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  • you haven't argued that I'm feeling good.

  • Tested.

  • Negative.

  • Begin today.

  • You know it, Z Okay, you're pretty.

  • Good morning, everyone.

  • Thank you for coming.

  • Uh, Dr Sean Conley, position to the president.

  • Now, This morning, I'd like to start by first sharing that the president and first family first lady.

  • Extremely grateful.

  • The enormous outpouring of support and prayers that the whole world and country have been providing from sharing.

  • I'd like to thank Colonel Andrew Barr and all the medical and support staff here at Walter Reed for the tireless efforts providing everything and anything the medical team the president and I could need this morning.

  • The president is doing very well behind me or some of the members of the president's medical team whom I'd like to introduce.

  • Uh, Dr Sean Dooley.

  • Pulmonary critical care.

  • Dr.

  • Brian Garibaldi.

  • Pulmonary critical care.

  • Dr.

  • Robert Browning.

  • Pulmonary critical care.

  • Dr.

  • Jason Blaylock, Infectious disease.

  • Dr Wes Campbell, Infectious disease.

  • Dr John Hodge in anesthesia.

  • Major Kurt Klein, Army Nurse Commander Meghan, as worthy Navy nurse.

  • Lieutenant Giuliana Levodopa, Navy Nurse, Lieutenant Lieutenant Commander John Shea, clinical pharmacist, and not present with us.

  • Our Lieutenant Beth Carter, Lieutenant Marine, me hand both Navy nurses and Dr Jesse Show, Now director, our executive medicine program.

  • As reported yesterday, Consultation with this group I recommended we bring the president upto Walter Reed as a precautionary measure to provide state of the art monitoring and any care that he may need just 72 hours into the diagnosis.

  • Now the first week of co vid on a particular day, 7 to 10 of the most critical in determining the likely course of this illness.

  • At this time, the team and I are extremely happy with the progress the president has made Thursday he had a mild cough in some nasal congestion and fatigue, all of which are now resolving an improving.

  • At this time, I'd like to bring up Dr Duly to discuss some of the specifics.

  • Presidents care.

  • Okay, thank you and good afternoon, Dr.

  • Sean Dooley is Doctor Conley mentioned.

  • I'll start off by mentioning what an incredible how incredibly proud I am of our medical team assembled behind me on the honor has been to care for the president over these last 24 hours.

  • Here at Walter Reed, he's receiving outstanding multidisciplinary care, the state of science for coronavirus infection.

  • We are monitoring him very closely for any evidence of complications from either the coronavirus illness or the therapies that were prescribing, too.

  • Make him better.

  • We have monitored his cardiac function.

  • His kidney function is liver function.

  • All of those are normal.

  • And the president this morning is not on oxygen, not having difficulty breathing or walking around the White House Medical Unit upstairs.

  • He's an exceptionally good spirits.

  • And in fact, as we were completing our multidisciplinary rounds this morning, the quote he left us with was I feel like I could walk out of here today.

  • And that was a very encouraging comment from the president.

  • Moving forward.

  • I'll go ahead and introduce Dr Garibaldi, who will talk about some of our therapeutics and the plan for plan of Care for today.

  • Thank you.

  • Thank you, Dr Julie.

  • And I'd like to echo the sentiment from the entire team with a honor and a privilege.

  • It is to be part of this most of discipline unit to care for the president.

  • Um, about 48 hours ago, the president received ah, special antibody therapy directed against the coronavirus, and we're working very closely with the company to monitor him in terms of, uh, that outcome.

  • Um, yesterday evening he received his first dose of ivory remedy severe, and our plan is to continue a five day treatment course for Romney severe.

  • And the big plan for today, since he's in such great spirits and doing well, is to encourage him to eat.

  • It's a drink to stay hydrated, to be up out of bed and to be working and doing the things that he needs to do, uh, to get well, I'll refer Dr Connelly to any questions.

  • Thanks, Brian.

  • It's important to note the president spend fever free for over 24 hours.

  • We remain cautiously optimistic, but he's doing great.

  • Um, with that one other note, it should be clear that he's got plenty of work to get done from the chief of staff.

  • And he's doing it, Um, but that if there's a couple questions about the president's health, uh, in the last couple days, saturation level, yeah.

  • So the last saturation that we had up walking around, he was about 96%.

  • He has not received any supplemental oxygen.

  • He's not on oxygen right now.

  • That's right.

  • He's not received any at all.

  • He's not needed anybody any this morning today at all.

  • That's right.

  • Now he's Do you have an estimated date when he might be discharged?

  • Well, I don't want to put a hard date on that.

  • He's doing so well.

  • But the with a known course of the illness, Day 7 to 10.

  • We get really concerned about the inflammatory phase.

  • Phase two, given that we provided some of these advanced therapy so early in the course a little bit earlier than most of the patients we know and follow, Um, it's hard to tell where he is on that course.

  • And so every day we're evaluating, does he need to be here?

  • What does he need on where is he going?

  • You see is the probability that he will need supplemental oxygen going forward.

  • I don't wanna put a percentage on that, but right now, all indicators are that, uh, that he'll remain off of oxygen going forward in terms of, like, blood clots, pneumonia, bacterial infection.

  • What do you see?

  • Is the risk on that front?

  • Well, we know that all of them are risks associated with this condition.

  • Um uh Hey is receiving all of the standard of care and beyond, uh, per routine international covert protocols.

  • Eso we're monitoring for all of that, but at the moment, there is no cause for concern.

  • You said he was his fever free.

