Este video hace parte de la serie de conversatorios virtuales que Médicos por la Paz realizó junto al Instituto Nacional de Salud del Niño san Borja, Perú.
Los conferencistas son: El Dr. Carlos Duran, jefe de Pediatría del Hospital Shriners de Boston. Anteriormente fuel el director de cuidados intensivos pediátricos. El Dr. Duran completo su residencia en pediatría en el Massachusetts General Hospital y dos becas en cuidado intensivo pediátrico y neumología pediátrica en el mismo hospital. El Dr. Duran es miembro de la Sociedad de Medicina de Cuidado Intensivo, la Academia Americana de Pediatría, y la Sociedad Médica de Massachusetts.
El Dr. Jonathan Friedstat es uno de los miembros del personal médico activo en cirugía plástica/reconstructiva del Hospital Shriners de Boston. El Dr. Friedstat completó su residencia en cirugía general en la Universidad de Washington. De 2011 a 2012, participó de la especialización integral en quemaduras y cuidados intensivos en el Massachusetts General Hospital, donde recibió capacitación adicional en atención de quemaduras pediátricas en el Hospital Shriners de Boston. El Dr. Friedstat también ha completado la residencia en la Universidad de North Carolina, donde estudió cirugía plástica y una especialización en la Universidad de Texas MD Anderson Cancer Center en microcirugía reconstructiva.
Mhm. Last Tardis what the freak sack all I can muster with any to bien bien. Oh I know. How is every painting shiners at Shriners. It's good it's uh it's sort of uh I think they're waiting for a couple of new patients that are coming from the Dominican republic um and I think that will keep us busy for a little bit. But last I heard they were still working on coordinating all of the um the flights and the travel for them and certainly with covid it makes travel even more more challenging. Yeah. So at this something happened any type of accident in the Dominican republic or just um I don't know that a lot of the details dr Durant probably will know a little more but I know there's I think at least two Children maybe three last time I heard that might benefit from care at china. So yeah, wow, that's great. Yeah it's been you know Burns kind of comes and goes a bit and uh and that's general right now it's fairly steady and that Shriners it's typically been a little quieter but my guess is what will happen is it'll get quieter at MGH and then china's will pick up. Yes. Yes. Mhm. Mhm. Yeah, we have seen an increase in worms at home among kids uh in latin America we we have her reports from several of our partners in latin America where they are receiving more kids because they stay at home. So yes there's yeah there's we've seen more smaller burns at home. But the most of the burns that kids get at home At least in the US are probably less um less severe. So probably where we see it is probably more in our clinic and less in the inpatient hospital I say. Yeah. Uh Uh huh. When I started this system connect ando um dr momentos tom says if you are okay system being suspended a moment ago we are gonna wait. Yeah dr fritz that you carry a bronze star kept memos apart is the round tables. Most specifically the most webinars care has hinted, hinted or latin America's economy to blossom into. Now export this in sister Teresa incompatible una Charla syria when confidence system known as elsewhere in our solar intensity and city and polis cornelia. Ceo yo pienso que puedo tratar de acero. So uh tambien con uh conductor Schultz. He dr Durant um gets okay positive lamented podemos hacer. There are so many uh on a confidential karma. See when I met Karami's um don't last Woman two Necesita para la Porta. The silly stuff. Uh Doctor uh Yeah connected. Okay. Okay. No no problem. Uh You know I guess the question all that dr Dolan? Come on stars with the income with the stairs. Come on. Yeah well it was the same. Yeah cassie while say hey john hey Carlos are you good And you thank you for joining. I really appreciate it. No problem. Yeah. Yeah baby. How many people? Uh I feel like um how many people are you expecting? Uh huh. No, come on, Tracy personas es tres personas. Okay. He's standing groupies but people don't need to uh I want to. Yeah. Yeah. Okay. Yeah. Um Yeah. Well are your mandate so email um su preguntas dr christa and tonsil part of lara cerca de ellas. Las demas the last zero here I your bladder. Acerca de lo que estamos me and um entry los tiempos que los ninos Bonnell Carafano. Uh you know acerca mosquito asked us um florida's grandest el del fuego. See oh uh huh. For the