Also well check in on the Biden Campaigns plans in this final month before election day. And congressman m muman mo kann share his thoughts on when a Coronavirus Relief package will come, if ever. If youre a bit confused by it all, youre not alone. Weve heard a lot in the last 48 hours. And frankly, its been hard to know just what to believe. As President Donald Trump and First Lady Melania Trump have both tested positive for coronavirus. The president does have mild symptoms. He continues to be not only in good spirits but very energetic. The president out of an abundance of caution is going to be heading to Walter Reed Medical Center. We have not heard anything from a president who usually is extraordinarily communicative. This historic moment is defined by what we dont know. Nbc news has learned trump has a low grade fever. He does not require supplemental oxygen and has completed his first dose of remdesivir. Hes also received a single eightgram dose of regenerons experimental poly clonal antibody cocktail. The questions are only growing. A briefing from his medical team added to the confusion. Reporter has he ever been on supplemental oxygen . Right now he is not on oxygen. The timeline is getting to be more and more of a mess here. Just 72 hours into the diagnosis now. If one does the math, that would put it back to wednesday morning. The white house is actually quick to correct, clarifying the president is on, quote, day three of his illness, not a full 72 hours. The white house travel pool saying the president s vitals over the last 24 hours are very concerning and that the next 48 hours will be critical. Yesterday morning we were real concerned with that, he had a fever and his blood oxygen level had dropped rapidly. Over the course of his illness, the president has experienced two especially codes of transient drops in his oxygen saturation. Last night the president s doctor said he did not receive any supplemental oxygen on saturday. But we now know he did receive supplemental oxygen on friday. What is the latest on the president s condition and who is telling us the latest on the president s condition . Were still missing a lot of basic information. Lets kick off this hour with nbc political reporter josh lederedmled er lederman live in bethesda. Josh, that motorcade that came through, im sure it created quite a stir, even though the president tweeted that he was going to do it about a minute before he apparently left the hospital. Reporter thats right, joshua. A lot of his supporters hadnt had a chance to see that video in the time between when it was released and the president s motorcade came out of the hospital and drove down Rockville Pike behind me past throngs of President Trumps supporters in an unexpected joyride by the president who is currently suffering from coronavirus and is symptomatic which we know from all of our doctors and medical experts is the time when someone is extremely contagious. The president traveled in his president ial vehicle with the windows sealed up, meaning he was in the vehicle with drivers from the secret service. They were Wearing Masks during the period of time when we could see the president briefly through the window. But this is raising profound questions tonight about whether the white house has any real commitment to taking the steps that they have said they are going to take to make sure that the coronavirus does not continue to spread, that they do not put more people at risk. Its not like this isnt something that weve already seen play out. Multiple people in and around the white house now have contracted coronavirus, so much so that the d. C. Government has said that rose garden event a week ago where many of the attendees have now come down with coronavirus constitutes the Biggest Community spread that washington, d. C. Has. Coronavirus in months. Thank you, josh. Thats nbcs Josh Lederman joining us from bethesda, maryland, outside walter reed. Well check back with you. Lets continue with dr. Kovita patel, a former Obama White House health adviser. I can only imagine, doctor, what your thoughts were when that motorcade rode past the crowd. Yeah, josh, its pretty cringeworthy for the reasons that have been pointed out already, probably one of the most dangerous environments you could be in, inside the hospital. Because its not an average suv the president is driving as part of the motorcade. Thats a pretty fortified driving unit that in an ironic way kind of mimics those negative ventilation pressure rooms inside a hospital. It kind of blows my mind, to be honest, because those people, those secret Service Agents, i couldnt see exactly who else was there, but you could tell those secret Service Agents who were Wearing Masks, thats not enough protection. And that concerns me for their health. It concerns me that this is still a president and a white house that is using an extension of a very serious illness, and a motorcade ride as part of pr and marketing. It seems were seeing this recurring theme of trying to make things sound better, you heard that from dr. Conley, not just today but yesterday as well, in the updates on the president s condition. Let me get your reaction, dr. Patel, to something said earlier on american voices regarding one of the medications that the president is being treated with. Watch. When we put patients on high dose steroids like that, we monitor them very closely because there is a host of side effects including impact on their Mental Health and decisionmaking. You could see delirium or psychosis. You are generally not yourself. There comes a time when patients on this very specific treatment regimen maybe shouldnt be making decisions about what they have capacity to do. Now, shes referring to a medication called dexamethasone, a corticosteroid part of President Trumps covid19 regimen. What is dexamethasone intended to do and what do you make of her comment . With the clear understanding that none of us has reliable information about the president s Mental Health state so were not going to try to does go t diagnose the president tonight. But tell me about dexamethasone. Dexamethasone is a steroid. The doses which have been studied, this is a drug which has been studied and shown to be effective, joshua, in the treatment of covid19 patients, but very clearly, through the evidence we have, for patients who either have been on mechanical intubation or dependent on oxygen or been in the hospital for longer than seven days. Weve already heard, and we dont have the pieces we need to understand, but weve heard the president was on oxygen and we have to understand that there must have been a progression in his illness which caused the doctors to put him on dexamethasone. Again, a very commonly used steroid. I prescribed it the other day for a patient that had an allergic reaction, but in a much lower dose. The doses the president are receiving are higher. I think what the doctor is directly referencing is that on those doses, and actually any dose, but on high doses especially, there is a much higher likelihood of side effects and side effects that can occur with dexamethasone include depression, psychosis, suppression of the immune system, weight gain, and also a predisposition for high bloopd issui blood sugars or going like diabetes. We have gotten a few more answers from the president s medical team. What is the biggest lingering question for you in terms of how the president is doing . Number one, what exactly were the president s viral loads . How