El Podcast de Marco Antonio Regil - 359 - El lado oculto del vape - Marco Antonio Regil y Dr. José Manuel Mier

Episode Date: January 20, 2025

¿Vapear es realmente menos dañino que fumar? 🚬👀En este video, hablamos con el Dr. José Manuel Mier, un experto en salud pulmonar, quien nos revela datos impactantes: desde cómo afecta el vapeo a tus pulmones, hasta los riesgos ocultos de los líquidos no regulados.Además, exploramos si el vapeo puede ayudarte a dejar de fumar y qué tan peligroso puede ser en países como México, donde la regulación es casi inexistente. Si quieres cuidar tu salud o simplemente entender más sobre este tema que está en boca de todos, este video es para ti.La clave para alcanzar metas de salud o de cualquier tipo está dentro de tu mente.Te veo en la nueva masterclass “Rompe las barreras y diseña la vida que deseas” para que encuentres lo que te detiene y lo que te llevará a cumplir todo lo que buscas.Regístrate aquí y transforma esos bloqueos en tus mayores aliados: https://marcoantonioregil.com/vida-podcast/Sigue al Dr. Mier: https://www.instagram.com/doctor_mier/ En mi canal de Telegram, accede a contenido e invitaciones solo para fans. Únete en: marcoantonioregil.com/telegramDescarga GRATIS nuestra revista digital y encuentra información inédita del episodio de la semana. Da click en https://marcoantonioregil.com/aprendamos *Importante: Nuestros invitados son expertos en sus temas y reflejan su conocimiento y su punto de vista, siendo conscientes de que cada una de las opiniones es totalmente personal. La información, datos, comentarios, estadísticas que se presenten en el Podcast de Marco Antonio Regil, son de exclusiva responsabilidad de quienes las emiten y no representan, necesariamente, el pensamiento de Marco Antonio Regil o de la producción del podcast.

Hospital Angeles Health System Presenta What is the damage that the cigarro and the vapeo and without going to in what level you're going to be in the risk of a cancer

of pulmon, of the fissima? Mexico has three millions of consumers. These three millions of consumers of babe and tobacco-alentated

and other dispositions, diarious are you're who, who, who know? One more, we're doing to

the rizos of the roulette. We're not, we're doing, that's the there is there

into the the liquid. The liquid. The liquid I've seen for vaporizers with glycerina for acerina

for a velas. How can someone that's a time a year and you're doing an exam? For that we

know the effects a long-placety of the vapators, then they're to pass 20, 30 years.

So, who decides that he met to the waterers? Look, I, for desgras

you've just, you I've many years in this and it's very and in this

affan to know how they can't make the liquids in Mexico, I can say

I've seen that I've seen of the whole. The famous vapator that's in a

amount in form very, very, very, very dramatic in the

world entire. But much people people start thinking

that is less than than the thing, and there people that is

going to get more than just today, we're talking with a

medical to do the fact the and the the theme

of the vapiators. It is maybe the expert more important that we're in Mexico in this

thing. And we're going to ask that it's more more sano, well, no more san,

less than than than than than the regulations. Because in many countries those vapadores are

regulated, but in countries like Mexico, you know many experts us have

said, not they're not done there's there's not a lot of

there there there there can't be the consequences. Not only

we're about the cigar, of the people that not fuma, but is a lot of a funer, of the toxins that

in the air, in the media environment, the people that are that's trying to sprays in the house, so what are

the wayla rick, et cetera, and what are the consequences for our those pulmones before that we need a

cancer of pulmone, to avoid that we get there. And if we get us, how can

try? And what are the benefits of the medicine modern specifically the surgery

robotica. Today, the doctor Jose Manuel Mir, ciruhan of Torax the

Hospital Angeles Lomas, part of Angels Health System, will be with us to give us much education in form amen, in form a different, and about data confiables. So, keep us with us, listos to learn together. So, so we'll start.

Episode 359. The podcast of Mark, Antonio Regil, is a production of Argyll Entertainment, and all his rights are reservedos. Welcome, Dr. Jose Manuel, Mier. How are you? Very happy to be

here with you, Mark, and with the people that you hear of the thank you. Thank you. More of nine years of your life, studying these

these dispositions these different those famous vapeators, that don't have done in the market, of the actual.

The device is, the device electronic was in China, like many things that in these in these

years, it's invented in China, with the objective, precisely, to paliard the effects

secondaries of the tabakism in China. As a fact that the people know,

of the 100% of all the cigars that are produced in the planet, the 50% are in China for consumption internal. Is that you, the country that's the country that's the world.

The 50% of all the cigars of the world are produced in China for Chinese. So, so, so, so,

so, it's a problem tremendous of health public yeah, and, with the purpose to palliar

that epidemic is that invented the device electronic. Okay, many many people who have been to the program us have said

that the vapier is the industry of the tobacco, of the nicotina as like the empire counterattaca no, like we,

we're tuitary the humo of the cigar, then we've re-inventing and renacemos and we'll to attack with

the vaper that in many cases, it's being more than more than being used to use it

to stop them, but as they don't it, and it's and it's going to beapeer into the places where the

cigar is prohibited. They're ingriending much more toxic than when they were. The, the truth is

that there's there's a much controversy and there much disinformation. I'd say that the immense

majority of the community medical no has good information. They're they're getting

to get by information or more information. The reality of if

is better or is better, I'd say, depend day where

consumas these these and if do you do you do do you

do you and what and what depends of what you do you do you

do you because the places that you implement like a policy public

for pallial the epidemic of tabakism for example

reing unino Japan the Union European New Zealand

etc are so all these these these these

are By regulations regulators very severe. Two, and three, they're an authority very competent that has to complete. That's the rules. So when you have that, those things function. Obio. You know,

you know, that's a product that's true, that only is it's not, not is permitted, for the event to men, and when you have a product secure and well, is the indication,

well is the indication, then to, then to get us, to, people adulta that has fumed and that has

done to have done it. But with with some limit, not just vape to do it what you

want to be able to what you're obviously the part fantastic of the the devices and the why are you

and the why are you and that get very clear that I'm going to do the opinion

of Jose Manuel Mier. The studio Cochrane Cochrane is the agency investigator

medical more prestigious of the that this year in February is a revision exaustiva of almost 27,000 patients englobados in

many studios, where for fin, they're just incontrovertible the fact of that the vapeer is to stoper. So how

it's very simple. The vapeadores have two advantages very great. Recordemus that the

fumator has two dependencies. The physical, which is the that is the that is the nicotina that in the body

and the psychologica that is this of the ritual of being a party with a cupita in the hand and a cigarette

in the other etc. So the vapiator can't really with those with those dependencies.

