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.
but then bear loss um uh slide. Okay okay. When Marcia gracias maybe dr palladian. Doctor Freestone for roman unos idea. Um the idea queremos um Clara acerca una strata mentos last que madura Stella kara um dancing boy um bonanno's slides. The um por favor si are gonna personality and a Pregunta um for the most uh uh I'm glad the supreme good uh requesters um dr Barbosa vlada circa una strata mentos um No solo los um topic oh sparrow um como la san Fermin as um as Angela's last las bandas um to me in and test the entrada al Carafano um con los serranos plastic cause come on dr Freese to K. I otra otra elementos. Para ali starla pl plato's derma versa jet or dermabrasion for the most of our day. So uh please Doctor christa vlad um poco mas Acerca de los Muertos uh disposal querido and uh p so or cardio intensive open uh loss in here toes displaced the little operation uh being acerca de le plus C. Okay. Yeah. Uh huh. And so email Acerca de la plasma recon Loretta's uh last membrane is um pio silicosis. Okay. Um don't say yes sir. And to permit um uh to email mr Bastin. Okay uh meno Susan um bassett roszina or meno Susan l uh new new props sina or back to ban uh pero para nosotros, los ninos que tiene in june una area. Yeah is no is um there's a great casinos segundo grado Davion was Osama's esto um he lost arias castano un poco mas uh Austan pay or uh stand mask Amado's uh, Sofia's Osama's um, pesto stop because Katie Cannon uh sulfa Anton so podemos so sad on paul Coderre, uh Silver Dean uh crema uh aqui vamos para alla story has um low inclusive. Um, but uh, said a sacar un poco de les carr uh Osama's elka largeness and invest in quantum non total. Los tiempos pero uh use thomas um estos estos Kramer's um uh huh to pensando and includes the idea dr freestyle chaperone. Uh una nena bemis as a stress man as a Trask turbo Merida's to ASU kara says fabian parabola de esta idea. Or came a pasa unas semanas the idea dr Freese to Arizona operation. And don't say porter employs estamos tanaka as soon, paciente que tina came a duras the different scrod does in la kara. Um, and don't say la puedo abducted a doctor free stopped about a block from poco. Acerca de quanta tiempo que otras courses like busta applicants. A new cast of conquest. Okay, john uh gracias Carlos si ustedes para uh su tiempo um corn que madura Stella kara. Um I varios um Pensa Mementos throughout me into the s o uh for example, e depended on guard. Uh la manera de tratamiento where they can be our machismo for example, a Andhra university of Washington uh uh lugar que yo sme uh uh practica de cero. Hiya, general, um, mm hmm. Yousa Muchas cosas mas dedicada para uh, maximize our uh, garantia de la cara por ejemplo integra uh was almost matches the moai. But uh huh elastica trees, final tambien uh uh que madura mas grande grave. Uh la carrefour una uh you know, gar mor importante para cubrir compel uh los manos uh principles, you know, social cigars must start keep in boston tiene mas o menos el puesto de cemento. DS so um espero most uh para mutual tiempo para permitir ala carte uh tempo a san are uh normal mente aqui especialmente con los ninos esperamos uh casi tres semanas. World's basis. Un poquito mas. But uh Kermit temple. But uh tratar scenario, poquito pero tambien. Uh one of course important key as uh battery, la madre. Uh los necesita tiempo. But uh except our sarah algunas faces. Yeah, principia. So uh else here in a guitar. Sarah hiya por esta razon um Aston Muchos cosas con cambios de las bandas para darle tiempo. Uh para Sana. There are algunas bases estaba seguro case Mugrabi for him, flo uh after Sir grotto or segundo grado. Pero no algo superficial um E C. S uh grado segundo superficial Osama's pass situation in una semana dos semanas aficionado. Yes, so it's really fast. One was uh Dorado segundo pero mask rob uh cement and pensamos que Monsanto but trotter they removed their uh what is