Trump is back in Oval Office despite being at risk of spreading COVID
Marine standing guard outside Oval Office signifies Trump IS back to work despite still being a covid spreading risk and on a cocktail of powerful, experimental drugs
- President Donald Trump returned to Oval Office on Wednesday afternoon
- A Marine guard appeared in front of the West Wing
- President being briefed on the stimulus talks and Hurricane Delta
- Dr. Sean Conley said Wednesday that President Donald Trump has not experiencing symptoms related to coronavirus for 24 hours
- In the statement, Conley shared that Trump said, ‘I feel great!’
- A test taken Monday revealed Trump has antibodies for coronavirus present, raising questions over the timeline of when he first contracted the disease
- CDC guidelines say people should not return to work until 10 days after they first experienced symptoms
President Donald Trump returned to the Oval Office on Wednesday to be briefed on the stimulus talks and Hurricane Delta, the White House announced, despite being contagious from the coronavirus.
White House Chief of Staff Mark Meadows is with Trump as is Deputy Chie of Staff Dan Scavino, the White House said.
Trump went into the Oval via the colonnade, which is the outdoor walkway that leads from the front door of the residence, around the Rose Garden and to the outer doors of the West Wing. That kept him away from West Wing hallways where staff are working.
Trump tweeted he spoke with Texas Governor Greg Abbott and Louisiana Gov. John Bel Edwards about the hurricane headed to their coast and urged people to listen to FEMA.
‘Was just briefed on Hurricane Delta, and spoke with @GovAbbott of Texas and @LouisianaGov John Bel Edwards. Please heed the directions of your State and Local Officials. We are working with them very closely — please be prepared, be careful, and be safe!,’ he wrote.
A Marine guard appeared in front of the West Wing Wednesday afternoon. A Marine is present when the president is in the Oval Office.
White House deputy press secretary Brian Morgenstern said precautions were in place for when the president wanted to return to his office.
‘We have ways for him to do that, we have PPE that we can use. And we can interact with him standing back like you’re standing back,’ he told reporters outside the White House.
‘And people can wear masks, or goggles or gloves or whatever may be needed. We have the CDC guidelines,’ he added.
He pointed out that the ‘White House in the West Wing are deep cleaned on a regular basis. So there is a way for him to work out of a variety of rooms safely when he’s ready to do that. I think we saw today in the doctor’s announcement that he’s symptom free. That he has antibodies that they’re identifying now it’s a great sign.’
Dr. Sean Conley, the president’s lead physician, said in a statement earlier Wednesday Trump is stable, has not experienced coronavirus symptoms for 24 hours, and has shown signs of antibodies to the virus in his system.
The president has received a course of the antiviral medication remdesivir. Anti virals work by injecting antibodies into the patient’s system to help the person fight the disease. It’s unclear what level of the drug Trump has received.
Shortly after the statement on Trump’s condition from his osteopath, Regeneron issued a statement saying that the presence of antibodies could simply be those he had received through their drug – which means that calling it a ‘great sign’ may not in fact be true.
Centers for Disease Control and Prevention guidelines state that in order to ‘return to work,’ individuals must be 10 days past the time when they first experienced symptoms.
According to updates from the president’s medical team, Trump first started feeling ill on Friday, when a fever was detected and his oxygen fell below normal levels. He went to the hospital on Friday evening.
Trump has been recovering in the residence since he returned to the White House Monday night after spending four days in Walter Reed Medical Center.
There is an office in the residence for the president to work out of.
In his update on Wednesday afternoon, Conley shared the president had a message for Americans: ‘I feel great!’
The Navy Commander said labs taken Monday show there are present COVID-19 antibodies in the president’s system – raising questions for when he truly contracted coronavirus.
‘Of note today, the President’s labs demonstrated detectable levels of SARS-CoV-2IgG antibodies from the labs drawn Monday, October 5; initial IgG levels drawn late Thursday night were undetectable’ Conley wrote in his statement.