For one one side he administer the nicotina to the subject with the which no in syndrome

of abstinence and for the other side palia the dependency psychological and how they're

the question would be And now how they're going to And if it's and if it's and if it's sir,

and I'm the opinion of Joseph Manuel Mier, is the revision the review the World of Cochrane

that is the Ministry of the British implemented in his practice a day.

The liquids have nicotina and have concentrations different so you for example to make

a grand fumators, people who's fumma a major two caget two cagetillas

all day you start with a concentration of a lot of the 15 days

is the reduce it's at the middle. The medical is doing this of the so the patient.

Yes, the clinics of desabituation tabacic. Okay. At the 15 days, they're

reducing, it's they're reducing, and in a last of a two months, two months, you have

a subject disavitual of the dependency of the nicotina without any one one

for syndrome of abstinence. So it very well. And it effective. So, so,

as like it is effective. So, and the data are not really so, so,

fumable the 27% of the population adult-britanic. Today, I'm from the 5% I'm going to put a case fantastic because it's one of the most of the cases

most exitosoes. Fumama, more or less the 25% has a decade. Today, he fumed the 5%. Wow.

How? They've migrated to those fumators of tobacco classical, yes, they've migrated to dispositiv

electronic or other forms of consumption of nicotine. The parche famous. The parches, the snus

that in Mexico we have are some little bolsitas like bolsites like bolstas like they're in tobacco pasteurized

that's put in the carrillo of the language at the barrow of the labo for that you administer the

nicotina the subject no has a stinensia and then not want to feel like so the

results are brutales are rotundos for example suezia came to present this year

a 10 years of the introduction of these measures, the result of EPOC

and the and the we've got to get a question, you know, the country of the

Union European with the percentage of the public and the same results of

epoch. The country of the Union European with less EPO is Swet. All

what, all thanks to that politics of public, very well well

good regulated, very well supervisated. The disgrace of America Latina is

that we don't have regulation and if If we had the authority competent to to make it up to do. That's what we've said

other experts. For one, that's wonderful news to to be that's that's serving. But you said, things are the key things that's

regulated and under supervision medical. In our great Mexico, and in Guatemala, and in Ecuador, and in Colombia.

Latin America is all the same. No, it's not not they're doing with supervision medical. And the

great problem is that there there's a grand market of vapidators. So, so for that you

know, in Mexico has a million of three people who are so much, that's

the vaping of the liquid that's when you when you when you when you see the liquid

that's the way that's very well that's three things. Trairin' glycerina, propelengly

glycol, salels of nicotina and savorsates those who are, for example, in reposteria. So, so only train those four things.

What is the good of the vaporizers that you don't quam-n't nothing. You, when you're when you're fomomom, and you're, you're doing a little chupada, the point, it's a lot of

90s degrees. When you have 90s, the tobacco is quake, generate a newbe of a newmob that inspires. At inspire, you metes

7,000 substances solid, toxices in your organism. 7,000 substances. Of those, 90,

each one of them. 90 cancerigenes. It's correct. In every chupidita, but so it's that they're

that's not that's a carcos of cancer. Effectively. Yeah. What is the vaporizer? The vaporizer

and you, we've got glycerina, propylene, glycol, salels of four ingredients. And,

flavorisants. And one of those is cancerigeno? Some of these seven thousand substances

that were all came the tobacco. When you you know when you don't get about.

Because the vaporizer what you try is a pile that's a realtorize the liquid. So, number one, no has tobacco.

Number two, no quim a number two, it's a vaporisa a liquid. So that's the liquid has vaporized has been 95%

less of substances solid, toxic for the organism to comparison of the new of the that's correct.

But here in Mexico, here is the problem. So, who's, who's, who's

what they make, to the people, I'm for The disgrace, you said that I

know I've got to this and it's a fan to know how they're the way of

I'm going to I've seen I've seen I've seen done random as do you do you

one of the components I said that is glycerina sure the glycerina that's used in New

South Japan or in England or in America is glycerina I've seen here to make to use

savourisants that are approved that are for the consumption oral, but not for

the consume inhaled. So, that's not can't do do it. So if you consummes

products that not have passed for a control sanitario, then you are risked

to to perjudicart much. What has been has been in the other

in the students? I recently the Secretary of Salud did a

study where analyzed some liquids that were in the market and they're insecticides, vener for

cucarachas, et cetera. And it's they said, no, is that the babes try in veneno

for cucas and they're and so what, okay, in that liquid that they're that's

so. Now, well, what I know me not me didn't say,

all the vaporizers, try in benen and they're the rats, because not it is

really. Because if you have you have analyzed a liquid of a cigar produced in

in Scotland, or in Switzerland, then they're not had been that they don't know. So,

imagine it, you can't get a papiador and you know and you know that's

regular, and you could be that could try to that's enough. The

people that is listening and that is, God, what I'm what I can do

do do you, I'm what I'm what I do you, I'm in tinderas

debapeo, that there are many in this country, and fifted in the impackes, that the makees

that they're in the seal of FDA or C.E. That at least are two agencies regulators, one

American and a European, that's and the can't be falsified? For that you

know, you know, you know, you know, you know, you know, but you can make,

but you want, if you want, you know, you know, you know, a chance it's a

chancecito, regulatory. What is, I do recommend, for the course is that they're in the

market in the market and they're in outside of the restaurants, in the banquettes. It's not it's prohibit.

It's illegal. It's illegal. It's prohibido for a decree presidential, that, that also

contravino the auto of the Supreme Court of the Justice to the nation.

The Supreme Court of the Justice of the nation failed to the

public the public the Mexico. No, you know no

no, there's no, there's over the Supreme Court, except the Decretto presidential.

So when the Supreme court says, if the regularen it, it's, the president Lopes

Obrador and he said, no, no, they're they're on the courted by so we

do it is what we're to do do it is what would be to be what

I'm I'm, I'm, I don't we're to inventing nothing.

