Discharge tomorrow?
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@George-K said in Discharge tomorrow?:
@jon-nyc said in Discharge tomorrow?:
I just learned his doctors came clean about the oxygen usage.
Not disputing what you say. What did the docs say?
This is from CNN:
Conley acknowledged that his evasive answers "came off that we were trying to hide something" but said that "wasn't necessarily true," adding that the President is "doing really well" and is responding to treatment.
The President has experienced "two episodes of transient drops in his oxygen saturation," Conley said Sunday. The first significant episode occurred late Friday morning when, Conley said, the President had "a high fever and his oxygen saturation was transiently dipping below 94%." The President was given oxygen at that point, Conley said, answering a question he had evaded during his Saturday briefing.
"After about a minute on only two liters, his saturation levels were back over 95%. He stayed on that for about an hour maybe, and it was off and gone," Conley said Sunday. Later on Friday, Conley said, Trump was out of bed, moving around the White House residence with only mild symptoms.
On Saturday, the President's oxygen level dropped again "to about 93%," Conley said. "We watched it and it returned back up." But the incident led doctors to start treating Trump with the steroid drug dexamethasone, which has been shown to help patients with Covid-19. It is typically given to patients on supplemental oxygen or ventilation.
Conley said the President's current blood oxygen level is 98%.
But Conley refused to say how low the President's blood oxygen levels had dropped during that first alarming episode at the White House. -
Just some random thoughts on what was quoted on CNN.
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He apologized for giving the appearance trying to hide something, while acknowledging that there were serious concerns.
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A "transient" drop is SpO2 could be due to a million different things (level of exertion, position, etc). "Transient" doesn't mean trend. If he consistently dropped to below 94%, I'd be worried, but a dip, in and of itself might mean nothing.
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2L/min of oxygen (presumably via nasal cannula - you know, the prongs that go in your nostrils) is about equivalent to 28% oxygen, inspired. For comparison's sake, room air's FiO2 is about 21%. This is NOT a lot of oxygen, and is consistent with what is given routinely post.
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Giving 2L/min via cannula is, at best, a transient thing. Yeah, your SpO2 will rise while it's on, but if the underlying problem isn't treated, it'll fall within minutes of its removal. That goes to my comment #2.
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Saturday's 93% is concerning as well, but we don't know for how long it was, whether it was a trend, etc.
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"Current SpO2 is 98%." I'm skeptical that a 74 year old obese male has those levels at rest without oxygen supplementation. The doc's comment doesn't say.
Like I said, just random thoughts.
Remember, oxygen isn't therapeutic, it's supportive. And, its effects are transient - as in "minutes transient."
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Yeah, but it's great theater...Some pics...
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And just another note or two...Isn't there a barrier between front and back?
Also noticed that the guys in the vehicle had on N95 masks , full gowns and faceshields. If that means they are going to die, I've done that deal at least a half-dozen times with COVID patients. According to this doc, that could be the case.
I'm going to make a SWAG, and say the Secret Service guys are in better shape than I am.
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It's nice to see America taking things so seriously.
Incidentally, there's only one 's' in gravitas.
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@Jolly said in Discharge tomorrow?:
And just another note or two...Isn't there a barrier between front and back?
Also noticed that the guys in the vehicle had on N95 masks , full gowns and faceshields. If that means they are going to die, I've done that deal at least a half-dozen times with COVID patients. According to this doc, that could be the case.
I'm going to make a SWAG, and say the Secret Service guys are in better shape than I am.
Completely unnecessary risk.
Totally irresponsible and inconsiderate towards their own staff. -
@Axtremus said in Discharge tomorrow?:
@Jolly said in Discharge tomorrow?:
And just another note or two...Isn't there a barrier between front and back?
Also noticed that the guys in the vehicle had on N95 masks , full gowns and faceshields. If that means they are going to die, I've done that deal at least a half-dozen times with COVID patients. According to this doc, that could be the case.
I'm going to make a SWAG, and say the Secret Service guys are in better shape than I am.
Completely unnecessary risk.
Totally irresponsible and inconsiderate towards their own staff.Almost nobody else is living their life to eliminate risk, either. Life goes on, despite the special pleading TDS masses.
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@jon-nyc said in Discharge tomorrow?:
@Loki said in Discharge tomorrow?:
Trump did a standing vigorous video followed up by a motorcade drive by for his supporters.
Walter Reed attending physician.
Attending physician:
"In the United States and Canada, an attending physician is a physician who has completed residency and practices medicine in a clinic or hospital, in the specialty learned during residency. An attending physician typically supervises fellows, residents, medical students, and other practitioners. Attending physicians may also maintain professorships at an affiliated medical school. This is common if the supervision of trainees is a significant part of the physician's work. Attending physicians have final responsibility, legally and otherwise, for patient care, even when many of the minute-to-minute decisions are being made by house officers or Advanced Practice Providers. Attending physicians are sometimes the 'rendering physician' listed on the patient's official medical record, but if they are overseeing a resident or another staff member, they are 'supervising."
The good doctor did his residency in Emergency Medicine. He is neither an infectious disease expert or the President's physician.