WTF Community

What The Fuck Happened Over The Weekend?

New questions emerge about timing and severity of President Trump’s coronavirus infection

White House officials and doctors stoked new questions Saturday about how sick President Trump has been with COVID-19 and when he became ill, as the president’s medical team suggested Trump had been sick for a day and a half before he announced his infection early Friday morning.

The new timeline, if accurate, would mean Trump held a rally and fundraiser in Minnesota on Wednesday and an intimate fundraiser in New Jersey on Thursday while knowing he was sick, potentially exposing supporters, employees and others to the coronavirus.

The White House quickly attempted to walk back some of the doctors’ comments, claiming Trump was diagnosed Thursday evening, not earlier as the medical team had indicated at a Saturday briefing at Walter Reed National Military Medical Center, where he is being treated.

However, others in Trump’s circle confirmed Trump had been considerably sicker than previously announced, enough so that he required supplemental oxygen on Friday morning after laboring to breathe.

The contradictions and the administration’s long record of providing false or opaque information fueled mounting confusion about Trump’s illness and whether he is in real danger.

“He’s the president, and the country has a right to know. I’d like to see more information,” said Dr. Ashish Jha, dean of the Brown University School of Public Health.

At the Walter Reed briefing, Dr. Sean Conley, the president’s physician, and other doctors pronounced themselves “cautiously optimistic” about Trump’s health. They said his breathing was normal and his fever was resolving.

A few minutes later, however, White House Chief of Staff Mark Meadows offered a dimmer assessment to White House reporters.

“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,” Meadows said. “We’re still not on a clear path to a full recovery.”

Conley was evasive about whether the president had needed supplemental oxygen, declining to say unequivocally that Trump had not received it.

“Right now, all indicators are that he’ll remain off of oxygen going forward,” Conley said.

Under questioning from reporters about whether the president had needed oxygen over the previous three days, Conley seemed to rule out every period except early Friday, before Trump was abruptly taken to Walter Reed.

A person familiar with Trump’s recent treatment later confirmed that he received supplemental oxygen Friday morning after laboring to breathe, raising the level of alarm among White House officials.

Several of the doctors and nurses who stood with Conley outside Walter Reed work in critical-care pulmonology as specialists in respiratory complications that can occur in severe cases of COVID-19.

The White House press office did not respond to questions later Saturday about the president’s use of oxygen.

At the briefing, Conley also declined to say what Trump’s temperature had been when he had a fever, saying only that he’d been fever-free for 24 hours. And the White House physician wouldn’t reveal when Trump last had a negative coronavirus test.

Adding to the confusion, Dr. Brian Garibaldi, a Johns Hopkins pulmonologist who is working with the White House medical team, said Saturday that Trump had received a dose of an experimental antibody therapy “about 48 hours ago,” which would have been around midday Thursday.

That would mean Trump received the treatment some 12 hours before he announced his positive test and before learning that his advisor Hope Hicks had tested positive for the virus.

The drug, made by the pharmaceutical company Regeneron, hasn’t been approved for COVID-19 treatment but was provided under the Food and Drug Administration’s “compassionate use” program, which is typically reserved for critically ill patients who are willing to try almost anything.

Conley and his team tried to give an upbeat assessment of Trump’s current condition, with one physician saying that Trump told his doctors Saturday morning, “I feel like I could walk out of here today.”

“The team and I are extremely happy with the progress the president has made,” Conley said.

Saturday evening, Trump posted a four-minute video of himself seated at a table in the hospital, thanking his caregivers and assuring Americans that he would return to work and the campaign trail.

“I came here — wasn’t feeling so well — I feel much better now,” Trump said, speaking hoarsely and somewhat haltingly.

“I just want to tell you that I’m starting to feel good. You don’t know, over the next period of a few days, I guess that’s the real test, so we’ll be seeing what happens,” he added.

In a memo released by the White House on Saturday night, Conley reported “substantial progress since diagnosis,” calling Trump free of fevers and “off supplemental oxygen.”

The doctor said the president had taken his second dose of remdesivir, an antiviral medication he began taking Friday, and had been conducting business and moving around his medical suite.