Just copy to those who have done to do. The Swiss and those have been exited.

In the United is regulated. Yes, yes, the United. The continent

American is regulated. States United, Canada, and some device electronic here

in Mexico. There are two companies that have taken tabac calentado, that is

a device electronic, yeah regulated and with the public legal. Yeah,

they're in tiendas of auto-service and of Tendezes of conveniences, you know, but in the rest of the,

the rest of the vaporizers, is prohibited, the vent, the distribution, the consumer, et cetera, et cetera. Now,

obviously this is just nothing as a, a point to get to consume them. It's correct. You,

you're going to not to recommend to the never, that the people that we can't make very

clear that the people are very that the exclusively for funer adulto that no he has

been or not have to be to be never for that have have been

fumed never for menores of age and I personally even in Englander's they do

I'm in barasas in Englanda so they're recommended to them are inbarasas oh well there there's

many many do you know and do you know, that have demonstrated that those they're bad

well embarrassas fumadores for us for supposed ah okay okay in the

instead of fumar is correct exactly so what the clinics of cessation tabak

in reing he gets a man embarrassed and say, oh, I'm, I'm sorry, to have you to have to do you have to smoke. He's a

electronic and 400 libres sterling in effective for that's all the end up to do you. It's just to do you know, the ideal is

better than obviously. Exactly. Because now if it's still being a vice here we're talking with Danny,

our producer technical that he's going to look, we're going to get an episode for you and me says,

Marko, is that no I'm no I'm, I don't me you know, what you say? What? A person like MAPTA.

What I mean, what I'm doing. What ideal is no fumar and not vapeer. If you're going to have to choose one of the two, I'd say, vapea. Dispositivos, comprows in a tienta, that have FDA or CE.

And as, and as, and as it, you're going to go back into? There's to go back into the concentration of nicotine, for that you goysmituating and get a moment

in that you don't need, you know, even vapeer. What percentage at the month, a second

how do you know, when there's when there when there's when there the regulation maximum in

Europe is of 18 micrograms of nicotina for a dispositive for pot no?

For those who are who are paying know what is a pot is the the

container that's the containerer that's yeah yeah it's there

there many many infameless and there was 50 microtrams. So it was terrible because

the people was addicted to the nicotina in those places where it's regular. In Mexico no

we know. In Mexico, we know nothing. It's like the selva. Look, Mexico is like

the left the east. So, so. But Mexico, Guatemala, the Salvador Latin America. Latin America.

Latin America is like the Salvation Oeste. So, so, so, so,

in the salvage oest, entravas to you know, if you would be to come to talk about

the piano, he'd do them and that's well, that's not a way,

so you go to a city of a little bit to do you know, it's a little bit more

you get to you're going. So, the things have to do this America, unfortunately,

in this moment, we're not we're doing the thing. So what is a

reforma and that's the people that's bade and the people that you recommend

is that you go back that's that not that's that's and that and that

that's going to go with a medical, because the people who says that I can't do it's that I'm going to

if you're not a few because the thing you're in the cigar he's used then you have to investigate

and try it what is the thing that's the thing that the vapes without what is the do you

is only to the only to the system immunological so in how in how you

you're you're getting in the risk of a problem that's what is

a pause a pause and going going to Volvying of the Pausa, we say, what are the consequences

and the risks and how identify it. Adelante. Pausita, and we're going to the podcast. In Hospital,

Angeles, you can't operate in the future. With ciruia robotic, that is more precise, secure and

less dolorous than a operation abirta. It's less probable that you need to

a transfusion sanguinal. Also, you'll have less complications post-operatorias and

Your stanza in the hospital will be a minor. Luchamos for your health with the best technology. Continuamos with the podcast and is the doctor Jose Manuel Mirzirir-ciruhano

of the thorax of the hospital Angeles Loma of the system Angeles Health System about just about the vapiators.

We're going to talk about the dao that's the daoers, the damage the day the carros, the aerosoles,

the contamination in general and how to avoid that we can't cancer of pulmone and if

And you'd do, oh, I don't, a you, a team, a new, a surgery

robotic and modern, that has just a hospital, Angeles, can help you know, how has

modernized and the and the grand advantages. The ideal is that we're talking about the,

we're talking about, our dear, Danny, producer technical of the podcast,

and he says, I'm, I'm, I'm, but yeah that they're talking about

me, he said, well, he said, he said, he said, he said, he comes

his own his own liquids, that propylene glycol. Propylenicol, glycerina

vegetal, and a certain in the place in the place. I go, how reposteria?

You know, you'll be pastels, say, and he'll and he he'll he's

a flavor concentrated. So, he's he's that if he he's his

ingredients, is a good, is a, is a, is a do it, I'm,

I'm, I'm, I don't recommend because, insist, although you them

as as well as I say I of the savourisants there's there's

there's that for ingest oral are perfect but not for other

ways in a reposery and a and a most that that

that that that that for the box no doesn't

not not but for the final example in the in the

the in the winter of a crisis sanitar very important

where were almost 70 young because because adulterated

liquid with marigott so can evaporize the and the phentas

for sure, but it, but it's they acetato of vitamin

E that just the acetate of vitamin E is an

additive of reposteria apt for the consumer via oral

but not for the consumer via inhalated and

then so that result to be and 70 muchachos.

So the recommendation, I insist, for him, because I know that as he, there's, many,

hundreds of millions of people that are doing the money, my recommendations not do do they're

not going to make the concentrations of micrograms of nicotina perfectly as the machines

designed for that. One, two, not going to be sure that even to that even

that they can't be a little not it is for ingesta inhaled. And the concentrations are not

going to get well. And what they're doing the reposteries I'm imagine that I'm the only

that's the one of the reposteria, you're going to be more they're more than being more

than being more than so that's so that that's a that's a regular. That's

that's that's that's regular. The government knows that a company

is that doesn't that that's no, that's not that's not, that

not know they're and they're they're not going to do you know they're going to be not going to see sure that

all we're seeing because we're dispensators like a papita and of Coca-Cola etc. etc. Well,

well, there's just there's just there's a car car with so I'm so I'm

in Valle of Bravo or in the centers commerciales here in the city of Mexico there

there are there of this is this is this is to be able to gofipipip the point a

cofere you they're they're they're being in in the ascent. It's correct. It's correct.

