Was the Threat Real?
I’ve been asked by skeptical friends whether COVID-19 was a hoax/conspiracy, or if this was a real threat. Based on what I saw firsthand practicing in the frontline medical specialty of Anesthesiology and Critical Care, the threat of this disease is very real. People indeed died, and the deaths were often particularly unpleasant.
The health, psychological, and economic impacts of this virus will be felt for years to come, and may impact the 2020 elections (with all of the subsequent consequences this will carry).
However serious the disease may be, it feels that we have now entered the “political” phase of the pandemic where the threats to our vulnerable populations remain at-risk, but it appears that healthy patients have a higher likelihood of surviving an infection. It has the appearance that it is now being used as a justification in many states to keep the economy shut down until after the November election, while many of the same politicians who issue shutdown orders simultaneously condone mass gatherings of protestors/rioters because of the “social good” that comes from them.
Why was COVID-19 Problematic?
While there were many similarities to influenza, there are several reasons that this virus had some concerning traits:
- For starters, there was fear of the unknown (it was a “novel virus”) that led to heightened concern….even to the point of inducing mass panic…leading our country to near-complete shutdown for two months. Healthcare workers such as myself had no idea what to expect and found ourselves bracing for the unimaginable. The Chinese government stifled the flow of early information about the disease from their country (hence, why President Trump is engaged in a standoff with China at the moment). When other nations who are more forthcoming, such as Italy, began to disclose the massive die-offs that were occurring in some of their cities, people in the medical community woke up and began to take notice.
- Its ease of transmission from person-to person, including without direct physical contact of people (ie- through the air and on surfaces) made the virus difficult to repress. This is especially pronounced in groups herded indoors (ie- nursing home residents, NYC urban dwellers, etc).
- The long latency period of approximately 14 days between infection and manifestation of symptoms led to a lot of asymptomatic carriers who were infectious to others during a time they could have no idea that they were carrying the virus. (This is similar to an HIV+ patient unknowingly carrying the disease for a long period of time, at risk of infecting partners long before they notice symptoms of AIDS.)
- Finally, the pulmonary, cardiac, and coagulation (blood clotting) effects in certain patients were particularly difficult to treat from a medical perspective and contributed to many of the deaths seen, especially until we learned more about how to appropriately treat infected patients. These patients often presented with “unique pathology” meaning it didn’t follow the textbook patterns of other viral diseases
- This “unique pathology” and viral behavior led many to question whether this virus could have been modified in a laboratory. Whether this was manmade is outside the realm of this discussion, but I will observe that this virus acted in strangely novel ways and presented with multiple pathologic methods to cause harm (cardiac, pulmonary, coagulation disorders, etc.). I certainly would not be shocked if we learn someday that it was generated in a bioweapons lab, and that a more deadly modification of the virus exists, or will be created in the future.
Continue reading“A Physician’s Perspective on COVID-19 – Part 1, by Doctor Dan, M.D.”