Discharged as early as tomorrow. And they discuss some other details for the first time. Like the president s condition when he was still in the white house and what led to their decision to bring him to walter reed. Thursday night into friday morning when i left the bedside, the president was doing well with only mild symptoms and his oxygen was in the high 90s. Late friday morning, when i returned to the bedside, the president had a high fever and his oxygen saturation was transiently dipping below 94 . The president s personal physician also mentioned for the first time a medication they prescribed, a steroid. Over the course of his illness, the president has experienced two episodes of transient drops in his oxygen saturation. We debated the reasons for this and whether we would even intervene. It was a determination of the team, based predominantly on the basis of the timeline of the initial diagnosis, that we would give an initial dose of dexamethasone. Thats on top of remdesivir. What we still dont know are details about the president s specific vital signs, results of his chest scans, how high his fever got, how low his oxygen levels dropped. And when he last tested negative for the coronavirus. Well have much more medical analysis from my panel of doctors and their concerns in just a moment. First, lets go to the white house and cnns kaitlan collins. The message from the president s doctors a bit clearer than a day ago but yet theres still a lot of information we dont have. Were several days into this is diagnosis. Why is there still a lack of clarity coming out of the white house . Basically because they know theres an audience of one theyre trying to please when they come out to these press conferences. Thats something we knew yesterday when asked whether or not the president was given supplemental oxygen. They confirmed it today as they spoke to reporters and he this were asked about these mixed messages. One difference between yesterday and today is dr. Conley was willing to admit on the record that the president has now gotten that oxygen. Of course, that only came after cnn and several other outlets reported on that already. What they were saying in this upbeat tone the chance the president could possibly be discharged as soon as tomorrow, they were seeing that what the medical experts have looked at, them saying his oxygen levels have dropped twice and hes now given a steroid. They say thats a sign its not as mild as they nshlly seemed to say this was. Of course, when it comes to the credibility, that is a whole other matter here that people are talking about. They want to know theyre getting straight answers. Yesterday we were getting conflicting messages from the chief of staff and from the doctors who were briefing us. Dr. Sean conley was asked about that today and he made clear this is, in part, public relations. I was trying to reflect the upbeat attitude that the team, the president , his course of illness has had. I didnt want to give any information that myth steer the course of illness in another direction. And in doing so it kaem off that we were trying to hide something, which wasnts necessarily true. So, here you have it. He is the fact of the matter is hes doing really well. Now, on an obviously giving information about the president s condition is not going to affect how that condition turns out as the doctor was saying there. And talking about his attitude is nowhere near the same as talking about his vitals, which is what people actually want to know about the president of the United States. But the doctor is in a tough position because, of course, he is meeting with the president right before he comes out to do these briefings. Weve been told the president is being extremely critical of people who are speaking on his behalf and hes frustrated he himself cant address the media. So whether or not the briefings of the doctors hopefully they become more straightforward but its been a lack of information on their part, to say the least. Kaitlan collins at the white house. Thank you. Lets bring in our experts, infectious doctor. Doctors, thank you for being here. We know the president has had no less than two episodes of decreased oxygen saturation. After one of those episodes, supplemental oxygen was administered. We also learned hes been prescribed a new steroid medication, dexamethasone, which is generally reserved for severely or critically ill coronavirus patients. And when asked about, you know, what his ct scans or other advanced imaging showed, the president s doctors said only they had seen some expected findings. Dr. Conley also said the president is improving. When you take all that, what kind of condition does the president sound like hes in to you . Ana, thank you for having me. My thoughts and prayers are with the. The and his family. And hope that hes continuing to get better, which it sounds like he is. Having said that, i think when a patient requires oxygen and they said his c. A. T. Scan had expected findings, in the context of Everything Else that was said, the expected findings sounded to me like he probably has pneumonia on those radiographic images, which put together with the other findings weve been told about sounds like he has severe disease. When we talk about covid19, theres a spectrum of disease. There are people who asymptomatic or presymptomatic, there are those that have mild disease, those that have moderate disease, and then severe disease is when you need oxygen. So, although it may be at the border of moderate and severe disease, it sounds like thats probably in the range the president is. Im glad to hear hes