“Musicians and medicine”, by Dr. Adolfo Martínez Palomo

MEXICO CITY (proces.com.mx) .– When the bicentennial of Wolfang Amadeus Mozart’s death was commemorated in 1991, the Mexican doctor, scientist and academic Adolfo Martínez Palomo (1941) began the bibliographic search, writing and public presentation of the texts now published by El Colegio Nacional in fourteen double installments.

This new compact format series includes the biographies of: Monteverdi and Vivaldi, Bach and Handel, Haydn and Mozart, Beethoven and Paganini, Rossini and Schubert, Donizetti and Bellini, Berlioz and Mendelssohn, Chopin and Schumann, Liszt and Wagner, Verdi and Gounod , Clara Schumann and Brahms, Borodin and Bizet, Tchaikovski and Puccini, Mahler and Shostakovich.

Today we offer excerpts from the second volume entitled Musicians and medicine. Clinical histories of great composers. Bach and Handel (86 pages in 12 by 18 centimeter format, bibliography, illustrations and iconographic credits, www.colnal.mx), written by Martínez Palomo who has stood out for his research on the painful Herpes Zoster virus.

“Two colossi of classical music Johann Sebastian Bach (1685-1750) and Georg Frideric Handel (1685-1759), both born the same year in Germany and yet they did not manage to know each other personally. Bach always stays in his country, where he has twenty children. Handel, on the other hand, makes fame and fortune in England, without getting married. Long and prolific lives both, united with a common ending: blindness, caused by the clumsy intervention of the same apprentice eye surgeon. “

Creativity: inheritance or learning?

(…) With the forgiveness of fans of the hereditary theory of creativity, I would like to insist that nothing indicates in Johann Sebastian’s childhood or early adolescence the existence of a genius, rather, an exceptional effort to learn from their elders. (…)

At fifteen, our character eagerly copies compositions from others, at night, at an age when other musical geniuses have been writing music for a long time. At that age he has to leave his brother’s house, which is already insufficient due to the birth of four more nephews.

By the way, one of the physical attributes of Johann Sebastian that has caught the attention of his biographers has been… the strength of his legs! And is not for less. What a path he had to go in his youth to absorb the musical knowledge of the greats of his time! Nothing was too far away, nor was the weather so bad that it prevented him from making trips on foot in search of better knowledge. Thus, it traveled 40 km between Ohrdeuf and Eisenach and 360 km between Ohrdruf and Lüneburg. (…)

Bach, as we have said, had a foolproof health throughout his life, well into his period of maturity. A neurologist has commented, when analyzing the portrait of Bach, the obvious obesity of the composer and the presence of a slight facial paralysis, perhaps due to a cerebral infarction. If anything, the only well-documented physical weakness was his eye problem.

For ophthalmologists who have reviewed his history, Bach was probably nearsighted, judging by the appearance of the eyes in the only true portrait that survives, taken at age sixty-one [por Elias Gottlob Haussmann, en 1746, reproducido a colores en este libro de Martínez Palomo] which shows the composer “straining his eyes.” This myopia may have allowed him the hard work of reading and writing countless scores. (…)

On the advice of his friends, the composer consulted an English eye doctor, the gentleman John Taylor, who had operated, sometimes with some success, on many European personalities, including the contemporary Handel. Taylor was actually a great charlatan, dominating more of the art of advertising than of science (…)

In Bach’s time the usual medical treatment for cataracts ranged from esoteric diets, to bloodletting and the application of leeches. The surgical procedure was followed by washing the eyes with a mixture of Peruvian balsam and hot water. This was followed by poultices added with cassia pulp, camphorized fosters, bandages, a light diet, and medications to evacuate without effort.

