1/ POTUS says he's leaving Walter Reed and going back to the White House: https://www.washingtonpost.com/elections/2020/10/05/trump-biden-live-updates/
Assuming he got sick Wed/Thurs, he's on day 5 or 6 of COVID. It's too early.

2/ On day 2 or 3 of COVID POTUS already had evidence of severe COVID with oxygen saturation under 94% on room air (& likely into upper 80s) & supplemental oxygen requirement.

3/ COVID patients often get worse at 7-10 days into illness (i.e. this Fri or Sat). I hope that doesn't happen. But he should be closely monitoring in a hospital NEAR AN INTENSIVE CARE UNIT until then.

4/ I have rounded on COVID patients at 8 or 9 AM who weren't on supplemental oxygen who rapidly worsens over a couple hours and ended up on a ventilator in the ICU by 10 or 11 AM.

5/ POTUS has a lot of risk factors for a worse course of COVID: elderly, male, obese, and heart disease. It is NOT SAFE for him to be so far away (even if a Marine One helicopter ride) from Walter Reed Hospital. If this were my patient, I would counsel against returning home.

6/ Unless POTUS is declared cognitively impaired and unable to make decisions for himself, he has the right to leave the hospital AGAINST MEDICAL ADVICE. That is his right.

7/ Are there reasons to be concerned about his capacity for decision making? Acute illness, hypoxemia (lower oxygen saturation levels) and steroids can impair cognitive function.

8/ He also just got started on dexamethasone (high dose steroids). This could have made his fever go away. Patients also feel really good on steroids. Aches and pains go away. They feel energetic. They can develop insomnia, mania, agitation and grandiosity.

9/ In the absence of transparency (not to mention at least honesty), it's really hard to know whether POTUS is safe to return home. Here's what we need to know:
- What have his fevers been and on what medications (aspirin, Tylenol, ibuprofen, steroids)?

10/
- What have his oxygen saturation levels been? on room air or on supplemental oxygen? At rest or with activity?
- When was his last negative COVID test? When was his last positive COVID test? (to better understand how far he is in the course of illness)

11/
- What do his lab tests show? white blood cells, neutrophils, platelets, liver/kidney/cardiac function tests, blood clotting tests, D-dimer, erythrocyte sedimentation rate, C-reactive protein

12/
- What do his radiology imaging tests show? lung x-ray, lung CT, ultrasound (was that of the heart? an echocardiogram?)
- Why was he started on monoclonal antibodies first?
- What prompted initiation of remdesivir? and then dexamethasone?

13/
- His health aside, he should remain in isolation until day 10 of illness. He could isolate in the White House, but that puts him too far from an ICU for his safety.