COVID-19 Treatment Paradigm Concerns
Nine days ago, I opened an intensive care unit to care
for the sickest COVID
positive patients in the city. In these nine days,
I have seen things I have
never seen before. In treating these patients,
I have witnessed medical
phenomenon that just don't make sense in the context of treating a
disease that is supposed to be a viral pneumonia.
Nine days ago, I presumed I was opening an intensive care unit to
treat patients
with a virus causing a pneumonia that was ravaging lungs across the
world, starting out as something mild, a cough, a
sore throat, and progressively increasing in severity
until
ultimately ending in something called acute respiratory distress syndrome,
or ARDS. This is the paradigm that every
hospital in the country is working under.
This is the disease, ARDS, that every hospital is
preparing to treat, and this is the disease, ARDS, for which
in the next two to six weeks a hundred thousand Americans might be put on a
ventilator. And yet, everything I have seen in the last nine
days,
all the things that just don't make sense, the patients I'm seeing in front of me,
the lungs I'm trying to improve, have led me to believe that
COVID-19 is not this disease, and that we are operating under
a medical paradigm that is untrue.
In short, I believe we are treating the wrong disease,
and I fear that this
misguided treatment will lead to a tremendous amount of harm to a great
number of
people in a very short time
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