mother temple, but for democrats you do this, you know? Hey I um camo camo style covid I and and lima in Canada on a basis to start to really um I just wanna mention yes hospitals, hospitals. Le esta casa, la casa. Yeah. No, you know and peru and lima. Uh huh. It started really Latinos need to stress stress and you can see us uh Cody passing no, tomorrow I'm gonna focus on in the casa. No. Yeah, I didn't send you mhm. Say um baroness otras when you're in boston or in massachusetts and esta parte in most a needle manos uh adult does in a hospital Muscle, man knows on one mess. Um Yeah, but how you know, so uh for the sale of a corner lava kona. Yes. To those messages? Um realmente no vemos ninos Musgrave esque on covid cloak and go to a hospital and a lawsuit at the Children's hospital the boston a band who knows in medicine, esos ninos son was scared. CNN problem is they're so uh oh sue um when the system are the the defense no uh Anthony no problem as an test. Um Pero la gran mayoria can town hospital Bana casa to mendoza. Ruto's a bit of manos Muertos. See uh somebody in the motor make or some being yes or motorist on uh I estan pensando asteroids muito soprano and los casos que necesita. It's um when a starting a hospital start. Internal Tanu Sandra steroids uh memento in the Aquinas a saloon on the terminal memento uh to America on the Yeah yeah yeah. Yeah. Uh huh. You are complete. Mm. Yeah. Yeah. No, no se tambien los gatos Creek and Mendelssohn. Edo and LaMattina love until adora. I'm also sad dogmas ultra system that the oxy hood. Uh huh Come on and and and then principio, come on. Really meyer todas estaban haciendo una maquina. Yo creo que alguna persona so easily. So daniel the health of luke the mantra uh uh uh Damien biter it's gonna la presion con la mascara um always an algo para sceneries important that um la la christian. Uh huh dr in Okay okay. When a Muchas gracias the nuevo saying Carlos Duran. So you know that's periodistas um okay as Ecuador intensive. Oh uh estoy aqui from dr fresh to us, who knows? No extra zero hanno the last commodore asi que madura uh when a zero here the plastic um even a um ideal topic of Kerry, amo salar acerca de las que madura stuff we go casa grande is uh when thomas the cinquanta por ciento uh la historia del Shriners ask 10 Principio and come on Milton Santos Quaranta. That's the temple being grand in boston. There's a temple much to last loss referee does and sido por que madura step away go the the gossip um And don't say SSR okay, most unusual. A historian moshe sanyo's um A 10 last system of the coma you got uh when I said start aumento the lapel uh quando it al al get off on them um quanta and terminos the cuomo a zealous in here toes. Um Okay so a cambio um there's the camo paint on your citrus um and don't say your croquet. Uh but I will start a temple being your second doctor fish to to maintain operations idea um for the most premiere of la rue tampoco. There's a second there um when a tiempo ideal it'll get off. Oh no yeah Cuando el nino established sues respirations kenyatta suppression suppression arterial chaos to um listo para para la la primera operation um and jones doctor free starting point that I said um que son las cosas que el correa said um and we met uh um B. C. Uh Oh okay so Jonah I was just saying like you know, so to make yourself great time was like you know kind of like what's your thought process when you have a patient that's going to the O. R. For the first time. Big big flame burn like what's your like your first like approach? Sure. Um with uh will not cause some really important uh antes the uh llamas uh operation as el equipo que tiene en la so in la uh sada operation. Okay the tango personas and west Roy keep. Oh okay. Your um respectable show. Yeah. Uh CNN mutual experiencia. Hey though on poquito um tipo the operation keep whale are sir um si tengo personas seen experiencia um Yo necesito. Usar mas to me attention uh at the master circuit. Uh Paramount enormous and an assault operation. Uh algunos faces. Some poquito mas Dificil para remover uh told all the uh Kelechi madura um to heat Humberto um in a premiere of easy to um. Cokie Majoras mask. Uh cinquanta person to um Come on Carlos. Uh Lady um let's see how um it's important that T. N. A. Ona resuscitation uh bien uh pass arena Missouri is normal. Uh Seus uh uh this numerous uh ornamental adora uh he's mozzarella five minutes. Uh Yes us um Durante el asado bracciano go to santa tiene mucho um uh necesita mutual euro. Uh huh. They want to mark