The medical team treating Donald Trump, who tested positive for the novel coronavirus on Thursday, has said the president has “continued to improve” and could return to the White House as soon as Monday while adding he had been given oxygen and the steroid dexamethasone after his blood oxygen level dipped in recent days.
The medical team addressed reporters on Sunday from Walter Reed National Military Medical Center, where Trump was hospitalised on Friday following the diagnosis, which came just more than a month before the presidential election on November 3.
“Since we spoke last, the president has continued to improve. As with any illness, there are frequent ups and downs over the course,” Trump’s physician Dr Sean Conley said.
Conley said Trump received supplemental oxygen at the White House when his blood oxygen level dipped before being transported to the hospital.
Another member of the team, Dr Brian Garibaldi, said the 74-year-old was given the steroid dexamethasone on Saturday in response to “transient low oxygen levels”. The doctors said Trump’s blood oxygen levels were currently stable.
“He received his first dose of that yesterday and our plan is to continue that for the time being,” Garibaldi said, adding Trump was “up and around” and was feeling well.
“Our plan for today is to have him eat and drink, be up out of bed as much as possible, to be mobile,” Garibaldi said.
“And, if he continues to look and feel as well as he does today, our hope is that we can plan a discharge as early as tomorrow to the White House where he can continue his treatment course.”
Despite the White House team’s positive prognosis, Dr Eric Feigl Ding, an epidemiologist and senior fellow at the Federation of American Scientists told Al Jazeera Trump being given dexamethasone is an “extremely worrying sign”.
“The WHO [World Health Organization] says it is only used for critical and severe patients. It actually recommends against [usage in] people who are not serious,” he said. “NIH [National Institutes of Health] also says it only for serious patients who are either on ventilators or supplemental oxygen, which Trump barely qualifies for.”
Feigl Ding added Trump is on a “really bad trajectory” and Monday is “a little premature for discharge”.
However, he added: “The White House has a whole surgical unit so being discharged tomorrow [Monday] is pretty meaningless.”
Trump’s doctors also sought to respond to contradictory messaging from the White House on the president’s condition on Saturday.
The medical team early on Saturday morning had painted an optimistic picture of the president’s condition, saying he was improving and already wanted to return to the White House.
Minutes later, Mark Meadows, the president’s chief of staff, gave a less rosy assessment, telling reporters: “The president’s vitals over the last 24 hours were very concerning and the next 48 hours will be critical in terms of his care. We’re still not on a clear path to a full recovery.”
White House doctor Conley on Sunday said he was “trying to reflect an upbeat attitude of the team and the president about the course his illness has had”.
“I didn’t want to give any information that might steer the course of illness in another direction and in doing so, it came off that we were trying to hide something, which isn’t necessarily true,” he added.
Trump’s medical team added that Trump has not run a fever since Friday and his liver and kidney function remained normal after the second dose in a five-day course of remdesivir, an intravenous antiviral drug sold by Gilead Sciences Inc that has been shown to shorten hospital stays.
Several Republicans infected
Several prominent allies of the president have also tested positive for COVID-19 since Trump’s announcement, including his campaign manager Bill Stepien, Republican Party chair Ronna McDaniel, senators Mike Lee, Thom Tillis and Ron Johnson, former White House senior adviser Kellyanne Conway and former New Jersey Governor Chris Christie.
Meanwhile, Trump’s campaign said Vice President Mike Pence, who would assume the presidency if Trump were unable to carry out his duties, would have an “aggressive” schedule this week, as would Trump’s three oldest children.
“We can’t stay in our basement or shut down the economy indefinitely. We have to take it head-on,” Trump campaign Senior Advisor Jason Miller told ABC news organisation.