Uso de Apositos en Curaciones de Pacientes Quemados
Description: 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.
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But ahem policy to ask without a con alguien que tenia covid perot to miss monotonous symptoms. Uh Pero sally's positivo don't say I didn't promote dos dias tres dias pero no no I necessary that the spirit atmospheres, auntie sarah al principio croquet mass. Dios para Macias para que persona stuff going and it's the moment of the most those person has my nose dr Amelie. Okay. Oh I see. Okay. Call myself coming master blaster Cuando yeah. Okay you're not okay to peru I. C. K. Approach. Yeah. Okay. Gracias crashes beating Russia's um the doctor will be uh the way I comported me screen um E connell dr Freese to whether you got yeah. El Puerto seguro bland to me. Okay. Yeah. Yes. Okay. Okay. Will be an espero que to parte en escuchar my being so dr Durant Shriners Hospital in boston have a pediatric area. The los ninos que amado's trauma intracranial mass. General hospital um para ellos el Qaida in 10 0. A pulmonologist. Para. Los ninos se um don't say um topic up our idea to carry a most um disputed uh blood uh completed uh thomas thomas haciendo estos ideas uh tratamiento stopped because um doctor you'd be dr William. And those whose beliefs Pakistan you. Sandra dee um and don't se lo que carias said is um you know speaker que estamos haciendo aqui no, so trust me this place uh blood Della Strada mentos que tambien estan haciendo ahi para for the most calm said corporation. Um tambien quality pose the ninos and tornado buenos resultados con estos trata mentos uh and talks that are a common sight when uh your ego Mastromarino's uh noise trouble luma in el tiempo que esta and Shriners um aqui en en estos news and all part of the boston mas ninos CNN came a duras may notice, Anton said may notice and to manual menos de diez, por ciento um tambien menos and la grave yada or segundo grado um yo Belk lost mask. 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Um yeah, seven lasalle areas del Paciente um putting Panetta's albus a trace and in in florida uh incluso antes que viene el uh el medico para uh Sarasota organist, uh cecil Moscow moon Parana. So tras solo los pacientes que tiene alguna leiria. Uh bad situation of penicillin a no no los Alamos para la mayoria del paciente esto um Osama's varios dias incluso as the semanas displays um Hello trow um moose in my hunter's cell Batra band clock and Parolo Yemen. Uh um You poor rosina music rosina espera staffer. Lococo case to receive strength to uh um staph aureus. Uh staphylococcus aureus. Uh There's a a new new person. A new person with the most macho Tommy. Pero solo para ser paciente katina resistencia. Um the staphylococcus aureus and don't say okay visto Mass. But in los ultimos anos is um aesthetic Kramek no sissy Ben Ben I pero si Emma santo or CMS collage penis is algo que nos ayuda para los que maduro's kistane Mass Kravis. 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So uh no assembly hark uh Loretta solo tiene ambassador Tracy, Tanya rita thomas hacienda in the studio para ver a los uh stupas. The commodore is a segundo Grau kistane un poco mas um severo so muscle casi, el tercer grassi um you Sando esto por quarantine torahs. The spa s la persona tuvo Loretta. Um but uh standalone single days. Yes, so I used that um in 10 minutes they'll Kelechi madura seven hore till paciente tiene menos dolor um bom Massara Visa tenemos como cinquanta, pacientes en esta studio. Um tambien vamos. A mira cuanto cuesta to me. Important. Put a circle pacientes came step one recipe and a esto no estan teniendo own uh own beneficial por el precio those two uh usar esta crema um Fantastic common Samos is the studio. Algunos. The nostril group of Stefan use sand on law and D. A. You know um We'll see sam um Celia lo de la company. Okay so it's the crema um noses Akebono primedia. Segundo dia todavia no esta uh Nos esta creciendo museum. 