The freeman foundation. By judy d Peter Blum Kovler foundation; pursuing solutions for americas neglected needs. And by contributions to this pbs station from vik ers like you. Thu. This is outside sorts. U. S. President donald trump has announced he is feeling better. He will leave the hospital and 3. 5 hours time and tells people not to be afid of covid19. We are expected to hear more about the president s condition from his dtors at a press conference shortly. Also in the program, the u. K. Has launched an investigation after computer glitch meant 16,000 positive coronavirus cases went unreported. The house secretary admitted to failures. Casualtiess mountede conflict enters its ninth day. Howe will look amilitary drones are being used in the disputed region. Hlo and welcome to the program. Only one place to start. The breaking news that President Trump has announced he will soon leeospital. He says i will be leaving the great Walter Reed Medical Center today at 6 30 p. M. Which is in about three hours or so give or take. Now he also says he is feeling ally good. Aid of covid. A not let it dominate your life. We have veloped under the Trump Administration some great drugs and knowledge. I feel better than i did 20 well, we are expecting any minute now an update from the ct to President Trump, his team of doctors. They he been saying they will be coming outside the we can see the microphones are ready. We are we we have been hearing for a while they will come out and deler an update. And i suppose donald trump has trumped them with the news that he wl leave. That would have been their main announcement, i presume but donald trump made that announcement himself which will be welcomed by many not just in the u. S. But around the world. The president being able to leave and head back to the white house. But sever questions still remain. About the treatment that he and about his overa health. Andhose are the questions we hope will bensred i his medical team outsihe the hospital. We are also outside t hospital and we can speak to her now. Donald trump tweeting out the news he is leaving. I think youre right. He did better trump ann bncement or tefing from his own trump was maybe going to take a different tone, i think his tweet this afternoon has that he is perhaps digging in in terms of his approach to coronavirus when he tweeted a video yesterday he said he arned a lot of things and he had learned them in a real way, not from books. He had gone through the experience. And he sd that he had really learned from that. Today he tweeted saying dont let coronavis dominate your life. We have got some really great drugs. Under the Trump Administration. Any says he feels better than he did 20 years a. And it is worth reminding people that therere currently in excess of 7 million cases in the unit state and almost, more than 200,000 deaths. That is something worth taking on board as well. Well done for fighting against the traffic and the crowds. I suppose that is revealing, though. All weekend. Ere have been people we have been watching them gather. But now with that news, that willeally belie the supporters. By up of the supporters. Most of the supporters have been very good nature. Enwe had aeman next to us who was more noisy than make spears at the weend. I was doing my best toconcentra. There really is a tremendous outpouring for donald trump here. Acknowledged that in one of his tweets. He said the media had been criticizing him for his drive past his supporters yesterday. You remember he came out in a car with his staff and they were Wearing Masks and he were wearing a mask. Lots of people said, look, that may not be the most sensible thing to do when one h coronavirus. And also that vehics designedo nott in any kind of chemicals. , biological atta at does that mean in terms of the air . How do you keep somebody say from a patient with coronavirus in a container like that . Donald trump digging in, saying it is reported that i was upset because i got into a secure fino a securnkvehicle to ty fans. If i did not pay raise my respects the media wall me rude. This does seem more like the trump we are used to seeing and hearing from on twitter. Interestingly, of course, he has his problems with ale media, espe in the u. S. It was more doctors expressing their alarms. One doctor inside the hospital itself expressing their alarm with that little trip. Anyway, that aside, what questions do we now still need answing about his condition and about the treatment and about the timeline . I do notho think people behind me have any questions, but many may americans will be asking about the inconsistencies thatframe out the president s team over the weekend. There were questions raised about the timeline. When exactly he was wiagnosed coronavirus . Walso, how sick he actual. They went into, the doctors went into a lot of detail about the fact that donald trump was given oxygen on friday. But then when pushed and asked whether he received oxygls when his leropped saturday, they said, you have to ask the nurses. Emwhich incredible from his personal physicians. There are a lot of questio to be asked. Also there are people questioning whether the type of treatment that