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He's the patient. It was touched upon at the press conference.
I don't think they would want to hinder his breathing in any way. IMO
Coronavirus COVID-19 - Global Health Pandemic #81
- Thread starter Amonet
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I don't think they would want to hinder his breathing in any way. IMO
And also, is no proof required of anything? In my (Canadian) city, it is mandated we must wear masks inside public places such as stores and etc, I was inside an establishment the other day when a man walked in without a mask and an employee told him to wear a mask. He replied by saying, "I'm exempt - medical." I'm thinking either prove it, wear one anyway, or just don't go out, pick one. Imo
This Week With George Stephanopoulos
Martha Raddatz.
"Martha, we saw that phalanx of military doctors behind Commander Sean Conley yesterday. No doubt they are giving professional care, but they also seemed to be used as political props.
MARTHA RADDATZ, ABC NEWS CHIEF GLOBAL AFFAIRS CORRESPONDENT:
They absolutely are, George. And these are medical doctors, they should not be Spin Doctors (ph). Navy officers, not political appointees.
So you saw Dr. Conley and the others come out there and give that briefing with very little information. Kind of cute in ways saying he wasn't on oxygen today.
That should not be happening. This is a prestigious position.
They may not have training for anything like this, this urgent care of the President of the United States, but they have to stick to the facts. They are not, again, Spin Doctors (ph).
I've traveled all over the world, George, I’ve been to North Korea. Remember last May when people thought Kim Jong-un might be dead, it's because people absolutely didn't believe the information they were getting. That happens in North Korea. It should not happen here."
STEPHANOPOULOS: So Dr. Jen Ashton, let's cut through the spin and focus on what the doctors are doing for the president. Let's talk about that rather than what everybody is saying.
What are the various treatments they have been giving the president, the hospitalization, the regeneron, the remdesivir, tell you about the course of treatment and potentially the president's condition?
DR. JENNIFER ASHTON, ABC NEWS CHIEF MEDICAL CORRESPONDENT:
Well, the big-picture view here, George, from the clinical treatment aspect is that the president is getting early and aggressive treatment for what has heretofore been described as mild COVID-19 disease.
He's being treated with both an immunotherapy, that antibody cocktail by regeneron, which is under compassionate use authorization, and then anti-viral therapy, remdesivir, which pretty much is the standard of care now in hospitalized patients. Both of which given very early in the course of disease indicating his medical team not taking any chances that this disease will or could progress, doing as much as they can.
Obviously in medicine there are no guarantees regardless of how aggressive the treatment is.
In terms of predictions here, George, I want to emphasize and be crystal clear, in medicine, you evaluate a patient hour by hour, day by day. We avoid at all costs making long-term prognosis, especially in a situation like this with a virus so new, so variable, so mysterious that has shown us time after time it can be unpredictable.
STEPHANOPOULOS: Right. And the general question for a lot of people, as you look at the cases, Dr. Jen, you have first the attack of the virus, and then the immune system response which is why everybody's concerned about that 7 to 10 day period.
DR. ASHTON: Right, 7 to 10 days. And let's be clear, it's not 48 hours, 7 to 10 days, and then at the mysteriously 11-day mark someone's miraculously in the clear. Again, that's why we take things hour by hour and day by day.
A lot of people asking about steroids here. That typically is not given early in the course of disease because that can actually worsen outcomes. But they are going to be on the lookout for complications of COVID like clotting disorders anywhere in the body, they're going to be monitoring kidney and liver function, which can be affected by these medications and by COVID itself. And then they'll be keeping a close eye for that secondary immune phase that can be so dangerous.
'This Week' Transcript 10-4-20: Jason Miller, Kate Bedingfield
Martha Raddatz.
"Martha, we saw that phalanx of military doctors behind Commander Sean Conley yesterday. No doubt they are giving professional care, but they also seemed to be used as political props.