In the metro in all the parts. What is? Here comes. Here comes the second theme of the fault of regulation. That's is it's been vending.

So, and someone is getting much money. Much of it. Those machines, for you know, vendent between $20,000

dollars mensuals. That someone is getting and, and, also, that's money not is attributating

ascienda. Recordemes that the tobacco in Mexico is a grabed of a manner very a little

a cagetia of cigars is a grabed with a lot of because in Mexico there's

because in Mexico there's a question about the impuests, that's the impuctions, that's

that's to pay for what is, to pay the money to the product the product, the tobacco,

for example. If you, it's recouded that money to paliard the problems sanitaries

that what they what happens with the YEPs that Mexico recada almost

$40,000 million of YEPs all year. But those 40, 000

million only they're the 60 percent of the factura this is

a study I did and the reports with the the

the the the people so so so so

so if this that the cigars electric and they

are and they are consuming massively yeah three million

today why not not And two, for that they pay impuces. Obio.

So, so, is it's not part that's a market that's a manned

who's not the question to do you know, yeah, and apart it's not just that the government does

because we have those we're doing and we pay us and we pay us and we pay them

in the cinturon and for there's there's something that's correct,

and that foment the crime organized and so so, so you are you

just consuming these substances and these vappiators also you're not doing the crime

organized. You're doing the crime of the crime of the people. The time we're in the security of

our country. So, there's a thing there of ethical. It's an thing very great.

It's that the people not know, no, no, no, it's not, it's but I mean,

it's, when you you've got many years meted in this, you know, you know,

you know, the details. Now, again, to the perjuysos of the health,

who can pay a, without supervision medical, or fumas cigars or it's a lot of

a funer or is a inhaling what we have said many people those these are

these disinfectants and we're we're in a lot of the what is what is what

is what is the immunological what are those the perjuises I imagine

that the cancer obviously should be the the cancer of the

cancer of the how it's how it but it not not not

it's not the pulmones to the three causes of

more more important in the planet Mexico not is agen of

this data is number one infermen cardiovascular cerebrasculary and

third cancer of any or in the genesis of

these murders in the genesis of the three is the

cigarette is the cause of the cause of the day

preventable more important of the world it can

that people die all the years for consume

cigarr Of those 8 million of persons, one and a half, not were fumators. They're a fumators, that is the second drama of this theme. And other data that I like to always to

to share the people, is that the 50% that me listen to the people, the 50% of the consumers of cigarrillos, are to

mourn of a infirmat for fumar cigarrills. And this is a thing tremendous. No, there's

no, drug addiction, none that's that's that's the 50 percent of

the non no no no no no the crack

or the fat or the fatonil or the not they're the

only addiction that's the only is a addiction social well

legal illegal that is the tobacco the tobacco and the the

famous industry of the tobacco so the the famous

industry of the time so so it so it

so we we're going to to start. The epoch is when you can't feel like.

The epoch is a a thing that respond to the word that's about the

formality essentially it has been three different that are those that are

the bronchitis chronic and the emphysema and a and a particular percentage of asthmatic what is

what is what is what is the pulmone we're that is an entramed

of membran microscopics that what are is interchambe the oxygen that we

respond to we'll doxio of carbon that we have been in our work in our

way to the way the way the same the same that's you know that's

you're so that's what you do you do you what is what is what produces

the cigarrillo that that's that that's that's going to

end that is that it's that's that that that

that that that the that's that that that's

number one And number two, that, that the body, those membranes also are destroying and then they're starting to produce

little spaces aeros in the pulmol that no inservables. Pongue a example very simple. Imagine

that a pulmon sano was like a maceo, perfect, precious. And that a pulmon

and a firm were like a queso grouier. Where there noo in the queso no there,

there is where there a oldo in the pulmone, no there is

what going with the consumer of cigarillo. They're producing little

little little effects in this interchamble. And the vapator also. The vapator not we

know we know we know we have never even even has a little more of 15

years of that's it's not so that we know the factos the long-plas of the

papiators then they're going to be 20-30 years and very important here 20-30

years that we have generations exclusively consumers of babe. Because today what's

we're that we're we're in people who are people who are to get the time? To the 20

years that he's going to do you have vapeying. So we need a first generation exclusively

of vappiators. There is when we're to know a science certain that what produces those

vappiators. One more we're we're using to the We're with a rouleta russe.

A bit a bit but we're doing what is the risk now. the people

that's what the that's the obviously you you know that the people that's a person who's

that's a papé and that that's one of the great ventas of the vappeators record we

metes a calada of a bottle to you get seven substances that's

that's that's a human is that's three mil is three thousand it's those four

million they're that's four million that is the fumator passive

that, for suppose, he's many toxic. A difference of the vaporators, the vapator inal a

nube of an nube of an hour to exhala, the aerosol has a composition chemical very

peculiar. I'm sure that all had been to an house in a room

and they know the and they're when they can be so no when they're because the

aerosol is very pesable and it's not not it doesn't

flotant for the risk of vapidors passives is practically inexistent. Just for this. Because the humo

flota and the aerosol can't be even if you're that's a same to do you. Well, if it's a lot of

right, just to the other to do you, well, it's just a little bit of a little in the other

sill, in the other in the restaurant, in the mess, because the airosol is caught

because the airosol so can't put a because they've a sound distance in the COVID

in a meter and for the same exactly. Exactly. For the gravity in the that it was the aerosol of the

vapidore, equally, it's a meter and a half in a minute. In what moment we're going to we're in the famous cancer of pulmoner? Well, the cancer of pulmoner.

It's a tragedy. I've been a 25 years working in cancer of pulmon and it's a tragedy. 18.5% of all the subjects who are in the

planet for a cancer, it's done for 18%? 18%. It's just almost one of five who are people

do they're doing for cancer so it's a drama. So, it's a problem because that's part of the drama? Effectively.