in a para esperar. He here kira Sarona operation mas grande no mucho espacio para post oak forest anesthesia for a cambiar mucho. Durante este sera here uh la mayoria that causes ko um appearance of some more important is on this cosas que piensa antes the uh la operation um por ahem flow. Uh see I can be used to kogelo um algunos basis necesita un poquito the uh F. F. P. Uh Oh see susana. Susana su cuenta. Some poquito bajo algunas faces on transfusion de sangre antes de que um um P. S. O. U. N. Operation. Um Tambien con los ninos uh lost linear central is uh some massive volcanoes in comparison to do toes. Uh um Some poquito mas dificil para uh administrator Sandra otras uh fluid as Durant el asado operation, por esta razon. Alguna spaces your Ethiopians okay. Via Sarona sarah here mas grande a need of a necessity by a recipe here. Sangre durante basado operation, algunos basis. Uh Your throttle day. Um So antes de uh asado procession Cuando la nina to the V. S. To uh uh And so uh I say I see you. Mhm. I saw that with auto intensive. Oh yeah I was I was muted um And you're saying when the patient still on the I. C. U. Right. Yeah. Uh Don't say antes the et al Qaeda, you know? Yeah. Uh Yes of course as I much. Okay um prepare a and I meant to anticipate as the operation but uh a saloon operation. Uh officiant tambien para um from a city center spaniel um yo tengo un plan more specific. Allele auntie Stella sold operation que yo puedo communiqu are on um come unica uh uh otras members the keep oh another Carafano. But um prepa rales um and cement it tambien en su cuerpo para uh the duration the operation. Uh does that translate? Okay? Carlos? Um I'm basically trying to say that like there's a lot of like it sort of sets the tone for what we're going to do in the O. R. If I know if I have a plan and come in and say we plan to do X, Y and Z. Today and this is how I plan to do it. Yeah. Yeah. And turns to addition doctor feels like it is the common circuit. El tiene un plan quanto E. L. L. A. Scylla discussion controllers. Miembros the quarter the operation. Baraka totals seven. You're gonna spaces dependent. El paciente depended. L A temporary tura Cairo fino depended a uh experiencia de los miembros still keep the keep oh um you try to remove their uh let's hit them with the masa minnows. Uh huh. Yeah. This one of the big question john is the percentage they want to know uh place uh depending on location, the latency to marta for him. Plus es un uh un piano on Brosseau some poquito mas espacio por que yo puedo usar on tourniquet. But um enemies are Sandra momento durante Alexis ceo tambien you so um uh like ido con un poquito day, epinephrine um minimize our Sandra momento tambien at the Moscow algunos basis also uh thrombin spray. I don't know how to say that in spanish. Okay. It says come on a topical agent right? Like straight on. Okay as soon I may see in a topic. KC. I'm A. From Ben. Yes I go. Okay. Uh Previous okay I moved to sacramento with C. I own Brosseau piana poquito mas facil para control out of the sacramento. CSL Pedro a stomach go is about alltrista goddess en que yo no puedo usar and tourniquet. Just uh sacramento syria and poquito mas. Uh grand. Uh huh. I various pen Cementos de la manera mas ahora para remover este Tahira. Um Algunas bases called Bosnia's for chaos on um Wait to kenya's as much of as fast you para ser on part of the core problem with mass McComas. Grand. And comparison on a on a desoto. Can I see the muscle mass tiempo para ascetics issue and they want here in our own brussels. Okay uh in a doodle as much harm as grand uh tambien estoy hablando con los doctorates anesthesia para disco tear like wanted a delicate okay nino recibido compasses respiration estan sobre ella uh la maquina de respiration. Uh algunos basis. But to me um european so okay the sooner operation and poquito grande. Pero. Quiero hacer mas o menos quaranta uh portion to si el nino to cholera caribbean you'll be keep O tambien uh D. N. A. Um almost that you say I'm gonna say like they're in good health. So the people know stuck on sado he podia ser mas you put a mas must you know maximo probablemente cinquanta person to you and eun operation to some cinquanta, percent of the total aqui madura or cinquanta per cent of the uh is that 50% of the burn or 50% of the patient's body surface there cinquanta person to uh T. P. S. A. T. V. S. A. Okay. Okay so C. S. O. S. The vcs para ceremonial guard pork a la experiencia that keep us is no point of us moy uh informal um yo voy a ser minnows. Yeah