact ░░░░░░░░ Biden has become a ░░░░░░░░ theme and punching bag ░░░░░░░░ something for the Trump ░░░░░░░░ to blame on everything ░░░░░░░░ the economy to foreign ░░░░░░░░ But President Trump as ░░░░░░░░ now has respectfully offered ░░░░░░░░ well wishes But there ░░░░░░░░ many questions swirling around ░░░░░░░░ Donald Trump Jr And ░░░░░░░░ on social media about ░░░░░░░░ timing of this diagnosis ░░░░░░░░ me ask you Jeff ░░░░░░░░ light of vice president ░░░░░░░░ s remarks what is ░░░░░░░░ current White House saying ░░░░░░░░ President Trump s health ░░░░░░░░ President Trump s doctors ░░░░░░░░ of course President Trump ░░░░░░░░ the oldest American to ░░░░░░░░ sworn into office as ░░░░░░░░ He is 78 so ░░░░░░░░ s a bit younger ░░░░░░░░ Joe Biden but was ░░░░░░░░ at the time of ░░░░░░░░ swearing in And the ░░░░░░░░ House briefing today there ░░░░░░░░ some questions for the ░░░░░░░░ House press secretary about ░░░░░░░░ the current president s ░░░░░░░░ and the press secretary ░░░░░░░░ Karoline Leavitt says that ░░░░░░░░ president has has full ░░░░░░░░ faith in his physicians ░░░░░░░░ she said he s ░░░░░░░░ very good shape And ░░░░░░░░ uses an example of ░░░░░░░░ Middle East trip last ░░░░░░░░ when he was going ░░░░░░░░ around the clock from ░░░░░░░░ country to country to ░░░░░░░░ So we shall see ░░░░░░░░ course he did just ░░░░░░░░ a health checkup at ░░░░░░░░ reed but we ve ░░░░░░░░ covered all presidents and ░░░░░░░░ health checkups And Jake ░░░░░░░░ little is often released ░░░░░░░░ the public for presidents ░░░░░░░░ both parties Yeah Jeff ░░░░░░░░ thanks so much CNN ░░░░░░░░ Arlette Saenz is with ░░░░░░░░ now She covered Biden ░░░░░░░░ the campaign and in ░░░░░░░░ White House The prostate ░░░░░░░░ diagnosis is the latest ░░░░░░░░ what has been a ░░░░░░░░ of challenges and potentially ░░░░░░░░ events and to a ░░░░░░░░ extent overcome It s ░░░░░░░░ of the things that ░░░░░░░░ many of his fans ░░░░░░░░ about him this idea ░░░░░░░░ no matter what life ░░░░░░░░ at him he can ░░░░░░░░ back up Yes if ░░░░░░░░ look at the long ░░░░░░░░ of Biden s political ░░░░░░░░ public life it is ░░░░░░░░ with tragic moments throughout ░░░░░░░░ his experience with loss ░░░░░░░░ allowed him to connect ░░░░░░░░ people one on one ░░░░░░░░ that But it s ░░░░░░░░ led to a lot ░░░░░░░░ resilience One common word ░░░░░░░░ so many of his ░░░░░░░░ pointed to after this ░░░░░░░░ was they described him ░░░░░░░░ a fighter If you ░░░░░░░░ back to when he ░░░░░░░░ just 29 years old ░░░░░░░░ lost his wife and ░░░░░░░░ daughter in that car ░░░░░░░░ He then suffered two ░░░░░░░░ aneurysms at the in ░░░░░░░░ and then in 2015 ░░░░░░░░ he was vice president ░░░░░░░░ own son Beau Biden ░░░░░░░░ diagnosed with brain cancer ░░░░░░░░ passed away In fact ░░░░░░░░ s own cancer diagnosis ░░░░░░░░ week was two weeks ░░░░░░░░ the family was set ░░░░░░░░ mark the 10 year ░░░░░░░░ of Beau s passing ░░░░░░░░ then while he was ░░░░░░░░ office you know he ░░░░░░░░ or he endured the ░░░░░░░░ public struggles that his ░░░░░░░░ Hunter had faced with ░░░░░░░░ addiction and Biden s ░░░░░░░░ exit from political life ░░░░░░░░ really been marred in ░░░░░░░░ ways as well He ░░░░░░░░ to seek a second ░░░░░░░░ Those chances were