This is from @Craig_A_Spencer who treated 100s of #COVID19 ER cases in NYC's peak epidemic. Here's what's weird about @POTUS treatment so far:
- nobody has consulted the world's top expert #TonyFauci & neither of #Trump's docs (Conley, Dooley) have apparently treated this b4
MORE https://twitter.com/Craig_A_Spencer/status/1312820349726228480
Weird/2
- There is limited evidence that remdesivir actually works, but if it helps it's when used in early stage disease;
- There is NO proof (yet) that Regeneron's monoclonal antibodies work, but some reason to think early stage admin is best;
MORE
Weird/3
- Steroids like dexamethasone stifle the immune system, so it is usually considered dangerous to use them in early stage #COVID19 when the body is hopefully making antibodies. UK std-of-care is to use in acute cases;
- Nobody has provided lung scan info, so...
MORE
Weird/3
-... we don't know if @POTUS has pneumonia;
- more doses of both remdesivir & dexamethasone are needed. These are infusions, typically admin'ed in-hospital, yet they plan to send #Trump back to @WhiteHouse Monday;
- If the timeline of his case dates to Sept.26...
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Weird/4
-...at the Rose Garden ceremony, @POTUS has been infected for 8 days. Typically w/ #COVID19 the 8-12 day window is the most critical for symptomatic patients. Yet his docs are talking about sending #Trump home.
- If President has had 2 O2-drop incidents & fever in...
MORE
Weird/5
-..the last 48 hours, he shld remain under close observation, in-hospital. At least, a "normal" #COVID19 case would be so-handled.
- @VP Pence should be in DC, ready to take over, should @POTUS take a turn for the worse.
None of this is adding up, is it @Craig_A_Spencer ?
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