Early in Donald Trump’s press conference Tuesday, Fox News’ Peter Doocy posed a question that might have puzzled those who stayed off social media over Labor Day.

“How did you find out over the weekend that you were dead?” Doocy said to the president.

Doocy’s inquiry stemmed from speculation about Trump’s health that circulated online throughout the Labor Day weekend. This was partly spurred by Trump’s limited public appearances over several days. The situation has rekindled a recurring issue for leaders: the scrutiny journalists face when covering the health of aging presidents.

Trump claimed he was more active than publicly perceived and criticized the press. “It’s fake news — it’s so fake,” he commented. “That’s why the media has so little credibility.”

It’s a familiar issue with the news media and two aging presidents

Last year, President Joe Biden, now 82, stepped back from his reelection bid following a stumbling, unclear debate with Trump, raising doubts about his capability to serve another term. Reporters covering the White House were criticized for allegedly failing to thoroughly probe Biden’s health status.

Trump, who turned 79 in June, holds the record as the oldest president to be inaugurated. Recently, photos showing bruises on his hands and apparent leg swelling, along with clips of public gaffes, such as confusing Michigan Gov. Gretchen Whitmer’s name, fueled online discussions.

None of these is evidence of serious illness.

The White House has stated that Trump has been diagnosed with chronic venous insufficiency, a condition where veins in the legs struggle to return blood to the heart, leading to pooling. This condition is relatively common among older adults.

As far as the bruising, press secretary Karoline Leavitt said it’s from “frequent handshaking and the use of aspirin,” which Trump takes regularly to reduce the risk of heart attack and stroke. Easy bruising in general could have several relatively benign causes, including old age or side effects from medications like blood thinners.

Besides creating spikes in online activity through sites like X, Facebook and TikTok, stories speculating about Trump’s health appeared in outlets like The Hill, the New York Post, People, Rolling Stone, Raw Story and Breitbart in recent days, according to NewsWhip.

But outlets like The New York Times, The Associated Press, MSNBC and Fox News Channel did not write about it or discuss it, at least prior to the issue being brought up at Trump’s news conference.

‘Trump is dead’ was trending on social media

On CNN Tuesday morning, anchor Audie Cornish had a short discussion about the topic. “At one point the term ‘Trump is dead’ was trending on social media,” Cornish said. “Not true.” She noted one of Trump’s social media posts from Labor Day, when he wrote, “NEVER FELT BETTER IN MY LIFE.”

On the conservative outlet Newsmax, anchor Rick Leventhal read a series of social media messages about the issue. “The left did not hesitate to take to social media sending ill will the president’s way,” he said.

After Trump’s 50-minute Oval Office appearance, televised in full on Fox News, network anchor Martha MacCallum laughed at a reference to the issue. “Biden was missing in action for days or weeks,” she said.

Trump sought to make his predecessor’s condition an issue both before and after voters returned him to the presidency. In June, Trump ordered an investigation into Biden’s use of the autopen for presidential signatures and whether his aides purposely shielded the public from evidence of Biden’s physical and mental decline.

In part because of that, former NBC “Meet the Press” anchor Chuck Todd said in a podcast Tuesday that Trump and his team had only themselves to blame for the way the president’s health became an issue. “I do think they’re susceptible to a feeding frenzy,” he said.

Beyond punditry, however, news outlets face serious questions about how to handle the story, much like they did with Biden. The physical signs that have been pointed out online should trigger serious probes into the president’s health. Some critics, like historian Garrett Graff, said it was puzzling that many in the media hadn’t treated it like a news story — although the timing over a holiday weekend surely made it more challenging.

What is fair game for news media to cover?

“Evidence-based assessments of a president’s health are absolutely fair game,” said Bill Grueskin, a Columbia University journalism professor. That could include observations like the president’s bruising or falling asleep at meetings, and analyses of what drugs the president is taking and why.

“Similarly, radio silence from a prominent office holder, especially one who appears on media frequently, is a valuable thing for journalists to report,” Grueskin said. “I don’t think that news organizations need to publish those ‘everyone is talking about XYZ on social media, so we need to repeat it’ stories.”

The issue of press coverage of Biden’s health was widely discussed last year, and renewed again this spring with the publication of “Original Sin: President Biden’s Decline, Its Cover-up, and His Disastrous Choice to Run Again” by journalists Jake Tapper and Alex Thompson.

Given all that, Graff wrote in a Substack post that “you’d think reporters would be falling all over themselves to dig deeper right now. Clearly, there’s enough smoke to warrant at least a major story in a major outlet investigating whether there is fire.”