Thread by @DataDrivenMD, I’m 99.9% certain that the patch on Trump’s hand is covering the [...]

https://abs.twimg.com/emoji/v2/... draggable="false" alt="👀" title="Augen" aria-label="Emoji: Augen"> I’m 99.9% certain that the patch on Trump’s hand is covering the site of a recent IV.

He didn’t have that at Walter Reed, or in recent videos.

Based on what we’ve been told, he *shouldn’t* need an IV

https://abs.twimg.com/emoji/v2/... draggable="false" alt="🤔" title="Denkendes Gesicht" aria-label="Emoji: Denkendes Gesicht"> /1

H/T @tombrennerphoto @TheIEPGuy
CC @weijia @JenniferJJacobs

I’m 99.9% certain that the patch on Trump’s hand is covering the site of a recent IV.He didn’t have that at Walter Reed, or in recent videos.Based on what we’ve been told, he *shouldn’t* need an IV https://abs.twimg.com/emoji/v2/... draggable="false" alt="🤔" title="Denkendes Gesicht" aria-label="Emoji: Denkendes Gesicht"> /1H/T @tombrennerphoto @TheIEPGuyCC @weijia @JenniferJJacobs" title="https://abs.twimg.com/emoji/v2/... draggable="false" alt="👀" title="Augen" aria-label="Emoji: Augen"> I’m 99.9% certain that the patch on Trump’s hand is covering the site of a recent IV.He didn’t have that at Walter Reed, or in recent videos.Based on what we’ve been told, he *shouldn’t* need an IV https://abs.twimg.com/emoji/v2/... draggable="false" alt="🤔" title="Denkendes Gesicht" aria-label="Emoji: Denkendes Gesicht"> /1H/T @tombrennerphoto @TheIEPGuyCC @weijia @JenniferJJacobs">

This suggests that a new IV was placed sometime in the last 24-48 hours (and discontinued for this event).

PS - I’m certain about this being an IV because…well..that’s where we place them. Other (far less likely) possibilities include: skin tag removal or a skin biopsy.
/end

It’s hard to tell whether it& #39;s bruising, a shadow, or something else. The other thing that stands out are the sharp skin folds — suggesting swelling or pooling of fluid.

I’d be curious to know if @tombrennerphoto or @JonLemire have access to other images. https://twitter.com/bmresistence/status/1315018228523884544">https://twitter.com/bmresiste...

https://twitter.com/bmresistence/status/1315018228523884544

He wouldn’t *need it* for dexamethasone b/c that’s available in oral doses (although I do think he’s still on it).

This is something else. https://twitter.com/theiepguy/status/1315017551756230656">https://twitter.com/theiepguy...

https://twitter.com/theiepguy/status/1315017551756230656

Unlikely, to be Remdesivir b/c the most recent trials that apply to Trump’s case rely on 5-day courses: https://www.acc.org/latest-in-cardiology/clinical-trials/2020/08/24/09/44/remdesivir-for-moderate-covid-19">https://www.acc.org/latest-in...

Also, trials comparing 5-day vs. 10-day courses of Remdesivir suggest that 5-day courses are preferable: https://jamanetwork.com/journals/jama/fullarticle/2769871">https://jamanetwork.com/journals/... https://twitter.com/bely013/status/1315021387132788737">https://twitter.com/bely013/s...

Nobody has asked about this: but I did consider the possibility that we may be looking at the site where they drew blood for labs.

That’s *possible* but it would be extremely odd given that:
A) hand IV’s hurt
B) it’s *WAAAAAY* less conspicuous to draw labs higher in the arm

In this photo from 3 days ago: we see his hand has NOT been used for IVs or blood draws.

(the shadows cast by the veins on his hand are NOT to be confused with bruising) https://twitter.com/pool_mama/status/1315027381242023937?s=21">https://twitter.com/pool_mama...

https://twitter.com/pool_mama/status/1315027381242023937?s=21

I explained why it would be unlikely for this to be Remdesivir here: https://twitter.com/datadrivenmd/status/1315024074431553537?s=21

We">https://twitter.com/datadrive... have no evidence that Trump is on antipsychotics.

The symptoms of steroid withdrawal are different, as I discuss in this thread:
https://twitter.com/datadrivenmd/status/1314764067253362688?s=21">https://twitter.com/datadrive... https://twitter.com/commonsense5900/status/1315022666797993985?s=21">https://twitter.com/commonsen...

https://twitter.com/datadrivenmd/status/1315024074431553537?s=21

This gives a clear view of the hand, and additional tell-tale signs of an IV (not a lab draw):

https://abs.twimg.com/emoji/v2/... draggable="false" alt="🔸" title="Kleine orangene Raute" aria-label="Emoji: Kleine orangene Raute">location on the hand

https://abs.twimg.com/emoji/v2/... draggable="false" alt="🔸" title="Kleine orangene Raute" aria-label="Emoji: Kleine orangene Raute">need for multiple bandages to cover the full length of (likely) bruising

Both are due to the need to thread the IV catheter (1 inch long)

H/T @Bmresistence https://twitter.com/kylegriffin1/status/1315041928921018368">https://twitter.com/kylegriff...

https://twitter.com/kylegriffin1/status/1315041928921018368

About the location on the hand, and why that matters:
Unlike a simple blood draw, placing a hand IV requires that the tip of the catheter be unobstructed to a *flexible plastic tube*

Placing the IV as marked below generally yields a secure, unobstructed IV.

Probably should have mentioned this earlier— I’ve placed *thousands* of hand IVs in my career.

We don’t know what he’s being treated with, but I will say that if they went through the trouble of starting an IV *just* to give him fluids, that’s a major reason for

https://abs.twimg.com/emoji/v2/... draggable="false" alt="🚨" title="Polizeiautos mit drehendem Licht" aria-label="Emoji: Polizeiautos mit drehendem Licht"> — there’s no need for that *if* he’s holding down fluids on his own. https://twitter.com/lis_lisrn/status/1315050118660403203?s=21">https://twitter.com/lis_lisrn...

https://twitter.com/lis_lisrn/status/1315050118660403203?s=21

Final thought: Why?

All of this guesswork would be moot if Trump simply allowed Conley to be transparent. This thread would have been more along the lines of:

“They said he was taking X”

or

“This is consistent with monitoring for Y”

They’re making the situation worse.

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