Coronavirus COVID-19 - Global Health Pandemic #81

[citygirl]

Something to get us through these times...

Author: Elena Mikhalkova, Russian author, poet

My grandmother once gave me a tip:
In difficult times, you move forward in small steps.
Do what you have to do, but little by little.
Don't think about the future, or what may happen tomorrow.
Wash the dishes.
Remove the dust.
Write a letter.
Make a soup.
You see?
You are advancing step by step.
Take a step and stop.
Rest a little.
Praise yourself.
Take another step.
Then another.
You won't notice, but your steps will grow more and more.
And the time will come when you can think about the future without crying.

Absolutely love this!
Wise words.
Beautiful.
And so true.

 

[BayouBelle_LA]

Sadly, I believe Trump thinks he is on the mend. Perhaps he is, however unlikely that may be.
IMO, he hasn't even begun to experience the reality of COVID19! Time will tell, next Saturday he will be back at the White House on the mend or he will still be at Walter Reed hospital.
I do not think he is able to grasp what this illness has yet to do to him.
I know so many... 60+ who spent weeks in the hospital, not even on a ventilator!
May he and the First Lady be well!
MOO

I’m glad to see his positive attitude. A little positivity goes a long way. There are more people with the virus that don’t go into the hospital than those that do.

 

[sds71]

Main story is about Minnesota R Congressmen who flew commercial airline after Trump tested positive.

Twenty-five (25):
So far, 25 POSITIVE COVID TESTS:

1+2. President & Melania Trump
3. Bill Stepien, Trump campaign mgr
4. Hope Hicks
5. Kellyanne Conway
6. Sen. Mike Lee
7. Sen. Thom Tillis
8. Ronna McDaniel
9. Notre Dame Pres. Jenkins
10-12. Three WH reporters
13-23. Eleven staffers frm Cleveland debate
24. Sen. Ron "Russian Ron" Johnson
25. Chris Christy
Reps. Stauber, Emmer, Hagedorn fly Delta after flying with Trump

His personal assistant Nick Luna tested positive

 

[Lilibet]

Oh, he sounded sick to me. And we don't know if he's experiencing fatigue (doesn't show on camera), or can't taste/smell. He's sitting up.

He has a fever, according to his doctors. His blood oxygen was 96% - which, if that's normal for him, cool - but it means his lungs aren't strong. At 95%, a person should really consult a doctor or even go to the ER.

This is what is so mysterious about CoVid is that a case like Trump's, which appears moderate or even mild, can certainly turn for the worst.

It would certainly be moderate if he hadn't had regeneron -which is a lot like getting a post-infection vaccine; you and I have no chance of getting or the remdesivir (which you and I can't get except under extreme circumstances)...he would certainly be more ill.

I am optimistic that he will do well - although even with those drugs on board, the post-CoVid syndrome effects are real. It's almost impossible for me to believe he doesn't have lung pathologies at this time (his problems with breathing - now much resolved through those drugs).

BBM

It’s all very confusing about oxygen level IMO. I usually run in the mid-90’s at the doctor’s office. I just started testing my oximeter and have ranged from 92-96 depending on the finger it’s on. I will have to read the instructions again, and try to figure out my normal, but I don’t think I need to go to ER.

Normal SpO2 is usually at least 95%. Some patients with chronic lung disease or sleep apnea can have normal levels around 90%.
https://www.health.state.mn.us/diseases/coronavirus/hcp/pulseoximetry.pdf

a pulse ox (SpO2) below 95 percent is considered low.
Is My Blood Oxygen Level Normal?

As a good rule of thumb, a person with COVID-19 monitoring his or her clinical status at home will want to ensure that the SpO2 reading stays consistently at or above 90 to 92%. If the number consistently drops below this threshold, timely medical evaluation is warranted.
Can an Oximeter Help Detect COVID-19 at Home?

 

[Lilibet]

Something to get us through these times...

