Melania Trump didn’t visit husband to avoid exposing Secret Service and medical staff to COVID-19

Doctors and infectious disease experts were highly critical of President Trump’s decision to get driven in a hermetically sealed SUV around Walter Reed Medical Center to wave to supporters while he is contagious with COVID-19, endangering his Secret Service detail, photographed wearing the wrong type of personal protective equipment. The Secret Service has noticed.

Somebody at the White House had considered the safety of Secret Service agents. On Saturday, a White House official told NBC News’ Peter Alexander that first lady Melania Trump would not leave her isolation in the White House residence to visit her husband because “she has COVID” and “that would expose the agents who would drive her there and the medical staff who would walk her up to him.”

The White House defended what spokesman Judd Deere called Trump’s “short, last-minute motorcade ride to wave to his supporters outside.” Deere told Axios‘ Alayna Treene, the White House pool reporter on duty, that “appropriate precautions were taken in the execution of this movement to protect the president and all those supporting it, including PPE. The movement was cleared by the medical team as safe to do.” Deere did not, Treene note, “answer additional questions, such as whether the drive-by happened at the president’s request.”

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US Futures Rise As President Trump’s Medical Team Suggests Monday Return To White House

U.S. futures spiked on Sunday night as of President Donald Trump’s healthcare providers expressed optimism over his timely return to the White House.

What Happened: Dr. Brian Garibaldi, a member of Trump’s medical team, said the President could be discharged from the Walter Reed Medical Center, where he is undergoing treatment for COVID-19, as early as Monday, and be back in the White House, CNN reported.

Garibaldi’s comments came amid uncertainty over Trump’s health, with contradicting reports. The president’s physicians had revealed earlier in the day that he was being treated with dexamethasone, a powerful steroid reserved for extreme COVID-19 cases, CNBC reported.

Dr. Vin Gupta, a faculty member at the University of Washington’s Institute for Health Metrics and Evaluation, told CNBC that the disclosure indicates the president may be suffering from pneumonia.

Trump’s physician Dr. Sean Conley said that Trump had suffered two episodes of transient drops in his oxygen saturation, according to CNN.

“It was a determination of the team based on the timeline from the initial diagnosis that we initiate dexamethasone,” said Conley.

The president left the hospital briefly on Sunday — to be driven around in an SUV in order to greet his supporters, CBS News reported.

Why It Matters: Dr. Nahid Bhadelia, an infectious disease specialist at the Boston University School of Medicine, told CNBC that she would not discharge someone who was just put on steroids.

Conflicting accounts of the president’s treatment have emerged since Saturday as his doctors remain evasive on key health parameters including on whether he required supplemental oxygen.

Meanwhile, several members of the president’s inner circle at the Republican party have tested positive for COVID-19, including three senators.

Price Action: S&P 500 futures rose 0.77% to 3,365, while Dow Jones Industrial Average Futures gained 0.78% to 22,779. Nasdaq futures traded 1.06% higher at 11,352.50 at press time.

Photo courtesy: Michael Vadon via Wikimedia

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Medical Team: Trump Could Return to White House as Early as Monday | National News

President Donald Trump’s medical team on Sunday gave a positive outlook on his health following his coronavirus diagnosis, saying he could be released from Walter Reed National Military Medical Center to return to the White House as early as Monday.

The doctors described two incidents of drops in Trump’s oxygen saturation – the latest on Saturday morning, which prompted the doctors to put the president on dexamethasone, a widely available steroid that has been shown to reduce death in severe COVID-19 cases. Trump’s physician, Dr. Sean Conley, did not know if Trump was given supplemental oxygen at that time, and he did not say how low the president’s oxygen levels dropped.

The doctor disclosed that Trump was put on supplemental oxygen on Friday following a high fever and his first drop in oxygen levels, despite Trump being “fairly adamant” that he did not need it, according to the doctors. He remained on oxygen for about an hour, Conley said.

Conley did not say if the president’s CT scans or X-rays have shown any damage to his lungs.

“There’s some expected findings, but nothing of any major clinical concern,” he said.

When asked why he didn’t reveal that Trump was previously on supplemental oxygen during a press conference on Saturday, Conely said: “I was trying to reflect the upbeat attitude that the team, the president, over his course of illness has had. I didn’t want to give any information that might steer the course of illness in another direction, and in doing so, came off that we were trying to hide something, which wasn’t necessarily true.”