MARTHA RADDATZ, ABC NEWS CHIEF GLOBAL AFFAIRS CORRESPONDENT:
They absolutely are, George. And these are medical doctors, they should not be Spin Doctors (ph). Navy officers, not political appointees.
So you saw Dr. Conley and the others come out there and give that briefing with very little information. Kind of cute in ways saying he wasn't on oxygen today.
That should not be happening. This is a prestigious position.
They may not have training for anything like this, this urgent care of the President of the United States, but they have to stick to the facts. They are not, again, Spin Doctors (ph).
I've traveled all over the world, George, I’ve been to North Korea. Remember last May when people thought Kim Jong-un might be dead, it's because people absolutely didn't believe the information they were getting. That happens in North Korea. It should not happen here."
STEPHANOPOULOS: So Dr. Jen Ashton, let's cut through the spin and focus on what the doctors are doing for the president. Let's talk about that rather than what everybody is saying.
What are the various treatments they have been giving the president, the hospitalization, the regeneron, the remdesivir, tell you about the course of treatment and potentially the president's condition?
DR. JENNIFER ASHTON, ABC NEWS CHIEF MEDICAL CORRESPONDENT:
Well, the big-picture view here, George, from the clinical treatment aspect is that the president is getting early and aggressive treatment for what has heretofore been described as mild COVID-19 disease.
He's being treated with both an immunotherapy, that antibody cocktail by regeneron, which is under compassionate use authorization, and then anti-viral therapy, remdesivir, which pretty much is the standard of care now in hospitalized patients. Both of which given very early in the course of disease indicating his medical team not taking any chances that this disease will or could progress, doing as much as they can.
Obviously in medicine there are no guarantees regardless of how aggressive the treatment is.
In terms of predictions here, George, I want to emphasize and be crystal clear, in medicine, you evaluate a patient hour by hour, day by day. We avoid at all costs making long-term prognosis, especially in a situation like this with a virus so new, so variable, so mysterious that has shown us time after time it can be unpredictable.
STEPHANOPOULOS: Right. And the general question for a lot of people, as you look at the cases, Dr. Jen, you have first the attack of the virus, and then the immune system response which is why everybody's concerned about that 7 to 10 day period.
DR. ASHTON: Right, 7 to 10 days. And let's be clear, it's not 48 hours, 7 to 10 days, and then at the mysteriously 11-day mark someone's miraculously in the clear. Again, that's why we take things hour by hour and day by day.
A lot of people asking about steroids here. That typically is not given early in the course of disease because that can actually worsen outcomes. But they are going to be on the lookout for complications of COVID like clotting disorders anywhere in the body, they're going to be monitoring kidney and liver function, which can be affected by these medications and by COVID itself. And then they'll be keeping a close eye for that secondary immune phase that can be so dangerous.
'This Week' Transcript 10-4-20: Jason Miller, Kate Bedingfield
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Yet, the doctor said that when Trump is interacting with medical staff, he must wear one.
I don't know of any US hospital where patients do not wear masks in the isolation or infectious wards.
There is no credible evidence that a mask impedes breathing in any way, unless of course there's a psychological reason why the person starts hyperventilating. Masks are designed to be worn by hospital staff (including those who must do strenuous work) - for 12 hours or more.
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Mask Exemptions During the COVID-19 Pandemic—A New Frontier for Clinicians
The Centers for Disease Control and Prevention (CDC) has recommended face covering in public to avoid the spread of COVID-19. This recommendation applies broadly to all people older than 2 years, unless they have difficulty breathing or are incapacitated. States, municipalities, and businesses have set their own standards in masking requirements. There is, however, a dearth of evidence as to what conditions may warrant a medical exemption from this requirement. Within this gap, a new concern has emerged. A small but vocal group of people in the US have rejected calls for masking, with some claiming a medical exemption.
