Dexamethasone is only given to patients on oxygen and /or ventilation. This is because it can impair the body's ability to fight the primary virus BUT it does aid breathing.
Dexamethasone can trigger delirium episodes.
So he's on oxygen. Dexamethasone may keep Trump off the ventilator. We can only wait and see
Optics aside, Pence needs to be essentially doing the whole job whether or not the White House ICU is upgraded appropriately.
And as with any virus, sleep is a far better option than work.