s car Carlos? Islamist the same word I think john uh, s car um la blanca debajo de so quando Mugrabi, porter templo tercer grado, um who's associate tiempo para ser algo como sofa milan or Silver dean um uh can be our uh Latina algo mas swab but remove mucho mas fasted Cambiasso's panda. He's um estos tipos que madura Zeus Armenta casi Siempre necesita. Uh sarah here he european so like a Tanzanian toe. The madura Stella car is uh is mahar para la familia. But uh except our secretaries. Give a former yay, see permit your uh tiempo but uh observe arly e con tiempo con la familia. Um uh Then okay, I proclaim us going to hear a que no son at the end. I proclaim us um use anos para uh to help with like trust Carlos to build a relationship with uh yeah this is dr freecycle a los pacientes la familia, Tenemos fair and last system. I love cerojano esperandieu. Um uh It's a temporary observation. E quando um if he know sanna maybe and uh come as fast as c is on a sincere okay, a protein problema con uh psychiatry's its muscle mass, facile para la familia intend their case. So as algo del uh processor. That's an art Gilkey madura and comparacion uh rizzuto. The you wanna set up here. Okay uh estamos a su nino uh last familia steve McComas fake on esta uh uh sequentially to the cosas um Pero algunos basis. Uh He also has a seat and sarah here for Antonio the oy tiene una una que madura. Uh Tercer grado. Uh kara. Yeah esperar mas mas amigos trace tres o cuatro semanas mas o menos but appear materially tiempo it. Uh huh. In tandem with BNK novas. And our normal meant uh regressed a nuestra clinica Massimino sooner Vizcarra. Samana para ayudar a la misma uh pencil bientot Muchas gracias que tambien le ayuda con la fe and west rose opinions para zero here. Um E oy uh uh usa Suzanne bahia para abrir so called inheritable tippecanoe sarah. I see no nemesis. So um uh Andrea problems conservatory's uh small uh positive entered for the affect. Er um It was common city say eyelid uh Alpi bruh the island, right? Part Bibras island. Right? Say papa does a pappardelle superior uh probablemente uh tambien yo you explica a su madre. Okay. Syria possible problem in Havana city arsenal here. No futuro para estos para cerar Ayurveda. Oy para uh terminar este partido process. So it is placed podemos pensar mucho mas al so here. Farah records through year esco um maximus are uh funciona. The Saqqara. Um yep. Um One of course on Tuesday uh course as a specialist in lasalle operation. Quando. I spent most para tres semanas o cuatro semanas con cumbia still spend a he's lata here adela and rita. To hear the regulation. I don't know if there's a Latina the granule Ascione era um podemos remover my face El uh, el Asado operation, Algunos vases. Osama's un uh, perry astro elevator, algo para 11 Tala Tahira Andrea runway. So ellos must close uh, apart. They trust they promote city, say like a pickup. He's like the back of a pickup to scrape it away. Uh, like forceps, forceps. Yeah. Okay. Instrumental. You mean to like pull it away from like the muscle so you can actually use the back end of the pickups to scrape the granule. Ation tissue off. Okay, that is dr lisa. This is um quando um, second mbandaka within assad Laporta A trust uh one instrumental para sacar la el tawhid or the brand new last year. It's more faster. More therapy though. Um, you know, necesita uh marking us or instrumentals more complicated sarah sarah. So uh huh tambien uh see below. And uh, let's see here the oy uh, Kasama san poquito. They uh Celine corn epinephrine. Um, you know, day one, millions uh concentration but uh Sandra, me siento. Pero Cuando uh uh say on uh mostly say debridement. Do you want bientot, pharmacy? No Muchos. Sandra bientot is mass. Mahorn comparacion a wound excision. Uh Conan gregorio mm in ultra slow gardez you're a asado ultras instrumental skippy and so uh, volume poquito de Latina. The open air, uh user, uh, Carlos. Uh, no todd. Oh, uh, must in pronto sl