LETS make something clear....
👉This is not, never was, never will be a PROFESSIONAL account
👉 You want a professional encounter make a formal appointment
👉 If you insult me I WILL no longer remain quiet
👉 You don't like it I suggest you unfollow this account.
@_PonchoDeNigris
La obesidad es una patología
1) El hacer más ejercicio y comer menos es una recomendación pendeja
2) El juzgar a un paciente obeso y pensar que es porque quiere es una pendejada
3) Todas las calorías no son iguales
4) Factores genéticos, epigeneticos, emocionales y mucho más
So my wife delivered today 😁
She did
#intermittentfasting
during all of her pregnancy
#Realfood
#wholefood
#LowModCarb
Exercising/Boxing lessons up to 1 hour days prior to delivery
-GYN always amazed
- I will do a post in a future regarding some cools points!
Cheers!
New patient 32yr old, 564lbs comes to Cardiology Clinic for Preop-clearance for Gastric-bypass surgery
- Instead of clearance I delayed my clinic 60 min
- Educated him on Obesity
- Made him believe in himself again
- I'll do my best to get him healthier
- He has Homework now 😜
Para todos los Puñetones que vienen de TikTok gracias al Puñetas de
@soynicosastre
a echarme porras y preguntar dónde estoy.
Gracias. Lo aprecio.
Pronto regresaré como una versión mejorada para divertirnos y ayudarlos al mismo tiempo.
Mientras tanto... ✊💨💨💨💨💨💨
I find it mind-boggling how easily patients are prescribed medications (even greater than 15) without any significant concern. Yet when someone mentions
#LCHF
#Keto
#IntermittentFasting
many MDs & Patients freak out more about this than Polypharmacy.
In a classroom if 1% fail it is usually the student's fault. If 40% fail, it is the teacher's fault.
🤔Applying this to
#Obesity
If in US 1% was obese it's probably their fault.
But
If 40% is Obese could it be that our recommendations are not appropriate?
#Health
Check this out! 👇
👉 Mr. H w diagnosis of heart failure
👉 Doing
#LowCarb
+
#intermittentfasting
👉 Feels better than ever down 30lbs
👉 Improved EF and NYHA
AND... He recommended to his brother!
👉 Brother is now 100lb down
👉 And off Diabetic Medications
#BoomShakalaka
I've asked reps not to bring junk food to the
#Cathlab
staff. Never works... Well, I made them dance 🤣
Little fun at work, lifting the mood 🤣
And yes! It is challenging with the LEAD Apron!
If a Vegan, Carnivore, Low Carb, Pesketarian, High Carb, Faster (whatever on Earth you want to call it) has genuinely and obviously helped an individual achieve better health.
Why on Earth can't people JUST BE HAPPY for that person and bid them well?
Seriously...
SI ERES UN R(X) Pasándote de lanza con el R de abajo pidiéndole que te limpie el carro, que te pida comida
Que DIOS te ampare que me de cuenta que te vamos a rostizar VIVO en las redes demostrando la clase de mierda que eres…
Nurse stops me right now
"Doc, thanks for raising diabetes awareness. Thanks to your
#TikToks
my 17yr old son stopped drinking soda and is changing his habits"
😁
So Mr. O is here in my clinic. I saw him 2 wks ago in the hospital for Chest Pain (no events)
Educated him on
#LowCarb
#IntermittentFasting
Comes today
👉Lost 20lbs
👉Gastritis gone no more Meds
👉No more crap cravings
👉NL BP no more meds
#Educate
#Motivate
= CHANGE
Age late 30s
In clinic one patient lost 60lbs in 6 months.
Metabolic Syndrome parameters improved
Stopped BP meds
Anxiety Improved
Another one 72lbs in 4 months
- No meds
If you told me I would be able to help patients like this 26 months ago I would have said "Impossible"
#TipOfTheDay
If it is labeled "Keto" don't EAT IT.
