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Coronavirus (Stay on Topic)

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Even though Georgia's cases per day have dropped, the US-wide cases seems to be on a slight uptick again. Deaths are on a downtick slowly fortunately but if cases surge massively again with this spike I'm almost certain we will see deaths surge again too.
 
whatalife said:
Looks to be doing ok. We will just have to wait and see.


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There’s a weird edit at where he may have coughed and they smoothed it out, but other than that he seems fairly well.



We are way too early in his diagnosis for him to go downhill as fast as a lot of internet conspiracy theorists want to believe. This week should be telling as he approaches the 7-12 day time frame.

Mark Meadows said his oxygen level (SpO2) dropped rapidly, causing his trip to Walter Reed which is what I assumed (some objective measurement, not just precautionary due to mild symptoms but a red flag)....that’s actually more concerning than other symptoms as it shows for some reason his lungs weren’t doing to well so early on — that’s not the usual timeline for O2 issues.
 
Through the contradictory info that we've gotten so far involving Trump, I think it's probably fair to say two things are true:

1. Trump's condition was deteriorating on Friday, which prompted the move to the hospital.
2. Trump was feeling better today (Saturday).

That's about it. There are other things that you can consider, but these 2 things are probably the closest to true.

We'll see what happens over the next 48-72 hours.
 
Dr say they are giving Trump dexamethasone so @Jon is this little bit I found on Reddit accurate in its assessment of what this implies...or is it not unusual for someone to get this treatment....

"Now Dr. Conley is saying they gave Trump dexamethasone, which would seem to indicate that his case is not so mild. The RECOVERY trial of dexamethasone in covid patients found benefits only in patients on ventilation or receiving supplemental oxygen, and the WHO recommends against using corticosteroids to treat covid patients who are not severely ill. So either Trump's doing worse than they're letting on, or they're just giving him everything they can think of and hoping something works."
 
Downeastnc said:
Dr say they are giving Trump dexamethasone so @Jon is this little bit I found on Reddit accurate in its assessment of what this implies...or is it not unusual for someone to get this treatment....

"Now Dr. Conley is saying they gave Trump dexamethasone, which would seem to indicate that his case is not so mild. The RECOVERY trial of dexamethasone in covid patients found benefits only in patients on ventilation or receiving supplemental oxygen, and the WHO recommends against using corticosteroids to treat covid patients who are not severely ill. So either Trump's doing worse than they're letting on, or they're just giving him everything they can think of and hoping something works."
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Or it could just be reddit being reddit. ?‍♂️
 
Arcc said:
Apparently Trump could be discharged tomorrow.
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Yea that’s not happening. While I believe the doctors as they’re very experienced professionals and I have full faith in their expertise, as a medical professional you can read in between the lines as to what Dr. Conley is implying. His lungs are obviously not in perfect condition, and the worst conditions from Coronavirus won’t arrive for another few days. His oxygen level was under 94 yesterday, and while it’s not unusual for someone his age, it likely won’t be the last time he’ll have a low oxygen episode.
His team of medical professionals are taking the kitchen sink approach with quite a few experimental drugs. You don’t normally implement this POC unless the patient shows reason to implement it. When these experimental drugs combine they can be potent to the patient, therefore you wouldn’t use them unless you had valid reasons to do so. I wish my best for the President, although I do not support him, he’s still our President and I hope for a speedy recovery
 
Downeastnc said:
Dr say they are giving Trump dexamethasone so @Jon is this little bit I found on Reddit accurate in its assessment of what this implies...or is it not unusual for someone to get this treatment....

"Now Dr. Conley is saying they gave Trump dexamethasone, which would seem to indicate that his case is not so mild. The RECOVERY trial of dexamethasone in covid patients found benefits only in patients on ventilation or receiving supplemental oxygen, and the WHO recommends against using corticosteroids to treat covid patients who are not severely ill. So either Trump's doing worse than they're letting on, or they're just giving him everything they can think of and hoping something works."
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I was on prednisone while I had covid . My case was far from severe and symptoms lasted 3 days . Prednisone was for my ulcerative colitis flare up. I was on 40 mg daily dose for 1 week , dropping down 10 mg each week for 4 weeks . I wouldn't say taking a corticosteroid is a sign of severe illness even if the most benefits were found for those who had severe symptoms .
 
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If dexamethasone hadn't been name dropped, there would be nothing to see here, but since it was, that was very interesting.

It could be as simple as "he's the President, he's going to receive multiple treatments to help him" but would you really give this drug in a mild case? As a preventive measure?

I did see that they might now be giving this steroid to older adults early on in COVID though. I don't have confirmation here though, I'd consider it to be speculation.
 
superjames1992 said:
Reddit is a disaster. Especially when it comes to Coronavirus. The doomers are so pervasive there.
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I feel like almost always with things like this, there always has to be some angle, some leg up that the internet wizards have over the situation where things are always so much worse than they appear. And you know what, they rarely ever are. And everybody wants to buy into it. Even really smart people.