really ░░░░░░░░ on that debate stage ░░░░░░░░ Donald Trump and ultimately ░░░░░░░░ decided to exit the ░░░░░░░░ as there were limitations ░░░░░░░░ his age were on ░░░░░░░░ for many to see ░░░░░░░░ really for Biden one ░░░░░░░░ that they ve all ░░░░░░░░ allies always point to ░░░░░░░░ that he has turned ░░░░░░░░ grief his pain into ░░░░░░░░ One way that he ░░░░░░░░ that after Beau Biden ░░░░░░░░ passing was really working ░░░░░░░░ try to invigorate research ░░░░░░░░ end cancer He launched ░░░░░░░░ cancer moonshot and back ░░░░░░░░ August when they had ░░░░░░░░ out some additional funding ░░░░░░░░ this program Biden actually ░░░░░░░░ families touched by cancer ░░░░░░░░ in a race against ░░░░░░░░ And that s now ░░░░░░░░ that the Biden family ░░░░░░░░ facing themselves as they ░░░░░░░░ evaluating what his treatment ░░░░░░░░ might be All right ░░░░░░░░ Saenz thanks so much ░░░░░░░░ s turn now to ░░░░░░░░ ezekiel emanuel He s ░░░░░░░░ cancer specialist and vice ░░░░░░░░ for the global initiative ░░░░░░░░ the university of Pennsylvania ░░░░░░░░ doctor emanuel thank you ░░░░░░░░ much for joining us ░░░░░░░░ take us through the ░░░░░░░░ Biden s statement says ░░░░░░░░ prostate cancer is characterized ░░░░░░░░ a gleason score of ░░░░░░░░ grade group five with ░░░░░░░░ to the bone Put ░░░░░░░░ into English for us ░░░░░░░░ it s a stage ░░░░░░░░ So gleason goes up ░░░░░░░░ Scale 10 That s ░░░░░░░░ highest which means it ░░░░░░░░ the most aggressive cancer ░░░░░░░░ it s at 10 ░░░░░░░░ so he s in ░░░░░░░░ most aggressive category And ░░░░░░░░ importantly the metastasis means ░░░░░░░░ the cancer has spread ░░░░░░░░ of the prostate to ░░░░░░░░ bone where prostate cancer ░░░░░░░░ goes Which which also ░░░░░░░░ it s incurable He ░░░░░░░░ not be cured of ░░░░░░░░ I should say it ░░░░░░░░ also important to recognize ░░░░░░░░ most people with prostate ░░░░░░░░ don t die from ░░░░░░░░ prostate cancer they die ░░░░░░░░ with the prostate cancer ░░░░░░░░ this is a prostate ░░░░░░░░ which as you noted ░░░░░░░░ probably treatable with hormonal ░░░░░░░░ that blocks testosterone and ░░░░░░░░ So my impression and ░░░░░░░░ could be completely wrong ░░░░░░░░ correct me If so ░░░░░░░░ that prostate cancer is ░░░░░░░░ caught pretty early on ░░░░░░░░ it s rare to ░░░░░░░░ diagnosed with prostate cancer ░░░░░░░░ advanced as his is ░░░░░░░░ that right That is ░░░░░░░░ About 7 of people ░░░░░░░░ it diagnosed when it ░░░░░░░░ metastatic So how long ░░░░░░░░ this cancer been growing ░░░░░░░░ And would there have ░░░░░░░░ symptoms before the last ░░░░░░░░ of weeks Would there ░░░░░░░░ indications in his medical ░░░░░░░░ that have been made ░░░░░░░░ from when he was ░░░░░░░░ president candidate and then ░░░░░░░░ It has been growing ░░░░░░░░ years It didn t ░░░░░░░░ pop up in the ░░░░░░░░ few days or the ░░░░░░░░ few weeks or the ░░░░░░░░ 200 days Cancer grows ░░░░░░░░ time Initially we don ░░░░░░░░ we can t see ░░░░░░░░ diagnose it because it ░░░░░░░░ a few Thousand 100 ░░░░░░░░ cells It needs to ░░░░░░░░ more than tens of ░░░░░░░░ of Cells to be ░░░░░░░░ And that takes time ░░░░░░░░ develop in most cases ░░░░░░░░ every case but in ░░░░░░░░ cancer it does And ░░░░░░░░ cancer it does In ░░░░░░░░ cancer