Covid-19 coronavirus: Donald Trump's condition - latest update from doctors

US President Donald Trump's blood oxygen level dropped suddenly twice in recent days, but he "has continued to improve" since then, the White House physician said today, adding a new layer of confusion to the president's fight with Covid-19 even while suggesting he could be discharged from hospital as early as Tuesday (NZT).

Trump's doctors, speaking on the steps of the military hospital where he was being treated for a third consecutive day, refused to disclose the specific timing of the president's dip in oxygen or whether lung scans showed any damage.

Trump thanked his supporters outside of the hospital, tweeting his appreciation for those in attendance.

I really appreciate all of the fans and supporters outside of the hospital. The fact is, they really love our Country and are seeing how we are MAKING IT GREATER THAN EVER BEFORE!

— Donald J. Trump (@realDonaldTrump) October 4, 2020

https://t.co/8xHPsM2N3B

— Donald J. Trump (@realDonaldTrump) October 4, 2020

Trump has received a second dose of an experimental drug and the first dose of a steroid - and doctors plan to have him "out of bed" at Walter Reed National Military medical Center as much as possible today.

Navy Commander Sean Conley acknowledged he was trying to downplay the severity of the president's condition the day before.

"I was trying to reflect the upbeat attitude of the team, that the president, that his course of illness has had. Didn't want to give any information that might steer the course of illness in another direction," Conley said. "And in doing so, came off like we're trying to hide something, which wasn't necessarily true. The fact of the matter is that he's doing really well."

Conley said the president had a "high fever" and a blood oxygen level below 94% on Friday and during "another episode" on Saturday.

He was evasive when asked whether Trump's level had dropped below 90%: "We don't have any recordings here on that."

Dr Brian Garibaldi, a specialist in pulmonary critical care, said Trump received a second dose of the experimental drug remdesivir along with a first dose of the steroid dexamethasone on Sunday (NZT) and wasn't showing any side effects "that we can tell".

He said early on Monday (NZT) that Trump was "up and well" and the plan was to have him "out of bed" today as much as possible.

His oxygen level currently stood at 98%, Trump's medical team said.

Garibaldi and Conley said if things continued to go well, Trump would be able to return to the White House on Tuesday (NZT) to continue his five-day course of remdesivir treatment and other appropriate therapy.

Conley said the president's oxygen level had dropped down to 93% on Saturday. He says the president did not feel short of breath.

He said Trump was treated with the steroid after the drop in oxygen levels.

In a photo released to media, US President Donald Trump works in his conference room at Walter Reed National Military Medical Center. Photo / AP

Blood oxygen saturation is a key health marker for Covid-19 patients. A normal reading is between 95 and 100. A drop below 90 is concerning. People with the virus sometimes do not realise their oxygen levels are low.

Trump offered his own assessment of his status in a video yesterday from his hospital suite, saying he was beginning to feel better and hoped to "be back soon".

And he was back on social media overnight, sharing a video of flag-waving supporters, most not wearing masks, gathered outside Walter Reed National Military Medical Center.

The changing, and at times contradictory, accounts created a credibility crisis for the White House at a crucial moment, with the president's health and the nation's leadership on the line.

Moreover, the president's health represents a national security issue of paramount importance not only to the functions of the US government but also to countries around the world, friendly and otherwise.

Dr. Sean Conley, physician to President Donald Trump, is followed by a team of doctors for a briefing with reporters at Walter Reed National Military Medical Center. Photo / AP

Trump's Democratic challenger, Joe Biden, pulled his attack ads off the air during Trump's hospitalisation, and on Sunday, he dispatched senior aides to deliver a largely friendly message.

"We are sincerely hoping that the president makes a very quick recovery, and we can see him back out on the campaign trail very soon," Biden adviser Symone Sanders said on CNN's "State of the Union."

She added: "This is a glaring reminder that the virus is real."

Biden was at home in Wilmington, Delaware, on Sunday with no plans for in-person campaigning or other public appearances. Having already tested negative, he is expected to release the results of a new coronavirus test later in the day, and the campaign has pledged to disclose those results and all other future test results for the 77-year-old candidate.

On Saturday, chief of staff Mark Meadows told reporters outside the hospital, "We're still not on a clear path yet to a full recovery." In an update Saturday night, Trump's chief doctor expressed cautious optimism but added that the president was "not yet out of the woods."

Meanwhile, Trump's handling of the pandemic and his own health faced new scrutiny.

Trump's medical care is far superior to the average American's, with around-the-clock attention and experimental treatments. In the hospital video, he defended his decision to continue campaigning and holding large events during a pandemic.

"I had no choice," said Trump, who refused to abide by basic public health recommendations, including mask-wearing. "I had to be out front. ... I can't be locked up in a room upstairs and totally safe. ... As a leader, you have to confront problems."

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 209,000 people in the U.S.

Dr. Sean Conley, physician to President Donald Trump, walks away from the microphone after briefing reporters. Photo / AP

First lady Melania Trump remained at the White House to recover from her own bout with the virus.

Trump's administration has been less than transparent with the public throughout the pandemic, both about the president's health and the virus's 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.

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.

The White House has said Trump was expected to stay at the hospital for "a few days" and would continue to work from its presidential suite, which is equipped to allow him to keep up his official duties.

On Sunday, Conley said Trump's blood oxygen level had returned to 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.

Q: "Has [Trump] ever been on supplemental oxygen?"

Dr. Sean Conley: "Right now he is not on oxygen"

Q: "You keep saying right now -- but should we read into the fact that he had been previously?"

Dr. Conley: "Yesterday and today he was not on oxygen." https://t.co/6LHjLe7fw8 pic.twitter.com/WHbKbxh8DM

— The Hill (@thehill) October 3, 2020

He noted that in many cases, COVID-19 can become more dangerous as the body responds. "The first week of COVID, and in particular day seven to 10, are the most critical in determining the likely course of this illness," he said.

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 the Sept. 26 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, Amy Coney Barrett, her family, senators and others spent time in the close quarters of the White House, photographs show.

Among those who attended and have now tested positive: former New Jersey Gov. Chris Christie, former 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. The president's campaign manager, Bill Stepien, and the head of the Republican National Committee, Ronna McDaniel, have also tested positive, though they were not at the event. Another prominent Republican who has tested positive: Sen. Ron Johnson. R-Wis. - Associated Press

US President Donald Trump steps down from Marine One as he arrives at Walter Reed National Military Medical Center. Photo / AP