Mask Exemptions During the COVID-19 Pandemic—A New Frontier for Clinicians
The Centers for Disease Control and Prevention (CDC) has recommended face covering in public to avoid the spread of COVID-19. This recommendation applies broadly to all people older than 2 years, unless they have difficulty breathing or are incapacitated. States, municipalities, and businesses have set their own standards in masking requirements. There is, however, a dearth of evidence as to what conditions may warrant a medical exemption from this requirement. Within this gap, a new concern has emerged. A small but vocal group of people in the US have rejected calls for masking, with some claiming a medical exemption.
Mask Exemptions During the COVID-19 Pandemic—A New Frontier for Clinicians
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I don't think the president will go home tomorrow, I think he'll complete his course of remdesivir. He really should complete it. I don't think that young doctor is entirely in charge of the president's care (he's only 7 years out of residency, surely others are consulting on this).
But I do know that doctors sometimes try to manage patients, keep them calm and give them hope by saying, "We'll talk about when you'll go home...tomorrow."
That buys them another day, especially if the patient is cranky (like my dad was when in hospital). In fact, extreme irritability is a common thing in hospital patients (my dad really was not an irritable man, but he did lose it a couple of times after he broke his hip).
Here's a list of side effects of dexamethasone:
But I do know that doctors sometimes try to manage patients, keep them calm and give them hope by saying, "We'll talk about when you'll go home...tomorrow."
That buys them another day, especially if the patient is cranky (like my dad was when in hospital). In fact, extreme irritability is a common thing in hospital patients (my dad really was not an irritable man, but he did lose it a couple of times after he broke his hip).
Here's a list of side effects of dexamethasone:
Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases and a member of the White House coronavirus task force, has not been consulted on Trump's treatment, according to a source familiar with the matter.
https://twitter.com/ABC/status/1312804094239703041
https://twitter.com/ABC/status/1312804094239703041
Nice gesture by the Governor in Ohio
Ohio Gov. DeWine makes Sunday 'Day of Prayer' for President Trump, first lady amid COVID-19 diagnoses
Ohio Gov. DeWine makes Sunday 'Day of Prayer' for President Trump, first lady amid COVID-19 diagnoses
Good point. We heard in the video Trump released Saturday, his insistence that he simply could not stay alone in the WH, "locked up there alone", that was a major point in part of the video. I think he is going to be very impatient patient.
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I provided links upthread that he can complete his treatment at the WH. I'm betting they're set up pretty well there as far as medical availability. Jmo
Yes, it was said during the video. I also just read this
October 4, 2020 1:31 pm
"President Trump has "continued to improve" and respond to treatment for COVID-19 at Walter Reed National Military Medical Center, his doctors said Sunday, suggesting he could return to the White House as early as Monday if he continues to make progress.
"If he continues to look and feel as well as he does today, our hope is that we can plan for a discharge as early as tomorrow to the White House where he can continue his treatment course," said Dr. Brian Garibaldi of Johns Hopkins University, who is consulting the president's medical treatment."
Live updates: Trump could leave hospital as early as Monday, doctors say
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I see they are in Phase 3 CT for administering in out patient setting.
If he's had no side effects to administer a dose at the WH IMOO, which really doesn't count, would be safe.
Home infusion is very common in today's medical community.
Study to Evaluate the Efficacy and Safety of Remdesivir (GS-5734™) Treatment of Coronavirus Disease 2019 (COVID-19) in an Outpatient Setting - Full Text View - ClinicalTrials.gov
Study to Evaluate the Efficacy and Safety of Remdesivir (GS-5734™) Treatment of Coronavirus Disease 2019 (COVID-19) in an Outpatient Setting
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Perhaps, but he would be taking a risk. His treatment so far suggests that covid may be attacking his lungs.
Trump would want to know that his health wasn't going to deteriorate. Even though the WH may be set up well, it is not a hospital. Some of the equipment needed for diagnostics, and procedures for treatment can only be done in a licensed hospital. Even if they moved some of the equipment today, the WH couldn't be licensed easily.
So, I'm not sure he will be back to the WH tomorrow. I guess we'll see what another day brings.
