President Donald Trump didn’t want to go to the hospital in the first place. Trump was admitted only after Chief of Staff Mark Meadows insisted he leave the White House when he spiked a fever Friday morning, was coughing and his blood oxygen level threatened to dip dangerously low, say two current White House officials. All along, Trump’s been a challenging patient, insisting on shaping the course of his care as well as stage managing how his health is projected to the public.

After being shuttled to Walter Reed National Military Medical Center by helicopter on Friday evening, Trump pressed to be sent home all weekend. He pushed his doctors to find a way to administer back at the White House the aggressive therapies he’s been receiving. On Monday, he announced his hospital discharge on Twitter hours before it happened, a tactic he’s often used to ram through a decision his staff were slow-walking. It didn’t take long for Trump to spin his return to the White House into a campaign tagline. “Don’t be afraid of Covid. Don’t let it dominate your life,” Trump wrote on Twitter. He later tweeted about the day’s 1.68% stock market gain, a metric he watches closely, and likes to take credit for.

Medical doctors warn Trump could still be a few days away from what can the most dangerous part of the COVID-19 disease cycle, called the cytokine storm, when the body’s immune response rages and can overwhelm its own function. “He’s a high risk individual and he is now entering a potentially unstable part of his clinical course,” says Dr. Howard Koh, a Harvard professor on health policy who was a senior health official in the Obama Administration. “The last thing we want for his health is to be discharged too early and be readmitted.”