Si es preocupante que los pacientes no tengan conciencia de lo riesgoso que es un procedimiento quirúrgico.
Una querida amiga, estaba por pasar a una paciente para cirugía plástica, según ella, durante la entrevista anestésica, comienza a explicarle los riesgos
Cuesta muy caro no saber fisiología y farmacología
- Bloqueo subaracnoideo en embarazada de 39 años con Hipertensión gestacional, dosis pescuecera de 12.5 que lleva la TA a 79/39 mmHg FC 110 lpm
Inmediatamente desesperación y un bolo “Salvador” de 20 mcg de Norepinefrina + ⬇️
Los médicos generales y de primer contacto, y los de especialidades diferentes a Endocrinología DEBEN saber usar medicamentos para obesidad. Hay que entrarle todos, y saber hacer recomendaciones de cambios en estilo de vida, identificación y primer tratamiento de comorbilidades.
TODO lo que el paciente pueda hacer, al mismo tiempo, desde el principio.
Es una enfermedad compleja que no se soluciona con "echarle ganas".
Eso excluye a 'coaches', estéticos, integrales, cosmeatras y toda esa fauna holística-universal-cósmica-
espiritual.
Esos son mafufos o psicópatas.
Síndrome de ovario poliquístico cambia de nombre: SÍNDROME OVÁRICO METABÓLICO POLIENDOCRINO (polyendocrine metabolic ovarian syndrome [PMOS]).
Refleja mejor su impacto hormonal, metabólico y multisistémico, sin confusión por “quistes”.
Lancet 2026; DOI: https://t.co/AoFyV4USlj
Experts reach consensus to rename polycystic ovary syndrome (PCOS), better reflecting the condition’s full health impacts.
Find out more 👉 https://t.co/Azue7YDFcn @ESEndocrinology#ECE2026
La diputada de Morena, Hades Aguilar, usó presupuesto del Congreso de Guanajuato para pagar servicios médicos vinculados con cirugía plástica.
Intentó ocultar el concepto de las facturas, pero dejó una pista evidente: las cédulas profesionales de los médicos. Al revisarlas, se puede confirmar que pertenecen a especialistas en cirugía plástica.
El pueblo paga las tuneadas de las diputadas de Morena.
85 to 90 percent of women physicians are eldest daughters.
That is not a coincidence. That is a pipeline.
Eldest daughters are trained, before age five, to over-function. They take on a parent's worry. They organize the family. They clean up without being asked. They do not ask for help, because they were rewarded their whole childhood for not needing any.
Then they walk into medicine.
A career that demands hyper-responsibility, hypervigilance, perfectionism, and silent sacrifice does not have to ask these women to give those things. They were giving them before they could read.
The system is not stumbling into a burnout problem. The system is recruiting from a pool of people whose entire childhood was a training program for it.
This is what pediatrician and certified coach Jessie Mahoney has been finding when she asks the room. In every group, in every retreat. Maybe one or two women are not eldest daughters. The rest have been carrying something since before they could spell their own name.
Most of those women blame themselves. "Why don't I have boundaries?" "Why do I over-function?" "Why can't I delegate?"
Because at five years old, your family rewarded you for over-functioning. Because every teacher praised you for it. Because the medical training system selected for it. Because every job since has reinforced it. The pattern is older than your medical degree by twenty years.
The other piece nobody names: by the time these women are in their fifties, they are carrying eldest-daughter responsibility for aging parents AND running a department as chief AND running a household. The role does not retire when the children do. It just compounds.
Jessie's reframe is the part worth bookmarking.
The "hero" framing is the trap. Eldest daughters were made the savior of the family before they could read. Then medicine made them the savior of the patient. Then the department made them the savior of the team. At every stage, they learned that if they did not do it, terrible things would happen and it would be their fault.
Awareness is the first move. Non-judgment is the second. Excellence is not doing everything yourself. Excellence is letting other people do their jobs.
You are allowed to gift some of it back. You can ask your siblings to carry the aging parent. You can let your medical assistant do the medical assistant's job. You can stop covering the gap that nobody actually asked you to cover.
Most eldest daughters in medicine have never asked for help. When they finally do, they discover people are willing to help. The asking was the whole obstacle.
Listen to the full conversation on The Podcast by KevinMD. Link in the replies.
What is the one task you have been carrying for your family or your team that no one ever actually asked you to carry?
#ThePodcastbyKevinMD