It’s genetic and how your immune system over reacts when the patient builds immunity to the virus. The patients immune system goes into overdrive and impedes your lungs.I don't want to sound callous but I'm finding it really puzzling as to how the same virus can affect people in such different ways. At the start of all this it was all about 'underlying medical conditions' but that seems to be relied on. Why do some people get no or virtually no symptoms yet for others its terrible.
Whilst its clear baseline health is a factor there has to be something else at play here. Do genetics play a factor? It certainly seems to affect men worse. Also there is this whole concept of viral load and if you're exposed to a lot of the virus as just opposed to a small amount.
I am hopeful that in the future a lot will be learnt from this and hopefully we'll be in a much better position to fight the next pandemic when it comes along , as it positively will. Obviously this is not much use to those in the middle of the whirlwind right now.
It’s the reason some heavy drinkers and smokers develop different cancers and others breeze through with no problems. We all have similar DNA, it’s just some parts of the ladder have dodgy rungs.