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Okay, so esta crema para que los thomas Suzanne, the dos semanas tres semanas uh don't se la mayoria del tiempo. Despues de dos dias hasta cinco de ellas estan mas um tratando the um investigator siesta you the llamas Allah's arida uh Segundo grado. Pero estan un poco mas um Mass Kravis. Okay. Uh huh. It's better not to and Sandahl uh Ok orchestra. Okay and told the press the last christmas mr approximately uh tipos the trot aumento is the plata. Uh You know you'll be a key and realistic. Uh Man to man Mando doctor U. B. Acerca that came, why not use on you know the suva Xena the plata um uh ketamine, L. A. Qua sell uh positive of hydro fibra the platte completa um uh antes Cuando racine again. Shriners and does milk in said um Osama mas macho the aqua sell it to me in you know um Oh Tokushima actor co um Esther mhm let's start the pilot and sing Iraqi and don't sell esa imagen and Laporta hockey is uh ella cosell Elliot Rocky ala derecha is electrical estos eran um Uh huh. Zebroski la mayoria del tiempo para los uh read a scare and poco mas gravis to via the segunda grouse um knows knows uh s a d and that's a pencil can nest start in her toes um pero displays the does milk ins mas, O. Menos and pensamos, a very productive Casey um. Um Apple X tambien esta esta Maple X. Is complete to um Ella diferente que the Sando a castle or practical. Um Abbas is a lack of cell and sita mina said muslim bisa para Bonello. Um And to answer con mas limpias, los ninos no point in colorado uh Latinos Merida. Lavezzi's necesita venir al Carafano alternate sedation uh kama from ketamine to um uh lo lo bueno. There's the maple X. SKs come on, it's common a tele um He is being swab para Bonello um antes the Bonello la limpias a known associate a certain um And um forward to uh inclusive ci un poco the lucky maduro cano nick Nosal is the maple X. Supported Panera. Uh Teniendo la plata claro is so um you like on um brought the head the infection uh and Esther productor lo podemos poner un dia in the sports supporter Kadar as the single ideas you know him love look a similar recommendation a los pacientes his capacity um cualquier tiempo sea paciente. Uh Cnfi ever or the master lord Kerr regrets. A la clinica podemos um pilar common severity but but adversely al costa campion botella, my arena alguna the nostril group on terminal velocity, johanna's plastic cost. Um Lagos tumultuous. The product um E bueno claro si el paciente no necesita. Tener sues cambio de ventas cada Dia um s o s My heart and terminus The uh controlar su dolor bueno esa Laporta bueno lo beneficial riesco claro es que si nadie esta mira or seal. El paciente super pass no pagan attention. Um si el paciente tiene en masse um Ctn fever or C. M. P. S. Attorney you know lore the baffled esto uh this is almost a needle. 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And ponza quando lo lo Pellerin para mi ra uh they and catania infection and tons of la plata you'll uh commotion print and much as infections but I wanna stick pose the pseudomonas acinetobacter Uh Sorry Sha okay. Maple X. No es bueno. Um And tons of uh most most Visa and uh lost cerojano C. C. Seven still paciente tiene mucho uh Microorganisms. Kayson resistant to. I lost um classes the antibiotic cost case in Moscow moons come on los penis in lena's or bank or mice And um and uh Amos Amos destiny. Who knows our maple export a lamb uh La plata. Remit to you back on last infections can not yenan. Tanta resistencia spare a local doctor freestyle. Okay. Okay. I cover the introduced. Yeah. Uh Yeah thank you. Um Jonah you there? Hey johnny there. Okay good. Yeah. Okay I'll just introduce your job just because I'm kind of going by slide and maybe you could comment a little bit about how you feel about these um common sort of um uh the silver products in terms of how they do in terms of uh like wounds. Have you seen any complications? Things Sure like just silver dressings in terms of our infection risk? Well like yeah like Metal X. Like I know you're you you like that one. Um Has that been a problem for you on any of the occasions or have you feel like it's a pretty successful thing instead of daily dressings. Um Yes. All right so you know it's hard they want the story. So I am a flex so long um. Uh huh And me experience here that some people must face so those are low and also the vehicles. Yeah. Yes was okay. Uh Els Laurent um Cambiasso's panda mas facil para los ninos. Um It was almost nipple X. Uh huh. Has he told they're lost a do to ke Majoras? Uh General uh Con Shriners? Okay. Los ninos. No taliban Columbia is frequented meant e tambien. Um uh Conoce a dios was almost um Gucci como para cubrir los and her toes. Tambien. Um How much did you say that donor site look here now? Um Greer. S the uh rita on apple X. No that's not enough with a permanent sir. Must