versus jet um, Augusta versa that machismo para los ninos especialmente para cosas picking it as pork and potatoes. Um, algo que tiene a uh una una cura. So, but uh sarah brady niente devastate us and nino's parties, Della Carra nerese or a hot acerca de la boca versus jet is functional. Um Ibn juana, la loca juana, la maquina funciona normal. Uh and at the university of Washington know the name of problemas con esta maquina funciona perfecto meant to use our most mucho uh Kms general tenemos problemas con esta maquina por razones que yo no and taekwondo um you know Osama smoochy similar key uh tambien I uh ultras mocking us. K replaced replaced sado Shriners um Okay es tambien uh tuvieron problemas con Aversa jet E. T. And they all go say I'm a missed sonics as una cosa que Yusa homocysteine ultrasound. Uh you bonito bar uh remover, la vita e funciona semi semi han to us. So. Mhm. Algunas personas and ultra slow car is still a estados unidos uh susana dermabrasion Bartiromo verla to heat up the problem aqui yo Tengo con esso is a process of the dermabrasion um uh Kennedy uh temporary tura LPL algunos basis corn. Use a D. S. To mark in a cow's our Mastic trees opinion. C nosa movie. Dedicada pienso que all trossman eras uh remove a relative newcomer to uh during the operation says uber Mutula temperature uh C a um Hassan agua but uh campero tiempo se Mahanta Hollows um quando a quarter of the way so uh agua sobre ella la maquina but minimize our el cambio Stella's tempo. Pero um Europeans. Okay. Um, and the expiry experiencia aqui um term operation is mentor para uh Harar psychiatry's displays or lagares cone in her toes, kiku grande sobre appear normal. Um Para remo very so in S. T. A. N. S. A. Uh cosa um dermabrasion funciona un poquito mas mahar but uh causes pienso que puede and often their only hore um sitio de la to hit them where to mass for me, homeless or Trustman eras. You come in and use our own boolean blade or um Ona Tokyo and 15 uh it's uh yeah, scalp off uh to the kitchen say uh see uh dedicada where they remove their started here at the gran leccion sobre um moses, papa, papa, dios, papa, papa rose or algunos. Otros lugares tambien, pero titanic uh mucho cuidado con esto porque es muy facil but a quarter. Algo mas abajo de la Tierra last year. Um Algunos laces yo asado um uh B. T. M. O. Algo como asi para maharaja, forenza. Uh Durmaz. Um. Uh huh. Okay. Yeah. See mutual derm is no existing key. Yes. Mom, we grab a good race issues. Uh Btm Integra uh dermal matrix product, rain plus are on poquito la value mia. The Tahira cannot exist there kid. Uh Oh nickel problem. Okay, con esa manera and me opinion is and buying here today semanas. But uh para crear asi in the taiga uh at the centro de esta. Cosa para displaced bone marrow in Puerto the the problem problem to um. Quando ponies and integra Um S. O. S. Um temperature. No uh um este tiempo temporary neo is as permanent pass opponent lee here to suppress O. C. Syria permanent uh where po uh Tahira gave a uh integral at the end throw they and 10 BtM box era una vida. Um we Sana but displays for their own inheritable. Pero no hay tiempo para is a processor. Uh Besar Mas O menos tres semanas. And in many ways those trays semanas uh dear tiempo para uso tambien uh Integra as uh este Tahiti to uh gateway to here somewhere to uh scene uh steven sangre de So I I re exporting infects una poquito mas Alto. On Integra in comparison. A BtM. Okay. Be TMS Master Mahanta. Uh Allison tura the bio degradable future. Mm hmm. Because I don't want to say this in spanish cross. But BtM is like a biodegradable future. So I think it's probably lactose. So the BtM will dissolve like futures do over time and that it's more resistant to infection. So what does the BtM stick. What does B. T. M. Stand for biodegradable temporizing Matrix. Ok, okay baby. So come on. Matrix. Perot you're saying That's safer, right? That there's less infections. Let's see if I escalate infection called