Good Lifestyle

On Friday, the world learned that President Donald Trump has tested positive for COVID-19. Given my experience like a Covid patient and an emergency medicine doctor, I can offer reflections on what could lead to the president.

I am a healthy man, 47 years old who actively exercises and has no medical problem, but on March 22, I was admitted to the ICU at the Einstein Medical Center in Philadelphia with Covid-19. I was one of the first cases of COVID-19 at the hospital. I had bilateral glass opacities in the ground in my lungs on chest radiography and diagnosed with Covid pneumonia. Fortunately, I recovered and left the hospital three days later.Relatively little was known about the virus when I was admitted. Since then, more than 7 million Americans have been infected and more than 200,000 died.Read on and ensure your health and health of others, do not miss these Without signs that you have already had coronavirus.

The President is at increased risk

First, it should be recognized that President Trump is at increased risk for a complex clinical CVIV-19 course. According to the CDC, its advanced age creates a significant risk. In 74 years, it has eight times the risk of hospitalization and 90 times the risk of death compared to a person aged 18 to 29. BeforeLancet Article, its age alone puts it at about 8% risk of mortality. In addition, simply because of male being, it seems to have an increased risk of CVIV-19 deaths. In addition, further studies have shown that increased risk of death is also associated with obesity.

As a 74-year-old man, 74 years old with COVID-19, Trump is usually at an increased global risk for a complicated course, hospitalization and death. Currently, the President has symptoms such as fatigue, fever and congestion. Often, patients will begin with symptoms that can progress considerably as the course of the disease evolves.It is not uncommon for patients to begin to have muscle pain, fatigue and chills that are rapidly progressing to symptoms such as dyspnea (shortness of breath) and thoracic pain.

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The symptoms aggravated after 5 days

When I discharge covidant patients, I would often be careful to come back to aggravate symptoms such as shortness of breath. In addition, I advised patients to get a pulse oximeter. This device is suitable for your finger and can determine your blood oxide. I advise you to intermittently check the levels and return immediately for any level less than 95%. Especially on days 5 to 10 symptoms, patients can become hypoxic, have aggravated symptoms and progress in viral pneumonia.That's exactly what happened to me.

It's really hard to say at the beginning of the course of how things will eventually evolve. In addition, Covid-19 makes patients more susceptible to thrombosis (blood clots) and have been associated with pulmonary embolism, a stroke and myocardial infarction (cardiac crises).

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What's new for the president

As President Trump has been symptomatic since October 1, his doctors will have to watch him closely next week. In particular, a typical patient infected with COVID-19 has a period of average incubation (infected time before the symptoms) of 5 days. Thus, the President may have been infectious several days before having symptoms.

On October 2, the President was admitted to the Walter Reed National Military Medical Center. This would have been made of an abundance of caution. However, it is not clear what its clinical status is really.

He was toowould have started on the codesivir of the anti-viral drug When he arrived at the hospital. This medicine is generally reserved for hospital-hospitalized patients with hypoxia (decreased oxygenation) that require additional oxygen. This medicine has been shown considerably the duration of the disease in these hospitalized patients.

However, the white house press release noting the treatment specifically indicates that the President did not require additional oxygen. The President may get the drug even if he is not hypoxic. In addition, if it becomes dependent on oxygen or is intuulated, the treatment of decadron would also be beneficial. These two drugs have been shown clinically beneficial to treat hypoxic patients with COVID. In the meantime, it will benefit from narrow surveillance to the hospital and intermittent pulse oximetry controls (verifying its oxygen saturation of its blood). As for yourself: go through this pandemic at your healthier, do not miss these 35 places you are most likely to catch Covid .

Darren P. Mareiniss , MD, FAUCE is a medical medicine doctor who also practices critical care. He has published several articles on the pandemic response and helped write the guidelines of the allocation of the Ventilator of Maryland. Dr. Mareiniss was currently practicing emergency medicine at Einstein Medical Center.