they uh scared of us forest or a stone? No solo run cambio system and nothing with uh. Uh huh. Is por esa razon from Latinos? For uh how do you say donor site in spanish? Uh Yeah. City of the donation? I was almost 04. Okay. Uh Cto they don't assume uh no necesita mas uh must come use the s uh for Latinos. S as much as possible. Harold both those funciona. Um uh Qua uh mi experiencia. Right. The differentiator entry Latinos in adult dose is important. Okay. Um Quando Osama zero form product. Uh uh They say it again the elder Nador city a donut or donut um uh I e um almost uh yesterday affects young um For carol. Erato. Noah's passing. Doctorow. Mi experiencia um arado and sexy on uh Uh huh. Conan so low those basics and that's going on esta cosa mm I saw his own um own differentiation and use and do those in Forester razon those neo spreading uh here. Uh No um he has no development developer are hard uh Acciona People restaurants on for Christmas Paseo but uh no 10emos can be arrested and I was almost uniform pero. But uh minions phone um when I came adora that I work at a young age for example, uh it's almost like you're okay. Huh. Uh scene uh problema for them also starting up Alexa. So param enemies are still open areas but uh are you regardless? Ninos um Ellos uh father and mother. But tents are the with a sample platter records are a la clinica Shriners it was almost la clinica para cambiar los panda. Los ninos cada dia para otro dia but it was almost netflix. Uh Madre padre also remembers the last time you played the records are on mas tiempo and that's recetas. Yeah poquito mas facil para pacientes que um Yeah yeah. When I regard um on a distancia more tolerable, does that make sense? Yeah. He knows visitors clara. Clean eagle hospitality and minnows, visitors john um aqua cell and act a coat. I really haven't seen it much since you came. Is any any thoughts on that? I mean is that something that just has sort of been phased out. I'm in peru that that was one doctor U. B. Um she sent me a list of what they use a lot of castle is still one of theirs but maybe you could mention what your experience with that. Sure. Please call on a cell. Uh there's something so namibian process upon Anita's on my salad for Dora. The uh and I think it was a um you got on looking at the pharmacist, there are Ecuador and it sucks. Um no momento I'm game associated data Moscone crime on the antibiotic for him. Professor traces uh project again para la mayoria, the newest rosa rita from los ninos por esa razon knows almost. Uh huh corn active co uh Fiona para algunas cosas uh para la cosa. Yes, I am a sticky seo para uh para so the argument yes um mm Carlos Carlos a silver uh plata uh silver, yeah silver splatter. La plata is done through the actor called the Nevada necesita terminator. Um Con agua para funciona a plateau in active code. Uh many needs uh ceo they're on the feta 14 year old man. Okay. Paramount to Carlo Montanaro corn agua si de sica machismo. And no way to um pro Tahereh area. Conan plateau. Mhm uh active coke. Can you change that every day? Actor. Kal uh for the permanent ser para varios dias. No, so it's a good model. A tiempo maximo pero no necesita cambiar load the argument where they play the terminator for various ideas. Okay, okay, Argentina preguntas. Acerca de estos pork exports from Osama vera otra topic or the um aumento. Okay. Day. O you're so uh huh If that's it, You'll be s. o. and look at the meeting, they're gonna bring us one um S if we're in a lawless to came in man desta yes. Was para llevar si para la la's idea? Uh Okay um grado the que madura lawson quando you know uh kiddo you know in hell solamente para Petani area to. Okay don't seven infected as. Yeah okay you're creo que es el mismo camo a bash you're saying a crack at in a different number. Ssl le le yaman hypochlorite this um hypochlorite, this so oxide. No yeah hypochlorite. This um sodium elements McCrea is uh it was thomas Suzanne. Domas AKI um sie los Alamos para las arida. Segundo Grau uh to me in the sports skill paciente tornado in here toes. Um Most asado esto um in la area que at another learning here toe um No lo sabemos para ellas las areas the donation um Pero digo mas o menos una dos Anjos que incluso los llamo Suzanne damask, l um la irrigation the math tonight or a kilo mama's sulfur milan um is otra botella. Um It does at this on um come on, you know a similar la limpias Sapporo communist