BtM and called batasuna Integra. Integra. See medical e uh integra as algo that Tahira. I think it's what is the pagan, it's shark. And yeah fine it's bovine And shark college por esta razon Siracusa integral Para minimize or riesco the infection is more important. A pass our uh integra and then throw the measure. Oh marijuana ciara. But uh career are um how do you say holes well? But uh permitir agua or leche Edo the bajo para cecilia. The problem. Okay personas tiene and call integra is uh solamente esta a razon principal. Can no funciona bien uh like like infection. Uh I'm gonna consult uh to uh para I don't go for a familiar to Lassiter. Hiya. I'm Paula. Put in uh in fact armas yeah Mario inspectors pronto. See values are integers. McCormack's pronto. But um enemies are areas for the infection. But uh when a situation que no hay mucho tiempo a pasado. Yeah latino. Heat probablemente tiene a uh bacteria cause us the infection a dentro dela era btm s. Opera up during the hora. Para minimize our risk of infection john L. B. T. M. S. Manos uh impression. It costs like the cheaper uh part of the dinero. Para BTS Arizona integra. Um Btm la compania se I'm a pollen novo polly novel. Mhm. Okay. S um poquito mas nuevo mas o menos dos o tres anos and and a tiempo. The algo de medico as movie nuevo tiempo. The rest of the innuendo as mutual viejo. Yeah you're to put Amanda link dr Avila. Yeah charlie uh And to try to into an entry memento your training uh via zasada masa be TME man also integra uh yo um Hussein McComas. Integra parquet btm. Uh Nuevos mas o menos dos o tres anos aqui por esa razon yo mps yo uh print day Brenda. S so um Durant displaced. They they told her that me training. Uh I mean the total S. O. E. Uh I'll go on the wave. Okay yo uh john pesa use our um key in boston lusanne motion mass general a principio si pero ahora algunos vases. Um And ultras parties there cuerpo. Um And most know todd. Okay problemas con all right lata Khera degranulation uh Corporon at the entrance Integra E. B. T. M. And ultras participle corpo it was wound vacs uh in esso cigar asi podemos. Um Open their own uh um imparted a P. A. Normal for uh sara completamente I'll say. Okay who saw mental uh mismo tiempo in comparison the integra. R. O. B. T. M. But uh Clara una uh una entrada ahora para wound in her toe. Mhm. It's the nokia and other participating. Erin terra maya coz L. L. Back and cinema. But I said uh uh uh uh uh process surpassing mutual Maserati uh operaciones con una banda. Huh john Connor to pawn it sell. Btm or l integrate uh paciente necesita antibiotic Als system ricos. But starting casa. No uh see tango Procope, asean's. Program flow is for example a CIA you know uh on macos bacteria kicking and resistencia uh antibiotic als yo puedo usar uh liquid is topical for employees of a mile on. Okay. Hello old bash um as old room to that and they. Mhm. The uh condition Della ratta Khera and la vita si mucho tiempo que esta abierto. Yeah mucho uh mucus bacteria on the resistance to the antibiotic. Als you avoid uh Usar mas para proteger. Um Oh btm or integra. Mhm. Yeah and you know so I said and hundreds more are a. K. A. Musubi. Tm no funciona que madura. When uh when a template the records to record through here uh on a piano um and estela guard. Uh Btm uh tiene unknown infection. E home in siesta flay. Integra. Uh total total uh um I don't understand this would all basically have all failed. You lose the whole uh cardio total better corn btm porque es algo synthetic. Oh uh corona potpourri uh your MPC antibiotic als uh liquid. A topical uh Food is a great year, lb tm in this place? Uh uh certo sobre so uh sarah Sue Arena. Yeah. Uh huh. Yeah. Yeah Caymus limpy hollow larita conglomeration conversation yet? Okay rico una que madura que esta uh do this his profound intermedia Megara Colin likes serena Olympia uh Peril uh sobre la banda uh uh very complicated uh preferring preferring. So if I'm understanding her correct? It's