VIDEO: Trump, moving to show strength, aims for Monday release from hospital

President Donald Trump supporters gather outside Walter Reed National Military Medical Center in Bethesda, Md., Sunday, Oct. 4, 2020. Trump was admitted to the hospital after contracting COVID-19. (AP Photo/Anthony Peltier)
President Donald Turmp supporters gather outside Walter Reed National Military Medical Center in Bethesda, Md., Sunday, Oct. 4, 2020. Trump was admitted to the hospital after contracting COVID-19. (AP Photo/Anthony Peltier)
In this image from video, President Donald Trump waves as he drives past supporters gathered outside Walter Reed National Military Medical Center in Bethesda, Md., Sunday, Oct. 4, 2020. Trump was admitted to the hospital after contracting COVID-19. (AP Photo/Carlos Vargas)

President Donald Trump was hoping for a Monday discharge from the military hospital where he is being treated for COVID-19, a day after he briefly ventured out while contagious to salute cheering supporters by motorcade in a move that disregarded precautions meant to contain the deadly virus that has killed more than 209,000 Americans.

White House officials said Trump was anxious to be released after three nights at Walter Reed National Military Medical Center, where doctors revealed on Sunday that his blood oxygen level dropped suddenly twice in recent days and that they gave him a steroid typically only recommended for the very sick. Still, the doctors said Trump’s health is improving and volunteered that he could be discharged as early as Monday to continue the remainder of his treatment at the White House.

“This is an important day as the president continues to improve and is ready to get back to a normal work schedule,” White House chief of staff Mark Meadows told Fox News on Monday. He said the determination on whether Trump would leave the hospital won’t be made until later in the day after the president is evaluated by his medical team, but that Trump was “optimistic” he could be released Monday.

Less than one month until Election Day, Trump was eager to project strength despite his illness. The still-infectious president surprised supporters who had gathered outside the hospital, driving by in a black SUV with the windows rolled up. Secret Service agents inside the vehicle could be seen in masks and other protective gear.

The move capped a weekend of contradictions that fueled confusion about Trump’s health, which has imperiled the leadership of the U.S. government and upended the final stages of the presidential campaign. While Trump’s physician offered a rosy prognosis on his condition, his briefings lacked basic information, including the findings of lung scans, or were quickly muddled by more serious assessments of the president’s health by other officials.

In a short video released by the White House on Sunday, Trump insisted he understood the gravity of the moment. But his actions moments later, by leaving the hospital and sitting inside the SUV with others, suggested otherwise.

“This is insanity,” Dr. James P. Phillips, an attending physician at Walter Reed who is a critic of Trump and his handling of the pandemic. “Every single person in the vehicle during that completely unnecessary presidential ‘drive-by’ just now has to be quarantined for 14 days. They might get sick. They may die.”

White House spokesman Judd Deere said Trump’s trip outside the hospital “was cleared by the medical team as safe to do.” He added that precautions were taken, including using personal protective equipment, to protect Trump as well as White House officials and Secret Service agents.

Joe Biden’s campaign, meanwhile, said the Democratic presidential nominee again tested negative for coronavirus Sunday. The results come five days after Biden spent more than 90 minutes on the debate stage with Trump. Biden, who has taken a far more cautious approach to in-person events, had two negative tests on Friday.

For his part, Trump still faces questions about his health.

His doctors sidestepped questions on Sunday about exactly when Trump’s blood oxygen dropped — an episode they neglected to mention in multiple statements the day before — or whether lung scans showed any damage.

It was the second straight day of obfuscation from a White House already suffering from a credibility crisis. And it raised more doubts about whether the doctors treating the president were sharing accurate, timely information with the American public about the severity of his condition.

Pressed about conflicting information he and the White House released on Saturday, Navy Cmdr. Dr. Sean Conley acknowledged that he had tried to present a sunnier description of the president’s condition.

“I was trying to reflect the upbeat attitude that the team, the president, that his course of illness has had. Didn’t want to give any information that might steer the course of illness in another direction,” Conley said. “And in doing so, you know, it came off that we were trying to hide something, which wasn’t necessarily true. The fact of the matter is that he’s doing really well.”

Medical experts said Conley’s revelations were hard to square with his positive assessment and talk of a discharge.

“There’s a little bit of a disconnect,” said Dr. Steven Shapiro, chief medical and scientific officer at the University of Pittsburgh Medical Center.

It was not clear for how long Trump’s recovery would continue at the White House once he is discharged.

READ MORE: Doctors say Trump’s blood oxygen level dropped suddenly

According to CDC guidelines, “In general, transport and movement of a patient with suspected or confirmed SARS-CoV-2 infection outside of their room should be limited to medically essential purposes.”

Even before Trump’s motorcade outing on Sunday, some Secret Service agents have expressed concern about the lackadaisical attitude toward masks and social distancing inside the White House, but there isn’t much they can do, according to agents and officials who spoke to The Associated Press. This close to the election, thousands of agents are engaged on protective duty so they can be subbed out quickly should someone test positive.

The disclosures about Trump’s oxygen levels and steroid treatment suggested the president is enduring more than a mild case of COVID-19.

Blood oxygen saturation is a key health marker for COVID-19 patients. A normal reading is between 95 and 100. Conley said the president had a “high fever” and a blood oxygen level below 94% on Friday and during “another episode” on Saturday.

He was evasive about the timing of Trump oxygen drops. (“It was over the course of the day, yeah, yesterday morning,” he said) and asked whether Trump’s level had dropped below 90%, into concerning territory. (“We don’t have any recordings here on that.”) But he revealed that Trump was given a dose of the steroid dexamethasone in response.

At the time of the briefing, Trump’s blood oxygen level was 98% — within normal rage, Trump’s medical team said.

