LOS MAFIA PODCAST ⭐️ - Las Cirugías con Robot es lo de Hoy y así los OPERO — Dr. Wiron Valladares
Episode Date: November 11, 2024...
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today we
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you're going to
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so I'm
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to be
a compa
Wiron
Vyadares
Awah
Fresca
Veeho
Rory
much more
thanks for
the invitation
I'm
I'm
I'm
I'm
I'm
I'm
with a
thing
that I'm
I'm
going to
continue
to
the
youth
and
really
really
We do we think we're doing that all your
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enjoy the
chapter.
You'll be
just, you
just,
you know,
aflohate.
All right.
Relojillo.
No,
that's tense,
nothing.
All right.
All right.
Practicas
the,
the,
how's it
is a part
when you're
when you're
profound?
Yoga.
Yeah,
but
if,
meditation.
Meditation.
Practica the
meditation.
No,
no,
I don't
practice.
No,
to be better.
And it's that
all the
I've
tried to
to practice
it.
And it's
me
it's very difficult
relax me
to be
difficult
to enter
in that
trance
to be
it's difficult
because my
mind
is machin
and 15
yeah
machinando
it's difficult
to get
to the
concentration
not it
is easy
they're
that the
yoga
is the
the
place exact to
to be able to
get there.
No, I've
practiced it
I'm not
time.
Time.
If you're very
occupied.
Thank you.
Thank you.
Well, there's
chamba,
there's chamba
of work,
of consulta,
there chamba
of the
socials, there,
and there's
to do you
all the days.
All the days
today,
today,
to the
Monday to
do you know,
so I'm
to the day,
if I'm
at the
time at the
time.
There's
start.
Always with the
attitude
adequate,
good and
of service.
Animo.
What,
that's good
that you
take your
time.
And is
that you
have to
be realist
because
we're
we're
we're
two years
just doing
more
a machine
to what
is this
it's
difficult.
It's
difficult.
It's
difficult,
not you
we're
just,
I'm
is.
Or so,
ganar
something
how,
how you
describe you?
Well,
I imagine
that's
had been
other
other than you
know?
No, that
all.
All right.
From here
you think
that I'm
studying
medicine.
I'm 35.
18.
I'm
doing medicine
of the 17
years.
In the
year 2006,
I'm
started
medicine in
my
country.
2,0.
there in
Nicaragua.
Oh,
in Nicaragua, for
medical general in the medicine
in the university
public, pardon?
Are you 9 years?
Medical general.
And here in Mexico?
Here are six.
In God, too, man.
Why?
Tantos a year?
Because the system of
health
a man of order
barata, in the
case of the internado,
which is the sixth year,
and two years
more of services social,
well,
yeah in Nicaragua and two years more of
services social and here in Mexico
are five years, including the internado
and one year of services social
and it's all right, the career of medicine.
But there are debilities and vulnerability
of the medical general here in Mexico.
We're more, we've seen more
things, maybe.
Not is competition, but
there's there.
There's nobility.
Because immediately the medical
migra to the specialty.
And was what what happened to me.
Immediately I migra of surgery.
Thank you, I, thank you.
I've the
Sures
of
not
to do you
know
in the
secondary,
not in
the primary
and in the
university.
We've
going to
pass
for
pass.
Imagineate
that
I'm
I'm
the sub-
speciality
in Mexico
in the
year
in March
February
of 2021.
Because
here in
Mexico?
Because here
in Mexico,
I'm
put to
revisit
Colombia,
Brazil,
Argentina
and
Mexico.
And then
you had
to know
what I
had
had to
I was going to
go to
the other
countries,
I was going to
get to
go to get to
go to
do so
yes,
so it's
more economical.
So it's more
accessible.
So it's
two years
in the hospital
civil new to
go to
and then it
to be a
study to
other
country because
not they
don't they
don't they
do you
don't know
there's
you know
you know
you know
there said
the,
he said the
the
Diss the
Dish the
Dish
Mexico for
the
Mexican
And at some moment
they said,
ah, how can you?
It's a
country of
an opportunity
and all the
other than
but they're
so they're
so.
Yes,
see,
consider that's
in your
area,
obviously,
no?
No,
I'm
Guadalajara,
well,
Guadalajara,
city of
Mexico,
Monterey,
the cities of
the cities,
I think,
I think I,
that's
that they have
to battleer,
then,
so,
I don't know
your experience,
but in
the mine
is,
is that,
well,
I'm
to be
to be
and the
net
is so
way
I'm
I'm in
all the
areas
no I'm
see
in other
countries
but
sincerely
I'm
have
to be
to be
that they
they're in
they're
they're
they're
a
people
the people
is classistic
there
in my
country
there's
no,
no,
no,
when I'm
I'm
think they're
to the
head to the
head
to the
and
the
thing
more
better
vestido,
well
you're
going to
do you're
too.
And there
not they're
not so.
No,
really not
so,
because it's a
country,
not the
first world,
it's the
third world.
We're in
the top
10 of
countries
more of the
world,
then you
can revisit
and then
not are so
the population.
The population
that needs
the attention
and it's
the attention and
it's like
to be
the
way.
To come
to eat,
to come.
Not to
not
to be
Descalso and you.
Exactly.
You, Vivian, is
a family, so?
No, I'm in a family
in a cuna of
a cuna of
a car that.
My father was
absolutely nothing.
My papa
was a medical.
My papa
was a cardiologist.
And,
I'm not
not even though
he was called
two
two years.
But I'm
your mother.
Yeah.
So, then
he's got my
my father and
the pillar
fundamental for my
life,
because my mom
to have to
have to rift
like
father and mother and
to be that if
if I'd
envied to
me envied
the way
and then
that's the
probably
after I'm
my papa
I think
I'm more
more than
more than I'm
more than
because I'm
to give you
know,
because I
was going to
be a
bad moment
imagineate
a
lottoos
I was
in the
secondary
I just
no,
and it's
when
when you
start
no, no,
no,
no,
I'm just
I'm just
that my
mom has
had to
work
to
to get me
to
get me
my father
no
a horrid
and my mom
said a
little
to work
to work
in the market
and
the market
like the
market of
like the
abacters
so they
no
she
she
she had
I
a particular
a perfume
and you
he was
I need
and she
did it
and so
my
my
abelita
my
my
oldita
my
always always
she was
she was
family
chambiator
because
there
had
And I'll go ahead
to
have to
do the
day of
the
look,
look,
his son,
his own
his own
and your
father
has been
22
years?
From there
from the
2002
he was
he was
and the
cardiol
boy.
And you
why
you're
this?
For that
your
father
was that
that
was the
father
yeah,
the
I was
I
had
to
the
consult to
my
father
and
I
looked
to
go
to
and I looked at how
revisited the
patient,
I mean to
the graditude
that had the
patient sent out of
front of him
and that was
really the
patient was able
because
because it was
the problem
and then
I was really
I was that
I was
that I was
that curable
lives,
that curable
and what
the better
way that
you get
with the
medical
and that
that's
the medical
that I
try
to the
way
the way
better
that I
did
in
Mexico,
well,
all the
patient here,
me,
my,
my own,
personal,
I'm the
other than
a person,
and I'm
saying,
you know,
to be
no,
I'm saying,
no,
I'm not,
what I
did in the
hospitals,
and not
I'm not
not the
way of the
patient,
and if you
know,
the patient
that gets
a
a hospital
public,
then obviously
is because
the patient
not has
because the
patient not
doesn't
not,
and then
I thought
they were
they were
to the
way.
apart, I think I
that the system
public
have their deficiencies
including even
even the IMS
ISTE,
what you are
not so you have
to have lived
but I
know it
in the
residency,
and if there
is a
deficiency and
what a
better way
to get
the day
helping to
to get
to get
to you
need to
you need.
What
good is
to help?
The
really is
a lot of
the person
in the
consult and
me says
no
I don't
have
no
No, I don't have
any inconvenience.
The part
this that
says if
has talked,
thanks a
God,
no,
way.
Thanks a
God,
no.
And I
feel that
would be
a bad
manner if
me would
get to
pass.
Impotency,
of
to be,
of,
that,
to be,
that's
to be the
money,
because,
look,
it's
said that
in the
hospitals
publicos,
because,
why
says the
no,
no,
you're
not,
better
paga
because the
attention
is the
same.
So,
there's
there's
there's
there's
so there
so I'm
in the
place,
in the
world of
the
verga,
tan
amalgated,
tan,
are very
so
that's
so there's,
there's all,
because there
there's so
there's so
there's a
reason,
imagineate
that I
from the
year 2015
and so
I said guardias every four days.
You'll explain that's a
guardia.
It's a,
to get to the hospital
at the 6 of the
morning and you
go to the 6
of the time of the
day next.
If you were,
you could you
do not,
you know,
imagineate that's
the attitude that
the way.
So,
more than 24
hours.
36 hours.
Ah,
way,
all the guardias
is those hours?
If you,
well,
you're going to
get to be
two hours
but if you
not,
you pass,
to go,
my,
you know,
so,
my,
matter,
so,
respect to
this,
to be
I'm going to ask you to
say to you can
clear that there's
that there's
that there's
there's
when they're
going to be in the
real thing.
The fact that's
it's not the
way to do you
do that's
what's the
it's not
some of the
cheves.
There was time
and the R.
Superio's you
could get
to get
to the
way of the
chaves and
all the
showbes and
they were
in vivo
direct to
they were
they're
crudous
yeah
crudus
from there
the neeligenia
there's a neigency
of all type
obviously if
they're in
you're saying
they're
saying they're
I'm
I'm saying the
2015
from 2012
I'm
imagine it
12
was in the
internado
and the
and the
worst
that could
be to
get to
the day
and the day
the day
the next
you're
the day
I'm sorry
I'm
I'm
I'm not
I'm
not I'm
no time
to start
to end pedd
me
and something
to
take
two margar
of three margaritas and yeah.
I like that
that beer
but to
end up to
all the time
getting to your
case and the day
the next
and you'll
get to try
at the 6,
7.
You imagine
how you
you can't
go to say
another question
that's
me just
to occur right
right
right
you,
you that
you're
you're
to do you
what you
what you
do you
see you
think you
I'm
I think
I'm
that
to get
to keep
to 15
years, 20 years,
he'll
encounter a medicine
to prolonging
the life.
What?
I think
that's...
How prolong?
You're the
last long?
So,
how long?
How many?
I think,
I'm 15 years.
What?
I think so
that here
at less
the five years
we're a cure
for the V.
For the
technology,
the intelligence
artificial.
I've got rid
to a
Congress
out of the
country,
San Francisco.
And the
really,
I
feel
a
knacko
because,
I mean
the only
state
and the
city
that has
autos
autonomous.
Nobody
he
manned
more than
the
auto.
And no
manche,
so
where
we're
to
get to
be
in the
year,
I'm
saying,
because
I
investigated
about
about
the
matter.
And so
this
is
doing
being
a
vehicle
that
can
only,
the
technology
will
go
more
than
more
than
And I'm sure that
can be a cure
for many
diseases.
So,
treatment for the
obesity.
We're talking
about right
of the
way inadequate
that we're
not.
So the obesity
is a
bad habits
alimenticians
are you
can't
get to get
to get to
heartensis
heartial
and
even to
cancer,
because
all the
products
transgenical
and that
we consume
diaries
but
I think
that for
the
there are injections
that are
that are in
going to
get to
get to
get to
10
20 kilos
in 6
months.
So,
that way
diminuing
10 kilo
20
kilos,
you're
to
get to
that's
you're
going to
diabetes meytos.
So I
think I
that I'm
thinking
of the
life,
no
I'm
my
life,
I'm
I'm
I'm
a farro
to the
life,
I'm
I'm
I'm
not right
for the
family
but
but
I think
that if
there
will be
there
more
that
the
way.