Why is it because the 85% of the cancers of the pulmon were fomadores. So, so if the cigar no existier,

as it was in the year, 18, 19, although there there was there were cigarrows as we know

the carrials, the cancer of a problem is that's a day, the drama is that that's that's the person

fomando and and hewere one of each five for cancer of the pulmon. The effisema is the

way to the cancer of pulmon the epoch is the way or are not necessarily the epo

the 80% of the patients that we have with cancer have a certain a

but that that is that is that the epoch produce cancer or that all those

the people don't to have cancer no, that's no, that's there

an association, but no cause a effect. They're associing, but not is causant of. No, I see if I explained well. Yes, yes, yes. Yeah.

Infections, asthma, bronchitis, infections chronic, system immunological deprimed. All of that are consequences of fumar. All that is consequence of the humo. One of the things,

for that the people know, the mucosa bronchial, has some vellosities microscopics, that's that's silo, that what they are to move

as as a cobas so so so the mucosa bronchial

create mokos to trap the impureas and those scovitas go barriending they're barriending

they're barriending the humo of the the tobacco what does one makes that that mok

is that the blackity and that the bellosities they're they're like paralitics

so then so they're more infections and other problems respiratories

and in what moment is cancer of pulmon what is what is what is how is the cancer?

The cancer all the cancer is not the pulmone is a defect in the reproduction cellular.

Your cells and the mys and those of those that are presentes are reproducing

all the time, all the time, all the time. And all the time there are

cellulas defectuosas that our when our system immunological is in

car to detect them and eliminate is right all we're doing

cellulas but our our our people it's it's really those natural killers

for example the natural those natural exactly the exacto the the those nks the famous

cellos or the are of the cellar like the like the like the the general

it's a it's a it's a general it's a exactly it's so it's very belicosos

when it's when it's when this equilibrium between the cellulas that's that's produced more and the

good that those are the different, then it's when it's a cancer. Why is this

equilibrium? Well, just there many factors of risk. There's there's the tobacco,

but not the only. The radiations, the, the radiations solar for example, for example,

for the emissions volcanoes, very interesting, because in Mexico, the Baye of Mexico, the Baye of

Puebla, Mexico is a Tierra Volcanes. And the emissions volcanic, also try some substances that produce cancer. In concrete, for the cancer of pulmon, also, there's a substance that is a radon. The radon is a product

chemical that provere of the decomposition of plutonium. Where there's volcanoes, sediments volcanic, there radon in the subsuelo, and that contaminants the manto aquiferous. For example,

Pedregal, the City of Mexico, those who live in the city of Mexico, we know we know the Pedregal.

Pedregal is a sea volcanic and there's a lot of the water of this

city. Another factor of risk important that alter this equilibrium of cells good,

cells malas, the contamination environmental. The inhalation of the

humo of the combustible that's produced for the coaches and the

factories and the other many substances chemics, like the asbesto,

how the, the, the, the, the, the, there's many,

many different substances in the environment that all of the formation to the thing.

The gas metano that contaminants that's not, no, no, no,

no, no, not, no, not is a kind of a , but,

but, this, so, it's, well, so, so the so I'm

the, so I'm the, correct, the, what you have to

the thing, many boletos of the rife. You have to have a fumador,

to have herences, to be to the argoon, to radiations, to chemicals, asbestos, to a lot of substances.

Not only for having a factor of risk, you have to have a cause, it's the style of

the life. The style of life. And is where we can't prevent. Sure. And and you're

and one one single does the difference but the rompecabesis is correct. It's correct.

The idea is obviously that no is obviously that no especially cancer of pulmon, that we know that is a bit of aggressive.

Correct. It's correct. We're going to we'll go ahead. We'll go ahead. We know how it's health system has been all an issue

oncological, all a, all a process oncological, and also are the work you're doing the work.

And I'm with the surgery robotica, you know, and has explained that the level of precision is

incredible. Fantastic. So, right, if you want, we can, we can't, we can't, we can't,

we can't never no say, ohhalla that never a person a man, a father,

a little, but if it's important to have this in the mind and know to know what the science

has been going to do you know what we're doing. We're going to the podcast. Before to continue

with this episode, I want to ask you, you have passed that you've started that

you're with all the motivation of the world when you're a new a matter

but at a little time you're the time not that not that we're

that we let's don't have our own no, we don't have motivations. The theme is that our mind, a few, there are barriers invisible,

like the fear, the doads, and that does that the procrastination appear. Is that is you're going to

pater the boat, tomorrow I'm I'm going to the next month I'm and I sometimes,

those barriers and visibly are more more more than you. Now, what would

if in the other voice-eceita in your voice-e and use to your

voice-e- and you as a impulsive to build the life that always has so you know, even the fears that you could feel if you would

if you're using for a master class gratuita that's called Romp the Barrears and design a life that you've created because I want

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regil.com diagonal Vida. Repetto Markontoniorogil com diagonal Vida or being,

making the link in the link that's in the channel of YouTube or that's appearing here

here in the end of the opportunity. I'm in the class. And now we're going with the podcast.

Continue with the podcast. The doctor Jose Manuel Mirzir of Torax

Hospital Angel Lomas of Angel Health System is with us

and we We're talking, obviously, of the great risks of the humo, of the tobacco, of the contamination, of the vapo. We don't want

that we need any cancer, especially cancer of pulmon. But when it appears, what are the symptoms or how

can someone or how can't a cancer of a lung or one a year you do you do you do an exam.

So, because detectar the time is a basic. Yes. Like all the, like, all the

people, when they detects in tap in tap The drama of the cancer of pulmon is that unfortunately,

when you have symptoms, is because it's because it's a time to be able to get it in a manner time, yeah exists a method

diagnostic for to do it. No, it's not a matter but you see nothing. Nothing. You can't

fume and fume, right. I've fumado 20 years, 30 years and no pass anything. Correct. So,

so as as like there am mastography for the cancer of mama, pap, Nicolau, et cetera,

for some for the cancer of pulmone, the method of cribato is the tomography

of the thorax, that's not it can do to do the world, because it's a car, but to

who can see we do it to do you to do you to make a year and that have more to get more

to 50 years. So, so if they do you do that should be to realize

all the years a tomography of thorax. It has done that has done

this, it's doing this in a 20% the mortality for cancer in the

public in this population in concrete. 30 cagetetet is

that you did you? 30 packets a year. At a year. 30 packages year not

means that's that's a year. It's a formula that we can't we make us that we're

quickly in years funed, how years he's doing funer while the time?

