Paradigm Shift for COVID-19 Response: Identifying High-risk Individuals and Treating Inflammation

摘要

As an emergency and wellness physician, scientist, father,and 55-year-old man, I have a keen interest in the coronavirusand the resulting COVID-19/severe acute respiratorysyndrome (SARS) CoV2 illness. Based on all I have heardfrom the scientific community, a review of the literature,and a review of historical facts related to other epidemics,I believe we are missing some key points, particularly withregard to how we are approaching prevention of morbidityand mortality. My opinion is the virus is not killing people,but rather the immune response to the virus. Perhaps we needto shift our thinking from screening and treating signs andsymptoms to add risk stratifying, measuring, and treatinginflammation.