That's
kind of
little
I don't
I would
imagine I'm
in curate
and curate
and I think
the COVID
what we
did the
COVID and
inventing the
and try to
develop the
vaccine
that's
you know
that's
there's a
problem or
not me
don't be
the
vaccine, the
fact
I'm
I'm
I'm
I'm
the point of
the
question of
the
idea of the
vaccine
was the
that the
you'd
have COVID,
not you
know,
because the
mortality
was a
mother.
Some family would
have to
have been
someone
to have a
COVID
or some
that's
the objective
principal.
And then
the
people said
that the
time
so they
did it
and this
a new
they were
to do
to do
to do
and they
to work
to
and I
think
there
I think
there
many
many
things
new
in the
modernity.
Figate
the
the COVID
you
do you
think it
you
have
there
there
there
of the market of
Wuhan,
Wuhan,
that was
something of
the laboratory.
The reality
I want to
think that I'm
not been
to make people
and if it
was,
then they
did it
and they were
more to the
disease
of the
of the
murcialag
and that
someone
someone
someone
someone
something.
Something
that was
something
was the
story
but I
think
China and
India
that are
the
countries
and potences
have
a
lot
of
people
billions of
people.
So,
more of
something
to be
there's
there.
And then
the
food
that's
I'm
know.
I'm
know
I'm
I'm going to
do you
don't know
man.
With the
They've
been
to get to
eat,
that's
that's,
that's,
that's,
then the
food,
they're
the water,
how is
the water,
the
contamination,
all is a
thing,
something,
yeah.
The fact,
I don't
I'm
to go to
go to
that
to come
that
that
food
then.
I'm
no.
What pago? Who, who's
Who's not
Who's going to be?
To be
A bit
I'm sorry
I'm going to
let's see
How you
my
Wiron
Wiron
That's
So,
So,
So,
So,
So,
So,
So,
So,
I'm
Here, I'm
Many,
how is
that of the
Surrogia
Robotic
There's
We're
technology
So,
the
Syrujia
Robotica
today
is
something new.
The
Syrugy
Robbic
is the year
2000
in
the way
in the
really
consists in
a robot
that's
a bit in
three parts
one
in where
one is
the robot
not over
the robot not
operas
only
only
the mind
I
do
my
movements
that I'm
doing
now
to the
mind
of the
robot
and the
robot
it
transmitting
the
reality
in the
cavity
abdominal
but
the robot
no
no
no
no
no
does
without
I
do it.
Okay,
it's like
to put
something
that you
know,
that's a
right,
to the
mind
of the robot
and the
and the
and the
and the
and the
hands,
the movements
to your
hands to your
arms.
Yes.
And that
movement
you do
you know
to do
and the
and the
and the
and the
robot
can
move.
Simon.
But I
have to
put to
dozor
to
call
docking
to the robot,
the brasos of the robot,
to the abdomen
of the patient,
with some
pinsas specials
that's called
trocaries,
and there I'm
connecto,
and I go
all the movements.
Yeah,
how much time
you're using?
In December.
In December.
Acquised your
own own
your own
not is that I'm
not that I'm
received a course of six months
to do you
to do a
speciality and
me certifications
in the States
Intuititit
for
yeah
to be
a
syruano
robotic.
No,
but to
imagine
me to
the
pedo
that includes
cable
and all
the
desmatter
pieces
and imagine
that a
piece
not a
way
it's
to be
to be
very,
very
and a
robot
carito
so
how
how?
How do you
money
of
dollars
and
come
you?
You're
no,
no,
no,
no, no.
you
know,
do you
I work in a hospital.
And there is a hospital
it has a hospital
and it's a
little to
the patient.
It's correct.
How do you
the rents of a
robot of those?
And what
operations
does the robot?
Of all types
of operations.
Horax,
abdomen,
pulmon,
intestino,
all,
all,
all,
all,
all what has to
do you have to
dorex and
abdomen,
it's
and for
neuropics,
there's
there other
type of
robot,
also for
rodias, there's
other
type of robot.
But today
that's
the medicine
of the robot.
Bairga,
and how
you do you
how you
do you know,
and how
it's an
authorised
for the
gringos,
is also
also also
here's also
here for
for Mexico,
that you
not is something
of a
certificate,
and it's
guarantee.
The
surgery of
the paroscopic
if you
have heard
of it?
No.
The
surgery of
the
laser that
you've
heard.
Oh, and
they've operated
by,
by,
for,
for,
laser that
they're saying,
it's a
minimum
invasion,
that's
that's
to three to
a 12
millimeters, that
is the
that I'm
here in
Mexico.
And then
then I
wanted to
do the
second
pass when
I would
I'm
a number
adequate
of patients
to operate,
and that
my practice
was good,
for the
practice
to offer them
the more
technology
of precision
and the
more
a
more
a
car
person.
That's
a
Oh, boy, is the
robot, the net.
Is what I
what I'm going.
How many?
How many
patients you get
operas
operated
yeah?
39.
39
from the 21
of December,
of the 20,
23.
Apenas
to do you
a year.
Legally,
I've passed
my curve
the curve
of the
medical in
the robot
was above
of 30
patients.
Apenest
a year
here
right in
December.
All of
a tisement.
Bendito
God.
That good.
Oh,
no,
man.
It's
No, well, imagine
that's easy.
So watchate,
not,
so I'm
like I'm,
like,
so I'm
a bit,
like,
I'm going
with this
bat, Dr.
Wiron,
and I
want to
do you,
because
God,
not,
something to
do,
I'm,
and he
gave me
life,
because,
possibly
is something
something
that's
something,
but
if you're
that the
patient
no he
has the
surgery.
You know
that's the
need to
the anesthesia?
He does
a problem
to the patient
of the patient
of the patient
well,
nobody's here
people who
did you get to
operate
in the
vesicula?
Well,
wait,
but I'm
no,
they have
to the
surgery,
he has
the anesthesia.
Because
they're in
a
doctor, and I
go to
get to
talk.
No,
no,
don't see
because we
don't know
to be
working
with the
best
a doctor,
yes,
a realata,
a
compa Carlos
Carlos Navarro
but
is the
fear of the
patients.
When you get
they're
the confidence
of my
team of
work,
because I'm
a job,
so you
that's
you that's
you're
a good
number of
people with
a good
of the
person with
the objectiv
to be
to get
to be
to get
to be
to be
and you
and you
want to
to
see the
the
process
and you
the
you
explain
the
procedure
what
you're going to
do you're
to have to
no.
Nula,
no?
Yeah,
yeah,
yeah,
yeah,
yeah,
and for
example,
you know,
you know,
this mother
to operate the
the
part of
the
of the
stomach,
correct,
is what
the
people
you get
that,
and with
what symptoms
are,
of,
hernia,
hernia,
for
levanter
pesid
so,
me get,
patients
normal is that
not
any
type of
exercise,
but
maybe at
a
time in a
time
they're
a
time of
a
thing
and they're
in the
unbillical
ernie in
the inkle
and the
pain in the
region
inginal
and that's
the
thing that's
that's a
right
me
me sent you
you know
I'm
you're
you're
you're
you're
you're
and you
know you
and you're
I'm
I'm
oh my
with a
simple
pretoncito
with a
simple
examination
or
or is
a
hard in the
appreted.
Examined
to
not more
examine to
explore to
in a manner
superficial
without
without
that's the
most you
get to get
to me
and the vesicles
pyras
in the vesicula.
If you
pietra
in the
vesicula
is very
very common
because
we're just
we're just
seven,
eight
people of
those
one no
we don't
know we
don't know
we don't know
we're
because
you think
of what
we're
about
about
we
in the
an
in the
way in the
in the
way in the
probably you can't
we're doing it.
We're not
found out of
a woman
of that's a
mother.
There's a
there.
And what
and what
time do you
serve me?
We're saying
that we
were to serve
we're gonna
we're gonna
do that
is what
you do you
and it
and it
was for
urgency,
eh
not it was
what he
was it
he's, the
what
the urgency. It's more
dangerous because the
tissues
are in the
stomachs
the indecino
delgado
the pegs,
all the
epipro
all the
all they're
you're
you're
you're doing
you're
you're going to
because
you know because
navigas
an area
of
health
but to the
people normally
that's
make a
checkos
of all
a total
every
time
a year
thanks
to you
we're
having a
culture
new
of a
checkup
an annual.
Yeah?
But there
is a
culture
an culture
an
a good of
your
your
or your
your
back to
say you
to make
a paracetamol.
That I
have a
reflucous
tomat
a reprasol
and so
socessively
so in
instead to
do you
do you
do you
do you
in bed
to do
so
there is
to
do
do you
do
have to
they're
offering
the checkup
in 500
pesos
and
that
include
all the other sony,
do it.
Aftel.
It's the
good that when
it's a
little bit of
the prices in the
laboratories.
Obviously there
there's a
lot of the
most chingon
because
at the most
car,
but there's
to go to
the termino
medium
but so.
But if
there's a
new moment
of Chekop.
It's a
good.
And the
the companies
are they
are doing.
So,
like,
obligatory.
So,
is,
for how
it's
a person
not
not
both,
obviously
because
he
requires
gastos
for
them.
But it's
good that
they're
doing
and I'm
doing it
I'm in
I'm
so you're
a operation
of a
vesicula.
How is
the operation
that?
A
through four
liditas
little.
Dimmel
from the
point zero
because
that the
patient.
The patient
with the
patient with
the
doctor, me
to have the
right
to be the
back of
the
after the
food
that's
that's
we're in.
We're
we're
a lot of
a lot of
there's a
because the vesicul
alia is
very,
very,
very,
very,
uh,
crecida.
We propone
the procession
of the
exercise of the
vesiculabiliate.
The fact
I don't
operative.
I'm not
evered.
In my
country, I'm
to operate.
But thanks to the
technology,
that's all
to do you
can't
resolve in
four eriditas.
Of what
millimeters?
Of five
millimeters to 10mm.
So we inflam the pancita
like a sapito.
To learn to
see all the structures
that we have
we're in the
vesicula biliar,
we're denudable
the vesiculelear
to have two
structures
important that is the
artery and the
conduct,
those engrapes,
one for
that no,
for that's
the other for
that we'll
get the vileis and
we're
we're doing
the vicarable
ohho,
we're not
the vesicule
because the patient
comes and
you know
you know
that's a chisper
the patient.
Doctor, but I'm
to get the
pieces of the
Vecula Bilear.
No, no,
so it's
but it's
but here
the problem is
that the
problem is that the
problem is that
is the problem
that's causing the
per cent
the burser in the
vesicula bribal
not are the
one of the
peddra
that you
can't be a
cause
in the
the endro of the
body.
In how
time you can
get the patient
for the
surgery laser
or the
surgery the
paroscopic or
minimimimation?
7 days.
The 7
10,
and all
not
good.
And for
surgery
robotics is completely
different.
Why?
In three days
you're
better.
For the
precision of the
movements.
The
areas are you.
The injuries
are small.
The area's
both, but,
the troughke-a-
that's a
patient's not
a little
and the patient
is very good.
Bairga,
yeah.
That's good.
Yeah,
I'm,
you're doing the
costos,
really not
the
but what I
can say to all
your subscribers
and all the
people who are
that are you
don't know
that's
a good
because
the most
technology
then it's
a little
costos to
do it
to be a
particular
but with the
security
but with the
security
they're in
that type of
for the
people
that can
do it
is correct
and the
and the
problem for
the paroscopia
is very
accessible
very
accessible
how is
that
For the paroscopy of the
laser that I've
to commenter, that
same we do
it's very accessible
only that's
a little more
more tardable
but it's
really a bit more
so you get
a patient and
you know,
I'm a few forms
to do the
patient.
Surgery Abirta,
no,
I'm not
I've been
bad,
has heard of
great seria,
grand seruans
no,
it was of the
years,
de the an
years,
and today,
a few
series of
grand syruhans.
So,
They need a technology.
A robot
is four
million of dollars,
you know,
only the
company of hospitals
grand,
of renomber,
well,
because if they
are going to
get the
investment.
Like,
what hospital
not?
You know,
you're a
place,
this on
the next?
What are you?
The Angeles.