uh hockey as an uh el termino irradiation and consuelos um estos son los que maduro's kayson pay or massive eros uh started said grow um being a in different cities uh concentration is um it's been an l dos puntos cinco um Minniecon lfo terrorism Ben castle uh antibiotic allow uh amazing about uh control and los Angeles um uh Osama stand being uh the solution, the single per cento um tambien esta bien O'connell um for Harrison B tambien and to sell us massive eros Osama's esta solution. Um The the woman I am a most Math tonight or so from milan claro que tiene a one ingredient to Kas um uh Catina plata pero less than l hippo Cloris uh hypocrite to this studio um Istanbul Suzanne domas. Um Right john don't you think we're using the watch more is john john you're still there? Oh he might step down. Yeah. No no no he's here. Okay john you cannot hear you. Uh Yeah yeah I was asking what you think about um the the the issues I guess over the I I feel like in the last couple of years it's really kind of taken off in kids uh was almost mutual masa, europe. Okay. The name of Sonya and Tamara um Nueva. No it's like here far they infect you in the hospital. Be a lot like his heart in El pasado no piensa que vous with buena idea. Okay uh thomas komodo cone math and I'd e silver nitrate cosas mas viejas que funciona muy bien pero tambien son muy mascara. He por esa razon vash as much mass barato e um funciona mas o menos interesante uh those Paltrow's uh uh solutions uh topic Alice but uh matar a los uh varios tipos the infection um but only got close to convey ashes. No que funciona bien con una uh I'm a city second esseker o con que madura the grado tercero mas um Cuando esta ahi to is uh uh remedied a concert nokia. Whether we'll salvage for a mayoria de pacientes, especialmente Conkey Majoras mask you can use. Okay. Um Las rias cause the infection is con uh All right say fungus, common city say fungus fungus. Um according to mutual mas uh frequent aumentar con las que madura McComas granted que madura mas the trained to quaranta percent I okay. Um and don't say uh the television and the doctor fiesta para los que tiene and mass. Um The escort that Annette on ghosts and most of sodom ourselves. L math and Idaho sittin in in a less car pero loose Adele is a hypo people. Uh hippo Clarita the studio to uh Pensando uh esto se nos lo que hemos asado minnows um Sl uh Notre when a a decent decent um silver nitrate Collado is a song called a plata pero esta solution is um uh the calories meron it'll mean is the solution the h uh Ramona irrigation can assess auras las cosas que start I'm being um where they been tireless pieces Marone and don't say um moved to the los quarters and all Shriners que los Alamos esta solution um incluso Cuando estan limpias adovia severe Marone and don't send mass general no correa Ernesto um And here. Okay. No but most of us are um silver nitrate I won't guess I'll go okay. Uh in los Angeles antivirus um uh being barato being effective so much of the los los serranos plastic cause the Commodores like gustan um pero esmeralda came bueno dolla impression a los los los Padres del paciente. El cuarto knows Olympio uh Pero si Osama's vash or c Osama's uh math tonight or south of milan con dos por ciento cinco por cento. S Osan solution is claros Anton says yes okay al piso Akama knows of a social um Pero and burda esto esto product. Ozone mask arrows, uh hippo Cloris um Hitler's studio s Mascaro. Pero menos que le esta solution. The Matthew nine la solution and math tonight case parallel mas severo um includes of the spice kayla pass into santa Anita and her toes um poster lomas you see Ipanema cell and for terrorism Bear? S medicamentos para los Angeles includes cuesta mas um antes los Iroha knows um bueno carol nuttiness to commercial still no law lost pharmacia Allison for Myra's algunas vessels very in can you nose cerojano like bustan el dos puntos cinco cuatro cinco um pique basis um Sekera ba el cinco um por que esso comments el paciente comments so con esso um tonsils cambia most um maestro protocol er um uh Rhonda simmons last uh Israelis and in las meninas para que cada calle Levesque assembles as the ordinary kell el cerojano Savic. Um I was depressed. Your contestant solution C lazaridis. Yeah. No lo necesita podemos cambiar. Uh Yes those are okay Bahamas and est le digo mas o menos tres anos sistemas mas um uh pajamas mass attention A. S. O. Yes or no. So you know