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Hey everybody, welcome to Health Theory. Today's guest is Dr. Rishi Desai.

He's a pediatric infectious disease doctor who was also formerly a member of the CDC

working in their viral disease division doing outbreak research.

Additionally, he's a chief medical officer at Osmosis

and has been a leading voice across pretty much all media types educating the public daily on the current state of COVID-19.

Dr. Desai, welcome to Health Theory. Thanks a lot for having me. You can call me Rishi by my first name.

Amazing, man. Well thank you so much for joining me. I'm really excited to get into the current state of this.

Give us the most up-to-date learnings and the things that I care most about are obviously what is actually happening inside the body.

Is that obviously everything that we do to protect ourselves, the solutions to this are all going to be predicated on us pinning that down?

Yeah, so let's get into that. You know, the virus enters your body. Typically you're going to get it in through one of three passageways, your eyes, nose and mouth, probably most of your nose and mouth.

And once it hits the back of your throat, that's where it starts its journey. It starts infecting cells and gets down into your lungs.

And that's been the story for most of this outbreak. We've thought about it as a lung disease and talked about it as infecting the little alveoli and causing damage to the lungs.

And I think what we're learning now, you asked me about kind of what's the bleeding edge. I'll tell you it's the blood.

And so as you go across from the lungs into the blood vessels, it's what's happening in the blood vessels.

And I think that's what we're starting to realize right now. In the past few weeks, we've seen more and more studies talking about strokes and young folks.

And so so in your age shouldn't be getting a stroke. You know, you're a healthy person, presumably. And now we're seeing strokes and people your age, my age for sure. And that's worrisome.

You know, people have thought up until now it's a disease of old people and it's a disease of lungs. And now you tell them, well there's an actual increased stroke risk.

Because it causes endovascular damage. It's literally infecting the cells that line the blood vessels and damaging them. And what does that sound like? Well that sounds like what sets up for a heart attack or a stroke.

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