Less than four months after Bach’s death, the operating room was installed in the Tres Cisnes restaurant (…) Three months and three weeks after the operation, Bach presented cerebral palsy of vascular origin and was unconscious. He developed a fever, possibly pneumonia, and died on the night of July 28, 1750 at the age of sixty-five, despite the best Leipzig physicians. (…)

The dear Saxon

HAMBURG, DECEMBER 5, 1704.- During the performance of the opera Cleopatra by Johann Mattheson, a nineteen-year-old German musician who leads the singers from the harpsichord. He refuses to let the composer displace him from his instruments: the dispute escalates and the two heated musicians decide to settle it in a duel. Fortunately for mankind, the sword that struck the young interpreter’s chest only broke a metal button on his coat, thus saving Handel’s life and with it the work of one of the greatest and most prolific composers remained for posterity. of music. (…)

His fame reached Italy, where he was invited by a Medici prince (…) At the age of twenty-five Handel returned for a few weeks to Germany, to Hannover. Why did he receive the appointment of “master of the chapel” of the court there, with a very high salary (fifty times higher than he had received as an organist) and permission to be absent for a year, when in reality what that court was interested in was send it to London? For some, this appointment disguised the true task assigned to the composer: to insert him into the English court and receive from him information about the state of health of Queen Anne, already very ill. The interest was that the direct successor to the throne of England was precisely the Elector of Hannover, Georg Ludwig, so the sickly Queen Anne died, Hannover needed to be aware of the events in London. (…)

His contemporaries described him as impetuous, brusque and authoritarian, but completely devoid of malice and wickedness, despite the many enemies that success produced him in London. From time to time he had uncontrolled bouts of irritability and rage. For example, on one occasion he argued with the famous French Italian singer Cuzzoni and said “Oh, ma’am! I know well that you are a true devil, but I am going to show you that I am the boss of all devils.” He then took her by the waist and led her to the window, where he threatened to throw her out into the street.

For much of his life Handel was physically healthy, endowed with a remarkable capacity for work. With a thick complexion like his father, he soon showed a frank tendency to obesity due to his irrepressible enthusiasm for food and his no less joyous fondness for alcohol, especially for Port and Madeira wines. His contemporaries called him “the Bear” for his corpulence and decomposed walk, but also for his tenacity, energy and strength. In it, several factors were combined that could well cause high blood pressure and hardening of the arteries in adulthood: being overweight, the habit of smoking tobacco (in the pipe), a sedentary life and economic and work stress.

Handel’s good health began to decline after the age of fifty, just at a time of great financial and administrative tension due to the difficulties of staging his operas; headaches, irritability, colic, rheumatic pain.

In 1737, after a period of great fatigue and disappointment, “the machine broke”: he suffered paralysis of the right arm that affected mainly the fingers of that hand, and consequently prevented him from playing the harpsichord and the organ. Along with the paralysis, he presented certain mental alterations, “which modified his understandings,” according to a written comment by a contemporary, perhaps referring to mental confusion or speech problems. (…)

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Russia supplies medicine against covid-19 to Latin America without including Mexico

MEXICO CITY (apro) .- The Russian Direct Investment Fund (RDIF) and the ChemRar Group have agreed to supply 17 countries with Avifavir, Russia’s first drug approved for the treatment of covid-19. Among the nations that have the drug are 11 from Latin America, which is not included Mexico.

According to a statement posted on the RDIF website, Avifavir will be delivered to Argentina, Bulgaria, Brazil, Chile, Colombia, Ecuador, El Salvador, Honduras, Kuwait, Panama, Paraguay, Saudi Arabia, Serbia, Slovakia, South Africa, United Arab Emirates and Uruguay.

The drug has previously been delivered to Belarus, Bolivia, Kazakhstan, Kyrgyzstan, Turkmenistan and Uzbekistan, he added.

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Avifavir, the statement highlights, is the first drug registered in the world made based on the substance favipiravir against the coronavirus and the first in Russia approved for the treatment of covid-19.

In its statement, Russia’s sovereign wealth fund recalled that on May 29 Avifavir received a registration certificate from the Russian Ministry of Health and became the first favipiravir-based medicine in the world approved for the treatment of covid- 19.

