👉 En las últimas 48 horas, la salud del Papa ha sido motivo de preocupación debido a una inflamación crónica que afecta sus órganos vitales. Los médicos han implementado medidas avanzadas, como el uso de oxígeno a alta presión, para evitar la necesidad de un respirador. A pesar del riesgo, el equipo médico se muestra optimista gracias a la voluntad y fortaleza del Papa. La situación es monitoreada día a día, con un enfoque en tratamientos desinflamatorios y rehabilitación para mejorar su condición general.
🗣️ Antonio Laje
👉 Seguí en #OtraMañana
📺 a24.com/vivo
🗣️ Antonio Laje
👉 Seguí en #OtraMañana
📺 a24.com/vivo
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NewsTranscript
00:00Top!
00:01Well, yes, we could divide it into two parts.
00:04If we look at the photo of what happened in these 48 hours,
00:06it's very good what they did, let's say, what happened to make people understand.
00:10He is in chronic inflammation, as we saw in the last two hours.
00:13This inflammation, as a consequence, causes the organs to enter this infection tired.
00:17They are organs that are tired by age and by inflammation.
00:19Remember we talked about that.
00:20The problem is that we expect the antibiotic and low-flow oxygen to solve that first.
00:27It was not enough.
00:28And then they had to make two decisions that I think are super accurate.
00:32They were in charge of transporting the oxygen from the lung to the rest of the body so that it does not suffer.
00:38It is already suffering from inflammation, but so that the kidney, the brain, the liver, the pancreas do not suffer,
00:43it is that it carries the oxygen to those organs.
00:45And the one in charge of doing that is the red blood cell.
00:48The medulla, which is the one that has to work doing that,
00:51started to get tired of so much chronic inflammation, in a sharp quadrant, it failed.
00:55Remember we said that stress causes organ failure.
00:58Well, he started to fail the medulla.
01:00The medulla then stopped making platelets, which is what worries me the least in this patient,
01:04but it is the red blood cells.
01:06So what we do is supplement.
01:08We use the red blood cells so that the red blood cells are in charge of carrying it.
01:14That's perfect.
01:15And the second thing they did, with very good criteria,
01:17is when the lung, with so much secretion and so many days of work,
01:21and a chronically ill lung of 21 years is a tired lung, it does not make good decisions,
01:26we put it, instead of using common nasta, which is the one we use taking normal oxygen,
01:31they put super nasta, which is the oxygen from the hospital,
01:34and with that it is not enough, so they went to premium nasta, which is an oxygen of 34 liters.
01:38For you to have an idea, in the hospital we can give up to 10 liters,
01:42there they are giving 34 liters.
01:44It is a maneuver that we use a lot in COVID, it saved many lives,
01:47and I am very experienced with this technique.
01:49What does 10 liters, 14, 34 mean?
01:52We have to overcome a series of obstacles so that the oxygen from the nose
01:57reaches where I want it to be at the end of the lung.
02:00For that it has to go through, not only anatomical obstacles,
02:03but also secretions and a lung that is not working well,
02:06it does not do its job well, it has to take ...
02:09So what do we have to do?
02:11Two things, put more pressure so that it reaches where I want to reach, and more volume.
02:16And the liters is the volume?
02:18It's the volume.
02:19And the pressure?
02:20It has the mask, that's why it has a turbine,
02:23and it's a mask, it's not just oxygen, because if it were oxygen,
02:26we would get to 10 liters.
02:28But by putting more pressure, it takes more volume and doubles,
02:32it's like a turbo in a car.
02:34Sorry, is it the internal passage to an intubation?
02:37Yes, but it prevents a lot, I have a lot of experience with this,
02:40I was a fanatic and fought everywhere for this to be standardized.
02:43We in the Italian hospital have an intermediate therapy,
02:45which is for these patients.
02:46Before reaching the respirator, there is an intermediate stage,
02:48but it is very important, for me the most important,
02:50because there we take care of all the organs.
02:53We put this measure, which is hot air,
02:55I don't know if you know the air we put, the cold air of normal oxygen,
02:59this warm air, moistened and high volume.
