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Farid Jalali MD
farid__jalali
Folks - if your covid patient is doing well respiratory wise but suddenly starts to become delirious and agitated and hallucinate -> tachypnea - it is due to SEROTONIN excess
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on serotonin, SSRIs, serotonin-blockers, and COVID19All causes of ARDS are associated with activation of resident lung platelets and megakaryocytes. The degree to which this activation occurs differs between various etiologies
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Proper attention to 𝗮𝗹𝗹 aspects of pathology in COVID19, simultaneously, is paramount to proper treatment: pulmonary endothelium plateletsProducts of platelet-endothelial
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I believe we do NOT understand PE pathophysiology. Therefore, we do NOT understand COVID19.Serotonin rules PE cardiovascular changes.Serotonin rules COVID19 pathology.1967 paper:https://www.sciencedirect.com/science/article/abs/pii/00029149
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COVID19 causes FLORID platelet activation, FAR beyond what ARDS typically causes. Platelet hyperreactivity in COVID19 is quantifiably higher than typical ARDS and exorbitantly higher than healthy individuals or admitted inpatients.
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Yes. Platelets are those cells that in turn activate endothelium. There is a billion of these platelets and megakaryocytes PARKED in the lung microvascular space.https://www.biorxiv.org/content/10.1101/2020.11.08.372581v1 And there is an ov
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I refrain from recommending a cocktail, but at 200k cases per DAY now of COVID19, I think it may be time to go ahead:I think folks should consider taking an
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Long haul COVIDIs most likely aMast cell activation syndrome (MCAS)(I think .....) Myocarditis of MCAShttps://www.ahajournals.org/doi/full/10.1161/circulationaha.107.741595 https://www.cell.com/trends/immunology/fulltext/S1471-4906(20)30130
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Pediatric Multisystem Inflammatory Syndrome of COVID19 is also a "platelet hyperactivation syndrome", just like Kawasaki's Disease is.The underlying pathophysiology is:Half of circulating platelet biogenesis occurs in lungs fr
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