Conley also noted Trump has not needed any supplemental oxygen since his initial hospitalization at Walter Reed Medical Center on Friday.
A Marine guard appeared in front of the West Wing Wednesday afternoon after President Donald Trump returned to the Oval Office
Donald Trump’s top physician, Dr. Sean Conley, said Wednesday that the president has not experiencing symptoms related to coronavirus for 24 hours
In the statement updating Americans, Conley shared the president said, ‘I feel great!’
The ‘super spread’ event that likely sparked the White House outbreak was the Rose Garden announcement last Saturday where Trump named Amy Coney Barrett as his Supreme Court nominee.
Barrett tested positive for COVID-19 earlier this summer, but has since tested negative.
Trump confirmed overnight Thursday that he and first lady Melania Trump tested positive after they were made aware earlier in the day that his counselor Hope Hicks contracted the virus.
It also appears another indecent where cases spread was at the White House event honoring Gold Star families last Sunday.
So far, 21 people within the president’s inner circle – including himself and his wife – have tested positive for coronavirus over the last week.
Trump was transferred to Walter Reed Medical Center on Friday, where he was treated at the presidential suite for three nights.
Doctors put him on a cocktail of medications including the steroid dexamethasone, antiviral medication remdesivir and, at time, supplemental oxygen to help with breathing.
Some White House aides said in a report that the president appeared stronger when he returned to the White House on Monday evening, but claim they can hear him struggling to catch his breath sometimes.
All aides and advisers who come in contact with the president are required to wear full personal protective equipment, including yellow gowns, surgical masks and disposable protective eye goggles.
Conflicting statements from top advisers Wednesday created confusion over whether Trump has returned to work in the Oval Office – although it now appears he has not done so, but wants to get back to the office sometime this week.
TRUMP’S INNER CIRCLE WHO HAVE TESTED POSITIVE FOR COVID
WEDNESDAY OCTOBER 1
Ronna McDaniel, 47. Chair of the Republican National Convention
McDaniel is thought to have been the first positive case. It was not made public until after Trump’s diagnosis.
She was last in contact with Trump on September 25. McDaniel began isolating on September 26 when a member of her family tested positive. She got her results several days later.
THURSDAY OCTOBER 2
Hope Hicks, 31, Counselor to the President
Hicks was the first case reported and was tied to the President’s positive test.
She flew with him through the week before he was diagnosed and started feeling unwell on her way back from a rally in Minnesota on Wednesday night.
She quarantined on Air Force One to stay away from him.
President Donald Trump, 74
Confirmed positive diagnosis on Friday October 2 at 1am. Was taken to Walter Reed on Friday night, where he remained on Monday afternoon.
Reported symptoms included trouble breathing, lethargy and a fever.
He was given an antibody cocktail on Friday and other treatments.
First Lady Melania Trump, 50
Confirmed positive diagnosis on Friday October 2 at 1am. She has been quarantining in the White House.
She suffered mild symptoms including a cough and a headache but has said repeatedly that she feels ‘good’.
FRIDAY OCTOBER 2
Fr. John Jenkins, 66, President of the University of Notre Dame
Jenkins attended the announcement of Amy Coney Barrett as Trump’s Supreme Court Nomination without a mask on Saturday September 25.
The event in the White House Rose Garden is now widely believed to be the source of many of the infections.
He is not thought to have severe symptoms.
Mike Lee, 49, Republican Utah Senator
Lee also attended the event in the Rose Garden and he was seen hugging other attendees without a mask on.
He is not thought to have severe symptoms either.
Bill Stepien, 42, Trump’s Campaign Manager
Stepien tested positive after Trump.
He had mild, flu-like symptoms and planned to continue working from home.
He attended Tuesday night’s rally in Cleveland, having flown with Trump and Hicks on Air Force One to and from the event.
Michael Shear, 52, New York Times White House correspondent, and two other unnamed journalists
The journalists’ positive diagnoses were revealed on Friday.
