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US Politics The 2020 Trump Presidency Thread

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This was all scam guys. Herd immunity will be coming hard.

I personally don't believe he even had it. Or maybe pumped himself up with anti virals then caught it on purpose to show he can beat it. With trump being so down and out, what else was left aside to catch covid and seem cured in 72 hours?

Never trust a casino gambler. Same level as a junkie.
 
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DopeM said:
99.99999% of the population will not receive the care that him and his team will
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Precisely. I bet if Scott Morrison went to the same doctor that I went to back in June 26 for the exact same condition, do you think that lady would have denied him steroids? Fuck no.
 
cduggles said:
So do you think Trump is sick and they’re hiding it
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I doubt it, because...
cduggles said:
The dexamethasone makes me think that,
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It would actually be the opposite. Dexamethasone this early in treatment could actually make the disease worse, so if he's on it, I can almost guarantee you his medical team has enough testing to suggest he's not at risk of severe or critical complications.
 
That doesn't make sense...

Dexamethasone is an immunosuppressant. It's useful in covid to avoid more serious complications caused by the immune systems reaction to the virus.

If you're doing well, and likely continue doing well, why would you risk giving an immuno suppressant?
 
I need to stay off his twitter or else blood pressure meds will be in my future.

Gilead Sciences Sets US Price for COVID-19 Drug at $2340 to $3120 Based on Insurance

That will not be possible for many.

And now his vaccine story has came true.
 
Dexamethasone isn’t indicated in mild cases. This could be a “kitchen sink” approach, but I’m dubious, particularly for someone who was allegedly infected for such a short time.

To treat his Covid-19, President Trump has started receiving dexamethasone, a common steroid that has been shown to be helpful in people with severe cases of the disease but that doctors warn should not be used early in the course of the illness.

The announcement from Trump’s medical team Sunday morning that the president is on dexamethasone is sure to increase speculation about the president’s illness and was at odds with the generally upbeat description of his condition provided by his physicians. His doctors said Trump had not had a fever since Friday morning and did not have any shortness of breath. One even said that, if Trump “continues to feel and look as well as he does today,” their goal was for him to return to the White House on Monday.

Dexamethasone is generally reserved for patients who have serious disease. The National Institutes of Health’s treatment guidelines for Covid-19 say dexamethasone should be used only in hospitalized patients who are on ventilators or who require supplemental oxygen, and specifically “recommends against using dexamethasone for the treatment of Covid-19 in patients who do not require supplemental oxygen.”
Trump’s doctors confirmed that the president received oxygen for about an hour on Friday after a temporary drop in his oxygen levels — something they danced around saying during a Saturday briefing. Sean Conley, the president’s physician, told reporters on Sunday outside Walter Reed National Military Medical Center, where Trump is being treated, that the president also experienced a “transient” drop in oxygen levels Saturday but said that he wasn’t sure if oxygen was given.

Conley said that drop in Trump’s oxygen saturation to 93% on Saturday morning prompted the decision to initiate the steroid therapy, believing “the potential benefits early on in the course” outweighed any downsides.

“Our plan is to continue that for the time being,” Brian Garibaldi, another of Trump’s doctors, said about the dexamethasone.

Ethan Weiss, a cardiologist at the University of California, San Francisco, who went to New York to treat critically ill Covid-19 patients during the city’s surge, told STAT, “Nothing matches up.” Weiss said that Trump’s medical team had “an impossible job,” but that “you can’t say he’s fine and he’s going home tomorrow and by the way he’s getting dexamethasone, which was shown in [a clinical trial] to be helpful in only the sickest patients.”

The concern with dexamethasone is that it can suppress the immune system’s activity broadly. While that can be helpful in severe illness — which is typically caused by the immune system overreacting to the infection, not the virus itself — giving the steroid too soon could hinder the immune system from fighting the virus in the first place.

“You don’t want to give it to a patient too early,” Nahid Bhadelia, the medical director of Boston Medical Center’s Special Pathogens Unit, told STAT Friday about dexamethasone. “It’s a blunt instrument, so it may suppress a good immune response as well as a bad one.”

In a clinical trial, dexamethasone reduced deaths by a third in patients hospitalized with Covid-19, but the benefit differed depending how sick patients were. In patients not receiving supplemental oxygen, the study showed no benefit and potential harm.

“Those patients who were not requiring oxygen actually had a statistical trend toward worse outcomes — the dexamethasone was only beneficial in patients who were requiring oxygen,” said C. Michael Gibson, a professor of medicine at Harvard Medical School. He also noted that the effect for dexamethasone was only seen in patients who had been sick for longer than seven days. Trump started feeling sick Thursday, his doctors have said.

Trump is also in the middle of a five-day course of the intravenous antiviral remdesivir. His doctors said the president could continue receiving the infusions at the White House if he were discharged from Walter Reed.

Overall, Trump’s medical team continued to portray Trump in good spirits and relatively good health. But as during a Saturday press briefing, Conley answered questions about certain aspects of Trump’s condition vaguely. He was asked several times about potential damage to the president’s lungs and said “there are some expected findings” without giving additional details.

Conley was also asked why he had avoided saying during the Saturday briefing whether Trump had ever been given supplemental oxygen.

“I was trying to reflect the upbeat attitude the team, the president through his course of illness has had,” Conley said. “I didn’t want to give any information that might steer the course of illness in another direction, and in doing so it came off that we were trying to hide something, which wasn’t necessarily true.”
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www.statnews.com

Trump is receiving dexamethasone, a steroid usually given to patients with severe Covid-19

The announcement from Trump’s medical team that the president is on dexamethasone is sure to increase speculation about the severity of the president’s illness.
www.statnews.com www.statnews.com
 
JessFR said:
Dexamethasone is an immunosuppressant
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Exactly, it suppresses the immune system, so it becomes a risk to reward issue:
JessFR said:
It's useful in covid to avoid more serious complications caused by
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Prior to reaching severe to critical symptoms where a person is unable to respirate unaided, the risk usually outweighs the benefit. This is where the media was picking up on, because the reward only outweighs the risk once a person is typically unable to breathe unaided and it's used solely to prevent your immune system from killing you, in this case, ARDS. You're not worried about the disease progressing anymore because your immune system will kill you without supression, and now reward outweighs risk.
JessFR said:
If you're doing well, and likely continue doing well, why would you risk giving an immuno suppressant?
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From what I can gather, he was obviously going to be able to be monitored constantly which would allow better decisions in treatment. My guess is once they ruled out potential severe or critical complications, and they would almost certainly have to do this to initiate dexamethasone, they did it to simply help him recover faster, as corticosteroids are typically given after someone is free of the virus to help the immune system calm down and return to normal faster. Either that, or there was some severely nuanced debates on the medical team utilizing literature probably none of us have access to further boost reward to risk so early on. What's almost for sure, what the media is jumping on when dexamethasone is given typically whenever someone's immune system is about to kill them almost certainly did not happen with Trump, especially not that fast.
 
@Deru I think Trump was driving a very aggressive medical response (like him using hydroxychloroquine previously) and whatever happens, it was a lot more art than medicine (see experimental antibody cocktail).
He is receiving some of the best care in the world, but he’s still an older, obese man who needs to rest. But in the end, it’s his choice.
 
cduggles said:
but maybe the experimental antibody cocktail he got
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I think this factors in quite a bit with the consecutive dexamethasone treatment. Somehow this may offset the issue with the supression of the immune system preventing body from fighting the virus.
 
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