um you know so we have like an indeterminant depth wound. Um We're trying to give it time to heal. What options do we use? We use play with rich plasma Do we do what the queen um Use a mente para estos tipos. Stay Adidas. Um No no uh you know L sado uh uh Prp um that uh yo and tienda. Okay I uh personas and uh and so he can uh explore arado who saw the prp para uh Harar areas, the various depots, the purple part. Uh of course aesthetic cast tambien para uh rejuvenate our la carrera para ahora. Uh el pelo um para uno el asado con chema duras. Um mm You know you're you're pienso que se me han to S. O. S. I'll go into a vote for him flo um a varios anos en el pasado um uh Let the heat grasa uh movimiento. The the grasa de una gara altero para uh over stem cells for our last year. A C. 63 says for our hero. You know Pienso que I mutual stem cells. And then through there so you know a story is too good. Uh P. R. P. S. La cosa. And the waiver for tempo siva apus are e syria I'll go uh no extra strategy. And those mhm dr appeal asi Cuando usas la applicators. The plasma laura publicas una Visa or is Caledonia? What uh uh Olympia. Pizza a romantic uh secure a position you know upon a Latina. Uh huh certo uh the Arabian, you know I am the one who does know celulas capella rose to. Uh huh superficial intermedia. he knows. Uh Okay I'm assistant forensic. Uh huh. Pero Si two points is like it has like a cornbread esto le diran abierto Roberto of course as well. Yeah I mean uh I mean baby in paris is our pandemic. Uh huh. Uh huh. Yeah go ahead john let's just say you know you asado amnesia. Pero algunos stay uh electric men dressed in west rocky po asado um Your in T end. Ok para algunas personas uh Jonah and mui bien um la unica problema que personas uh Mhm. Ah Now do you uh Medicare on carefully um CIA infection kid uh que develops develops below uh infection that behold the omni uh Mahanta uh abscess. So uh you gotta own manera. Para uh leaky gut infection. A cell ear huh This is a algunos ninos en el pasado at the new york problemas con infection. Um eternal TB articles semi hunt Ethiopians or integra con uh necesita algunos. Um. Uh huh. Yeah well para permitir essay Salyer debajo but um enemies are several years for the infection. Mhm. Um CIA infection and destroy society. Dr appeal a condo samuels live action. No remains normal vista mature infection economy as the primary complicated uh tampoco porque S. B. C. C. A. B. C. Less Uh one of the very front. Oh no. Uh huh john this the terminal A to a lot of topical Cuando tu asap ordinarily here toe thomas's la decision. The US are um mostly so um uh come on full thickness now. No second moise thickness, total appeal um parcel. So basically how I make the decision split versus paul. Uh you cement yo which is so as I'll go. Diferente entry. Uh uh Spencer Mementos and otras lagares. Uh yeah or Ethiopians ok, ahora. Para usar uh in her toe parcel, especialmente en los ninos. But uh tiempo the key madura um initial you can be in para su salud es para reconstruction. Quando saw ninos mas pequenos quando camby in uh a womb. Dad mas cerca al bhutto. Well, nina was Massimino side. It's to uh like I say when they're like more adult like they were full like adult sign almost understand adult placentas or mass Mayor sea mas o menos uno una do toe. Um Also uh to heat. Uh total parallel characters. Uh razon de esos durante a tiempo Cuando tenia Bonino or algo mas algoma scope and they wanna do toe. Uh lata here to um The superpower of Columbia moochie simo. So Canberra, alcohol massage, ultima scored a mass. Delgada Muchas cosas y can be our kona Tahira e not e souza ramos. Uh Glad to hear a total para reckons through here or paras era una idiota. Um in estate context though. Um Amos and oh God okay I proclaim us um process of the reconstruction con mas tiempo who's uh inheritance and hotel uh para cada dia wants Temple but a necessity are ultra uh inheritance and hotel. It's who did a