How could you possibly justify refusing to treat *known, universally* elevated plasma 5-HT, in an often-lethal disease state that is *defined* in part by *frank, known symptoms of elevated plasma 5-HT*?
@HenkPoley This paper indicated that a single exposure to 70% ethanol largely preserved filtration efficacy, comparable to dry heat or UV sanitizing. However, further exposure events gradually worsened filtration efficacy.
People want ironclad proof for everything. It doesn't exist. It never will. Even the best trials only apply to a certain stage of the disease in a certain set of the population at a certain dose with a certain baseline standard of care.
One must weigh evidence and combine signals in a safe way. That is all.
"First, the only certainty is that there is no certainty. Second, every decision, as a consequence, is a matter of weighing probabilities. Third, despite uncertainty we must decide and we must act."
Certain virally infected or antigen-swamped white blood cells smash their emergency self-destruct button, explode, and release huge amounts of signaling molecules that summon exploding neutrophils and tell other classes of WBCs to order nearby cells to die.
This strongly contributes to the severe lung clotting and often serious broader lung tissue damage that define the state we call "severe COVID-19."
@Deadly_Statins it's pretty nasty. the systemic inflammatory response is intense and can hit hard and fast. not a cold or flu at all. not like anything I've ever caught before. glad I was able to abort it.
@Deadly_Statins trying very hard not to catch it again. basically just hiding out in my residence as much as possible.
@Deadly_Statins the percentage of people with active infections out in public right now is obscene; it would be apocalyptic if IFR were higher.
unfortunately because there are so many of them, hospitals are turning people away and IFR *is* getting higher, slowly, inexorably.
The less aggressive usually draw the moderate/severe line based on need for oxygen support. However, this labels most hospital cases severe, losing granularity. Some add a 'critical' category to compensate, but this is an overloaded term.
In discussions here, I draw the moderate/severe line around onset of hypoxemia on high-flow oxygen, often onset of pulmonary microthrombosis and soon rising D-dimer, with a high risk of ARDS and DAD but not quite there yet. This matches my reading of the literature.
Either something is off, or... the delayed impact from positive test to hospitalization is going to go entirely unmanaged. They are full already.
@poiThePoi@GephenS@youyanggu@mattparlmer If this model is accurate, which it may indeed be, then Iowa CFR is likely to increase materially within the next 2 weeks as staffing ratios fall and admission refusals cut deeper into the scale of severity in spite of overflow capacity.