yeah. Whom gold para remover la mayoria de Tahiti to Pakistan therapy. Okay okay and the sacramento asthma cora, risk of infection is McCord. Uh Los problemas con cumbias uh sue metabolism, common cities and so on. Um Dora. The last process on the horsey. Glad to hear that. The key madura uh uh remedy most S. O. Mas pronto um carol yes. Un poquito. Dificil porque Muchos cosas que pienso um Cuando estoy tratando the room over there like the cheetah see I own que madura que parecia infect tada uh yo voy a tratar the removal relative to mass ratio the poor is uh in esto situations um si no podemos remover uh connects decision um Call when coach R. A dickey madura. Massimino son Julian or latin um when we use our uh elbow via uh electric artery. Um Para remover lo mas rapido. He's seen um seen mutua sacramento la problema. Con esto es zero no es perfecto algunas races necesito realizar un poquito no futuro. But I was cultural manera para removal a Tahiti to uh whereto mucho mas rapido antonia k uh informal. Mhm mm That makes sense. Yeah. Yeah no told the taliban uh esta primera operation um on a Cossack uh abbiamo una Pregunta circa the incur toes. The cadaver common assess la decision. They will star low or no star low in latin. America exhibition Like decision to use telegraphs, telegraphs like 1st, first, first time there the first time you're in or um Cuando yo estoy pensando. Those R. P. O. D. Today bro um me miss pentimento. Sunset Mahanta uh uh here the paciente and Esther uh Esther manera um la leccion necesita parecen will be in Ethiopians. Okay. S taxation is as um sufficient but appear the paciente as um uh sarah. He pero assume que madura based on two grand in. Okiro usar lo uh a perimeter based in SRC to a stillness you Well you saw pierre the Canaveral. Para abrir um lost inherit owes you tambien? S un uh wound uh examined examined us like a test um on a river. Yeah para confident marxian Westbrook session is sufficient. Para cambiar appeal the Canaveral they appear the paciente um algunas basis you know I p o The Canaveral for case. Um poquito poquito Caro and comparison a otras cosas uh oh ci infection my grab. You know where we start to peel the Canaveral and este situation as Adidas uh german and say a beer to con cambios de banda Aceh's but Olympia un poquito mas. Um Mhm Algunas bases Eva Garcia's case. Um artificial para um except arte de cada grow. Um Los sombreros. Uh Jonas Racists are assist that. The barracks. Um uh No, no that's not that. Tambien un poquito dificil algunos basis is mass facet but their minister Alberta and social goddess as the eponymous in her toes. Uh yeah. Um pedal it depending. Tambien de la quantity uh uh person to hear the key Madura de pacientes. E 0% es mas grande, cinquanta, santa, santa. Mas grande. Lockie madura llamas. Okay, yoga product here. Uh LPL can know uh tiene aqui madura. Okay. S. O. S. La unica. Manera manera lahore para. Que abrir um last adidas taking Madura necesito prata. Here is so okay. The problem as I um no podemos uh Osama Saraya eat. I problem us how to say this in spanish if we don't if we don't protect the donor sites very well and use them cautiously then it has downstream affection in not being able to cover the patient having to wait for them to get covered which then leads to infection and other problems they say they said photography circuit um it's very important for the headless areas can affect us since our escape with the new sarcoma donation. He um incluso Cuando I poco areas podcast si podemos usar ESAs areas the donation. Uh Menace complication is very patient in Amanda's infections and john or maybe I'll just talk a little bit about what it's like to get a patient after their first trip. Um And like whether they got excised and no gallows or um excision and Alice. Okay. Uh but the sports that la primera um visit I'll get off on a but uh piece or code intensive. Oh thomas pensando uh unas cosas circa Della la el monaco. Della pl um C L cerojano uh nope ana in here, toes and toes and open in here toes. Uh the uh the cod liver um as possibly cal paciente. Tener mas sangre mento gave up their Mosley Quiroz he'll arrest solicitation, their suspicions, protester bien dificil and no proximo dia um It must be stuck. Um loss uh Nicodemus Mosley. Kiddos okay. Includes mr leaky does no se Cagan and los pasos don't say that tenant camo on process. Okay. Sayama and an english. I'm a third spacing um tambien se um capillary leak. Don't say like you know, kiss thomas, dando cuenta. Tambien al woman um inclusive uh