Author: Elena Mikhalkova, Russian author, poet

My grandmother once gave me a tip:
In difficult times, you move forward in small steps.
Do what you have to do, but little by little.
Don't think about the future, or what may happen tomorrow.
Wash the dishes.
Remove the dust.
Write a letter.
Make a soup.
You see?
You are advancing step by step.
Take a step and stop.
Rest a little.
Praise yourself.
Take another step.
Then another.
You won't notice, but your steps will grow more and more.
And the time will come when you can think about the future without crying.

Beautiful! That’s a keeper. Thank you.

 

[LaborDayRN]

Something to get us through these times...

Author: Elena Mikhalkova, Russian author, poet

My grandmother once gave me a tip:
In difficult times, you move forward in small steps.
Do what you have to do, but little by little.
Don't think about the future, or what may happen tomorrow.
Wash the dishes.
Remove the dust.
Write a letter.
Make a soup.
You see?
You are advancing step by step.
Take a step and stop.
Rest a little.
Praise yourself.
Take another step.
Then another.
You won't notice, but your steps will grow more and more.
And the time will come when you can think about the future without crying.

Thank you for this! Absolutely words to live by during tough times.

 

[cass523]

What's the confusion?

The conflicting information being said about the Presidents health.

@Lilibet explained it, Thank you Lilibet

 

[cass523]

Was it a doctor who said that the case onset was 72 hrs? If so, I would suggest that the number of hours mentioned by a doctor is correct. They would be charting, dispensing meds, and following medical protocols based on time. The actual number of hours would be in the forefront of their medical decisions. It is not something that they would be mistaken about.

If it was the press that said 72 hours, that could be just an error. If it was the WH that said 72 hrs, then it could be an error, or it could be spin, or it could be true. Unfortunately, there have been credibility issues in reports coming from the WH.

It was the information in this article too

Just minutes after the president’s doctors painted a rosy picture of his condition on television, Mark Meadows, the White House chief of staff, gave reporters outside Walter Reed National Military Medical Center a far more sober assessment off camera, calling Mr. Trump’s vital signs worrisome and warning that the next two days would be pivotal to the outcome of the illness.

“The president’s vitals over the last 24 hours were very concerning, and the next 48 hours will be critical in terms of his care,” Mr. Meadows told the reporters, asking not to be identified by name. “We’re still not on a clear path to a full recovery.”

In keeping with the ground rules he had set, Mr. Meadows’s remarks were attributed, in a pool report sent to White House journalists, to a person familiar with the president’s health. But a video posted online captured Mr. Meadows approaching the pool reporters outside Walter Reed after the doctors’ televised briefing and asking to speak off the record, making it clear who the unnamed source was.

The comments infuriated the president, according to people close to the situation, and he intervened directly to counter the perception that he was sicker than the White House had admitted. Within hours, he posted a message on Twitter saying, “I am feeling well!” and called his friend and personal lawyer Rudolph W. Giuliani to have him convey a message to the outside world. “I’m going to beat this,” Mr. Trump told him. He then made the video

The mixed messages only exacerbated the uncertainties surrounding the president’s situation. During their televised briefing, the doctors refused to provide important details and gave timelines that conflicted with earlier White House accounts, leaving the impression that the president was sick and had begun treatment earlier than officially reported.

The White House physician later released a statement insisting that he and his colleagues had misspoken.

Trump’s Symptoms Described as ‘Very Concerning’ Even as Doctors Offer Rosier Picture

 

[gitana1]

Minnesota Congressmen on Air Force One with Trump and Hicks flew to MN on Delta commercial flight. Delta policy states that the airline will not allow anyone knowingly exposed to COVID-19 in the past 14 days to travel. Delta not telling the truth? Would you have flown on this flight, knowing these three Congressmen had been exposed to coronavirus?

Another Delta spokesman said there was “a conversation with passengers” about the congressmen’s presence.

