这个病如果有条件能够越早采取措施越好：一期抗病毒，二期抗风暴。不管怎么说，他的医疗团队比约翰逊早期的还是要强多了，约翰逊的 half brother 后来对约翰逊的早期处理很有意见： https://www.cnn.com/2020/04/11/uk/boris-johnson-brother-max-coronavirus-intl-gbr/index.html "From what I gather -- and I wasn't there -- no one asked a doctor to mask up and physically examine him the whole time -- more than 10 days," Max Johnson said about the time his brother spent in self-isolation. In a statement to CNN, Max Johnson said that while he was grateful for the care his brother received from the National Health Service, he wasn't pleased with the events leading up to his hospitalization.
Trump put on steroid recommended for severe Covid-19 cases, even as doctors share upbeat outlook President Trump’s doctors said that they had begun treating him with a steroid that has shown promise for critically ill patients but may cause harm to those with less severe cases of Covid-19. The revelation, which came as part of an upbeat briefing on the president’s condition, raised further questions about Trump’s health as the 74-year-old wrestles with the virus. White House physician Sean Conley said the president’s medical team had begun treating the president with dexamethasone. Acting White House Chief of Staff Mark Meadows holds the door for Sean Conley(front C), Physician to US President Donald Trump, and other members of the President’s medical team as they arrive to give an update on the President’s health at Walter Reed Medical Center during treatment for a COVID-19 infection October 4, 2020, in Bethesda, Maryland. Brendan Smialowski | AFP | Getty Images President Donald Trump’s doctors said Sunday that they had begun treating him with dexamethasone, a steroid that has shown promise for critically ill patients but may cause harm to those with less severe cases of Covid-19. The revelation, which came as part of an upbeat briefing on the president’s condition, raised further questions about Trump’s health as the 74-year-old wrestles with the virus that has killed more than 200,000 Americans.
Dr. Nahid Bhadelia, an infectious diseases physician at the Boston University School of Medicine, said the steroid treatment suggests that Trump has a level of inflammation that warrants the use of steroids despite the fact that the drug also suppresses the immune system. “That they made a conscious decision that the benefit of giving steroids outweighs the risk implies a higher degree of severity than what we knew on Friday and Saturday,” Bhadelia said in an email. Another expert, Dr. Vin Gupta, said the doctors’ disclosures may indicate that Trump could be suffering from pneumonia. “The treatment the doctors report they administered suggest the president has COVID pneumonia of at least mild severity,” said Gupta, a member of the faculty at the University of Washington’s Institute for Health Metrics and Evaluation. The briefing took place outside the Walter Reed military hospital in Bethesda, Md., where the president has been treated since Friday. White House physician Sean Conley said the president’s medical team had begun treating the president with dexamethasone. The course of treatment came in response to two incidents in which Trump’s blood oxygen levels dipped below normal levels in recent days. Conley also said that Trump could be discharged as soon as Monday and said his health was improving. Bhadelia said she generally would not discharge someone who was just put on steroids. The Trump medical team’s announcement complicated assessments of how dire the president’s case is, particularly in light of the caginess that has surrounded details about the president’s health. According to the World Health Organization, dexamethasone has been shown to reduce 28-day mortality in patients with severe and critical cases of Covid-19. In contrast, the organization found, it “may increase the risk of death when administered to patients with non-severe” cases of the disease. The WHO defined severe cases of Covid-19 as causing blood oxygen levels to fall below 90%. Healthy adults generally have blood oxygen levels of 95% or higher. Rapid breathing or other signs of respiratory distress could also cause a case to be considered severe. One study cited by the WHO showed that dexamethasone reduced mortality to about 22.9% compared to 25.7% for those given usual treatments. Trump’s doctors declined to say how low the president’s blood oxygen level has fallen, beyond saying that it has not been recorded in the low 80s. Conley said that Trump’s blood oxygen level was 98% on Sunday. Dr. Scott