Conely also tried to explain the differing statements between him and White House chief of staff Mark Meadows, who reportedly told pool reporters on Saturday that the president’s condition had been “very concerning.”

“The chief and I work side by side, and I think his statement was misconstrued,” Conely said, adding that Friday’s episode was “limited.”

The president also completed his second dose of remdesivir Saturday evening. His doctors plan to continue him on a five-day course on the drug.

“Today he feels well. He’s been up and around. Our plan for today is to have him to eat and drink, be up out of bed as much as possible, to be mobile,” Dr. Brian Garibaldi said. “And if he continues to look and feel as well as he does today, our hope is that we can plan for a discharge as early as tomorrow to the White House where he can continue his treatment course.”

Trump was transported to the medical center early Friday evening.

The president is expected to receive a national security briefing later Sunday from national security adviser Robert O’Brien, Gen. Mark Milley and Secretary of State Mike Pompeo.

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The White House medical team isn’t giving straight answers on President Trump’s health

The White House physician, surrounded by a group of other doctors, emerged just before noon on Saturday from Walter Reed medical center to give a sunny update on President Donald Trump’s condition after his positive Covid-19 diagnosis.

a group of people posing for the camera: White House physician Navy Cmdr. Dr. Sean Conley giving an update to the press about President Donald Trump's health as he is being treated at Walter Reed National Military Medical Center for Covid-19 on October 3, 2020.

© Pool
White House physician Navy Cmdr. Dr. Sean Conley giving an update to the press about President Donald Trump’s health as he is being treated at Walter Reed National Military Medical Center for Covid-19 on October 3, 2020.

“This morning the President is doing very well,” said Navy Cmdr. Dr. Sean Conley, adding: “The President is fever-free for over 24 hours.”

Roughly half an hour after that rosy assessment, came this from a “source familiar with the President’s health” speaking to the print and TV pool reporters, “The President’s vitals over the last 24 hours were very concerning and the next 48 hours will be critical in terms of his care. We are still not on a clear path to a full recovery.”

Uh, what? It’s not hard to reconcile what Conley said about Trump’s current condition with what the “source familiar with the President’s health” said mere minutes later. It’s impossible to reconcile the two statements.

And the net result is that the public has no real idea what condition Trump is actually in. Does he have a very mild case of the virus as spokespeople and allies — and Conley — have suggested since we learned he was positive for coronavirus early Friday morning? And that he was taken to the hospital out of an abundance of caution? Or are there real concerns that Trump’s condition is far more serious, as the use of an experimental Regeneron polyclonal antibody cocktail — not yet approved by the Food and Drug Administration — and the eerie background quote suggest?

There’s simply no way of knowing, which is the problem. The President of the United States is the single most powerful person in the country — and one of the most powerful in the world. The specifics of his current health matter for a number of reasons, but chief among them is — if he is indeed sicker than Conley is letting on — maintaining the continuity of government.

Contributing to the uncertainty is the fact that Trump has long obfuscated when it comes to his medical health prior to coming into the White House in 2017. In fact, we know less about his health than we do any modern president.

Consider this: Trump released zero medical records when he ran for president in 2016. What he did release was a letter from Dr. Harold Bornstein, his longtime personal physician, that asserted simply: “If elected, Mr. Trump, I can state unequivocally, will be the healthiest individual ever elected to the presidency. His physical strength and stamina are extraordinary.”

Which, of course, is crazy. Bornstein had never examined any past president. So his ability to claim that Trump would be the “healthiest individual” ever to be president is roughly equivalent to my ability

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Medical examiner identifies body of man shot in Cleveland’s Garden Valley neighborhood

CLEVELAND, Ohio – Officials released the identity of the 37-year-old man who was shot and killed Thursday in the city’s Garden Valley neighborhood.

a car parked on the side of a building: Cleveland police arrested a man in connection with a shooting that killed one man and injured another.

© Adam Ferrise,
Cleveland police arrested a man in connection with a shooting that killed one man and injured another.

Keith Mitchell of Cleveland .