There's
I'm a
company.
There's a
type of
hospitals.
Hospital
Angeles
of Carmen
is the
group
Angle's
a group,
Yeah,
a group,
Valca,
the redundancy,
that has a
card of hospitals,
then you
come to the
other people who
have been,
in all the hospitals
in the city of
Mexico, they're
five, six,
very, very,
very elaborated and
it's a renaum,
we're going to
think we're other
things, it's an hospital,
and it's two towers of
consultories.
Of the chil,
yeah?
water fresh.
Oh,
Wiron.
You'll
do
make a
question
personal.
Not so
that's
what you
do you
how you
see?
The
love
is the
life
or for the
sentiments
or
for the
money?
The
of our
age
it's
but
I think
that
also
I
think that
also.
Yeah.
How are
vestido?
What car
does it?
Tras or not
you
don't try
do you
know,
not I'm
not there
no,
not
I'm not
never
I'm not
but
but
but
the other
the other
the other
the
paca
today
of the
what you
what you
do you
do?
Maybe the
millennials
not
the millennials
the
yeah
like
are
just not
so it's
not
money
yeah
you know, you
and he's a
mercedita
a
madda
a marceau
there's a
barque,
there's a
call the
attention.
Really
if one
one's
an amour
or to
my age,
that I
don't
so I'm
too,
I'm
I'm of
a
person,
I'm
to get a
somebody
to be
and
that you
know
to be
to be
something
that I
know
I'm
I'm
I'm
my
my spouse and we're
well.
She's
how you
know she?
Ha ha ha ha ha ha ha
ha ha
it's
something
is something
because
it's really
because I'm
doing doing
part of my
residency
of the
sub in
the
2019 and
then so
so
for
December
November
I think I
came
recommended to
she
to get
to the
residence
that is the
civil
civil
new
and
so
me cajia more.
Ah,
so,
no,
to first to
a person
that was precepting
attention to
the interrogator,
because maybe
was resolving
to be here
and I said,
I said,
I mean,
for you to be
to get a
consult,
I need to
me present
attention.
Andle.
Ah,
clas in
the pilsa,
mehita.
And so,
yeah.
But yeah,
like,
but,
no,
no,
well,
yeah,
I was,
I was
in the
computer and
I'm
was with
a cell
on a
cell phone,
no,
no,
no,
it
No, so
I'm
it's
my
that's
from the
first impression
and it
has to
the vesicle
inflamed
ah,
yeah,
then I'm
then I'm
with a
day
earlier,
the revis
my master
the doctor
Gomez
Hermosillo
and me
he said,
me
he's,
he was
to be
the doctor
and
we're
and the
doctor
if it's
he has
the doctor
if you
have the
pencicic
inflame
and me
the doctor
no
have
to
have to
next week
I
have to
operate
to
work
that's
the
question to get to
the consult
maquished
and a
lot of the
time you
could have
that way
to be
that
she was a
she was
she got a
so
got a
well
she got
yeah
got a
yeah
and then
he got
he got
a cup
and we
we're
we're
we're
over
obviously
obviously
all
the
ethics
professional
corresponding
and
result
year,
or less of the year,
always we
mantuvies a
amist, we
started to
have more of the
amissed,
we're newbos,
and then
I'm casse
with her.
Water fresh,
my papa?
It's risible.
Some of
they can't
take,
the doctor
was met with
your patient,
some one
they can
take to
another
but really
But that
that's not
can't
do that the
doctor
so met
with the
patient?
It's
they're in
different
form.
It can
be
anti-ethical
but I,
but I
in no moment
I don't
respect to
her
after six
months after
after eight
months after
she gave
a new
to me
to the doctor
and my
company
and my
company of the
residency
but I
don't have
nothing with
she
so so
so
so that
the doctor
felt
to the
principles
septic
and all
the
things
not were
so
it's
after
after
the time
after
after
and I
got I
had said
I was
I
did you
can't
you
can't
you
He gave that first
Becito.
With details.
She,
to you?
Ah.
The really
no
I'm
I remember
who was
the first,
but I
think I
took the
initiative.
I'm
the
what you
did you?
No, we
went to
eat.
You know
to come
to do it?
The cinema,
no,
we went to
and we
went to
we're going to
get to
in calient.
Oh,
that's the
thing,
he said,
and the
how many
years
she
has she?
My
My spouse has
301
right.
Oh,
I'm
so much
I'm going to
when they're
when they're
when they're
in a month?
Of what?
Of the
nobio
and of
the nobio?
Of the
the nashos.
The nashos.
And the
nobios?
No,
I remember.
I'm,
you're getting
problems.
No,
Wiron.
De,
of,
I don't,
loco,
I,
I,
I,
I,
I,
I said,
because my
my
my via,
no,
man,
I said,
me
I get
to get
Net, netta, and
it's what I'm
surprised,
because it's what I'm
so sure.
Because they're
sentimental.
For that.
Yeah,
but if you
go with the
regular, it's,
it's going to,
it's a lot of
it's a problem.
But that,
I feel,
that are the
women of the
before.
Of what?
That are,
that are more
sentimental.
Yes.
The women,
the millennial,
no,
I know,
how you're
they're going to
to go
to
that
end in that
they're in
that
they're
more
or
not
they're
in that
they're
not in
so.
I'm
I'm
see to
see,
to be
people
that's
people
or
people
say
they're
they
say
they
say
yeah
yeah
yeah
you
don't
you
know
it's
millennial
it
is
that good
that
well
I
think
they're
that
they're
that you
know
the importance
that you
did you
the first
that
you
did you
the rachato.
Today,
not,
no?
No.
I don't
ask them to
pay permission.
They're
parched
and they're
not up
they're
and they're
in the
mom and the
and the
I'm
and the
I'm, I
talked with
my,
I'm,
I'm going to
get to
his and
all the
and I
have to
do the
barco,
but you
you're
you know?
Yeah,
we're
two
two.
Two.
I've been
two.
I'm the
seven years
and three
a year
and three years
will
come
the
and there
you
and
You want you more?
No, I want one or two
more, but she doesn't want
any one.
So, but she opero
yeah?
No.
My jita,
you're all right.
Siamberle the gemel
to the verga
for that's the
yeah.
I've always
I've seened with
some of the
gemilitos
but she,
no,
but no,
but no more
more,
no more
care,
imagineate.
No,
if,
if not's
been operated,
forgett.
That's just
that's been
put to,
yeah
is written.
Ohal.
I'm just.
The woman
that you
want
to get a
of the
in
callient
or
you
manned
to operate
to be
no
no no
no
no
no
no I'm
no
I'm
I'm
I'm
I'm
don't know
any
she's
but I'm
want to
have a
man
yeah I
oh
oh
well
says
here
so
so
so
we're
so
we
don't
we
the
people
the
the
90s
so
they
can
they
can
they
like
like
the
The love
enters
for the
view the
day
for not
to be in the
day to be in
no,
no,
no,
no,
no,
but the
times
the time.
The time
and the
reality.
An observation.
What you
do you
about you
50 and
if we
don't
I'm going to
do you?
No
I'm not
I'm
not I
no.
I'm
I'm
I'm
but they're
but
they're like
like
I mean, I
said I'm a woman.
I felt I'm a woman.
That's the invitation.
That you invited.
And apart,
that,
you know, the regals,
me explain.
So,
so,
they're going to
and the net
because,
you know,
ah,
a bit,
we're,
we're not,
and right
with my actual
party,
well,
I'm the,
the provender.
And she
and she,
enchantada,
being a mom of
house,
and my
daughter,
and the
to do you
I'm in
not I'm in
not I'm
not going to
that she
but all of
your time
because
he's
going to
our
house
our
our
our
our
our
my
I'm
I'm
that I
can't
me
make my
my
food
that
that
that
that's
that I
feel
that I
that's
that is what
has
been
that
his
side.
He
how
me
and he
you're going
to be in
50-50
no,
the
old and the
year's
you're
and the
other than
and the
invitation
to the
thing
that's
that's
the money
and the
really
all the
thing
I mean
I
know
so
today
yeah
I
you
I'm
I'm
to
my
husband
and
who
who
who
who
who
she
I'm
it
How you
it was?
Well,
well,
because I said,
the
really,
I don't
I'm a
restaurant,
and with a
dinner, and
with a
with a
with a
good,
because
maybe not
I'm in
that I
did that
and she
and I
said,
no,
we're going to
you,
the important
is to
talk to
and the
really
and the
really,
because,
the,
the diamond
was in
Brutto
for
saying so
now the
demand
is pule
and it
is
apulient. But
not I'm
to agree today
today, but if
we don't have to
get to do,
and if we're
to be in the
but previously
talking,
but if a
morra
you say,
we're going to
you're going to
you're going to
the world, the
thing, what?
You're going to?
Because that's
what you
don't know,
but for a
good for the
colors,
I think I'm
for all for
all right,
and there's
to be-
because we're
going to
get in pedos
Oh, well, yes.
Dice here,
there's a
there's a
there's a
of the
medical.
I know,
Fierreta.
Jurament Hippocratic
or of
Hypocrates.
No,
so is it
Yeah, so
yeah, so
yeah,
and so it's
you know,
to put your
hand, to
put the hand
in the
pet and all,
when you're going to
do you're going to
be a medical.
How is
to be that?
The fact
consists of the
epochrist's
where the
medical
has to
help you
the medical
has to
serve you.
If you
you get to
a consult
to a medic
no have to
get to
get to
your
children and you
have to be
your
family.
Papa
Mama
is a
family
and not
have to
the consulta
yeah
but today
really
really
well
no
it's
I'm not,
in Nicaragua
is it.
Tal-
maybe in
a 70%
put it.
I mean,
I don't
do you know,
that the
doctor would be
that the
medical is
very frequent.
So,
you,
you're a
medical,
you're going to
a medical?
Yes,
or you're
to get a
to your
family?
Yes,
they've
been co-ed.
So,
I don't know
we're not
to be a
moment,
but yes,
yes,
if,
if,
if,
if,
if,
they,
the fact,
no,
no,
me,
no,
molesta, but I said, oh, cabrown,
it's all right, you, okay, you're here,
you're going to say, well, to call the
vera. And you, and you do
do you, I apply? Yeah, I'm
in the sense of, I respect. My
mother has gone, I gov'
$1,000. And I'm saying, you know,
because my son's a medicant, too.
So, imagine a man, yeah,
of 60 years, and you're still
to do that, because it's with other
pensions, and I'm going to
do you, I'm the thinking of her, but,
So, you are
you don't have to
cover you
know, I don't
you have to
operate,
then I'm going to
do the maximum
possible.
I do you know
to my
equipment and
I'm going to
end up
you know,
you're going to
put a example.
Me gave
a patient
grave
of Michoacam
and I'm
in the interrogatory
and I'm
in my interrogatory
I include the
profession and
the job
and me
he said,
I'm a medic
pediatra
yeah?
The patient
had many
symptoms
gastrointinal
and many
symptoms
of stomagos
stomach.
It's a
little
delicate
to the
patient.
That
consults
and the
subsequent
that were
not even
my
money,
I'm
never
said,
I'm
said, that I
know that I
know about
that I
know about, but
I mean
I'm a
run of
a paroscop
or the
polycopia,
was a
pediatra
completely
and you
not he
was doing
because
he was
because he
was in
that process of
that
he was
but I
don't he
no
no person.
And I
think
and I
I hope
that
some
medical
me
and we
can't
we're in
the medical
not the
don't have
to be able
to be
so I'm
so I'm
don't you
keep I'm
so I'm
no
no, no
to the
contrary
to
say
I think
I'm
I'm
I'm sure
the world
well
in Mexico
here in
in Jalisco
that
that
that
that
well
how
you
do
there was much motivation
to the
both parts
to do you
know,
I'm going to
I'm going to
this medic
I'm going
and I'm
and I'm
and so
and so
and so
because
it's the
reality,
no they
they're
not
no,
no
one more
one or
no
no no
sumar and
to run
to restar
and
that's
loco
that
that's
so is
in
Culeacan
well
in Cooleyacin
well
I don't
know
what
corre the water, but if
someone
that's
seeing us
and is a
medical
or in
in Sinaloa
that we
know that
that's
that's
they've
been called.