He also highlighted that approximately five months after the Avifavir clinical trials in Russia, Fujifilm from Japan confirmed the efficacy of favipiravir against the novel coronavirus infection.

“Avifavir is now Russia’s leading anticovid drug in terms of exports. In particular, on September 21, the start of deliveries to Bolivia and other Latin American countries was announced as part of the agreement to deliver 150 thousand packages. Avifavir has also been approved by regulators in Europe, the Middle East and Asia ”, underlined the RDIF.

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“When we registered the world’s first favipiravir-based coronavirus drug, there was a lot of skepticism as people wondered how we could register it when Japan had not yet registered it,” said Kirill Dmitriev, executive director of Russia’s Direct Investment Fund.

“Now, five months after our clinical trials, we see that Japan has confirmed the clinical efficacy of favipiravir. Avifavir has been tested in more than 1,300 patients, including 408 patients in clinical trials and 940 patients during the post-registration observational clinical trial, ”he explained.

Dmitriev concluded in the release that Avifavir is also three to four times cheaper than Remdesivir, the drug approved by the United States for the treatment of Covid-19.

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Director of the BUAP School of Medicine dies, rector mourns death

Puebla /

The rector of the Meritorious Autonomous University of Puebla (BUAP), Alfonso Esparza Ortiz, lamented the death of Dr. José Luis Gándara Ramírez, director of the Faculty of Medicine of the highest university.

Through his social networks, the rector reported on the death from the director of the BUAP School of Medicine, who for several years dedicated his life to the subject of health and teaching.

“Rest in peace Dr. José Luis Gándara Ramírez, director of the Faculty of Medicine of our university, a health professional and an esteemed teacher in the community. My condolences to his family, colleagues and collaborators ”, expressed the rector.

Likewise, in social networks the recognitions for Dr. Gándara did not wait, as students indicated that he was a great teacher:

“It was a great one, it was an honor to have been his student, thank you for so much support to finish my internship.” “A great teacher and person is leaving, I join the rector Alfonso Esparza’s condolences.”

Likewise, teachers also expressed their condolences, “excellent doctor and human being, empathetic, kind, always aware of the students and colleagues, not only in the academic or work area, but also emotionally. Rest in Peace Dr. Gándara ”.

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Medicine intern commits suicide in a Yucatan clinic

TAHDZIÚ, Yuc. (apro) .- The State Secretary of Health (SSY) confirmed the suicide of a young medical intern at the Medical Unit of this town.

The victim, identified with the initials KJGK, 25 years old, was originally from Mérida, and for about a month she was assigned by the Institute of Health and Wellbeing (Insabi) to the clinic in this municipality, one of the poorest from the continent, where until yesterday he was seen working.

This morning, employees of the health center found the young woman dead, suspended from the ventilator in her office, for which they gave notice to the authorities of the Ministry of Health and the State Attorney General’s Office (FGE).

In a bulletin, the SSY regretted the fact and pointed out that, with the support of Mental Health professionals from the dependency, they carry out comprehensive actions to support family members, “who will be given the necessary help to carry out the procedures corresponding to the State Attorney General’s Office, where the rigorous legal procedure will be given.

So far the reasons for the suicide are unknown.

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VW expands its range with an SUV produced in Puebla after an investment of 600 million dollars

In the United States, the largest market for Volkswagen in America, SUVs already generate 55% of its sales. Atlas (Teramont in Mexico) and the elongated Tiguan produced in Puebla were key for the brand to increase its sales in that market by 4% in the last five years, even in the midst of the scandal for the manipulation of polluting emissions known as ‘dieselgate’.

Volkswagen’s goal is to offer 30 SUV models worldwide by 2025, from the 16 it currently offers, ranging from the T-Cross, which is the size of a Polo, to the Touareg, which is the largest. of its range.

The new Taos will sit between the T-Cross and the elongated Tiguan. It will be mounted on the MQB modular transverse platform, on which the group has developed around thirty models of its Volkswagen, Audi, Seat and Skoda brands, allowing it to generate economies of scale. The start-up of Taos production required an investment of 600 million dollars.

