Dr. Jonathan Reiner, who once served as cardiologist to the late Vice President Dick Cheney, suggested Wednesday that Donald Trump should undergo a new medical evaluation following an odd moment in the Oval Office.

Reiner, now a medical analyst for CNN, shared a video on X, formerly Twitter, showing Trump appearing to close his eyes for an extended period while surrounded by officials, aides and guests during the signing of a bill allowing whole milk to be served in school cafeterias.

“The president seems to be struggling with excessive daytime somnolence,” Reiner wrote, a reference to multiple instances in recent weeks of Trump appearing to nod off during public events.

“Repeatedly falling asleep with a dozen people surrounding your desk is not normal,” he added. “It needs to be evaluated.”

Reiner has raised concerns about Trump’s health several times before.

Most recently, he criticized the president for taking higher doses of aspirin than recommended. Last month, he said he was worried after Trump appeared “unwell” during a speech, citing his tone and “manic” pacing.

“I’m seriously concerned about the health of the president,” Reiner said at the time. “No one should be happy to see the president like this. He looks unwell.”