They have
been called
medical.
That's
loco.
Well,
so,
this,
and the
thing of the
man,
the
man,
the
of the
for all
for the
colors.
Agua
fresh.
Dice
here,
uh,
how
you went
in the
speciality
here in
Guadahara.
Uh,
I'm
to study the
paroscopia
for what
you're talking
that I'm
a little more
accessible
here.
We've been
a beka.
My
hefe
me treated
very.
It's
the shock
cultural.
I'm
I'm in the
hospital
and me
was very
bad
eating in the
heart
irritable
or colitis
terrible
because
all they
put them
put in
all
they're
but
how
me treated
my
maestros
the
grand
With who I
had problems
was with my
residents
that were
residents that
were in
the rest of
me
with you
I'm in
the worst
is that I'm
not even
they were
like I'm
and they're
in the
plan.
But what
what type of
problems?
With
exigencies
that no
me
to me
for example
and
they put
those
and they're
so
those
I'm
my
brothers
to
my
people
there
a bit
and a
Pegadito, no. No, no, no, Ecuador.
It's the warque. It's yeah in the
Sur, merely, in Nicaragua,
of Guatemala, we're in,
yeah, in Guatemala.
Yeah, we're in, yeah, we're in a little bit more
above and Guatemala a little bit more
but my experience
super well with my masters.
I mean, I was it.
It was a lot of opportunity.
Manded?
It's car.
You're, it's caro.
If it's car, because the Mexican
no, it's like the,
the, that the, that's the,
that's the, that's the,
that's the, the end of the day
to me were to be able to be
cobriending to the hospital.
An annuality of hospital
that we're in a
real matter of
we're having
contemplated
and the university
that the university
of Guadalajara
if we're
contemplated
but the hospital
was something extra
that's all you
so if you
have been
beckado
no
well my
matter
how do you
know how
years of
speciality
in
Nicaragua
were four
here in
Mexico
here in Mexico
here
here was
here was
two
two years
of
two years of
what
you could
have
had got
I've got to
in,
or so,
without
to be,
of this day
and that's
no,
of what
you're
to do you
to do
speciality?
To what?
Exactly.
Exactly.
Exactly.
Exactly.
Exactly.
The hospital and,
and,
they were like
$310,000
$310,000
pesos
Mexicans.
Yes,
the two
years.
Only the
hospital
was like 250
and
the,
pardon,
the university,
the university
like 250
the two
years
and the
hospital
we're doing
they're doing
with 60
and then they
went to be
a 30 every
a 30 every
a fairie
sota
and if
you know
you've
had you
know
well,
well,
the
same.
It's that
the beca
a beca
conacit.
How is
that?
There's
a beca
of the
Republic
Mexican
that is
of Conacit
that
that you
for
your
qualifications.
Obviously
the program
has
a beka
Conacit
So if I had
good qualifications,
if you were
apt to
have the beca.
Yeah?
But the hospital
and the
university is
another thing
completely.
It's an
entity different
the KonaSit.
No.
No.
Okay.
And what
what experience?
What good
experiences?
What most
the experiences
you've
really?
My service has
to operate
much.
I've got
there the
basis and
the instrument
necessary
to do
what I do
today
with respect to
the laparoscopia,
well,
apart of that
we're honest.
And much
people don't
know the
great majority
of the
person who are
in the
surgery general and
the paroscopia.
Because,
because
maybe they're
certain things
of the
paroscopia
that's a
that'ser
that's a
person in the
but really
study it
as a
year,
then not
so many,
so,
and so
so I
think that
to be
good
in
you have to
do it
has to be
very
very.
Because I
can
think of
that I do
the thing
because I'm
you know
to the
caroscopy and
you know
that you're
you're
and you
need to
trainart.
As
the robot,
for example,
were six
months of
training.
At the
final,
me,
it's
certifications
in the
United
in Houston
that
that's
certifying
in
intuitive
to you
to
get the
authorization
in Mexico
to
to operate
for
robot.
Yeah,
for the
there are
travas,
while
in the paroscopia
no
there's
so the
the patient
the patient,
pardon,
the medical,
well,
is able
to operate
very well,
and a
way,
because we're
we're in
manner infieri
with respect
to the
practice,
but they
put in
a few
those
don't
be
those.
Okay.
So,
then you
think there
a much
medical
that are
that are
not,
not are
specialized?
So,
so,
they're
even,
even
they're
in some
and really
they're
really are
things that
are things that
they're doing
because the
patient
not know.
For etic
for etic
you have to
say that
the
zapatero to
his
zapatoes.
Something that
is a
boom,
very,
very,
a canion,
is that
you've
heard the
speciality in
syrugy
estetica.
Medicine
Estetica.
Yes.
Resulta
that the
medical is a
medical
general
that I
studied a
student
a
year.
But
result
that
the medical esthetic
is doing
more than what
it's going to
when I'm going
that's putting
mamas,
that's
doing dominoplastia,
that's
doing liposuction
and then
he's
doing the
job to the
chirohano
plastic.
Yeah?
Al
that he
took,
the
fact,
that's all
that kind of
preparation.
No,
so it's
four years
of a
plastic
after
after the
surgery
still.
And then
it's
something that
is a
day and
more in
this
city of
Guadalajara
because the medical
esthetic
to take the
chirohano
plastic to be
and it's doing
things that
not do you
do that's
that they're
in the risk
with the
what you
what you
recommend you
that's a
it's easy
it's easy
I'm here
I'm here in front
to Horny
okay
they're in the
system of
federal
we have
we're having
cedula
federal and
we have
several
can make
in the
cedula federal
or
can make
in the
page
the cedulas
state or federal.
I'm,
I'm atoree
because I was
thinking of the
page and to
the name of the
medical.
Ah, me's
attending,
Wiron,
Bayadares,
Valleadares,
he's going to
look to
and then
so there's
a medical,
estetic,
or if
is a syrujanoplastic?
And what
you're,
they're,
they're going
to be
going to
the
cyrusanoplastic?
The Chil
is the
syrujano
plastic.
And the
other is
esthetic.
So,
this,
boy,
now I'm
I'm sure
because it
has passed
many
things
that
that's
that's
that's
not a
not in the
clinic
that's
registered,
registraised
and all
the roy
obviously
the patient
no
of that
that's
in every
kind of
there's
a register
here,
a carat
put up
in the
part of
and
not are
registered
and in
in the
city
Mexico
happens
much
that
are
clis
are
clis
and the
patient
the
patient
doesn't
The medical is
So,
we know where it's
where it's
bad,
and it's not,
but the
really not should
do you have to
do that's
with the life
of other.
No,
but it's been
viciated to
the medicine.
And it's
that's a
person,
loco.
The net,
we have to
be realists.
No,
they're not
for a
fact of
information,
but here
I'm
to give to
my patients
can't
review,
what medical
they're
trying to
try tauts
and the
really of
gastros
and in
the reality of
all that is
all that is
all
that is all
because
that we're
to have the
title
and they can
look at
the system
of the
system of
the system of
the
system
that's
that I'm
in the
cellular
professionals.
Cedules
professionals.
There's
from the
engineer
you can
get to
administration
of the
administration of
the company.
If you
you're
there's a
time,
all the
turning to
see a
man,
loco
or so
if we put
to get
to do you
all
what can
to pass
mediates
these
things
of health
there's
many people
far santa
people who
say,
that I'm
that I'm
that I'm
that I'm
that he
he's a
that's
a sutanito,
so sorry
but
for part
of
to show
to people
to give
to who
but
that you
indicate
that you
go to
go to
there
there's
there's
there
there's
in
all
there
there
I'm
there
and you can cause cancer.
And he creed to the
medic, if you know?
Well,
it's supposed to
he's the
is the same.
Correct.
But it's a
percentage
minimum and in
certain type
of patients,
yeah?
So it's
a charlatan
with the
objective to
to be able to
get to
get a
piece of the
un-vecler
in the
vesicular.
But,
sometimes a
patient, but
maybe a
car is a
mechanic.
There's
a chatelaten
or no.
In all
On the other
sides are, in all
there's
from the
hardino
and if you
know,
it's a
or not
from,
it's a
chef
or not a
chef and
and it's
a chef and
that's
important.
So,
so it's
there's
people.
There's
people who
don't me
to eat to
today.
Yes,
but for
certain
for
certain
professions.
But the
title,
if you
don't you
don't have
in medicine
then you
you're
to be
doing?
In the
medicine
if you
don't have
because
valiste
verga?
No,
the
do I
be there in Tepito.
Trunked.
Um,
no valista
verga,
well,
so,
so,
in the,
in the,
talking of the
area,
Salute.
Yeah,
Salute,
we're talking,
but yeah,
that the
graffiti,
that the
painter,
that the
albañil,
that the
switchator,
the,
no,
well,
it's more,
how,
how,
we're,
not we're
not we're
not we're
not we're
not going to
the health
of one,
and don't
the
same
there's a
there are much
that are
millionaires
well?
Well,
they're
doing
but
everyone
what's
what's
what's
so
that's
so that
really
one
if you
do you
do you
do you
do you
do you
you
do you
tell me
a
know
a necto
you
a
patient
the net
a penita
it
and
and you
and a
you
and a
god
right
right
there
Yeah, so me
has been one
of the
service social
I'm going
one,
it's a
much time
it's a
that
I'm a
balliado
in the abdomen.
We've got
to do the
parotomia
I'm going
in the
service social
and the
balla
we don't
we're
we're
a carastrophe
and perfor
the intestine
and all
and we
we're going
that we're
that's getting
more
to the
balla
so
to this
room?
Correct to
the
thorax
and that
we
decided
to
bring
the
thorax
to
I'm still
there's
the ball
was in the
heart
perforated
we've got
to
the heart
to repair it
and then
repair it
and then
the intecino
that was
and we
did it
we did
the pubis
up to
up
up
that's
that's one
that's
and it
and it
got
it's
it's
out
it
out of
so
I mean
I
I'm
I'm
so I
think
was
it was
a
was a
six or
six or
and
the
the book.
The
libro.
Well,
I have
a
question of
that if
you pass
something
you know,
no, no.
No, it
repar
well,
she repaired
and the
one that's the
mind, another that's
me came to
the mind, also,
a patient that
we've got
in an ultrasound
abdominal,
pelvic,
salve or that
has a tumor
sort of
a vario.
Tumorcito,
I'm
said,
I was a
little,
three
centimeters.
And that we're not, manches,
it's a tumor of 15 centimeters of the ovary
isquiree, 15 centimeters, this,
so, so, so, so it was palpaba.
And that was abasado and topado
with the intestino gross.
And also with the ureterre
is the structure that
is the structure that goes
to the rinion,
to the bejiga.
It's very important,
because if not,
for where it's,
we're going to do
the orina.
Demeramos,
for the paroscopia.
For that cirugia,
the sirs.
The sirs,
I love
thank you.
15
and the
worst is
that the
tumor
not had
the tumor
was a
the intestine
was tap
the pus
so it was
a tumor
abceded
perforated
and
sealed by the
intestino
so
a day
we've been
some
some things
we've been
an tumor
of ovario
also I
don't know
why me
in tumors
of ovario
also about
because
it's a
partology
is a
a problem
and that had
pelos and
like the
like the
tumor of ovaries
had a
lot of the
yeah,
it's called
teratoma
what is
that's a
terma
is a malformation
where
they're
they're saying
and the
words
they're saying
for that
people
and the
things
and the
of all
you're
in the
ovary
literal
yeah
it's a
there's
a lot
I'm
a bit
teratom
is called that.
Why?
Why?
Why?
Some formations
that get
to the ovary
in a
time
embryonary
and of the
life of the
woman.
Who
you think
right
about
about
about
about
about the
people
that
are
more of
the
intestine
and
that matter?