he has been receiving matches the kind of more mild symptoms his team seemed very keen to put forward that he has. I mean, they are really saying he was taken into hospital as an abundant out of an abundance of caution. But there are many people commentators on lots of shows, medical commentators, saying that the type of treate is receiving does not match that. We will hope that we will given a bit more clarity. If nothing else, a consistent message from them and the whit house. Remember, on saturday that was so inconsistencies between the message from the team and the white house chief of s thanks for that. D will be back with you as soon as thosetors march outside the hospital and give us that briefing. Alongside tha there has been another significant develop nt more infections have been reped among Donald Trumps closest advisers. White House Press SecretaryKayleigh Mcenany has tested positive. She tweeted a statement saying she has experienced no symptoms and she knid she had no ledge of another aide hope hicks tested positive before she was holding a White House Press briefing on thursday. This was that briefing you can see white house staff not Wearing Masks. Members of the press, some of those also not Wearing Masks. Kaylee mcenery does say that no members of the press are lonted as closects by the white house medical team. A growingumber of people ound the president , including his we, senior aides and the part republican senators have testediv posfor the virus. The u. S. Media are reporting that at least two other white house Staff Members have tested positive today. Many of the people who tested positive attended this event. You may remember, at the white house the 26th of september. When trump announced his nomination of Amy Coney Barrett as the Supreme Court justice. His nomination. This event now has been scrutinized as a possible super spreader event. People theyre not in masks, sitting close together. S let to washington. And here is larry. This is been described by some as an outbreak in the wte the people who are closest to President Trump, Kayleigh Mcenany, his body man , his personal assistant, another closeaide hope hicks. People on his debate prep team and other people close to him in the last few days have all tested positive in the numbers seem to be growing if you consider Kayleigh Enany and fio other deputies in her testing positive. It speaks to how the white house has had this cavalier attitude to mask wearing and social distancingto and it beginhow how serious this might be. Those protocols about covid19 safety are now being scrutinized in the white house and damage control me to make sure that they do not create the impression they did not take this seriously enough. Not far from washington is the hospital where President Trump is being treated. Any minute now we are expecting an update from the doctors, an update on his condition. We know, of course, he will be leaving in just around three hours time. But there will bquestions about what treatment he has received w at condition he is in. And we will take you there live as soon that happens. Lets go back a day now to sunday when the president temporarily left the hospital. And he drove past supporters and waved. A white house spokesperson said precautions were taken and the outi had been cleared by the medical team as safe. But the president has been accused of putting his own secret Service Staff at risk. E president tweeted, it is reported the media is upset scause i got into a secure vehicle t you to the many fans and supporters standing outside the hospital even days. Ours. To pay with their respects to the president. If i did not do it the media would say rude exclamation mark. The president street and has include remdesivir and the steroid dexamethasone normally used when pages become serious all. First, dexamethasone is a stare right that calms the immune system which can becomer dangerously tive in covid19 patnts. I will interrupt that because we can see the doctors cominsp outside the al to give an update on President Trump. Good afternoon, everyone. Thank you for being here. Over the past 24 hours the president has ntinued to improve. He has met or excesced all rge criteria and received another dose of remdesivir here today. And that we plan to get him home. It has been more than 72 hours since his last fever. Oxygen levels, including ambulatory saturatns and his work of breathing, are all normal. Though he may not entirely be out of the woods yet, the team and i agree that all of our evaluations and most importantly his clinical status support the president s safe return homewh e he will be surrounded by world class medical care 20 47. Oui like to bring the doctor up to review more specifics. Good afteoon. A brief update this morning. As dr. Conley mentioned the president continues to do very well. His vital signs this morning were notable for a temperature 78 respiration ofte7. Ssure 134 his heart was 68 seats permanent and his last oxygen saturation was 97 on room air. Secretly does not endorse any respiratory complaints and aside from our evaluation with a Multidisciplinary Team this this morning, has maintained a full schedule, ambulatin tand working