Tony's Diary Package — page 988

--_- -- etiieeatieatinetidimedtinetne Mieatitdiatin' Mieiiediendmadtied SUBJECT: President Biden SARS-CoV-2 Update President Biden completed his second full day of PAXLOVID last night. His symptoms continue to improve. His primary symptoms, though less troublesome, now include sore throat, rhinorrhea, loose cough and body aches. His voice remains deep. His pulse, blood pressure, respiratory rate and temperature remain entirely 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. His symptoms will continue to be treated supportively with oral hydration, acetaminophen (TYLENOL), and the albuterol inhaler that he uses as needed for cough (2-3 times a day). He is experiencing no shortness of breath at all. He will continue low dose aspirin as an alternative type of blood thinner. Our preliminary sequencing results have returned. The President's causative agent is most likely the BAS variant. This is the SARS-CoV-2 variant which is responsible for 75-80% of infections in the United States at this time. This data does not affect the treatment plan in any way. The President is responding to therapy as expected. The BAS variant is particularly transmissible and he will continue to isolate in accordance with Centers for Disease Control and Prevention (CDC) recommendations. 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, TOC ae Kevin C. O'Connor, D.O., FAAFP Physician to the President Associate Professor, The George Washington University School of Medicine & Health Sciences PRESS: ABC "Good Morning America" Weekend; CBS Mornings (Weekend); CNN "New Day" Weekend; Fox News with Neil Cavuto July 24, 2022 Kevin O'Connor continues to call me 2x/day. The President continues to improve and is completed his 4th day (Sunday) on Paxlovid. He was out for four hours today by the pool doing reading work. The next big question is whether to give him eight days or 10 days instead of five days of Paxlovid. That would be a problem since it would be against FDA authorization and the public would cry out that we had treating him differently than other people. The concern on the part of the White House is that if he rebounds after he is negative for several days, he will likely be out talking and mingling with people. If he infects someone following an unrecognized rebound, he will be blamed for infecting other