“I didn’t want to give any information that might steer the course of illness in another direction, and in doing so, you know, it came off that we were trying to hide something, which wasn’tnecessarilytrue,” Dr. Sean P. Conley, the White House physician, said to reporters on Sunday.
I understand exactly what that means. He’s saying he’s doing every thing possible to hide the truth from the big baby because he has has a panic attack every time he hears the truth about how seriously ill he is. I’m sure a lot of people who have seen his behavior can’t believe that nobody is working on invoking Section 4 of the 25th Amendment. Hard as it is to believe, the country is even worse danger now than it has been since 2017.
My guess is that dr. Conley has been ordered to keep any “damaging” facts quiet and he’s trying to walk the line of saying as little as possible without lying and he’s having a hard time doing it
This may be a bit unfair to the real Typhoid Mary, who was probably unaware — at first — that she was infected with the disease (and may have been since birth). Trump, on the other hand, while he almost certainly knows has been told that however he might feel, he’s shedding the virus like an old featherduster … just doesn’t care.
If we must use “Typhoid,” how about “Typhoid Toddler?” Or maybe “Covid Cheeto?”
I got dexamethasone during chemotherapy. I can’t say what the dose in the IV bags was, or how the pills before and after compare to 45’s dose, but the major side effect was that the night after the chemo, it was difficult to sleep. I was teaching at that time and certainly was competent to work and not cognitively or psychologically impaired.
Mumbo. Jumbo. “Steer the course of the illness?” Meds can do that, other interventions can do that, but…talking negatively about it? Think happy thoughts!
As I posted upthread (quoting from a 538 video, dexamethasone represses the immune system, so it’s only given to patients with severe COVID because it makes patients more vulnerable to the disease.
I, too, am asthmatic. I, too, have been put on prednisone when I’ve had serious asthma attacks. Note that COVID is a virus, so antibiotics are not helpful. Docs have to weigh the risks of COVID inflammation against the risk of a repressed immune system; in a mild case, the risks outweigh the benefits.
The article @Dr_Paprikaprovided showed that it was of no help and probable harm when given to those without respiratory distress.
So to @Dr_Paprika’s list of when to give … no hospitalist I, but the data seems pretty clear in the general case, only give it when the patient is minimally consistently with a need for O2 support to maintain acceptable oxygenation levels, or needing ventilation. Not by risk factors for deterioration or isolated episodes of desaturation, nor by any of the rest of the list being present or not. Could there be specific exceptions based on specific individual factors? I dunno. But barring such exceptional circumstances it seems pretty straightforward to me.
I forgot to mention this before, but prednisone is not dexamethasone. Dexamethasone is six times as powerful and has a half-life twice as long as prednisone. Not all steroids are the same.
I’ve been wondering the same thing. I would think that even if you don’t care about anyone but yourself, enlightened self-interest would drive you to act decently towards the folks who are supposed to take a bullet for you.
In the video Trump released before he left his rooms to have his parade, he said he’s been meeting soldiers and first responders at the hospital. Is he really mingling with people? Does anyone there know what quarantine means?