The
woman.
For
what reason?
Carg
Genetica
the
a woman has
more
predisposition
of cancer than
the
woman.
We can't
come to
the same
but it's
for that you
have a good
that's not
a good
person who's
a person
to the
woman and a
woman, the
woman of the
cancer of
the cancer of
ovary,
can have cancer
of cervix
or of
the cooel.
So,
it's more
predisposition
than we
we're
we're more
we're
we're not
but a
but a more
predisposition
and we
we're
this month
is the
month
this month
of the
cancer
of
And then I think we're like 60, 40 or 60, 70, 30.
We end up there.
We end uprored.
Of course.
The women are more frequent.
The women are more than the woman.
Yes.
In general.
And when it's a personer, for example, the vesicula biblia,
you know, you know, that's going to be a vesicle very laborious.
The old.
The only?
Yeah.
Because supposedly, we're more agonaders of the dolor,
for a thing that I don't
think
that I don't
want to
much of the
and the
woman
can't
less pain
so
just for
being there's
how you
how they're
how they're
like the
woman
more than the
woman for the
end of
we're talking
we're
about the
vesiculae
but it's for
a man who
is a manned
to do you
a company to
my socio
to
go to
go to
a urnia
of the two
sides and result
that
I'm in the
region where
the appendice
and no
opero the hernias
and he
decided to
quit the
appendice and
result that
when it's
a question
because it was
a syrujia
programmed
the patient
had to
have had
a
little bit of
the
area of the
fosy
the
right and
it's complicated
there
I'd
to put that
that's
that I'm
that want
the
the
woman or
some family
he said
that the
the pain
of the
the painstice, no, we're going to,
to what you know,
is that lamentably, loco, because nobody, nobody, we're,
we're going to, nobody we're going to recognize, that we're going to
Oh, man, dude.
No, well,
well, it's a lot of
cullio.
To me say,
I'm going to
operate,
then to do
my car to
do you.
And what are?
Well,
if the day
that they're going
to operate me,
they're going to
get to
the ultimate.
Yeah,
but it's a
mytho
the anesthesia
and that
if I'm going
to get a
percent and
we're not,
the mortality is the
type of patient that
you get a
really,
yeah,
well,
has to
have to be
psychologically
or not?
No.
You just to ask you
some
history
right?
A story
a
story lamentable
and a
patient
recommended a
of 86
years.
Oh,
God,
you're
with a
with the
abdomen,
but the
generalized
that
didn't
put to
put her
down the
and
we say
a ultrasound
and that's
the
vesicle
that's
complicated.
Yeah?
When the
vesicle
is to
give to
do a
medical
initial
of
antibiotic
therapy,
you
have to
expect
the
maximum possible. In this case, the
studies 72 hours,
they're with antibiotics and analgesic. We're
we're still. We're still-a-lawed.
We're stabilizing. It's a lot.
For medicine internal, the
surgery, the surgery.
The objective principal is entry, for
salida. Diminute the time
currifices, the most rapid
possible and to make a condition, there we're
going to. Podried to the vesicula.
Podried
the vesicula of the patient.
How old time has
been? The fact of time. The fact of it.
The fact of it had to be able to do
more of seven days.
more than 17 days
and he's
he was so
mal in the
last in the
last 48
hours
24 hours
in the
personal
I think it
not two
three months
no
and that
that's a
but
but they're
in
count the
they're in
it's
it's the
same
the
thing
that's
the
last
I'm
he's
not
he's
because
it's
a patient
relatively
so
so
so
so
so
so
so
so
that's
all
to do you know,
you can't
say that's
you know,
you know
to make your
information to
the family
and that
the surgery was
a success.
Mendito
everything.
All right.
We're going to
have to
do you know,
and that
the patient
is infartive.
The
senior of 86
years,
apparently
he gave
a formality
cardiovascular,
he did
an infartal
he gave
a
a form of
pulmonar.
Something he
did
that he
did he
did he
her reanimated in the hospital.
They're riffed, the
fact, because
all was
vigilant there.
The patient
lived like seven,
10 days.
We've got to
transfer that
at the hospital
particular to
other clinic
to liste
and,
and,
I'm sorry
fellesio.
One vesicula.
One vesicle
I don't know.
I don't know.
I don't know.
I don't say,
and I'm going to say,
but no.
But for intuition,
I think I'm
I'm going to
well,
I'm going to
affect to other
things that
you're not
in that area
or how?
All,
all,
it was he
did you
do it,
but he's
the crosson's
the carosoncito,
reticioned
the pulmones
but something
he had
tried to have
tried to be
a
radiological and
all,
and so,
and so are
things that
are
things that are
in the
way,
but
how,
how,
how,
how,
how,
um,
how to do
without
yeah,
yeah,
yeah,
well,
imagine
that's
it's supposed
that I'm
a lot of
all,
to be in
the operation,
it's all
the operation,
it's all right
because
because at
a lot of
in the
surgery,
there's a
stress
chirurgical
and the
body
of the
that's
that they're
there were
to have
moved
some coagulito
that
had been
a lot of
a lot of
a lot of
yeah
was in
chambed
much and
not coming to
much and
then I'm
migrae that coagulito, the
heart or to the
pulmones and
they were
paralyzed.
It's lamentable
and a bit
in a trite's
because it was a
good for a
surgery with a
patient.
Yes,
my anesthetiologist
then it
was made to
the patient.
We don't
a time.
We're not
a lot of
not a
competition,
but there's
some things
that you have
to be
to get the
work a
rapid,
and we
we're not
we're not
we're back
but we
not far you
the carcincito.
So,
so it's
it was a
surgery
satisfactory
because
And there is where
the family
and there's
a lot of people.
Thank you.
Thank you.
Thank you.
As far as
as you
like you,
with terms
medical and colloquial
to explain to
the patient and
he said that
was a grave
and that was
a grave.
And doctor,
if we
did we
get with
exitos
and can't
live what
the rest
of the life.
And if
not we
we're going to
do a
sepsis or
peritonitis
in your
abdomen.
You value
you value,
you value,
what is to do you
have you done?
You've done?
Operate or not?
Operate?
Like your family?
Operate?
That's the
best of the
decision.
Because at the
end of the
mind is to say,
and if they'll have
operated?
Then,
and if not
he had operated
what had
passed?
Yeah.
A, it's a
ballad.
It's a
more than the
age, more
than you.
The age,
no,
no creas.
Not you
the same.
It's
so,
well prepared
the patient and
nothing.
I had
a question
very good
right and
what you
you're going
with what you're
inamoled
you're inamolated
you're inamolado
I'm inamolow
I'm
what I'm
really,
this is other
pet,
we.
Yeah,
the,
the,
the,
the,
and poor
that I
know that I
remember that
I'm
that I'm
coming down
oh,
horny,
because
you're
saying,
whey,
the doctor, Jorn.
Oh, Jorni, why are you so
irrespectuoso, Jorni?
The net, loco,
I'm going to be
honest, and here's here
with me, here, with me
to go, to me
go ahead.
Yeah, of all,
to do,
for the other, for
the way,
what, like,
I'm, that's,
and so forthen
ponsonas,
support in pansones,
no,
they're,
they're cagando,
the psalos,
and they,
he said,
give it to
go ahead
as you
that's a
ta ta ta
and
you know
and you
have five
comments
and all
in the
platform
and for
well and
they're going to
get to
do it
we're in
a good
public
the
the net
no
you can
you can't
not
not
in the
house
can't
be
preoccupate
for you
yeah
yeah
so
so
so
so
weiron
um
bad
bad
that per
right
I said
I
said that
you said two
times,
Bayadares.
And I'm
Bayadaer,
Bayadaes.
Why?
No,
and she
know my
papas,
says,
that the
people
great,
Inferno
Grand,
we've
we've
called the
little
Leone
and the
chabalal
and
not they
know.
Cabron.
So,
so you
were overachia
so.
No,
but if
me they're
saying,
still still
still still
still.
That's
no,
but I
didn't know,
but
is a
little,
but it
is a
little
the world
in
so
is,
I have to
record me
that
question
right
right
but one of
you know,
but one of them
is,
for that
the people
is car
way,
the process
this
of operations.
There's
there's a
thing,
and what I
do you do
the patient
to be
to be
to go to
me,
I'm going to
do you
do
my team
is the
same
that you
operate
in the
hospital
Angeles
of
Carmen
or in
the
clinic
that you have
here in front
or in the
hospital that
you're at
the par.
What is
what can be
the
of the
other things
that you
want to be
I'm sorry.
I'm sorry
I'm even
after passing
the carlaces
that some
people are
that people
to work
in a
clinic and
I said the
riff
at the clinic
and not
so I'm
complicate
the patient
that's the
is the
first is the
surgery
ambulatory
that
the patient
entered
the
we're
we're
we're
to
But the day of today, we're going to the day of day
if all day is, and all right.
And then I'll operate with the
technology with the cargamous,
that's the surgery of the paroscopic,
or you can operate also
with a technology
superior to the paroscopic,
but also it also
the cost of the cost.
Sure.
If is much difference?
Yes.
If it's much difference.
And what is what you
do you look,
the difference?
The days of evolution
post-chirurgical.
Okay.
The precision,
the movements,
all the decisions
are going to be the
same. Okay.
It's going to be the same caliber,
pardon, the same diameter of the
area, millimeters, of 8, 5,
12, 10 millimeters, and at
final, it's a minute. Opero
something else than the
medicus, that's a syruia
mini laparoscopic.
What is that? Syracia
of 3 millimeters.
It's a pointit
nothing more, and with that I'm,
oh, so, the erreda?
And how does that, or the
erita, how is the ped?
Some erud, they're in bit
beautiful and chequitas.
The fact that's the opiered
or patients
very recommended
or patients
young,
women,
because in what's
the people are
going to get to
the chakard?
We could we
have made a
great syrujota
in the
and that
doesn't know
it's a
important how
will be the
heartries
of your
abdomen.
So,
it's very
much the
clinic,
hospital.
And that
is much more
more
more caro
still.
Yes.
I have
I have
I have a presupposts
very,
very,
very,
accessible,
very accessible,
that are in the
market,
I don't compete
with...
In prices?
A bit,
let me,
more or
the rank.
A vesicle
we can't
work in
$50,000
for a
bit of,
all.
For bagito.
Yeah.
All,
when I refer to
all,
is a mode
packet.
But if
you're,
you're
you're in
internet,
there's
to say,
cabron,
how they're
they're
so I'm
and I'm
to be
to be
my social,
no,
but
I don't know what type of anesthesia or what they're going to do to do the patient.
Or,
or so,
maybe they're not,
they're going to get in the vesicula or that.
Yeah.
But there's of all,
of all.
And is that really the
health,
well,
it's quite,
it's a realizable that
in Guadalajara,
of that the plastic
no,
so, right?
And with $50,000,
a vesicle that I'm offering to,
for the next,
because the urgency is
right to the plastic.
I don't
I'm not I'm trying
a medical
Plastic or
I have various
compas
plastic or any
a patient
but there's
a question
of priorities
and it's
something that we're
we're going to
we're going to
get to
the reality
of the
health
about the
checkout
that made
you get to
get a
one of a
year at a
year of
a year
examines
of a
examin of
sameen of
surgery
nothing to
have to
do you
do
an ultrasound
an ultrasound
of the
prostat us
those
the
people
cheque-tricky.
A-pok, if you do you do
do you do this,
is the,
no, we're doing,
today,
now's out of,
that technique.
Yeah, no
it's a technique.
And in hospitals,
normal,
no,
no, no,
no,
not it's more,
more,
more, more,
more than,
more, more
decision,
for you,
but the
decision of
every,
but the
ultrasound,
how is?
No,
it's,
it's for
the back,
it's in the
be hick,
you know,
a camera
in a tuesday,
no,
no,
no,
no,
no,
Water freaks, my
Papa.
I have a
co-protechologist
that I'm
a company
and the question
is that I'm
going to
that they were
to do with
that's
to do you know,
to revisit
to the
hemorrhoids.
