from gas_dr courtesy ping
https://www.freerepublic.com/focus/news/3890430/posts?page=16#16
The press demonstrate no understanding of this and simply want gotcha points. Questions about isolation lung scans etc are inappropriate but here is my educated opinion
1. Of course he is in isolation. Negative pressure is only important in a hospital wing where there are many rooms. Negative pressure rooks Jane an anteroom so that nothing gets out into corridors. The president is in his own suite in his own building. Negative pressure is irrelevant
2. Transient hypoxemia occurs with any respiratory disease. The key take away is that he is not feeling short of breath. This tells me that he is on the upswing. Additionally continuous pulse of telemetry demonstrates transient decreases in saturation on most hospitalized patients in any particular period.
3. Fever. Didn’t hear one reported. So I assume he remains afebrile. This is the best news of all. Usually 72 hours afebrile signals rust the disease is generally run its course.
4. Discharge planning is starting which means that he is probably doing very well. If discharges tomorrow that means I’m the medical judgment of the attending physician he does not require hospital level services
5. He will complete remdesivir. Five days as I said yesterday. The remdesivir has shortened the duration of the hospitalization and severity of the symptoms. Exactly what studies have shown
6. They are starting decadron. This is a relatively low risk medication that is steroid and shown to improve outcome. It’s fine to start this for five days.
7. He is up and around and mobilizing which means he is oxygenating fine.
8. Lung scans. I have seen awful scans that had a mild course and relatively innocuous scans with horrible outcomes. So radiology is not predictive of outcome.
So in summary. It appears he has done well. He has had meds that shorten duration and decrease severity of symptoms. This is exactly what should have happened.
No conspiracy. No bull crap. This is right down the middle. He is likely day #8 since infection. 5 day incubation. Day thee is sunrooms. So if he remains afebrile and improving tomorrow will be day 9 or 10 and he is through the scariest part.
I am cautiously optimistic.
16 posted on 10/4/2020, 12:07:48 PM by gas_dr
Thanks bitt. Great analysis. That got me beyond the trees where I was once again reassured that not many out there know there is a war happening right under their noses.