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Official: Next 48 hours ‘critical’ for Trump in virus fight

President Donald Trump went through a “very concerning” period Friday and the next 48 hours “will be critical” in his care as he battles the coronavirus at a hospital, White House chief of staff Mark Meadows said Saturday. Meadows’ comments contradicted the rosy assessment of Trump’s condition offered by his staff and doctors, who took pains not to reveal the president had received supplemental oxygen at the White House before his hospital admission.

“We’re still not on a clear path yet to a full recovery,” said a weary Meadows.

It was a dramatically different picture than the one painted by the White House staff since Trump revealed his diagnosis as well as by his doctors, who updated the public at a press conference at Walter Reed National Military Medical Center.

The briefing by Navy Commander Dr. Sean Conley and other doctors raised more questions than it answered as Conley repeatedly refused to say whether the president ever needed supplemental oxygen, despite repeated questioning, and declined to discuss exactly when he fell ill. Conley also revealed that Trump began exhibiting “clinical indications” of COVID-19 on Thursday afternoon, earlier than previously known.

“Thursday no oxygen. None at this moment. And yesterday with the team, while we were all here, he was not on oxygen,” Conley said.

But according to a person familiar with Trump’s condition, Trump was administered oxygen at the White House on Friday before he was transported to the military hospital. The person was not authorized to speak publicly and spoke to The Associated Press on condition of anonymity,

Conley said Trump’s symptoms, including a cough and nasal congestion, “are now resolving and improving,” and said the president had been fever-free for 24 hours. But Trump also is taking aspirin, which lowers body temperature and could mask or mitigate that symptom.

“He’s in exceptionally good spirits,” said another doctor, Sean Dooley.

U.S. Navy Commander Dr. Sean Conley, the White House physician, talks to the media about U.S. President Donald Trump’s health after the president was hospitalized for coronavirus disease (COVID-19) treatment, at Walter Reed National Military Medical Center, in Bethesda, Maryland, U.S., October 3, 2020. Photo by Ken Cedeno/Reuters.

Trump is 74 years old and clinically obese, putting him at higher risk of serious complications from a virus that has infected more than 7 million people nationwide and killed more than 200,000 people in the U.S.

White House officials, including Meadows, had insisted Friday that Trump had only “mild symptoms” as they tried to project an image of normalcy.

“President Trump remains in good spirts, has mild symptoms and has been working throughout the day,” said press secretary Kayleigh McEnany. She said Trump had only been sent to Walter Reed as a precaution.

Trump’s administration has been less than transparent with the public throughout the pandemic, both about the president’s health and the virus’ spread inside the White House. The first word that a close aide to Trump had been infected came from the media, not the White House. And aides have repeatedly declined to share basic health information, including a full accounting of the president’s symptoms, what tests he’s undertaken and the results.

In a memo released late Friday, Conley did report that Trump had been treated at the hospital with remdesivir, an antiviral medication, after taking another experimental drug at the White House.

Conley declined to say when Trump had last been tested before he was confirmed to have COVID-19 late Thursday. He initially suggested that Trump was 72 hours into the diagnosis — which would mean that he was confirmed infected Wednesday. Conley later clarified that Trump was administered an accurate test for the virus on Thursday afternoon, after White House aide Hope Hicks was confirmed to be positive and Trump exhibited unspecified “clinical indications” of the virus.

U.S President Donald Trump holds an event to announce his nominee of U.S. Court of Appeals for the Seventh Circuit Judge Amy Coney Barrett to fill the Supreme Court seat left vacant by the death of Justice Ruth Bader Ginsburg, who died on September 18, at the White House in Washington, U.S., September 26, 2020. Picture taken September 26, 2020. Photo by Carlos Barria/Reuters.

The White House said Trump was expected to stay at the hospital for “a few days” and would continue to work from the hospital’s presidential suite, which is equipped to allow him to keep up his official duties. In addition to accessibility to tests and equipment, the decision was made, at least in part, with the understanding that moving him to the hospital later, if he took a turn for the worse, could send a worrying signal.

On Saturday, Conley said Trump’s blood oxygen level is 96%, which is in the normal range. The two experimental drugs he has received, given through an IV, have shown some promise against COVID-19. On Friday, he was given a single dose of a drug Regeneron Pharmaceuticals Inc. is testing to supply antibodies to help his immune system fight the virus.

Friday night, he began a five-day course of remdesivir, a Gilead Sciences drug currently used for moderately and severely ill patients. The drugs work in different ways — the antibodies help the immune system rid the body of virus and remdesivir curbs the virus’ ability to multiply.

“We’re maximizing all aspects of his care,” attacking the virus in multiple ways, Conley said. “I didn’t want to hold anything back if there was any possibility it would add value to his care.”

At the same time, the White House has been working to trace a flurry of new infections of close Trump aides and allies. Attention is focused in particular on last Saturday’s White House event introducing Trump’s Supreme Court nominee. That day, Trump gathered more than 150 people in the Rose Garden, where they mingled, hugged and shook hands — overwhelmingly without masks. There were also several indoor receptions, where Trump’s Supreme Court pick, Judge Amy Coney Barrett, her family, senators and others spent time in the close quarters of the White House, photographs show.

