Saturday 3 October 2020

5 things we know about President Trump's medical status

WASHINGTON (NEXSTAR) -- A feverish and fatigued President Trump was flown to a military hospital Friday night to receive treatment while battling COVID-19.

We've learned he was given remdesivir therapy after being injected with an experimental drug combination during treatment at the White House.

While Trump's medical status is being closely guarded, here's what we know about the president's condition:

Trump is experiencing symptoms

The 74-year-old president had a fever and was experiencing shortness of breath, a source familiar with the matter told NewsNation.

Dr. Sean P. Conley, the physician to the president, said Saturday morning Trump has not had a fever and has not received supplemental oxygen today. Conley was vague about whether Trump has needed it since contracting COVID-19.

Conley also denied reports the president has experienced shortness of breath -- even as ABC News reported Saturday morning that Trump suffered that symptom 24 hours earlier.

Infection causes mild or no symptoms in about 80% of cases. About 15% of people become seriously ill and 5% get critically ill.

Symptoms, when they do occur, usually appear two to 14 days after infection and can include loss of smell or taste, coughing, a sore throat, trouble breathing, fatigue, muscle or body aches, headache, nausea or vomiting, diarrhea and fever.

Up to half of patients who are hospitalized don’t have a fever when admitted but nearly all develop one. How people fare varies widely — some seem to be recovering and then suddenly worsen.

His symptoms appear to have quickly worsened Friday yet improved Saturday

Initial reports Friday morning were that the president was suffering very mild symptoms. As the day continued, there were multiple reports his condition was slowly worsening.

"This is serious," an adviser to the president told CNN on Friday evening, noting Trump was very fatigued and having some trouble breathing.

CNN reported White House officials had "serious concerns about Trump's health."

"Our fear is that things can change quick," the adviser said.

Even amid concern among some White House staffers, the president's physician noted Friday evening there was no immediate cause for the public to be alarmed.

“This evening I am happy to report that the president is doing very well,” he said.

Dr. Conley reiterated similar thoughts Saturday morning while addressing reporters.

Trump is considered high risk

Older age, being male and having any other health problems increase the chance of severe illness.

At 74, “his age would be the primary risk factor,” said Dr. David Banach, an infectious diseases physician at the University of Connecticut’s health system.

People ages 65 to 74 are seven times more likely to be hospitalized for COVID-19 than those who are 18 to 29 years old, according to the U.S. Centers for Disease Control and Prevention. The risks rise exponentially at older ages.

Trump also is considered obese, with a body mass index just past 30.

“Obesity is a state of chronic lowered immunity. In other words, you don’t respond to vaccines as well, you don’t respond to infections as well” as people of normal weight, said said Dr. Gregory Poland, an infectious disease specialist at the Mayo Clinic.

Trump takes a statin drug to lower his cholesterol, and that condition also raises his risk for COVID-19 complications, doctors said.

Trump remains hospitalized

The White House said Trump's expected stay of “a few days” at Walter Reed National Military Medical Center was precautionary.

While seeing the president go to the hospital might feel like an aggressive move, one medical expert believes it was the right call if Trump was experiencing worsening symptoms.

"I wouldn't struggle to care for the President in the White House when you can take him to really a very, very secure facility with world-class staff," Dr. Jonathan Reiner told CNN about Walter Reed. "But you would only do that if you felt that his respiratory status was deteriorating."

It's unclear how long his hospital stay could last.

He's receiving numerous medical treatments

Trump was given remdesivir Friday night at Walter Reed. Remdesivir is the only treatment that’s been shown in a rigorous experiment to help fight the coronavirus.

Earlier on Friday, Trump’s physician said the president received a dose of an experimental antibody combination by Regeneron that is in clinical trials.

He also was taking zinc, vitamin D, an antacid called famotidine, melatonin and aspirin. None of those have been proven to be effective against COVID-19.

Trump apparently is not receiving hydroxychloroquine, a drug he widely promoted that has been shown in many studies to be ineffective for preventing or treating COVID-19.

The Associated Press contributed to this report.



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