03:03That makes the Nasta Prime reach where it has to reach,
03:07the red blood cell transports.
03:09And what happens to the lung?
03:11Because it wants to take more air,
03:13what mechanism remains in the lung of the father?
03:15Increase the respiratory frequency, one begins to breathe faster.
03:18That increases fatigue, releases more inflammation factors,
03:21and what happens to this inflammation that is acute?
03:24The bone marrow failed, making this.
03:27The kidney failed, the kidney is failing because of this,
03:30this is part of the cascade phenomenon of the dominoes,
03:34that I was telling you, that the chips start to fall.
03:37But what we had talked about last time,
03:40the pancreas failed, they are using insulin too.
03:43Do you remember that we had said that the pancreas?
03:45Well, so we are talking, if it were,
03:48now if the film is a man who is chronically inflamed,
03:51if it were a forest,
03:53the trees were seen one by one in these five years,
03:56but no one looked at the fertile land that those trees maintain,
03:59which is systemic inflammation.
04:01And now we see an immune system that is weakened,
04:04but they are taking very good behaviors, they are excellent.
04:07Now, is it at risk of life or not?
04:10Yes, of course, yes, yes.
04:12The last time I saw it, last week, I was optimistic,
04:14because there were no organs that had failed yet,
04:16it was the lung.
04:18And in fact, this was on Friday.
04:21The first crisis was on Saturday,
04:24and on Friday was the press conference of the doctors,
04:27saying, it is not at risk of death, let's say, basically.
04:30It is in danger, but it is not at risk of death.
04:32The important thing here, and it seems to me very apt,
04:34is that the worst scenario is that he ends up in the respirator,
04:37because the respirator is already another stage.
04:39Well, he is not with a respirator, he is still with a mask,
04:42they raised the oxygen dose, but he is not with a respirator.
04:46No, and that oxygen dose is therapeutic,
04:48that is, it makes the lung relax,
04:50it makes the premium gas reach wherever it has to reach,
04:53and then it has a turbo that gives it more pressure.
04:56So we are supplying the deficiencies with red blood cells,
04:59with insulin and with oxygen.
05:03And now the renal function is supplied with a little more hydration.
05:06He is probably not drinking all the water,
05:08because one, to eat and to drink water, needs to breathe.
05:12And then the body makes those decisions and says,
05:15well, I'll postpone this.
05:17And another thing that happens to the inflamed body in acute form,
05:19which is similar to sepsis, but has nothing to do with sepsis,
05:22is that the body begins to make smart decisions.
05:25It says, well, I'm closing some channels
05:27because I want to concentrate all my blood,
05:29especially my plasma blood volume,
05:31in the lung, in the heart, in the brain.
05:34And it begins to leave some organs a little more,
05:37secondly, like the kidney, the pancreas, the bone marrow.
05:42These are defensive measures that the body takes
05:45to ensure the lung, the heart and the brain.
05:48But how long can the body make those decisions?
05:52Because everything is fine, but you, the kidney, the pancreas,
05:55do you need it the same?
05:57Of course, and the time is, now it's going to be day by day,
06:00you have to make good decisions.
06:02They have taken it, I am super, super satisfied.
06:04Yesterday I was happy before the kidney,
06:06I was very happy, I had a slight improvement yesterday.
06:09But it is day by day.
06:12What does he have in favor?
06:14He is a man who has a lot of will.
06:16That is well demonstrated.
06:18Scientific work, people who have a challenge to get up,
06:21live on average five more years than those who do not have that desire to get up.
06:25He has a lot of will, that is very important.
06:27That is why he speaks and looks forward and is not going back.
06:31Feeling depression is a phenomenon of inflammation
06:34that produces more inflammation and worsens immunity.
06:38Now, Doc, let's assume that the best prognosis is given and it succeeds.
06:43With all this we are raising,
06:45with all these failures that are beginning to occur,
06:48can it come out the same as it came in?
06:51Or is it very difficult, there is no way?
06:53It is not the same, but the good news is that when we talk,
06:55that's why I talk so much about inflammation,
06:57when we talk about inflammatory treatments,
06:59I know the kinesiologist, the Pope was the Italian, my friend.
