Dr. Zamarrón effectively transforms tragic headlines into a vital masterclass on emergency response, proving that clinical literacy is the ultimate safeguard against preventable fatalities. This analysis prioritizes actionable survival protocols over mere sensationalism, making it essential viewing for public safety.
Install our extension to search inside any video instantly.
⚠️ La tragedia del BALONAZOO, el ataque de ABEJAS y el brote en CRUCEROAdded:
What a joy to have you join us for our regular Thursday appointment. This is Cronicazos, your medical news program, and today we have a very special program prepared for you, and I'm sure you'll enjoy it as much as we do.
So get comfortable, and if you 're watching us live, get ready to leave all your comments. As always, it's a pleasure to be with Dr. Eder Zamarrón. Doc, hello Carlita. Hello to all the chronic sufferers who are online. This time we're going to catch up on the news and use it as a pretext to learn about different topics, as you already saw in the thumbnail and title. It's going to get very interesting.
There is a lot of tragedy from which we are going to somehow extract the knowledge necessary to prevent certain situations.
Doc. That's why today I think it's a strong program, but it's also going to be a program full of learning to share with the brown doctor and all of you chronical ones so that you stay with us. Without further ado, how about we get started and review the headlines together?
And look, the truth is that we started today, chronicles, with a tragedy in Monterrey. An 11- year-old girl loses her life at her school after being hit by a ball. An accident or a lack of protocols? Today we'll discuss this with Dr. Brown. A prayer for a headache after being hit in the face with a ball. She was discharged and then had a pregnancy and died. Let's see why he died.
And if there was any inadequate medical care, we'll look into it right now.
And in Zacatecas, a judge dies after a bee attack. Once again they do it and he dies protecting his son.
There are two ways to become seriously ill from bee stings. One is anaphylaxis and the other is an inflammatory reaction. What happened to him? We will explain it with the utmost respect in the face of this tragedy.
And alerts in Mexico: a cruise ship anchored at sea and an explosion at the Salt Cruz refinery have triggered health and industrial alarms in our country.
What happens in the event of a fire? These are only burns or poisonings. We're going to analyze it medically.
And it also brings the rainy season and heroic rescues in the capital in CDMX, and fatalities here in our area, in the La Paz neighborhood in Tampico.
It's quite interesting all the health consequences that a flood can have, and I'm not just talking about drowning; you'll see what I mean later.
This is how we started today together, Cronicazos, your medical news program.
Join us.
[music] And chroniclers, today we start this program and although in previous programs we had touched on the subject of bee stings, on this occasion this news comes to us because of what happened.
A judge in Zacatecas, while enjoying a game with her son and trying to protect him, tragically lost her life. What to do in these cases?
Could it have been prevented or not? Let's delve a little deeper into this topic.
Doc Edersrón, for many of us, perhaps these bee stings or sharing a day with family would never end in a tragedy like what happened in this case, and I would love for you to help us break it down a little more. Yes, due to the dynamics of this program, I'm going to get straight to the point. Magistrate [clears throat] Oyuki has multiple bee stings. If you saw the previous episode, the characteristic is that the bee, unlike the wasp or the bumblebee, dies stinging the person who does so. When it flies, it leaves the bladder full of poison and continues squeezing itself. This little poison then enters our circulation and has a clinical behavior of two ways. One is the reaction situation called type one hypersensitivity, which is a severe allergy. It creates an acute, very rapid inflammation that causes closure of the upper airways, a drop in blood pressure, and an immediate risk of death. And the other situation involves more chronic inflammatory processes, so to speak, that develop over time, which can also cause reduced blood flow to different organs, leading to organ failure and death hours or days later. These are the two situations that can condition this, well, this behavior that the magistrate had. As we can see in the video, she first took off her sweatshirt, put it on her 3-year-old son, creating a cover and protection to prevent the bees from stinging him. Then she tried to go to her father, the boy's grandfather, to help him, but she already seemed a little disoriented and quite overwhelmed by the situation.
Obviously, these substances that enter this create the release of hist and many pro-inflammatory substances, and unfortunately, she was already, let's say, marked, inoculated with this poison so that she would subsequently suffer deterioration.
Up to this point, I hope I'm putting you in context because she didn't die immediately.
She died between 10 and 9 days after the bites. And this is where many will wonder, what happened?
What happened?
Clear.
Look, I have contacts in some way; there are always acquaintances in the medical field who can give you clinical certainty or certainty of the information. Uh, a small aside, tonight with Dr. Jorge Olivares and a neurosurgeon we're going to analyze this case, because she ended up presenting a brain injury due to a subarachnoid hemorrhage, a brain hemorrhage that caused brain death, right?
Derived from the pickets.
Yes, it's quite a peculiar situation. I mean, the tension in the emergency room was, uh, if he has low blood pressure, they give him some fluids; if he has this inflammatory reaction, this poisoning, they can give him antihistamines, medications that cut off the release of histamine by some cells in response to the poison. They can give him steroids that cut or reduce inflammation, adrenaline if he has respiratory difficulty to open these airways.
Well, it has been associated with the fact that some people, due to certain coagulation processes, can experience rupture of the vessels in the subarachnoid space, which is a virtual space in the brain, and that this can lead to brain swelling, irreversible brain damage, and ultimately brain death. What has he documented? I don't know if you've seen that the judge said she suffered severe brain injury and you say, " Why?"
But why? Whether it was due to stings, whether it was due to this very peculiar behavior. We'll see how the diagnosis is reached and everything when we look in more depth at the forensic and neurosurgical medical analysis tonight on the Necrointensivo Podcast, so don't miss it, but that's what happened. It's something that completely changes what one might imagine. One says, "His blood pressure dropped, his oxygen levels dropped and he died, or it caused inflammation, his blood pressure dropped and in a slightly more sudden way his organs began to fail and he died." But that was very peculiar here.
Could it have been prevented in any way? Look, it's supposed to be that when we're near a swarm of bees, which are the ones I'm telling you about that sting, they leave their bladder, they leave, a piece of their intestine is torn off and they die, because those are the most aggressive ones. They die when they sting, as I'm telling you, as I'm explaining, or any swarm you see, what you have to do is try not to make a lot of noise, try not to make sudden movements, obviously try not to attack them and when they start attacking you try not to kill them, I mean, if you start wanting to, that's worse. In fact, it is said that when you crush a bee, it releases substances like pheromones that alert the others, and that's when they attack.
So that's what must have happened. Perhaps someone, because there were some bees around where the child was and as protection they wanted to kill her, but since there was a swarm nearby they let them all come. This is what is recommended for prevention.
Now, once you're already being stung by bees, there are different recommendations, and one of the first is to try not to open your mouth, try to cover your airways because a sting here is obviously more dangerous. Trying to look, they say, they look for the eyes, also trying to cover your eyes. Some say to jump into the water, into a river, something, but then when they come out they are usually waiting, right?, to attack again. But those would be like recommendations and moving from the site, running from the site.
Why didn't the judge run?
Why do you think he didn't run?
Because his family was there, or he thought that maybe it was temporary and perhaps he planned to stay, I don't know. I think that's the first thing that would come to my mind, right? This happens now and it 's not so serious. Thanks to these cases, I've realized that it can end in tragedy, but it's not something we 're used to, is it?
Yes, I think that, plus the fact that her child was there, I mean, I think that protective instinct prevented her from leaving her son. I mean, she said, "If I leave, what if I... I do n't know if I'm explaining myself?"
that strong protective nature of taking care of it before protecting oneself. Yes, she did, I mean, she practically gave her life for her son. I mean, I'm telling you this and it gives me goosebumps because while other mothers are exposing their children to heatstroke, she is literally giving her life for her son and also tried to give her life for his father.
Dad, but Dad survived. the dad. Those bites and everything didn't cause him much clinical damage and he survived, but she didn't. Because?
because that's what typically happened to him. Now it's also possible that perhaps the adrenaline in the past has raised blood pressure a little, and they say around here, uh, I think that's the figure, that 50 out of every 1000 people can have an aneurysm and not know it. Many of us have an aneurysm and we die without it ever having ruptured. But a stressful event can rupture that aneurysm and cause subarachnoid hemorrhages, which may have been the case here.
It contributes to the stress, the adrenaline, everything that needed to be administered to him again, but ultimately it was a severe brain injury, something that is exclusive information, but it is a reliable source. It could have been a combination of factors, and maybe she just had that bad luck, so to speak, right? That it was her and perhaps this would n't have happened to other people. And if, well, the chronic ones are uniting right now and saying, "Well, they're talking about bees." It's not the same case; it just happened, and I truly believe it's worth discussing because of the heroism, or the way this judge is protecting her son, and to make us realize the importance of this issue. Doc, to wrap things up, do you have any recommendations regarding this news?
Yes. Um, it's also documented that going into vehicles or enclosed spaces also prevents or limits the attack somewhat, or at least only a few remain inside, and they know that once one bites, it doesn't bite again. I do n't know if I'm making myself clear.
So, that's done too. Uh-huh. In other words, he's no longer locked up. And those that bite you, even if there are, I don't know, 10 left, they won't bite again. And this is where the controversy arises. There is a video on social media where they are recording this entire attack. In fact, right now our engineer here, I think he's the one who put it here, where there's a video from inside a vehicle.
Yes, it's visible.
And that would have been another option, that they open up and go in, that they go in, okay? that they take cover while the attack is happening. Those that remained inside might still sting, but they no longer do.
