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 who loves to travel the world and is a master travel planner. If you have questions, information, or have unique insights you can discuss with us as a guest on the podcast - please email firstname.lastname@example.org
23: Heart Attacks, Stroke, Pulmonary Embolism, and Amputations - Blood clots and the Possible Effect of Coronavirus on Red Blood Cells
April 30th, 2020 | 24 mins 46 secs
ace2 receptor, amputation, blood, carona virus, clotting, computer modeling, coronavirus, covid, covid19, diamond princess cruise, heart attack, hemoglobin, hydroxychloroquine, plasma, pulmonary embolism, red blood cells, stroke, thrombosis, va, vacuole, veterans administration hospital
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.
22: All About COVID Antibody Testing - Results from Antibody Testing Studies and What These Results Mean
April 24th, 2020 | 29 mins 20 secs
antibody testing, chelsea, corona virus, coronavirus, covid, covid-19, covid19, igg, igm, la county, mass general, san mateo county, stanford, university of southern california, usc
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.
April 22nd, 2020 | 21 mins 32 secs
coronavirus, covid-19, covid19, italy, lombardy, nursing home, pandemic, social unrest
Walter Moraschinelli is an Italian freelance writer living in Lombardi Italy. He joins host Dr. Gilman Wolsey to discuss what is happening in Lombardy to give insights and perspective as someone living in one of the areas most impacted by Coronavirus on earth. Recorded on April 12, 2020.
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
April 12th, 2020 | 57 mins 25 secs
business, coronavirus, covid, covid-19, disease, freedom, gcc, gulf coast countries, jordan, landlord, liberty, pandemic, real estate, rentals
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@example.com
April 10th, 2020 | 44 mins 28 secs
bailout, corona virus, coronavirus, covid, covid-19, economy, government, pandemic, policy, quarantine, small business
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 firstname.lastname@example.org
18: Kyle Keegan - The economics of a pandemic, COVID has exposed a lot about our economy and human nature.
April 7th, 2020 | 1 hr 48 mins
corona virus, coronavirus, covid, covid-19, economy, government, pandemic, policy, quarantine
Kyle Keegan and Dr. Gilman Wolsey discuss the economic impact of current policies and the economy in general. We explore ideas and theories how COVID is and will impact the economic outlook of the USA, and how we might move forward most effectively.
April 5th, 2020 | 28 mins 15 secs
bandana, cloth mask, coronavirus, covid, covid19, mask, n95, sars, scarf, surgical mask
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@example.com
16: Chris Vaccaro - The USA is Moving Towards a Nationwide Lockdown for Coronavirus, how Can Masks Help us get out of Quarantine
April 2nd, 2020 | 1 hr 8 mins
cdc, corona virus, coronavirus, covid, covid-19, divorce, domestic abuse, face shield, germany, italy, masks. n95, n100, ppe, quarantine, spain, usa
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.
March 31st, 2020 | 30 mins 11 secs
coronavirus, covid, covid19, cruise, data, diamond princess, doubling time, expert, models, news, predictions, sars, vaccine, variolation
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.
March 28th, 2020 | 40 mins 52 secs
acetaminophen, cdc, corona virus, coronavirus, covid, covid 19, covid-19, covid19, epidemic, health care workers, ibuprofen, inhaler, mask, nsaid, personal protective equipment, ppe, president trump, quarantine, social distancing, steroids, transmission risk, trump, uv
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.
March 25th, 2020 | 52 mins 11 secs
coronavirus, covid, covid19, data, data analysis, italy, mers, pandemic, prevention, projections, sars, spain, statistics, technology, trends, united states, usa
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.
March 24th, 2020 | 19 mins 53 secs
airlines, airport, australia, california, canada, coronavirus, coumo, covid19. covid, dry cough, fever, italy, new york, new zealand, temperature, travel, ventilators, washington state
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.
March 23rd, 2020 | 32 mins 13 secs
15 day to slow the spread, california, chloroquine, coronavirus, covid, covid19, europe, italy, lockdown, new york, quarantine, testing, travel ban, washington state
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.
March 22nd, 2020 | 29 mins 47 secs
ambulance, coronavirus, covid, covid19, emergency medical technician, emt, er, masks, n95, personal protective equipment, ppe, scba, testing
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.
March 21st, 2020 | 55 mins 6 secs
coronavirus, covid, covid19, europe, healthcare, norway, pandemic, quarantine
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?
March 20th, 2020 | 36 mins 58 secs
business, contact tracing, coronavirus, covid, covid19, deregulation, drive through testing, home testing, israel, italy, layoffs, pandemic, ventilator
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.