There's
I'm going to
do all in the
viney of the
senior,
an employer,
and that
he was about
that he
would get to
get to
the doctora?
How did
the eye
my chitor?
I'm
got to
the question
the question,
loco.
I'm
talking
and you're
machinand,
right?
Yeah.
No,
it's that
you,
I,
you,
I'm
to have
to be
to get
for this.
There's to determine if
really is intolerance
to the lactosa,
not it's the
lactose,
what type of
food is,
to the gases,
to the excesses
of the grass.
So,
now,
I'm,
back to the
question,
but I
imagine I,
for example,
a gastritis,
me imagine
I'm I,
I'm a lot of
diabetes,
so it's called
acolytis.
And then
the clave
right is
to learn
and determine
that the
things you
do you
do something.
Ah,
thought,
I,
I,
did you
distendio,
me dispensed,
What is
to do?
Try to
eliminate
that type
of the
doctor,
fissions
that the
whole
entire
without
me is
getting
diarrhea.
Well,
you try to
change
the
if you
like the
little
the leachos
also.
Influge
much the
habits.
Influge
much of the
habits.
Dr.
Fycese
that I'm
made an
acidity
incredible
here in the
body of
the stomach
because
no I
have to
drink in
the
little citrico,
like the
limonada.
It's
also
So, we have to be trying to eliminate
that type of things
and give a lot of
re-fluso,
have to do that
time to do you.
To have a trotemeter,
also have to do
the treatment.
But if you
yeah rebasa
and you
have a pop-o,
what I see you,
one is a medical,
in this case
I'm a gastroentestinal,
the paroscopist
robotic, if
you can't
do you know
to determine
and I'm
the more sincere
possible,
I'm the
person who's
the specialist in the
material?
The gastroenterologist
and the coloproctorlo-
and the
coloprocto-o-o-
in this case
of talking
desangu. Because we can
revasar in
certain things that
we're not
we're thinking
like a
uci,
like a
problemate of
cron,
that's a
inflammatory
of the
intestino
that has
people.
But it's
that's
the food.
The food.
Let us.
We're going to
say, because
the net one
knows when
he's got.
So,
but
talking to the
health,
for so
not you're
to be
to be
a ballasto
of a
a chemada
no,
of an infarton
no.
What's the
shingada.
About
that you
can't
make a
a
a
very
a
food.
No.
Which?
No.
A gastroenteritis
if you
can't
get a
a
fatia
renal.
What is
the gastroenteritis
is a
infection
of the
tract
gastrointestinal
from
from
from the
stomach
to the
stomach
to the
india
you're
talking about
the
Well, so
YouTube,
that have eaten
that have
been given to
get to get
to get ridges.
If not
it's
adequately,
the
diarrhea
you can't
get riddened,
you chocas
for the
same as
the same
because the
peridates,
in this
case,
the diarrhea
rebas-
to what
is ingirying
of liquids,
but if
not you
try to
adequately.
It's
recommendable
to a
person
that's
to be
of an
acides
and that
that's
that comes
omeprasol
an
before.
First, we have to study
and when I'm going to study,
is to get to the consult,
to know what symptoms
is esophagic or atroesophagic
what type of
disease.
And you'll discerner
if you need that
treatment of the
someprasol or an
scale major
to the someprasol.
To be a
know if it's not
a study, more
a fund.
Because a
we're going to
make the same
we're going to
send us a
end and the end of
a germia and yet
and if not
you're going to
you're going to
do the symptoms
all the life.
You're going to
to be to
cause a
cancer,
that's the
yeah.
The hernia
not salen
for,
for,
to carry
much
the first of
the endernia
is the
amount of
the pressure
intraminal.
When
puhams
and you're
problems to
do you know,
it's a
factor of
a risk.
The physical
culturalist
that's put
a fash
here in the
parisdominal
not is
nothing to
nothing.
Because
all the
pressure
is tending
to the
right and you
can't
and you can
get a
hernia.
No,
it's not
it's a
myth of
there's a
thing,
there's a
for you
to get a
mean,
the amount,
and the
diminution
of the
amount and the
diminution of
a factor
of risk,
the laxitude
of the
abdomen,
of the
muscles and
of the
panhebrosis
is enshr
and it's
disminue
with the
end of the
end of
the most
the
person
or that woman
major predisposition
has to ernie
in the upper abdominal
fithetting
no more.
Operate
patients of diastesis
operas
but I'm a lot
in the armament
in the omeligal
and the herne
in the omeligus
and the arne
two, three years
in the gymnasia
to put me
a machine
and cargando
pesado
because
because of
that's
I was to
get to
work my objective
cargando
those
pinches
cintos
and the verger
diokis
probably
probably you have
aern
Inguinal and
you can't
you know,
how you
know the
patient of an
urn inguinal
doctor,
I've had a
pickete in
the region
inguinal
here in the
English,
he said,
I,
I,
I'm a
ballita in
the region.
Fis
that was
playing
tennis and
me,
he's,
a movement
of a
movement
of an
movement of
extension and
me dole
I'm
doing,
I'm doing
playing
football and
me
dole
so
so we
don't
count
cargando
and
it
in the
body that's in
the
way you know
you know
you know
you're
not you
know,
that's the
person does that
does that
yeah,
I think
I'm a
medical and that
we're talking about
and then we
do it's
and then you
end up
the patient
because he
gets with the
idea.
But really
really are
pathologies
that we're
we're
that we're
and the
70% of the
population
world
has hernia
end end end
end up
the population
world
even the
You're just
,
I'm trying to
wren't a
legion,
the dog-
that's,
you know,
you put this
pendejo
and get you
get to get
and tracas
a-rugger
like,
like that's
the tipper,
and ching-a-
-s-matter,
also,
I'm
not,
you know,
to me,
but,
we're,
we're,
we're,
we're,
we're not,
we're,
we're not,
we're not,
we're,
we're,
we're not,
we're
we're not,
we're just,
we're
a-c-
question,
vergas,
And they're uniformed or what?
The stint of sex.
Ah, me
is about
I'm forgetting.
Right,
we're going to
ask you to
know,
but,
I'm going to ask.
I have,
I'm going to ask you.
I'm a story.
No, no,
no, no,
no, no.
Right,
I'm,
I'm,
I'm going to
see, I'm
so I'm
I'm,
see, I'm
remember.
Yeah,
I'm,
to this,
to this,
to this,
speciality,
what you,
what you
recommendas
to the
people,
what elements
eliminate.
If,
if,
if,
if
the plan
no,
no,
I mean,
if you
go to
consume,
no more
not for
consume,
me more
not.
Excedent
of the
excedent of
dulces.
No,
so you
don't know
because
there's
people who
they
fascina
the
sweet.
He's
the
mame
the
dulce.
Abundated
carburatos,
abundant
pan
not is correct
not for
the
intestine
or
to
your
health
or
to
increase
to
increase.
That's the most
The first
Grazs,
and carbohydrates
And other
other thing,
you crees in
this,
because at
least so
I'm
that I'm
served you,
that the
that is
exercise.
There are
patients that
is in
exercise and
they're infarct
I.
I mean
to this.
You,
Hermes,
do you
do you can't
eat your
pet,
but you can
you're doing
exercise.
Yes.
is the
really,
is the
what more
but also
also it
also can't
to tricyri
and the
cholesterol
because I
can't
have a
better
but
my terisero
and cholesterol
and they
need to
get to
the
intermister
needs to
need to
to
get to
problem
because there
because there
scales
of
of risk
of
the risk
to
those
cariolos
with
lipidos
that is
the
I'm
and you're
I'm
the word
because
you
are
a young,
Sano,
but we don't
how you
know about
that's
for the
right.
We know
we know,
we know,
we know
how you know
the index
of cholesterol,
not know
how you
know your
indice
in the
blood,
and so
really
have to
value the
specialist,
well,
to make sure
the
with the
life and
to get to
the gym
and all of
that's,
okay,
no,
so you
have you
know,
but of
tomos
we have
to check
you.
So,
so.
So,
so.
Water fresh,
no.
I'm
me
I'm going to orinando, loco.
I just
I want to
but also
that's a
bad.
Awontars to the
badsim
to get
your
vehicle, so,
it's overdistyne,
and when you're
to urinate,
and you
get to the
40, 50%
of the
retention of
the
brain in the
and it's
good,
but I
have got
to be mad
in calient
so,
so perem,
so,
so yeah,
so yeah,
Wiron,
Vyadares,
the Nicaruens
triumando
in Jalisko
for us.
Agua fresh, my
Papa.
Fiatem,
I'm
like much
the postcard
because there
much information
that's
in the
cases,
but here you
being a
specialist,
we're
you're doing,
and one of
them is the
foodation,
that well
can be
be a
oboes,
or this,
and this,
to any other
can't
be to
talk,
but we
don't
risk,
the
the sportists.
That's,
that with
the alimentation
can't
eat
what
you want,
but
it's
that's not
does that
does it.
But if the
sugar,
then other
things,
so the,
then what you
can't do you
to do you
see what you
make a lot
and that's a
examines of
the same thing.
Examines of
to be the
also.
Also,
with the
pedas,
also with the
formation of
the
formation of
the
body of the
formation of the
body
in the
body of
there's,
there's not
never done
done that
in the Coca-Cola.
No, there's nothing
demonstrated, but
for sure,
for no.
For sure,
for no.
For no,
I don't know
person, I don't
take Coca-Cola.
Hsuo?
Yeah,
juice, yeah.
Water mineral,
I like.
What do you
think there's
there's a
difference
between the
Coca-Cola
and the
endulcorants?
The juggerants.
The jugues
don't so
recommend
because
the pulp in
in-vue.
Agu
fresh
With the
juice,
you know,
the sugar.
Yeah,
but the fruit
so,
as well,
also,
a patient
diabetic
that's a
plantano,
a jug,
an orange,
in vivo,
mango.
No,
recommendable.
Well,
the
real bad,
no.
The fact
not,
the patients that are
the besticic are
very much,
rapidissimo.
And how
they control?
And,
internist and
having a
alimentation
adequate.
The diabetes
megytutin is
a tracioner
to tell you
let me
my mom
me was going to
me was in
my mom
was a diabetic
and we got
that my mom
was controlled a
was debutating
for a
so much
with diabetes
megytus
really
today is
very stable
and had
pyrs in
the vesiculabit
in the vesiculabit
megyr
and fes mythes
meythus
and vesiculabia
billillard and
If you're in the
man,
my friend,
it's
it complicate
in 24
hours.
And then I said
my mom,
oh,
you know,
you're
you're
on the
vicaring
I'm going to
get,
I'm going to
go ahead.
Then we
resolve the problem
and yeah.
And so
is like
has to
have to
resolve
the
things.
In
frio,
not in
the
was talking
that was
in the
emergency the
vesicula
of
his
his company
the other
the other
another
a gangrenna
of
fornier
the
last
two days
what is
that
a
It's a bacteria, microcranism, that
Cometrema.
There's a lot.
Aftorne.
Aught you'll be
with a book
abierta.
Resulta
that you need to
the testicles,
the infection,
no,
of transmission
sexual.
If infecta,
not it's
adequately,
and it's
extending completely
and it's
being like
of burbushas
of water,
because the
bacteria
produce those
burbububhits
of water,
right?
It's called
aire,
we're actually,
it's,
it's emphysema
in the
tissues and
really
it's
it's
going to
advance
rapidly
the
infection.
I'm
going to
the
photos of
the
surgery
that's
the
night of
three
four,
four
days and
really the
patient
came
with
the
fever
yeah
there is
a
different
to the
normal
and it's
a
thing
that's
that's
that's
that's
that
you're
you're
you're
you
you're
the
you
can't
you can
get to
up
you
you
can
get to
No, well, it's
very difficult.
No, well,
to see?
To see, in serious?
Yes.
If you're,
no?
We've seen
people who've seen
Bucci and the verga.
Dahlia.
Daly?
Derey to do it.
