I Talked To A Dr. About Dexamethasone

[Rule of Claw]

He said basically the steroids are so powerful you might feel great while Covid is ravaging your whole body.

But Trump is going to campaign everyday.

Sure. He might feel the effects of Covid a whole lot differently once those steroids are gone. Most patients apparently do.

[MustLoveBeagles]

1. He's gonna crash

It's just a question of when.

[Leith]

37. I keep saying and posting

...wait for it...

But, hell! I was sure it would have happened by now.

I'm still waiting, though.

[MustLoveBeagles]

50. It could still happen

I don't believe for a moment that he's off the steroids.

[womanofthehills]

53. Rick Wilson said the same thing - he will not come off

Trump was dancing on stage last night - he reposted it so we will probably see dancing all the time now.

[MustLoveBeagles]

57. He's high as a kite to cover up how ill he really is

I've seen the clips of it. It wasn't so much dancing as shifting the contents of his diaper I found his song choice interesting.

[LeftInTX]

2. I'm afraid Trump is going to be pumped full of steroids until Nov 3rd

His doctor can't tell him No

[dchill]

4. And what kind of doctor is that?

[LeftInTX]

6. The doctor is in the military. Trump is his commander in chief.

Trump can order him around.

[PoindexterOglethorpe]

9. Don't doctors pledge something along the lines of

"First do no harm"? Shouldn't that override any demand Trump makes?

[thucythucy]

18. Supposedly so--

but celebrities and powerful people always get their way.

Think of Elvis Presley, who had a string of compliant doctors that wrote so many scripts he eventually died at age 42 due entirely to his use of prescription drugs.

And Elvis didn't have nearly the clout of a sitting president.

[kskiska]

40. He used dentists, also,

but didn't consider himself a drug addict because his drugs were "prescriptions."

[cwydro]

42. And let's not forget Michael Jackson, with the prescription for that knock out drug.

Forgotten the name of it.

[csziggy]

48. Propofol nt

[LeftInTX]

24. He's in the military "first"

Trump left for a joy ride Against Medical Advice. Since Trump is the doctor's commander, Trump can order him around.

[dchill]

12. Hippocratic oath still takes precedence.

Their careers are toast.

[unc70]

16. His doctor is a D.O., not an M.D.

He would have taken a different oath, the osteopathic, rather than the Hippocratic.

[Yeehah]

39. The oath is not legally binding

It's just part of the ceremony of becoming a doctor.

[obamanut2012]

30. No, he can't

He cannot tell a doctor how to be a doctor. He has zero rights to do that.

[LeftInTX]

33. The doctor is in the military

Trump could demote him for not following his orders.

The doctor's medical license is a separate issue. Doctor could get in trouble with licensing for following Trump's order.

[Rule of Claw]

11. I just talked to my internist.

cause I had a question to ask about Zyrtec and Losartan interactions

[Rice4VP]

26. Isn't Michael Jackson's murdering doctor

out of prison?

[TeamPooka]

41. The kind of doctor Trump has that would go along with lies to the American people

[Rule of Claw]

7. Well steroids can't be used continually

diminishing returns with each cycle and more dangerous to organs each time.

Kinda like he shot his medical wad so if he gets sicker, not many options.

[LeftInTX]

8. Hopefully before November 3rd.

[Salviati]

17. Presumably he's on day 9 today.

As I understand the standard treatment would run from 5 to 10 days max. So his doctor may try to cut him off early this week. We'll see if he crashes, or demands to be kept on them.

[womanofthehills]

55. Trump listens to no one - he will stay on them

[Boogiemack]

54. A massive heart attack may be on its way. nt

[Thekaspervote]

19. Exactly.. they will not deny him

[COLGATE4]

20. You can't stay on a high dose of steroids for a

prolonged period of time without suffering severe side effects. They inhibit your ability to sleep, greatly increase your hunger (and ability to consume large quantities of food in response) and will cause your face and the hump directly below the back of your head to noticeably swell. More importantly you start to lose the long muscles dramatically affecting your ability to stand, get up and even walk. You also become very irritable and can "lose it" on a dime. The longer you continue on them the worse these symptoms can get. Not a good thing for someone with a finger on the nuclear button.

[LeftInTX]

25. It doesn't matter...Trump can order the doctor whether it's good or bad long term.

[ProfessorGAC]

31. Correct

I didn't have the last of your side effects, but I was on high dose Solumedrol for 6 days, weening with prednisone for 3 or 4 weeks.
Sleeping was difficult, I was on edge constantly, was hungry way more than typical.
Lasted from the 3rd IV day to about the second week of weening.
I didn't get any lumping or swelling though.

[COLGATE4]

38. I was on hi dose Prednisone (80mg) for almost 2 months. Not pretty.

[ProfessorGAC]

43. I Was On 1200mg Solumedrol

It's a prednisone metabolite, so would be the same as 1,500mg of prednisone for 6 days.
Then did the weening with prednisone.
6 30mg tablets for 4 days, then 5, then 4, and so on. So I went for another 24 days between 30 & 180mg.
The jitters went away the period I was down to 3 pills a day, but those first 14 days...
I could feel my hair growing, I think. Didn't sleep more than 2 hours a day for at least 2 weeks.
Boy did I play a lot of guitar! Couldn't relax.