  • Now, what was his fever when he has one?

  • Sir?

  • Uh, I'd rather not give any specific numbers, but he did have a fever Thursday into Friday.

  • And since Friday morning, he's had none.

  • Okay, What was the date?

  • Uh, I'm sorry.

  • Uh, eso rendez severe works a little bit differently than the antibodies.

  • We're maximizing all aspects of his care, attacking, uh, this virus, you know, a multi pronged approach.

  • A za president.

  • I don't wanna hold anything back.

  • If there was any possibility that it would add value to his care and expedite his return, um, I wanted to take it on the team.

  • Agreed.

  • And that's what we proceeded, Doctor.

  • What was the date of the president's last negative test?

  • I'm not gonna get into all the testing going back.

  • Um, but he and all the staff routine routinely are tested on DSO.

  • Doctor, what is a ppd protocols for, uh, President Trump receiving visitors.

  • And Dr it's the same as any hospital has way.

  • Have an area that that clean that you put your equipment on.

  • And then beyond that, everybody is fully gowned up.

  • Masks, gloves.

  • Um, we're protecting ourselves in him.

  • Have you done?

  • A screen?

  • Is there's been any sign of a lung damage whatsoever way.

  • We're following all that.

  • We do daily ultrasounds.

  • We do daily lab work.

  • Team is tracking all of that.

  • Has there been any sign of damage?

  • I'm not going to go into specifics.

  • Of what?

  • The findings of it.

  • We're going down on one thing.

  • Has he ever been on supplemental oxygen?

  • He right now he is not on.

  • I know.

  • You keep saying right now.

  • What should we read into the fact that he had been yesterday and today he was not on oxygen, So he has not been on it during this.

  • His Koven treatment he's not on oxygen right now has been considered a survivor.

  • Treatment options for the president.

  • We discussed it.

  • He asked about it.

  • He's not on it now.

  • And dr what symptoms has he also experienced difficulty breathing?

  • No, no, he has not.

  • Never did get a little cough.

  • He had the fever more than anything he's felt run down.

  • Who is handling contact?

  • Tracing is at the White House or CBC.

  • The White House, uh, White House Medical Unit, in conjunction with collaboration with 100 local state health departments, are conducting all contact tracing for 500 guidelines.

  • When was the positive diagnosis made you sick?

  • 72 hours that would present Wednesday eso Thursday afternoon following following the news of, ah, close contact is when we repeated testing on giving kind of clinical indications that a little bit more concerned.

  • And that's when that late that night, we got the PCR confirmation that he was Is there any clarity on how he became infected?

  • I'm not gonna go into that, um, as's faras his carrots, it's irrelevant.

  • Or when he became infected.

  • Yeah, we're gonna go into that.

  • We're just tracking his clinical course in providing invest here we can.

  • Well, President Trump had to stay at Walter Reed to get the five day regulars fear treatment.

  • Um, we discussed that right now.

  • If he needs all five days, uh, that will likely be the course, but again, every day we're reviewing with the team his needs for being here and a.

  • Soon as he gets to the point where it's not a requirement, he may still need some care.

  • But if we can provide that downtown at the House, then we will transition at that point, as long as it's safe and appropriate.

  • Team agrees.

  • In addition to his weight, does he have any other risk factors that make him or risk for sort of a severe case?

  • Not particularly.

  • He's 74.

  • He's male, Um, and he is slightly overweight, Um, other than that, he's very healthy.

  • Cholesterol is great.

  • His blood pressure is great.

  • It's not on medications that, um, he's up in active.

  • You saw the his activity, the days leading up to a long hours and everything else he's able to handle it.

  • Can you provide other vitals, like heart rate, blood pressure and temperature?

  • His heart rate is in the seventies, the eighties.

  • His blood pressure has remained where it's where it's historically been drawing our physicals.

  • You know, 1 10 to 1 twenties to stop.

  • He's great.

  • It's never budged, had no concerns there, So why was the decision made transfer him here?

  • Because he's the president of United States?

  • Obviously, doctors have found that the prone position is helpful for.

  • Has he been in that at all?

  • No, we actually, he asked about that.

  • He did Thursday into Friday.

  • Um, he's been briefed by the task force and all the scientists for months, and he brought that up.

  • You know, we were discussing his cough that time.

  • His oxygen levels were okay.

  • We didn't feel like we need to do it.

  • We came up here to discuss it with the team as well.

  • Way consider all options, but he is not needed any of that.

  • Why wasn't the first lady admitted as well?

  • First ladies doing great.

  • Thanks for asking.

  • She has no indication for hospitalization.

  • Advanced therapy.

  • She's convalescing at home.

  • Thank you.

  • I'm gonna try that one more time.

  • You said Yeah, yeah, yeah.

  • He's not on oxygen.

  • But today on Thursday and he's what's today say?

  • No.

  • No.

  • Thursday.

  • Thursday, Friday, Saturday.

  • So that was why we're Thursday.

  • No oxygen.

  • None of this moment.

  • Yeah, And yesterday with the team.

  • Well, what?

  • We were all here.

  • He was not on oxygen.

  • So has the president actually been admitted as a patient to this hospital?

  • President is a patient that Walter Reed National Military Medical Center.

  • Is he on any steroids?

  • Thank you.

  • Thank you.

  • Thank you.

  • Thank you.

  • Okay.

  • Thank you.

you haven't argued that I'm feeling good.

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Trump's medical team gives an update - BBC News

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    林宜悉 posted on 2020/10/24
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