Died in the shooting that happened about 10 p.m. On Colfax Road near the Minnie Street intersection, a Cleveland police spokeswoman Sgt. Jennifer Ciaccia said. He suffered several gunshot wounds to the head, torso and extremities, the Cuyahoga County Medical Examiner’s office said in a statement

Police responded to a call of a loud party and a man being shot. Police arrived and found the man lying on the sidewalk with several gunshot wounds, Ciaccia said.

The officers provided first aid to Mitchell before paramedics took him to MetroHealth where he was later pronounced dead.

No arrests have been made in the shooting.


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House report: Medical neglect, falsified records harmed detained immigrants

In addition to obtaining thousands of pages of internal staff complaints, assessments and whistleblower accounts, congressional staff conducted on-site inspections at 20 facilities in Arizona, California, Georgia, Louisiana and Texas. 

The report cites, for instance, falsification of records involving Jean Carlos Jimenez-Joseph, a 27-year-old Panamanian migrant who committed suicide in May 2017 at ICE’s Stewart Detention Center in Georgia after reporting hallucinations and suicidal thoughts. 

Jimenez-Joseph was a recipient of Deferred Action for Childhood Arrivals, an Obama-era program that allows undocumented immigrants who came to the country as children the ability to live and work in the United States. He was detained 69 days at the Georgia facility, which is run by private prison company CoreCivic, after being arrested for a misdemeanor in 2017.  

“In addition to leaving the unit unsupervised on seven occasions the night of Jimenez’s suicide, Officer [Redacted] falsely logged that he completed security rounds at 12:00 a.m. and 12:28 a.m., neither of which were corroborated by video surveillance footage,” according to an internal ICE review cited in the report.  

The House Oversight reports also cites a review by Homeland Security’s Office for Civil Rights and Civil Liberties of the Adelanto detention center, a California facility run by the company GEO Group. That review reported that a “failure to hire an effective and qualified clinical leader contributed to the inadequate detainee medical care that resulted in medical injuries, including bone deformities and detainee deaths.”  

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White House puts off action on surprise medical bills, punts to Congress

The White House is putting off executive action to crack down on surprise medical bills, instead calling on Congress to act on the issue.  

The Trump administration had been working on a potentially far-reaching proposal to protect patients from getting stuck with massive “surprise” medical bills when they get care from a doctor who happened to be outside their insurance network, according to people familiar with the plans. 

But after pushback from health care provider groups, GOP lawmakers, and debate within the administration, the White House is instead issuing a much more limited executive order simply calling on Congress to act on the issue. 

Reining in surprise medical bills has been a priority for both parties for months, and is seen as a key patient protection.  

The order released Thursday calls on the administration to take executive action if Congress does not act by Jan. 1, but it does not specify what that action would be, Secretary of Health and Human Services Alex Azar said on a press call. 

The announcement comes as part of a speech President TrumpDonald John TrumpBiden on Trump’s refusal to commit to peaceful transfer of power: ‘What country are we in?’ Romney: ‘Unthinkable and unacceptable’ to not commit to peaceful transition of power Two Louisville police officers shot amid Breonna Taylor grand jury protests MORE is making Thursday afternoon in North Carolina, where he is seeking to tout his record on health care, an issue where Republicans are being battered by Democrats, ahead of the election. 

The White House had been considering a surprise billing order that would have been the more substantive part of the announcement, coupled with a largely symbolic order on pre-existing conditions. 

But the surprise billing order is now essentially punting the issue to Congress, where both parties have been calling for action for over a year, but nothing has yet passed. 

The White House declined to comment on changes to the surprise billing order.  

One of the options that had been considered, sources say, was an executive order to ban health care providers from surprise billing patients as a condition of participating in the Medicare program, a serious enforcement stick.  

Health care providers pushed back on that idea with the administration, according to a lobbyist. 

Some GOP lawmakers, including members of the conservative Republican Study Committee in the House, also pushed back on the surprise billing ideas being discussed by the White House, according to a House GOP aide. Conservative outside groups also contacted the White House to object. 

There was also internal debate on the issue within the administration, according to an administration official.  

The result is a far narrower order that simply calls on Congress to keep working on the issue. Lawmakers have so far been unable to reach agreement, despite support for taking action from both parties, amid a variety of turf battles between committees and lobbying from powerful doctor and hospital groups, including some backed by private equity companies. 

Azar said on the press call

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