how about Harrell Precio? Um They're also the esta solution is um john I was saying like I think pretty much since you came we like have been had a lot more focus on like making sure we have the right um irrigation you know? Um Whereas like I think at the beginning like they would just get put on and then it would just stay on like the same like for the kids whole admission um probably drove the price up quite a bit so dr durand solamente. Uh They have like a lower alone according to our intel says. But uh. Oh see yeah. Okay yeah yeah yeah yeah yeah yeah unica otra solution que yo carrie I mentioned this lucky man mando dr ruby policy Doctor Sheridan dr Freese to um for the abl adesso is l Daikin solution as a solution. Osama's minnows um uh dr frist Keta crystal del Deakins for ken Osama's mas um with deacons uh um Augusta deacons moochie simone. Okay okay la razon que uh yo you sew deacons Hawara as Si 10emos preoccupation the infection called Harris a fungus. Again the fungus they all goes give mr moto Sando you know they the you know the math and I'd konami for terrorism. See I um how do I say one more time fungus fungus um Con estos solutions. Well he yeah today most problemas con infection in las arenas yo cambio a deacon's. Okay, parquet dickens. Mata la mayoria they told us last cosas problema conditions. Um Hello preoccupation. Candy canes sk um possibly meant to uh you know at the mask the mata uh fungus puedo matar uh to hear a case on a un poquito yo also mochi simo in Lazaro here. General para el tratamiento. So they who did you say neck fash? Uh The only taxi in my grave. Uh The latter he to um uh yeah uh it's common lapel um el apartheid. Uh abajo de la Piel said as well as common on process on a critical Akila Yemen necrotizing fasciitis um este tipo the infection according movie rapido. He necesitamos Iraqi apart uh tratamiento. The esso on areas movie grandes uh who's almost deacons para estos pacientes uh esta solution. Amata Cassidy solo. Okay. Okay. Yeah and thought uh bueno lo que Bella and quite intense. Even lP so with some of those being in frank Quentin mental deacons um uh commodity doctor free statuses. Segunda linea Cuando uh soft milon or math tonight. No no nos controller lie infection. Otra cosa con los topic Alice as um la cuesta. Uh the S o uh sofa milan uh in uh former original for a single person to economy studios. Shriners in boston the school re mose que podemos matar los tipos state that those various people stay infection. Um unless uh adidas a los ninos con um those pronto cinco por santa uh people arrested for the most um evitar um pu next part I see annex. We make it um poquito mas barato para usar stuff in milan. If um seen cambios Alice uh Alice risottos Conan vaccine known as ultras problemas para los ninos mm hmm. See someone's muscle dudes photos, punto cinco Tamina Nesta is the slide a key and central south of milan. El mismo topical. Pero esta especialmente para alla story has uh Osama's um incluso por semanas Osama system basis. But a evitar que la paciente necesita in here toes. Allah Allah story has elka cartilage are cardi algo um Communist. The plata Sioufas housing says I'll go talk to dr Phil uh mando um so and solace to um the amendments, you know, you know KcM maduro term um duo term being a common is common um bad uh Osama spot. Uh No no, but I hear toe. So no paralysis readers. The commodore a sparrow in areas the lapel k Anthony demonic oppression, a pressure injuries. Um Osama. So do a term less than firm eras decent uh includes us as uh semanas to san Jose. So um las otras dos que meme. And that's you know Next Phil katz membrane a the b O. Sell loads to Lhasa. Um No no m o Sousa esto um aqui and Shriners um It to me in a gel o net or gasses the petro petro lotto um S. O to meaning um croquettes is like uh Mhm. Nobody next velcro castle para la mascara para la la la cara. Uh pero no Samos um uh en estos um d uh went on and this to seniors creo. Um Right john have you used those either of those next fill or jell o net? No uh um asado silvery moon Hamas um as in Seattle um Yeah, i in boston uh los altos sopranos. No, le gusta silvery macho por que por que um sino Olympia sovereign, completamente de una idiota. Um Silver arena cumulus. How is it accumulates on uh uh sobre like a lottery to CPL parecia mui abnormal uh algunos. This is conducive to la paz entity anywhere. In fact, Sione. Uh Okay. Uh Silverstein hermana se e