But a 30-year-old passenger from Washington, D.C., who asked that his name not be used said Saturday that there was no such conversation and that he and his fiancée were given no option to leave the plane, which he said they would have done had they had that choice.

He also expressed distress that food and drink service continued during the flight, which means the congressmen would have removed their masks if they ate or drank.

Minnesota Republicans fly Delta home from D.C. after COVID-19 exposure

And this is why our economy cannot get back on track sooner rather than later. This negligent behavior is widespread and makes many Americans (like me) unwilling to venture out as much into the world and thus contributing to the economy.

 

[TootsieFootsie]

I love this, thanks for posting!

It's sort of what I do when I'm feeling down and not my usual glass half full person.
I have a diary where I write down the positive and happy things that happen every day, and even the tiny things, like I folded some clothes, I called a friend, I saw a lot of butterflies etc
And when I feel I haven't done much I look at my diary and see all the small things and I feel contented.
I call them my "baby steps"

My grandmother once gave me a tip:

 

[Lilibet]

The comments infuriated the president, according to people close to the situation, and he intervened directly to counter the perception that he was sicker than the White House had admitted. Within hours, he posted a message on Twitter saying, “I am feeling well!” and called his friend and personal lawyer Rudolph W. Giuliani to have him convey a message to the outside world. “I’m going to beat this,” Mr. Trump told him. He then made the video

The mixed messages only exacerbated the uncertainties surrounding the president’s situation. During their televised briefing, the doctors refused to provide important details and gave timelines that conflicted with earlier White House accounts, leaving the impression that the president was sick and had begun treatment earlier than officially reported.

The White House physician later released a statement insisting that he and his colleagues had misspoken.
Trump’s Symptoms Described as ‘Very Concerning’ Even as Doctors Offer Rosier Picture

https://www.nytimes.com/2020/10/03/us/politics/trump-covid-updates.html

We’ve seen this before. The only time we will know the truth about President Trump’s condition is if or when there is bad news that cannot be denied by the POTUS.
JMO

 

[Satchie]

It was the information in this article too

Just minutes after the president’s doctors painted a rosy picture of his condition on television, Mark Meadows, the White House chief of staff, gave reporters outside Walter Reed National Military Medical Center a far more sober assessment off camera, calling Mr. Trump’s vital signs worrisome and warning that the next two days would be pivotal to the outcome of the illness.

“The president’s vitals over the last 24 hours were very concerning, and the next 48 hours will be critical in terms of his care,” Mr. Meadows told the reporters, asking not to be identified by name. “We’re still not on a clear path to a full recovery.”

In keeping with the ground rules he had set, Mr. Meadows’s remarks were attributed, in a pool report sent to White House journalists, to a person familiar with the president’s health. But a video posted online captured Mr. Meadows approaching the pool reporters outside Walter Reed after the doctors’ televised briefing and asking to speak off the record, making it clear who the unnamed source was.

The comments infuriated the president, according to people close to the situation, and he intervened directly to counter the perception that he was sicker than the White House had admitted. Within hours, he posted a message on Twitter saying, “I am feeling well!” and called his friend and personal lawyer Rudolph W. Giuliani to have him convey a message to the outside world. “I’m going to beat this,” Mr. Trump told him. He then made the video

The mixed messages only exacerbated the uncertainties surrounding the president’s situation. During their televised briefing, the doctors refused to provide important details and gave timelines that conflicted with earlier White House accounts, leaving the impression that the president was sick and had begun treatment earlier than officially reported.

The White House physician later released a statement insisting that he and his colleagues had misspoken.

Trump’s Symptoms Described as ‘Very Concerning’ Even as Doctors Offer Rosier Picture

It doesn't surprise me at all that the doctors and Trump want to present a positive impression and hopeful diagnosis. That's pretty normal for many people fighting off a disease. What I can't figure out is why the WH Chief of Staff, of all people, would be leaking a different message. He's the guy who's job is to stop leaks and make sure the President looks good.
Top Trump Aide Vows People Will 'Go to Jail' Over Russia Bounty Leaks

 

[Yvettea]

The mixed messages are IMO intended to keep people off balance to conceal the truth as much as possible. The messages come in many forms like Ivanka’s surreptitious trip to work today. Did she mean to be seen or not? Probably only time will tell.