“While not yet out of the woods, the team remains cautiously optimistic,” Conley wrote.

As Trump’s allies rallied to project a sense of calm, Senate Majority Leader Mitch McConnell (R-Ky.) tweeted that he’d had a “great call” with him, discussing topics including the Supreme Court vacancy and the economy. “He sounds well and says he’s feeling good,” McConnell wrote.

Underscoring the mounting toll the coronavirus is taking on official Washington, Wisconsin Sen. Ron Johnson on Saturday became the third Republican senator to announce a positive coronavirus test.

Former New Jersey Gov. Chris Christie, a Republican and confidant of the president who said no one wore masks when he and others spent several days preparing Trump for last Tuesday’s presidential debate, also announced Saturday that he had tested positive and said he had admitted himself to a New Jersey hospital.

The president is expected to spend at least several days in the hospital.

The abruptness of his departure from the White House on Friday and the fact that he was put on an experimental drug regimen have caused concern among outside physicians and specialists.

“The way they’ve treated him so far, they’ve been pretty aggressive,” Brown University’s Jha said. “In a typical patient, you’d look at that and say, these are all really concerning signs. With him, we have to read it a little different.”

But as a 74-year-old man who is obese, Trump faces an elevated risk.

“The fact that there’s any symptoms puts us in a whole new realm of concern,” said Dr. Jeremy Faust, an emergency physician at Brigham and Women’s Hospital in Boston and a public health expert.

“This sort of crosses a Rubicon,” putting Trump in a higher risk category of people who can develop more serious health issues, Faust said.

A White House official said Vice President Mike Pence and Second Lady Karen Pence had tested negative for the coronavirus Saturday morning.

Johnson’s diagnosis could further complicate Republicans’ effort to confirm Judge Amy Coney Barrett to the Supreme Court before the Nov. 3 election. Republicans hold a three-seat majority in the Senate, and two Republicans have already said they will not vote to confirm her before that.

At least one other Republican senator, Ben Sasse of Nebraska, said he would self-quarantine until Oct. 12 despite a negative test because he was exposed to a senator who tested positive.

South Carolina Sen. Lindsay Graham, a Republican who chairs the Senate Judiciary Committee, said he plans to start hearings on the nomination the week of Oct. 12 as previously scheduled.

Unlike other high-profile Republicans who have tested positive, Johnson did not attend an event in the Rose Garden on Sept. 26 to announce Barrett’s nomination.

The list of top Republicans who’ve been infected is fueling a sense of panic in Washington as the virus creates the type of outbreak in and around the president that has already enveloped other parts of the country.

Though the District of Columbia had only a handful of new cases last week, the White House itself has become the city’s biggest vector.

Joe Grogan, who resigned as Trump’s top domestic policy advisor in May, tweeted that the White House complex was “the most cramped, unsanitary place of business” he had worked in.

“It is a miracle it took this long for covid to hit it. I have been healthier since I left than I ever was when I worked there,” he added.

Those recently infected include Kellyanne Conway, a recently departed counselor to Trump who attended the Rose Garden event; Hicks, a senior advisor who is often with Trump; Ronna McDaniel, chairwoman of the Republican National Committee; Bill Stepien, Trump’s campaign manager; First Lady Melania Trump; Sens. Mike Lee (R-Utah) and Thom Tillis (R-N.C.), both members of the Senate Judiciary Committee; and at least three members of the White House press corps.

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Some polls out today

1 NBC/WSJ Polls

Biden ahead of Trump by 14 points among registered voters, 53 percent to 39 percent

regarding how did the first debate go - which Biden won by 49 to 24 points - 17 no opinion

The poll was conducted in the two days after the unruly and insult-filled Sept. 29 debate, but before Trump tested positive for Covid-19 and was hospitalized Friday at Walter Reed National Military Medical Center.

The Democratic nominee is now ahead of Trump by 14 points among registered voters, 53 percent to 39 percent — up from his 8-point lead in the previous poll before the debate.

That 14-point advantage represents Biden’s largest lead in the NBC News/WSJ poll during the entirety of the 2020 presidential campaign; his previous high was 11 points in July.

