Very interesting question. People do still seem to misunderstand that creatures need to have an aim in mind when they do things.

The beauty of life was that it needs no more explanation than a ball rolling down a hill.
You could say that the ball "wants" to go lower if possible. But ultimately it is being dragged that way by gravity.

We can use the term "want" loosely, when describing inanimate objects:

"The heat in this oven wants to spread out evenly"

But we know it is only shorthand
The mistake that leads people to think that viruses and other creatures particularly want to spread, is that Darwin's principle is often quoted as "Survival of the fittest", and we often misunderstand that as "Survival of the fittest creature".
In reality, Darwin's insight was,

"Whichever virus GENOME produces most copies of itself at present"
"... will (obviously) increase in prevalence the most, the next time you look."

Trouble is, when you put it like that, it's a bit face-palm-ily obvious.
The genius of life/Nature/God has been to get genetics working.

Once that is working in any useful way, God doesn't have to do anything.

Just wait a few billion years.
Lots of stuff will happen. The stuff that is most effective at creating more copies of itself will ... be the most effective at creating more copies of itself.
A few billion years later, the world is full of numerous genomes that have found various ways of duplicating themselves very effectively.
In almost all cases, the genomes do this by coding for a complete creature, which assemble themselves, parent-to-child.
But once there are enough of such genomes active, and therefore such creatures...

There is an opportunity for other genomes to replicate through parasitising on the creatures created by the other genomes. These are viruses.
Covid doesn't have a purpose, any more than a ball "wants" to roll down hill.

For shorthand, we say "it wants to spread"
But really we are stating the obvious.
The billions of Coronavirus particles that people in my hospital have are different individual particles from the ones wiping out people in China a year ago.
The deaths of the people are incidental. What the coronavirus genome is extremely good at doing, is duplicating itself into other people.

That is why we have such a big problem with it. Its extraordinary rate of spread in normal-behaving people.
If a virus made lots of copies of itself, but only in one host, we wouldn't be talking about it.

Because it would just infect one person, and that would be the end of it.
Ever heard of Covid-18?

No?

Well, its because there was only one guy who had it. No world panic over that. Unlucky for him, but nobody else cares.
The reason we are all talking about Covid-19 is that it got itself into so many millions of people worldwide, so quickly.

The viruses that spread are the ones we care about.
The most successful virus would be the one which infects many different people, but with only one copy in each, so that the person survives to spread it.

However that is hard to do, and not worth the virus's while evolving a way to achieve.
Easier (i.e. more likely to be found by the billions of chance mutations) is to get multiplied in the respiratory tract, and then coughed, spoken or breathed into other hosts.
Whether the person dies or not doesn't matter a great deal to the success of viral GENOME replication. Rapid replication is an advantage because more particles make it easier to infect other hosts.
The "spare copies" of the viral genome that stay behind in the host don't contribute much either way. They are a bit of a waste, but not much of a waste, as the resources came from the host, not the virus.
The spare copies, that leave the poor host gasping for breath and perhaps dying, are no more of interest to the viral genome, than the shed skin to a snake.

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More from @ProfDFrancis

9 Dec
Because of the 0.3%, i.e. 180,000 who die, and the few million who end up ill in hospital.

Doh.
1. Because despite having lived cosseted lives where everything is provided for us from cradle to grave, be it food, security, education, healthcare, or law and order,

SOMEHOW many young people I come across seem to have a higher sense of civic virtue than you...
Read 13 tweets
8 Dec
Yes that sentence made me laugh.

Of course it can't be "stenosis per se" because there is no single index of "stenosis per se" for a patient.
If you had a high resolution map of everything what would you use?

How about tightest percent stenosis anywhere in coro?
If you thought it was great then you are going to rate a person with an isolated 75% stenosis of the distal RCA worse than a person with five 70%ish stenoses of each of the LAD, CX, RCA, Om1 and D1.
Read 19 tweets
8 Dec
Suppose you motor-bike to work every day. @rallamee nags you, "Why don't you wear a crash helmet, it is safer, blah blah blah."

If you wear a crash helmet today (ONLY), how will it improve your survival curve?

(Hazard = death risk on a particular day)
That baffled people, sorry. This isn't supposed to be the hard bit.

Wearing a crash helmet TODAY makes my motorcycle riding safer for me TODAY.

I go back to no-helmet from tomorrow onwards. Does the fact that I had worn a helmet today, make tomorrows ride safer?
Being a non-smoker today helps me not die today.

Does whether I smoke today have any influence on the probability of me surviving through the whole of 8 Dec 2030, GIVEN THAT I survive up to the end of 7 Dec 2030?

i.e. can smoking today cause _future_ death?
Read 23 tweets
7 Dec
NEVER be disappointed with a <100% score on Inspirion.

Your FIRST-TIME score is NOT an index of your knowledge or intelligence. It is an index of how non-obvious the questions are.

It is your REPEAT score that is an index of how effectively you have learned _to do_ things.
So cheer up. Every time you get a question wrong, think about what you could have done to get it right, and make sure to do that thing in future (in real life, not in inspirion).

If you get a low score (say 30%) - smile! You're learning lots.
If you keep getting 100%, the course is not for you, as you are probably a statistician or a bit sad in the head, to be so good at hard things.

My own score is often less than 100%.

i.e. I have to reword ~1-2 Qs or As per seminar, in light of comments.

tweetorials.inspirion.org/h2/c48ed511bc7…
Read 4 tweets
26 Nov
Can you estimate the answer? Image
Most people get it wrong.

See how you get on, here:

tweetorials.inspirion.org/h2/64ab4b36e2e…
3 out of 3 correct here! Image
Read 4 tweets
25 Nov
Here is the article!

It is absolutely hilarious! There are several giveaways that this is not really a doctor. Which can you spot?
Thank you to various people who sent me details of circumventing the Telegraph's paywall. I generally avoid doing that, for articles where the _authors_ would want me to pay to read (as it is their living).

I subscribe to publications to support them.
SCIENTIFIC papers are written by people who would be absolutely delighted to give you copies of all their work for free. They have zero interest in anyone charging you to read their work

So I am happy to let them communicate with me via sci-hub.se or any other means
Read 16 tweets

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