Signs of pneumonia or other lung damage could be detected in scans before a patient feels short of breath, but the president’s doctors declined to say what those scans have revealed.

“There’s some expected findings, but nothing of any major clinical concern,” Conley said. He declined to outline those “expected findings.”

Asked about Conley’s lack of transparency, White House aide Alyssa Farah suggested the doctors were speaking as much to the president as to the American public, “when you’re treating a patient, you want to project confidence, you want to lift their spirits, and that was the intent.”

In all, nearly 7.4 million people have been infected in the United States, and few have access to the kind of around-the-clock attention and experimental treatments as Trump.

Trump’s treatment with the steroid dexamethasone is in addition to the single dose he was given Friday of an experimental drug from Regeneron Pharmaceuticals Inc. that supplies antibodies to help the immune system fight the virus. Trump on Friday also began a five-day course of remdesivir, a Gilead Sciences drug currently used for moderately and severely ill patients. The drugs work in different ways — the antibodies help the immune system rid the body of virus, and remdesivir curbs the virus’ ability to multiply.

Garibaldi, a specialist in pulmonary critical care, said the president was not showing any side effects of the drugs “that we can tell.”

The National Institutes of Health COVID-19 treatment guidelines recommend against using dexamethasone in patients who do not require oxygen. It has only been proven to help in more serious cases. Among the concerns with earlier use is that steroids tamp down certain immune cells, hindering the body’s own ability to fight off infection.

Trump is 74 years old and clinically obese, putting him at higher risk of serious complications. First lady Melania Trump has remained at the White House as she recovers from her own bout with the virus.

___

Peoples reported from New York. Miller reported from Washington. Associated Press writers Lauran Neergaard, Jonathan Lemire and Aamer Madhani in Washington, and Bill Barrow in Wilmington, Del., and Marilynn Marchione in Milwaukee contributed to this report.

Jill Colvin, Steve Peoples And Zeke Miller, The Associated Press


Like us on Facebook and follow us on Twitter.

Want to support local journalism during the pandemic? Make a donation here.

CoronavirusDonald Trump

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

NIFA’s Danni Dawson moves the ball past centre during last Sunday’s match against Gorge at Shawnigan Lake School. (Kevin Rothbauer/Citizen)
NIFA Pacific opens Div. 3 season

Debut match for new soccer club a loss to Gorge

Kerry Park Islanders players celebrate a goal in a game earlier this season. (Citizen file)
Three-goal first propels Kerry Park Islanders to win over Wolves

Monteith makes 40-plus saves for second straight game

Pilot Kevin Maher participated in a flyover of a ceremony at the Cobble Hill cenotaph on Oct. 22 in a 1940 North American (Noorduyn) Harvard aircraft. (Robert Barron/Citizen)
Cobble Hill remembers lost military members with ceremony, flyover

Annual event commemorates those who died in non-combat roles

Veronica Scott is Making Magic, in the window of Imagine That! in Duncan in November, 2020. (Submitted)
A&E column: Fundraising for the arts and more; whimsical windows

Two fundraisers and the latest at Imagine That!

A woman wears a face mask and plastic gloves while browsing books as a sticker on the floor indicates a one-way direction of travel between shelves of books at the Vancouver Public Library’s central branch, after it and four other branches reopened with limited services, in Vancouver, on Tuesday, July 14, 2020. (THE CANADIAN PRESS/Darryl Dyck)
B.C. reports 234 new COVID cases, 1 death of senior who had attended small birthday party

Roughly 5,700 people are isolating due to being exposed to a confirmed case

Vancouver Island-based Wilson’s Transportation has expanded to fill some of the routes left unserviced by Greyhound as of Nov. 1, 2018. (Black Press files)
B.C. bus companies say they need help to survive COVID-19

Like airlines, motor coaches have lost most of their revenue

A deer was spotted in October 2020 in Prince Rupert, B.C., with a bright pink yoga ball stuck in its antlers. (Kayla Vickers/Chronicles Of Hammy The Deer Official Page)
Hammy 2.0? Prince Rupert deer spotted with bright pink yoga ball stuck in antlers

The BC Conservation Officer Service is aware of the deer roaming around the city

RCMP. (Phil McLachlan - Black Press Media)
Kelowna Mountie hit with 2nd lawsuit in 2 months for alleged assault

Const. Julius Prommer is accused of breaking a woman’s knee during while responding to a noise complaint

Hirdeypal Batth, 24, has been charged with sexual assault and forcible confinement in relation to an incident in August 2020. (VPD handout)
Man, 24, charged with sex assault after allegedly posing as Uber driver in Vancouver

Investigators believe there could be more victims outside of the Vancouver area

Join Black Press Media and Do Some Good

Pay it Forward program supports local businesses in their community giving

Adam Ireton holds his son Weston, along with Kristen and Beckett as they celebrate Weston's last day of treatment for lukemia. (Kristen Ireton photo)
799 days: ‘Super’ Weston defeats cancer

‘Weston is disease-free now, so we will be going into a period of checkups and things until he’s 18’

B.C. Premier John Horgan and Washington Gov. Jay Inslee arrive for annual Cascadia conference in Vancouver, Oct. 10, 2018. They have agreed to coordinate the permanent switch to daylight saving time. (B.C. government)
B.C. still awaiting U.S. approval to eliminate daylight saving time

Clocks going back one hour Nov. 1 in Washington too

Prime Minister Justin Trudeau shakes hands with US Vice-President Joe Biden on Parliament Hill in Ottawa on Friday, December 9, 2016. THE CANADIAN PRESS/ Patrick Doyle
A Biden presidency could mean good news for Canadian environment policy: observers

Experts and observers say even a U.S. outside the Paris agreement may ultimately end up in the same place

Most Read