Here’s what we learned from the last briefing:
Trump was given steroid, a worrying sign
The team’s determination is based primarily on the timeline from the initial diagnosis that we initiate dexamethasone. – White House Doctor, Dr. Sean Conley
Dexamethasone – a safe, inexpensive steroid that has been around for decades – is generally reserved for patients with severe or critical Covid-19 cases.
The National Health Institute and World health organization both recommend the drug for patients on supplemental oxygen or ventilators, based on a large clinical trial that found that it reduced the risk of death. However, both guidelines warn that the drug could harm people who do not need oxygen therapy or a ventilator and should not be used in such patients. Trump’s doctors said Sunday that he had been given oxygen therapy twice for a limited time. They also said he had a fever.
The decision to give Trump dexamethasone shows that “it actually has an effect on the virus,” said Abraar Karan, an internist at Brigham and Women’s Hospital in Boston.
The president completed his second dose of remdesivir last night. He took this infusion well. – Dr. Brian Garibaldi
Remdesivir is an antiviral drug from Gilead Sciences that was originally developed to fight Ebola. Trump’s doctors said Friday that he had started this Standard five-day infusion course the drug.
Remdesivir was is displayed to speed recovery, but it’s not clear whether it actually reduces the risk of death. The Food and Drug Administration has approved emergency use on hospital patients.
Trump’s oxygen levels have dropped to certain levels
Late on Friday morning when I returned to bed, the president had a high fever and his oxygen saturation temporarily dropped below 94 percent. Given these two developments, I was concerned about the potential for rapid progression of the disease. I recommended to the president that we try supplemental oxygen to see how he would react. He was pretty much convinced that he didn’t need it. He wasn’t out of breath. He was tired, had a fever and that was it. And after about a minute, his saturation level was just two liters back over 95 percent. Maybe he stayed with it for about an hour and was gone and gone. – Dr. Conley
Another curiosity about Covid-19: some patients’ oxygen levels drop, but they have no breathing difficulties. That is why doctors monitor blood oxygen levels.
The president’s doctors gave him oxygen after his level fell below 94 percent – a key threshold for Covid-19 patients. A drop below this value signals that a patient’s case is moderate or severe, with the exact diagnosis depending on other vital signs, according to the CDC.
“Once you drop below 94 percent, by definition you have severe covid,” said Carlos del Rio, an infectious disease expert at Emory University.
What do Trump’s lung scans actually show?
What did the X-ray and CT scans show? Are there any signs of pneumonia? Are there any signs of lung involvement? Or damage to the lungs? – reporter
We are following it all. There are some expected results, but no major clinical concerns. – Dr. Conley
Trump’s doctors repeatedly ignored questions about what CT scans or other advanced imaging techniques he had and what they showed about his lungs. His doctors just said they saw “expected results”.
Her admission that the president’s oxygen saturation dropped below 94 percent at times, that he needed oxygen twice, and that he started on dexamethasone suggests at least one moderate case of Covid-19.
Many patients with moderate illness develop pneumonia, which is signaled by “Frosted glass cloudiness,” Lung damage that appears as cloudy white spots on CT scans. These occur when the virus injures tiny air sacs, fills them with pus or other fluid, and makes breathing difficult. Trump’s doctors have not disclosed if he has this type of damage. If he did, it would be a cause for increased concern.
How long has the president been sick?
Yesterday you told us that the President was in good shape, in good shape for the past 24 hours, and free of fever. Minutes after your press conference, White House chief of staff Mark Meadows told reporters that the president’s vital signs for the past 24 hours were very worrying. Simple question for the American people whose statements about the health of the President should be believed? – reporter
White House officials and Trump’s medical team have made seemingly conflicting assessments of the president’s condition and timing of his diagnosis since Trump announced his diagnoses on Twitter early Friday. That made it harder to know how sick Trump is or how far he is in the course of the illness.
“What jumped out is the persistent lack of information on various critical issues,” said Leana Wen, a former Baltimore assistant health commissioner and ambulance. “What is the president’s breathing status? There’s no chance the president hasn’t done multiple breast imaging exams at this point. It would be standard to do this at least daily.”
When could Trump leave the hospital?
If he continues to look and feel as good as he does today, we hope we can plan a discharge to the White House tomorrow where he can continue his treatment course. – Dr. Garibaldi
The possible discharge from Walter Reed National Military Medical Center raised her eyebrows so quickly. The patient’s condition often worsens after seven to ten days.
“The beginning of this second week is a period that we are paying special attention to,” said Helen Boucher, chief infectious disease officer at Tufts Medical Center.
Remdesivir must be administered in a hospital Frame. Of course, the White House has far more medical capacity than the average home and can take the President to a hospital by helicopter. However, it is still possible that his medical team will consider the president and advise him to stay with Walter Reed.
However, several doctors who were not involved in his care said that given the White House’s medical resources, it might be okay to fire Trump. “As soon as they see he’s turning for the better and feeling better, they’re probably right to go back to the White House,” said Emorys del Rio.