Breaking: Trump doctor Sean Conley says “he’s doing really well” after dexamethasone and plans to be discharged tomorrow.

Dexamethasone is pretty extreme sign though. It’s mostly been reserved for patients on ICU or ventilated—occasionally for patients on oxygen. #COVID19

2) Worried—Trump’s new treatment with DEXAMETHASONE is serious. The WHO makes clear that dexamethasone is only for “patients with severe and critical #COVID19”!

3) here is NIH’s official guideline. Dexamethasone is a serious drug. Not for light or moderate infection anymore.

4) Dexamethasone is not a silver bullet. Important dexamethasone thread https://abs.twimg.com/emoji/v2/... draggable="false" alt="🧵" title="Thread" aria-label="Emoji: Thread"> below. https://twitter.com/drericding/status/1312794635559931906">https://twitter.com/drericdin...

5) WHO warns basically *DO NOT USE* dexamethasone if a patient is not serious/critical condition. It weakens immune system if given too early.

6) And indeed, Dexamethasone is not to be taken too early if mild. The drug:

https://abs.twimg.com/emoji/v2/... draggable="false" alt="📌" title="Reißzwecke" aria-label="Emoji: Reißzwecke">does *NOT* work if not on O2 in RECOVERY trial. (even trends higher risk)

https://abs.twimg.com/emoji/v2/... draggable="false" alt="📌" title="Reißzwecke" aria-label="Emoji: Reißzwecke">cuts risk only -18% for people on O2 alone

https://abs.twimg.com/emoji/v2/... draggable="false" alt="📌" title="Reißzwecke" aria-label="Emoji: Reißzwecke">cuts death risk a lot if on ventilators (-36%)