president biden sars-cov-2 update
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President Biden completed his first full day of PAXLOVID last night. His symptoms have improved. He did mount a temperature yesterday evening to 99.4°F, which responded favorably to acetaminophen (TYLENOL). His temperature has remained normal since then. His symptoms remain characterized as rhinorrhea ("runny nose") and fatigue, with an occasional non-productive, now "loose" cough. His voice is deeper this morning. His pulse, blood pressure, respiratory rate and oxygen saturation remain entirely normal, on room air. The President is tolerating treatment well. We will continue PAXLOVID as planned. His symptoms will be treated supportively with oral hydration, acetaminophen (TYLENOL), and the albuterol inhaler that he uses as needed. His apixaban (ELIQUIS) and rosuvastatin (Crestor) are being held during PAXLOVID treatment and for several days after his last dose. During this time, it is reasonable to add low dose aspirin as an alternative type of blood thinner. As I stated previously, the President is fully vaccinated and twice-boosted, so I anticipate that he will respond favorably, as most maximally protected patients do. There has been nothing in the course of his illness thus far which gives me cause to alter that initial expectation. Early use of PAXLOVID provides additional protection against severe disease. He will isolate in accordance with Centers for Disease Control and Prevention (CDC) recommendations, and we will continue to monitor him closely, during this very common outpatient treatment regimen. As promised, I will keep your office updated with any changes in his condition or treatment plan. Respectfully submitted, OE ES Kevin C. O'Connor, D.O., FAAFP Physician to the President Associate Professor, The George Washington University School of Medicine & Health Sciences Letter from Kevin O'Connor to the USA - POTUS doing well: t Peter Staley: The Guardian - Gay community in revolt about monkeypox. Article about Peter Staley: 'Nobody's acting like this is an emergency': Act Up veteran Peter Staley condemns US monkeypox response Wilfred Chan Rochelle has pleaded with me to back the CDC plan of distributing vaccine more on the basis of at risk population then on the actual number of cases since it is anticipated that with a variety of gay pride galas coming up including "Southern Decadence" among others that although there are not a lot of cases in the southern states including Louisiana, there will be soon and although New York City and other large cities but particularly in New York City is hammering the White House about the lines that there are to get vaccine in people who perceive themselves and in fact are practicing risk behavior even though they have not been in direct documented contact with an infected person. The White House is responding to the complaints of the gay community that the response to the monkeypox outbreak has been a terrible disaster (see above with Peter Staley) and they are pushing Rochelle and the secretary to distribute it favoring New York since they have the most cases. Rachel wants me and I agree to back her in making it a 75% on risk and 25% on cases whereas the White House wants the distribution to be 25% on risk and 75% on cases. I believe that this is short sighted because we are quickly going to see areas that do not have a lot of cases now but will very soon not having enough vaccine to prevent the outbreak. I was very forceful in the zoom call with the secretary and the HHS team in saying that I would back Rochelle; however, we must have the flexibility of apportioning doses to the at risk locations in small allocations so that if they don't use them we will not have given them all of their doses at one time and thus cannot recall them to give them to cities and locations that actually have a large number of cases. Once you send doses to a location, by FDA regulations, you can't pull them back and send them somewhere else. And so smaller allocations are the answer. Whether or not Ron Klain will accept this is a big question. He is very interested in the political blowback from New York. This is understandable since he is a politician but he is not looking at it from a purely public health standpoint. I was very forceful with the HHS team when the comms people were suggesting that we explain this gap that we have in availability of vaccines on the lack of funding. I told the secretary on the zoom that I have to be frank with them, but I thought that this would be a total disaster since that is an excuse and not an explanation and the gay community would kill them for making excuses. I mentioned that we had to own the problem and tell them that it would have been nice to have all the doses that everybody needed, but the fact is we don't have all the doses and therefore we will do everything we can to get as many doses to people as we can in an equitable manner. Bottom line is that I told them what I told the Trump administration, and that is the only way to solve a problem is to first own the problem. Was on multiple TV shows (see below). One of the things that came up was why the president's physician, doctor Kevin O'Connor, was not out there describing the president's condition. I answered that I was not in the loop and I did not know why. However it is very clear as mentioned above and as confirmed by Dori Solcido that Ashish really wants the spotlight and wants to be the one talking about the president's condition. I consider that an unforced error because that's what the press is going to focus on that we are hiding something. I do not want to get into that seen Ashish wanting to essentially be on every single possible major TV show, but that's the way it is. Also, the White House was