Yes, look, you can see that they are inside a vehicle because you can see the movement. There she is, and they're recording her, aren't they? At that time she was the magistrate, she had only been in office for about 7 months. She was a law graduate, as far as I understand, and she had worked for many years at the Court of Justice in other, much lower-ranking positions, but when the elections came, she was selected and was apparently a very good public servant. Look, she called 911 and they arrived, and they didn't really know what to do because, for example, they were calling her, "Get her in the car, get her in the car," and they would keep calling her. "No, no, because they only call once," but these are things, Doc, that we don't know. We didn't know, but today we know and we have more information, and I think that's why it was worthwhile to emphasize or delve a little deeper into the topic because it's new news.
And now we're going to move on to the next news item, chroniclers, because the rains are relentless, the rainy season continues, at least in Mexico.
Those seasons are approaching, and while in Mexico City we saw viral videos of the police rescuing people on their shoulders, here in our area, and for those who don't know, we are in Tampico, Madero, Altamira in southern Tamaulipas, in the La Paz neighborhood. Tragedy knocked at the door. A person, unfortunately a man, lost his life when he was swept away by the current into a drain on the street that lives up to its name, Cascada, where we might suddenly think that the water seems harmless until it becomes a death trap. Doc, beyond the pain of the loss, what are the real health risks of being exposed to these waters, which are often wastewater or sewage? And what to do if we get trapped in a car and it starts to flood? Sometimes we don't believe it, but really, here where we live, at least, there are many flood zones. The current carries you away, it becomes a river, and you don't even realize how, and you find yourself trapped in a situation like something out of a movie. Yes, when I heard this news, in fact, it happened from Friday to Saturday to Sunday when a storm hit here in Tampico, which are often very unexpected in these beach areas. And I got up and when I went out in the morning to have lunch, I quickly saw the flooded streets. And that's something I always keep in mind. Two depths that should always be taken into account. 30 cm is enough to destabilize a vehicle and be able to take it towards a ravine, towards a canal. And 15 cm is enough to destabilize a person.
15 cm. 15 cm of water. That is, 15 cm of water. Obviously, nothing happens in stagnant water.
Sure, but electricity is sufficient. Do you understand? That's why I'm telling you, let's not underestimate it, and if we see that there is a certain depth where you ca n't see the ground, then consider it like these two depths and assume that you are at risk both driving through those places and walking or passing through those places.
In this case, what should be done? Well, first prevention, avoid going to those places.
Now, as soon as a vehicle is towed and there is, to the extent possible, call 911 to try to get rescued and, if possible, try to get out of the vehicle and reach places where it is firm, so to speak, that is stable. But the truth is, prevention comes first, because on one occasion when we were talking about drowning by submersion in water, Dr. Olivares told us that for some children, it is enough to cover their face for them to obviously carry air into their airways, carry water into their respiratory tract, and lose the ability to exchange gases and end up dying. So, so you can see, realize that floods are sometimes more dangerous than we would like to admit.
That's what the recommendation would be.
Do not underestimate the depths because it can be lethal, as in these cases.
Look there. Well, there we are seeing an image and that did happen in our area, that's real. Uh, but for example, the one that happened from Saturday to Sunday was a couple, they were in a vehicle, they continued, suddenly they were swept away by the current, she was able to get out, however, he was trapped inside the vehicle.
There were some hypotheses about the possibility that, since there were several levels leading down to that street, into those drains, he might have hit something while driving it; he was the one driving.
She tried to pull him out, but she couldn't and then he drowned, sadly a young man. But wow, what to do in those cases? No, yes, it is very difficult, very difficult to try to survive. In other words, the recommendation to try to survive, to look for a fertile land, what was done was the right thing at that time. We cannot be judging in retrospect.
And yes, I mean, for example, Ronnie Arista says there, "Oh, how come they destabilize with only 15 cm?" Haha, don't believe it, be serious. So yes, 15 cm and an electric current are enough to knock a person down, believe it or not. Yes, I believe you, because when we're on the edge of the beach and you say, just like that, it suddenly hits you, you start walking as if the instability really takes over, right?
Sure, sure. I understand the lack of knowledge about these concepts, but when we investigate, these are the facts that come up. I mean, don't believe me, look them up and this one and also 30 cm is enough to destabilize a vehicle, I mean, a current. Do you understand? In other words, so they do n't get overconfident, because then they say, "Yes, I'm going through that current." Yes.
Or most people, both by vehicle and on foot. And that's where this can really happen.
Yes, because you can no longer see. That day we gave the news, the recommendation was from Civil Protection. If you can no longer see the sidewalk, that is, where the sidewalk ends, don't go any further. In other words, don't go through that place because it might be dangerous, and since you can't see, you don't know if it's even a street, right? Or in this case, they were drains at different levels, because right in that neighborhood here in Tampico, it floods and that's why it's called a waterfall. It's like a terrible fountain, and the neighbors already know about it, but what happens when you don't know about it? Apart from that at night and all, right? And so it ended in a grave tragedy.
Yes. And that's all in high pitch. Another very important thing, oh my god, excuse me for now, we're on a serious topic, but then the chronic ones are really tainted.
Because?
Because that 15 cm thing says, "They were messing with us, Carla."
Ah, I hear, but they realize that Dr. Zamarrón didn't fall for it, and neither did I. In other words, we are chronic clean-minded people. No, man, they went too far with me, but oh well. Oh, God.
You're explaining things seriously, don't worry, it's okay. They made me laugh while I was in this because, honestly, I mean, I [laughs] am just now going back to that. Imagine all the desperation of the driver.
Of course, because yes, of course, a trauma, for example, a cranial injury or a blow that limits your mobility is a sum that makes you more vulnerable to submerging and drowning. and two, his wife's impotence.
Of course, because we don't know if he was unconscious. The truth is that we lack that data to know if perhaps he was unconscious and she tried the weight, the current. It 's very difficult. So, you're kind of in this dilemma of, what do I do? Do I stay afloat or do I drown with him? Exactly.
How complicated.
Oh, and besides, I don't know if you can find your cell phone at that moment or not, if you have access to any calls, we don't know if the neighbors themselves noticed or not, when someone could help them, and this was in the middle of the night. Then, it becomes a complicated and quite serious situation because imagine that the next day, as you say, you woke up and saw it was a little flooded. I didn't even realize it was raining, I have to be very honest, I said, "Oh, no, I didn't notice. My mom saw lightning and it got terrible. I did n't even realize." So, imagine the wife the next day, seeing it sunny and without rain, and thinking about what she had gone through. So it's something that could happen to any of us, and that's why we want to offer this advice based on experience, and also, in acute situations, drownings, of course, because of everything I've mentioned, but also electrocutions; people can be electrocuted by strong winds, especially when they are associated with winds that can break a cable and have high voltage, more than 1000 volts. They can also come from nearby, touch water that conducts electricity, and get electrocuted, create an arc current, be in a cyclic current, and have serious complications. That's all in the high frequencies.
Also, after a flood, you should always be very careful about eating food in public places.
Because? After a flood, sewage regularly rises.
Then when that flooding subsides, there's sun and all that, well, it evaporates, etc., but fecal matter remains, there is escherichia coli, which is one of the main ones, or any enterobacteria, bacteria that are found in the digestive tract, both of animals and humans, and that when ingested, can cause very severe gastrointestinal infections. That's why intestinal or gastrointestinal infections increase after floods and rain. And besides, you're right, there's a very distinctive aroma in those areas. Clear.
The day after it rained, flooded, and so on, there's a very specific smell, and now I understand why. So, yes, it's time to take care of ourselves and make this recommendation very clear. The chroniclers here tell us that it was something to laugh about because the topic is quite serious.
Ah, yes, of course. These are quite delicate situations. I mean, we always try to keep a smile or a good mood afterwards because otherwise these news stories will really hit us hard. This, greetings to my Vero Santillán all the way to Argentina. He also tells us about several interesting cases, and his birthday is next Thursday. Ah, yes, Vero, we hope to celebrate you live here, so we don't know if you'll be partying or not, but if not, we'll record it for you, if you won't be able to see us that day. How beautiful. We send you our congratulations starting today, but don't worry, we won't forget next Thursday. A little cake for my Vero. And remember, whether you're watching this episode live or on demand, please give it a thumbs up and subscribe if you haven't already. And I want to thank right now, the outstanding people who have also sent us donations, that helps us a lot, apart from the double entendre, [laughs] I will never forget that, but neither will I forget that Roni sent us there. Thanks Ron says, "Trying to support whenever I can.
Thanks for the content. Thanks to you, Rony.
No, and I'm going to tell you something, Carla. It seemed strange to me because Ronnie is always very supportive and all. I said, 'Why is he saying no?' I mean, and I didn't know he was teasing me.
Oh, what can I say, [laughs] it's fine. It made me laugh. It really made me laugh. But yes, remember to support us a lot so that we can be here with you every Thursday. Sometimes we come on a little after 6, but at 6 every Thursday on Clinicazos, Drón, we're broadcasting this medical news program called Crónicazos. Let's see what we have here. Ferro, happy birthday. I may not be present, but I'll start. Oh, because a new job is starting and the signal doesn't reach there.
Rosy Navarro, don't worry, but you can watch it later. It's greatly appreciated. What does he have to say down here? Let's see, but from Camac, Mexico, always I'm listening.
Thank you, Vero. Hugs for you. They're telling us about the rains.
Here at my ranch, it's 5:37 PM, says Cabi Camacho.
Well, thank you very much to everyone who's connected live. Remember to share this content with all your family and friends in your WhatsApp groups. Instead of sending those little news stories, send them to Cronicazos, the [laughs] medical news program.
Well, besides sending those little news stories, when your mom, aunt, or someone else sends them, you send them the Cronicazos link. And from there we go to the next news item.
Look, a large fire was reported.
This is at the Salina Cruz refinery in Oaxaca. The toll: Nine people injured, six Pemex workers and three from an external company. The images of the black smoke are impressive, very powerful, and this tells us about the constant danger in these industrial areas. Doc, we also live in an industrial area.