Alekos liquigas. Crystal crystal lawyers. Um No no se queda en la sistema the circulation um and ancestors passing disappointed for not for not being in shallows um uh look uh you know uh el monaco does to respiration is the fissile um paciente TEM input. Um The near problemas the que su lum suit process um fairness opponent in child's um and then went into nursing draw me the compartment compartment syndrome. It's a menace Aleppo to factors to abdomen. Um Yes support esperar que los ninos no Suample uh 10 insufficient arena. Um We're not in el caso que um los ninos silent. They'll get off on a corn. Um concertos their cadaver. Uh Obama's manos um cambios there lee kiddos meno meno sacramento. Um He crook s mass parcel as the cayuga a proximal visitor kid often. No um la una cosa como dr frist estaba in the condo I arias um and can nose upon a in Puerto and tons of uh area. Solo podemos. Bandar. Is he local Ambien last inform eras cada dia but they said the la cabeza but they said they lost the the del potro brasses and bronzes ESAs areas um cannot stand Robredo's um es mas facil versa infection um And baseless las areas que ya tiene el in here to the cadaver. Especially like we're bad um infection a in all over most as a civil approximate arrest. I'll get off of them claro simply uh isla presents a Riviera or whether it can be at a lower the last Merida's um or to mink silent, leaky dock, severe impact on um Claro camo quicker um To intensive o Osama school tour is the cellini central um There through uh through eligible respiratory to um a semos ESAs muestras una wrestle a Samana in Karlovy skating and pierre uh remove Chavez is displaced. The tenor la primera um limpy esa. And who l Carafano especialmente con estas que madura bien grandes secured in an antibiotic cause um What a handler. Yeah no I'll take it off you know podemos and banco mas banco mason paralysis um uh bacteria guess gram positive. Uh But uh L graham negativo um Osama's marrow panel. La mayoria del tiempo. You see dr christa as a una limpy esa opponent here, toes on opening here toes as regular Kinmont. Tenemos los antibiotic cause for a warrant iota or a set anti dose auras the includes hotel last quarter or a system being or no saleh algo The last Sunday or the two via respiratory or this kata kata rod the arena um Abbas is lost paciente sigan compared to and don't say what to sell uh party game thomas and his apartheid que van a tener un poco tiempo. Nos dias pastel approximately operation easy second confusion. Uh Why not? Uh Chavez is Lamont Tenemos la antibiotic Azteca. Um We're more scared. I don't know this person. There's no sirve aftercare comments and uh assad lost in here toes. Um The lab el paciente MS moore I will go on as preguntas um uh pilar. Oh and Sheamus acerca Desta as a processor primero um mr Abbas descend. Okay. Your honor on a strike area like as an I and so and so hospital is pondering here toes temporary. No um I want to do the system. Print no cuantos dias as uh no I uh uh uh okay yeah so um associate puertos get to the history of the study of Quattro. Ds um del cadaver or they'll paciente mismo del paciente. Okay, okay, so john um dos preguntas john le Carre Amanda Pregunta um Syria um see no bonus in here toes. The cadaver i locations and uh to us as um sistema that christian negative to so basically saying like um if there's areas that you don't put Qadar Allah graph is there like uh situation when you might use like like back back. Yeah. So um uh tobacco uh mucho que amas general por que listen for metas estan mas komodo. Conan last problem as the maquina. It's about uh rep Farrar. Farrar own una problema pretend to own leak. Um uh Occlusion. There goes to goes uh central Miyazaki. Uh CNN uh experiencia para um uh read that out of there. So um federal shiners. Uh no tiene bastante. Experiencia con esso Yeah, last infirmary snowstorm. Uh santa cuomo cone uh identify car. Los problemas wrestled their laws scene. El udo they're one of the lost ark Torres. You see um Restaurante idea is my fastest pero durante la noche poquito mas dificil pero que algunas Cosas las part or is a you know Tnn brass tanta experiencia con as as marking as tambien por esa razon. No uso una marking a moso more frequent element ai ee pero estamos tratando. The Jakarta centrum eras corn las personas that a company uh Harare so uh Europeans. Okay. Uh huh. Find out how the Vacco's brainy there. Um especialmente Cuando vi um to heat uh Acerca cinco madura que pueda um Surat al banda a plastic or maybe in it's more