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NNguyenMD

(1,335 posts)
Fri Oct 2, 2020, 02:12 AM Oct 2020

He is in serious deep shit

I am an ICU physician and after taken care of plenty of patients with COVID through this pandemic, he is an obese elderly man with god knows what other comorbidities that haven't been revealed to the public. If he were a diabetic or had heart disease then he has even bigger worries to be terrified about than losing this election.

Symptoms start on average 7-10 days after exposure, 7-14 days mark is the start of symptoms, depending on where you fall on the severity scale, they either subside or progress to the more severe phenotypes of COVID 19, ranging from needing high flow rates of oxygen all the way to going on the ventilator. If he is able to avoid hospitalization then he would be in the minority of patients in his risk group. We will have a better idea how this plays out in the next week I would say. If he skates by with no symptoms then he is a lucky bastard.

No doubt his medical team will be discussing offering him a range of therapeutic options, ranging from Remdesivir, convalescent plasma, steroids, and possibly a monoclonal antibody therapy on trial by Eli Lilly.

I wonder if he is still married to his Plaquenil?

69 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
He is in serious deep shit (Original Post) NNguyenMD Oct 2020 OP
We already know he is a lucky bastard. LisaL Oct 2020 #1
I saw a tweet of unknown credibility... Cracklin Charlie Oct 2020 #2
it means there is a high probability that he has NNguyenMD Oct 2020 #5
I am guessing it is more likely for stroke prevention grantcart Oct 2020 #46
This one? NYC Liberal Oct 2020 #14
I am sure they will be giving him remdesivir, steroids, and even convalescent plasma if his still_one Oct 2020 #3
They don't need to give him plasma. LisaL Oct 2020 #6
If its true at all. He doesn't want to bamagal62 Oct 2020 #4
Sure he does. Mz Pip Oct 2020 #65
Wasn't there a report recently that wearing a mask could help you build up immunity chowder66 Oct 2020 #7
How would that help him when he rarely wore a mask? LisaL Oct 2020 #8
Not saying it did. Simply asking. chowder66 Oct 2020 #59
this does not happen. It doesn't work this way. You don't get immunity with CharleyDog Oct 2020 #45
I was simply positing a question to the OP and there are articles on this chowder66 Oct 2020 #61
I think you are correct. we can do it Oct 2020 #63
So you know more than the scientists suggesting this? we can do it Oct 2020 #47
I had thought I read something about it and didn't save the article chowder66 Oct 2020 #58
I agree with you. Not the low-post no-linky dude. we can do it Oct 2020 #64
: ) chowder66 Oct 2020 #66
They are suggesting that it might possibly happen, maybe, potentially, could be, etc. etc. Mariana Oct 2020 #67
The thing about people like him, they get access to the best treatments and cutting edge cayugafalls Oct 2020 #9
cutting edge and trial treatments are neat, but still unproven. Steroids are the one treatment that NNguyenMD Oct 2020 #18
Surprised they are not using yuiyoshida Oct 2020 #40
LOL mobeau69 Oct 2020 #44
yup, he also bdamomma Oct 2020 #49
apparently load factor can make a big difference. unblock Oct 2020 #10
re: fatigue misanthrope Oct 2020 #28
Yeah, definitely not a one size fits all disease. unblock Oct 2020 #33
and there are bdamomma Oct 2020 #50
The lung scarring misanthrope Oct 2020 #69
Thank you so much for your incredibly valuable insight renate Oct 2020 #11
+1. yonder Oct 2020 #23
Same here misanthrope Oct 2020 #29
Hope it does him in. This dangerous man has, & continues to, cause the deaths of 205K+ people onetexan Oct 2020 #41
there would be bdamomma Oct 2020 #51
I have to question one statement of yours... regnaD kciN Oct 2020 #12
I have an experience bias in that I see only the patients who are sick enough to be hospitalized NNguyenMD Oct 2020 #16
As you say, we just don't know what may happen. My brother contracted Covid last Spring . . . Journeyman Oct 2020 #20
I am glad you brother got through it, it is a very bizarre virus to say the least. NNguyenMD Oct 2020 #21
the wh doc's office is a hospital. ihas2stinkyfeet Oct 2020 #56
Hey Trump, take some hydroxychloroquine with a side of bleach. Earthshine2 Oct 2020 #13
Bleach injections and UV lights inserted anally will fix him up just fine...n/t bluecollar2 Oct 2020 #15
Maybe those MAGA analgels will help! consider_this Oct 2020 #22
I've been hearing about those. Do they come in a convienent travel size or only in the large econo- Hugin Oct 2020 #62
*snort* smirkymonkey Oct 2020 #25
He's probably resting comfortably ooky Oct 2020 #35
I heard reports he's on Plavix Marius25 Oct 2020 #17
Wow. Thank you for your expertise. underpants Oct 2020 #19
I think it's a big lie. Gets everything off the news except for this Ronjon55 Oct 2020 #24
Symptoms appear canetoad Oct 2020 #32
Symptoms largely by a week after infection...if he feels fine NNguyenMD Oct 2020 #36
Welcome to DU bdamomma Oct 2020 #52
Lol. Yeah or "fake news". Or "alternate facts" Ronjon55 Oct 2020 #53
thanks for sharing your experience and expertise with us! steve2470 Oct 2020 #26
no worries, although he has access to the more novel therapies, the medical community truly has no NNguyenMD Oct 2020 #30
I would be shocked if he isn't at least hyperglycemic/borderline diabetic, with the way he vsrazdem Oct 2020 #27
agree about the borderline diabetic nt steve2470 Oct 2020 #31
More like borderline psychotic... Rollo Oct 2020 #57
Great post canetoad Oct 2020 #34
Thank you for the insight. Unfortunately, thanks to the mad king we are ALL in deep shit... Hekate Oct 2020 #37
If he really has or gets Covid-19, it will be sweet Karma. NNadir Oct 2020 #38
Sorry but as for the President yuiyoshida Oct 2020 #39
He looked awful during the debate rb15 Oct 2020 #42
I hope Mr. Trump convenes with Dr. MyPillowGuy and Maru Kitteh Oct 2020 #43
Kick dalton99a Oct 2020 #48
He's already showing symptoms. honest.abe Oct 2020 #54
K&R Scurrilous Oct 2020 #55
Imagine the number of people he's exposed in those 7 - 10 days. Vinca Oct 2020 #60
They could give him monoclonal antibodies scipan Oct 2020 #68

Cracklin Charlie

(12,904 posts)
2. I saw a tweet of unknown credibility...
Fri Oct 2, 2020, 02:14 AM
Oct 2020

That said he was taking Plavix. Does that indicate anything to you?

NNguyenMD

(1,335 posts)
5. it means there is a high probability that he has
Fri Oct 2, 2020, 02:17 AM
Oct 2020

non-obstructive coronary artery disease, heart disease not to the severity of requiring bypass surgery or a stent, OR he has severe carotid artery stenosis.

Its a pretty serious medication to be prescribed, its not like taking an aspirin daily.

grantcart

(53,061 posts)
46. I am guessing it is more likely for stroke prevention
Fri Oct 2, 2020, 05:18 AM
Oct 2020

If you recall he was rushed to Walter Reed some months ago and there was speculation that it could have been mini stroke incidents.

What do you 5hink?

 

still_one

(98,883 posts)
3. I am sure they will be giving him remdesivir, steroids, and even convalescent plasma if his
Fri Oct 2, 2020, 02:15 AM
Oct 2020

condition heads downhill

LisaL

(47,502 posts)
6. They don't need to give him plasma.
Fri Oct 2, 2020, 02:18 AM
Oct 2020

They have monoclonal antibodies which should work better.

Mz Pip

(28,506 posts)
65. Sure he does.
Fri Oct 2, 2020, 01:58 PM
Oct 2020

He thinks he won the debate and his sycophants are praising him for his performance. I don’t see him willingly walk away from the debate or his rallies or his fundraisers.

chowder66

(12,498 posts)
7. Wasn't there a report recently that wearing a mask could help you build up immunity
Fri Oct 2, 2020, 02:19 AM
Oct 2020

by getting small doses of exposure to the virus?
Considering how many people around him have had it I'm wondering it that actually might help him.

chowder66

(12,498 posts)
59. Not saying it did. Simply asking.
Fri Oct 2, 2020, 01:48 PM
Oct 2020

If he had gotten minor exposure with or without a face mask could it reduce his symptoms or increase his immunity?

