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Trump Started on Dexamethasone, Has ‘Expected’ Lung Findings

President Trump was administered dexamethasone therapy for COVID-19 treatment, and had two episodes of low oxygen saturation levels that required supplemental oxygen, said doctors at Walter Reed Medical Center at a press conference on Sunday.

“In response to transient low oxygen levels, we did initiate dexamethasone therapy [and] our plan is to continue that for the time being,” said Brian Garibaldi, MD, of Johns Hopkins University. He also confirmed the president received his second dose of remdesivir.

White House physician Sean Conley, DO, said the team “debated on whether or not to start” dexamethasone, but added, “the potential benefits probably outweighed any risk at this time.”

Dexamethasone is a low-cost steroid that has shown the most benefit for the sickest patients with COVID-19. According to the U.K.’s RECOVERY trial, incidence of mortality was significantly lower for patients receiving mechanical ventilation, and those receiving supplemental oxygen without mechanical ventilation, but there was no significant benefit for those not receiving respiratory support.

The NIH currently recommends dexamethasone for hospitalized patients with “severe COVID-19.”

Doctors also said the president was receiving X-rays and CT scans. When asked by reporters if there were signs of pneumonia, lung involvement or damage to the lungs, Conley said there were some, “expected findings, but nothing of any clinical concern.”

Conley confirmed that President Trump’s oxygen levels dropped to 93%, that he did receive supplemental oxygen on Friday “for about an hour,” though he continued to stress “it wasn’t in the low 80s or anything like that.”

When pressed about the two incidences of a drop in oxygen levels, Conley said he would have to “check with the nursing staff” about the second round of supplemental oxygen.

“If he did [receive it], it was very limited,” he said.

After he was asked if the president’s oxygen levels ever dipped below 90%, Conley responded, “we don’t have any records here of that.” He described President Trump’s current oxygen levels at 98%.

Conley also confirmed the president had “a momentary episode of high fever and temporary drop in [oxygen] saturation” on Friday, which prompted the medical team to move him to Walter Reed.

Garibaldi said the president’s liver and kidney function remain normal. Conley said that like every patient, lung spirometry was performed on President Trump and it was “over 2,500 ml each time.”

When asked if the president is being treated in a negative pressure room, Conley maintained he was “not going to get into specifics” of care.

The hope is for President Trump to be discharged to the White House as early as tomorrow where he can continue his treatment course, Garibaldi noted.

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    Molly Walker is an associate editor, who covers infectious diseases for MedPage Today. She has a passion for evidence, data and public health. Follow

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Is Subway Healthy? Court Ruling About Chain’s Bread Contains Surprise Findings

If you have been eating Subway thinking it’s a healthier fast-food option, then you may need to change your thinking, as the sandwich chain has come under fire in an Irish court ruling which says the bread their famous footlongs are made on cannot be defined as such thanks to the amounts of sugar in it.

According to The Guardian, the Irish Supreme Court rules that under Ireland’s Value-Added Tax Act of 1972, the amount of sugar in the chain’s bread us also unable to be defined as a Staple food due to the amount of sugar, which is five times the amount that qualifies it as a staple food under the act, which gives staple foods VAT exemption.

The Value-Added Tax states that the sugar allowed in a bread product cannot be more than 2% of the total weight of flour in the dough, but all of the bread options in Subway’s chain contain about 10% sugar content, ABC Affiliate WFTS reports.

The ruling came from an appeal by franchisee Bookfinders Ltd.

“The argument depends on the acceptance of the prior contention that the Subway heated sandwich contains ‘bread’ as defined, and therefore can be said to be food for the purposes of the Second Schedule rather than confectionary. Since that argument has been rejected, this subsidiary argument must fail,” the ruling stated.

The ruling does not affect how the bread or sandwiches are classified anywhere else, including the United States, but it could be a small setback since the company has made their name on claims of making sandwiches that were healthier alternatives to traditional fast food, and even used former spokesman Jared Fogle in tons of commercials and advertisements, where he claimed to have lost 245 pounds by combining a diet of the sandwiches and exercise. He remained as the spokesperson until 2015 when the company parted ways with him after he was convicted of possession of child pornography and traveling to pay for sex with minors.

According to information that can be downloaded from the company’s website, bread including the Italian White, 9-Grain Wheat, Italian Herb and Cheese and Sourdough all contain 3g of sugar in a 6” serving. When a sandwich increases to Footlong size, those numbers are doubled to 6g of sugar per sandwich. The 9-grain Honey Oat and Roasted Garlic Bread also contain 5g and 4 g respectively in a 6” sandwich.

As for the sandwiches themselves, the company still prides itself on having “Fresh Fit” options, which include the Black Forest Ham, Sweet Onion Chicken Teriyaki, Turkey Breast and Veggie Delite Sandwiches. Still, when prepared standard and served on 9-grain wheat bread with lettuce, tomatoes, onions, green peppers and cucumbers, the Black Forest Ham, for example, still contains 260 calories, 4g fat and 8g sugar.

Subway Sandwich A Subway sandwich is seen in a restaurant.  Photo: Joe Raedle/Getty Images

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