concerned that Kevin mentioned that the president had a temperature of 99.4F. the temp responded very well to Tylenol and I brought up too Dory as to how foolish it is to get upset because Kevin mentioned his temperature. It is the perfectly normal thing to have a low grade temperature with a upper respiratory infection. Even though this White House is a good White House they're concerned about message control is ill advised and they are only making unforced errors. I spoke again tonight (10:00 PM) with Kevin O'Connor and he brought me up to date on the President's condition. He still requires Tylenol to keep his temperature down. He is very comfortable and even played some golf on the putting range in the White House outside because he was getting a little bit cabin fever. According to Kevin he continues to improve, but Kevin is concerned about Paxlovid rebound and is considering giving him eight days of the drug. He wanted my opinion as to whether or not that was a good idea. I am ambivalent about this since there will be a lot of blowback about why he was treated differently than the recommendations. Cliff lane would not treat him for an extra few days but would take the chance that he was going to rebound. I will recheck with Kevin tomorrow. I had a long talk with Raj Panjabi (NSC) who sought my advice about how to deal with the activist group who feel that he is lying to them and that they have lost confidence in his ability to give them straight information. I mentioned to Raj that he needs to be straight with the activists and put himself in their shoes where they are looking at hundreds of millions of dollars invested in a product to be put in this row tegic national stockpile, and now that we need that product it is not available to the gay community. They are outraged and all he and his colleagues are doing is making excuses for it (see above about owning the problem). I made it clear to Raj and cannot have his comms person speak to Peter Staley, David Barr, and James Krellenstein et al. he must do it himself otherwise it would be showing disrespect to the activists. Raj was extremely grateful for my tutoring of him in this regard. PRESS: CBS Livestream Online; NY1 Spectrum News TV with Kevin Frey; Alice Park with Time magazine; ABC World New Tonight; NBC Nightly News with Lester Holt; CNN "The Situation Room" with Wolf Blitzer; FOX News with Brett Baier; MSNBC "The Beat" with Ari Melber; KMOJ FM (Minneapolis) with Freddie Bell; Univision National with Andrea Linares; Telemundo National with unknown
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President Biden completed his fourth full day of PAXLOVID last night. His symptoms have now almost completely resolved. When questioned, at this point he only notes some residual nasal congestion and minimal hoarseness. His pulse, blood pressure, respiratory rate and temperature remain absolutely normal. His oxygen saturation continues to be excellent on room air. His lungs remain clear. The President continues to tolerate treatment well. We will continue PAXLOVID as planned. He is experiencing no shortness of breath at all. He will continue low dose aspirin as an alternative type of blood thinner. The President is responding to therapy as expected. As I've stated previously, the BAS variant is particularly transmissible and he will continue to isolate in accordance with Centers for Disease Control and Prevention (CDC) recommendations. He continues to be very specifically conscientious to protect any of the Executive Residence, White House, Secret Service and other staff whose duties require any (albeit socially distanced) proximity to him. As promised, I will keep your office updated with any changes in his condition or treatment plan. I P Type here to search PRESS: The Hill "Rising"; CBC Radio with Robin Bresnahan;
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President Biden completed his five-day course of PAXLOVID 36 hours ago. As of this moming, he has completed five full days of isolation. He remains fever-free and he discontinued use of any acetaminophen (TYLENOL) for the past 36 hours. His symptoms have been steadily improving, and are almost completely resolved. Yesterday evening, and then again, this moming, he tested NEGATIVE for the SARS-CoV-2 virus by antigen testing. Given these reassuring factors, the President will discontinue his strict isolation measures. As I've stated previously, the President continues to be very specifically conscientious to protect any of the Executive Residence, White House, Secret Service and other staff whose duties require any (albeit socially distanced) proximity to him. For this reason, he will wear a well-fitting mask for 10 full days any time he is around others. Acknowledging the potential for so-called "rebound" COVID positivity observed in a small percentage of patients treated with PAXLOVID, the President will increase his testing cadence, both to protect people around him and to assure early detection of any return of viral replication. As promised, I will keep your office updated with any changes in his condition or treatment plan. Respectfully submitted, Zeon Kevin C. O'Connor, D.O., FAAFP Physician to the President The White House Those with SARS-CoV-2 are often advised to isolate for only a few days. But evidence is mounting that some people can continue to pass on the virus for much longer. • David Adam POTUS back to work. The letter below is based on conversations I had last night with Ron, Kevin, Anita Dunn, Mike Donilon, etc.: I was part of the opening panel of the introduction of the UN aids report very beginning of the IAS meeting in Montreal. The name of the report presented by Winnie Byanyima (Exec Director of UNAIDS) is "In Danger". Also on the panel was John Nkengasong (PEPFAR), Adeeba