Two attended the SCOTUS event, where they said they were forced into pen like enclosures at the back, with little space between them.
Hardly any of the guests at the event wore masks, they said.
SATURDAY OCTOBER 3
Thom Tillis, 60, Republican North Carolina Senator
Tillis announced that he’d tested positive after routinely testing negative.
He said he was asymptomatic.
‘Over the last few months, I’ve been routinely tested for COVID-19, including testing negative last Saturday, but tonight my rapid antigen test came back positive,’ he said in a statement.
Chris Christie, 58, Former New Jersey Governor
Christie has been at the White House frequently in recent weeks and was at the SCOTUS event.
He tested positive on Saturday and checked himself into hospital, he said, out of an abundance of caution because of his health conditions including asthma.
Nicholas Luna, 29, Chief of Oval Office Operations and ‘body man’
Luna’s job requirements involve following Trump around at all times.
He tested positive on Saturday night, more than 24 hours after President Trump did
Ron Johnson, 65, Republican Wisconsin Senator
Johnson still attended an Oktoberfest event on Friday night while awaiting the results of a COVID-19 test, despite knowing he had come into contact with others who had tested positive.
He defended it, saying he was asymptomatic
SUNDAY OCTOBER 4
Kellyanne Conway, 53, Former White House Counselor to the President
Conway and her daughter have both tested positive.
The daughter, Claudia, revealed on Tik Tok that her mom had been coughing all over their home
MONDAY OCTOBER 5
Kayleigh McEnany, 32, White House Press Secretary
McEnany had tested negative last week after Trump’s diagnosis and she continued giving press conferences without a mask on until Sunday
Chad Gilmartin. Assistant Press Secretary
Karoline Leavitt, Assistant Press Secretary
Two unnamed staff members who work in the White House residence.
They were told to use ‘discretion’ when discussing it, according to The New York Times
TUESDAY OCTOBER 6
Stephen Miller, 35, White House policy advisor
Miller had been working remotely for five days, and tested negative for coronavirus each day prior to testing positive, the administration said.
WHAT ARE THE DRUGS TRUMP IS BEING TREATED WITH AND WHAT ARE THEIR SIDE EFFECTS?
President Trump has been given at least three potent drugs since announcing he tested positive for COVID-19 on Thursday night: Regeneron’s cocktail of lab-made antibodies, the antiviral remdesivir, and the steroid dexamethasone.
Two of those medications are still experimental for treating COVID-19, and have given emergency use authorization by the Food and Drug Administration (FDA).
And White House physician Dr Sean Conley admitted on Monday that he would not disclose every single medication that the president is currently receiving (citing HIPAA patient privacy laws, which suggests that Trump himself gave Dr Conley permission to disclose some of his medications, but not all of them).
Remdesivir, dexamethasone and the antibody cocktail are all in ongoing trials – but it’s unclear if anyone besides the US Commander-in-Chief has ever been treated with all three.
Those three drugs are ‘as much as we know [about the president’s treatment regimen] – but I found it all really confusing, based on the reports,’ Dr Mark Poznansky, an infectious disease specialist at Massachusetts General Hospital told DailyMail.com.
When asked if there was any precedent for treating a COVID-19 patient with all three drugs, Dr Poznansky replied, ‘no.’
‘But the individual decisions are based on the individual patient, and all bets are off when you’re dealing with the president, the commander-in chief,’ he added.
‘The implication is that the doctors believe that the risk of using these is outweighed by the potential benefit.’
And while we have some clarity on the potential side effects of each of the drugs, how they might interact is a mystery, ‘because they just haven’t been used frequently enough…we don’t know about the combination,’ Dr Poznansky said.
But even on their own, the side effects of these drugs could be particularly concerning for the president, considering that the steroid can cause mood swings, confusion and aggression.
The drugs he was treated with and their potential side effects are:
REGENERON’S EXPERIMENTAL ANTIBODY COCKTAIL DRUG
WHEN HE GOT IT: Trump received a single 8 gram dose of Regeneron’s cocktail of lab-made antibodies on Friday.