That's is the formula. It's very simple. Well, to understand it

more easily. The people that people who fum a part of

the people who often of 50 years should be all day

you know I consider very intensely people who people who fume more of six eight cigarettes all day.

More of six cigarrillo five or six all day so 50 years and if you not you're doing you're

vaping but you're gonna but you dopeas much and you fomador intense also you're gonna

you're gonna or you're so you're yeah there's there's more there's there's a

man who there's a that's the great problem that we that's the that's that's

that's the authorities sanitaries and say, no, if if if we're we're going to do it,

let's get them it's that we're just that they're doing. Yeah, they're doing. And if it's a regulation,

for supposed, no, it's going to be going to be a lot. What you have to do it's a

law and that not they're exactly. Well, then that's the first is the first thing, is tomography

of thorax. Now, for example, those that we've been not of 50 years, the most of those that

we've been in a time we've seen a new we've been in the first 20 years of my career, we're going to

to the studios of television, to the uncied, all the world, everyone was fomomomom. So, and then, he chabbaugh, and then he chasbos,

with a chagrita, with the nobia, and the same, that's a lot, but we've been a little bit of our life, where we're very

exposed to, yeah, I, what, what you would, I, I'd, I'd,

is, what other factors of risk you have, you, you're, some familiar in first grader that

has fallen that's a father, a mom mom, mom,

or or brothers? Yes, you know? You know? No, well, one or no?

No. You know? You know, you know? You know, you know, you know, you know,

you know, a, uh, carga of other types of other types, yeah, to say,

to my old, or the old, I don't, so I'm, so, so,

then I'm, so, so, when, when, and the and the age,

the age, of the 5. 50 years, antecedents familiarers, exposition to

chemics, for example, asbest, to radiosions, argon, in the city. So the people that

live in the city of Mexico, yeah, just for living here, has two, the contamination and the

exposition to the humos to the humos volcanoes. Yeah, you have been two. I'd

say, why not you'd do you know, so, see what you see what that's,

that's, that's, that's, that's, that's is strictly indicated, no, but it would

be a good measure. It's a good of the gas of medicals private? Some of some no.

Custs much the tomography of thorax? Today, there are some of many many

markets that not I'm going to mention that for $1,000, $1,000 can make a cost of a

hospital public also can do do you do in the hospital Angeles, do you

do it. For the course. So, okay. so it's,

it's was a very interesting because I about us they're in many

in many places, not only in Mexico, but it's the city of Mexico, the contaminated. Oh,

no, Guadalajara. You know, you know, there's Pueblo. There's, there's, yeah,

we're doing cities, and America, Latin, we're doing cities, New York, Dallas, that's,

yeah, yeah, so, so, so, so, so, so, then,

so, so, not would be more, to, let's try to, let's, and I'm,

and I'm to, I'm going to, me that No, in almost all the cities you're going to pay a recipe

so, so if you do you know, you know, you know, you know, I'm a good about this

thing, I'm not, I'm a question. Oh, and you're a question, you know, you're a emusomator,

et cetera, and if, yeah, you're going to do you do you're because of the majority

of the person, yeah, is that living in a city like just, just for

just for living here just, you know, the exposition to the unmos volcanoes

and the person who has been, Six tios died of cancer. So, so that's... So,

that's... So, well, the ideal is that the people are a year. I'm always

to say, I'm here, I'm here, you know, you get your time to do you have a year to

do you know to do this year. Let me to me to be a me a me one once. And if

if you get a other medical, but be a one of year to checkarte. Chequeau General. But the checko general

is to the tomography? No. No. No. A exam medical general but

you're going to do you're a question and if you're going to do you know, the medical

that's you're going to say you're, the checkio general is this but as it but as well as you're

an antecedent you'd you'd have to a colonoscopia you'd to make a tomography of thorax

how is the tomography of torax is like type of rio X or is it's it's

it's it's it's it's they make in the famous tube that

that makes the and the studio Dura no more of five minutes It's indoloro It's

What's the most The most simple of You do you do. Pyrdes five minutes of your life Asiendot Okay, that's the first

That's the first So next Well, Well, when you You know, The first that we We need to Is in what

Tapa is The Tumography The Tate The Tumor So even So even Torn So the Tomoraphia

It's Okay What we We have to identify In Kappa It's cancer of pulmon

is divided in four stages, one, two, three, and four, the one, the first time the one,

the more the more time. The one, those that are specifically those who are in a one.

Around the 100 cancers of pulmon, unfortunately, only we're just curable to do the 10%

the percent, they're to die of the cancer of pulmon, that are the time

two, three or four. Because it's, but as but as there, but when there's

when there's when there's a symptom yeah, you're a second, you're a four. That's the good

notice because also there's good news, although this data is terrible. Well, that those two, three, and four today live in many years and in the better conditions. So, no is like before that the Eta 4 was in 4th, in 4 months. Today, we have patients in Etapa 3, in

a Tava 4, that live in many years, and in good conditions. Thanks to what? Thanks to new medications that we have, immunotherapy, thanks a surgery very sophisticated, like the surgery robotic, and And thanks to

that we're in clinics multidisciplinary where we're many people experts in different areas of in the clinic

in the hospital Angeles I'm the clinic of the clinic of cancer of pulmon and there we have a truano thoracx,

neumologist, oncologist, radioncologist that does cancer, nutritionists that are cancer,

influencers, so when when he gets to a subject with cancer, that subject, no, we have to

pass it for a recipe to do a not all the the same manner. Each subject is

unique. So, your tumor is unique. So, so we do we do is to get her

perfect to the measure. Because when all it's done a whole, and in a opinion, there's

20 opinions, the trage that's fantastic. And that repercute, in the prognostico of our

patients. Now, all, so they're in direct to the surgery of the thorax?

Cacus, almost, or be a curative, the one, or well, paliative,

in the in the for example, they're many times they need to they're

they're they're for they're to use for paliar the complications of the cancer. Much of the

rams pleurales that's what the people like the people do you know,

or they're to have metastases and there metastasis that's that you can't

get to that's there's there's there's there's that's that's

has been that's without piece key class disciplin for

man Syrugy Robotica, which is the ultimate of the technology that's growing in the

world. Yes. You're yet 14 equipes in hospitals Angeles. It's correct.

