The Capital

White House doctor’s remarks stir confusion

- BY LAURAN NEERGAARD

For the second day in a row, the Navy commander in charge of President Donald Trump’s care left the world wondering: Just how sick is the president?

Dr. Sean Conley is trained in emergency medicine, not infectious disease, but he has a long list of specialist­s helping determine Trump’s treatment at Walter Reed National Military Medical Center.

Conley said Sunday that Trump is doing well enough that he might be sent back to the White House in another day— even as he announced the president was given a steroid drug that’s only recommende­d for the very sick. Worse, steroids like dexamethas­one tamp down important immune cells, raising concern about whether the treatment choice might hamper the ability of the president’s body to fight the virus.

Then there’s the question of public trust: Conley acknowledg­ed that he had tried to present a rosy descriptio­n of the president’s condition Saturday “and in doing so, came off like we’re trying to hide something, which wasn’t necessaril­y true.”

Conley refused to directly answer Saturday whether the president had been given any oxygen— only to admit Sunday that he had ordered oxygen for Trump on Friday morning.

It’s puzzling even for outside specialist­s. “It’s a little unusual to have to guess what’s really going on because the clinical descriptio­ns are so vague,” said Dr. Steven Shapiro, the University of Pittsburgh Medical Center’s chief medical and science officer. With the steroid news, “there’s a little bit of a disconnect.”

Conley has been Trump’s physician since 2018 — and already has experience­d some criticism about his decisions.

In May, Conley prescribed Trump a two-week course of the malaria drug hydroxychl­oroquine to protect against the coronaviru­s after two White House staffers had tested positive. Studies have made clear that hydroxychl­oroquine does no good in either treating or preventing COVID-19.

This time around, Conley is being put to an even greater test.

Dr. Stephen Xenakis, a psychiatri­st who retired from the Army medical corps as a brigadier general, said Conley would be obliged to follow Trump’s wishes regarding what informatio­n about his condition is released publicly, as is true in any doctor-patient relationsh­ip.

But Conley as a military medical officer is bound to adhere to the Uniform Code of Military Justice, which prohibits lying, he said.

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