white house medical unit. Iill turn it over to dr. Garibaldi that will discuss therapeutics. Thanks. Hi,ood afternoon and i want to echo this sentiment of what it honor it is to be part of this w reed. L team at walter yesterday evening the president received his third dose of them does severe without difficulty and his kidney and liver function continue to be normal. Our plan is to givehe fourth does this evening before he goes back to the white house and we thave made arrangemen deliver the fifth and final dose of his treatment course at the whe houseomorrow evening. He continues on dexamethasone and a plan for today is to ancontinue to be uout of bed, eat and drink and work as able. And would like to turn it over to an Infectious Disease specialist and the chief of medicine at walterp read to give some updates on infectiocontrol. Good afternoon. First of ldl i w want to say what an honor it has been to be part ofin this medical team b me. And to care for the president. Sayshe president s arrival at walter ree he has received medical management that remains in line with National Clinical societal guidelines for treatment of covid19 infection. In addition, both myself and dr. West campbell have worked very thclosely various labotories in the area, stateoftheart facilities, to include on obtaining advanced ouagnostic testing to really inform the white medical president , as well as histhe ability to transmit virus to others. Also, we have worked very closely with the woter reed team ensure that we are looking very closely at Infection ControlPrevention Strategies and the right posture that the president can safely return to his residence. With that, i will turn it over to dr. Conley, who will answer y find questions. Any final questions. I mentioned it saturday but i would like to reiterate myself just how grateful thed president are to the men and women of walter reed, my colleagues at johns hopkins, and the many federal and private institutions we received support from. So long as everything continues on the track that we are experiencing right now at this time, as the president tweeted t, to get him home later today. With that i will take a couple questions. Discharged back to the white house when he was given steroids, yo said he is still on those steroids, those are medicines that are usually given to go fornt pat on ventilators are with low oxygen. Did you over treat him and if hes still on this medication, how is it safe for him to return to the white hou . We sent patients home with medications all the time. In fact, yesterday afternoon he probably met most of his discharge requirements safely om the hospital. And he is returning to the white staffed 24 al unit that is physicians, nurses and a unit here, the team here behind me willontinue to support us in that nature. Dr. Conley, what Infection Control measures are you taking and how is it safeeor him to dr around in a cloth mask yesterday and how is it safe for him to return to the white house were tre have been so many cases . How is any is this safe . So, the president has been ndsurr by medical and security staff for days wearing full ppe. And yesterday the u. S. Secret Service Agents were in that same level of ppe for a very short time. Weave worked with our Infectious Disease experts to fomake some recommendation how to keep everything safe down at the white house for the president and those around him. We are looking at where he is going to be able to carry out his duties. Office space. And i willat just say it is in line with everything we have been doing upstairs. For the last several days. When he had his last negative test . Was it thursday, was it wednesday . I do not want to go to backwards. Contact tracing for people around him. The Contact Tracing as i understand is being done. I am not involved in that. So. Something he pushed for . So, we try to get a patients ho out of the hospital as quickly as it safe and reasonable. Ever day a patient stays in the hospital unnecessarily is a risk to themselvesow and right there is nothing that is being done upstairs here that we cannot safelydu c down home. Seven to 10 days was a ndow you would be concerned about. I not think we are there yet. Do you have concerns about potential worsening or reversal and what are your plans for addressing tt if it were to ppen . You are absolely right. D that is why we all remain cautiously optimistic. And on guard. Because we are in a bit of uncharted territory when it comes to a patient that received the therapies he has so early in the course. So we are looking to ts weekend, if we can get through wito monda him remaining the same or improving, better yet, then we will all tepe that final igh of relief. As i said4 7 world class medical care surrounded him own we a not going to miss anything that we wouldve caught up here. Physically going to be in the white house d how what does at look like . How do you keep them safely quarantined . I wish i could go into that more but i just cannot. Dexamethasonereatment. Thatom hashing, yesterday we talked about that, the several little temporary drops in his oxygen. Isand weed that. As a team. And elected to start it early i case that persisted or worsens. The