There were injuries among the outsiders. How do you manage a patient who inhaled these chemical fumes? And how serious can internal burns be, burns that are sometimes invisible to the naked eye? Yes, that's quite an interesting and broad topic. Let me explain the medical aspects in a moment because it depends on two situations: whether there was only a fire or whether there was a fire and an explosion. You might be thinking, "Oh, wow, so how does the severity differ between the two?"
When there's only a fire, there are thermal injuries, contact injuries, heat injuries, injuries from the fire itself, and the inhalation of hot smoke and toxins released from the combustion of organic or inorganic materials.
That's a very important point to keep in mind. Now, if there's an explosion and a fire, it's associated with what are called polytrauma patients.
What does that mean? It means they have injuries to one or more organs or systems that are life-threatening. For example, someone is thrown from an object and suffers a head injury.
So, severe burns plus trauma.
Now, someone is struck by an object in the chest and also suffers burns, okay? Trauma. A major chest burn. Now add those two things, and the person is unconscious or has a low level of alertness, and is inhaling hot smoke—that's poisoning. So here there could be carbon monoxide poisoning, cyanide poisoning, or burns to the upper airway from the hot smoke. What I'm telling you can kill patients faster than the burns themselves. Many people say, "Oh, he died because he was burned." He died quickly or passed away rapidly because his upper airways closed, and that is what caused his death. And as we are seeing here, many times there are other substances such as hydrocarbons, sulfur dioxide, and other combustion products from these refineries that are not so common.
Carbon monoxide regularly comes from the combustion of organic matter, for example, wood.
And what about cyanide? It usually comes from inorganic things like textiles. So, we have to be very careful with all this because it's what can cause patients to die immediately, and then, well, we treat them by intubating them, giving them a lot of oxygen, etc., etc., etc. And as for the trauma, well, it depends on the injury that may occur. The aim is to stabilize the patient, and in the case of burns, it involves important hydration according to the area of body surface burned, the degree of burn the patients present, and also pain management and infection prevention. Remember that the skin acts as a protector to prevent dehydration and heat loss, which is why patients can die from hypothermia combined with dehydration and multiple organ failure. Then the muscles are injured and small fragments of this are released and can cause something called rhapdomyolysis.
Doc, what would be more dangerous?
Inhaling these toxins, a burn, the impact itself—if we were to put it on a scale to see how much chance they would have of surviving something like that.
In acute cases, the burn of the vine was superior. That's what's documented, because you might just inhale some hot ones, maybe not even get burned, and that could be enough to cause the upper airways to swell and eventually lead to death by asphyxiation without any trauma or anything like that. Yes, he explains. Now, of course, the sum of things is the most serious, but of those three in the acute phase, that's what can most likely lead to your death. Many say, "He died and sometimes there aren't even any bodies." Exactly. And why did he get poisoned? The hot smoke caused this obstruction of the airways, the upper vocal cords close, and also the inhalation of toxins, that is, toxic gases such as cyanide or carbon monoxide are asphyxiating toxic gases that cause the cells of our body to die quickly. Hey, and we quickly remember, I mean, we didn't present this one here, but we do remember a little bit about the case of the explosion of this pipe, do you remember at that time when you saw the videos and the people walking? I remember discussing this case with you, and you said, "Those people aren't going to survive. How committed are they, anyway?" If we're talking about the degree of burns, at what degree can we say that this patient will most likely not survive.
There are certain formulas, there are certain formulas, but it has to do with a combination of things. One, greater age and a higher percentage of body surface area and greater depth. Let's say, people who have more than 20% of their body surface burned and who have deep second-degree burns are the ones who experience the greatest increase in mortality. The sum of the more than 20% of body surface burned plus this depth, that is, for practical purposes, it's like three layers: the top layer, the middle layer, and the bottom layer of our skin. That's evident, right? to be simpler and more educational. So when the first layer and half of the second are deep second-degree burns, almost all of it is gone, right? So, you only keep the hypodermis, right? But anyway, to avoid getting into more things. So, when deeper tissues become vulnerable, there is a greater risk that you will not control your body temperature and you will become dehydrated quickly and get infected and then you could die. So, that would be the... there are several formulas, one that also... the higher the percentage and the older the child, the higher the mortality rate, or the younger the child, because with the same exposure there is a higher percentage of burns, do you understand?
Burn. Clear. That's how it is. Well, with this we're wrapping up our, or rather our three main news stories of what happened this week. But also, what has happened before we wrap up with the main news, what has happened on the coasts of the world is enough to make us tremble, because while here in Mexico a cruise ship from Honduras activated health protocols without touching the dock, in France the situation has gotten out of control. 1700 people were confined to the Eurivia cruise ship after a massive norovirus outbreak. This brings the total to four cruise ships in recent weeks that have experienced serious health emergencies. So, doc, we're facing a new wave of viruses at sea, to put it mildly.
Look, I want to avoid maximizing it or putting ourselves on alert that wouldn't be at its level, so to speak. I mean, let's not exaggerate, [laughs] let's not panic.
Yes, let's not panic. Cruise ships are already realizing that they are places of overcrowding, places where people are constantly interacting without being able to go somewhere else. Everyone is interacting with each other, so it's easier to catch viral infections, and because of the long time they spend on that cruise ship, I mean, days, weeks or months.
So, if I make myself clear, it's like the outbreaks that happen in prisons. There are quite a few prisoners, of course, because they are overcrowded, they are confined. The same thing happens here. And norovirus is not a new virus; it is a virus that very frequently causes gastrointestinal infections. It is transmitted by viral particles in someone who is sick. Uh, obviously you don't get along well with your personal hygiene, right? You arrive and touch the table and these particles may be there. Yes, that's right, just 10 to 100 viral particles are enough to make you sick. In other words, very few. That 's the feature. That's why there are outbreaks like this on cruise ships. Since it is viral, the only treatment is symptomatic management, staying well hydrated, giving medications to avoid symptoms such as nausea or vomiting, analgesics for pain, antipyretics for fever, and that should be enough. The characteristic of this norovirus is that it lasts on surfaces for days. Okay.
No, no, I don't know specifically how many days, but we're talking about several days, more than two or three days they can be on surfaces and that's why you can easily get infected.
What would be the difference between a common gastrointestinal illness and norovirus? In other words, why were they confined and not allowed to leave? In other words, it's dangerous.
Good question.
Okay, so the question is, what's the difference between a common gastrointestinal illness?
Okay, there you have it, it's a common gastrointestinal illness, that is, it's one of the classic viruses that cause you to have an infection. When you go to the doctor, he doesn't say you have norovirus, he says you have a viral illness. Well, because it is, I mean, because what I'm getting at is that it's difficult to isolate, to know which virus it is. Yes.
One and two, because it makes no sense to know which virus it is or this one or this one or this one when faced with standard gastrointestinal symptoms, because the treatment will be exactly the same.
But we panic when we hear, imagine, we just heard " antavirus," right? And suddenly we heard another one is another cruise, but now norirus and I said, wow. So everyone is like, new pandemics are coming, and now because we're talking about the sea, of course those little alerts are going off about what's happening.
Sure, sure, exactly. But it's just because it was an outbreak, since it's a cruise ship, they have to check if it 's some virus of greater epidemiological relevance, some mutation, some other that hasn't been identified. That's why they have to be isolated and something called real-time PCR is done. What does that mean? polymerase chain reaction to avoid getting into too much trouble. From a sample, for example, blood or the main site of infection, for example, fecal matter, a portion is taken, sent for analysis, and genetic fragments are taken, amplified, and you know which viruses of the entire range that exist, in this case gastrointestinal, that is, here you don't give an antibiotic if it's viral, it 's just the management of the symptoms.
Yes. And that's exactly what I'm telling you, PCR, the polymerase chain reaction, is also used to identify bacteria and fungi, right? Basically parasites. Well, it's more visible under a microscope, but that's how they're able to identify these outbreaks, just so you know. So why do these outbreaks happen? Because they are crammed together, because they are locked up. And another thing, because there is defecation in, look, it's like defecation in the open air, like defecation in the open air, more or less. And you say, "How can they not be on the air?" Well, because they share bathrooms and the toilet paper, as far as I understand, on cruise ships, you have to throw it in your own little bin, which isn't the right thing to do. Let's see, let's see what they put on. What do you think is right? Throwing the toilet paper when they obviously went to defecate in the toilet bowl or [laughs] everyone and everything up to Britney Spears.
No, saying Britney Spears isn't a very good reference these days. [laughs] Yes. Do you know why Speers shaved his head? He had a breakdown. No, no, because they were going to do a drug test on him, and drug tests show up even if you've stopped using for many days; it takes weeks or months for the test to stop showing up. There's a real crisis here, it's not for what, so, I mean, he shaved his head all over so he wouldn't have any hair and they wouldn't do his drug test.
But they can't do the anti-doping test using other methods. Ah, but it was going to come out clean. No, how interesting. It's a known fact. I thought he was having a crisis and I was saying, well, he's had other kinds of crises that we've seen, but that's not the point, doc. So, I think it's making me want to never go on a cruise again, either as number one or number two. Mexico had not yet activated this health alert. Do we have something to worry about, or why only now?
No, I don't think so. I don't think so. I don't think so. In other words, this isn't going to happen.
If we have our prevention measures, such as washing our hands before and after going to the bathroom, and before eating. I mean, before eating, after a bath, I say before going to the bathroom and after going to the bathroom, because also for personal hygiene, right? But anyway, after going to the bathroom, before eating, wash your hands, maybe put on your sanitizing gel, your alcohol-based gel and that's enough so that, oh and what I tell you, avoid eating outdoors, especially after the floods. You see, the whole program always ends because that's just how medicine is.