Gottlieb, who led the FDA from 2017 to 2019, said that the president’s two drops in his blood oxygen level did not suggest a strong recovery. “I am concerned about the O2 because that means his lungs are affected (COVID-19 is the disease part and now he has that),” Gottlieb said in an email. He added, “If they are going to discharge him tomorrow, that would mean he is virus negative. I don’t think that’s possible.” Gottlieb added: “The low oxygen and the statement that his ‘chest imaging had findings that were consistent with his condition’ suggest he could have a pneumonia of his lungs.” The president’s medical team has not been forthcoming about his condition, forcing the public to read between the lines. On Saturday, Conley dodged questions about whether the president had received any supplemental oxygen, only revealing on Sunday that Trump had received it twice, on Friday and Saturday. “I didn’t want to give any information that might steer the course of illness in another direction, and in doing so, you know, it came off that we were trying to hide something, which wasn’t necessarily true,” Conley explained on Sunday. Still, the fact that the president has only needed supplemental oxygen two times seemed curious to physicians, in light of the dexamethasone treatment. The National Institutes of Health Covid-19 treatment guidelines note that dexamethasone has only been shown to have positive effects in patients who require supplemental oxygen. “Dexamethasone is an incredibly common steroid. But not at the high doses used in COVID-19 which is why the NIH recommends AGAINST using it unless the [patient] requires supplemental oxygen,” wrote Dr. Kavita Patel, a former managing director of clinical transformation at the Center for Health Policy at Brookings, in a post on Twitter on Sunday. “Not on oxygen for a second here or there,” she wrote. -- CNBC’s Shepard Smith contributed to this report
把我一口咖啡笑喷了
具体不清楚，看来这家抗体就是用量要高一些？
4mg, 8mg是激素， 2.4个， 8g是抗体
你们说，统领明天会不会上艾滋病的药呢？
艾滋的那个trial做出来好像结果不是很理想吧，地塞米松其实比较make sense，但是下面免疫系统的平衡就很重要了，抗生素也得补起来 还有没看到抗凝剂呢？
有人要害朕？
要在他的粉丝里塑造warrior 的形象。。让他的粉丝感动的痛哭流涕
。。。似乎跟mini stoke对上了
你别说，现在他要是完蛋了pence和共和党肯定很高兴，所以宫斗也是有可能的，他不得不防，lol
https://www.cnn.com/2020/04/11/uk/boris-johnson-brother-max-coronavirus-intl-gbr/index.html
"From what I gather -- and I wasn't there -- no one asked a doctor to mask up and physically examine him the whole time -- more than 10 days," Max Johnson said about the time his brother spent in self-isolation.
In a statement to CNN, Max Johnson said that while he was grateful for the care his brother received from the National Health Service, he wasn't pleased with the events leading up to his hospitalization.
听起来像心肺有mild变化，这个年龄段心肺功能恢复能力下降，所以用药积极。
这个8g是混合单抗，中国试验了Regeneron 的单抗？
太恶毒太缺德了，别人奚落两句，就开始诅咒别人家人，low爆了
是的 同样的建议 大统领说出来就是充满善意和积德的调侃，追捧的更加虔诚 版友复述就成了无知恶毒，要诅咒
用了Remdesivir就不能用HCQ。 普通人，没有任何药物的时候，试一下HCQ应该没有错
典型的双标表
别人骂它们爹可能都没这么激动
你保持善良吧，为了主子到处诅咒人，这样算积德行善？不会遭报应？
他说话不能信的，可能得反着听。说不定明天早上又变卦了。一切都是为了保股市。
华左索索发抖，准备进集中营
为啥叫蒙古大夫？是谁？
那些非常有经验的前线医生呢？ 难道这么有经验的医生只配给川粉看病，不配给川普看病？
sigh，政客说一套做一套那是肯定的。
但是这打脸也来的太直接太大力了一点。
出于政治因素吹捧一些医生，保命的时候去看另一些医生，太搞笑了。
https://www.cnbc.com/2020/10/04/trump-put-on-steroid-recommended-for-severe-covid-19-cases.html
Trump put on steroid recommended for severe Covid-19 cases, even as doctors share upbeat outlook
President Trump’s doctors said that they had begun treating him with a steroid that has shown promise for critically ill patients but may cause harm to those with less severe cases of Covid-19.
The revelation, which came as part of an upbeat briefing on the president’s condition, raised further questions about Trump’s health as the 74-year-old wrestles with the virus.
White House physician Sean Conley said the president’s medical team had begun treating the president with dexamethasone.
President Donald Trump’s doctors said Sunday that they had begun treating him with dexamethasone, a steroid that has shown promise for critically ill patients but may cause harm to those with less severe cases of Covid-19.
The revelation, which came as part of an upbeat briefing on the president’s condition, raised further questions about Trump’s health as the 74-year-old wrestles with the virus that has killed more than 200,000 Americans.
Dr. Nahid Bhadelia, an infectious diseases physician at the Boston University School of Medicine, said the steroid treatment suggests that Trump has a level of inflammation that warrants the use of steroids despite the fact that the drug also suppresses the immune system.