deficient bar upon our own band ahead of Akko. Acerca uh city say perineum um um circa so Soriano also area para. Yeah. Wait one of Xmas. Yeah it's very so it's uh yes it's passed on to edificio in the opinion. Novalee Latina. The Panero pork is necessary to uh members they keep. Okay pueda um identify car um espacio endless in banda. Aceh the classical yeah similar experience at the esso is mucho dolor para E L. Doctorow la torre aqui para uh Megara esso sarah. Let those cameos still like to heat a common Vacco uh like the heat of the grand ole asean. It's mutual mas rapido uh kommen wound back. He um tambien I cambios al wound vac aurora um que puedo usar liquid o que pasa por alla martina sara. NPR lata Khera uh oh usar algunas de ellas solution is a topical is uh in combination corn moon marking at the back Wall uh oh yeah I'm a um vera flo um from uh the one company at the K ci uh past uh aikido, the deacons or so far milan uh poor uh tubo. But uh solo del banda de la Salida, la maquina, remove STD Kiddo um in various tiempos kept where they are. You start depending uh parental Derrida um con esto so cam video esta maquina. Um You put on a certain uso McComas, forget the name of uh uh let's cause us buenas the press or a negative Akane little heed to the granola. Seoane que tambien uh those beneficial to the um solution as topical as far as my enemies are a re escalate infection. Mhm. Yeah. See much progress has john S. O. B. An important uh to me in last sistema that will start. Um last um therapy is topic A zor come on, laura kilo Yamamoto's um uh irrigation. He irrigation. Tan says uh liquid. Okay. Tina tempo tina. Algo the Sufa. Um Or so the plata. Yes, so common Osama's Parramatta. Della serie to C. T. N. N. Um Most recently in Mbandaka casino tank on here. So the cadaver uh Los Alamos e tambien city in in in here to the cadaver Osama says to me um John one Thing. Um It so it uh well I was saying they use a lot of they go straight to autograph at Like Day three or Day four. What are some of them I guess risk or uh challenges with that. Like why I would say I don't see that a lot here. Um But that could be the group of people who work with. But if you could say that like why you would do like or maybe like why you might um why you would choose that or why you wouldn't choose that um Europeans. Okay uh like the uh some pointy their part uh Kerala Iraq on let me hear the paciente based on therapy passed on to therapy. Okay Priscilla better um uh Algunos basis. I. E. A Shriner's Cuando yo um on your R. C. S. O. Um uh For him flo uh Carlos lied la nina on poquito. Do you remember cardoso Nombre Ramasamy anna Teresa knows uh san poquito aqui como e que tiene esta nina tiene que madura de masa minnows uh Qin zi 0. 70% to uh T. B. S. A. Uh forenza. The sooskee Maduro's for mm poquito. The secondary o famous crab poquito de tres cero pero um Yeah I got a hospital and also transmitting soprano e puedo remote Bella to hear um we're to a cubrir con su pl more rapid uh mismo operations in Cuando yo um comparacion remover lata here. Um Where to uh Oh cooperation a una operation con um concerto that appear the su paciente mas o menos uh He wants a portion to over 90% to uh T. V. S. A. In kara operaciones mas O. Menos and maxim. Okay Europeans are some brainy. They're para ser and Yoon se rukia. Um So you will autograph more than 20% at a time. Uh Algunos faces silla la nina old auto as a bien yo puedo pero algunos races um S past anti trabajo para alternate inherit Olympia less adidas. Um As much a part of the paciente cholera, tambien por esta razon algunos basis enter ds event for santa. Um S on one plane sort of. Was this a range um And that's a good no range drama rango rango. Yeah. Ds of interpretation to but I said in her toes um paciente misma si especialmente para toda para los miembros the keep. Oh okay. Uh Solid operation is um Michael you want to but uh nino or do Topo rattler are or uh sent cameras. Also tourist anesthesia. But Maria the pacientes uh Las personas and as Oprah the operation. No the goose Taiwan operation must they'd also trace auras. Uh E Quattro smoochy como para la mayoria. Well almost hacerlo pero um civil uh tratar de hacer s so um you put a block on turo de los miembros. Keep Oprah prepper Alice the S. O. Yeah por que mucho the set of, here's a taquito. I participate. Uh Physical list. Bottom ee aoc tambien type artist mentalist on the end he uh I'll pull their documenta is my favorite day. Um You see else no estan listo para esta and cement. Uh no van a trabajar