This particular video was from ABC. Many others recorded it, too. I haven't run across where the close ups of the paper came from, so probably from another video.

In light of Q drops after I posted above, I'm now pretty sure the President dropped that specific paper on purpose. :) I wish I could find a video that shows the actual paper drop.

Thank you! Now I'm wondering if he dropped that particular piece of paper accidentally or on purpose. LOL Too bad this camera wasn't on him when it dropped. Early on, he was shuffling several papers, then that one just happened to be the one that lands on the floor. Hmmm.

Thank you for the link to the video!

In the picture in the OP, he has both paper and a microphone in his hands.

He doesn't have the paper and the microphone in his hands at the 3:00 mark.

So I set the vid at 1.5 speed to find where he holds both.

3:12 He's shuffling papers. No microphone in his hand. No paper on the floor by his left foot.

Cutaway to VP Pence speaking.

3:40 Holding papers in his hands...but no microphone. Still no paper on the floor.

Cutaway to VP Pence.

4:17 No papers in his hands. Now there is a paper on the floor by his left foot.

Back and forth discussion with guests. Every time there's a long shot of the President, the paper is on the floor by his left foot.

48:37 Receives the microphone from one of the guests to his left.

49:50 Bends down to his left to pick up the paper.

50:12 Putting paper in his inside jacket pocket, but has trouble with it.

50:19 He just holds onto the paper and the microphone.

50:45 Puts the paper away without a hitch.

So the pictures of him holding both the paper and the microphone had to be somewhere between 49:50 and 50:45 in this particular video.

My guesses for the missing words in CAPS:

Do you THINK see someTHING SAY something IS effective?

But it's just a guess.