Among those who attended who have now tested positive: former New Jersey Gov. Chris Christie, White House counselor Kellyanne Conway, the president of the University of Notre Dame, and at least two Republican lawmakers — Utah Sen. Mike Lee and North Carolina Sen. Thom Tillis.

Despite its failure to protect the president and senior staff from infection, the White House still did not appear to be taking the highly infectious disease as seriously as possible.

Meadows, the chief of staff, accompanied the president to the hospital on Marine One, the kind of small, enclosed space where experts say the virus easily spreads.

And while Vice President Mike Pence is currently off the campaign trail preparing for the coming week’s vice presidential debate, he and his staff are operating under a “business as usual” approach. He’s still planning to travel to Arizona on Thursday, Indiana on Friday and Florida on Saturday for events instead of isolating himself after potential exposure and to protect himself from contracting the virus anywhere else.

In a video taped before leaving for Walter Reed, Trump said, “I think I’m doing very well, but we’re going to make sure that things work out.” He remained fully president, all authority intact.

“Going welI, I think! Thank you to all. LOVE!!!” he wrote in his first tweet from the hospital Friday night.

Trump first revealed that he had tested positive in a tweet about 1 a.m. Friday — hours after he returned from a Thursday afternoon political fundraiser. He had gone ahead to the event, saying nothing to the crowd though knowing he had been exposed to an aide with the disease that has infected millions in America and killed more than 1 million people worldwide.

First lady Melania Trump also tested positive and has said she has mild symptoms. She is believed to be isolating at the White House.

Also testing positive: Trump’s campaign manager, Bill Stepien. Campaign spokesman Tim Murtaugh said Stepien received a diagnosis Friday and is experiencing “mild flu-like symptoms.” Stepien, who joined Trump at Tuesday’s first presidential debate, plans to quarantine until he recovers. On Saturday, Sen. Ron Johnson of Wisconsin became the third Senate Republican to publicly confirm testing positive in the current spate of infections, although Johnson was not at last week’s Rose Garden event.

Trump’s diagnosis came during an already turbulent period in Washington and around the world, with the U.S. gripped in a heated presidential election and the pandemic taking a heavy human and economic toll. Trump’s immediate campaign events were all canceled, and his next debate with Democrat Joe Biden, scheduled for Oct. 15, is now in question.

Trump has been trying all year — and as recently as Wednesday — to convince the American public that the worst of the pandemic is past, and he has consistently played down concerns about being personally vulnerable. He has mostly refused to abide by basic public health guidelines — including those issued by his own administration — such as wearing face coverings in public and practicing social distancing. Until he tested positive, he continued to hold campaign rallies that drew thousands of often maskless supporters.

On Saturday, Conley said Trump’s blood oxygen level is 96%, which is in the normal range. Trump has been treated with two experimental drugs, given through an IV, that have shown some promise against COVID-19. On Friday, he was given a single dose of a drug Regeneron Pharmaceuticals Inc. is testing to supply antibodies to help his immune system fight the virus.

Friday night, he began a five-day course of remdesivir, a Gilead Sciences drug currently used for moderately and severely ill patients. The drugs work in different ways — the antibodies help the immune system rid the body of virus and remdesivir curbs the virus’ ability to multiply. “We’re maximizing all aspects of his care,” attacking the virus in multiple ways, Conley said. “I didn’t want to hold anything back if there was any possibility it would add value to his care.”

The first lady, who is 50, has a “mild cough and headache,” Conley reported, and the remainder of the first family, including the Trumps’ son Barron, who lives at the White House, tested negative.

Democratic U.S. presidential nominee Joe Biden departs after speaking during a campaign stop at UFCW (United Food and Commercial Workers) Local 951 in Grand Rapids, Michigan, U.S., October 2, 2020. Photo by Brendan McDermid/Reuters.

Both Biden and his running mate Kamala Harris have tested negative, their campaign said. Vice President Mike Pence tested negative for the virus Friday morning and “remains in good health,” his spokesman said. Pence was to resume his campaign schedule after his test.

Barrett, who was with Trump and many others on Saturday and has been on a Capitol Hill meeting with lawmakers, also tested negative, the White House said. It was confirmed that she had a mild case of COVID earlier this year and has now recovered.

Many White House and senior administration officials were undergoing tests, but the full scale of the outbreak around the president may not be known for some time as it can take days for an infection to be detectable by a test. Officials with the White House Medical Unit were tracing the president’s contacts.

Trump’s handling of the pandemic has already been a flashpoint in his race against Biden, who spent much of the summer off the campaign trail and at his home in Delaware, citing concern about the virus. Biden has since resumed a more active campaign schedule, but with small, socially distanced crowds. He also regularly wears a mask in public, something Trump mocked him for at Tuesday night’s debate.

“I don’t wear masks like him,” Trump said. “Every time you see him, he’s got a mask. He could be speaking 200 feet away from me, and he shows up with the biggest mask I’ve ever seen.”

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