Dropbox - Screen Shot 2020-10-04 at 7.22.41 AM.png - Simplify your life

The biggest declines for Trump in the poll come from seniors (who are now backing Biden by a 62 percent-to-35 percent margin) and suburban women (58 percent to 33 percent).

And men 50 years and older moved from a 13-point advantage for Trump in the pre-debate NBC News/WSJ poll, to a 1-point advantage for Biden in this latest poll.

WASHINGTON — Joe Biden’s national lead over President Donald Trump nearly doubled after Tuesday’s presidential debate, with voters saying by a 2-to-1 margin that Biden has the better temperament to be president, according to a new NBC News/Wall Street Journal poll.

Voters say Biden did a better job at the debate by 2-to-1 margin

(Biden's national lead over Trump jumps to 14 points after debate in NBC News/WSJ poll)

Forty-nine percent of voters say Biden did a better job at Tuesday’s debate, which was marked by insults, interruptions, falsehoods and personal attacks — most, though not all, coming from the president.

That’s compared with 24 percent who say Trump had the better performance.

Another 17 percent say that neither did a better job at the debate.

  1. From FiveThirtyEight.com Nate Silver FiveThirtyEigh Poll Averages t 10/4/20

Averages on National Polls - Biden still leads

Adding

  1. Reuters/Ipsos Poll - Biden Leads 51 to 41 Trump for election (4% undecided/3rd party)

Democrat Joe Biden opened his widest lead in a month in the U.S. presidential race after President Donald Trump tested positive for the coronavirus, and a majority of Americans think Trump could have avoided infection if he had taken the virus more seriously, according to a Reuters/Ipsos poll released on Sunday.

The Oct. 2-3 national opinion poll gave little indication of an outpouring of support for the president beyond Trump’s core group of followers, some of whom have gathered outside Walter Reed National Military Medical Center, where the president has been hospitalized.

Trump has repeatedly dismissed the severity of the pandemic as something that would disappear on its own, chiding Biden as recently as last week for wearing a protective mask, even as the coronavirus infected millions of people and forced businesses and schools to close.

Among those adults who are expected to cast ballots in the Nov. 3 election, the poll found that 51% were backing Biden, while 41% said they were voting for Trump. Another 4% were choosing a third-party candidate and another 4% said they were undecided.

Biden’s 10-point edge over Trump is 1 to 2 points higher than leads Biden posted over the past several weeks, though the increase is still within the poll’s precision limits of plus or minus 5 percentage points.

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Very meta - CNN Jake Tapper is talking directly to Trump because he knows Trump gets his information directly from the TV.

“You are really in trouble if you are telling lies, and really believing it.” From Susan Glasser quote

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Sunday Oct 4, 2020 - Hospital updates at 8:30a PST 11:30 EST

Possible discharge for Monday…

Dexamethasone is a corticosteroid used in a wide range of conditions for its anti-inflammatory and immunosuppressant effects.

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more commentary
Thread :point_down:

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Doctors: Trump’s blood oxygen level dropped twice recently

Before walking away, Conley said the president had a “high fever” and a blood oxygen level below 94% on Friday and during “another episode” on Saturday. He was evasive when asked whether Trump’s level had dropped below 90%: “We don’t have any recordings here on that.”

The level currently stands at 98%, Trump’s medical team said.

Blood oxygen saturation is a key health marker for COVID-19 patients. A normal reading is between 95 and 100. A drop below 90 is concerning. People with the virus sometimes do not realize their oxygen levels are low.

:grimacing::face_with_thermometer::mask::mask::mask:

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More on why the steroid may be help and as we are hearing from severe Covid patients.

Dexamethasone, a widely available steroid, reduces death risk in severe coronavirus cases, researchers say - CBS News

The steroid dexamethasone has been found to reduce the risk of death in seriously ill coronavirus patients by about a third, according to clinical trial results hailed on Tuesday as a “major breakthrough.” The drug did not appear to help less severely ill patients.