Because that's how medicine is.
Oh ok. You're not going to knock her down [laughs] Oh, no. Hey, lastly, you didn't say anything about the papers. I'm now left wondering why there are many restrooms that tell you, "Please throw paper in the trash can" and others that tell you not to throw paper in the toilet, right? No, I mean, that will probably depend on the pipes, but what's the most important thing there? Medically speaking, chronically ill people know things because they say they go on the toilet. The papers are designed to disintegrate and go down the toilet. Yes.
Paper clogs the pipes. The problem is n't the paper, the problem is the pipes. Because if you cover it with paper, which is designed to disintegrate, it's going to get covered with a [laughs] seó.
We can, if we use that emoji, we can cut off that [laughs] piece, right? TRUE. Sorry. Let's repeat it and say I'm going to get serious again.
Hey, add the emoji. Put the emoji there. Okay, our chroniclers, put the No emoji there, I felt like I was going to say half [laughs] let's go. If a pipe is clogged with toilet paper designed to disintegrate, it will become clogged with fecal matter, just like that. I know many will say, "No, medically speaking, I prefer it; the risk is leaving the papers, especially if they leave the stamp facing upwards."
Oh no. So that? I hope the chronically ill aren't eating this because it already made me feel sick.
[laughs] Look, put her there, put one of our members there.
Who put the whole word there?
There's our code. She is a member of the red code that has exclusive content from here on the Dr. Zamarrón clinicazos channel.
There are some very interesting documentaries that I record for that purpose. Now, [laughs] take it off, take it off. Take that away, take it away. But anyway, just so you know, prevention is about not having fecal contamination.
Serious question, what if they're wet wipes, is it the same?
Ah, that's a very good question. That's a good question. It's not supposed to be the most hygienic thing to be cleaning yourself with wet wipes, I mean, baby wipes.
Yes.
Well, I'm going to leave it as homework for you to investigate, but when I've spoken with colorectal surgeons, the paper is designed for that purpose. The most hygienic thing, the most hygienic thing would be to wash yourself with a glass, exactly. The best thing would be to flatten it and let the water come out. I don't know, I've never tried one of those.
[laughs] A Pepsi or a Coke, which is, I mean, listen, a Pepsi or a Coke, I mean, a cola soft drink. [laughs] We're walking.
No, no, no. Look at this, take a look. Yes, for adults, towels, especially wet towels, are not the best option.
Yes, yes. Uh, I think he went to the proctologist.
Uh, who could it be?
To my friend César García. Yes, I interviewed César and he did say that the remaining moisture wasn't very healthy for that area, because you can develop infection spots or other problems there, but maybe it can be handled with wet wipes and then toilet paper and that's it.
Exa. Well, it says there that there is already special wet paper. That could happen, it could happen. No, I don't know him, but just so you know, it would be the most hygienic thing to wash with water, or sitz baths, they say.
Those "Aha"s. The grapevines. the vines.
Exactly, exactly.
Ah, I have some of that.
Well, you have to buy it [laughs] a Bic and some are going to make a Bicola, a soft drink, but yes, exactly. So, that's all, always avoid fecal contamination because that will predispose you to this type of infection, and don't panic about norovirus. It's not something that's going to cause a new epidemic or anything like that, eh, they're just outbreaks that are going to be contained. That concludes our coverage of the week's top news stories. Chronic sufferers, don't be alarmed because we're just going to take a short break. Upon returning from this short break and after so much laughter, because I have to get serious at this moment because of the news that is coming, chroniclers, after I think it was a very good preamble to laugh a little, because a tragedy happened in Monterrey. An 11-year-old girl died after being hit in the face by a ball.
We'll talk about this a little later, but hurry up and grab your snacks, get comfortable, chronics. We'll take a very short commercial break and return with the debate. Chronicles [music] [music] and it's time to turn on our news alerts and start with the main topic of the day, with our debate, a terrible tragedy in Monterrey. An 11-year-old girl, a student at the Felipe de Jesús elementary school, was hit directly in the face by a ball. Although she was taken to the principal's office after the hit to try to stabilize her, she fainted minutes later. It was n't a punch, it was a direct blow to the face. What's happening? And this forces us, I think a little, doc, to try to understand what happens in a child's brain after a sudden impact of this magnitude. I find this a very worrying case. And the fact of imagining the call to the parents of this 11-year-old girl who was at school perhaps playing, watching a game during recess or in her sports activity. Something we've all been through, and if you're a chronically ill mom or dad, imagining this scene happening to one of your own children is something we don't even want to think about. Doc, what case do we have for debate today?
Yes. Look, uh, here, from what I understand, the most recent case was in García, Nuevo León, which many say is Monterrey, because it's an 11-year-old twin girl who, while playing soccer, was hit in the face with a ball. But I'm telling you that even though there were several versions later because it's not a very well-known story, it did n't get much coverage, it caught my attention because it's quite an interesting case. It's about an 11-year-old twin girl who was hit by a ball. She started having headaches, went to tell her parents she had a headache, and then she felt nauseous and apparently vomited. Okay. She was treated at a private hospital that day, was discharged that night, and at home her condition deteriorated further; that is, she began to become drowsy and unresponsive to stimuli. The father tried to take her back to the hospital, however, she had already lost consciousness in his vehicle and there, oh no, she was left without vital signs. So there are some saying, because you'll also find different versions, others said that she had fallen from her home, hit her head, but really it was this situation of these twin girls who, according to interviews with neighbors, were on soccer teams, so that's why they were used to playing. The situation here is this, that is, what worries me is that she went to a hospital and, with the history of a head injury and intense headache, was sent home without being monitored for at least 8 hours, which is what is recommended in warning signs or red flags for neurological risk. But look, Doc, I mean, I remember perfectly well the incident of being in first grade and receiving a very strong ball blow, so strong that the shape of the ball even left marks on me and from then on I could never see a ball again in my life. However, it didn't end in any situation. Yes, I had pain and maybe a headache, but it was n't serious and I was at school.
So what's the difference in this case of this 11-year-old girl? What could have happened?
Good question. Very good question. After consulting with a neurosurgeon, Dr. Sofi, she told me that it was most likely that she already had some predisposition to a ruptured cerebral blood vessel causing this hemorrhage.
There is something called a subarachnoid cyst.
Well, everything gets connected. Everything gets connected. In the subarachnoid space, a space created between brain tissue, there is circulation, and a small cyst forms there. A cyst is a tumor with liquid inside.
So, if that one breaks and it's close to a blood vessel or if there's an aneurysm, a small bump in an artery in his brain, then it breaks and the bleeding begins. That's why not everyone who gets hit by a ball suffers neurological damage. In this case, I think she was already predisposed, whether it's pears or apples, or it could be that the blow itself was a strong ball hit, or because the kinematics of the trauma are not very well known, because the only thing that is known was that it was a ball hit to the head, that maybe it was a ball hit and that knocked her down and also gave her a significant jolt towards the impact on the ground. What he suffered was a head injury that triggered an alarm of intracranial hypertension, which is swelling of the brain immediately or at least a significant shock enough to cause intense headache, nausea and even vomiting. So, these would be the signs that might happen to us, I mean, even if we're not children. Or for the chronically ill parents who are watching us today, what would be these warning signs that would force us to take her to an emergency room for an immediate check-up?
What would they be?
And well, they, the parents, did it right. They did the right thing.
That's the saddest part. That's why I'm telling you, I mean, when we started the program in the headlines I said, something here doesn't sit well with me, I don't like that they've registered him. The alarm data, this is going to be for shorts. Warning signs in a person, whether adult, child, or elderly, who receives a head trauma would be: one, vomiting; two, excessive sleepiness, fainting, strange or abnormal behavior, intense pain that does not subside with analgesics, or seizures.
All of this is a warning sign that should be assessed immediately in an emergency department. Now, with this alarming data, you tell me which one it was. Severe headache. Yes.
Vomit?
Yes.
Yes.
With those two, with one. With one, but he had two.
And well, with this information, the parents did the right thing. They took her to the emergency room. I, Carla, as a mom or dad, if I see them checking her and they tell me, "No, it seems everything is well controlled, maybe they'll give her something for the pain, the headache, something for the nausea." In other words, they are removing those warning signs that would put my mind at ease, so to speak. Why should the fact that they sent it to my house raise a red flag for me? I would have to object and say, "No, leave her under observation, I'll observe her." Because the parents were attentive and when they wanted to return, this happened. So, how should we react?
Oh, but I don't want to, I don't like to be too controversial about these things sometimes, but it does make me angry because yes, of course, you can refuse to be discharged, of course you can. I'm not going to take it. I have a warning sign and I want a second opinion. Yes, gentlemen, you have the right to receive a second opinion if you are not satisfied with the medical care, without shame, without embarrassment, with respect, but that can be an option. Now two, if you say, "Yes, I'm taking my nice girl or my nice boy, dad." But as soon as you have any alarming information, come back here immediately. I agree, maybe the situation was that this happened in the late afternoon or evening, as documented, he returned home at night and the deterioration occurred in the early morning. Many say, "Don't let him fall asleep. Don't let him fall asleep." It's not about not letting him sleep, it's about watching him. If he has abnormal breathing, does he go out? Yes, because that's what you see, Carla, I mean, they start breathing in a very different way, I mean, it's a physiological sleep, you see, get to know us, I mean, ah, he's asleep, but if someone says, "Oh, wow, this isn't right, it 's not normal." They open the baby's eyes, they look at the pupils, and if one pupil, which is the round thing you see inside the eye, is bigger than the other, okay? I don't know if they can see me. I'm going to take off my glasses. Well, no, there's no zoom here. If one pupil is larger than the other, there are problems. Okay.