potential risks and side fects we all discussed. We looked at the data. Andid d that we would rather push ahead on it. Than hold at risk the opposite. What about ct scans and chest xrays . As far as travel goeswe will see. His mentaltas . Can you talk about whether he has any neurological symptoms . Hadoes h side effects from his medicions . No, i think youve seen the videos in the tweets. S you will see hrtly. You know, he is back. Yeah. Pneumon or antiinflammation in his lungs at a . So, we have done preteen standard imaging. Routine is standard imaging. Iron at liberty to discuss. You are actively not showing us what those long scans show. Hipaa rules and regulations of that restrict me and sharing certain things for her safety and his own alth and reasons. How manyn times as oxy dropped several times, can you share how many times he was on oxygen . You said he would check with the nursing staff. Yeah, so two episodes like we talked about yesterd and both times he received a little bit of oxygen and recoved immediately. Oxygen required . Npo he was not short of breath or looking up. It was more of us trying to anticipate needs and see how he responds in bothases, he came right off. He did not need it. Fovery long at all. You were aboard air force one for multiple trips. Arr you concerned about yn exposure and exposure to the medical team . I am concerned that as the cdc says, there are caveats for a central employees that as long as you continue to test negative , you remain symptomfree for central employees. And you keep a mask on which we inside the hospital 24 7, then you can carry on your duties. The president has he been itching to get out of here . The president has been a phenomenal patient during his stay here. He has been workinhand in glove with us and the team and today got to the point he is Holding Court with those ofs around him,he whole team, going over all the specifics, the testing, what the future is. And we have feen back ath on what is safe and what is reasonable and he has never once pushed us to do anything that was beyond safe and reasonable practice that we all first wanted. President leaving here and going back to the white house today . Or a white house staffers . No. P tsident said dont be afraid with kobe. Do you agree with that . Im not going to get into that. His heart liberal and kidney function was norma or impring. Improving, does that mean there were of facts and is it normal . It is all normal right now. I would say he seemed to be a little dehydrated friday. He was able to just drink and recover from that in everything looks great. What soo . Of things the first thing we neo is there is no evidence of live virus still present that he could possibly transmit to others. And that is what the Infectious Disease experts and some of our rtners, military civilian entities, doinadvanced diagnostics just to see as soon as we can identify that. Routinely we talk about a 10 day window. Cdc guidelines. We are checking him or her to me than waiting 10 days. There is a possibility it is earlier than that. Ilere is a chance it is a little bit later but weknow as soon as possible. And then we will look at him clinically. How are you feeling . Why are you decided not to use, administed heiser is the ark. Administer hydroxychloroquine . I am not going to go into our debates about specific there are dozens of therapies we were made aware of the considered that we discussed and debated and looked at the existing literature on. And this is the regimen chose. Is hes having some of the muscle aches, has he lost his taste of sense and smell . No. Was symptoms he has left. We were just talking about ht was symptohaleft. Even the slight cough, he does not complain about. Aches. Never complainedf muscle he is up and back to his old self predominantly. Just be clear, how long will he still be actively shedding the vus . In so, this mo i believe there was even an accounting by , the first five days of illnest eople are most likely to shed live virus. There is a reason there is the 10 days becae most people buy that came after seven days by that time after seven days most people do not have live virus. They put it to tend to give it extra space. It is never 100 . We will see. Am not going to put a specific number, but we look at that, at window is all i would say. Ill he be confined to his residence or will be allowed to return to the oval office . We are going too whatever it takes for the president to safely conduct business wherever it is w needs to dohin the residence in the white house. Is he on blood thinners and also . You are watching outside source on the bbc. Narrator funding for this presention of this program is provided by. Language specialists teaching spanish, french and more. Raymond james. The freeman foundation. By judy and Peter Blum Kovler foundation; pursuing solutionsglor americas ted needs. And by contribations to this pbs n from viewers like you. Thank you. Narrator youre watg pbs. Vo ready to watch the best of anytime, anywhere, on nearly any device . Its easy with the pbs video app. Simply download the pbs video app on your mobile or streaming device. 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