And are the system medical more advanced. Without, no doubt. The system robotic

has more to 20 years in some specialities. In concreted, urologia, were the

firsts that ranca with the first group. In the year, in the year

in June, we were the first in cancer of pulmon in Mexico

with technology robotic. We replicamos in systems publics of health, because the

people know, that's not in Mexico can operate in hospitals public. But, well, we've seen the

first and we've got seven years, yeah, very consolidated, practicing surgery robotica in cancer of

pulbone. The sylugia robotic, we've learned in an episode anterior. It's super precise.

It's better than the doctor, because the pulse, no, this, no, this, no,

he can, it's exaggerated So, so you can't talk about how the surgery robotic specifically in the cancer of pulmon?

Look, the cancer of the pulmon, when you operas a pulmone, you have to quit a lullo. A lot of the example, the pulmon

has three lovulos, the superior, the middle, the is the lopulose in the parts in which is a bolzota so, no,

it's a little borgulose. The palm right has three. The pulmon left is two. And how you're two?

What we do you. What we dox? What we dogea is to do you? Some incisions, some little apertions of a few centimeters?

Between the costillas? Between the costillas? So, no, they're not, they're not the toes are the and the costillas, and what we

do you are doing? So, no rompens and we're not. No, we're not. That's, before, so, actually, are there are

to start with a certain, with a serreement, tremendously, dolorosas. The recuperation was very, very large.

Oh, if consumed. Many times are in the center hospitalaria, of bank of of the same, of therapy intensive,

of medications for the and the doctor, et cetera, everything, so all of it's eliminated. Or practically

it's eliminated. With the precision of the surgery robotic. So, enter. And one

that we're fantastic because look my my fingers, my eyes. My dad's my toes, my eyes,

my eyes, 10, 13, 14 millimeters of an chench the panps that I use two, three millimeters.

Two, three millimeters. It's correct. So, super delgatidates. When I when I'm disecando basos,

my dead can be tremendously torpe to desecar that's when I'm when I have structures structures

structures, one, I can't amplify that's in time two, the camera the camera

the camera of the robot amplifics for three the objective chirurgical. Two, it's

you know you're doing like in a camera? I'm I'm I'm

on a camera I'm I'm the head in a camera in three

D and the objective chirurgical augmented three times. One.

Those those instruments, those instrument millimetric have a precision

magnifica, magnifica. So, I can see much better how I'm manipulating

the misnugiant the risk of that they're to be they're to be

so so that so that the surgery is a tremendously precisely.

The precision. So, so the the the the

or is it's much less invasive? It's less invasive. The pain the pain. They're less.

And for the time, the end of the end of the end of course, you know, in studios that I've published

in revistas in our research in our country. The surgery antivable, we've had some instances

introspital of five, six, seven days of the time. Today, with the

minimum invasion, we have we're instances of two, three days. And many people can even be

the same day to that's evidently, reprecute positively the cost of the platform

robotic still being more more than the actual. If, even it's a little

more car, if we we're we're going, of the bank of the medical, of the

personal of the and the of the and the thing, then so what we

demonstrate is that's much more better to operate for minimum invasion.

Okay, and for where you enters in a syrugy cancer of cancer of

some, you, you, how you can't one of one of the

incisions normally we do four or five incisions one of them little, chiquet, yeah, of two millimeters

more or less 10, 12 millimeters every year. One of them we're amplied a little, a little a five

centimeters to put up to make the piece of the palm. Much of times it's a

little pulmon, a person, a person, what is the virtue of the pulmon? That the pulmon,

when you do you is like a sponge of a so it so it's like

aplastable. So, when we've realized, I've done to do the surgery,

we've got to the truce, and we've got to the piece. And the piece inside of that box, that's a

thing. So that's, you could be at the same, in the year 2013, I did the first resection of a

pulmon complete for minimum invasion. We did the first resection of a lobul for a

minimum invasion. I did the first surgery of thorax with the patient of the patient,

despite, so? That's You know, all that's... So, like you're like you're

like I'm I'm doing. You know, you know, does your virtues. You know, I'm just if you're

distract I'm to do you, but I'm but all those are the virtues of operate for minimum invasion.

Wow. So, so I'm always I'm, in Mexico is there, in Mexico, you know,

the people are very familiarized with the syrugy of the reculantte before the

car over to the under the costillas of 30 centimeters. Nobody's to be able to the panse for that they

say they're in a vesicle. So I'll say, do you do this do you know, you know, that they'll

work in a carx, because, why, because to the thorax like if were an

guacate, when today you can't do you can't do you do you can't do you and the

security does it does you see, so, so, so, so,

so, we don't we're no problem with the assurators. Yeah,

because no cost Okay. Cust a less. For the recuperation. For the day of the hospital area, less than you're going to the patient

habitual. Yeah. So, okay. And in the, there are, there are places public where,

obviously, there's much more a list of and all the, evidently, those hospitals, those, those, the hospitals,

oh, ha, they're not, there are enough but there. And for the support, that are, they're,

but, blah, blah, but so there is still in hospitals publics, this technology. But if I'm

my secure of the gastos medical private. Usal, for And he's a

a medical that's to do you and that's what he should be to offer to the people.

I always say to the people, that when the technology, the infrastructure and the knowledge is

not you conforms with less. Okay. This surgery of the thorax, or to

get a tumor, the part of the pulm that's, that's, that's in

the time or it's the care of the chemotherapia? The cancer of pulmon, it's

four ways. Surrogia, chemiotrapia, immunotrapia, and radiotherapy. A lot more surgery, for

example, in the tapas one, in the tap one, and it's and a sometimes, they're all

the four. And what we are going in these committees of tumours multidisciplinary is the

order and the type of medications, et cetera, that's the is the time, so, for this

the cancer of the problem, it's to try to the equipment multidisciplinary. If you get a consultory and you're going to visit

to Dr. Don Fulano and you say, I'll do the chemo and the radio, go, you'll do. No, you don't you doches atend. Because in any one medic, none of us are you don't know, we're not yet to attender to a series of experts that each who can't

the best of your knowledge of our patient. So, the surgery number one, the chemio that is intravenosa. That's. Then the immunotherapy. The immunotherapy, that is Well, let's the element most novedoso