WHAT IT DOES: REGN-COV2 is a combination of two lab-made versions of antibodies that help block the coronavirus from entering cells.
One of the antibodies in the ‘cocktail’ is based on an antibody that mice produce in response to coronavirus, while the other is based on an antibody isolated from the one of the first US COVID-19 patients.
The hope is that the treatment drives down viral load, keeping it from overrunning the body and sending the immune system haywire, and preventing the infection from becoming severe.
WHAT THE DATA SAYS: REGN-COV2 is still in early trial phases, but the first data from its clinical trial found that it dramatically lowered viral load within a week and cut recovery time in half in patients that weren’t sick enough to be hospitalized.
Regeneron has not yet studied the drug in severely ill patients.
THE POSSIBLE SIDE EFFECTS: The main concern is these types of treatment occasionally trigger ‘antibody-dependent enhancement,’ which means the intended therapeutic actually helps the virus invade cells.
So far, the trials don’t suggest that REGN-COV2 is causing this phenomenon.
Antibody treatments can also cause allergic reactions including anaphylaxis, as well as fever, chills, nausea, diarrhea, weakness, headache and low blood pressure.
REMDESIVIR, GILEAD’S ANTIVIRAL DRUG
WHEN HE GOT IT: President Trump was given his first dose of a five-day treatment course on Friday evening, after he was transferred from the White House to Walter Reed National Medical Center.
He has since received his second and third dose of the drug.
WHAT IT DOES: Remdesivir is an antiviral therapy originally designed to treat Ebola.
Scientists are not entirely sure why, but it helps to prevent coronavirus from making more copies of itself.
WHAT THE DATA SAYS: Late-stage clinical trials of remdesivir found that patients treated with the drug were more likely to recover within 11 days than those who did not get the drug.
Their survival odds were about 40 percent better. In May, the drug became the first to get emergency use authorization from the FDA for treating severely ill patients. That approval has since been expanded to any hospitalized patients.
THE POSSIBLE SIDE EFFECTS: It can cause nausea, vomiting, chils, sweating or light-headedness. The drug also may harm liver function, meaning that patients have to be closely monitored.
There was some suggestion the Trump’s liver and kidney function were suboptimal last night, but Dr Conley said Monday the president was just ‘dehydrated.’
DEXAMETHASONE, THE $6 STEROID WITH COMMON PSYCHIATRIC SIDE EFFECTS
WHEN HE GOT IT: The president got a dose of dexamethasone on Saturday after he developed a high fever and his blood oxygen levels dropped below 94 percent on two occasions.
WHAT IT DOES: Dexamethasone is a cheap steroid known to tamp down inflammation. It’s already approved for use in other conditions in the US.
WHAT THE DATA SAYS: Although it hasn’t yet been given emergency approval in the US, dexamethasone is the most promising treatment yet for coronavirus.
In a major UK study, the steroid cut the risk of death by 36 percent for patients sick enough to need breathing machines and by 18 percent for patients needing just supplemental oxygen.
However, it seemed harmful at earlier stages or milder cases of illness: 18 percent of those on the drug died versus 14 percent of those given usual care.
For that reason, many doctors were alarmed to see President Trump treated with the drug because using it suggested either that he was very sick, or that doctors were taking a risk in giving it to him early.
THE POSSIBLE SIDE EFFECTS: The steroid is potent, and can cause swelling, headaches, stomach pain, nausea, weakness, dizziness sleep problems, vision changes, skin problems, severe allergic reactions including mood changes.
These mood changes include aggression, agitation and confusion.
‘Steroids are always very dangerous medications to use,’ Dr Edward Jones-Lopez, an infectious disease specialist at the University of Southern California in Los Angeles, told Reuters.
‘That is why it (dexamethasone) is used in severe to critical patients… There can be neuropsychiatric side effects. These are medications that we use very, very carefully.’
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