much virus is in his body . Theyre drawing blood, theyre looking at what level of infectious virus he has right now. Are those levels rising or declining . Thats important, it tells us where we are in the course of illness. Number two, joshua, what are the results of those pulmonary scans we know theyve done . Has there been evidence of damage to his lungs, which is incredibly common in covid19, even in healthy patients that are not hospitalized . And then three, the next, critical phase of the hospitalization or even if hes discharged back to the white house residence, the next phase is really this inflammatory phase that can get really aggressive and result in your body going into a kind of multisystem inflammatory state. But you can tell that by looking at certain lab markers. We need to know what those are. Those will be critical pieces of information for taking care of the president Going Forward and for the American Public to understand, is he on the recovery trajectory or is this still a critical watch and wait period, which is where i believe hes at. Dr. Kovita patel, always good to see you, thanks for starting us off tonight. Transparency has been an issue with the updates on the president s health. Today his physician acknowledged the criticism. I was trying to reflect the, uh, the upbeat attitude that the team, the president , his course of illness, has had. Umm, i didnt want to give, uh, any information that might, uh, steer the course of illness in any direction and in doing so, came off that were trying to hide something, which wasnt necessarily true, and, uh, so here i have it. Does the white house have a point when it comes to remaining optimistic about the president s health . Is it an issue of National Security . Nbc National Security and justice correspondent ken dilanian joins us now, ken, good evening. Good evening, joshua. I would like to get your sense on the National Security implications of this in light of what we just learned from white house spokesman judd deere regarding that motorcade that we just saw some video of. He spoke to one of the pool reporters and said of that motorcade, quote, appropriate precautions were taken in the execution of this movement to protect the president and all those supporting it including ppe, personal protective equipment. The movement was cleared by the medical team as safe to do, unquote. Now, mr. Deere apparently did not answer questions about whether the driveby happened at the president s request, whether the president met with anyone in person or why the pool reporters were not notified and called back to cover this driveby. These all raise so many more National Security questions than we had already raised. This feels like the kind of thing that needs to be buttoned up oh, so tightly, because there are so many things that could go sideways. Yeah, youre not kidding, joshua. In tackling this whole National Security question, it bears remembering there are a lot of people that believe that just having donald trump as president as a threat to the National Security of the United States. And its not just democrats im talking about. Im talking about his former defense secretary jim mattis, his former National Security adviser john bolton. This is a man who doesnt read his intelligence briefings, who doesnt understand americas role in the world, who doesnt understand the role of nato. Thats the backdrop. Here we have a president now who is suffering from a lifethreatening illness, who may, as you say, be under on drugs that render him not of sound mind and body. We have this thing called the 25th amendment that has been used by two other president s in our history, Ronald Reagan when he was shot and george w. Bush when he had a colonoscopy, a basic procedure where he was under anesthesia for a few hours, he transferred power to Vice President dick cheney. Why thats not been discussed in the context of Donald Trumps treatment right now, temporarily transferring power to Vice President mike pence, is a mystery to me and to a lot of my National Security sources. And general the Bigger Picture here, joshua, trump appears to be fine in the videos were watching, he seems to be mentally sound in those videos. But any time the president of the United States, the commander in chief, the man who has the nuclear football, the ability to rain down destruction on nations, is suffering from a lifethreatening illness, that is a moment when my sources worry that adversaries will try to take advantage. Right. And there are any number of dangerous adversaries that were facing out there from russia, china, iran, north korea, who may well seize this moment to try to do something. And we have a president who is under treatment in the hospital now, and a Vice President who is not in charge. Its a pretty worrisome situation. Before we have to move on, ken, is it safe to assume there are provisions being taken to ensure the continuity of control in the administrative branch, despite what may happen to President Trump . There are measures being taken, right . There are continuity of government plans that are always being examined. And 9 11 sort of injected a new life into them. And of course the fact that mike pence is now repeatedly tested negative, that takes a lot of the strain off the continuity of government plans, because the real concern is what happens if the have the and the Vice President are incapacitated and we have to Start Talking the secession act of 1947 and president nancy pelosi. But in terms of what the Intelligence Community and military is doing, thats on an auto pilot. But the president has to be able to make a decision on how to respond to a foreign adversary, or if not him, the Vice President needs to be in that position. We dont know if donald trump in the weeks ahead will be able to do that, and thats concerning. When you say president nancy pelosi, youre referring to the chain of succession behind the Vice President would be the speaker of the house nancy pelosi, then chuck grassley, the president pro tem of the senate, then the secretary of state, treasury, defense, the attorney general and on and on from there. Thats nbcs ken dilanian, ken, thanks very much. Still to come, we have heard a lot, as ken mentioned, about the 25th amendment just in case covid19 inexamin xacapacitates president or worse. What else does that law say about the transfer of power . And President Trumps covid19 diagnosis is making the Biden Campaign change its plans. Thats next. Aign change its pla. Thats next. Rded network, include the best in entertainment, and offer plans to mix and match starting at 35. Plus, get two Samsung Galaxy s20 fe 5g phones for 200 when you switch. Only at verizon. 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The latest poll puts joe biden 14 Percentage Points ahead of the president. Joining us now is nbc campaign embed, deepa shivaron. Theres been a lot of reaction from the politicos to the motorcade, have we heard anything from the campaign yet . We just received news from nbcs Peter Alexander, a note that the first lady herself, a statement from the white house says the reason she hasnt visited her husband at walter reed is because she didnt want to put those secret Service Agents and drivers in harms way and exposed to covid and the coronavirus if she were to travel to walter reed. So its kind of an interesting contrast here of the first lady apparently showing some caution in this process while the president himself, you know, leaving the hospital after being