masterful, masterful still para obtener lo it can be entirely mutual secretaries, ministers to goddess. Um Tambien un inherit a total and tiempo cream Maria, they wanna kill Madura is poquito mas uh decision but a process of the san our focus um poquito uh but he didn't notice must go or that house it's thicker uh mass graves. So he asked us una problema para uh okay laws inheritance necesita. Uh su sangre in nutrition Della vita. He process of the illicit diffusion Carlos uh fusion is to hear a mas um uh service uh espresso um as most efficient parallel nutrition. Uh Tahira. Okay I must Estancia that anyone inherit. Oh Barcia. Uh huh. But I s all porque ellas Estancia as much romano's. Yeah, process. Mhm. That's that's john c um uh tres personas um uh Sarah sarah wanna stay Sylvia plastic que pensamos que es mahar. Those are wound in her toe. Total para estos uh sarafiya Stella kara o on the end. Uh para reconstruction. The S. O. Uh huh. That's awful lot Manera de mi edad costume. Uh uh There are displaced um pasa tiempo conductor donald and yeah yo you're black Cornell and a pasado. Ahora pienso que su spent two million doses mentor para usar el pl one inheritable partial. Yeah. Well the most solemn you chose basis to any psychiatrists. The new guard the corpo um it displays quando um those cambios the corpus of Masami knows. Uh Acerca de una do toe podemos. Usar la to hear a mass for tape. Uh huh. Or uh like to hit a hotel. But uh every crossroads here on the Mhm. Uh a circle the this policy paciente necesita tratamiento con lasted s mass passing con el partial. Oh, I see. Well, como el that's not something I'm seeing. What uh laser funciona. Um the horror parallels those laser function and ahora para personas que tiene and Tahira rexy onem. Olympian. A laser, Ja estamos seguros uh modelos, pardon uh western pacientes. Uh Durso is poquito. The trial and error. Mm hmm. Me ramos uh uh uh reaccion entry, laser issue Tahira e campion. Uh Hiya part uh maximize our uh the possibility that they uh readability, they say to rehabilitate the scar. That's what donald would say um rehabilitated last week at least see. Mhm. Okay, okay. Um maybe grab some uh uh doctor free psA for very Sarto as different as menorahs. Um uh your ancestor common salmon sake. Uh you're probably under Tomenko on funerals and form a risk it and much to experience your Trenton. You'll see um estamos hablando. Acerca to me in the uh como somos la banda es tambien la system, the esperandieu. So as to ke tengah uh operation parallels in here toes. Um uh cerojano plastic. Okay, chaos. Amos you nonetheless causes uh famous movie commune aqui especialmente common paciente sea caves and as the slide trying to bow. Uh Merida's in mascara. Sk Osama's la crema del they'll solve the silvery sheen como esta aqui Esther cometa paranal Osama's todas. Las ideas are versus um so um cicada and Takara Izzy Osama stolen ideas um S autumn in um for this set, dificil para remover and don't sell a center merah's as in India upon an S A topical. The so um the sofa cream um exports approximately uh use on um uh Selena normal. So john I was just saying sometimes we have these kids and they'll do one day with um sulfa and then the next day with like saline like intermittent. Yeah it's just okay. Uh Alguna de Sousa silva arena or Sophia milan. See. No Olympia told the S. O. Uh P. L. L. A. Area. Um. Uh huh. Yes, mutual mast official para remo vera yeah differentiate the the kambia on uh the compassion the grandma, desi kada. But shlomo infection or algo diferente Cuando uh Olympia, most maybe in podemos observe our own a diferente algo no spaces. Um You're in. No todd. Okay. Colombian poquito pencil me into the tipo. They trot aumento. Mhm. Yeah. Yeah. No citrus and a caramel color combos. Cosell plata. Uh It's a gentle as a lamb to Helena sa HLA pelican um Una vez dependency is a second uh john did you see that uh in Washington um aqua cell on the face Algunos basis uh you a mirage aqua