“That they made a conscious decision that the benefit of giving steroids outweighs the risk implies a higher degree of severity than what we knew on Friday and Saturday,” Bhadelia said in an email.
Another expert, Dr. Vin Gupta, said the doctors’ disclosures may indicate that Trump could be suffering from pneumonia.
“The treatment the doctors report they administered suggest the president has COVID pneumonia of at least mild severity,” said Gupta, a member of the faculty at the University of Washington’s Institute for Health Metrics and Evaluation.
The briefing took place outside the Walter Reed military hospital in Bethesda, Md., where the president has been treated since Friday.
White House physician Sean Conley said the president’s medical team had begun treating the president with dexamethasone. The course of treatment came in response to two incidents in which Trump’s blood oxygen levels dipped below normal levels in recent days.
Conley also said that Trump could be discharged as soon as Monday and said his health was improving.
Bhadelia said she generally would not discharge someone who was just put on steroids.
The Trump medical team’s announcement complicated assessments of how dire the president’s case is, particularly in light of the caginess that has surrounded details about the president’s health.
According to the World Health Organization, dexamethasone has been shown to reduce 28-day mortality in patients with severe and critical cases of Covid-19. In contrast, the organization found, it “may increase the risk of death when administered to patients with non-severe” cases of the disease.
The WHO defined severe cases of Covid-19 as causing blood oxygen levels to fall below 90%. Healthy adults generally have blood oxygen levels of 95% or higher. Rapid breathing or other signs of respiratory distress could also cause a case to be considered severe.
One study cited by the WHO showed that dexamethasone reduced mortality to about 22.9% compared to 25.7% for those given usual treatments.
Trump’s doctors declined to say how low the president’s blood oxygen level has fallen, beyond saying that it has not been recorded in the low 80s. Conley said that Trump’s blood oxygen level was 98% on Sunday.
Dr. Scott Gottlieb, who led the FDA from 2017 to 2019, said that the president’s two drops in his blood oxygen level did not suggest a strong recovery.
“I am concerned about the O2 because that means his lungs are affected (COVID-19 is the disease part and now he has that),” Gottlieb said in an email. He added, “If they are going to discharge him tomorrow, that would mean he is virus negative. I don’t think that’s possible.”
Gottlieb added: “The low oxygen and the statement that his ‘chest imaging had findings that were consistent with his condition’ suggest he could have a pneumonia of his lungs.”
The president’s medical team has not been forthcoming about his condition, forcing the public to read between the lines.
On Saturday, Conley dodged questions about whether the president had received any supplemental oxygen, only revealing on Sunday that Trump had received it twice, on Friday and Saturday.
“I didn’t want to give any information that might steer the course of illness in another direction, and in doing so, you know, it came off that we were trying to hide something, which wasn’t necessarily true,” Conley explained on Sunday.
Still, the fact that the president has only needed supplemental oxygen two times seemed curious to physicians, in light of the dexamethasone treatment. The National Institutes of Health Covid-19 treatment guidelines note that dexamethasone has only been shown to have positive effects in patients who require supplemental oxygen.
“Dexamethasone is an incredibly common steroid. But not at the high doses used in COVID-19 which is why the NIH recommends AGAINST using it unless the [patient] requires supplemental oxygen,” wrote Dr. Kavita Patel, a former managing director of clinical transformation at the Center for Health Policy at Brookings, in a post on Twitter on Sunday.
“Not on oxygen for a second here or there,” she wrote.
-- CNBC’s Shepard Smith contributed to this report
蒙古大夫是指那个白宫医生吧，估计水平也就量体温测血压之类的，真的专家是那些从John Hopkins和其他医院 调来的医生吧
新冠要休息，华人大妈都知道的事情，蒙古医生没跟他说?