doing better and well. Still, this is probably a severe case of covid19. We know they are giving him extensive treatment. The National Institutes of health says dexamethasone, that steroid that we now know has been administered, it should not be used on patients who dont require supplemental oxygen. A study revealed it can harm patients with just mild symptoms. We are told the president has only had two episodes of decreased oxygen levels in just one required supplemental oxygen. Dr. Rolle, if that is the case, does it make sense hes been prescribed this drug . Also thanks for having me. Thats difficult to say. Dexamethasone has a lot of different side effects. We use it in our patients quite often as well, neurosurgeical Disease Burden where hypertension can occur, increased glucose can occur. So, without knowing the full scope of the picture, as you mentioned earlier, all the information, medical professionals want to know all the things that are happening. Vital signs, what does his clinical exam look like, are we treating the actual patient or a political ideology or a title and an office . Without that information at your disposal, its hard to know how are we keeping this evidencebased, keeping this patient centered, are we doing the best to keep this actual human, this actual persons disease contained. Theyre planning to use dexamethasone. Dr. Girabaldi said they completed a second dose of remdesivir and they plan a fiveday course of remdesivir. And they said President Trump could be discharged tomorrow to continue these treatments at the white house. Does that make sense to you . For most patients that would not be possible. If you were getting remdesivir, it is an iv treatment and you need to be in the hospital to get that. Now, if the president is doing much better and his doctors feel they can provide the kind of supervision he needs at the white house, that may be a possibility for him as the patient in chief. But for most people, that would not be a realistic treatment option. Dr. Rolle, based on what you know about the progression of covid19 symptoms, even if the president is showing improvement now, and hopefully that is the case and hes continuing to get better and better, but is there a risk of relapse . Well, yes, theres certainly a risk of relapse. Theres certainly a risk of going into flu season and having a coinfection with flu that we just dont know what a covid19 plus a flu situation and one can do. Were also not quite sure what the com comorbidities are right. If his lungs show decrease the capacity and oxygen is the rags are going down, something is affecting him at a baseline level. So, hes definitely put himself at a higher risk of a relapse of having this situation occur again. Again, its hard to prognostica prognosticate. I think what providers need to do is keep a close eye on him, make sure hes examined, well taken care of, well nourished, well hydrated to be the most efficient and productive he can possibly be and monitor these symptoms going forward. I dont think hes out of the woods just yet. We still do not know when the president last tested negative. Heres what dr. Conley said about the progression of the president s symptoms. Listen. Thursday night into friday morning when i left the bedside the president was doing well with only mild symptoms and his oxygen was in the high 90s. Late friday morning when i returned to the bedside, the president had a high fever and his oxygen saturation was transiently dipping below 94 . Doctor, he, were told, tested positive on thursday and then by friday he had a high fever. His oxygen saturation levels were dropping below 94 . Does this onsets and progression make sense to you or is it possible the president was experiencing mild symptoms days earlier . My expectation is there may have been some symptoms earlier than that. Now, we all saw him on tuesday and he looked well. Its unclear to me when his first symptoms really started. And i think this is a very important point. In my experience taking care of Covid Patients, really that first start of symptoms, even if its just fatigue, not feeling well, that is the onset of symptoms and somewhere around seven days is an important time point that we need to think about. In my experience caring for older adults, this is my area of expertise, patients can preent in weird ways with covid19. Sometimes they may look like theyre Getting Better and then all of a sudden take a turn for the worse the next day. So i think the president is in a critical juncture where he needs to be observed. Hes in very good hands. He has an Outstanding Team of doctors who he should trust and are taking great care of him. But i think the next few days are going to be extremely critical to figure out which direction hes going. Theres a lot of things we dont know. There are lab tests i would be curious about in terms of what direction theyre going in. And without that kind of information its hard to make an assessment of what direction hes going in in the next few days. Hopefully in a positive direction. Dr. Rolle, can you help us understand oxygen saturation levels . Whats average, whats bad . Well, typically you want oxygen saturation to be 99 or 100 all the way up, certainly. When you get under 92 or maybe to 88 or so, thats sort of the cutoff where nurses and clinical providers get very nervous that you could be dipping quickly, especially having a positive covid19. Thats when oxygen supplementation and the most extreme is getting indo ytubate. We dont want to go down that route. We dont know how low the president s oxygen saturation got, just that it was below 94 a couple of