Steffen Reiche, president of Volkswagen Mexico, said in a video presentation prior to the official launch of the model in October that this project “will allow the Puebla plant to continue growing”, in addition to “supporting the economic recovery of the country.”

In Mexico, Volkswagen has used the letter ‘T’ to name its entire line of SUVs: T-Cross, Tiguan and Teramon. The new Taos follows this logic. The model takes its name from a small town in New Mexico, United States, founded 400 years ago, with a population of 6,000 inhabitants and landscapes that include wide plains, mountains and the Rio Grande Gorge.

Volkswagen promises that Taos will offer fuel economy and an attractive design, as well as advanced infotainment and driver assistance functions. Its global launch will be in October.

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Without summoning him, the Mexican team sends a clear message to Ormeño

The Puebla striker had shown enough merits to appear in the Tata Martino call-up.

Within the first half of Guardians 2020, one of the proper names of the championship was Santiago Ormeño. The forward of the Puebla he has scored four great manufacturing goals, taking advantage of the opportunity he had fought so hard for.

Having Mexican and Peruvian nationality, it is known that the forward born in the City of Mexico You can choose which team you want to represent. It even turned out nominated by different fans dell South American country to wear the Blanquirroja shirt.

However, Santi has assured that his priority is to dress the shirt of the Mexican National Team and works for look for an opportunity in the near future. Although everything seems to indicate that, at this moment, Nanny Martino thas many others names in mind.

The Argentine coach announced his call for the first game of El Tri in 2020, taking into account as forwards José Juan Macías, Henry Martín, Santiago Giménez and Alexis Vega, leaving no chances to the element of the Strip.

Appealing to hard data, Ormeño represented an option in rhythm for Martino, since his four goals make him he second highest scorer Mexican of the Opening, only surpassed by Martín, who adds five with America.

Likewise, Santi’s international future with El Tri seems to get even more complicated, taking into account the exclusion from this call of elements such as Chicharito Hernández and Raúl Jiménez, two of the gunners who would already have un safe place in the calls, due to their hierarchy in the group.

The Conmebol qualifiers are about to start in the month of October, and it would not be a surprise to anyone if Ricardo Gareca have among your summoned Ormeño. The above considering that Paolo Guerrero is injured and his only feasible option is exMorelia Raúl Ruidíaz. Is the goodbye of Santiago imminent as an option for Mexico?

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students launch against UADY after suicide of medical intern

MÉRIDA, Yuc. (appro). – Students from the Faculty of Medicine once again attacked the authorities of the Autonomous University of Yucatán (UADY), this time due to the recent suicide of one of their colleagues at the Tahdziú clinic, where she was doing her residency.

For reasons presumably related to her career, the young intern, KJGK, 25 years old and originally from Mérida, took her own life on September 15 in her office at the Tahdziú medical center, a municipality that by the way is among the most impoverished of the continent.

The case unleashed the anger and indignation of the students who once again filled social networks with accusations and reproaches against the authorities of the UADY and its Faculty of Medicine for the lack of interest and lack of support towards their students.

Although the girl’s death was made public on September 15, it was until the next day that the Faculty of Medicine issued a statement on the matter.

In a statement, the Faculty of Medicine expressed that it was “deeply moved by the death of the intern, KJGK, who was rendering her social service at the Tahdziú Medical Unit.”

EYE:

Interns and interns from the Faculty of Medicine will return to hospitals: UADY

He assured that university authorities in coordination with personnel from the Subdirectorate of Mental Health and Education of the Ministry of Health “are already taking the pertinent actions.”

“The irreparable loss of a young doctor fills us with consternation and mourns the entire community of the Faculty,” he reiterated.

He argued that “Medicine is an arduous, hard and demanding career that demands the maximum of our abilities”, and stated: “At the Faculty we understand it that way and that is why our psychopedagogical department provides support to our students every day to prevent moments crisis ”.