cell uh Tambien um what was the one after coat? Uh So it says optical con un poquito the Selena sobre isso uh stretch knit um Mas arriba para mantener in in regard uh um Arado is so tambien is Oprah roman era. Uh The uh ayatollahs us tell kara. Mhm. Yeah. And destiny um Also trustee Wuhan, Akiko Sarah Marcel practical I think uh Phil chang used that a lot. I haven't really seen it used much anymore. Its muscle mass to foster mutual. Last official para usar article four K. Um This is you know part uh opener. Um What are they? That's silver. Uh huh. The plot to um and it's easy to the la wanda. He necesita permanent sir um pone agua or Selena tiempo si cambia una banda de cicada and no la plata nova uh enemies riesco the infection. Yeah. Yeah. Mhm. Uh Maybe. And um Croquet set for me. Yeah it's a multi more slide i otras preguntas Acerca the um the topic cause or the last zero here's um para mi oh parent dr kristen. Mhm. Can I prevent uh the percentage I start to caribbean though. Okay whatever see paddle croquet. Uh huh B. B. The question you know when I started lebron to ascend reconstruction kido Erica and commodore a doctor sir? Gray. Oh the total akara called Micro zero here. Mhm. Uh Did you get all that john it sounded like so for third degree burns. The question is when we're on the whole face, the whole face. Yeah, reconstructive surgery with micro surgery. Um You saw a man yo me gusta ser ser here uh Amicus copia which is Imo pero i algunos um uh situations on the european circuit is necessary. Uh Usar este tipo. They settle here um In uh in el tiempo. Um What toronto they they wanna kill madura. Um Use a mente. No Osama's uh Servia. Economicus copia. Uh Machismo. Uh Only call caso s on key Madura boy grab the electric that um it in e Cuando tenemos soon uh the maduro the S. O. S. Suna came into the ground away. Um Quarto or they can say this movie grab uh podemos mirror. Uh Always. So uh the PAHO the Takara um or uh in well cosas muy rara umm el oso. The in total is uh Puerto podemos. Matar a un lugar can. No um Algo my abnormal uh you can see like so probably sometimes you see brain or you're looking into the sinuses. Yeah you have a skin graft will not work. Yeah that's where you have to get graduation tissue right? Neither get green relation tissue or in those instances then you would use microsurgery to do a free flap in the acute setting. Mhm. Mhm. Yeah. Otherwise um we don't use it very much acutely because there's a lot of things that can go wrong. Yeah. Uh This is uh complications and thoughts uh el Escorial family being a sous Cristos anchors. But I'm also saddle a serial here. Uh meet me cross copier um Cuando yo uso para ser here the reconstruction um problema, the Yusa uh esta manera the tip of the zero here. Para reckons reckons through year total akara is in necesita machismo Tahira para poner Tahira nueva sobre toda una Carra. Uh Tahiti para cubrir solo una parte de la car. Uh he to Kiva reconciliation consider here the Nicholas phobia. Mhm. La prensa finale parecen Moyale normal kayla to hear. Uh you got the ultra low guard of purple auto particle. No parecen Mohanty a lot to heat of the Sahara. Uh I personas uh mostly say japan uh can happen. Uh Hey yousa esa manera de tratamiento con to heed to the parts, parts uh espada starting today. Um uh wanna flop this the last scapula. Oh the legitimate stores a combination CMO Heimerich free flap. Is that the cheetah is masa Mahanta altera corporation a algo de one of those piranhas. So Brazos barrel. Um La problema con esso is uh a psychiatrist forenza the donor site uh quando Osama's inheritance. Para sarah reconstruction. Um La cara parecia ser Mahanta and mosaic. I'm with Erica with the Observer told us those parties. Diferentes pero una stanza Hamas um Mas lejos, la cosa que observe almost mosque sk mira una al Qaeda they want a persona it's it's mass importante para Tener Las cosas and lost a guard is normal. Is inc a tenner secretaries. Tahiti