I'm allowed to ask questions of the OP who seems to know more than I do right?

https://www.forbes.com/sites/brucelee/2020/09/28/can-face-masks-help-you-gain-immunity-to-covid-19-coronavirus/#776a1450a5f9

CharleyDog

(825 posts)
45. this does not happen. It doesn't work this way. You don't get immunity with
Fri Oct 2, 2020, 05:07 AM
Oct 2020

small doses of this Covid Virus.

Mariana

(15,630 posts)
67. They are suggesting that it might possibly happen, maybe, potentially, could be, etc. etc.
Fri Oct 2, 2020, 02:06 PM
Oct 2020

Has anyone provided any evidence at all that it actually does happen?

cayugafalls

(5,984 posts)
9. The thing about people like him, they get access to the best treatments and cutting edge
Fri Oct 2, 2020, 02:20 AM
Oct 2020

therapeutics. Things we may not have even heard of or could afford would be considered.

More than likely he would get put on the the blood purification treatment along with other cutting edge stuff.

Just saying, he does not have to worry about money or access to treatments. We pay for it all.

NNguyenMD

(1,335 posts)
18. cutting edge and trial treatments are neat, but still unproven. Steroids are the one treatment that
Fri Oct 2, 2020, 02:28 AM
Oct 2020

has reduced mortality for the hospitalized patients. He may be offered a number of treatments, but no honest physician would be able to tell him with much confidence if any of it is going to work.

yuiyoshida

(45,651 posts)
40. Surprised they are not using
Fri Oct 2, 2020, 04:16 AM
Oct 2020

leeches... guess his administration does believe in Science now...

bdamomma

(69,626 posts)
49. yup, he also
Fri Oct 2, 2020, 10:48 AM
Oct 2020

has the best insurance unlike us, and his bill will go to American taxpayers.

unblock

(56,257 posts)
10. apparently load factor can make a big difference.
Fri Oct 2, 2020, 02:20 AM
Oct 2020

if he got it because someone sneezed in his fact or the air circulation was such that he was marinating in virus at one of his covid rallies, then he'll have a rough time indeed.

but if he got a small exposure, apparently that's at least somewhat correlated with less serious outcomes.


i've also heard that fatigue is one of the key symptoms suggesting a more serious case. but if donnie is too tired to work, how will we know?

misanthrope

(9,623 posts)
28. re: fatigue
Fri Oct 2, 2020, 02:47 AM
Oct 2020

Not necessarily so. A friend who contracted it months ago had the flu-like symptoms, loss of taste/smell and extreme fatigue. Same with her housemate, who also had migraines. Neither were hospitalized, though. Even a few months later, the other symptoms have mostly abated but they still fatigue easily.

This is a weird disease that seems to manifest in various degrees and combinations.

unblock

(56,257 posts)
33. Yeah, definitely not a one size fits all disease.
Fri Oct 2, 2020, 02:54 AM
Oct 2020

And yeah, fatigue only "suggests" a more serious case. It's correlated with worse outcomes, but not at all perfectly; every case is different.

bdamomma

(69,626 posts)
50. and there are
Fri Oct 2, 2020, 10:51 AM
Oct 2020

ongoing complications of this virus that linger, for example, brain fog, lung scaring to name a few things.

misanthrope

(9,623 posts)
69. The lung scarring
Fri Oct 2, 2020, 05:26 PM
Oct 2020

is technically a side effect of the pneumonia, which is caused by the body's reaction to the virus. I'm being pedantic though.

I think the myocarditis is the one that could be the biggest danger for Trump. He could get that result without ever going into pulmonary distress.

renate

(13,776 posts)
11. Thank you so much for your incredibly valuable insight
Fri Oct 2, 2020, 02:21 AM
Oct 2020

I genuinely do not care whether he lives or dies as long as he loses the election.

But I would love it if this causes some of his brainless followers to open their damn eyes and see that the orange emperor has no clothes.

From your post I suspect that he will not be in a position to say “see, I had it and I was fine!” Thank you for your expertise.

misanthrope

(9,623 posts)
29. Same here
Fri Oct 2, 2020, 02:49 AM
Oct 2020

I don't want him to be POTUS. I want his influence diminished. That doesn't have to include his death.

