Gilman Wolsey Podcast

Gilman Wolsey Podcast

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Gilman Wolsey Podcast episodes

  • 23: Heart Attacks, Stroke, Pulmonary Embolism, and Amputations - Blood clots and the Possible Effect of Coronavirus on Red Blood Cells

    Dr. Gilman Wolsey provided updates on current trends with Coronavirus. He then describes how Covid infection is likely causing blood clots and illness such as amputated arms or legs, heart attack, stroke, or pulmonary embolism. We then discuss why it is unlikely that corona virus is able to attack the red blood cells. Recorded April 30, 2020.

    • Update on the latest numbers from the Diamond Princess Cruise ship.
    • Current US Coronavirus trends. The death projections for covid deaths continue to be off. Does anyone really know what's going on?
    • What is blood made up from.
    • All about Red Blood Cells and what makes them different from other cells in your body.
    • Why COVID is likely not able to infect and copy itself within redblood cells
    • What is the likely origin of thinking that coronavirus could infect and impair red blood cells.
    • What are the things that incrase blood clot (thrombosis) formation, and how coronavirus could lead to blood clotting complications.
    • The Veterans Hospital Administration study of Hydroxychloroquine, and why the results do not tell us anything meaningful.
      • 25 min
    • 22: All About COVID Antibody Testing - Results from Antibody Testing Studies and What These Results Mean

      Dr. Gilman Wolsey discusses antibody testing for coronavirus (COVID19). What are antibodies? How do Corona virus antibody tests work and what do test results mean? Recorded on April 22, 2020.

      • What are IgM and IgG antibodies that the current COVID antibody tests detect.
      • How if the COVID antibody test performed.
      • What do the results of the antibody test mean.
      • There are three conpleted studies from Stanford, University of Southern California (USC), and Mass General in Chelsea. What are the results of these studies and what do the results mean.
      • How are policy makers using this information, it seems many are making the wrong interpretation of the results and what they should mean for lockdown policy decisions.
        • 30 min
      • 20: Yujin Vasquez - Living Overseas away from Family during a Pandemic, Business Risks and Opportunity, and the Current State of Real Estate Investing during COVID

        Yujin Vasquez is an entrepreneur in information technology. He currently lives in Jordan (Persian Gulf) for an IT contract. He is also growing a real estate empire providing rental housing in the US. We discuss the effects of the coronavirus pandemic on Jordan, the current business environment, real estate investing issues and opportunities, and general principles for success in life. Recorded April 11, 2020.

        • What the current situation and policies in Jordan (Persian Gulf) to fight COVID.
        • Using masks should be a very strong recommendation to help fight COVID.
        • The struggles living overseas with family in the USA with the pandemic raging.
        • Peoples perspective seems to be related to people around them being impacted.
        • Differing attitudes between people in the US and Jordan.
        • COVID is serious, but it is equally concerning that we can’t have a discussion about the impact to freedom and liberty without being accused of not caring about lives. Both are important and the goal should be to find the right balance for both.
        • The impact of this pandemic on renters and owners of rental properties. There are many landlords that have limited reserves to keep paying the bills for their properties if they are not receiving rents.
        • The bailouts of businesses will likely encourage businesses to operate in reckless irresponsible ways in the future.
        • There are likely to be opportunities for real estate investment in the near to mid term.
        • There is growing risk in the residential and commercial real estate markets and the problems of 2008 may occur again.
        • Even commercial rental tenants are starting to stop paying their rent. This is likely to be a domino effect throughout the rental industry.
        • There are individuals and businesses who are capable of paying their rents or bills that are using the pandemic as an excuse to not pay their bills. As a landlord or service business it is impossible to know who realistically can and cannot pay the bills.
        • Good decisions tend to lead to good outcomes, bad decisions tend to lead to bad outcomes. The balance of good to bad decisions is highly related to success or failure.

          • If you have questions, information, or have unique insights you can discuss with us on the podcast - please email [email protected]

          58 min
        • 19: Shep Wolsey - Managing a small business through the economic shutdown from the COVID pandemic

          Shep Wolsey is the owner and founder of Shep Studio, a unique high end boutique hair salon located in Provo Utah. His salon has been recognized as the top salon in the USA by Salon Today. Shep is discussing with Dr. Gilman Wolsey his perspective on the challenges and outlook for small businesses during this COVID pandemic. Recorded April 9, 2020.

          • A description of Shep Studio and their business model. The impact of COVID regulations in Utah today.
          • How business clients are reacting to inconsistencies in regulations between the state and local governments.
          • Getting back to work may be hard in significant part due to programs that give workers incentive not to work even when they may be able to.
          • The business landscape will likely be different when companies ultimately reopen.
          • Taking care of employees in the short term while trying to preserve the company in the long term so there is work for them in the future.
          • The predicament of very young businesses trying to survive this downturn right after they open.
          • One of the keys to recovery with established businesses is the ongoing loyalty of their existing clients.
          • After the shutdown ends the recovery is almost certain to be a slow prolonged ramp up not an instant return to normalcy.
          • Coping with staffing and overstaffing if business does not rebound quickly.
          • The approach to dealing with clients and their changing financial situation. Businesses may have to make changes to help support their clients who have been long term supporters.
          • Reflecting on things during times of trouble gives an opportunity to reevaluate everything and make long lasting changes that should result in long term improvement to a business.
          • This experience may be the beginning of a new normal, a test run for things in the future.
          • Government intervention in the economy as a whole functioning is a new risk paradigm we have to keep in mind. The “new” government intervention in the economy makes the business environment more risky and challenging than ever.
          • Running a business on the edge so that in crisis the only way to survive is a government handout is a recipe for ultimate failure.
          • There is always risk in life just to live. We all have to accept some risk to live a meaningful life. The question is how much risk is acceptable risk. Should it be the governments place to tell people what risks with their lives they can or cannot take?
          • We are as likely in hindsight to believe that this pandemic was handled completely wrong as we are to believe that the quarantines and economic shutdown were justified given the costs.
          • The risk for businesses to accept deferred payment terms to suppliers and vendors.
          • The single most important focus for businesses is to make decisions that will allow the business to survive so there is something to return back to when this is all over.

            • If you have questions, information, or have unique insights you can discuss with us on the podcast - please email [email protected]

            45 min
          • 17: Masks for COVID, everyone should wear them, it's not as complicated as you are being told.

            Dr. Gilman Wolsey explains why everyone should be wearing masks and why the CDC and other government agencies are creating policies that do not mandate masks to be worn. Recorded on April 3, 2020.

            • Why is the government saying masks are not effective. They likely mean something different by effective that what the average person thinks.
            • Why the CDC saying “effective” for one single person may mean something different than effective if you are talking about a large group of people.
            • Masks are certainly not 100% effective, even in the medical setting. But any effectiveness at all is reason enough to wear a mask.
            • Everyone should be wearing masks. People may be infected and not even know yet. Masks are certain to help reduce contamination of surfaces and spread in the air, how much is uncertain.
            • Wear the best mask that you have available. Use an N95 if you have it, a surgical mask if you have it, a cloth mask if you have that, or a scarf or bandana if you have nothing else available.
            • A model showing how even small reductions in transmission makes a huge difference of total number of people infected over time.
            • What makes an N95 mask different than other masks. How they work and how effective they are. N95 masks are actually fit test to each person who works in healthcare to make sure there is no air leaks.
            • Surgical masks have lots of air leak, they are not sealed masks. They are not fitted like an N95, and so they are not as protective. Surgical masks are probably more effective in preventing someone who is sick from spreading the illness, but because people can be sick and don’t even know it for a long time, surgical masks are still a good idea for everyone to wear.
            • Even though cloth masks are probably the least effective type, there is evidence that even cloth masks reduce particles. Effectiveness of cloth masks is dependent on the type of cloth used to create the mask.
            • The countries that have been able to “control” COVID spread the best have all been countries where masks are commonly used, and their governmental policies have strongly encouraged or mandated masks.
            • Mask recommendations from the CDC and other agencies is certainly influenced by the lack of masks available, but they should just be 100% honest instead of using recommendations and policy that are not completely truthful.
            • There is more risk for health care personal at hospitals than the general public because of the # of infected people in a small area compared to outside of the hospitals.
            • Any reduction in transmission rate by wearing masks, should be reason enough to recommend wearing masks for everyone.

              • If you have questions, information, or have unique insights you can discuss with us on the podcast - please email [email protected]

              29 min
            • 16: Chris Vaccaro - The USA is Moving Towards a Nationwide Lockdown for Coronavirus, how Can Masks Help us get out of Quarantine

              Chris Vaccaro is a data scientist, today he joins Dr. Gilman Wolsey and Jackie Griffin to discuss the current state of the pandemic in the USA and the movement towards nationwide lockdowns. We also discuss the use of masks and how they will likely be major part of the solution to ending quarantines. Recorded March 31, 2020

              • Countries with high mask usage currently have slower spread, further evidence that masks are likely effective.
              • Mask wearing trends and effectiveness of different mask types - Cloth, Surgical, N100, N99, N95.
              • The CDC recommendations for the public to not use masks appears based on controlling mask supply - in other words it’s dishonest. The CDC was even going as far as shaming people for wearing masks which is despicable.
              • An update on the trends of Italy, Spain, and the USA coronavirus pandemic. Comparison of Italy and Germany which are geographically very close, but their experience is quite different at this time.
              • Evaluating the data. Understanding the infection and death curves.
              • Models are assuming a rate of asymptomatic people, but this is not actually known. This makes these models unreliable.
              • It’s hard to be prepared for every possible disaster scenario because the number of possible disasters and their needs are huge. You simply can’t prepare for everything.
              • How do we open up from a quarantine - masks are likely a significant part of the solution to getting people out of quarantine earlier.
              • Containment of disease where it already exists is important to try and get control of the pandemic in the USA. This likely needs to involve restrictions of air travel.
              • People look and think COVID is a problem somewhere else and won’t impact them until it is at their own doorstep.
              • All of life is risk, it’s impossible to live a good productive life with zero risk. What is acceptable risk of an illness that warrants economic shutdown.
              • There has been an increase in domestic abuse complaints and divorce filings in places with long standing COVID lockdowns. Modern couples don’t spend extended period of time tougher, and with the stresses going on now it’s creating relationship strain and breakdown.
              • Medical workers have always had infection risk, but there was always the feeling that there were procedures and equipment to significantly reduce that risk. Those procedures are being altered and compromised to extend supplies.

                • If you have questions, information, or have unique insights you can discuss with us on the podcast - please email [email protected]

                1 hr 9 min
              • 15: How to think for yourself about the Coronavirus, you can’t trust much of what you are told.

                Gilman discusses how data and models are being used and misused by the news with coronavirus (Covid-19).