So this is another piece of information that would require a quick return to medical attention, an imaging study, a CT scan, and to see if any surgical intervention or specialized treatment for cerebral hemorrhage is needed, as was the case here.
And maybe I'm going to dare to say it, but perhaps they took it as, why are they bringing her to the emergency room if she only got hit by a ball, right? I mean, maybe, with the temperatures we're experiencing, they might say it was, like, heat exhaustion, right? That's why she vomited, that's why she felt nauseous, maybe they hydrated her, who knows, but they let something very important go unnoticed.
Exactly. Look, uh, right now if you want, let's read some of the stories our chroniclers tell us. It says that, because of negligence that was done to my aunt 2 years ago, it says, because of negligence that was done to my aunt 2 years ago, we refused the discharge that a negligent doctor was giving her.
Fortunately, another doctor examined her and performed emergency surgery.
But sometimes, how do you know? It's that you give it to him, well, I'm speaking for myself. I give the doctor the power to believe that if he tells me I'm going to die, it's because I can die, or my family member can die, or what he tells you is true, right? So, you believe him. You feel like we are vulnerable, sometimes in the hands of doctors.
Yes. Look, that's the problem, this phrase you said, and it's true, I mean, we are vulnerable in the hands of doctors and we shouldn't think that way, and doctors shouldn't act in a way that makes people think that way. Communication and perhaps the proper evaluation of patients should be a common denominator so that we don't keep thinking this and thinking about it more and more. But I do have to tell you that, you also have the ability now to investigate on social networks, in programs like this one. I mean, it's not that I always have the right thing, but generally when we come here to the program, we prepare, we remember things, we structure things to give you valuable content. So, and there are many places that you can consider reliable, so, as with these recommendations, perhaps many of you didn't know, a second medical opinion is your obligation. If you don't see your family member doing well, don't take them to be discharged. I mean, I know that maybe other doctors will be there criticizing me, but that's a valid thing.
But and this is in these two parts, those who tell you, "No, go home, everything is fine." And then suddenly, as our chronicle shared, they asked for a second option and ended up having surgery. And then there's this other side where, perhaps to avoid something more conservative or to follow a protocol, the doctor directly orders surgery. So maybe you didn't need it or it wasn't essential, I mean, those two situations because that's where ethics comes in and often surgery is what will bring in the most money and it's sad because perhaps it could have been avoided in some cases.
Yes, yes, yes. In many cases. In fact, for example, I'm very careful when I bring people onto the Clinicazos podcast, I mean, I'm very careful about who I bring on, because I know them. I know that the people I bring here are very ethical and that they are not going to risk [clears throat] their reputation for a few extra pesos. So, yes, wow, it's very difficult. The least you should do is make sure that the doctor has his professional license, his degree, has a good reputation; ask those who have been treated by him, and that's the only way. I mean, it's difficult nowadays, I know, but also, I mean, there are many good doctors, I mean, most doctors do things to benefit the patient, I do n't deny that there are and will always be those mercenaries who are driven by money, and there are some like that, so if you have a good family doctor, don't let go of him, don't let go of him because that family doctor will also guide you very well about which doctor to choose. For example, Carla asks me, "Go with him, go with him."
I always say, "Hey, look, this happened, what do you think of that doctor?" Because going to a hospital and suddenly not knowing the staff makes you waste a lot of time, which in the end is health, wasting time on some conservative treatments or the typical doctor who already wants to take you to a surgery that perhaps could have been avoided and that was not necessary for a family member. and go back to the same thing. How vulnerable we are when it comes to health issues, sometimes due to lack of knowledge, sometimes due to fear that something might happen to our family member, and that is precisely the most vulnerable moment for us where someone with a medical license takes advantage. Of course, in this case where we 're talking about the 11- year-old girl, the twin, well, I don't know, let's suppose that they do file a complaint, a lawsuit against the doctor who discharged them, well, maybe the doctor does become vulnerable. I mean, that's a legal matter, no, I'm not going to get involved in that. Or maybe not, maybe there were no warning signs when he was discharged and it just developed later and the injury was so significant that they couldn't do much more. But wow, I mean, if that's the one who went for evaluation and gave it to Alter, I mean, it jumps out a lot, it jumps out, I don't have the file, right?
But what's being written on social media, on news programs, wow, yes, it does make me think a lot that there might have been something improper in the care provided. I, Doc, I think that, and chronically, I think what I think is how vulnerable we are, right?, as human beings, and that at some point we think we can't risk our lives, like maybe we were just talking about the floods, the fact of going into a street that could lead us to something, the fact of simply practicing a sport, and that's what we tell young people, practice the sport, stay away from screens, from tablets, and to think that this young athlete, doing what she loves, exercising, something like this happens to her, it's a very sad case, it's a very complicated case.
Especially when you realize that it was precisely parents who were attentive, who did answer the calls, who took care of her, who returned to the emergency room, and to think of that moment where you are in your car desperate and your daughter loses her life there, I think it is something, wow, that you wouldn't wish on anyone and that marks you for life. And as a healthcare professional, one must think that way; that person is a pillar for a family environment. For example, this twin girl.
Imagine her twin. In other words, her twin sister will always remember, "Hey, your sister, for the rest of her life, that she had a twin sister who died from a ball hitting her in the head." Now, Mom and Dad, the helplessness of saying, "I trusted that I took him to a doctor, I trusted him, I really put his health in his hands, and look, I mean, the helplessness and even a certain guilt because they're going to say, 'Hey, why did I let her play around?'"
Many things, many things that will mark that family, their entire circle, for life, and as a doctor, you have to always have that sensitivity to grasp that, to know that this is going to happen. My friend Ivim, who made a very interesting comment, says, "In the training sessions on dignified treatment, emphasis is placed on the rights and obligations of doctors and patients."
Effective and empathetic communication, yes indeed, is key to strengthening the doctor- patient relationship. I mean, that's what I'm telling you. Of course, that's it, that necessary quality. Well, recently I had to be there in the emergency room with an issue with my mom, and you realize that you expect the people who receive you in the emergency room to be empathetic because nobody goes to the emergency room for fun. You arrive worried, sometimes without eating, you ran out of the house, something happened to you, and the doctor, the nurses, and especially your doctor, who is the one you are putting your life or the life of a family member, friend, whoever you are with in their hands, and whatever they tell you, you will listen to it and do it, and you won't care at that moment how much you have to spend, how long you are going to stay there. Ultimately, what you want is health, right? And treat them as if that person were taking care of your family member, just as you care about the person. That's what we expect from a doctor, isn't it? The one who explains everything clearly, who tells you what warning signs may appear, what you should be aware of, because that is something fundamental and that sometimes we do n't see it, especially when we are talking about a public health service.
Exactly. And in this case it was private.
And in this case it was private. I mean, wow, you don't even know what anymore.
No, I'll tell you what I haven't even told you about what happened to me there in private, but oh well. And not necessarily with the doctor. Well, yes and no, but that's another story. It was in the boxes.
So, in vulnerable moments, let's be more empathetic, and that's not it. That attitude, that empathy, and the way we treat people when we talk about health issues, and in general, this doesn't help us all, but we are left with that issue, and it's news that hurts, that hurts a lot.
I think that's the point you're making, isn't it?
That it could have been avoided with better care in the emergency room, but you can't avoid living, you can't avoid telling your children not to play, you can't avoid telling your children not to go out, you can't avoid going to a game and suddenly getting stung by bees, you can't avoid walking in the street and suddenly having a storm come. In other words, it could have happened or it might not have. Let's suppose they admit her and right there they see that she's deteriorating, he says, "You know what?
CT scan, hemorrhage. Okay, let's do everything." And yet he dies. You say, "Well, everything was done correctly." That's it. In other words, we have to do everything medically and humanly possible, but now we can't justify ourselves by saying that he might have died anyway. Sure, maybe he would have died, but it's different from him dying with all the attention he needed, or something kind of strange. They're saying, "Maybe if it was negligence, that's not our responsibility anymore.
I think it does have a profile geared towards that, but it's not our responsibility anymore.
I think the only thing we're responsible for is, well, I mean, from our perspective, to provide this information that will be useful to all of us, and to feel this news deeply, because it hurts a lot.
Yes, of course. Well, may this little twin girl, only 11 years old, rest in peace. She suffered brain death, and well, a passing as such. From the seriousness of the news, we're going to move in a moment to one of my favorite sections, which is where the brown doctor and you, the chroniclers, react to some videos. But first, a brief pause.
Are you ready? Today we have some important videos prepared for the big doctor and for you, the chroniclers. You did n't know what they are yet, so join us quickly for a break, and we'll be back with Reacting to the Most Viral Videos.
[music] I think you share that excitement with me that it's one of our Favorite sections, because here we see your reactions through messages and also from the doc, and I'm busy seeing what's trending on TikTok, social media, and so on. And today I have two very different videos, doc, very different. But the first one, maybe some of you regulars have already seen it on your feed. Many people from all walks of life are talking about a famous energy lockdown.
There's a lot going on, but let's react to this video, shall we?
But before that, let's turn off the alarms because something more lighthearted is coming up.
Let's watch this energy video. What's it about? Well, give it a go.
There it is, there it is, there it is.
There it is, there it is, there it is. That wasn't, that wasn't my favorite section. What's it about?
Well, pay close attention because if this conflict continues to spread, it wo n't be months before everything starts to collapse. This could happen in a matter of weeks or [music] days. And how would it affect us? Well, let me put it very simply. Gas prices rise, panic buying begins, there are shortages, and with the shortages, public transportation collapses, [music] food supplies to supermarkets collapse, power outages begin to ration gas, [music] electricity, businesses, all kinds of businesses, even schools would be forced to close because there are no longer conditions to operate. And of course, we can't forget the hospitals, which is something that is truly worrying.