It would be handy though as a warning to his legions of followers who are only hampering efforts to battle this scourge.

onetexan

(13,913 posts)
41. Hope it does him in. This dangerous man has, & continues to, cause the deaths of 205K+ people
Fri Oct 2, 2020, 04:20 AM
Oct 2020

in US, and inflicted countless suffering on immigrants seeking a better life for themselves.
That quote by Steinbek comes to mind:
"...we should remember our dying and try so to live that our death brings no pleasure to the world.”

The death of this horrid man would certainly bring pleasure to the world.

bdamomma

(69,626 posts)
51. there would be
Fri Oct 2, 2020, 10:56 AM
Oct 2020

a collective sigh of relief from the world and climate change supporters if he does meet his demise.

regnaD kciN

(27,697 posts)
12. I have to question one statement of yours...
Fri Oct 2, 2020, 02:21 AM
Oct 2020
"If he is able to avoid hospitalization then he would be in the minority of patients in his risk group."


Obviously, I'm not a doctor, but I have studied the actuarial figures so far. From what I can recall, even for patients in their 70s with high associated risk factors, the hospitalization rate is only about 25%-35%. Granted, I wouldn't want to be facing those odds myself, but I don't think he'd be "in the minority" even so.

NNguyenMD

(1,335 posts)
16. I have an experience bias in that I see only the patients who are sick enough to be hospitalized
Fri Oct 2, 2020, 02:25 AM
Oct 2020

You are right, majority of patient do not need to get admitted. I should say instead that should he get sit enough to require hospitalization, the deck is stacked against him in that he is male, obese, and of advanced age.

But you are right, there is certainly a high probability that he can get over this at home without needing to come to the hospital.

Journeyman

(15,480 posts)
20. As you say, we just don't know what may happen. My brother contracted Covid last Spring . . .
Fri Oct 2, 2020, 02:36 AM
Oct 2020

He's 68. He lives in assisted living. He's had some 7 major strokes over the past 38 years. He's hemiplegic. He has a heart condition and high blood pressure. He's battled MRSA for some 20 years (he lost a good portion of a one foot several years ago). He had spinal meningitis as a baby. He has had numerous grand Mal seizures and untold petit Mal. He has stents in his brain and his heart. He has dementia. He is diabetic.

He has other issues, too, but you get the drift.

He was diagnosed with Covid late last April. Some 40 others in his facility were also diagnosed at that time; nine died. He was never admitted to the hospital. After a two month battle he was pronounced "resolved." Odd way to phrase that he'd recovered but that was the terminology.

So yeah, you just don't know. It's never good and sometimes it's horrible. And then there are times when even those who the actuarial tables would dismiss prove more resilient than imagined.

NNguyenMD

(1,335 posts)
21. I am glad you brother got through it, it is a very bizarre virus to say the least.
Fri Oct 2, 2020, 02:38 AM
Oct 2020

While we know more now than we did in March, there are still so many questions out there on how to best treat it.

 

ihas2stinkyfeet

(1,400 posts)
56. the wh doc's office is a hospital.
Fri Oct 2, 2020, 12:43 PM
Oct 2020

they have everything but an icu.
if they take him to walter reed, it is because he is heading to the icu.
they will play it off as-an abundance of caution. or just observation.
that will be a lie.

 

Earthshine2

(4,044 posts)
13. Hey Trump, take some hydroxychloroquine with a side of bleach.
Fri Oct 2, 2020, 02:23 AM
Oct 2020

Remember Trump, you know more than the Drs, the scientists, and of course, the Democrats.

To all of us, just remember the immortal words of Melania, "I don't care, do U?"

Hugin

(37,989 posts)
62. I've been hearing about those. Do they come in a convienent travel size or only in the large econo-
Fri Oct 2, 2020, 01:53 PM
Oct 2020

tub?

Asking for a sick friend.

 

Marius25

(3,213 posts)
17. I heard reports he's on Plavix
Fri Oct 2, 2020, 02:27 AM
Oct 2020

to try to reduce the risk of blood clotting.

But remember we all suspect he had some kind of mini-strokes recently. His Walter Reed emergency, his inability to lift a bottle of water with one hand, almost falling off a stage, etc.

underpants

(197,150 posts)
19. Wow. Thank you for your expertise.
Fri Oct 2, 2020, 02:29 AM
Oct 2020

Should....should I get this looked at?