federalist estacado, you know, pulling muslim, pr my face here uh casa dolor para los ninos. Paralympian tare Sapporo 17 funciona muy bien por que tiene una and Sachin. They all go um No frio pero hara said cool. Like yeah fria fria Loretta was free. Uh ahora su dolor poquito tambien. Yeah, yeah, pero necesita Olympia completamente para usar isso Arizona on a topic? Our boy um mui uh bueno para Muchas cosas no cuesta mucho counselor laura los pacientes um poetic abrir parties. The adidas por ejemplo array has 10 don's um organizations um poquito de uso que necesita um uh developer uh, to hear uh, regulation tissue. Yeah. To hero the granola bar uh cabrera mastercard called concerto. Uh, as far as the christmas um can a Muchas cosas buenas se se uh laid oh mutual las otras hospitalized, get quit and the neo schemas and starts news Kusin masses. So no tanto aqui in boston. Yeah, one of preguntas um or comment a circa the uh, when I lost. Oh because Karen musalo or irrigation remote community cause massive sinkholes, immunity corpora. But I schoolchildren poquito says KPN's and cancel and I'm going to die. Okay. Dr Susan and Schreiner, you need a specific aumentar la la kara. Kara superficial is intermedia. Um when uh, but when they last saw um intermedia, you know kayla Danino que queda Selena. The the message of the, one of a lot of this is this is what it is you're trying to call kira, we know dependent yo creo Castillo's um, CS intermezzo is just uh, s pacific larry, that's the stomach to rondo um la mayoria del tiempo los Iroha knows London firm eras the rest of the lychee Pakistani piece. So queremos burial. I read a cada dia. Um and don't send messages as a people croak cosa mas la mayoria samosa bastard tracing you have ssl collagen is um e c el paciente tolerable will come here the last la las ventas cada dia is a salami horror parking you creo que asi for the most very quite a key part of salary to Barney's sister operation or zero here? Yes. L a decision um kilos siraha knows um burden. Uh said uh tambien croak esperandieu haciendo mas cambios um as possible like menos para said Ellen Puerto Carlos was her question about like what do we use for second degree burns on the face? Uh I think she was asking like just in general like second degree burns. But uh she stayed to face. Okay. How about the face john um I does uh those pants are Mementos. They key madura Stella kara. Um you know CS CS that seguro que estaba san are solo quiero hacer algo para minimums are the lord para nino prostration is uh um as my wife a cio or Vaseline. Solo quiero algo. But evitar el cambio the temperature tura he who made it dad entry? Um ella ella ella si tiene una que madura secondary. Oh Allah kara. Okay so um poquito mas gravity. Second, the commodore a secondary. Oh no a superficial peron poquito mas grab your own. Os hooky madura tercero um Those cambio still spend a history a mente especialmente um kong gaza uh sobre la vida limp er a lita mucho mas comparacion uh una um una banda por ejemplo zero form or adapting algo que how to say Carlo something that doesn't stick to the wound. Yeah one of Osama's algo que no se paga al arida. And um that's another one I don't know how to say. Um The daily uh los cambios Kanagawa said the argument. Um I don't wanna say clean it but they actually do breed the wound at the same time mostly says so uh uh un poquito cada dia con esa puede ayudar. Um process of the scenario poquito mas because nico's not the Gustav mucho pero um Are you the most kokonas adidas for kayla's Nia's uh standing Blaine salute problem area. That was faces especially momentum comparison a lot to do toes if we're in saN are cosas que and in Ladue toe necesita. Sarah here um esta esta uh cambio de una banda Con Gaza Karima the antibiotic all the argument tambien called llevar esto le garcon um Kanafani agua uh uh radar uh poquito mas. Mhm. Yeah. Yeah. Just yesterday. Yeah. Yeah. Yeah. I think we're right. Will you rely on the dressing itself to kind of debris control things. Yeah, Gracias, left tackle, al tiempo um uh chemo electro Fritze. Doctor durin companion compare Meto bravado is the presentation la were so we've been able to make a pass. Uh huh. Mhm cualquier Pregunta. Sitting and BBT enemies. Me email dr you people man daddy doctor. Free study your pajamas responded to me. Yeah. Uh huh. Okay. Okay. Doctor. Okay. Yeah. Alright. Okay so thank you. Yeah you're welcome Carlos anytime