Kamarulzaman (President of IAS), Andriy Klepikov (Dir. Alliance for Public Health in Ukraine, Keren Dunaway, International Community of Women Living with HIV, Anita Vandenbald Canadian MP. AP reporting on the above: People are exhausted with epidemics and pandemics," said Dr. Anthony Fauci, the U.S. government's leading AIDS expert. "We have to fight twice as hard to get HIV back on the radar screen where it belongs." Yesterday it was a little bit of a distributing and embarrassing situation where Raj Panjabi piggy-backed his own little mini session on monkey pox right after Vaccine summit at the White House at the very last minute without letting dawn or Connell know until literally I have to now will before he was asking her to speak. bottom line is it all is that although everyone agrees that Raj is a really good guy and his heart is in the right place he is really over his head in his job at the NSC in charge of pandemic preparedness. Dawn believes that the White House is well aware of that and that is the reason why they are appointing any "Monkeypox Tsar" Washington Post: The Fauci 'ouchie' was a near miracle. We need another. By the Editorial Board
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As described last week, acknowledging the potential for so-called "rebound" COVID positivity observed in a small percentage of patients treated with PAXLOVID, the President increased his testing cadence, both to protect people around him and to assure early detection of any return of viral replication. After testing negative on Tuesday evening, Wednesday morning, Thursday moming and Friday morning, the President tested positive late Saturday morning, by antigen testing. This in fact represents "rebound" positivity. The President has experienced no reemergence of symptoms, and continues to feel quite well. This being the case, there is no reason to reinitiate treatment at this time, but we will obviously continue close observation. However, given his positive antigen test, he will reinitiate strict isolation procedures. As I've stated previously, the President continues to be very specifically conscientious to protect any of the Executive Residence, White House, Secret Service and other staff whose duties require any (albeit socially distanced) proximity to him. As promised, I will keep your office updated with any changes in his condition or treatment plan. Respectfully submitted, as Kevin C. O'Connor, D.O., FAAFP Physician to the President The White House Associate Professor, The George Washington University School of Medicine & Health Sciences Lauren Boebert Outlines Congressional Rule Which Would Allow Dr. Fauci's Salary To Be ... YouTube Fauci's salary to $1.Stay ical Rep. Lauren Boebert (R-CO) spoke about a proposed rule that would lower Dr. Fauci's salary to $1.Stay ConnectedForbes on Facebook: ... Flag as irrelevant *****Wall Street Journal piece by Peter Loftus on July 29, 2022 is critical in its historical portrayal of the interaction of NIAID and Moderna/Pfizer. Important for the book!! WSJ: The Partnership That Made the First U.S. Covid Vaccine Gay community getting very agitated about that they perceive as the government's slow response and resting the rapidly evolving multi pox outbreak: Frustration builds in LGBTQ community over government response to monkeypox Jen Christensen, CNN 12-15 minutes
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The President continues to feel well. Given his rebound positivity which we reported yesterday, we continued daily monitoring. This morning, unsurprisingly, his SARS-CoV-2 antigen testing remained positive, The President will continue his strict isolation measures as previously described. He will continue to conduct the business of the American people from the Executive Residence. As I have stated previously, the President continues to be very specifically conscientious to protect any of the Executive Residence, White House, Secret Service and other staff whose duties require any (albeit socially distanced) proximity to him. As promised, I will keep your office updated with any changes in his condition or treatment plan. Respectfully submitted, Kevin C. O"Connor, D.O., FAAFP Physician to the President The White House Associate Professor, The George Washington University School of Medicine & Health Sciences I got a call from Rochelle who is stuck in Amsterdam following the cancellation of her flight from Amsterdam to Washington. She is coming back from a trip to Uganda and Kenya. She thanked me profusely for sticking up for the CDC's decision about allocation of vaccines for monkey pox. Got a call from Jen Ashton of ABC expressing concern about something that I have been almost obsessing about today and most recently. That is the fact that the public may be taking monkeypox too lightly assuming that it will stay confined to the population of men who have sex with men. In addition, we are doing nothing proactively to encourage people to cancel such events as "Southern Decadence" and Black gay pride galas. We are starting to see cases of spillover into non men who have sex with men populations. Also, there is so much that we do not know about the Natural History of this disease and with the potential is to spread beyond MSM. I will have to talk to people at HHS and the White House that we cannot under play this outbreak. Call from Francis Collins, Acting Science Advisor to POTUS regarding NIH Director Choice - Charles Sawyer at MSKCC. Francis wants me to talk to him about the possibility of his being considered for the job of NIH director. It is essentially a recruiting call that Francis wants me to have with Charles. Apparently the president is not satisfied with either of the two names that was submitted to him: Mary Klotman (Duke) and Kimryn Rathmell (Vanderbilt).
