Tuesday, October 6, 2020

It'll happen

White House physician Sean Conley on Monday afternoon told reporters the president met the criteria to be discharged from the hospital and would continue treatment at the White House medical unit, but noted that the president may not be entirely “out of the woods” as he is still in the early stages of his coronavirus infection.

[...]

Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases, says doctors need to be alert to a possible reversal of President Trump’s condition after the president left Walter Reed National Military Medical Center Monday evening.

[...]

“The issue is that he’s still early enough in the disease that it’s not a secret that if you look at the clinical course of people, sometimes when you are five to eight days in, you can have a reversal. A reversal meaning going in the wrong direction and getting into trouble,” the nation’s top infectious diseases expert noted.

“It’s unlikely that it will happen, but there needs to be heads up for it,” he added.

  The Hill
I'm no doctor, but I'm going to say it's likely.

He's even more erratic than normal.


Has it been a day even?  And just a short while before stopping the negotiating, he was tweet-screaming for Congress to get it done.  

White House physician Sean Conley said Tuesday that President Trump is reporting “no symptoms” after being discharged from Walter Reed National Military Medical Center during his treatment for the novel coronavirus.

“This morning the President’s team of physicians met with him in the Residence. He had a restful first night at home, and today he reports no symptoms,” Conley wrote in a memorandum issued Tuesday afternoon, less than five days after Trump was diagnosed with COVID-19.

  The Hill
HE reports no symptoms.
Trump has been fever-free since Friday, according to Conley, and otherwise has experienced symptoms of a mild cough, nasal congestion and fatigue.
Sounds like symptoms.

Let's check in on his medication regime.
Dexamethasone is a cheap and widely available corticosteroid that is used to head off an immune system overreaction and treat inflammation.

The drug has risen to prominence as a COVID-19 treatment after a study published in the New England Journal of Medicine in July found it significantly improved the chances of survival for seriously ill COVID-19 patients.

[...]

The announcement that Trump was being treated with dexamethasone raised concerns about the severity of his condition as the drug is typically reserved for patients with severe COVID-19 and not prescribed to patients in the early stages of infection as it can suppress the immune system’s capability to fight off the virus

[...]

On Saturday morning, Trump’s oxygen saturation dropped to 93 percent, prompting the decision to initiate the steroid therapy. Healthy blood oxygen levels range from 95 to 100 percent.

Dexamethasone can cause a range of side effects, from blood clots, headaches and blurred vision to aggression, agitation, anxiety, irritability and depression.

“It can cause psychosis. It can cause delirium. It can cause mania,” Megan Ranney, an emergency physician and associate professor at Brown University, told CNN Sunday.

“I would never want to say the president is experiencing steroid-induced psychosis, but it is certainly concerning to see some of his actions today in the wake of this potentially deadly diagnosis and infectious disease.”

  The Hill

 

No comments: