Gilman Wolsey Podcast

By Gilman Wolsey

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 ... more

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FAQs about Gilman Wolsey Podcast:

How many episodes does Gilman Wolsey Podcast have?

The podcast currently has 22 episodes available.

Gilman Wolsey Podcast episodes:

March 26, 202013: Coronavirus by the numbers. Insights of a data analyst
Chris Vaccaro is a data analyst who evaluates data for companies and university researchers, then finds trends to help make predictions and guide decisions. We discuss coronavirus data from around the world, and what we can expect based on data analysis.
What does a data analyst do exactly?
Measures that governments are taking to fight coronavirus are really bottom up, the people are demanding strict measures, and the governments around the world are responding to that demand.
How COVID-19 is spreading, starting in large metropolitan areas with large international airports, then spreading out into the suburbs and beyond.
The attitude of people and how much precaution populations are taking is related to the population density. The denser the population the more seriously people are taking prevention measures.
More densely populated areas are more likely liberal leaning compared to rural areas that tend to lean more conservative. This has also impacted how we have been able to come together as a country. This is leading to mistrust in government on both sides.
It seems that Coronavirus has to hit close enough at home for people to realize the gravity of the situation and make changes themselves.
What seems like a large number of new daily cases today, will seem small in the future if the rate of infection continues like it has. It’s very likely we would see tens or hundreds of thousands (or even more) new daily cases if measures are not continued and even expanded to control the spread of disease.
Case fatality rates, number of deaths per number of infections, have actually increased significantly in many modern countries as time has gone on. In Italy the ‘known’ case fatality rate has been approaching 10%.
The risk is currently greater than people actually appreciate, especially if you consider their important groups like a family. If an entire family of four is infected (e.g. father 50, mother 40, and two teens), based on currently published death rates by age, 2.1 % of families (1 out of every 50) would lose 1 of their direct family members.
Companies are rushing to meet the ventilator and other needs, Ford is working on making a ventilator from existing F150 parts, other businesses are looking for innovations to help solve our ventilator crisis.
Even though this is a terrible crisis, it does appear that in many ways that many people are coming together and acting more compassionate and caring to each other.
Why the CDC says masks are not effective, and why people probably don’t believe what they are saying. The CDC Is actually correct but not for the reason people think.
Why are many Asian countries (excluding china) experiences with coronavirus so different than the USA.
Singapore's tracking system, and why we could currently not do the same in the United States due to patient privacy laws.
Will our experience with coronavirus make people feel and act with a greater sense of social responsibility to look out for each other.
Many Asian countries were more prepared to handle a disease like COVID, because they had recent previous experience with similar diseases such as SARS and MERS.
Technology in helping to curb disease spread. Is there any way to do this since we really can’t trust the government.
Keep an eye on Spain, we will learn a lot from what happens there.
If you have questions, information, or have unique insights you can discuss with us on the podcast - please email [email protected]
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53min
March 25, 202012: Ventilators, ventilators, ventilators. The US needs more ventilators.
Gilman discusses the current issues and concerns about the ventilator supply and distribution in the US today.
There are limited supplies of available ventilators including in the national stockpile.
Governor Coumo has requested a bulk of the available ventilators from the national strategic stockpile. If those ventilators are allocated to New York, then those ventilators will likely be tied up and unavailable to other states to use for their patients when they need them in the near future. New York needs them now, but your state will almost certainly need them in the near future.
Large cities, especially those that have international gateway airports, appear to be the initial sites where infection has occurred.
It’s expected that infections will begin in the large cities and expand outward into the smaller communities.
Comparison of ventilator availability in the US compared to other similar countries.
Fever and dry cough are the most reliable symptoms for detection of corona virus.
Taking people’s temperature is the best method we have at the moment to screen people for possible coronavirus, it’s not a great or accurate test, but it’s the best we have. Taking people’s temperature is being used in government, industry, and hospitals to screen for people the that are possibly infected with coronavirus.
Discussion of statistics on coronavirus from the US.
Some areas of Italy have stopped offering hospital care to anyone with coronavirus over the age of 60.
The continued risk that airline travel poses to communities when someone travels from a coronavirus hotspot in the USA.
If you have questions, information, or have unique insights you can discuss with us on the podcast - please email [email protected]
Links:
Study of Ventilator Availability During a Pandemic (2018)
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20min
March 24, 202011: The coronavirus pandemic grows, is the US making the right decisions
Gilman and Jackie are back discussing the state of Coronavirus in the US and abroad with updates, changes in current perspective, and analysis of where we expect that the US policy is headed.
The number of positive coronavirus cases continues to grow dramatically in the US, greatest in New York
A comparison of US to Europe and why we should view the patterns of coronavirus spread in the US more like the European Union as a whole and not each individual European country.
It makes no sense to block travel from Italy to the US when we don’t restrict travel from New York to the rest of the United States.
If hospital capacity is utilized for coronavirus patients there will be no remaining capacity in may areas to handle other medical emergencies. Lack of hospital capacity impacts more people than just people infected.
Washington, New York, and California may deplete national medical and equipment supplies. States impacted at a later date may suffer greater supply shortages because stockpiles have already been distributed to early impacted states.
States may stop cooperating and competing with each other and look out for themselves and their own people as resource availability tightens. The same situation is likely to happen between neighboring hospitals, and is already happening in some places.
The effect of any policy put into place takes 3-4 weeks before we even see the start of any change.
Places around the world are responding by creating new patient capacity. The real question is how quickly we can ramp up production of supplies and equipment.
If our goal is to contain the pandemic, the speed the US is going is not adequate.
If countries choose to try quarantine, it needs to be strictly enforced, a part quarantine costs the economy without achieving the desired control of containment.
The 15 day plan in place now, is not succeeding to stop the pandemic.
The pattern in Europe has been clear. If quarantine is desired, only strict enforcement is respected, lax requirements lead to poor compliance.
Testing in the US is going in the wrong direction, recommendations have changed to only test those patients where we think the test results for coronavirus would impact care for that one patient.
Rapid coronavirus test, and the impact that it may have.
Why chloroquine shows promise that it may actually work to treat the coronavirus, but we still need to prove it. However we can give this to patients now and figure out as we go how effective it is. In fact I have been hearing from physicians in Seattle, that this is being used for patients with respiratory symptoms concerning for coronavirus.
There are low levels of coronavirus infection in Africa, this may be because many people in Africa are taking Chloroquine to prevent malaria. This may be protecting them from coronavirus infection.
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33min
March 23, 202010: How will the Emergency Medical System cope with coronavirus.
Jordan Madrid is an Emergency Medical Technician (EMT) working on ambulances. He lives in Albuquerque New Mexico. We discuss the current medical system, supply shortages, and things that are changing in the era of Coronavirus.
An example of the state of preparedness and supply levels in the medical system. Personal protective equipment (PPE) policies have been changing due to supply shortages, it’s all about trying to stretch current medical supply that hospitals currently have.
First responders are getting creative to find different forms of personal protection, such as fire fighters using their Self Contained Breathing Apparatus (SCBA) when responding to medical calls. Normally they only wore these for fires.
How the first responders are triaging more in the field to take workload off the ER’s, including new uses of technology.
The hospital systems historical and current levels of usage and available capacity. Time to get results from Coronavirus (COVID) tests have increased from a day to 4-5 days due to increased testing volume.
Drive up testing centers have helped to reduce patient volume and medical supply usage.
Rapid Coronavirus testing may help take loads off of our medical systems.
Changes emergency first responders are seeing in the public and how different people respond to the uncertainty that’s going on.
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30min
March 21, 20209: What can the US learn from Norway's experience and actions towards coronavirus
Arun Siva was born in India, lived much of his life in the United States, and currently lives in Norway. He works in business development, logistics, and supply chain. We discuss how coronavirus has effected Norway and how they have responded. We also discuss changes he is seeing in Norway and what the long term changes he expects to the society there.
Norway was slow to respond to coronavirus but when they acted they imposed very strict measures. The tipping point was when someone under 25 years old who fell ill and died from coronavirus. The US is likely to have a similar tipping point at some point in time.
Even though there have not been a lot of deaths in Norway, there are a lot of people in critical condition with ages typically between 18 to 69.
Testing in Norway has been aggressive, and they are doing everything they can do to test the population. This includes sending technicians to homes if people need testing.
Norway (like the US) is pushing through aggressive stimulus to keep the economy alive. We also talk about Norways equivalent of our social security and unemployment system.
Norway was the one of the most infected European countries early on, aggressive continuous action, including aggressive testing has been in place. They even quarantine people who are traveling within Norway just between cities.
It would be difficult in the US to do exactly what Norway has done because of cultural attitude differences of social responsibility.
Discussion of the US and Norway health care system, difference, and costs of care. Why it would be hard to implement a health care like Norway in the US.
The difficulty of emigrating to Norway, and the changing opinions towards emigration that seem to be fueled further by the current pandemic situation.
Red tape and regulations in the US are being cut at unprecedented speed.
Will the world move more towards nationalistic self sufficiency instead of globalism?
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56min
March 20, 20208: How Israel is combating Coronavirus, and how the pandemic is affecting business
Discussion with David Larav who is from Israel, currently living in Colorado, and has family living in Israel. David is a business owner and we discuss current impacts to business and what we expect for the future of small business.
How Israel has been rapidly acting to proactively contain coronavirus. They have had some of the most stringent entry actions to prevent spread of infection.
Home testing for coronavirus and why it may not be very reliable. Why drive through testing is a better model for testing.
Israel is reportedly using cellphone data to determine who has come in contact with infected people to prevent spread.
Health care in Israel compared to the United States.
How coronavirus has currently impacted David’s small business and changes he has had to implement.
Gilman’s Vietnam business and how it has impacted his software development company.
With coronavirus the way we do business and educate people may be changed forever.
Deregulation will help to solve our staffing shortages during the pandemic and may impact the future of how medicine is practiced.
Italy’s shortage of medical equipment to deal with coronavirus has been a big factor in their high death rates. The US is also vulnerable at this time to the same issues and things that may help us get through equipment shortages.
A high rate (48%) of 20-64 year olds are being hospitalized in the US, but are more likely to survive, but this could change if medical equipment becomes unavailable.
Sharing equipment or transporting patients between states may become difficult as states look to protect their resources for their own people who may become sick.
If you want to see what likely will happen in the US, just look at Europe.
Gilman and David discuss the expected difficulty getting life back to normal after people are in quarantine.
If you have questions, information, or have unique insights you can discuss with us on the podcast - please email [email protected]
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37min
March 19, 20207: The USA prepares for Coronavirus, Italy worsens, and how a pandemic ends.
Gilman and Jackie are back discussing the latest actions and projections on where the Coronavirus outbreak is heading.
We Discuss:
An update on Italy and how the coronavirus situation continues to evolve.
Italy is the country we need to all be watching, we explain why. Spain is also somewhere you should be watching.
Can we convert BIPAP and CPAP machines to allow less critical patients from overwhelming our ventilator supply?
Why you should pay attention to the death rate especially to tell what’s going on with the infection rate in the population.
South Korea has bad but more favorable death rates compared to many ares, but the US is not acting like South Korea. We are more likely to be like Italy based on our actions and preventative measures.
What it takes for a pandemic to end, the reason infection rate matters so much.
The differences between virus and bacteria.
What is triage medicine, and why we cannot expect the type of care we are accustomed to receiving in the United States.
If you have questions, information, or have unique insights you can discuss with us on the podcast - please email [email protected]
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33min
March 18, 2020 6: Airline travel in the world of coronavirus pandemic
Today we talk with someone involved in logistics at one of the major airlines. He explains what has happened to the airlines, who they are doing to try and make air travel safe, and what he believes is the outlook for the airline industry.
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25min
March 17, 20205: Another day brings more Coronavirus Impact to the USA
Gilman and Jackie discuss what is going on today with Corona Virus and how countries around the world are responding. Topics include:
What is meant by mild, severe, and critical Corona virus (Covid19) infection.
How Governor Coumo in New York is the most honest politician right now, and what is New York’s hospital capacity and outlook right now.
What todays state of spread of coronavirus is. We explain how young people lives can be impacted, and why they need to care and take precautions too.
Evergreen Hospital in Washington State has had some of the largest numbers of patients with coronavirus, we discuss the situation there, some other reported issues, and what they are doing to cope.
The current risk to our hospital system, medical device, and medication supply.
Why the likely true population of infected people really are. About coronavirus risk factors including a discussion about high blood pressure and how it impacts risk from coronavirus.
How countries around the world are responding today.
Why you should probably still get the flu vaccine.
What is Chloroquine, and will it be used to treat Coronavirus.
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33min
March 16, 2020 4: What can we expect from coronavirus in the USA - learning from the Netherlands experience
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31min

FAQs about Gilman Wolsey Podcast:

How many episodes does Gilman Wolsey Podcast have?

The podcast currently has 22 episodes available.