07:02He is a very orthodox man and a very rigid character.
07:05He has to submit to the rehabilitation of the chronic inflammatory patients
07:09that we do, which is exercise, Mediterranean inflammatory diet,
07:14proteins for the muscle mass that is going to lose a lot,
07:18good quality protein,
07:20directly aimed at improving their inflammatory state.
07:23And an important thing,
07:25he has to start taking anti-stress measures,
07:28which is well shown to reduce inflammation.
07:30For example, mindfulness or yoga, I can't imagine the Pope.
07:34If I pray, there is probably a job in a town in California,
07:37one next to the other, a believing town, super believing,
07:41and the other does not, the believers live on average 7 more years,
07:44because it is a way to relax and trust in something messianic that takes care of you.
07:48Well, it is probably his way of relaxation,
07:50but there are other ways, a little more demonstrated,
07:52by resonance, for example,
07:55people who do mindfulness or meditation,
07:57meditation has shown in resonance,
08:00in the hippocampus area, which is the one that ages,
08:03drastic changes in people who are optimistic or who meditate, or both.
08:08And then you can change the behavior of an 88-year-old patient,
08:12who has always lived with inflammation.
08:14And that's what annoys me a little,
08:16because we are seeing the tree in the Pope,
08:18and not 5 years ago we did not understand that it was the beginning of inflammation.
08:21When you look at the cause of inflammation,
08:23which we talked about last time, it is an inflammatory phenomenon,
08:25the body wants to go out to solve a problem,
08:27it is not solved and the phenomenon continues,
08:29energy begins to wear out.
08:31The knee is the beginning of everything, right?
08:33Well, there was a note on the weekend about the wheelchair.
08:37Ah, I didn't say it.
08:39Yes, a note that precisely told you about the wheelchair,
08:45something that was temporary,
08:47which ended up becoming his daily life.
08:52The Pope, once he started with the wheelchair ...
08:54At first sometimes, for some sections,
08:56and then it goes to the process.
08:58That's the Achilles heel,
09:00that's the beginning of this phenomenon of dominoes, if we want to see.
09:03And what they didn't understand,
09:05is that when you look at inflammation,
09:07it starts with a process,
09:09I even remember reading an article,
09:11it was a knee, for example, arthrosis,
09:13it releases all the immune system to go and solve it,
09:15but since it doesn't solve it ...
09:17It is difficult to think that if until now,
09:19in recent years,
09:21it stopped moving more and more,
09:23it is difficult to think that it can start moving now.
09:26Sure, but you have to do it.
09:28In fact, we have used techniques,
09:31even electrodes,
09:33so that one at rest mobilizes the muscles.
09:35There is scientific work,
09:37I was in Barcelona in 2000,
09:39very weak patients came in,
09:41they bathed him, combed him,
09:43and took him out of bed,
09:45or at least they didn't stop him.
09:47It was impressive to see the patient when he came in,
09:49and we are already talking about 2000,
09:51we have to start understanding intervention,
09:53not as something that deals with an epiphenomenon.
09:55Intervention kills you, it liquidates you.
09:57Sure, we should see it as a process,
09:59within a long process,
10:01the adult, especially,
10:03where a group of professionals has to be committed,
10:05and for example, what I see,
10:07that the patients tell me,
10:09and the most important thing is
10:11how the patient is going to get out of the hospital,
10:13how he is going to breathe,
10:15and if he has a complication in the hospital,
10:17how is he going to be able to breathe.
10:19What does kinesiology have to do with breathing?
10:21I assimilate kinesiology,
10:23to walk,
10:25what does it have to do with breathing?
10:27Everything.
