Coronavirus COVID-19 - Global Health Pandemic #81

[Simply Southern]

Medical briefing from the president’s hospital team at 11:30.

Would you have a link to share?

 

[sds71]

Would you have a link to share?

Live News Stream: Watch FOX 5 DC
https://twitter.com/fox5dc/status/1312772174579556352

 

[dixiegirl1035]

Would you have a link to share?

Has not started yet, waiting for feed at 35 after the hour.. late...

Two options for you...

This one has comments/chat going under the feed live (no video as to presser live yet), and has audio from outside traffic...

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Another one... chat is disabled on this one

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[Simply Southern]

Live News Stream: Watch FOX 5 DC
https://twitter.com/fox5dc/status/1312772174579556352

Thanks!

 

[CSIDreamer]

Thanks for the question and the opportunity to expound and share with others!

Yes, the manufacturer does indeed state such...if you look at the link (I will repost so you can look) it says that it is presented as "Veklury (remdesivir) is available as a lyophilized powder and concentrated solution"

That is defined lyophilized as "a free dried" substance... think the old Sanka coffee if you are old enough. It MUST be reconstituted and given over a period of time "Administer Veklury via IV infusion over 30 to 120 minutes"

Within the link I posted... yes.. here are instructions for reconstitution etc.

"Veklury (remdesivir) for Injection, 100 mg: Reconstitute Veklury for injection lyophilized powder with 19 mL of Sterile Water for Injection and further dilute in 0.9% sodium chloride infusion bag prior to administration.•Veklury (remdesivir) Injection, 100 mg/20 mL (5 mg/mL): Dilute Veklury injection concentrated solution in 0.9% sodium chloride infusion bag prior to administration.•Prepare solution for infusion on same day as administration. •Administer diluted Veklury as an IV infusion over 30 to 120 minutes.•After infusion is complete, flush with 0.9% sodium chloride."

https://www.fda.gov/media/137566/download

BBM. I can't remember if I know your qualifications. You're a scientist or MD?

 

[zecats]

"After a member of her family tested positive for COVID-19, the Chairwoman was tested for the virus.

McDaniel frequently interacts with the President and other top Republican lawmakers. She was last with the President last Friday (9/25).

She has been at her home in Michigan since last Saturday (9/26, Rose Garden event).

On Wednesday afternoon (9/30), she received confirmation she was COVID-19 positive.”

RNC chairwoman tests positive for coronavirus

Sounds like a potential person #1.

 

[Medstudies]

the following article was linked from the Walter Reed Clinical Trial home page:

President Trump in Hospital After Testing Positive for Coronavirus

...”On Friday, an experimental antibody cocktail made by Regeneron Pharmaceuticals Inc. was given to Trump, the Associated Press reported.

The company agreed to supply a single dose, given via IV, for Trump at the request of his physician, Dr. Sean Conley, under "compassionate use" provisions, the AP reported.”
...


“Over the course of the past two to three weeks we have noticed a marked rise in COVID patients coming into our hospitals in Green Bay," said Dr. Paul Casey, medical director of the emergency department at Bellin Hospital in Wisconsin, told CNN. "And this comes in the wake of what we thought we were doing well."

"For the first time in 17 years that I've been here, we've had to put patients in hallway beds," Casey told CNN. "I never envisioned having to do that in a small community like Green Bay, but we've done it not twice, but three times, in the last 10 days."

...By Friday, the U.S. coronavirus case count passed 7.3 million while the death toll passed 207,600, according to a Times tally.”

 

[dixiegirl1035]

BBM. I can't remember if I know your qualifications. You're a scientist or MD?

Just reposting from MD's that many have followed for a while.

 

[dixiegirl1035]

OMG!

Backstepping? WHOA!!!!!

Am I in la la land?
Quick transcribe to be ETA over 60 minutes (ETA inserted here also... why aren't media releasing transcriptions of these? Does anyone have vs. us having to do such?) Back to ETAs

Per presser

2 episodes of oxygen drops of oxygen saturation
Given dexamethazone

Thursday night when I left his bedside he was doing well, only mild symptoms, his oxygen was in high 90's. Late Friday morning when I returned to the bedside he had a high fever and his O2 level was dipping below 94%. Given this information, I was concerned about rapid progression of the illness. I recommended supplemental oxygen to see how he would respond. He was adamant that he did not need it. He was tired, he had a fever and that was about it. After two liters after a few minutes, he was back over 95 percent. He stayed on that for about an hour, and I was off and gone.. Later that day the president was up and about.

... team agreed best to move to Walter Reed for more evaluation and monitoring.



... RL happening.. conflict...will leave to others

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[oceanblueeyes]

'We sprang Grandma from the care home'

It's late on a Saturday night, and a private ambulance pulls up outside a care home in Norwich. Rita Perrott, a frail 95-year-old, is helped out of the home in a wheelchair.

"Grandma!" shouts her granddaughter, Anna, delightedly. They give each other a long hug and a kiss. It's the first time in months such normal physical contact has been possible.

Anna appears almost giddy with the audacity of what they're doing.

"We've stolen grandma!" she proclaims.

"A kidnap?" Rita asks, playing along with the joke.

