I am a doctor and think that Trump should stay isolated

The requirements of the CDC indicate that it can still be contagious.


I am a medical medicine doctor who treated many CVIV-19 patients andhave been infected myself. Recently, the President was infected by Covid-19 and was hospitalized on October 2, 2020. According to the first time, he felt symptoms on October 1st. His return to the White House, it is not clear if it has been tested again. However, he indicates that his symptoms are improving and his doctors think it is clinically good. As a result, President Trump would have considered resuming gatherings in person from this weekend.

However, given his illness and schedule, it can be premature. Read on and ensure your health and health of others, do not miss theseWithout signs that you have already had coronavirus.

His state would correspond to the definition of severe disease

The CDC guidelines indicate that symptomatic patients with mild moderate illness should not be around other 10 days after the appearance of symptoms. In addition, these patients must be without fever for 24 hours without the use of any antipyretic drug (drugs like Tylenol oribuprofen this decrease in fever). In addition, the symptoms of COVID-19 (for example, coughing, muscle pain, fatigue, shortness of breath, diarrhea, sore throat) must improve, exclude the loss of the sense of smell and of taste, which can persist for weeks or months. By CDC guidelines, once all of these requirements are met, patients recovering from COVID-19 can be around others if they wear a mask. For patients with severe illness, the CDC requires all the above and up to 20 days of isolation to prevent the spread of infection.

The CDC defines a serious illness as individuals having a respiratory frequency greater than breaths per minute, oxygen saturation less than 94% on the air of the room at sea level (or for patients with chronic hypoxemia, a decrease greater than 3% relative to the baseline), the arterial ratio partial pressure of oxygen to the fraction of inspired oxygen (PAO2 / FIO2) of less than 300 mmHg, or Pulmonary infiltrats greater than 50%.

As the president's oxygen saturation was less than 94% during his hospitalization, he would correspond to the definition of serious illness and, therefore, may have a prolonged viral loss. In addition, it has been treated with dexamethasone, a drug generally reserved for covidant patients with serious illness. Once again, it seems to imply that he had a serious illness and would require up to 20 days of isolation. Note, CDC data show that some patients have low levels of viruses up to 3 months after being infected.

In the light of its probable serious illness, it would be prudent that the president isolate up to 20 days. Although it is not absolutely required by the CDC guidelines, the Chair should probably be tested - with a PCR test - for the presence of coronaviruses after answering all the requirements above. (PCR or the reaction of the polymerase chain is the most sensitive way to test for coronavirus.) If it is negative, it could potentially be around other people while wearing a mask. To be even more cautious, it may be desirable to require a second negative PCR test 24 hours later. This would increase the sensitivity of the tests and ensure that the President does not perform viruses.

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The President is at risk of becoming sick

Beyond the risk for others, the president is always at risk of becoming a clinical decline. Patients with COVID-19 often have an aggravation of the disease on days 5 to 10 symptoms. If the president was first symptom on October 1, 2020, as indicated, he is currently in which the symptoms can worsen. If the president is without fever and has a significant symptomatic improvement and negative tests, he may be able to leave isolation earlier than 20 days, but it is not clear at this stage and will live up to his doctors. In short, the President can always present an infectious risk and continue to isolate to prevent the spread of the virus and avoid a potential clinical decline.

As for yourself, wearing afacial mask, wash your hands, avoid crowds, do not get together with people inside, get your influenza shot - and crossing this pandemic with your healthier, do not miss these35 places you are most likely to catch Covid.


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