“If it becomes reasonably clear Drumpf simply isn't able to work as president 
because of any number of medical problems what next? Are their guidleines or 
rules for what to do?”

Section 4 of the 25th amendment:

“Whenever the Vice President and a majority of either the principal officers of 
the executive departments or of such other body as Congress may by law provide, 
transmit to the President pro tempore of the Senate and the Speaker of the 
House of Representatives their written declaration that the President is unable 
to discharge the powers and duties of his office, the Vice President shall 
immediately assume the powers and duties of the office as Acting President.

Thereafter, when the President transmits to the President pro tempore of the 
Senate and the Speaker of the House of Representatives his written declaration 
that no inability exists, he shall resume the powers and duties of his office 
unless the Vice President and a majority of either the principal officers of 
the executive department or of such other body as Congress may by law provide, 
transmit within four days to the President pro tempore of the Senate and the 
Speaker of the House of Representatives their written declaration that the 
President is unable to discharge the powers and duties of his office. Thereupon 
Congress shall decide the issue, assembling within forty-eight hours for that 
purpose if not in session. If the Congress, within twenty-one days after 
receipt of the latter written declaration, or, if Congress is not in session, 
within twenty-one days after Congress is required to assemble, determines by 
two-thirds vote of both Houses that the President is unable to discharge the 
powers and duties of his office, the Vice President shall continue to discharge 
the same as Acting President; otherwise, the President shall resume the powers 
and duties of his office.”

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