Energy lockdown. [laughs] I feel intrigued, skeptical, uh, a bit conspiratorial.
Uh-huh. Illuminati, they say. I mean, well, regardless of what the lack of energy, uh, fuel, would unleash on our planet, yes, the repercussions of a lack of energy supply would be something crazy at the hospital level or at the medical level in general, but when you told me that news, because then I don't see all The videos, because I'm supposed to react with surprise here. Yes, it caught my attention. [laughs] Yes, because I mean, it's not like, oh wow, it's really going to run out. I mean, [clears throat] there are many renewable energies and all that, but well, moving on to the medical aspect, we already experienced something very similar. During the famous pandemic, there were hospitals where a certain supply of fuel for people's bodies, oxygen, was cut off.
So, of course, health was affected, and many patients died because the oxygen ran out in the hospital. Now, what would happen in this case? Well, many ventilators, many pumps for administering medications. In general, many biomedical devices depend on energy. While they have a certain capacity, they all have a battery capacity, so it's definitely not something that can last very long.
So, the health of hospitalized patients will definitely be affected. But this energy lockdown would also cause other problems, like reduced mobility. And fewer trauma patients or fewer accidents, which was something that happened during the pandemic.
Many people were saying, "Oh, now it turns out that only COVID-19 is getting sick, there are no other diseases anymore." Well, indeed, many of the diseases are related to mobility, accidents, multiple traumas, falls, even activities that caused heart attacks, and so on.
Yes, well, we couldn't go to the gym, maybe we were n't going to work, we were at home, we weren't riding motorcycles, we weren't drinking in the street, obviously, because of everything we were experiencing.
So, we weren't in our usual routine, we were literally in lockdown, not energetically, but in lockdown nonetheless.
Of course. So, when I found out about this, I said, well, something that we had already experienced in some way, and that is something that perhaps would be experienced more intensely due to a lack of fuel, but well, we already lived through it. Now, I've always thought that in some situation of zombie attacks or those kinds of things, you're one of us. What do you think? I just do n't like Thinking about that because I feel like I'd be one of the first ones there.
Okay, here goes. The only thing I think could protect me is that here in Mexico, well, I don't know if it's all over Mexico, but we usually have window guards, so I mean, well, that would help me a little [laughs] so I would n't get... But what I'm getting at is this. Another thing, another thing I always imagine when that happens, what specialists would be the only ones needed in a hospital to treat patients? Because not everyone would be needed.
Therapy.
Wow. Let's see.
Which ones did you want? Which ones do you think are the only specialists who, in an energy lockdown event like these, or situations like zombie attacks, or practically the end of the world, would be necessary? Okay, think about it.
You would be necessary because you can do many things, but I don't know how to operate.
So, think about it, surgeons, an infectious disease specialist, surgeons would be one.
What is currently necessary for surgery to be performed?
The... Anesthesia.
Anesthesiology would be another one. Exactly.
That's the only thing surgeons can't operate on. Surgeons can operate on many things: abdomen, thorax, neurosurgery.
Neurosurgeon, exactly. But there's something else that a neurosurgeon or a general surgeon can hardly operate on, and there's no other specialist who can operate on that part of the body. It would be a cardiologist, right? No, a cardiologist can handle heart problems.
Many of us can treat them in extreme situations, like the ones we're hypothetically facing right now. I mean, it's not ideal, but many clinicians can treat heart and lung problems. But there's something that's all laughable and a joke until you break a bone, a bone, a trauma, then you need a trauma surgeon. So, if you surgeons realize, in some way, that all of this can be replaced by a person called a trauma surgeon. I don't know if you've seen the series PID or all those series where it's a surgeon who takes care of everything. There are trauma surgeons who are in charge of fixing fractures, performing laparoscopies, exploratory laparotomies, draining hemorrhages. They are trauma surgeons. In a zombie attack, they might be the only ones who could serve, or the surgical team with their anesthesiologist. Now, in terms of non-surgical staff, it could be an intensivist who can oversee all the ventilators, the intubated patients, the postoperative care.
Okay, you would have a job, I said.
Well, yes, I would have a job, but [laughs] I wouldn't have many patients to attend to if there were n't any surgeons.
Of course. Yes, yes, yes. So, that's why I'm saying, or any other clinician, maybe an intensivist, maybe an ER doctor—well, I'm an ER doctor, an intensivist—maybe an internist, you know what I mean?
They put an internist on us here, I think. Yes, up there they put an anesthesiologist and Dr. Olivares too.
[laughs] Dr. Olivares wouldn't be necessary because autopsies are no longer done. Although, let me tell you something, Dr. Olivares, who is a forensic doctor, is very clinical; he knows a lot of things, and many people agree. I need internists, surgeons, thrombologists, gynecologists, pediatricians, anesthesiologists.
Wow, I feel that a gynecologist, I mean, a surgeon, can deliver a baby. Yes, they can perform cesareans. So, well, uh, I say, but it's to give them work. I mean, with all due respect and affection, I mean, we're just playing around, something hypothetical in this energetic confinement we're in here, being paranoid, right? With what they 're saying in the video. But that's what I would believe. There would be fewer, maybe fewer accidents, but for those that require surgery, well, we do need surgeons, we need anesthesiologists, and an internist to take care of everything perioperative. Let's call the internist... Whatever.
He says, a little question. Let's see, having a question, he says, "Is Dr. Olivares also a neurologist?" No, no, Dr. Olivares is a forensic pathologist. What happens is that the forensic pathologist is in charge of all the specialties of a corpse and even of expert opinions related to specialties of neuroscience, for example, even psychiatry.
They already have that whole profile of approach. So they have to know about the skull, thorax, abdomen, extremities, that's why they know everything.
I always tell him that Dr. Olivares is like the counterpart of an intensivist, because we all see living multi-organ failure and he sees only deceased multi-organ failure. That's right, Doc. So, we filled the gas tanks and we have an hour's reserve, food, we'll fill the gas tanks at some point. Uh, nothing, we're not going to panic, don't go buying excessive amounts of wet wipes that they told us were already selling. And now we're going to leave. Do you want to say anything else for Close this video? No, well, these videos are just for viewing, and don't take it personally if I didn't say a pediatrician or a gynecologist because they 're in extreme situations, right?
Extreme. We're here talking about the topic of energetic confinement, which has really been popping up everywhere, and I know the algorithm is targeting me, but I'm not going to fall for it. That's why we put it here, and from there we'll go to a video I was telling you about that's very, very different from that one. And also this week there was a video circulating on social media, well, she was a singer, an actress at one time, and the wife of a politician. We're talking about Anaí, who shared a video of herself doing a bit of her Pilates routine, but in a second gravity played a trick on her, and let's take a closer look at the video before I tell you about it.
Look, Doc, there's the moment.
See, you have to play the video like this several times, Juanito, and then the video and next to it the face. From the doctor so you can see when he reacts to that moment.
Let's do it now. No, not there. Wait again. There it is.
No, tell the truth, you laughed.
Yes, [laughs] I laughed. Well, no, I don't know, you shouldn't laugh. I mean, but not mockingly.
No, no, yes, mockingly, but I'm wrong. I mean, yes, I laughed because of the blow.
Because you know it didn't get any worse.
Well, no, I didn't know that, I mean, when I saw it for the first time I laughed. Oh, and then I got worried, but it's wrong to make fun of other people's misfortunes because God gives the toughest battles to his best warriors. In this case, a warrior with a star on her forehead, like they are there, right?
Yes, here, look, now moving on to medical matters, there are movements that may seem minor, but if certain factors come together, they can have short- or long-term consequences. Now I'm going to tell you why. I don't know if you heard about the death of Aguayo, a Mexican wrestler, who was put in a kind of hold and suffered a high spinal cord injury and died of respiratory failure. Well, it's said, although supposedly they were covering it up, that he didn't have any prior injuries.
Surely, so many blows already caused some injury to his cervical spine, and when he took another blow, it was the final straw. Something like that can happen in different circumstances. In fact, the ball hitting our 11-year-old twin girl was also possibly a predisposing factor and something that triggered the serious consequences of these kinds of falls. I mean, she looks thin, she looks athletic, she looks in good shape. The worst that can happen, or perhaps the most frequent thing, is maybe some kind of whiplash injury that can cause a strain or contracture, a muscle injury, paravertebral muscles, and that would be all. Some rehabilitation, some painkillers, and, thinking about the most serious scenario, of course, a Vertebral fractures, and in a potentially fatal case, a spinal cord injury.
I mean, that's the order in which we're thinking, from least serious to serious or lethal. Here, I'm saying an X-ray rules out bone injury. An examination checks for tingling, paresthesia (a sensation of numbness or prickling), and weakness in the limbs. And if there's any whiplash or sudden movement, whether from an extension or a flexing or rotating part of the neck, and they start experiencing numbness, tingling, or weakness, what should be done? In that case, you need to go quickly to a spine specialist, preferably a spinal surgeon, either a neurosurgeon or a trauma surgeon specializing in spine surgery, because there's a possibility of a fracture or compression of the vertebrae, which can cause them to break or become crushed. We're seeing this, for example, in the cervical region. Those vertebral bodies can fracture, the spinous processes can fracture, any structure of the vertebra can fracture and cause compression of the nerve roots that come out of the spinal cord, or, in an extreme case, even sever the spinal cord itself. Well, here, that movement—I mean, fortunately Ana is okay there—but someone perhaps heavier or more vulnerable could... she has her very nice Pilates equipment at home, and that's because it's there, right? But if we applied that to the lives of many, especially back when it became very fashionable, during the pandemic and at other times, to have your own equipment at home, right? Those things you hang on the door to do certain exercises, or Juan, you laughed because you have it at home, right? I think it's for hanging on the door and all, and those videos where they're exercising, and suddenly they fall or have very abrupt movements because it's not the ideal or necessary equipment, right? And if you add to that, perhaps bad posture, the bad It's a condition where you don't have the necessary footwear and so on, but many injuries of this type do occur when we want to exercise at home.