in the cancer of pulmon, which are the famous therapies Dian, Dian, that what we do is

study the tumor, the tumor, all its biology molecular, all its defects, and what we do things

and do things, and then different, specific, for the genetica of that

time. There is a type of pulmonal that's called adenocarsinoma pulmonar. Today,

the adenocarsinoma pulmonar that for decades was all what we could say of a tumor of the

and then we have adeno carcinoma and we can put 7, 8, 9, 10 Apegidos contra more

more subtifified we can't we can't know more to know and then we have an

tabopeutic much more more and there's right is rapid all that we have

we have we need and the other is the radiation so the and that

the radiation also has Because, because before even, even, even,

it was to, it was to get a right. So, right to get a thing, but it was

around. Today, what he said the way, what they did the things, so that

the thing is that that was that was that was that was that was decompone

in many asses, and by media of planification in a computer and a

thing is, they're in 20 axes or in 40 or in 50 aces and to make those confluing

only in the place that we want to try. So, that's what is, to make very precise the

site of irradiation and not lastimed the tissues that's around. So, so like the surgery has

modernized. I'm a robotica, also the radiation of my aboos. No, no. No,

for so much people get and me say, no, is that I prefer more more because my

papo more you because my father was that my is that my is that you is that you

is that my is that you. It's not so. And it's obviously also you mentioned

in nutrition. That's something that's a very important in the medicine modern. Very,

very. In no group that's never a doctor and a psychologist because

we're not the psychology also is important. The system animical of a subject is

very important because we because we know because we know that the subject a subject

unciusz so if we're not we're a system immunitario not optimal the

will function and it's a very, very, very, very, very,

studied. I've seen, patients identical, identical, identical. Mism sex,

same ed, same time, the one deprimed, and one that's, the deprimed the one,

the deprimed, never, and I imagine, all those ultra-processed that are classified as

classificated as, effectively. A, yeah, a good, a good, a good,

a, evidently will favor also, it's, so, so, so,

so, the treatment, it's very interesting. I think we've learned much and you

thank you know, I think the people need to have to have information. But then this all in the

case of the cancer of pulmone, all the thing is a top of the there's a and if

some thing what is the first symptoms? I know the is the time. The symptom more,

more, more frequent and that is the most the people desdea, is the tos. The Tos.

The infirmes with cancer of the lung, have 20 years to and the the husband,

you know, that's the and the he's a , you know, when you're a toseer chronic,

you have to be very, very, very, pointyos at the time to get the time.

If you you're a lot of the time, and you notice that in the to the tos change,

you know, to us a to come athew, be the flemas. And if no,

I've changed, I'm having a man, I'm doing with what you know, I'm a

little, 15 years, tociending, and it's changing the same and it's a lot of medical.

And then it's a lot of so if the flea before it was a flamance and now it's a cause cause

that tose that's a tose the toss the toss. The tos the formator is a so that

yeah so it's complicate to get to get with a bronchitical tronical

sollent sometimes if they're a voice if you yeah they're gonna they're

well we we're we're we're there's there's dole the pecho,

if they've been a condition physical, if they're going to, and now sub they're

one, if your oxygenation, all the whole over the COVID has a eximeter

in the case, so, or almost you're not oxygened about oxygenas. 86,

and now oxygenas 188, so they're to take to some medical. So, someone, who's, it's got to

a gastroenterolo and a tomography, no, it would be a person, who is

the specialist? Who is the cancer of pulmon. The endrable, are the pneumologists and the neurologes and the neurolog

and syruhano. Neumolgo and ciruano. We are the people of the group of cancer of pulmone. Perfect. Obviously, in the

hospital, Angeles, in Angeles Health System, they're in all this? In where we can't

to consultar? You know, you know, have been going to make a a tomography for siacacac. I'm in

all the all the social. In all the areas social, we're in all

with all the letters, I'm Bajo MIR, in all. And we're

we're 24, 7, see, that I contested I, that's the 55,

207, 87, 83, 24. I, I, I'm to say, you can

repeat. So, 45, 201, 07, 88, 23, 24. And in

the red, and the person that I'm listening, there's there's

people, I'm in the 80% of my patients are, or of other state of the

Republic or of other country. I've got many gringos and many Central American and many Colombianers, for example.

Sure. Agreeing in the most 52 that's the number of Mexico. We'll have them in the notes of the episode.

And also remember that you can find out of hospital an Angel's. There you go to the hospital angels.

You enter Hospitalangles. You enter to a syruhano of thorax and there you're going to go to see.

There's a also. And also is the center of oncology and it's is correct. And it's all the

and you can't say to If you know, you know, you know, you know, it's that

recommenden me the center oncology. And you're going to pass to the oncology. It's very simple.

It's a hospital Angeles in city of Mexico. Uff. There are 27 hospitals. There are

many. There are many. There are many. In the city of Mexico and in the valley, in the valley of there's all over

in Tijuana, in Guadalajara and there's more. So, so, the people say, that the people

can't there's two in New York, one in Polanco, one in Arboledas, and one in Andare's in Guadalajara. Very well. Well, much thanks.

Something extra that not you have asked you. And that we're going to agree with, Dr. Well, thank you. And that the people take conscience of what important that's your health.

So, they're preoccupied, of the money, of the chambah, of no-se-ke. But remember, that's-you-all-a-all- not-a-all-all- the health. The health is the

treasure most that we have to be a patient. It's a proactive. The patient is that I'm here. I'm going to be to the people.

I'm going to be able to to be to be to care our health, not curar the infirmat. Prevening. We're going to we're going to

converting in cuidators of the health, not in curators of the if we're doing curators, we're very

very late. There's a style of life. Exactly. And check our life, not fumar,

to make a good, to make an exercise. And the vapidor only like a transition. Only a transition

for fumadores adults who don't want to have and they're going to. And with a one of the time.

That's a very good. Much of the doctor. A pleasure, my great good. Much of to know how

Mark Antonio Regile in all the redos and you get to this episode. Inscribetter the channel

here in YouTube, give us your like to video and let us your comments. If you're listening us

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and do you do this league for that more people so that so much thank you

thank you we're going to we're going to next week a next a next time we're coming

to the maximum potential hospital Angeles Health System present Tom.