Del it.
Derey for yeah.
To be there
to the two
side, I think.
No,
no,
no,
no,
it's to the other
side.
Oh,
well,
it's to the other
side.
you get you
to the
Fuertes
Yeah I'm
in that
Even
Up over
The umbligo
He's
He's
A la
Berga
Wee
Wacha this
boy
Yeah
So we're
We can't
We can't
We
No no
No no
We're
No no
Censurant
And
It's a
It's a
It's
It's a
Not much
So
It's
very grave.
And this is what
they're
not.
No, that's
a part of the
little bit of
what's
all around
to be,
it's,
he's,
he,
he,
he,
he,
he,
he,
he,
he,
he,
a verga.
Also,
we, we,
we're
we're
that,
that's,
that's a
type of
of
procedure
is,
pretty,
very
pretty,
my
horny.
There,
there,
where they,
where,
where,
to eliminate
the,
what,
what we do we do is to
get to
get to the
data of
the data of
the data of
the fact
because
all of this
is infected
because that
no, that's
not far
to
that's not
going to
be a restructuration.
It's going to
do you
to get a
surgery
plastic
no,
no,
no,
man,
boy,
it's passed
to be a
badger,
that's
that's
a matter,
we,
we did we're
we've been
we're not
we're not
a lot
to make
a asco
or
nothing of
that
me
impression
the
level of
rajard
all that.
All that
we're coming
for the
infection.
All that's
coming by the
infection.
And you
are you
are the
photo
comparatively
of how
we're
and how
it's
something.
No,
well,
the net
is something
whatever
would say,
well,
is that,
well,
the batto
so the batto
so much
no,
thank
to do
still,
but
there's
that
these photos in
some
red social
I'd say
that's
my comp.
Diabetic.
What we're
talking.
The diabetes
is megytutus
no pardon
debutando.
It's
a gordito
yeah.
But not
so it's
something.
No,
pardon the
infirmat
Horny,
no
pardon.
That's the
most
like the
most
so
impressionante
that you
have
talked.
There's
of things,
so,
diaries,
and
Right,
it's two days,
three days.
I never had
seen a
yeah,
as we're not
if we're
doing it.
But the
point of the
comment and
to show you
the photos
is the
sugar.
My mom
so per-
with the
sugar,
stable,
and all he
went well.
And this
patient
is debutando
the sugar
35 years.
He has
35 years?
35 years.
Joven.
And debutando
with that
so,
is a can't
and the
patient
that's the
patient that is
aabetic
and et cetera.
Yes,
and if it's
how
you can't
you know
you're
that's
you're in
the
because we
have seen
many
because we
have been
tomography
ultrasound
we're
we're supposed
a erning
inal
complicated but
really
no had
nothing
of the
ironing in
the
microorganism
the
the carnitit
there
and down
and the
how
how it's
how it
so
of a
infection
from
from
the infection of
the
testicle
that
you inflame
the
part of
the
can't
go
and it's going
and it's up
and it's
you're going
and it's
it's up
and it's
it's about
right,
the omit
from the ombligo
to get
right, we're
we're going to
we're going to
we're going to
but that
between the
and the
and the grass
or go
or it's
for the
inside,
you can't
get to
get to
down the
muscle and
that's the
most
lamentable
and we
we're
we're
we're
that this
because
there's
to
keep
and you just went,
so,
it's,
it's,
it's,
it's
a,
it's,
I'm,
uh,
no,
still don't,
no,
your family,
are,
yes,
he,
no,
so,
no,
but she,
and we,
wittar,
and,
and then,
he,
they're,
he,
has a
something,
that's a
system back,
actually,
now,
the system,
back,
not he,
he was,
he was,
so,
he was,
he was
the rodod
and,
we're,
and,
and,
really
not
she's
doing
curation
to the
antiquity
any
every
four,
every
six
hour.
It's
with a
system
of the
and it
put in a
little
some of the
little
some of the
time we're
to get to
get to
the
morning.
And then
that's
a
that's a
debididating
that's
that's
that's
to get
all the
good,
that's
getting
sangrando
and rosita
with
the
thing,
and if
you have
to get
more,
because if
if you
will
go to
see
the
infection
and to
to change the
sponging
that I'm
talking about
that's
the same
that's the
thing that's
that we're
we're just
we're the
we're the most
we're the
most of the
most of the
cases of the
people who
this is
this is a
not,
no no
no,
it has to
do it
in vivo
direct
in vivo
how
it's
how you
did you
the patient
how
it?
For
the
in the
region
inginal
and
scrotal
is
Israel
so
yeah
so
yeah
of the
three
of
the
and that I sent him to
a bulte
that no
he had
of the
last three
days.
So,
I go.
Fever
and diabetes
meytos
and the
bulton
not is
a lot of
a lot of
rapid,
no,
I can't
let him
to say,
I'm going to
let me
let me
to get me
to get me
yeah,
but what
to do you
do I'm
what I'm
so they do
because they
do you do?
For the
The odor, no. For the
color, no. The
the odor. No, the
is very, very, very
insupportable.
What's the way?
A carne
disposeda.
An animal
Muerto.
Something like.
The allor
not is a good, but
are gauhers of the
office that are
to riffarsely to
all.
Well,
so they put in the
equipment, a
maskery with,
with a protector
so like COVID
and all of
that's the
initial just,
now more,
then we get
it's lave
we're bright
and it
They're all very well.
But it's difficult.
Oh,
but you,
but you
try's mask
and all the
ped?
A little bit.
A-huh.
No,
well,
yes.
Yeah,
well, it's
really hard.
It's a
fabulous-
there on
a lot.
There's
to riffars it.
No,
ma'am,
me.
Yeah,
and then
it's a
time time
not a
lot of
because
we know what
we're not
we're doing,
and why
it's like?
Because the
car
you, how
you can't
you can't
do you
do you
do you pass
something that
you're doing,
how evades
that's
how?
Yes,
so,
we're,
we're,
we're,
but you,
to do you,
to the
health,
you know,
what you,
the thing,
the other,
this,
what is,
the
I'm,
I'm not,
that I'm,
that I'm
saying,
and the people
know,
you know,
the pinches,
that's a
person,
I'm,
I'm,
Tato to
care
in the
sense of
to do the
new.
I have a
problem.
I have a
question of
the clave of the
way of the
way
I'm not
a word
but if
if they
have got
a coquita
a
little,
I'm
not
I'm
not I'm
not
I'm a
time
but I'm
to get
the
answer
but
I'm
I'm
incorporating
fruit
to the
I mean,
the
which I don't
it's
incorporating
insaladas
in the
food,
no,
which no
no,
I'm
not quite,
I'm
limiting
with the
food,
I'm
fascine the
arras,
because in
Nicaragua
so I
eat an
rice with
rice with
pork and
carburet
and carburet
and carburet
and I
limit in
the
sense of
a media
tacita
or something
and
eat in
the hours
that's
hours that
they
have to
that's
that's
that I'm
untar the malpassed.
Ah,
but you
go to
give a
bad acide
because
the stomach
needs to
eat a
food,
you've been
eating
and you're
doing the
and you
do the
and you
have a
badpacos
no,
I'm
hungry,
we're
going to
get to
get to
get
to
then.
So,
I'm
got
so aced
gastric
they're
they're
they
come in
your
to
you
get
there
and I
know
a
sensation
of the
Or what you think is that
is for
malpassartre?
It's a factor.
It's a factor.
The majority of the cases
is for that.
No,
really,
they're in hernia.
They're an hernia
and a lot of
a debility of the diaphragm
where the esophage
or that has finter,
spinter,
as finter as anal
identical,
is to wango.
Yeah?
And then,
no is it
has been retinient
and the acid
gastric that have
to go to
go to
because the acid
gastric has
its function
that is
the
destruction of
the
food of the
objective
principal
of what we
are going
to be
to the acid
and that is
what is
what is
being.
The esophage
to it
is going
to be
eating
because
every
area has
your
pH.
You
have the
pH
adequate
in the
esophage
and
has
a ph
The pH acid
no sub it
has been to
and when
when you
destroy the esophag
You
obviously
me imagine
that you have
malpassed
but not for
care
to disencion
me
to the
malpasser
sensation of
a
sensation of
basile
much
gases
yes
so pdorrerrein
yeah
my
my
my
my
my
my
man
pente
what
what
what
what
what
what
I think of the
of the
adjune
intermittent
it.
I do
do
occasionally
um
sit there
wait
yeah
it's
sure
that's
good
that question
yeah
yeah
it's
there
there
there are
there
say
that
you're
you
do
you
do you
do
I'm
to
do
a
same
I'm
I'm
I'm
I'm
I'm
I'm
I'm
I'm
I'm
there
And the contra is,
it's,
he's
your organism,
works,
work in excess
and they're
that they
can't sell
these paddras
in the vesicle.
I don't know
because
all the
world,
I don't
because it
has said
the
talk about
the
question, but,
I don't
think I'm
the other
sound,
I'm not
the other
thing,
but in what
does it
is an
in the
unimittance,
it consists in,
a time
prolonged,
to take liquid.
Pured liquid,
yes.
Example.
The ultimate
dinner or the
last time
was at the
night,
9 at night.
9 at
night.
You can't
an ane
your d'Avety,
you'll
go back to
get to
at 12,
2, 3
of the
time.
That's
the day of
an
intermitentent.
The
recommend,
no,
I don't
do,
I
occasionally
do.
But when
I'm
the
really,
no,
no,
I'm
do you
do
and I'm
something,
and a
chocolate-to-cac-cquate.
Energy,
yeah.
Ascac, or what?
Yes, with sugar,
is?
Dice,
we said,
we know,
that someone,
well,
Juan of Dios
Pantoja,
no,
he said,
he said,
he did it,
one-
hours in
an an
day-
but,
but,
yeah,
that's
good?
Yeah.
So,
so,
but how,
what,
he said,
what,
he said,
no,
no,
no,
no, no,
no,
no,
no,
no,
I,
no,
I don't,
for no more
not so
because the
the
in the
no one of
you know
the issue
of the
initial of the
intermitent
is
to get to
that's
no more
there's
a mil
hours
dreg
oh yeah
also
you have
to be
with a
in the
in the
hand
you can you
in the
mind
because
you
trycione
the
he's
the
stomach and
there's
there has been
gastro
doing their function,
that I have
to get to
get to get
to get a
stomach.
And if it
is a
bigroeroero
also.
Yes,
because if the
patient is
not being
a bohropeno
for X,
Y, Z,
motive, and
that's doing
the knee,
and is doing
the adjune,
then the
abuser,
of this,
of the
lines,
that is libofeno,
and also,
that's
that's a
heart to
that's a
heart,
you feel
when I'm
when I'm
I'm still
when I'm
my
passing,
for example,
I'm,
I'm,
I'm,
I'm a bit.
Siento
I'm like
hungry and
shawit
and get a
end up
the stomach.
With that
you know,
you're not
that's a
benefit of
a lot of
a benefit
a single.
So it's
a sense
that I'm
not.
But now
I think
well,
well,
well,
is that
the chambbe
and that
but
I'm
that I'm
I'm just
I'm just
I'm just
tell me
me.
Quintam
if it's
that's
that of
the
of the
people
of the
hospitals and
the
how
that's
that they
can
that's
some
those
good
trances.
Those
those
good
trances,
I refer
to that
there are
a much
type
of...
Yeah,
that there's
that there's
that they're
that's not,
that's
that you
don't,
that's a
hospital,
and that's
a doctor
and the
really,
really that
really that
actually
really that
we're
that we're
that we're
talking
that we're
about the
guardia
of 36
hours
obviously
you
are
you're
more
in
a
that's the other
that in your
alquiler
of the rent
in your
car to be in
the hospital
but I think
that's in
all the
anecdote of that
that was doing
I'm internaid
in the
years of the
year in the
question of
going to
go out of
doing to
operate
and to
help
to operate
and they
were
jimying
in the
bathroom
literally
what they
they're
doing
but they're
they're
saying
that they were
that was
what I'm
just
for
he will interrupt me.