[TexasBushwhacker]

47. And dexamethasone is 100x stronger than prednisone

It's like the difference between heroin and fentanyl.

[sunonmars]

29. That itself will cause massive problems in your body, it is meant for a short period.

Overuse can cause significant side effects.

[LeftInTX]

34. Since when does Trump listen to warnings?

[Enterstageleft]

3. Fuckin' A

I really, really hope so.

[ProudMNDemocrat]

5. Trump is also going to bloat up as well.

He will be putting on weight the higher the dose is. His face will get puffy. His demeanor is going to change to angrier.

The madman is going to roid rage.

[PoindexterOglethorpe]

10. Meh. Like Trump's face isn't already puffy.

Like he hasn't been putting on weight.

[dchill]

13. Remember Baron Vladimir Harkonnen?

[backscatter712]

22. Have you seen his tweets lately?

The cheese has truly slid off his cracker, to the next level...

[Newest Reality]

14. An illustration of his trajectory...

[Maru Kitteh]

58. OMG those poor human beings. How could you use that as a joke?

[Hugin]

15. I was on a similar steroid following a surgery once.

I can't really say on, because, it was one dose administered after the surgery while I was still under anesthesia.

I never felt like Superman. However, I was ambulatory a day or so later. Which was surprising to me and I felt little pain.

Then a few days after that I developed a fungal infection in my throat. My whole throat! All of it! Suddenly! Painful as Hell! No wonder babies cry. The Doctors said this was caused by the immunosuppression from the steroid.

I was given another medication to deal with that which had the effect of suppressing the benefits of the steroid. So, back and forth I went for about six months before everything sorted itself out.

[MustLoveBeagles]

51. That sounds awful

I'm glad you're doing better.

[backscatter712]

21. The past few days, Trump's face was so lumpy it looks like he got whacked with a shovel...

...then sprayed an extra amount of orange to try to cover it up. Or is he using the orange to keep people from seeing him turn blue?

[Rule of Claw]

23. Maybe he is supporting the Houston Astros?

[Poiuyt]

27. Dexamethasone can cause pschosis, delerium, and other psychiatric reactions

Diagnostic symptoms. Corticosteroids’ psychiatric effects—cognitive, mood, anxiety, and psychotic symptoms—were first described as “steroid psychosis.” Psychosis can occur, but mood symptoms are more common:

Among 122 patients, 40% experienced depression, followed by mania (28%), psychosis (14%), delirium (10%), and mixed mood episodes (8%).2

https://www.mdedge.com/psychiatry/article/62206/mental-health/corticosteroid-induced-mania-prepare-unpredictable

[CozyMystery]

28. I take Dexamethasone

I take 2 4mg pills the day before, of, and after, weekly chemo.

I take 1 4mg pill daily the rest of the time, as of last Thursday. The idea is that it will help me stay awake. Right now, my major chemo side effect is sleeping all the time and having no energy to do anything.

Thanks to DU, I know the side effects, as do my 4 adult children. I asked them to notice if any of these effects occur. I can stay awake longer, like 6 hours at a time during the day. But I still don't have energy that lasts more than 5 minutes. It is kind of interesting to do tasks in such short increments.

OTOH, I laid down for a few minutes before I took a shower the other day, to get up the energy to do so. Six hours later, I awakened.

[JCMach1]

32. The IV version is several levels stronger. I finally finished my oral course so am finally free of

it...

Manic, insomnia, aggression... absolutely no need to sleep ... cognitive fog, hallucinations.

This ON TOP OF THE COVID symptoms you might be experiencing.

[scipan]

44. Wow. Did your doc wean you off and

If so, how long did it take?

Glad you are better.

[JCMach1]

45. Wean is misleading. You take 7-10 of oral dexamethasone

After the IV.

I am definitely hungover today though in a very weird way today... Trust, not had this before

[scipan]

52. Thanks. Hope all goes well with you.

[moonscape]

56. I had to take 40 mg with my chemo and it was

brutal: crazed upper with no sleep, followed by crash, followed by starting all over again.

Begged my specialist to reduce the dose and she did, then took me off it earlier than planned (this was to go on for 6 months) because my QOL was abyssmal with it and we agreed that if my numbers ticked up badly I'd include it in my cocktail again.

When my cancer invariably ticks up again, the next therapy again includes it and it's what I dread the most.

[WyattKansas]

35. Perhaps Jr. can hook him up with his Cocaine dealer to keep going?

[JCMach1]

46. Heart rate and BPM have been a post COVID problem for me

I don't think Trump would survive a hit

[WyattKansas]

49. Again, maybe jr. can hook him up with his dealer.

[bluestarone]

36. When the asshole gets sicker and dies

His dumb fucking family will sue the dr. treating him