Impressions of today's Walter Reed presser:

a) Conley's mea culpa: “I was trying to reflect the upbeat attitude of the team. Didn’t want to give any information that would steer the course of his illness.” Trump's fingerprints.

But even so, today was only slightly better. (1/8)

b/ Biggest news is that T had 2 episodes of hypoxia (down to 93-94% O2 saturation), & Conley evaded whether sat was ever <90. "Never in low 80s" is all he offered.

c/ Re: Chest CT: "There were some expected findings but nothing of concern." What the hell does that mean?...(2/8)
...To be clear, the "expected findings" on a chest CT is NORMAL. If it was normal, he should say that. Anything else should have been described.

(The only semi-benign interpretation would be if the prez has a known chronic finding – like a benign nodule – that was seen)...(3/8)
... But it seems far likelier that they found evidence of pneumonia or other manifestations of Covid lung involvement or inflammation, which is serious and raises the level of concern and risk. (4/8)
d/ They pulled trigger & started dexamethasone. So they were clearly concerned. Given documented low O2, dex definitely was indicated.

e/ Said they're starting to plan for possible discharge, as early as tomorrow. Even w/ WH's medical capacity, that seems like an awful call. 5/8
f/ Yes, they could give his last doses of IV remdesivir in WH, but still risky to discharge. In RECOVERY trial (which proved value of dexamethasone), mortality rate in TREATMENT group for pts requiring O2 was 23.3% (vs. 26.2% in usual care). A nearly 1-in-4 risk of death. (6/8)
g/ Finally, most tellingly: when T was hypoxic, they tried to put him on O2. "He was adamant he didn't need oxygen." In my 35 years of practice, I've never seen a pt refuse oxygen. It's crazy, & illustrates who is running the show, which may well be scariest thing I heard. (7/8)
Bottom line: it seems like Trump is stable, but remains at high risk, given transient hypoxemia, some findings on chest imaging. The happy talk and evasions are clearly at Trump's direction, putting the docs in a terrible position. No way he's ready for discharge tomorrow. (8/8)

More from Trump

It’s not clear how Dr. Sean Conley has determined Trump will no longer need to isolate only 10 days after symptom onset.

Looks like the CDC Guidelines say Trump should be in the category that needs to isolate for 20 days after symptom onset.👇

Plus ...



2. Fauci on Thursday used a (test-based) approach, in which case, per Fauci:

Trump needs to isolate for 10 days after symptoms RESOLVE (not symptoms onset) and then two negative tests.

Note: based on his coughing on Hannity last night, Trump’s symptoms haven’t resolved yet.


3. Here’s a longer quote from Fauci (via @MarionRenault):

https://t.co/oRdrtxQe80


4. Also noteworthy: on Hannity last night, Trump wouldn’t say he’s tested negative.👇

Thus failing one of the conditions required by Fauci for Trump to be considered no longer contagious.


5/5. This resource on coronavirus (UpToDate) has been specially made available to the public. It describes the test-based and non-test-based approaches.
You’d think that if Pence could overturn the election like Trump claimed then Biden surely would’ve taken up that chance


Also this is such a small thing but one thing I noticed in that Trump campaign ad the defense just ran, there were no citations, unlike every clip that the impeachment managers showed

Michael Van Der Veen is giving us the full Fox News Primetime Defense.

PROCESS ARGUMENT.

DRINK.

Lol my guy this is the chance to rebut the evidence that they’ve presented against Trump.

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I'm going to do two history threads on Ethiopia, one on its ancient history, one on its modern story (1800 to today). 🇪🇹

I'll begin with the ancient history ... and it goes way back. Because modern humans - and before that, the ancestors of humans - almost certainly originated in Ethiopia. 🇪🇹 (sub-thread):


The first likely historical reference to Ethiopia is ancient Egyptian records of trade expeditions to the "Land of Punt" in search of gold, ebony, ivory, incense, and wild animals, starting in c 2500 BC 🇪🇹


Ethiopians themselves believe that the Queen of Sheba, who visited Israel's King Solomon in the Bible (c 950 BC), came from Ethiopia (not Yemen, as others believe). Here she is meeting Solomon in a stain-glassed window in Addis Ababa's Holy Trinity Church. 🇪🇹


References to the Queen of Sheba are everywhere in Ethiopia. The national airline's frequent flier miles are even called "ShebaMiles". 🇪🇹
1/“What would need to be true for you to….X”

Why is this the most powerful question you can ask when attempting to reach an agreement with another human being or organization?

A thread, co-written by @deanmbrody:


2/ First, “X” could be lots of things. Examples: What would need to be true for you to

- “Feel it's in our best interest for me to be CMO"
- “Feel that we’re in a good place as a company”
- “Feel that we’re on the same page”
- “Feel that we both got what we wanted from this deal

3/ Normally, we aren’t that direct. Example from startup/VC land:

Founders leave VC meetings thinking that every VC will invest, but they rarely do.

Worse over, the founders don’t know what they need to do in order to be fundable.

4/ So why should you ask the magic Q?

To get clarity.

You want to know where you stand, and what it takes to get what you want in a way that also gets them what they want.

It also holds them (mentally) accountable once the thing they need becomes true.

5/ Staying in the context of soliciting investors, the question is “what would need to be true for you to want to invest (or partner with us on this journey, etc)?”

Multiple responses to this question are likely to deliver a positive result.