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The President continues to feel well, though he is experiencing a bit of a return of a loose cough. He remains fever-free and in good spirits, His temperature, pulse, blood pressure, respiratory rate and oxygen saturation remain entirely normal. His lungs are clear. Given his rebound positivity which we reported Saturday, we continued daily monitoring. This moming, his SARS-CoV-2 antigen testing remained positive. The President will continue his strict isolation measures as previously described, He will continue to conduct the business of the American people from the Executive Residence. As I have stated previously, the President continues to be very specifically conscientious to protect any of the Executive Residence, White House, Secret Service and other staff whose duties require any (albeit socially distanced) proximity to him. As promised, I will keep your office updated with any changes in his condition or treatment plan. Respectfully submitted, PETC CLS Kevin C. O'Connor, D.O., FAAFP Physician to the President The White House Associate Professor, The George Washington University School of Medicine & Health Sciences
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The President continues to feel well. This moming's exam was conducted after the President finished a light workout, which he enjoyed. He is still experiencing an occasional cough, but less frequently than yesterday. He remains fever-free and in good spirits. His temperature, pulse, blood pressure, respiratory rate and oxygen saturation remain entirely normal. His lungs remain clear. Given his rebound positivity which we reported Saturday, we continued daily monitoring. This moming, his SARS-CoV-2 antigen testing remained positive. The President will continue his strict isolation measures as previously described. He will continue to conduct the business of the American people from the Executive Residence. As I have stated previously, the President continues to be very specifically conscientious to protect any of the Executive Residence, White House, Secret Service and other staff whose duties require any (albeit socially distanced) proximity to him. As promised, I will keep your office updated with any changes in his condition or treatment plan. Respectfully submitted, PCa Kevin C, O'Connor, D.O., FAAFP Physician to the President The White House Associate Professor, The George Washington University School of Medicine & Health Sciences ------------------------ Monkeypox spreading globally: Monkeypox: Cumulative confirmed cases per million people Our World 0:
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The President feels very well today. He is still experiencing a very occasional cough, but the cough is Improving. His temperature, pulse, blood pressure, respiratory rate and oxygen saturation remain entirely normal. His lungs remain clear. Given his rebound positivity which we reported Saturday, we have continued daily monitoring, This morning, his SARS-CoV-2 antigen testing remained positive. The President will continue his strict isolation measures as previously described. He will continue to conduct the business of the American people from the Executive Residence. As I have stated previously, the President continues to be very specifically conscientious to protect any of the Executive Residence, White House, Secret Service and other staff whose duties require any (albeit socially distanced) proximity to him. As promised, T will keep your office updated with any changes in his condition or treatment plan. Respectfully submitted, See Ce es . Kevin C, O'Connor, D.O., FAAFP Physician to the President The White House Associate Professor, The George Washington University School of Medicine & Health Sciences °) William Patrick Connelly, Jr who threatened me and my family goes to jail. This is the guy yhat Brett Rowland tracked down. See Washington Post article: West Virginia man sentenced for threats against Fauci, officials Thomas Patrick Connally, Jr., was sentenced to more than three years in federal prison COVID cases: United States • Total Cases: 91,676,264, 7-Day average: 117,351 (-7.3%) • Total Deaths: 1,027,370, 7-Day average: 378 (-4.9%) • Total new hospital admissions: 5,078,893, 7-Day average 6,112 (-4.4) Worldwide [Source: WHO] - most recent day • Total Cases: 578,142,444 ( 972,954 new) • Total Deaths: 6,405,080 (2,491 new) PRESS: MSNBC Black/Hispanic Journalists Fireside chat with Alicia Menendez;