I mean, we all want to believe that the one ensemble member showing 40" of snow across South Florida might just be onto something this time. But it's probably not.

Everybody wants to be the hero with the "real" scoop. The reality is, nobody really knows anything about what is going on here. Not really. My best guess is that the President will recover and go on about his business just fine. Will it be tomorrow or in 10 days? Who knows? Nobody knows, despite all of the super duper internet analysis.
 
Will the President recover? Probably, eventually. Is he going to be going about his business as normal in the next month? I have serious doubts about that, but the White House will try its best to make things appear that way. Given his age and what has transpired over the past few days, there's plenty to be concerned about in the short term, and recovery from Covid is a long, difficult process for many.
 
Downeastnc said:
Dr say they are giving Trump dexamethasone so @Jon is this little bit I found on Reddit accurate in its assessment of what this implies...or is it not unusual for someone to get this treatment....

"Now Dr. Conley is saying they gave Trump dexamethasone, which would seem to indicate that his case is not so mild. The RECOVERY trial of dexamethasone in covid patients found benefits only in patients on ventilation or receiving supplemental oxygen, and the WHO recommends against using corticosteroids to treat covid patients who are not severely ill. So either Trump's doing worse than they're letting on, or they're just giving him everything they can think of and hoping something works."
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Unusual if you’re to believe he’s mild. Not unusual if his condition has worsened and he’s in the 7-12 day window and not the 4 day window.

Dexamethasone is not appropriate for a mild case. Giving steroids too early in treatment and to patients who are “mild” is reckless, medically speaking. I have to assume these doctors wouldn’t just throw it in there to add it to the kitchen sink if they didn’t have a good reason. It’s only used when there is an inflammatory condition present and they need to lower the inflammation in the tissues. This is no doubt inflammation of the lungs, in the setting of pneumonia most likely. Either he has trouble breathing, lung scan findings and/or O2 saturation issues (ie. coughing fits that drop his O2 sats low and take longer than normal to recover)

Now that’s not to say he’s in grave danger or dying. All this tells us is his condition isn’t as mild as they’re letting on, but it doesn’t mean he’s hooked up to IVs and bed bound. He can take dexamethasone orally, and he could still not be requiring much supplemental oxygen at all.

People are treated with steroids and breathing treatment and sent home on steroids all the time with pneumonia in the outpatient setting. The issue is here is that it’s in the setting of a Covid hospitalization, and considering his age and obesity, the trend seems to be in the wrong direction.

Dexamethasone is not prednisone. It’s longer acting and more potent. They wouldn’t just give it to him because he has Covid, they are giving it to him *in response* to objective findings...as the doctor said in the press conference, his O2 levels dropped twice. When asked if it dropped below 94, Dr Conley replied that it “wasn’t in the low 80s”...which is odd. He’s essentially saying Trump isn’t severely hypoxic but he’s not denying he’s had issues.

The RECOVERY trial is available to anyone who wants to read the data for dexamethasone in the setting of covid. The trial actually found that giving dexamethasone too early to mild patients actually INCREASED mortality rates.

28d-Mortality-by-Level-of-Respiratory-Support.png


But in the setting of O2 requirement, decreased mortality slightly. This is Trump’s group.
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No one knows the true status of the president’s condition because we don’t have a live patient chart we can dig through. But the fact that they started dexamethasone doesn’t make me confident he’s discharged tomorrow. Even in a perfect outcome, he’d need additional monitoring...and while some of that can be done at the WH, there’s NO reason for an early discharge unless you’re confident his condition can’t worsen...and we’re not there yet. The last thing they want to do is actually have to medevac him in an actual emergency back to the hospital.
 
NC Escarpment said:
Will the President recover? Probably, eventually. Is he going to be going about his business as normal in the next month? I have serious doubts about that, but the White House will try its best to make things appear that way. Given his age and what has transpired over the past few days, there's plenty to be concerned about in the short term, and recovery from Covid is a long, difficult process for many.
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I had fatigue for 2 months after covid so yeah, if he hits the campaign trial at all before Nov 3 I’ll be utterly shocked. Not everyone’s course is the same, but most everyone (with symptoms) complains about the relentless fatigue...and some people are “long haulers”... your body doesn’t care if you want to be active, you literally can’t.
 
Jon said:
I had fatigue for 2 months after covid so yeah, if he hits the campaign trial at all before Nov 3 I’ll be utterly shocked. Not everyone’s course is the same, but most everyone (with symptoms) complains about the relentless fatigue...and some people are “long haulers”... your body doesn’t care if you want to be active, you literally can’t.
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My friend and co worker a 35 yr old guy who was a gym rat, regular runner/jogger ( IE very fit individual ) who contracted Covid in April spent 7-10 days in the hospital 2 of those in the ICU, his only issue going in was a very mild asthma that he rarely had issue with. Its been 5 months and he is back at work finally but still sounds like a 70 yr old man who has smoked his whole life and gets winded walking around the line. Its shocking to see this guy like this....
 
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