                • People have confirmation bias, they try and use the information and what they read to support their position. They then disregard information that does not support their position
                • About the Diamond Princess Cruise ship, and how people are not looking at the data from this ship correctly. The infection is very long, and people simply quit paying attention and assume the story of this cruise ship is complete. So they are drawing incomplete conclusions because the story is still not over.
                • There is lots of data being reported such as # of hospital admissions, # of intubations, # of discharges, # of deaths, etc. What do these things really mean. Often the conclusion that is being made, is not actually accurate if you think a little deeper.
                • The dangers of models everyone is quoting on TV, and why you need to be careful trusting models. There are a lot of assumptions (essentially guesses) used in models. If you change the things you are guessing about, then it dramatically changes what the model predicts. Be very careful of trusting anything a model predicts.
                • All the things we do to prevent spread of the illness changes all of the expectations we have. Lots of people are making claims about the infection being less severe than expected, but then ignoring that we are on quarantine which limits people interacting with each other and getting infected.
                • Masks and the nonsensical policy of the US.
                • Variolation has been used in the past, it’s a crude technique of infecting people with a very small dose of the virus. The goal is to give the body the upper hand in creating immunity without having a big exposure. This has not been used in hundreds of years and is likely not to be used today. But is an option for highly lethal illnesses if the risk can be proven to be low and there is no other option. The problem with variolation is that some percentage of people will get sick and die from the intentional infection.
                • The amount of virus your body is exposed to initially appears that impact how sick people get. This may be a problem for families who have someone who is sick at home, other family members may have more severe disease and risk than the first person in their family infected.
                • Doubling time of the virus appears slower now than in the recent past. Why are the “experts” saying that the severity is likely not as severe as previously thought because doubling time has decreased. Of course the doubling time has decreased, people are essentially locked down. That was the whole point of a lock down - to DECREASE the doubling rate.
                • The length of lock downs is likely longer than we are being told, this has been predictable and something we have talked about extensively.
                • States are starting to control travel along their borders.
                • How do we reopen the economy, it’s not easy. The only realistic way to reopen the economy without the infection spreading again is to have something that changes the risk such as vaccines, treatment, aggressive screening and individual quarantine.

                  • If you have questions, information, or have unique insights you can discuss with us on the podcast - please email [email protected]

                  31 min
                • 14: Practical protection from coronavirus for you, your family, and your friends.

                  Gilman and Jackie are back, today we are talking about practical ways to prevent people from contracting the coronavirus.

                  • Update on what’s going on, specifically the impact covid infections are having on health care workers.
                  • Medical supply constraints are apparent in the health care system and heath care workers are being asked to recycle personal protective equipment. The lack of medical supplies is associated with increasing rates of health care worker infections.
                  • In China they wanted all people to wear masks. The reason was for the infected to reduce spreading the virus to others, for the uninfected to hopefully limit risk of getting infection from others.
                  • How you can implement a personal protective plan in your own life using principles that hospitals and health care settings use.
                  • Masks, how the CDC has released true but misleading recommendations.
                  • “Urban” Personal protective equipment, how to mimic health care levels of personal protective equipment in your own life.
                  • Difference of cultures probably impact transmission risk.
                  • It’s very hard to break normal social habits and interactions.
                  • When it comes to personal protective equipment, one of the important things is not only wearing, but how you remove the protective gear.
                  • There are modified techniques you can use to limit the the need for complete Personal Protective Equipment, it all depends on the degree of exposure we are expecting.
                  • “Quarantining” objects such of gloves and shoes for several days should “sanitize” them from coronavirus. Placing things outside in the sunlight, will help sanitize them quicker due to UV light.
                  • Aleve, ibuprofen, and other NSAIDS may be a risk factor for complications from infection. Maybe not…but simple solution is to just use Acetaminophen (Tylenol) then there is no apparent risks.
                  • Steroids in the setting of coronavirus infection.
                  • There may be new risks of medications you currently take in the environment of coronavirus, consult with your doctor to determine if there are new risks with your medications. Specifically with steroids or other immunosuppressive drugs.
                  • People are hyperaware of others, there are now concerns for any sniffle or cough, and others don’t want any exposure even to low risk symptoms. We have all become very aware of those around us.
                  • Two differing opinions on the President Trump’s performance record and how we are approaching this pandemic.

                    • If you have questions, information, or have unique insights you can discuss with us on the podcast - please email [email protected]

                    41 min

                  About Gilman Wolsey Podcast

                  From the publisher's feed

                  Gilman is a Physician who specialized in emergency medical imaging and has extensive experience in travel around the world and building businesses. Jackie is an Interventional Radiology Technologist…