4 ms·

Hi, I downvoted your post. I think `dang hit the nail on the head in re: why I didn't reply (don't really want to argue since arguing on this topic has occupied

Hi, I downvoted your post. I think `dang hit the nail on the head in re: why I didn't reply (don't really want to argue since arguing on this topic has occupied more of my recent HN activity than I really like; and I'm busy doing other things). I certainly don't think your original post violated HN policy by any means, but that isn't the threshold for downvoting on HN as far as I understand. I downvoted because the material in question isn't inline with how the majority of us are thinking about this disease. It creates a false controversy. To be fair, much of what he's describing is the pathophysiology of diffuse alveolar damage (the correlate of ARDS), but simultaneously he's saying it's not ARDS. Even in this video he seemingly felt compelled to walk back his high altitude pulmonary edema comments from a prior video. I am not going to be replying further in this thread, but since things got off the rails a bit and my downvote was a part of that, I did want to try to explain my views of the content.

andrewtbham 7y ago
> the material in question isn't inline with how the majority of us are thinking about this disease. That may be true. But that is what makes this important. The current protocols aren't working. This guy is a doctor on the front lines. Gattinoni, whom he references, is an expert in ventilation. This is not a crackpot conspiracy like 5G towers and I'm sick of seeing it dismissed like it is. I have watched all his videos and I have never seem him say it is HAPE. My recollection is he said it was similar to HAPE.
andrewtbham 7y ago
He... nor Dr. Gattanoni are asserting that it doesn't meet the criteria for ARDS, but rather that it's not typical ARDS. Gattanoni states: However, the patients with Covid-19 pneumonia, fulfilling the Berlin criteria of ARDS, present an atypical form of the syndrome. Indeed, the primary characteristics we are observing (confirmed by colleagues in other hospitals), is the dissociation between their relatively well preserved lung mechanics and the severity of hypoxemia.
andrewtbham 7y ago
The New York Times video features Dr Corey C. Hardin at Mass General. The user carbocation is a "a cardiology fellow at the Massachusetts General Hospital" He is a colleague of the guy featured.... My link is to the twitter account of the doctor that disagrees with the doctor at Mass General. This is a clear case... as I suspected... of the people in the article trying to manipulate the discussion about how they are perceived.
- andrewtbham 7y ago
  One dead giveaway of people getting their friends and colleagues to manipulate the way they are perceived on social media... is when your comment is quickly downvoted... before any casual user would have had time to absorb it.

andrewtbham 7y ago

> the material in question isn't inline with how the majority of us are thinking about this disease. That may be true. But that is what makes this important. The current protocols aren't working. This guy is a doctor on the front lines. Gattinoni, whom he references, is an expert in ventilation. This is not a crackpot conspiracy like 5G towers and I'm sick of seeing it dismissed like it is. I have watched all his videos and I have never seem him say it is HAPE. My recollection is he said it was similar to HAPE.

andrewtbham 7y ago

He... nor Dr. Gattanoni are asserting that it doesn't meet the criteria for ARDS, but rather that it's not typical ARDS. Gattanoni states: However, the patients with Covid-19 pneumonia, fulfilling the Berlin criteria of ARDS, present an atypical form of the syndrome. Indeed, the primary characteristics we are observing (confirmed by colleagues in other hospitals), is the dissociation between their relatively well preserved lung mechanics and the severity of hypoxemia.

andrewtbham 7y ago

The New York Times video features Dr Corey C. Hardin at Mass General. The user carbocation is a "a cardiology fellow at the Massachusetts General Hospital" He is a colleague of the guy featured.... My link is to the twitter account of the doctor that disagrees with the doctor at Mass General. This is a clear case... as I suspected... of the people in the article trying to manipulate the discussion about how they are perceived.

andrewtbham 7y ago
One dead giveaway of people getting their friends and colleagues to manipulate the way they are perceived on social media... is when your comment is quickly downvoted... before any casual user would have had time to absorb it.