Ohh, I disagree with people who say he is shaking hands with someone that only he sees. No.
What I can’t decide if he is looking to his aides for his ice cream cone or reaching out to the bag man for his 10% cut.
Just proves to me that he has a listening device in his right ear.
His dementia has convinced him that he is surrounded by aides and that the person speaking into his ear is standing right next to him.