uh communist para la duration The operation. Mhm So uh huh Hyland has just uh circa the two. This is chaos and loss in Puerto del paciente. Mismo que to manually in kyoto's threatened there said Cuando estan and kicked off on. Mhm SQL as amongst the kids make the poor sento welcome. Don't Sandra keep okay as a cancer uh center for uh for Sandra bullock Julia duration in Sudan po and I'll get off haciendo esto people they didn't hear those guests or uh huh scenario. Uh huh. A girl says it's para million circus um its mosque tiempo uh and a sawed operation and comparison on our own for santa. Um tambien CIA ultras pacientes que necesita uh tiempo ana soto procession ei um he lost members the keep of an affair minister um I. E for uh uh poquito tiempo le tiene que ser mas de una paciente Yeovil uh as a starter can be our uh the tip of the operation. Paraquat are passed on to okay posse with arugula raisin necesito hacer una operation mas largo or those operations operations masters. Largo que los altos miembros normal meant a salad as casas um mhm Ramasar sarah S. A pharaoh you you try to the sarah somewhere are oh okay santa mira si le las otras doctorate is in person as an assault operation. No like gustan so um unico mm hmm um the african continent to a as Nala gustan. Yeah, you mean going to the are like every day, every cada dia es bien para cada dia mas tarde no no le gusta una these cannabis por que ninos estan thermal. No problem. Pero si cada dia samosa. Ie Della normal meant to Shriners mps um mas o menos el lazo show in America determine uh las cuatro and la tarde ferro cement Quattro. Kambia Alice trays uh Lucas partitioning uh the earnest as Massimino celeste does still at R. D. E. C. I own um un dia especial for a handful of Felicia Navidad and nuevo. Algo Kamasi kambia emilio dia. I that's lost members. They keep up here and say earlier the hospital. Yeah. Tenemos que um I it's as much espanol, no salen palabras, corrective. Perez is as much like managing people and their expectations along with what the patients need. These are the two keep the locust an indian kid also no less than Permira therapist to under six years ago but I can stand like expectation quanta services by sending your kid off, you know um s important that talcum or uh manila Messina. But I said el tratamiento de la que madura Parone zero Seniors Necesita. Algo your boy uh yo voy uh improve our mutual last birthday uh sarah so la cosa mas importante a la cosa para el nino la nina uh young para yo via per minister asked Lotos operations stand terminate does um algunos basis necesito and PICO and poquito mas come on sir wanna um I say gruff in spanish. Okay. Uh well what are you trying to say? Like you have to be a little more, I have to be a little a little firmer. Not changing. Yeah. Yeah This uh versus para 10er starting point. And you also know like when I said mature apoyo para que land and tender care is necessary of Caroline. No pilar una Pregunta um Quanta vases a la semana van los ninos uh Carafano Cuando tiene en tan grande que madura. Uh You know, so the pain there no get the name of the program out uh Fiona like uh celebration install of the. Uh huh. Okay tres cuatro dias. Okay. Okay so scotty Wallachia to me and see I move to areas but uh a cell limpy esos a column lapel customer to um when. Okay Amador is that there's a single S. O ce a span mask went quando is when I came a lot of minnows. The minnows, the kings have painted por cento. Um it wasn't a said you're losing Puerto santa Premera visit a hero for mountains and nirvana still approximately Abbas is your your crock el tiempo entre ellas last um when on a visit to market often all the acid being on Linux por que Carlos escobar I much inflammation can be picky does um he one of tambien puede habit more complications due to respiration is um or I mean circulation. Um the and um and discuss with guaranteed ahi uh quando persona semanas que complications. Aceto llamas frequent. Uh Yes the audio. Yeah. Uh huh. The record mui poco tiempo as allocators being gravity para los pacientes Anton says Algo que en contra mose and Susan Merida's obvious system in in in law. Sandra pero tenemos that appears but when asparagus Osama's amazon or micro function um you know no paciente. No son being gravity you know no Eskimo sitting in bacteria gram negative. Oh answer sangria. Um yo direct en este tiempo historic moonshiner must be so unworthy to he? S a paciente and I can't see a bacteria kato go for resistant at all the loss um antibiotic of autonomous