Sure.
The
really,
I don't
remember who
was,
because I think
I'm
there.
There were
a lot
of pendent
but
if you can
do that's
that too.
Water
fresh.
You don't
you
let's,
the net.
In the
hospital,
here in the
guard,
or something.
That's
I'm going.
No,
that you
and,
you,
you
and you,
you know,
no,
I'm
I don't
I remember.
No,
I'm
in serious,
for
that's
that I'm
never,
The man
says that
no
has a
memory.
No,
I'm
my new.
No,
I'm
I'm a
Wiron.
How you
do you know,
how you
see a
good,
you know,
you want to
do you
want to
let's give
to do you
let me.
If you
want to
do you
do you
I think
we're
we're just
enough
information
much
anecdotes
curated,
many anecdotes
serious
like the
that the
that
me
you've seen,
you know,
I'm
kind of
I'm quite
impressioned
with the
problem.
I mean
you're not
you're not
you're not
about you
do you
do you
do that's
what you
have been
to?
Facilito
like 100
centimeters
from
from the
testicle
to the
up
up to
up
100
100
1 1
1%
1%
yeah
whey
yeah
yeah
imagine
You know, you're not even at least of what you
opened. And we know
we know what we're going to
the patient.
We know how much more
we're going to get to.
No, we know how many times
more will enter the chirophano.
We have a
and we're going to...
And is that's what
is interesting
to the medicine,
is the
you know, the
you know, you know,
you know, you know,
to know, you know,
to know how,
you know,
to solve the complications
that you're
They're going.
And how?
Well, you know,
you know,
you have to study?
Because they're
to study?
Because they're
that in
the ranches,
more than
that the
medicine,
or so
doctors
say,
that the
of these
naturales,
the remedies
caseros,
no is,
it's the
medicine.
Because,
that are
the remedies?
Yes,
or
they're,
no,
is that the
effective is the medicine,
not the remedies natural.
For the vivacious,
but I have another opinion
the of the myths
of the,
and it was
my service social
that were in
patients embarrassed
and that were
and that they were
to bebe,
and not they could
at all the way,
not had time.
And if you
went on the
the bruch,
so it's a
name a
brucho,
and he
gave fichceria,
he had some
ramas that
was that
were there
and the patient
to get a
very complicated
after
but there
we have
that culture
in the
Costa Caribbean
of the
he's a
better than
the doctor.
Bruj,
like that's
not the
does the
chiselyer
but the
the menhung
and all
the other
of the
medics
of the
caret
to give
you know
and give you
natural
and that
things
of the
really.
It's the
mentality that
we're
more in
that person
that
you're
to resolve
that
the
medical
that's
it's like
it's like
like I
know
there's
like I'm
do a
purgant
for pyras
in the
vesiculability
that's
that's
yes
the fact
let me
revisit
but I
think he
any
purgant
for the
vasiculabel
it's
it's
so
that
per
in rigo
your
life
it's
like
the
pastilla
that
they're
like
said
for
Yes, but here is a purgant
It's natural
That they're
They're doing
They're not
The medicine natural
And that's
You're going to
All right
As far as
The problem
No, it's
A bederernerner
In the vesicula
Inferma
That's
That's
And then
And then
And then
After the
Vesicle
A life
Completely normal
And then
So,
So,
So,
So,
The Vercas
Is It's
The Viscula
Well,
Well,
Well,
Yes,
The Viscula
is in
Purgatory
of the salas
biliaries
to know
your gases
you're eating
well,
then you're in the
vesicula biliated
to do you
do you're doing
your stas
for that's the
not that's
bad to get more
the intestine
and that
it's a
it's a filter
that we
we're
exactly
exactly it's
a filter
where we'll
we'll
get us
emmasoning
of bilis
and you
purgates
you filter
you,
you know
then what happens
if we're
we're done
if we're
we're
we're
we're
we're
we're
directly and the salivir,
they're going directly
to the intestine.
And that
a 20% or
less,
he has a diarrhea
the patient.
But why?
Because the patient
he got the menudito,
he wasto subiria.
The posolito,
a burgesite.
And so that
that's grossos,
then he
caught well.
Obviously,
right?
That is to
cures,
ligerament
his habits
alimentisio
with respect
to the
grass,
the lactos,
and so
the
body is
Savio, God,
no,
is perfect.
He's going to
justing
all over
into.
Fugate,
no,
but the patient
I'm a patient
right of
the Wachaca
in the
vesicula
biliar,
for that's,
how is it
is a bit of
your life
in the
vehicle,
and I'm
saying,
normal.
I prefer
to operate
in frio
than
it's a
cold
when you
can't
you
get to
little biliate.
Lodod
Viliar is what
is the
load bial.
How do you
do you?
How do you
do you?
Dependence. The grade of complexity.
Right.
Right. So, if it's,
that's free? In friar?
15, 20 minutes.
And is necessity
to dormitre?
Completely.
The rakea or
what are you?
No, the general.
The general,
I don't opero with rakea.
There are,
there really,
I don't feel like
to the reason.
And the objectivap
to dole of the rakee,
you know,
diminuers.
And the truth,
no,
not seem to be
well,
no, pere.
Ah,
con rakea is
to diminish.
So is.
And you,
as general,
it's more
carito,
for so
it's correct
because it's
a machine
of anesthesia
that's a
machine
anesthesia to
to be a
area,
a time
to a
water
fresh,
my dad.
Fiatte
Numas,
what other
other
other
other
they're?
You're
anoja
that's a
man,
he's a
man,
he's a
man,
he's
he died,
He was
He died
For that's
But he had a problem
In the column
And so he resolved
To go to
And so many
They were
To get a protein
They were in a throat
And then
He felled
So forth
There,
We have to
We have to prepare
Very
All patient
All the patient
Major of 50
years
They have to
Get rid
With
Ceremony
of Ceremony
Cere
Choir
Alectiogram
Valoram
Valoration
cardiological.
Yeah?
So,
so your
family
passed for
all this
tromit.
Now
we're going
to the
patient.
My patient
survivedio
at the
vesicula.
And I
see the
the
time of the
doctor,
and if
no me
I'm
I'm
I'm
not going to
get to
the
anesthesia,
or so
if we
get us
with
with people
and
we're
there's
and
that all
out of
so because
there
no
there's
margin
of
error.
and, lamentably, this patient
is we've got to be
for the heart
about the family
of him, that has
failed.
And when it's
urgency?
To the good
of God.
Animo.
But if it
can,
a little,
a timeito
that if you can
send to call to
all,
I know,
so I'm not
I'm going to
do you do
do you do
do all, but
all you go.
You're going to
say a word
important,
urgency.
It has
has to
the patient because it's urgent.
It's a
reventing the
appendice.
Yeah,
if not you
operas,
that's an
emergency.
With the
vesicle is
different because
there's manoeuvre
like
functioned the
vesicule
with a
biolgo and
we know,
we're going
with the
other and we
get us
and we're
getting a
little bit more
a pettice.
And it's
has been
mortality of
the appendix
is approximately
the 1%
if
me has
I've asked
for
what
the appendice
For what
it's
for the
for the
for a
not
no,
no,
right
anna
apennis
not a
appendice
no
has a
thing.
And what
what's
the
appendice?
It's
for
for chamoys
that
that's
that's
that's
good
so,
doctor
and why
think I
mean
my
appendicitis
is that
I'm
that
or something
or something
or
no
no
no
has lympha,
has lymphoid.
If it's my perplasia
lymphoidia
and does
inflam it in
the
nada.
You think
that one
doesn't
more
years
without
so you
because
durer was
eating
almost
his life
the same
the same
the same
yeah,
yeah,
yeah,
yeah
he's,
so
like it
says
a
according
the
proteins
the
the
pes
Pescados are a
double-fillo.
The marisco
are a arm
of double-filo
because
it's a
little
the acid
uricic
also,
you know.
That's
we're not
we're not
we're at
good with
nothing.
That's
because it
has a
piche
protein.
Graza.
Because you
gasas
that's,
that's,
that's,
then so
I'm so.
I'm not.
I'm
I'm nother-
I'm in my
services
me regalable
langoste
me regal
me regal
all
hypertension
arterial
and they were
to my
tricerole
of cholesterol.
Diminuil the
ingest,
because if I
would be,
the fact
in the
body of the
articulation
of the
feet,
diminue the
ingest of
that's
controlled.
One way
a week,
because
before it was
all the day
and it
was better
all the
all over
is a
bad.
So,
we're
so we're
we're getting
to get
and come
so you
know,
let's get
to get
to be
we're right,
yeah,
for that
not be
pendeos
there in
their
and that
if they're
to be
to get a
bit of the
work,
that are
in a
work,
a
surgery gastro
in the
final,
and
minimimvation
and syrugy
robotic.
Awas
fresh.
All the
equipment
you need
you,
to all the
cost to
the most
far to
the most
caro
but
but it's
good
my
man with my
man
who
were
Bajara
to
Guadalajal
Alas
Halis
Alisco
And
And you can't
go to
any part of
the country?
Yes,
we're going to
get to look
and they're
patients of other
people who are
the other
people who
chican,
that's the
chasas
that I'm
been coming to
look at the
Vegas
I've been
patients
that's
they're coming
and they're
not I'm
not we're
not we're
not we're
many people
but we're
people
from the
water of
Guadalajara
well
there's
whatever
information
on the
information
Really the majority
that I use
is the Insta
is Dr.
Wiron-Veyadales
and my number
for the
to contact them is
the 33-10
75-69
29 29
I'm
I'm doing
directly to my
patient.
Animo.
Well,
there's a
contact to direct
and they
don't get to
send them
to come back
back on
directly with
him,
ask them
with all
confidence,
you know
I'm
this, I'm
this,
I'm going to
get a
set to
the most
probable
and a
checke.
Yeah,
it's a good
a good
a chequeo.
What more?
We're
to serve you
Any part of
the world.
Of course
that's
with visa
yeah,
for the
Gabacho?
Yeah,
but we
don't
we're
to try to
back
to get
more
better than
that's
I'm
I'm
I'm
a matter
I'm
a new
cut over
after
too
three,
four
months.
There,
yeah,
in the
United
there
way.
Dinerd,
what I got to.
There's
a lot
I don't
know the
Cifre
exact,
but
he cob
they cobrable
natural
the part
the part of
150,000
$150,000.
And
for...
Cessaria.
Cessaria
like
300 and
there.
There's
just to
goian
recollecting
if you
want to
I'm
that my
t'calf.
The information.
I said, I'm my
mother,
I'm a jita.
We're doing
machina
here.
Thank you.
So, puttoucha plebada.
Thanks for
to be here.
We're doing.
We're on.
God.
God,
God.
That's the
same thing.
That's the most
important.
We try to
help us
the maximum
that's
day, day.
Any information,
pleads.
Ablen to
him,
to him,
to you know,
to the telephone
and then again
to say,
3,
17,
75,
69,
29,
Contest to
the message
for WhatsApp.
Alim.
Well, there's a plebada.
Salus for all,
thank you.
Thank you.
Thank you.
At least,
it's all the
final.
When we're
when it's the
time,
yeah.
Go ahead.
That can
exist many
doubts.
What can
go get to
do we arm
the second?
Sure.
To not
to be able to
put it,
for some meset
or six mehett
and what
we'll get
and we'll get
all over
there's a lot of
there's a lot.
Well,
you'll have
some questions
because the
second part
we're going to
the second part,
to try to
to contest all
the doubts
everything.
All right.
All right.
Thank you.
Salus for
all.
Plebada,
much
thanks for
to be able to
us.
A bit about
for the
people in
where,
Beho.
You know,
did?
And where?
No, no,
no, no.
Cachete,
cullito.
Oh.
Pippita.
Chich.
No, there's a
present.
In the front.
Fraterno.
Fraterno.
Ha ha ha ha ha ha.
There's a
time.
Tirm.
Thank you.
animals
Thank you.