If you are going to eat it, don't make it a routine. Use as a stepping stone to avoid a particular craving
"Keto" labeled products, most of the time, are the reincarnation of the 💩 you are trying to avoid in the 1st place
Yes there is a lot of clowning around in
#TikTok
which some people don't agree with.
There are also serious videos, here is one for example. Hopefully those disagreeing will understand what WE are trying to achieve.
Early in our medical career we believe we know more than we actually do. When we practice in the "real world" we realize we KNOW but a mere fraction of what we thought we did.
Cockiness is a dangerous attribute in the medical profession...
As an MD I am concerned on how DESENSITIZED many have become in prescribing 10-15 meds without significant concern for side effects and interactions.
Yet, when something as basic as exploring lifestyle and different diets it makes them want to 💩 their pants. 🧐
Important points I mention to patients
👉It is NOT your fault. My own recommendations were failing me as well
👉Don't obsess about Weightloss. We will be fixing a Metabolic storm that has been cooking for YEARS. Patience
👉Focus on your overall health improvement as motivation.
Por alguna razón la gente tiene la idea de que si insultas a un Médico, el se va quedar callado, y no regresarte el chingazo porque "Es un Profesional"
Mis estimados PUÑETONES ese tiempo ya se acabó.
Si van a insultar, más les vale que tengan aguante. Yo tengo 🐍 de sobra.
Saying that processed foods, carbs & sugars are addictive & can "Hijack" your brain triggers some people.
I frequently see patients with necrotic feet, toes falling off, EVEN maggots in their wounds. Yet, when you ask them to stop them they say "I can't" 😳 🤷🏻♂️
Ayer me topé a una persona en un restaurante
Me paro para agradecerme por los consejos en las redes sociales durante la pandemia bajando de 400lb a 250lb
Saben LO CHINGON QUE SE SIENTE ESO.
Por eso mismo seguimos madreando y aprendiendo.
Saludos!
Para los que preguntan porque no estoy TikTok e Instagram... Estoy en búsqueda y trabajando en MI MEJOR YO para mi familia, para ustedes, para mis pacientes, para mi.
Eventualmente verán a que me refiero.
Mientras tanto ANIMO PUÑETONES!
Remember Mr. O? He is Back!
- Hospital OCT 22
👉 352lbs
- Clinic NOV 7
👉 Had lost 20lbs
- Clinic today Dec 12
👉 Has LOST 49LBS IN 7 wks approx
Off Meds! He feels great! I told him to get in Twitter so Tweeps can motivate him more 😜👍
#lowcarb
#intermittentfasting
So Mr. O is here in my clinic. I saw him 2 wks ago in the hospital for Chest Pain (no events)
Educated him on
#LowCarb
#IntermittentFasting
Comes today
👉Lost 20lbs
👉Gastritis gone no more Meds
👉No more crap cravings
👉NL BP no more meds
#Educate
#Motivate
= CHANGE
When I am in the hospital every action I take is under the assumption that everyone around me has
#COVID19
When I am at home with my family every action I take is under the assumption that I have it.
#StayAtHome
Acuérdense que pueden estar viviendo una situación sumamente desagradable.
Pero ustedes deciden si esa situación los va tumbar o la van aprovechar para transformarse en algo aún más CABRON
ANIMO PUÑETONES
BUENO DOMINGO
Y QUE MI AMIGO CHUCHO, (DIOS) LOS BENDIGA
Been doing
#Telemedicine
for about 3 weeks now so far patients and me loving it
👉 Patients appreciate being at home instead of waiting room
👉 Appointments are far more time efficient
👉 If done properly no delay between patients
Couple of tweaks & no need to go back old ways.
I'm with some friends.
One says he has been doing
#LowCarb
#Intermittentfasting
and went back to his cardiologist...
Cardiologist tells him. "WOW, Your labs are better than ever, but... I do not recommend what you are doing".
Seriously
#WTF
People eat from 8am to 4pm… That is intermittent fasting
Now some snack after that. So if you avoid eating shit after that window you increase 91%.