but I said as the tip of the pseudomonas um and thoughts lesbian Guerrero um Pero is your clock is perceived like on as the camera was being branded stuff we go classroom uh Yeah bacteria's opponent resistant various classes. The antibiotic als so john I was saying that like in the time that I've been here that we had like one death and that when death was most likely a multi drug resistant um bug that you know was not could not be treated with any of our antibiotics and and that you know we are able to generally handle most of the infections with you know antibiotics um billy to kresk Hassan antibiotic cosmo choi um Hassan menace um por que tan tratando the or are low after lost in postcards Scalia's angle positivo that Suzanne Gray. Oh come on you son in law and beautifying. Uh Let's see what you say this. Uh uh uh It's like wow like wow esque among last ninos Catalan and pierre sigan pensando estas antibiotic antibiotic cause being forces or solo Stancil Bernardo and so called tura d'allesandro the severe president Korea. Oh okay. Yeah yeah done and done zack ss Coto Que Asi one. Um All right I said una semana. No I said you know I knew a trust to be more trusting us than una que madura. Um If we go beyond grand a waitress um Ninos kevin here on the florida. Um uh When uh Kostya will know Tanya masters sente por cento the su support of um came out dr free studies was a trustee johanna's Joonas various strata mentos, both mass general the tambien and Shriners lost in Los ninos um um ceremony being um the mall messes as to compare. And so those who so pl um he won a b a honors complications when for example a one percenter togo contra Costa mia. Uh L. A. Citrus does not indian. Um Corollas lisa Carole. A tracheostomy a same problem at this place. Um told los pacientes estaban be industry unions. It is Ighalo their own percent displays the cuatro semanas estara en el and al Qaeda intensive. Oh yeah lucy johanna's avian um questo titolo sink your toes um piso con esta in charleston that so that's due Tomorrow uh bueno uh supposed to be and grab uh to go ischemia. This will send Testino's incluso hasta Cascione mess the sports like you know the basis and almost a needle S. O. E. A. Realmente um supreme motor vessel to one operation. He said you know Um then you have 1 um uh hasn't wrestled to the postal operations. Yeah john you remember one of the kids from florida last year or two years ago had compartment syndrome in her belly. I remember that one I remember was one of the you know the florida kids but and she was like you guys have grafted her completely. Um But then she got like you know that like leukemia right? I think she ended up losing a few centimeters of her intestine. Yeah it's more are. Oh yeah. Really? The complication, honest. And infection is the sangre. Um the arena or uh pneumonia. That was for my illness. Yeah Anthony or pancreatic pancreatic disease. Portland. It's rato. Mhm. En route. Uh uh you know this is Emma's bistro for laboratorio like basil Emily's stand um uh laboratorio um An abnormal pero patient put start seeing barometer commando. I'm saying like I've seen Emily's life bases elevated but the patients not clinically having frank rich I just like not vomiting you know tara in their feet. So when uh uh huh. You know throw in Colombia. Yes there's a momentum can pass it in Grace hospital, cuanto tiempo pasa after Kendra la primera zero here. No otras. Follow minnows. Okay, okay. Okay. Okay. Shriners opportunity and algunas parties this cory musk to indiana sporadic el paciente, stability Zara and the pasa, la la primera cita. Here, Qatar guardia's in two key areas started like process with a similar to strangers. CS move venti Quattro quaranta auroras um algunos basis sentido sparrow uh demos um acela premiere at zero here but santa rapido que facil para remover la Tahira marta but minimize our riesco the infection. E evitar this complication is that they start to heat up on a permanent para mas tiempo. Most are regulars are a solo operation. Mas o menos cada dia uh asked the latitude and were to uh most remote video tollo. Mhm Yeah ma ma ma gracias. Doctor, fish sandwich. Aggress pursue. Um Okay, be honest, that's the total uh like a person. It could also know it be like grass and grass of russell. Okay. As you know when I'm um mm OLLI Maatta Preguntas. Acerca there stop call kurt otras preguntas this quest for then as an email Panama is located um plenty of muscle, approximate topical to me. Okay. Yeah guys. Thanks Ok proxima. Thank you john bye bye. I yeah