Finally, he endorsed his commitment “to the comprehensive, humanistic and responsible training of students”, for which he asked heads of teaching and teachers “to maintain close communication with students and make available to those who require it, the services of the professionals who work in the psycho-pedagogical department of our dependency ”.

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However, such a statement stirred the anger of the students, who questioned the sayings of their authorities who, with the campaign “UADY, I do not believe you anything”, reproached a string of situations suffered by students of that maximum house of studies.

The flow of complaints from medical students includes various types of human rights violations, exploitation, excessive pressure, mistreatment, harassment.

“The department of psychopedagogy is a joke, I say it from my own skin and I know it from that of many colleagues. ‘If you can’t unsubscribe’, this has been said over and over again to students, to all those who at some point have a crisis.

Where is the humanist side? Where was the empathy? Are you moved? What if they do something about it with those doctors who only humiliate their interns? Or how about those teachers who have different colored hair or tattoos that won’t turn you down? Why don’t they do something with all the staff who are sexist and misogynistic? ”, Refuted a student.

“Don’t become a School of Medicine. Nobody puts a Civil Engineer intern to supervise ONLY the construction of a bridge. No career puts an intern to be 24 HOURS X 6 DAYS A WEEK AWAY FROM ALL SOCIAL CONTACT OTHER THAN HIS JOB “, reproached another of the nonconformists.

And he assured that the deceased doctor asked for help and “they told him to stay.”

Last April, the Faculty of Medicine came into conflict with its interns after seven of them filed a claim for protection for having been dropped from the school for refusing to return to the institutions to which they had been assigned due to the lack of security guarantees to reduce the risk of contracting covid-19.

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Rheumatoid arthritis drug could help treat covid-19

MEXICO CITY (apro) .- The pharmaceutical company Eli Lilly announced that the combination of its rheumatoid arthritis treatment baricitinib with remdesivir reduced the recovery time in hospitalized patients with covid-19.

Eli Lilly explained that during the Covid-19 Adaptive Treatment Trial (ACTT-2), researchers observed a reduction of approximately one day in the mean recovery time of patients treated with baricitinib combined with the substance remdesivir, compared to those who were only treated with remdesivir, therefore they rated the finding as statistically significant.

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The study, sponsored by the National Institute of Allergy and Infectious Diseases (NIAID), part of the US National Institute of Health (NIH), included more than 1,000 patients and began on May 8 to evaluate the efficacy and safety of a dose. of 4 mg baricitinib plus remdesivir versus remdesivir in hospitalized patients with COVID-19.

According to Eli Lilly, the combination met the primary endpoint of reduced recovery time, which was defined as that the participant was well enough for hospital discharge, meaning that they no longer needed supplemental oxygen or care continued in the hospital, or was no longer hospitalized on the 29th.

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Eli Lilly reported that additional analysis is underway to understand other clinical outcome data, including mortality and safety data, and that NIAID is expected to publish full study details in a peer-reviewed journal.

Eli Lilly also indicated that he plans to discuss the emergency use authorization of the combination with the US Food and Drug Administration (FDA) and explore similar measures with other regulatory agencies for baricitinib as a treatment. of hospitalized patients with covid-19. If authorized, the company will propose make baricitinib available through commercial channels and will work with hospitals and governments to ensure patient access.

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Poblano doctors and nurses die more from Covid than in Argentina or Spain

The entity also surpasses countries recognized as economic powers such as France and Germany

With 104 doctors and nurses dead from covid-19, Puebla surpasses countries like Ecuador, Argentina, Spain and even Guatemala.

The Puebla entity also surpasses countries recognized as economic powers such as France and Germany.

The 104 deaths reported by the Puebla Health Secretariat (SSA) represent 2.3 percent of the 4,408 healthcare professionals who have had a contagion in the Puebla state until the second half of August.

High incidence in Puebla

According to data from the local agency updated up to September 3, deaths among health personnel due to covid-19 They amount to 104, of which 72 correspond to doctors, 13 to nurses and 19 to workers from other areas.