Researchers led by a team from the University of Oxford administered the inexpensive, widely available drug to more than 2,000 severely ill COVID-19 patients. Among those who could only breathe with the help of a ventilator, dexamethasone reduced deaths by 35%. It reduced deaths by about 20% among patients who were receiving oxygen only, according to preliminary results.

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Another NYT story from when dexamethasone was approved.

“In the later phase, the immune system is no longer your friend — it’s responsible for the lungs failing, and dampening it down with steroids helps the situation and improves the chance of survival.”

Other experts agreed, saying the study showed dexamethasone cannot be used to treat mild illness, or as a preventive.

“It would likely be harmful to take dexamethasone as an outpatient treatment for Covid-19,” said Dr. Brown. Patients with mild infections “should not be trying to get people to prescribe them dexamethasone just in case.”

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Transcript

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More from the Doctor’s point of view with research on dexamethasone…definitely not for mild cases, and some data about it’s effectiveness.

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I think this is the big takeaway from that poll:
In the wake of Trump’s diagnosis, the survey also found an increasing number of Americans concerned that they, or someone they know, will be infected with the virus. Eighty-one percent are either very or somewhat concerned about contracting COVID-19, compared to 72% two weeks ago. The percentage of “very concerned” respondents rose 8 percentage points, from 29% to 37%.

The overall jump can be almost entirely attributed to Republicans, whose net concern increased 18 points (52% to 70%), and independents, whose concern increased 13 points (69% to 82%). Democrats held steady at 86%.

Trump’s steroid Covid treatment adds to confusion over health

# Dexamethasone ‘normally reserved for people going into respiratory failure’, says expert

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Newsflash - Trump had already known he had Coronavirus by the evening on Thursday and asking staff to withhold that information. We expected that…because he never tells the truth…but it had a huge impact on the course of his day and others.

WASHINGTON—President Trump didn’t disclose a positive result from a rapid test for Covid-19 on Thursday while awaiting the findings from a more thorough coronavirus screening, according to people familiar with the matter.

Mr. Trump received a positive result on Thursday evening before making an appearance on Fox News in which he didn’t reveal those results. Instead, he confirmed earlier reports that one of his top aides had tested positive for coronavirus and mentioned the second test he had taken that night for which he was awaiting results.

“I’ll get my test back either tonight or tomorrow morning,” Mr. Trump said during the interview. CBS News first reported that by that point, Mr. Trump had received a positive result on a rapid test. At 1 a.m. on Friday, the president tweeted that he indeed had tested positive.

Under White House protocols, the more reliable test that screens a specimen from deeper in the nasal passage is administered only after a rapid test shows a positive reading. Based on people familiar with the matter, the president’s tests followed that protocol.

As the virus spread among the people closest to him, Mr. Trump also asked one adviser not to disclose results of their own positive test**. “Don’t tell anyone,” Mr. Trump said, according to a person familiar with the conversation.**

Mr. Trump and his top advisers also aimed to keep such a close hold on the early positive results that his campaign manager, Bill Stepien, didn’t know that Hope Hicks, one of the president’s closest White House aides, had tested positive on Thursday morning until news reports later that evening, according to a person familiar with the matter. The Trump campaign said Friday evening that Mr. Stepien had tested positive.

The initial secrecy within Mr. Trump’s inner circle has created a sense of anxiety within the West Wing. Publicly, the White House has issued evolving and contradictory statements about the president’s health that has some officials worried about their own credibility.

“I’m glued to Twitter and TV because I have no official communication from anyone in the West Wing,” an administration official said.

The White House didn’t respond immediately to a request for comment.

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We are getting tee’ed up to hear about what really happened to T on his
‘unexpected’ visit to Walter Reed last Nov. 2019.

Now is the time, and it looks like they (George Conway) are pointing to @phillipReines to spill the beans. He did debate prep with HIllary in 2016 FWIW.

Here’s a tape of T’s former Dr. Ronny Jackson spouting some campaign related garbage.

More palace intrigue…

and he responds

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OK WTF…Trump just taken for a spin around the Trump supporters outside in a motorcade.

video

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206 people :confounded:

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Cross-posting

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