times. When a reporter asked a followup question about that, the drt responded, well, it never got into the low 80s. Thats obviously quite a range that he provided in which the president s oxygen could have been. Doctors, great to have both of you with us. Thank you so much for being here and for what you do. Thanks. The lack of clarity coming from this white house and the president s doctors is putting our allies, and more importantly our adversaries, on alert. Coming up, well explain how the mixed messaging could make the country more vulnerable. Youre live in the cnn newsroom. Want to brain better . Unlike ordinary memory supplements. Neuriva has clinically proven ingredients that fuel 5 indicators of brain performance. Memory. Focus. Accuracy. Learning and concentration. Try it today with our moneyback guarantee just between us, you know whats better than mopping . Anything at the end of a long day, its the last thing i want to do. Well i switched to swiffer wet jet and its awesome. 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As contradictory statements over the state of President Trumps health flow from his team and administration, and as he remains hospitalized in 209,000 americans, its no wonder we as World Leaders have more questions about the president s condition. James clapper is former director of national intelligence. And david gergen is a cnn political analyst and served as president ial adviser to nixon, ford, reagan and clinton. David, what are we to believe . I think they need to sit down with dr. Sanjay gupta and others and have a conversation on television and probing about whats the truth. At this point we dont know when people from the white house are telling us is the truth. They had a bad record coming in on this issue and its gotten worse over the last two or three days. Very clearly, the president has been anxious to put the word out that hes fine, that hes Getting Better, that hes strong, hes going to get through this, hes going to beat covid, hes going to be the champion of covid. But theyre making the very same mistake they made when the president was first informed about how dangerous covid was. He decided to put a happy face on it. And misled the country and we paid a huge price for it. He made the same mistake again. Its not helpful for him and the country. So, director clapper, you could call it disinformation. Theyve been putting out disinformation about the president s health. Its coming directly from his own officials, his doctor, his chief of staff. There was another analyst on our air earlier who said it was reminiscent of a place happenli russia. Exactly. To davids point, this ambiguity and lack of transparency is very bad from the standpoint of our foreign relationships. Whether allies or adversaries. The information, specific information, about the president s condition. And hes not exactly a private citizen. There are huge stakes on his condition. So adversaries are watching this carefully for this ambiguity. It does present an opportunity for mischief, for iran or north korea, who both feel they have scores to settle and looking hey, you guys, i have to let you know. This is a live image right now. We just saw President Trump drive by in that vehicle. Looked like he was waving at supporters. This is right outside walter reed. Were working on getting information about whats going on. Forgive me for interrupting. Were looking at live images outside walter reed and in one of those black suvs was the president of the United States waving at people on the sidewalk. We know some of his supporters have been out there with signs, cheering and chanting different things. Again, live images as were watching outside walter reed. Full entourage of vehicles. And President Trump in one of those vehicles as he waved at supporters as he passed by. You can see clearly theres a lot of Law Enforcement surrounding the president in those vehicles. Were going to try to bring the video back. Were rolling on that so we can get another look at exactly what just transpired. As we watched these images, david, whats your reaction to seeing the president in that vehicle drive by waving at supporters . My well, first of all, i was stunned. There he is again. This is tape. This is it. Sounds like hes going back to the white house, doesnt is it . Well, i dont know. We dont know where hes going. I can tell our viewers we were told at the press conference earlier that he could be discharged as soon as tomorrow, so there was no talk about discharge today, to return to the white house. We dont know where hes headed in these vehicles. We werent given any kind of heads up. The White House Press corps was given a lid for the day, meaning there wont be any other statements made. We dont know what is taking place right there. Yeah, we dont know, ana, but the chance is very high he is in charge. Hes told those guys, he wants to go home. He wants to go back to the white house. Earlier in the day, sanjay gupta in his wisdom said, he thought it was a mistake for the. The to go home tomorrow, to be discharged tomorrow. It was too early. This is going to raise a lot of questions, why and how does this fit into his Overall Health issues. Right. And again, we dont have all the information, and thats part of the problem. Were showing the video again. Were putting it in slowmo so we can all get a look as the president is in it the vehicle, wearing a mask, waving. Lets go live to Jeremy Diamond as we look at this video. Hes on scene outside walter reed. Jeremy diamond, what can you tell us about what we just witnessed . Reporter well, we just saw the president drive by in the moto