 

[dmac55]

I am not trying to say anything but am quoting sources. It is an unapproved product but has Emergency Use Authorisation from the FDA. Whether that means the FDA has approved it is clear therefore. It is approved under an EUA, because of the declared public health emergency.

Important Information
The Secretary of the Department of Health and Human Services has declared a public health emergency that justifies the emergency use ofVEKLURY (remdesivir) to treat coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 infection. In response, the US Food and Drug Administration (FDA) has issued an Emergency Use Authorization (EUA) for the unapproved product, VEKLURY, for the treatment ofCOVID-19.

That's great
My source is the FDA

My posts stand
Remdesivir is not approved by the FDA
Emergency Use Authorization is not the same as FDA approval


tresir2012 said: ↑
Remdesivir is approved by the FDA but you are saying it isn't in your first paragraph. That's not correct.


dmac55 said: ↑
Remdesivir is NOT approved by the FDA.

"Veklury (remdesivir) is an investigational antiviral drug. It is not currently FDA-approved to treat or prevent any diseases, including COVID-19."

Federal Drug Administration
COVID-19 Frequently Asked Questions | FDA
COVID-19 Frequently Asked Questions

 

[BeckyF]

Oh, he sounded sick to me. And we don't know if he's experiencing fatigue (doesn't show on camera), or can't taste/smell. He's sitting up.

He has a fever, according to his doctors. His blood oxygen was 96% - which, if that's normal for him, cool - but it means his lungs aren't strong. At 95%, a person should really consult a doctor or even go to the ER.

This is what is so mysterious about CoVid is that a case like Trump's, which appears moderate or even mild, can certainly turn for the worst.

It would certainly be moderate if he hadn't had regeneron -which is a lot like getting a post-infection vaccine; you and I have no chance of getting or the remdesivir (which you and I can't get except under extreme circumstances)...he would certainly be more ill.

I am optimistic that he will do well - although even with those drugs on board, the post-CoVid syndrome effects are real. It's almost impossible for me to believe he doesn't have lung pathologies at this time (his problems with breathing - now much resolved through those drugs).

95% oxygen level doesn’t necessitate a trip to ER or doctor. Is My Blood Oxygen Level Normal?

 

[dmac55]

I found info to indicate it is authorized on an emergency basis for ALL patients regardless of severity. It’s linked in one of my earlier posts. @tresir2012 is right.

Yes
Remdesivir has Emergency Use Authorization by the FDA
It does not have FDA approval

The two are different

If Remdesivir had FDA approval there would be no need for an Emergency Use Authorization
"Veklury (remdesivir) is an investigational antiviral drug. It is not currently FDA-approved to treat or prevent any diseases, including COVID-19."

"In May 2020, the FDA issued an Emergency Use Authorization (EUA) that authorized Veklury for the treatment of hospitalized adult and pediatric patients with severe COVID-19."

COVID-19 Frequently Asked Questions | FDA
COVID-19 Frequently Asked Questions

@gitana1 and @tresir2012:
It's possible I'm missing something
I can not find a source saying Remdesivir has been approved by the FDA
Only that it is has received Emergency Use Authorization

I'm sorry if i am wrong

Edited to add:
It's available for use to treat COVID-19
No matter the mechanism
And that's a good thing

Sorry to everybody about my rabbithole
It wasn't necessary

 

[tresir2012]

That was incredibly stupid and irresponsible of them to have advised that. I guess they were low on PPE worldwide and did not want people bulk buying and causing a shortage. They could have instead told people to not buy at the moment the N95 masks and shown them how to make their own. That would have saved thousands of lives.

I don't think I actually posted the source. Here it is below.