If anyone thinks that eating from 8am to 4pm avoiding the snacks after will increase mortality…
YOU ARE A FUCKING MORON
Here is my new
#TikTok
creation on how
#lowcarb
and
#intermittentfasting
lead to Glycogen depletion and fat oxidation.
For the haters... Yes I am aware it is overly simplified. (I Love you too 😘)
Quería empezar el día AGRADECIENDO a todos que entienden mi propósito y que me mandan sus buenas vibras y comentarios.
Las redes, al igual que el mundo está plagado de ODIO y Resentimiento.
Aprecio sus mensajes cálidos que me recuerdan porque estoy aquí.
#BenditoDia
Honestly with all the news my mood has been down the the drain.
Tried to change it by making a
#TikTok
and it made my staff laugh and smile. Hopefully it does the same for my friends and colleagues out there.
#BlessYouAll
Example I use when explaining Satiety vs Pleasure
"Try to overeat Wildcaught salmon with broccoli & see if you can do it."
(I can't & have not found 1 patient that is able too)
I follow with:
Yet when full, you can still eat chocolate Cake? 🧐 Now they get the difference
60 yr old male, new patient, comes for preop clearance for knee surgery.
Keeps walking w crutches (to try lose weight despite excruciating pain to help recovery)
I educate on low carb, Realfood, fasting and give him hope.
Starts crying, hugs me & says "You are a blessing" 🥺
Preguntan que cuando regresaré a TikTok/Instagram etc
Cuando el momento sea el correcto.
Pero cuando regrese, tendrán una versión mejorada que cambiará vidas.
Hoy estaba meditando, y en un punto de iluminación se me vino un pensamiento.
Para todos aquellos que he insultado en las redes sociales, les pido mis más sinceras disculpas...
HAHAHA no mamen, me vienen valiendo un Kilo de pepino!
Que tengan un Bendito Día!
Today I saw more patients with COVID-19 in their 30s
- No Coomorbidities
- Acute Kidney Injury
- Myocardial Injury
So I ask
"Did you get the vaccine?"
Nope
What are your thoughts now?
I fucked up...
#NoShitSherlock
I have never reversed/cured/put in remission
👉🏻 Hypertriglyceridemia
👉🏻 Hypertension
👉🏻 Diabetes/Hyperglycemia
👉🏻 Hypertension
👉🏻 Inflammation
👉🏻 Obesity
👉🏻 Migraines
With medications...
But I do this often and even expect it with
#Lifestyle
Learned today Video Editing. Was asked to explain
#LowCarb
in 60 seconds in
#TikTok
it was difficult but I enjoyed the challenge. I Really think Twitter could find it useful as well.
#NoHate
please I know many lifestyles work. I was asked to explain this one
@katherineb89
@KetoCarnivore
@Botanygeek
@elizabeth_pezon
@JoannaBlythman
You need to be more humble.
- Medschool 7 years
- 2 years of heart failure research
- Internal Medicine 3 years
- Cardiology 1 year
- Interventional Cardiology 1 year
- Advanced IC 1 year
= 15 years
A lot of the things I was taught were wrong.
- Now RElearning
WTF... I am at the pharmacy and a woman starts coughing and decides to pull the Facemask down while doing this.
Seriously! How much shit for brains do you have to have to do this????
Puñetones hablan de cómo la vacuna de mRNA cambia nuestro código genético cuando la mayoría no sabe NI interpretar la tabla de VALOR NUTRICIONAL en sus alimentos.
Bola de
#PU
ÑETONES
Another
#LCHF
#Intermittentfasting
💥BooM
-Weight 256-220lbs in 5 months. Then stabilized but waist continued to drop.
-50 inch to 38
-Chronic Back Pain ALMOST gone
-Walking up to 5km. (Before he couldn't because of pain) Pain Meds gone!
-Trig 400 to 44, HDL 40s to 73
-CRP .5
It's getting to the point that there is ABSOLUTELY NO BENEFIT from reading the news...
