Joe Biden struggled with a number of words and phrases Monday as he gave his first campaign speech of the 2020 Democratic primary battle.

He opened his 27-minute address by expressing his gratitude to local official Rich Fitzgerald: “I want to thank Rich Fritzgerald, the county executive for — the baladanny — the Allegheny County executive for being here.” It was downhill from there and he slurred or stumbled over words like “dignity,” “successful,” and “hospitals.”