Massimino normal para esperanza as abnormal as abnormal ultras personas. Uh wanna observe arlo identity card. Algo amor mal and la cara de esta persona. Mm hmm. See you use to inherit toes. But my name is our secretaries. La Tahira. And uh you know guard Masamune was normal owned Estancia. That conversation or the poquito mas leos no one to observe our wanna differentiate to entry esta en la carrera de esta persona. The old frozen que madura. Uh por esta razon knows so um uh Tahira on circular, the microscopic apparel, akara um codigo para el cuidado para records through your este lugar por que algunos basis tenants secretaries. More effort. Uh and a video. If you play officer sarah here from mu chosen her toes. Um You know this place, the author of this place? The author of paranoia. Dear pl I too far uh pero algunos faces asthma or paranoia dear moochie Seymour to heal and I still regard you nowadays. Um yo yos rosso Massimino. So uh you know miss asado um problema con esta manera as uh Soon poquito mas largo uh tambien algunos racist uh City here is movie Delgada. Mhm. He liked to hear that they won't appear in a um it's passed on thomas scored a comparacion algunos faces necesita hacer cosas para mas as cambiar esta Tahira. Uh they want piano que. Ahora um movado uh quail um necesita mas a sarah McComas ultra sterile ideas but can be our low alcohol mark's plan. Oh, for him to come on liposuction mm right gracias. Doctor Freestone. Another I know trump preguntas. I want to, they are buying baby Candice. Uh it but it's okay. My master wants us. Mhm. Mhm Brendan please dr fits that the doctor gracias or why not going to cover it? Was the s okay why not the na'vi that uh Yeah, yeah, most communicators but uh I said I'll go ahead and yeah, no cuenta por cento dilemma. Okay. S o claro mas la razon que debemos pacientes the ultras parties stars. Unidos, forgive me in in paris So uh podemos. Uh yeah sarcoma. Um one of my nephew, this too is in here toes. It was fluid. O start o para que one on 10 by the Internet, La Mayor, chance of recuperation. Yeah. Yes, yo creo que includes up on the doctor. Free start receiving Shriners. This quest to locate. Oh come on. Uh some of the video and when I may require the most support s are not being a combo. Quatro de la manana, you just have a key, the where the eye doctor freeze to be. No, it a man on dr Sheridan. I was she was asking like john the next time we meet, you could talk about like the bigger burns um and how we make the decision to take those guys. I think she's saying that they've been getting some bigger bigger burns. And uh I was remembering with you like I think it might even be in your first year, we had that guy, we had bryan Adams coming in the middle of the night. You got s and for the michigan uh it's who exposed to on their own uh um you know, tell Yeah, it was like 85. Uh huh. Yeah. Uh Sanada will be in uh process of part uh identify the car nino's um dentro de los estados unidos E and all those spices. But uh uh this gutierrez upon mossad, rose dr ishii tiempo tambien para uh determinar si es una uh when I came madura que pensamos que for the most Mitterrand, mm hmm. I see. I won't process or the S. O. E podemos uh Havlat mass and mastered uh las cosas para uh chiesa con un poquito the information, they only know yoga, algunos basis, Common photo or those you description. Um They're so he put podemos uh uh try to zero uh english and espanol or an ultra lengua. Uh this place Obama's on lost our tourist industry spaces. Um confirm our algunas cosas de determine ours. Um Yeah and possibly the yard. But uh are you darling? Mm Yes, yes, that's the first time. Uh huh. We're all those doors to those kids say you are meant to. Yeah, just about feliz Navidad to you on the wave. Oh. Mhm. Yes. Paramus k approximate and Amos. Uh you know when you make your inc s o uh total de Salud del Mondo Concocted? Yeah. Yeah. Proxima conversation. Yeah. Yeah, I know. Bye bye john. Yeah.