10:29I was lucky,
10:31with a friend 10 years ago in Italy,
10:33we created the section of chronic obstructive diseases,
10:35EPOC, which is what he has,
10:37because we started to see the disease in another way,
10:39the drugs have a function,
10:41but very little function,
10:43the same with the father,
10:45the most important thing is physical rehabilitation,
10:47and then we invited the kinesiologists,
10:49who were, as you say, in a section of the hospital,
10:51we invited them and every Wednesday they participated in a talk,
10:53then we did a workshop,
10:55we invited the population to come for free,
10:57and they thought we were going to talk about the disease,
10:59and we introduced the kinesiologist to the gym teacher,
11:01and the EPOC day,
11:03we took him to the squares,
11:05and he had the feeling that his disease was going to leave,
11:07walk, rehabilitate.
11:09And one more thing I want to tell you,
11:11about chronic inflammation,
11:13we saw that there was a group of patients
11:15from the social work of the hospital,
11:17who were hospitalized frequently,
11:19and when we reviewed the history,
11:21there was no cause that fundamentally so much hospitalization,
11:23then we asked the social work to do an intervention work,
11:25we took him out for a month to walk those patients,
11:27we did physical rehabilitation, cognitive,
11:29but we made him socialize,
11:31we got him to go to the theater, to the movies,
11:33and another group, 100, we did not intervene,
11:35we left him as he was.
11:37At 6 months we went to see the clinical history,
11:39that we can do the retrospective,
11:41the group that socialized,
11:43left, ate better,
11:45did physical exercise,
11:47took a talk of mindfulness,
11:4950% less hospitalization,
11:51to go to the guard.
11:53You have gone through the issue of COVID and confinement,
11:55remember this person who left with the chair,
11:57to the square in front,
11:59to take,
12:01I'm not going to get out of here,
12:03I want to sunbathe.
12:05To the Pope,
12:07they are raising the dose of globules,
12:09they are raising the dose of oxygen,
12:11in volume and pressure,
12:15when do you stop?
12:17Because the body also ends up getting used to
12:19that you are helping him.
12:23Of course,
12:25that's the most beautiful thing about our profession,
12:27it is the day-to-day and the clinical eye to see,
12:29we look, especially what we look at the most,
12:31in COVID,
12:33there is a doctor who caught my attention,
12:35who published in the New York Times at the beginning,
12:37what he said is that people were walking normally,
12:39there was no lack of air,
12:41but when he lifted his shirt,
12:43the belly went like this,
12:45and he breathed very fast.
12:47That is the clinical eye to see,
12:49how are the respiratory muscles,
12:51which is the most important thing here,
12:53how are they tolerating this,
12:55and if they are working properly,
12:57the muscles that start to get tired,
12:59which are those of the abdomen.
13:01Muscles that should not be used.
13:03Of course, and why?
13:05Because they get tired.
13:07It's like this child,
13:09at 5 years old,
13:11he can be exposed to heat for 8 hours,
13:13but a trained athlete, yes.
13:15Well, the respiratory muscles,
13:17and that's where the respiratory kinesiology comes in.
13:19What we prepare the patient,
13:21the respiratory,
13:23is for these crises,
13:25the secretion,
13:27take out the secretion,
13:29aspirate it, ready.
13:31No, no, the Pope has to be prepared,
13:33and I am optimistic that we can continue doing it,
13:35so that an interaction like this,
13:37has marathonist muscles.
13:39Now, but many of these issues,
13:41I understand it as preventive,
13:43but now,
13:45in an emergency situation,
13:47where it is in danger,
13:49can these things be done?
13:51Yes, little by little we have to start,
13:53with the issue of care,
13:55that he is tired, but for example,
13:57I would be a little,
13:59because the Pope is a complicated guy,
14:01who has so much desire to do good,
14:03that the guy wants to go out to the table,
14:05sir, now we are going to spend the energy,
14:07to rehabilitate you.
14:09The food you are not going to eat,
14:11for being Argentine,
14:13with coffee with milk,
14:15is the least nutritious in a breakfast.
14:17In other words,
14:19it has to be subjected to a treatment,
14:21very, very, very intensive,
14:23and nothing can be left free.
14:25If we do all that,
14:27a guy with the genetics he has,
14:29because he has a lot of genetics,
14:31despite the inflammation,
14:33which is the epigenetics we are talking about,
14:35this man has genetics,
14:37and he has a lot of will,
14:39and that is very demonstrated.
14:41Jose, thank you very much.