The figure is equal to the one reported Nicaragua, according to the report presented last week by the organization International Amnesty, and which accounts for the deaths of doctors, nurses, camilleros, ambulance operators and administrative staff.

The figure registered by the Puebla entity exceeds those of countries of Latin America how Ecuador, which reported 83; Argentina, which registered 80; and even Guatemala and Venezuela, which lost 47 and 46 hospital employees.

Figure Colombia and Chile, where the deaths of 47 and 25 health workers were reported, which are less than half of those that occurred in the state.

Puebla also surpasses other countries considered first in the world for its economic, technological and academic capacities such as Spain (63), France (27) and Canada (17).

Doctor who donated thousands of masks passed away

One of the local cases was that of the doctor Juan Jose Callejas Esponda It happened at the beginning of August, which when seeking care at the IMSS was not received, despite having previously donated five thousand protective masks.

As well as Lorenzo N. who died at the end of May in the city of Puebla, as he acquired the virus while performing his duties, since although he was advised to request a license because he suffered from asthma, he continued to care for patients.

At the beginning of August, nurses and doctors fired their partner “Toñito”Who worked as a nurse in the IMSS of The daisy and died after acquiring the virus.

It should be remembered that the first death due to the virus in Puebla was a retired worker from the University Hospital from BUAP who was employed as a stretcher in the Angeles Hospital.

Photo: Special

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First and second grade patients

The pandemic has shown us the excruciating reality that we live as a country in terms of health, warns Dr. Andrés Castañeda Prado. With updated figures, the specialist shows that the highest incidence of patients dying from covid occurs in public hospitals, in some of which there are even first and second beds for the sick. To these deaths, which mainly affect indigenous communities and the most precarious sectors of the cities, is added the prolonged confinement, which many cannot save due to lack of economic capacity.

MEXICO CITY (process) .- Six months after the first coronavirus contagion occurred in Mexico, on February 28, the pandemic has highlighted the social inequality that exists in the country: a huge gap separates the rich and the poor regarding access to medical care. And in this scenario, the second ones have been the most affected by the contagion.

Stratification in the health sector has shown that there is a lower mortality rate among those infected who can pay for private hospitals or who are beneficiaries of a government institution, compared to the marginalized classes without social security, among which are the lowest. isolated indigenous communities in the country.

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The doctor Andrés Castañeda Prado, coordinator of the Causes of Health and Welfare of the Nosotrxs por la Democracia association, assures: “We have always known that in Mexico there is inequality everywhere. This is nothing new. But in this case, the pandemic has made it very clear to us that there is a huge gap between rich and poor in access to health, and that the latter are the most affected by the covid.

“Not all Mexicans infected with the coronavirus are treated equally: some receive first-world care, but the vast majority receive medical care that leaves much to be desired.”

This contrast is reflected in the statistics of the health sector itself: for example, until Sunday 16 private hospitals identified as positive and treated 15,991 patients in their facilities, of which 691 (4.3%) died; In turn, the IMSS hospitals treated 166 thousand 538, of which 31 thousand 883 (19.1%) of their patients with covid died.

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Thus, the death toll is more than four times higher in the hospitals of the IMSS than in the private ones.

Castañeda points out that, in this stratification, those treated at the IMSS have an even lower mortality rate than those who attend institutions with fewer medical resources.

And it details: “Around 46% of patients who have social security and are admitted to IMSS or ISSSTE hospitals, among others, are dying. In contrast, the percentage rises to 53.4% ​​of deaths among patients who enter institutions with fewer resources, such as Insabi (Health Institute for Well-being) or IMSS Well-being ”.

–The fewer resources of the hospital institutions, the greater the number of deaths? –Asks the reporter.

–Of course, since resources impact the quality of medical equipment, medicines, the number of health professionals, and hospital facilities. And in Mexico, the institutions with the fewest resources serve the poorest. Thats the reality.

Fragment of a report published in the 2287 edition of the weekly Proceso, whose digital version you can purchase here

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