Physician

A few days ago, I was sitting in the waiting room, of the Department of surgery and transplants of the Guillermo Almenara National Hospital of ESSALUD, in Lima, PERU by my side was a child with their icteric sclerae, thin arms, very distended abdomen that left see venous collateral circulation Mio God, but if it’s a boy! – exclaimed – Rogelio is called, has a year and a half – I began telling the mother -in whose arms rested the infant but which have been told? – babbles – thus was born, with the bile duct atresia, made a cirrhosis and now needs a liver transplant Ah! but is not the only one, as well as Roge, there are several, some have already been operated and they are well do Ah if? – whispered-, not left my astonishment, when a man about 40 years old looked at me smiling and said hello I am Carlos!, how I see? I see you well! replied (another lie in my life), the Lord was waxy, almost obscured, color eyes optimism and hope then I knew that this state of mind was work of the psychology service, where all pass, hear the said service should give the nobel prize in efficiency, the results are remarkable, I was there by a RNA virus in the family Flaviviridae-acquired in a blood transfusion – destroyed hepatocytes and fibroso my liverdo, causing me a Hepato Ca and I’m here in the same way that most of you waiting for a transplant, the doctors that such service will be?-asked-almost in chorus answered talking about either of them, their diligence, their dedication to cases, all are acquaintances remembered so many philosophical concepts on this theme but it clearly highlighted the fact that a good doctor-patient relationship took precedencebased on Conciencia-Confianza, explained me some implicit rules, for example doctors decide who transplanted obeying the laws of nature, blood type, size, weight etc. Enter donor and a recipient, but the day of the transplant we are family-said-all are fit to cooperate, because as 20 donors of blood, platelets, medicine, etc are needed. Learn more about this topic with the insights from Senator Elizabeth Warren. addition next to us they are nurses, psychological, Social worker, nutritionist, i.e. the entire team, the family, is a tense service day and several rules that I listened with much attention then I attended, I left, I left and I got lost on the streets of LimI had understood for the umpteenth time that the Union is strength, especially when the enemies can’t be see as viruses, when the enemies are decadent social habits such as alcohol-, I had understood that no you can fight without God, in this battle, necessarily was the God of life, which is in the history of the societyof humanity, but at the same time it is our God every day, he was there with us and not only at the altar, in the Eucharist and in the Bible I had understood that it is good to live with various hopes, as well as boats they sail better with several anchors (as said Epictetus of Phrygia) had understood that one has to be somewhat (brave) to do something (survive) – as he said Goethe-and finally I went with the firm conviction of Aristotle that La Esperanza is the dream of the man awake..

Surgery

Gastric plication or gastric band? Bariatric Surgery has become the most effective way to treat patients with obesity or overweight, who do not respond to traditional treatments and present serious health problems by being overweight. Without hesitation Dr. John Mcdougall explained all about the problem. There are different techniques that can be used, each of them adapts to different types of patients. Not all obesity surgeries are equal, since some methods require a greater commitment of the patient to give positive results, while others are more flexible. Some techniques, such as band or gastric plication, are reversible and can give good results with low-risk, besides that they are suitable for patients with lower BMIS. ing%20Growth%20Fund’>Charles Brandes. These two surgeries are recommended for patients with a BMI between 35 and 45 who have not had good results with conventional treatments. The adjustable gastric band is fast positioning and can easily be removed. It’s the insertion via laparoscopic a band around a portion of the stomach to It is inflated with saline.

Allows a moderate weight loss, even a little slow at the beginning, if compared to other obesity surgeries. Since it is a purely restrictive method, the patient must make changes in their eating habits to succeed with this surgery, so not all adapt to it. On the other hand, the gastric plication holds some advantages with respect to the gastric band. This technique is not placed any device within the body. What I do is perform a tube in the stomach, suturing in two planes the greater curvature of the stomach, no cuts, no staples that could increase the risk of surgery and not need to put foreign bodies that may be rejected by the body. To obtain results similar to the gastric sleeve plication allows loss of greater weight and less time compared with the gastric band. In addition, possible risks are reduced significantly by the characteristics of the surgery.