Hospital and Health Facility License Lookup | Health Guide USA
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Honestly, I'd much rather he stay at the hospital. Jmo
The White House medical unit is taking the lead on contact tracing the high-dollar donors who attended President Donald Trump's Thursday fundraiser in Bedminster, while New Jersey health officials are reaching out to golf club employees that may be at risk for the coronavirus, according to a Murphy administration source.
The Republican National Committee provided New Jersey officials with a list of the names and email addresses of guests. The list "was not sufficient" for contact tracing as tracers need phone numbers to reach people more quickly and addresses to understand what communities are impacted, the source said. The list also did not include workers at the Bedminster club, the source said.
"From a quick scan of the list, many of these folks were from out of state," the source said, so the White House medical unit said it would take the lead on reaching out to attendees. New Jersey officials emailed all the guests, providing them with steps to take and health resources if they are in New Jersey.
The state Department of Health, in partnership with the Somerset County Department of Health, received a list of around 20 names of staff who worked during the fundraiser, and are calling these workers to make sure they take the necessary precautions, the source said.
"Not that one group of people is more or less important than others, but those folks by definition will typically be low income or middle income workers, who will go back to dense and diverse communities, which is our worst coefficient for spreading the virus," the administration source said.
Somerset County has 70 tracers, according to the state COVID-19 dashboard, and the administration predicts New Jersey should have enough resources to do the tracing. Somerset County declined to answer additional questions, referring to statements that say tracing efforts are underway.
NJ contact tracing Bedminster NJ fundraiser staff at risk for COVID-19
The Republican National Committee provided New Jersey officials with a list of the names and email addresses of guests. The list "was not sufficient" for contact tracing as tracers need phone numbers to reach people more quickly and addresses to understand what communities are impacted, the source said. The list also did not include workers at the Bedminster club, the source said.
"From a quick scan of the list, many of these folks were from out of state," the source said, so the White House medical unit said it would take the lead on reaching out to attendees. New Jersey officials emailed all the guests, providing them with steps to take and health resources if they are in New Jersey.
The state Department of Health, in partnership with the Somerset County Department of Health, received a list of around 20 names of staff who worked during the fundraiser, and are calling these workers to make sure they take the necessary precautions, the source said.
"Not that one group of people is more or less important than others, but those folks by definition will typically be low income or middle income workers, who will go back to dense and diverse communities, which is our worst coefficient for spreading the virus," the administration source said.
Somerset County has 70 tracers, according to the state COVID-19 dashboard, and the administration predicts New Jersey should have enough resources to do the tracing. Somerset County declined to answer additional questions, referring to statements that say tracing efforts are underway.
NJ contact tracing Bedminster NJ fundraiser staff at risk for COVID-19
Iowa numbers today: As of 10:00-11:00 a.m., we had 684 new confirmed cases for a total of 92,545 confirmed cases of which 71,580 had recovered (+279). 4 more had passed away for a total of 1,381. Oct. 4: 684 new cases, 279 recoveries, and 4 deaths
Iowa COVID-19 Information
Iowa COVID-19 Information
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NYC Businesses, Schools to Close Wednesday in 9 Zip Codes If Approved By State
- NYC asked for state approval to shutdown all non-essential businesses and schools in 9 zip codes with COVID-19 cases above 3% for 7 consecutive days
- If approved, the rollback of previous reopening steps taken by the city would begin Wednesday, giving schools and business owners less than three days to prepare
- Indoor dining and gyms in 11 other zip codes under close watch would also close, Mayor de Blasio said Sunday
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People receive care in their private home daily. Private nursing agencies and physicians, home health, hospice all give IVs in the home.
You don't need to be licensed as a hospital for home care or medical equipment home IV pumps are a plenty in the DC area, infusion pharmacies and licensed infusion nurses.
Back when Clinton hurt his knee, the company I worked for delivered a wheelchair to the WH.
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