Coronavirus Q&A: Should we all be wearing face masks?

 

[tresir2012]

His doctor said it, working backwards here:

Donald Trump still "fatigued" after taking experimental antibody cocktail, famotidine for COVID, doctor says

"In a health update, Trump's physician, Sean Conley, confirmed that Trump received a single 8 gram dose of Regeneron's polyclonal antibody cocktail. Additionally, the president has also been taking zinc, vitamin D, famotidine, melatonin and a daily aspirin."

Famotidine is a heartburn/gastritis med. He may take it as a matter of course on-label; he may take it because some of the other stuff he's on is giving him heartburn; or some third reason I don't know about. The daily aspirin could be for heart health and maybe also precedes the COVID.

Thanks for that. The aspirin may be to prevent blood clotting and the famotidine may be to prevent excess acid sometimes caused by aspirin. I know that because I cannot take aspirin or ibuprofen due to an ulcer I had some years ago. If I do have to take them, which I avoid, I must take a similar medication too, which i cannot remember the name of.

 

[tresir2012]

Yes
Remdesivir has Emergency Use Authorization by the FDA
It does not have FDA approval

The two are different

If Remdesivir had FDA approval there would be no need for an Emergency Use Authorization
"Veklury (remdesivir) is an investigational antiviral drug. It is not currently FDA-approved to treat or prevent any diseases, including COVID-19."

"In May 2020, the FDA issued an Emergency Use Authorization (EUA) that authorized Veklury for the treatment of hospitalized adult and pediatric patients with severe COVID-19."

COVID-19 Frequently Asked Questions | FDA
COVID-19 Frequently Asked Questions

@gitana1 and @tresir2012:
It's possible I'm missing something
I can not find a source saying Remdesivir has been approved by the FDA
Only that it is has received Emergency Use Authorization

I'm sorry if i am wrong

Edited to add:
It's available for use to treat COVID-19
No matter the mechanism
And that's a good thing

Sorry to everybody about my rabbithole
It wasn't necessary

I don't think anyone is wrong but it is splitting hairs to say EUA is not "approval" IMO. Ebola vaccine got EUA for example, so did Hydroxychloroquine.

Here's some more "unapproved" items. Ventilators, N95's and surgical masks for example.

Personal Protective Equipment EUAs

 

[SouthAussie]

Yes
Remdesivir has Emergency Use Authorization by the FDA
It does not have FDA approval

The two are different

If Remdesivir had FDA approval there would be no need for an Emergency Use Authorization
"Veklury (remdesivir) is an investigational antiviral drug. It is not currently FDA-approved to treat or prevent any diseases, including COVID-19."

"In May 2020, the FDA issued an Emergency Use Authorization (EUA) that authorized Veklury for the treatment of hospitalized adult and pediatric patients with severe COVID-19."

COVID-19 Frequently Asked Questions | FDA
COVID-19 Frequently Asked Questions

@gitana1 and @tresir2012:
It's possible I'm missing something
I can not find a source saying Remdesivir has been approved by the FDA
Only that it is has received Emergency Use Authorization

I'm sorry if i am wrong

Edited to add:
It's available for use to treat COVID-19
No matter the mechanism
And that's a good thing

Sorry to everybody about my rabbithole
It wasn't necessary

You are right. Thank you for bringing this to our attention.
Remdesivir is still considered to be an experimental drug and has an EAU as there are "there are no adequate, approved, and available alternatives".

As well, there is currently a safety concern about Remdesivir (dated 2nd October 2020) ......

"Reports of acute kidney injury in some patients with COVID-19 receiving remdesivir (Veklury, Gilead Sciences) have prompted the Pharmacovigilance Risk Assessment Committee (PRAC) of the European Medicines Agency (EMA) to launch a safety review."
PRAC Starts Safety Review of Remdesivir


Trump receives remdesivir, an emerging treatment for Covid-19 symptoms
Trump is receiving an experimental antiviral for COIVD-19 called remdesivir