I would even argue it's detrimental to one's
#health
Couldn't YOU SHITTY 🍑 NEWS CHANNELS focus on some GOOD NEWS for the LOVE OF GOD... The world NEEDS IT 🤬
Para todos LOS PUÑALES que dicen que la vacuna causa mutaciones, o que no sirven, o que el COVID19 es puro pedo.
Firmen un papelito donde diga que si les da el COVID19 no se les va atender en el hospital y listo.
Vayan hacer de su culo un REGUILETE
Well here it is the "Eco-Friendly" processed garbage that I wouldn't feed my dogs...
-Only 2 patties in a plastic container, plus wrapping.
-How much energy went into creating fake meat from veggies and other chemicals? 🤔 Hmmmm I wonder
I keep getting attacked for stating the facts of
#COVID19
where I LIVE
#RGV
#Texas
This is real and I can not comprehend why it is so difficult to believe.
Initial Reaction of my patients when they decide to kiss processed carbs and refined sugars goodbye.
#Keypoint
There is a TRUE addictive potential in these things
When a patient comes to clinic and improvement is stalling we go over food choices that can be doing this.
- 2 months ago I stopped oatmeal he was taking. 👇
- Dropped 15 more lbs
- Stopped DM medications
- Best glucose in years
- Now removing BP Meds.
Telling a Mexican to stop eating Carne Asada (red meat) is like telling a Japanese to stop eating sushi.
Not gonna happen... I will keep enjoying my red meat.
Why can't people just be HAPPY for others that are REVERSING their lifelong chronic diseases NO MATTER their Way of Eating? 🤷🏻♂️
Person reverses DM, HTN, Trigs, Inflammation, stop meds, etc.
👉Zealots "You are going to die" "You are a bad person!" "Not sustainable"
#facepalm
Haa!
#Boom
Love it when I get these messages from other MDs!
👉Saw the patient in the hospital as a consult and spent time to discuss
#lowcarb
#fasting
and
#keto
... What happened?
Just got this text message
I recently tweeted on how poor sleep alters hunger hormones and appetite.
With my recent boy being born and needless to say broken sleep, I find it fascinating how this holds true specially in the morning.
I am an open individual but apparently I am "DEAD wrong" for considering Breakfast is not the most important meal of the day? 🧐
Does anyone have good articles, research, science that proves BREAKFAST is the most important meal of the day. I would gladly read them.
The science of circadian biology and chronobiology assert that you are DEAD wrong that breakfast is not important. read more out of your food biased focus.
So some Cardiologists say
#LowCarb
is unhealthy... Could you please explain to me how something like this could be unhealthy? They are clueless... And if you mix combos like this with
#IntermittentFasting
you have a POWERFUL Therapeutic intervention for
#MetabolicSyndrome
I think this tweet proves my hypothesis... Mixing
#education
with
#humor
might be the best way to spread
#Health
info
👉In TikTok this already has 200k views
👉Twitter 20K
I was just goofing around. WTH 🤣🤣🤣
Frequently see critically ill patients, living in nursing homes, with multiple issues (seldomly visited by family). Already DNR (Do Not Ressucitate)
Then, they get admitted to the hospital in critical state & family revokes the DNR & makes them full code
THIS is a SELFISH act
Ensure so called "Therapeutic" Nutrition vs a Coke... Every hospital should focus more on
#Realfood
and not on a insulin sliding scale.
- Coke 25 gr of sugar
- Ensure 52 gr of sugar including 30gr of added sugar...🤮
-
#Craptastic
Nutrition
When I focused on Calories as the approach to help my patients I failed miserably.
When I focused on satiety and decreasing cravings + other lifestyle recommendations. I started ⬇️/ stopping medications on patients helping them achieve better health.
People are contacting me up for help on
👉Multiple Sclerosis
👉Pancreatic Cancer
👉Breast Cancer
👉Autoimmune Disorders
In part because of lack of sympathy from their specialist to conceive the possibility that
#Diet
#Lifestyle
can have a huge impact in these issues
🤬 WAKEUP!