Kidding. I’m going back for my second test Saturday. Last Saturday tested and negative. Coworker had tested positive last Friday. This Saturday’s tests is to give the incubation period time. Tests readily available with a 48 hour turn around.

 

Ronjon55

(85 posts)
24. I think it's a big lie. Gets everything off the news except for this
Fri Oct 2, 2020, 02:41 AM
Oct 2020

Hicks is “positive”. No symptoms

He and Melania are “positive” no symptoms

Till others on the plane and debate come down with it and someone actually goes to the hospitals I’m calling bs.

NNguyenMD

(1,335 posts)
36. Symptoms largely by a week after infection...if he feels fine
Fri Oct 2, 2020, 03:12 AM
Oct 2020

A week from now, then he is a lucky SOB. Either asymptomatic or treat a novel treatment on trial like am immune modulator or maybe just steroids. But steroids only showed benefit for those sick enough to need oxygen therapy.

steve2470

(37,481 posts)
26. thanks for sharing your experience and expertise with us!
Fri Oct 2, 2020, 02:44 AM
Oct 2020

Because of his age and known and unknown co-morbidities, I am not optimistic about his survival. Since he's the President with access to the country's best health care, I could be wrong, easily.

NNguyenMD

(1,335 posts)
30. no worries, although he has access to the more novel therapies, the medical community truly has no
Fri Oct 2, 2020, 02:49 AM
Oct 2020

certainty on what clearly works and what doesn't, save for steroids which has a large trial out of the UK to supports its use. And there is a risk benefit calculus he has to make when offered something on trial from a drug company or the NIH. I can imagine Dr.Fauci telling him that you can take Drug X, but there is no certainty that it is going to make you recovery any quicker, and we are uncertain what the side effects you can expect.

But he still will receive the best care that is out there.

vsrazdem

(2,194 posts)
27. I would be shocked if he isn't at least hyperglycemic/borderline diabetic, with the way he
Fri Oct 2, 2020, 02:46 AM
Oct 2020

eats and his weight. There is no way he is as healthy as they want him to be appear to be. If he skates by with minimal symptons I will really be surprised.

Hekate

(100,133 posts)
37. Thank you for the insight. Unfortunately, thanks to the mad king we are ALL in deep shit...
Fri Oct 2, 2020, 03:24 AM
Oct 2020

In addition to all the other horrors visited upon us this year, we are in the midst of an election cycle that is contested to the point where Trump has called for murderous thugs to await his command, and where voter suppression has been ramped up to the point that Trump has ordered the destruction of the Post Office itself.

As I sat through the news tonight (10 pm to 12 midnight my time), it gradually dawned on me that not only had Trump (and Hicks) exposed his entire family and all his top aids, but that he had also exposed VP Joe and Dr Jill Biden and whoever came with them to the debate.

The possibilities are horrifying. This truly is a national crisis, as we wait to see if our national government will be decapitated, and the orderly transition to another president thwarted.

Sorry I went off topic. I see you joined quite awhile ago — hang around more if you have time.







NNadir

(38,530 posts)
38. If he really has or gets Covid-19, it will be sweet Karma.
Fri Oct 2, 2020, 04:12 AM
Oct 2020

Few, perhaps no, decent people will mourn him if it kills him.

It will create an interesting constitutional event however.

I would personally prefer that he lives out the month, in as much pain as possible, gasping for air, unable to speak, while that asshole Pence runs things; he may not do better but he couldn't do worse.

If Trump dies on November 4 or shortly thereafter, it may save the country. Pence doesn't generate as much charisma among racists as Trump does.

rb15

(12 posts)
42. He looked awful during the debate
Fri Oct 2, 2020, 04:30 AM
Oct 2020

He looked ill as has been looking ill all week - since the NYtimes article on tax returns. I wonder if he was symptomatic then?

Maru Kitteh

(31,993 posts)
43. I hope Mr. Trump convenes with Dr. MyPillowGuy and
Fri Oct 2, 2020, 04:35 AM
Oct 2020

takes a whole cup full of that sweet miracle cure the deep state is trying to hide from the world. Oleandrin.



scipan

(3,102 posts)
68. They could give him monoclonal antibodies
Fri Oct 2, 2020, 02:17 PM
Oct 2020

Perhaps knock the virus right out. I'm hoping it's not as good as I think it is.

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