HOW I WOULD TREAT THE PRESIDENT OF THE UNITED STATES.
by Julio Gonzalez, M.D., J.D.
By now, most of us have learned that President Donald J. Trump has tested positive for COVID-19. As was the case with the illness affecting Prime Minister Boris Johnson, a condition affecting the health of a world leader carries with it major ramifications to practically every aspect of life. As such, preserving the health and wellbeing of such a leader, irrespective of any campaign challenges, is of paramount importance. So the question now becomes, what's the best way to treat the President of the United States when he is suffering from COVID-19?
The most important initial step is not to panic. Remember, the death rate associated with this illness is about 0.65 percent; that is, less than one in one hundred patients afflicted with this condition actually succumbs to its effects. Yes, the death rate is higher amongst elderly patients who contract the disease, and the President is 74 years old, but the President is a robust, highly active, and exceedingly strong individual. Physiologically, he is much younger than his chronological age would imply.
Next, of course, I would examine the patient to ascertain the full extent of the virus's effects on his physiology at this time. Forget about telemedicine. There is no substitute for a careful and meticulous physical examination when planning out a patient's care. And yes, I would don full protective gear in so doing.
Having established the President's state of health, what's next?
First, it is imperative that the President be well hydrated, appropriately nutritioned, and rested. Next, if there are any organ systems that are affected, they need to be supported. For example, if he is suffering from nausea or vomiting, he would be placed on clear liquids or hydrated with intravenous fluids. If he has respiratory issues, then perhaps medications such as bronchodilators and antihistamines may be in order. If he is having a fever, then an antipyretic such as acetaminophen may be in order.
And now to the controversial interventions. Yes, SARS-CoV-2 has been with us for nearly a year at this point, but we still do not have consensus on the best treatments for this condition. Although medications such as remdesevir, hydroxychloroquine, and azithromycin are supported to varying degrees in the literature, there is no consensus on how they are best deployed and under what circumstances. One thing is clear: thus far, there is no cure for COVID-19 other than the body's ability to eradicate the submicroscopic invader.
So, with the available literature, and my personal experience with patients afflicted with this condition, here is what I would do. First, I would place the President on 200 milligrams of hydroxychloroquine daily, with a loading dose of 400 milligrams. I would continue the regimen for at least two weeks. Additionally, I would start the President on 500 milligrams of azithromycin daily for about ten days. I would also start the President on zinc and vitamin D, as it appears that deficiencies of these substances make a patient more vulnerable to the disease. I would then monitor carefully. If the President develops more severe respiratory symptoms, then a glucocorticoid such as dexamethasone may be indicated in order to prevent the cytokine storm. Remdesevir is a valuable weapon in the event the President's course should worsen, and of course, I would offer similar treatments for the First Lady and Hope Hicks, the President's Senior Counselor. Additionally, in an effort to protect those around him, I would isolate the President.
Finally, I would pray for the President's recovery, as I would for the First Lady, Ms. Hicks, and all those afflicted with this potentially devastating disease. Most importantly, I would pray for this nation and for goodness, love, and light to overwhelm the evil, hatred, and darkness that is afflicting us.
Of course, this latter intervention is one in which we can all fervently engage.
Dr. Julio Gonzalez is an orthopaedic surgeon and lawyer living in Venice, Florida. He served in the Florida House of Representatives. He is the author of numerous books including The Federalist Pages, The Case for Free Market Healthcare, and Coronalessons. He is available for appearances and book signings, and can be reached through www.thefederalistpages.com.
Dr. Julio Gonzalez is an orthopedic surgeon living in Florida. He is a lawyer, author, and former member of the Florida House of Representatives. He is available for speaking engagements at email@example.com