Yes, that's very interesting. I mean, do safe exercises at home. They've said, currently the recommendations from sports medicine groups worldwide recommend that doing strength training two days a week is enough to maintain or preserve muscle mass. At least two. I mean, if you do more it's better, but if you do too many it's not better. There's always what they call "invisible exercise."
What is invisible exercise? That day when you rest, maybe even do some active recovery, as some call it, with just a few daily steps, you sleep well, etc. That's invisible exercise, but at least two days. But when you do it, always be careful. If you do it at a gym, always with your coach, your gym bro, or your sister, uh, Jim, I don't know what you call the [laughs] gym sis, gyis, etc. And when you do it at home, avoid doing Risky exercises, and if they're going to do any, they should have had help from a family member.
So exercise is very good, but only when done responsibly, not like that. Hey, they said, "That's what you get for making enfrijoladas." Did n't you see that video? I didn't show it to you so you'd react because that wasn't the point, but she showed a recipe for how to make enfrijoladas. My God, how embarrassing. You'd better not watch it. [laughs] Is she really that young?
No, it's very, I mean, it was obvious she's never cooked in her life and she wanted to make a video to be an influencer on social media, and it's clear someone cooks for her every day, that's why they said that. But, but I mean, aside from all that, even if she doesn't know how to cook and has someone who cooks for her, well, poor thing, she does know she exercises a lot.
Oh Contreras, no, I do cook.
In fact, I still need to tell the chronicles that I cook daily and I cook very well. What, give them the recipe There's the habanero salsa recipe, which I 'll share later, I promise.
Right. Like, like so Carla can share recipes.
Very good. It says, "What are strength exercises?" My wonderful doctor asks. All exercises that involve elbow flexions, leg extensions, squats, anything that involves pulling, all of those are strength exercises with your own body weight. These push-ups, as they're called, anything that involves pulling or pushing involves strength. Obviously, I mean, this is a rough explanation, what I mean is that's aerobic exercise, strength exercise, anaerobic exercise is anything that stimulates your cardiovascular function, which is generally what makes your heart rate increase and makes you take in more air, like brisk walking, cycling, etc., etc., etc. There isn't a single exercise that is purely aerobic, I mean, even if you lift light weights and do many repetitions, you're still involving the Aerobic systems. Or on the contrary, if you do some really intense sprints, you're stimulating the aerobic part, but conceptually, anything that involves strength is aerobic, not anaerobic, sorry. Anything that stimulates your cardiovascular system is aerobic. They were showing us the tiger jump. What is it? What kind of exercise is it?
[laughs] From up there, Juanito. We've already received more messages, but it said the [laughs] Let's see what it says. Let's see. Oh, if you practice the tiger jump, wear a hat. They're also teasing me. I'm not falling for it anymore. Thanks to everyone who is donating. Thanks to... It says Serranón.
There it is. Oh, Vero also donated, look.
Thank you, my Vero. Thank you.
Thanks to everyone who is donating because right now, starting soon, we're not going to have Sponsors.
What? We're not going to have any more sponsors. Let's see if we get some new ones.
Yes. Hey, but that's why we didn't bring coffee today.
Why? [laughs] Because we did n't have any donations yet.
Okay, we're going to get them. That's why you see us without coffee today. No, that's not true.
Uh, Ibrahim says, he's an emergency room doctor and also a sports medicine doctor, so he's focused on sports. I think more on soccer, if I remember correctly. Ibrahim, you remind me of invisible training. Sleep, food, hydration, and following the rules. ínicazos.
Of course, clinical and chronicle-based articles too, so that you can always stay quite well informed. And listen, well, those were some of the videos we 've had here to react to. If you also have any videos, I'd like to invite you, right? If you also have a video that you'd like Dr. Eder Samarrón to react to, and that you'd like all the chroniclers to be surprised by, don't forget that you can send it to us here. You can send us the link, and believe me, we check all the comments so you can't miss them. And from viral videos we're now going to move on to the questions section. And that's why I wanted to make a brief aside before this, because believe me, the questions come from these programs and I'm going to review all your comments and then we choose the questions at random.
Some are repeated more often. Well, it's chosen to be answered by Dr. El Samarrón, but if you're also watching us live, this is the moment when you can ask your question and Dr. El Samarrón will answer it live, as we're going to do right now. So, chroniclers, that's the signal for you to send us any questions you have, whether they're about the topics we 've covered these days or any other topic, because these don't generate any cost within Cronicazos, doc, [laughs] only within Cronicazos.
Yes, but not those questions. Is the doctor single or married?
Look, we said that you were going to answer any question, that's what you can answer.
No, I'm in a committed relationship.
Ah, okay.
Yes, no, yes. No, no, no, no. I didn't say anything. I just said that they were going to respond to us, and we'll see if it comes out soon.
Yes, please comment, leave us your thanks.
Our moderator sends you a kiss.
Yes. Hey, they put there, oh, your [laughs] samovers got sad, but they still follow me because of what I can contribute, the little bit of academic entertainment.
The doctor got embarrassed, [laughs] didn't he? Because they hardly ever ask me about my personal life.
Yes, I don't feel a little strange, not uncomfortable, but I do feel a little strange being asked about personal things, but I don't have a problem with it. You know me, I'm very, I do n't have, I'm very transparent in my private and public life and I don't have much, much of a problem with that.
Okay, Juanito, you were going to put that one there, which one is it? Ah, the comment. Oh, what did you say? Haha, Elotito, was she the one who asked or what? They 're already reporting the channel, he says. Let's see, he says, who told him no more for knowledge? Oh, doc. Well, [laughs] and one of them is making a double entendre, look, don't be a penis.
No, they're barbarians. " Hey," he says, "What? Who told you it was just for knowledge?" You see, look, give our chronicles a smile today, please. I'm going to send them.
Ah, because Doc Gy is coming.
Lots of strong love with my coach. Let's get to the questions. You can post your questions there, chroniclers, but in the meantime, let's start with the questions you sent us. And today, Doc, we get asked a lot, what's your real opinion there? This, this interests me, uh, about lymphatic drainage massages, do they have any real benefit? Because many of us, myself included, have gone to lymphatic drainage sessions, those that we feel will help us. I don't do it so much to lose weight, but because they tell us that it stimulates the areas where the lymphatics are and helps us to drain fluids that we have retained, perhaps after some surgery or an operation. So, what's your opinion, Doc?
Lymphatic massages do have evidence and medical utility. Okay.
Uh, they are used in situations called lymphedema, in situations of postoperative edema, and they have their indication. What are lymphatic vessels for? That's the question here. Lymphatic vessels serve to drain edema, to drain cells that have already been used and are no longer useful and are returned for disposal. That's lymph.
So, as many of us know, the artery carries blood to the tissues, the vein returns blood to the tissues from the tissues. Okay. Yes, but who decides where the waste goes? Well, there is a third vessel, the forgotten vessel they call it, which are the lymphatic vessels, the lymph, which are precisely responsible for drainage.
There are also inflammatory cells, but those cells that have already been used, those tissues that are no longer useful, are discarded.
So, if we stimulate the drainage of those lymphatics, then edema will be more easily avoided.
Now, there are also situations where this lymph is retained in patients who lose drainage due to chemotherapy, etc., and it can also be caused by parasites that obstruct the lymph; this can also happen, and there are even rehabilitation experts. There's one in Guadalajara whose last name is Montoya, if I remember correctly. I'll clarify right now that he specializes in lymphatic drainage to improve the function of very swollen limbs.
So, it does have a medical use, that they want to do it so that cellulite isn't visible, but the truth is, it does n't have a real aesthetic use. Yes, it is useful in post-operative care following cosmetic surgery. In fact, I just had a podcast with Dr. Juan Carlos Méndez. They send them for certain specific massages so that there isn't an ugly scar, so that it quickly adheres to the skin, the muscle, the fat, and scar tissue doesn't form there. But to get them done just for fitness or weight loss purposes, no, that's not useful. But I have felt lighter, like my legs, I mean, well, yes, but Carla, Carla does her diet and cardio four or five times a week, I mean, yes, you know, how are you going to feel without that? I mean, you're a very disciplined person in that respect. So, I mean, we wouldn't do it just to drain fluid and you have a retention, but more like a surgery or a medical issue and so on. There you go, I'm not saying it's bad, I mean, what I'm saying is, for example, but if you want to spend money there, under your belt, right? And for example, how do they perform your manual lymphatic drainage? And then she tells me, well, here I go, here's like the lymphatic zone, right? Here I'm going to simulate the lymphatics. Then he does a sort of pumping motion and then makes gentle movements, because he says, "And that will also help stimulate your circulation and you'll feel light and blah blah blah, right? Then they tell you, drink lots of water." They always tell you, drink plenty of water because everything we moved around isn't going to come out that way, but rather you're going to get rid of it through urine, right?
Yes, I think that the massage itself can help if you have any muscle tension or something, all of that helps too, right? I'm not saying it's bad, honestly, but it doesn't give you the big benefits, no no no. In other words, your benefits are due to the entire context of self-care that you have.
Okay. From there we go to the second question, doc, and that is that last week we were talking about the antavirus and the screwworm and then came that question about food.