"It's a heist!" says Anna. "We've come late at night to steal grandma back!"

"I think they noticed," observes Ethan, one of the ambulance crew. The care home, of course, has agreed for her to be discharged.

Continued at link.

What a wonderful story. Thank you!

I really wish there was some way all in nursing homes could be placed elsewhere especially with family members.

Many countries in the world highly value their elderly population. In those countries it's an honor for younger family members to take great care of them.

Here, even before Covid struck there have been horror stories about the abuse, and neglect in nursing homes against numerous elderly nursing home patients.

I'm so thankful that none of my grandparents were forced to go in a nursing home to die there. We all took turns giving them the loving care all four deserved. Was it hard, and very stressful at times? Absolutely, but so rewarding to know we did the right thing by making sacrifices.

I know some families will be unable to care for them personally inside their own homes, but what's shameful is once placing them in a home many never even come to see them.

One of my grandmothers was placed in a nursing home for a short while... due to her daughter who was her caregiver.... having serious back surgery. We went to see her several times a week. After three weeks we couldn't stand the thought of her being there any longer so we brought her home, and several took turns taking care of her, when we were working, until she could return to be with her daughter. She lived for several more years passing away peacefully in her own bed.

She told us that nursing homes are the last roundup, and last cattle call, and those who go in only leave when they die.

When we visited her when she was there many of the other patients never had visitors nor did anyone even call them either even though they all had family members.

Now due to Covid hitting nursing home patients so badly even the ones who deeply care about their elderly love ones can't be with them which is heartbreaking for the isolated patients, and their family as well. At the end of their lives they need more surrounding them with love.

So everytime I see where an elderly patient was taken home to be cared for it warms my heart.

Jmho

 

[Tillicum]

She seemed sincere, although only she knows for sure. But, if she did have it and has gotten over it -- I guess she's not a threat to anyone or to herself. Right?

When we visit with recovered Covid friends, we're outdoors, still stay 6 feet apart but do not mask. I still wouldn't be comfortable visiting indoors with them yet.

 

[BayouBelle_LA]

From the PC this morning, the President continues to improve. If everything continues to go well they will start discharge plans for as early as tomorrow.

 

[Tiff23fr]

Not a doctor here.. was curious what dexamethasone is. Which led to the article below. This seems confusing based on what they are saying today:

On 2 September, WHO published guidance for clinicians and health care decision-makers on the use of corticosteroids in patients with COVID-19.

We recommend systemic corticosteroids for the treatment of patients with severe and critical COVID-19. We suggest not to use corticosteroids in the treatment of patients with non-severe COVID-19 as the treatment brought no benefits, and could even prove harmful. Treatment should be under supervision of a clinician.

WHO updates clinical care guidance with corticosteroid recommendations

 

[CSIDreamer]

Sounds like a potential person #1.

I'm super interested in person 1.

 

[JerseyGirl]

Trump Bodyman Tests Positive for Virus in New White House Case

White House aide Nick Luna, who serves as a personal attendant to Trump, has tested positive for coronavirus.

Luna, who runs Oval Office operations for the White House, accompanied Trump on his trip to Cleveland for the presidential debate on Tuesday and was also aboard Air Force One on the Minnesota trip when Hicks first began experiencing symptoms.

Luna was one of the aides who had planned to accompany Trump on Thursday to a fundraiser at the president’s golf course in Bedminster, New Jersey, but stayed behind because of recent close contact with Hicks.

 

[nhmemorymaker]

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?

Very helpful information....thanks for posting.

 

[cass523]

Much explained after the PC (19 minute mark)

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[Bravo]

Given your oximeter is likely not medical grade Lilibet it could be off. The important thing IMO is you now have a baseline. Gawd forbid if you ever do get sick if those current levels drop you will know to seek medical care. Praying you never need it. I would encourage anyone who has purchased one to get a really good baseline and record it. Now.

 

[nhmemorymaker]

"After a member of her family tested positive for COVID-19, the Chairwoman was tested for the virus.

McDaniel frequently interacts with the President and other top Republican lawmakers. She was last with the President last Friday (9/25).

She has been at her home in Michigan since last Saturday (9/26, Rose Garden event).

On Wednesday afternoon (9/30), she received confirmation she was COVID-19 positive.”

RNC chairwoman tests positive for coronavirus

Yes, the timeline is what raises questions to me. Why would such an influential Repub NOT be at the Rose Garden party? It was a special ta-do. She went home to quarantine the day after she was with the PRes. This is why I want to know when her son was diagnosed. People she was with in Minnesota earlier are very worried and getting tested.... but why aren't we hearing more...

 

[Trino]

Photo op designed to make T look well...
In a series of tweets, Jon Ostrower, editor-in-chief of the Air Current, a digital aviation publication, noted that according to data about the pictures provided by The Associated Press, the photos were taken only about 10 minutes apart, at 5:25:59 pm and 5:35:40 pm ET Saturday. But the images are taken in different rooms, with the president wearing a blazer in one photo and just a shirt in another.

Andrew Weinberg, a White House correspondent for outlets including The Independent, noted that in one image Trump appears to be signing his name onto a blank sheet of paper with a Sharpie.

The White House released photos of Trump working in hospital that critics say appears to be a publicity stunt