别说什么蘑菇头固执不听，你要说的足够严重，除了精神病谁都会听的，蘑菇头又是那么怕死的
估计蒙古医生就是一yes man
还用估计么。。。。就是个马屁精啊 那油嘴滑舌的样子 现在网上老外都是群嘲这个男的 现在Trump这边真是乱套了 让这个人出来瞎说啥 还不如让chief of staff蒙托斯来主持呢 都忙着跳船没人管事了
症状不会轻，那么大岁数了，又成天在高压下工作，身体免疫力也会下降
大选临近，那个压力真是天大的。
你一看就不在美国。难道（假设）华人真的进集中营，之前人家还给 政治倾向左右派的测试？
常用的激素的一种，你应该就是没注意名字而已
报道说周五和周六都吸过氧了
说是吸氧两次, 可能是一直用氧, 中间停过, 又接着用
要是真的那么幸苦工作会摆拍一个签白纸? 信了你就输了
其实他也怕自己真的是川粉口中的“神选之子”啊！ 所有的Messiah都是要 英勇就义，成就神的荣光的
今天推特都分析他那两张照片数据格式了，两张照片take时间只差10分钟，可是在两个完全不同的屋子里假装做不同的工作。。。
100%摆拍，不知道装给谁看呢。。。
吸氧的话没理由不invoke 25修正案让Pence做acting VP了 这事本来没啥 但是Trump总是嘲笑Biden是傀儡，被VP操控= = 所以肯定不肯啊 当初Boris Johnson进医院的时候也是先说自己in charge 然后说进ICU的时候宣布让外相代理的 这个是个严肃的事
说的是周二debate，周三Minnesota周四下午new jersey 看起来像是知道后的行程。
前面说过心率有点问题，不会用的
这两天的医生发言还有相关人士发推一定要提一下“总统在工作”，已经很说明问题了
白宫到底还有没有个人说个真话的？到底病情严重不严重就没有一个勇士真的站出来给大家说明么？
普天之下，竟无匹夫？
那个视频确实中间有点接不上
总算看到一个靠谱的。我自己有哮喘，严重的时候就会上激素跟吸氧。这楼里那个英国外宣兴奋的不得了，这分析那分析的，好像川普挂了梁博士就要给她升官发财了。
同希望总统挺过病毒。
当初的非典病人好像是用药过度才有严重后果
这算医疗专业人士的testimony吧。不能证明可以工作的话，总统权力部分移交，竞选差不多算退出了吧，不到那一刻，说什么也要拼一把了。在任总统随时进入病危是非常重大事件。倒是共和党会有什么后备动作，才能看出来问题。
现在媒体抨击的都是信息不透明，给外界的形象都是一切ok的样子，这些上氧气激素啥的都是媒体挖出来了才被迫承认。。。
就跟750块钱的税钱一样，不揭开你不都知道里面都烂了。。。
严重哮喘就是喘不上来，严重哮喘有生命危险。covid病人如果到了严重哮喘的程度，只能说明情况不好啊
他现在poll那么低 这些请来的医生肯定不肯说太厉害的慌来帮他 何必担着这么大的风险 如果真的总统不清醒但是医生撒谎 到时候要叫去国会作证的 这不是儿戏
阶级成分不好，医术好也不敢用
他得了新冠，呼吸系统compromised. 激素跟吸氧对哮喘病人是standard treatments，及时治疗不会死人的。有些人那个兴奋啊那个幸灾乐祸啊，就差说出口了。德行不好心地不好，也是，有良心的人谁会干外宣这种活。别给我说那人不是外宣，你们谁见过她说过两百斤坏话了吗？
怎么证明是他本人发的？
聪明人啊。。
媒体就算了吧，双标的厉害。白等儿子一堆烂事挖出来放在眼前了也不会报道，川普的任何行为都可以让CNN不停的滚动分析。就差川普放个屁他们都要收集起来拿去化验了。
大家都祝愿他快点恢复继续选举，不要造谣，更不要诅咒病人
是的，我看白宫发言人被媒体问都说他不知道总统的病情，也不知道什么时候得的。。。
老美接受访问时候打哈哈的功力真强。。。反正我就是不撒谎。。。但是我啥真实信息也不告诉你。。。
今早医生团队见记者的视频下有人commented:
The media is too desperate to find something bad about the president''''s health.
放在这里，把主语换成大外宣们，也挺应景的。
真的，“trump蹬腿”这种恶毒的话都能说的出来，川粉到底是爱他还是咒他啊。。我看着都难受
川普当然不会死，川普又不是one of the 20W, 初期就上了各种好药，天天10个医生伺候，这也能死那也真是命了。
哈哈哈哈哈哈，川普和川粉就是这么“耿直”的
正常人怎么会对一个病人说出蹬腿这种话，太过分了
同样好奇，这个楼里很多是学医的吗？美国总统有一个治疗团队，不用太担心吧。
还真说不准，有阵子没见到china virus的用法了，真有点儿不习惯。
不过大写感叹号什么的还有。也不知道是不是他自己发的。
阴谋论看太多了。