Then they asked us if this chemical washing they do to the meat... right? What did you think about this chemical washing of meat when the food has already expired? It is true that this is done, and how dangerous is it for us to eat this? I didn't know they did a wash when things were about to expire. That's intense.
Yes, there are practices that are considered illegal where they use chlorine and peroxide to remove odors so they can then sell the meat. I didn't know either. Yes.
And, I mean, if you want to know much more about meat and food care, I'm going to recommend two people who will give you good information without hesitation. I always say, obviously verify it for yourselves, but one is the veterinarian Nico Sastré, who we already had here as a guest talking to us about viruses and microbiology, but he's also very specialized in meat handling, and the food engineer Rafita Carvajal, who tells you about all the necessary precautions. Go see him so you can see I'm not lying to you. These practices are illegal because even if they remove the bad smells from the meat, the bacteria won't necessarily be eliminated.
No, it's just to deceive us, so we do n't detect it through our sense of smell. There can be bacteria like salmonella, E. coli, or even digestive tract lesions can be caused by eating chlorine, peroxide, or all these substances.
That's intense.
They're awesome, huh? They're awesome. In other words, there are also toxins that come from the bacteria that are there, and those toxins can also cause food poisoning. Sometimes it's not the infection caused by a bacterium, but by the substances that these bacteria produce, called biogenic amines. So, hijela. That's why you remember when Nico gave us a recommendation to always look for the safe meat seal, because obviously it's to avoid all of these.
Oh no, that's intense, that's intense. No, they don't go overboard. And well, to close, a question that is unfortunately becoming more and more common. What is Doc's opinion on autoimmune diseases?
Perhaps a perception that more and more people are dealing with issues or diseases such as lupus, arthritis, or thyroid problems. Why is it that we are attacking ourselves, so to speak? That's a very good question, it's a rather complex question to answer, but without a doubt medical technology in terms of diagnosis has given us more tools to detect them. Previously, the person would say, "Mues, I have rheumatism and that's it." It is now known that these antibodies that attack our body, that is, the body attacking our body, have an affinity for different receptors or for different antibodies, right? Uh, towards the joints, rheumatoid arthritis, right? towards different receptors in different tissues, systemic lupus erythematosus towards bone, ankylosing spondylitis, that is, the body attacking the body in different tissues. There are countless autoimmune diseases. It's a topic that takes hours and hours to discuss, because each pathology is very different, but we now have the technology to know which factor is attacking which tissue.
So, we already have more advanced technology, we have greater longevity. Many autoimmune diseases are associated with age after 40, for example.
So, since we no longer die from infectious diseases as we used to, we are now dying from other things, from an abnormal immune system, obviously due to the genetics we carry and the epigenetics that are added. In other words, genetics is what's already in our genomic structure, but the external factors we add— pollution, infection, smoking, obesity—everything we add extra means we can, let's say, disrupt our immune system and attack ourselves, right? Or it can also disrupt cell proliferation, creating excessive proliferation and causing cancer. That's why there are more autoimmune diseases and more cancer now, because we no longer die so young and because of all the epigenetic factors that we are creating and triggering the genetic predispositions we may have. It's a very complex question and a very broad topic.
Leave us a comment if you have any other questions or want to discuss a specific topic so we can dedicate a little more time to it.
Remember that the essence of the questions is that they can be very short in time because, well, we haven't talked about many topics, but remember that you can leave your questions and/or comments here. Let's see, they're putting sparks on us here. I didn't know that, and I have lupus. I didn't know what they made us watch, Juanito.
No, I didn't know which one was being modified.
Marisa, I'm going to have a podcast very soon with a rheumatologist, and we're going to cover everything related to the pathophysiology of autoimmunity and the main pathologies currently described, and well, what is their treatment based on? It used to be steroids for everyone, but not anymore. Now there are many specific treatments, many, many, many drugs with different immunological activity, a good number of things that exist that I think give a very good quality of life. Yes, very soon I'm about to finalize it with a... It's just that sometimes I want one and it's specific. Of course, because you trust the information he's going to give you, and the ethics and everything you had asked us about and struggled with. Because, for example, many people tell me, "Hey, when are you inviting me to the podcast and this and that?" And I say, well, oh, yes, later. But I don't really have who I invite to the podcast, I have who I invite to the podcast.
Clear. And that's important.
Clear.
Dr. Eder Samarrón shares quality information here. And let us know in the comments that you were talking about all these bacteria in food; we had a comment about E. coli specifically. Let us know if you'd like us to talk about this in another program, as there's still a little bit of ignorance about it sometimes, but let's wrap up Docersón with today's prescription.
Today I want to remind you that self-care is still very important, and I want to remember my friend, Dr. Ils Mandujano, who is currently going through a very difficult process, but she taught us about self-care at the time. It has legs, and that maintains the best physical and mental health. And what do these legs of our table consist of? In exercise, stress management, getting enough sleep, and nutrition.
Those are the legs of our table that I must always have in terms of strength training, very important, at least twice a week, at least two months, twice a week.
aerobic exercise, which is, uh, bringing air to your respiratory system and stimulating your cardiovascular system.
Exercise should be intense, at least 75 minutes a week, or moderate exercise, 150 minutes a week. Sleep between 7 and 9 hours, no less, no more.
Stress management is very important. This also involves if you have any cognitive behavioral issues; always see a mental health professional, such as a psychologist or psychiatrist, to detect any eating disorders, binge eating, bulimia, anorexia, depression, or anxiety disorders. This is very important so that you can also practice self-care, and that would be quite beneficial in terms of nutrition. Remember that you have to reach your daily protein intake, your intake of non-protein calories, stay well hydrated, and if you want, we can talk more in-depth about nutrition later because we haven't touched on that much, but at some point it would be very good to structure the concepts of nutrition, perhaps by inviting a clinical nutrition expert.
I think that's a great prescription. I always remind them of this again and again whenever I can. Oh, and I also want to let you know that very soon I'm going to start releasing studio videos where I 'll give you general recommendations.
I'm going to go back to being a general practitioner and tell you, do you know what a thrombus is? A thrombus is a clot that forms in this part of the circulatory system where it shouldn't be, and it can be in veins and arteries. Oats have this characteristic, arteries have this characteristic, and the problems they can cause are these, these, these. How can you prevent it? In this way, in this way, in this way. I like it. I'm going to sit there like this and study. I'm going to do that, that new section which is self-care.
Self-care for the general public. I love it. Let's see if they like it.
And what podcast are you going to invite us to today? so that you remember us.
Ah, look, I have some great news from Necrointensivo.
Tonight we will be releasing a special episode analyzing from a medical, neurosurgical and forensic perspective the death of Judge Oyuki, who died defending her child, protecting her 3-year-old child, because there is a neurosurgical situation, as I already told you. And this week we're going to partially pause the podcast because we're just getting a new recording set. We are looking for a place to film in Mexico City and next week we will restart with the first documentary of Necrointensivo which is the death of Luis Donaldo Colosio Moveto.
Wow, that's great. I don't know. I didn't even know that one. I'm finding out about this here on Cronicazos, aren't I? Doc, well it's going to be amazing, so don't miss it. And so you don't miss out, chroniclers, remember to subscribe, like, and activate the bell so you're notified when we're live and how we're doing right now. If you're watching us on repeat, don't worry, we'll read all your comments and thank you for joining us because every Thursday at 6 pm Mexico time, well, they'll tell us around 62, 65, we're completely live. Thank you for joining us and today, doc and chroniclers, our time is up.
That's how it is. But thank you again to everyone who is watching live or watching this episode later. If you've made it this far, as Carla says, give it a thumbs up, subscribe if you're not already subscribed, turn on notifications, share this content with your family, friends, and enemies, and [laughs] instead of sending Tweety Birds to your WhatsApp group, send this episode of medical news.
Yes, chronically ill patients, we love you very much.
Thank you for all your comments. All of them are read all the time and all the support is greatly appreciated. Tomorrow here in Mexico is Teacher's Day. Today is Thursday. They want to see us live. So, congratulations to the teachers and doc, because you are a great teacher at what you do, so congratulations.
I am your teacher. Who knew how to teach you? [laughs] I was the second in your life, but the first to love you. How can you tell me that you love him?
When I don't know what I'm the only one in, it's already been too much on this show of talking about those things, enough already [laughs].
We're feeling pretty random today. I do n't know if a little ore is coming or something because that's very strange, but all of that [laughs] is with a lot of love. Chroniclers, until next time.
Bye, bye.
Thank you. Thank you. [laughs]
Related Videos
3 Reasons Eating Meat Will Kill You?
Professor-Bart-Kay-Nutrition
1K views•2026-05-28
Group launches palliative care training campaign – May 29, 2026
cpac
593 views•2026-05-29
Whether you have chronic infections or mystery symptoms, Evvy’s Vaginal Health test can help you
evvybio
584 views•2026-06-01
🍉 Benefits of Watermelon During Pregnancy | Healthy Fruit for Mom & Baby #medicoabhijit #healthymum
medicoabhijit_br
1K views•2026-05-30
7 Sneaky Attacks on Women's Womb Health You Never See Coming
DrBobbyPrice
1K views•2026-05-29
#shorts | First Guess of Brain Stroke? | Dr Manoj Vasireddy | Neurology | Sri Sri Holistic Hospitals
SriSriHolisticHospitals
103 views•2026-05-28
#pregnancyafterloss leaves you feeling very scared and all i can go on is the information i have
Changedbygrief-TFMRMama
498 views•2026-05-31
Beyond Liver Disease: The Hidden Role of Protein in CLD Recovery | Dr. Karan Jain & Ms. Reshma Aleem
VoiceofHealthcare
420 views•2026-05-29
