DR. FERNANDO LEMOS (PLANETA INTESTINO) - PODPEOPLE #165

[Music] [Music] [Music] [Music] [Music] our guest today is a coloproctologist with experience in surgery for diseases of the rectum and has been using his social networks and planet intestine channel for years to address topics related to the digestive tract during In our chat we will explore constipation in women, the importance of colonoscopy for the early detection of bowel cancer, intimate hygiene and the risk factors for colorectal cancer with you Dr Fernando Lemos [Music] [Music] Hello, everyone, be very well -welcome to another episode of pod people a place where we meet to see and hear people

People who Do People who happen People who inspire our guest today is a coloproctologist Dr Fernando Lemos everything is good my dear how are you, great pleasure we are here I'm with my wife, I'm also with the stray who is from our team and I specifically came from Rio Grande do Sul, I left surgeries there to come here because it's a great privilege to be with you, so I thank you immensely for the invitation, not us who Thank you for your participation It's an honor to have you here with us, you can be sure of

that, good evening, everything is good, my dear, good evening, everything is good, Fernando, let's go, my friend. I would like you to talk a little about your career and why you chose coloproctology like this. Perfect specialty , I graduated Bia 23 years ago, right? I did it at the Federal University of Santa Maria, then I did general surgery at Hospital Nossa Senhora da Conceição in Porto Alegre, which is the largest surgery hospital in Latin America in terms of patient volume. SUS is right together with USP uhum with Hospital de Clínicas da USP and I trained

in col pathology at Hospital São Lucas da PUC da PUC, right, coloproctologist is one of the most elitist specialties in the world because there are very few professionals is Truth is, it's one of the areas that has the fewest professionals, so what happens in most cities ends up nothing against a general surgeon, a digestive surgeon , ending up solving problems with the rectum and years, because there aren't any, I have many patients who are from Europe who come to me says I can't find a coloproctologist in Europe in Europe there are many patients from Spain

and Portugal There are but it is very rare for example in Rio Grande do Sul until a while ago there were four residency vacancies for col proctology ours there are specialties that have 200 there are 300 vacancies So, coloproctology is very unprofessional and people confuse coloproctology with gastro, coloproctology, he is the surgeon for diseases of the intestine, the rectum and the years, we deal with taboo subjects, everyday subjects, subjects that attract a lot of attention and have to draw attention and there has to be someone to talk about this and in fact my family is

a family of doctors, right, my family between my family and my wife are 12 doctors, your wife is also my wife Francine who is here with me Francine studied medicine, abandoned medicine, ahem, Francine, she is a lawyer specializing in Law, so cool, she returned to Medicine, somehow she returned to medicine, right? And in fact, we have six urologists in our family, my father is a urologist, a very well-known urologist there in the State. from Rio Grande do Sul Dr Cloves Lemos, he is 75 years old, he has been working for 50 years, he is still

native, he still works, he no longer operates in a hospital, but his office serves a huge volume of people, he does vasectomy orchiectomy, minor things in a smaller office , but he continues to work and everything my training, I was going to be a urologist, I was already starting urology, urology training and I changed in the second year of the general surgery residency, digestive surgery, I decided to change until a b for everyone, all my training was in relation to this, following all the people in the family and some things about coloproctus caught my attention

a lot of patients asked me what caught my attention T examining an examinee an an asked me gut what caught my attention you are actually an area that is very detailed like they all are But it is a The area has few professionals, that always caught my attention Look, I'll be able to help people that no one else will be able to help Uhum And coloproctology is very useful for that So, actually it was a very unusual thing and I tell you I don't regret it at all, it was the best thing, do you think

you had some intuition, something or was it by logic like that, well there's no one, I think it's a field to be explored I think it was I think it was Bia I 'm very I'm not going to use the term religious I frequent I'm evangelical right I've always handed all my decisions over to God and I clearly believe that he was the one who inspired me who guided me and said, look, go to this area, this area is going to be a very interesting area. Afterwards, there is a very interesting story about where I

went to where I am today, which is what surprises many people in Brazil and around the world because If you ask nowadays, name a coloproctologist from Brazil, only you will say who Dr Fernando, I remember, they already did this survey uhum, they did this survey and they asked you if they challenge you and they're not in São Paulo because you're in Rio de Janeiro Why don't you You're in Paris Why aren't you in Tokyo, aren't you in Milan? Even this had divine direction and in fact there I ended up creating Planet Intestine, a channel with

more than 6.3 million subscribers on YouTube Planet Intino YouTube, we've already reached all the continents, I have people who migrate from every place you can imagine in the world to operate in Rosário do Sul, we operate a lady from Nagoya in Japan, just a few months ago, okay, we're going to a city in the interior of Rio Grande do Sul that you turned into a reference in lap PR theology which is the City of Rosário do Sul Rosário do Sul where you live where I live the location of the Gaúcha campaign the place where the

best meat in the world is there in Rosário do Sul is Rosário Uruguay there is 100 km from Uruguay and how many kilometers from Porto Alegre 380 km from Porto Alegre is not that much , right? People go there a lot, 1 km away, 5 km there is Riveira, which is a duty-free shop, right next to my city, so it's a walk, my city is called Praia das Areias Brancas Because there is a beach in Rio with a very fine sand that looks like the sea, so it's a city that people go to visit a

lot there too and that's where I grew up and that's where I returned so there are a lot of mysteries involved there and we managed to achieve this notoriety, let's say visibility, in a city in the interior, which makes this challenge or this or this fact much greater, right, because you didn't go out, you didn't make the move that everyone does, ah, go study abroad You brought the reference into your c, exactly, I did it the other way around, even when I decided to return where I would go, I always say, right? In my opinion,

there are two decisions that are the most difficult decisions for a doctor when in college firstly, which specialty will you follow decides your life and secondly, where will you work and I had countless options and open paths, a whole family full of doctors, right? So there is this decision, including my father, he said it to me when I was In that decision where I'm going, he told me just don't come to a place in Rosário do Sul, okay Rosário do Sul, just think with me who is the person who loves me more than my father

doesn't have, right Uh, my father is very successful so I could say but come, everything is successful, we have some business on the state border, come here, but say, Fernando, with your specialty, coloproctology, it's a very specific thing, if it were surgery, Gine, general surgery, gynecologist, and that's it, but what's the point, Fernando, I don't think that might frustrate you here, maybe it will be too small for you, he thought that there wouldn't be any, right, he's looking for you you come to fruition, including my bosses there at the São Lucas hospital, da da puuk,

right, Dr filman, who is a whole film family, who are the heads of precip there, who are very many, my friend Dr fil is now 90 years old and they said it's a crazy what are you doing so I went against everything and everyone and having open doors which you know very well what it's like after the person ends there are no doors I had several open doors or rather wide open wide open for me look go here stay here do this here and I followed something divine and when we follow something that is really

Genuine and something true There's the answer, right? I've seen it for many years for many people, right? what happened If you want me to give you a little insight into what the return story was like Uh, it's interesting, please, I was finishing my fourth year of residency, right? It's Paulia in Porto Alegre Porto Alegre and I was with Francine and I said Francine and now Santa Maria, which is a city there in Rio Grande do Sul, right here, University, right, a city that has had that boat scandal happen, it's a university city, University, right, and

the Federal University of Santa Maria, RFSM, it's always there in the rankings of the best universities in Brazil, I said great to see [Music] and I said PR Franc Franc where are we going, I'm going to Rosário, I'm here at PUC, the president of Unimed de Santa Maria, which is one of the Unimeds references in Brazil to this day, the way of Their management called me, I can name Dr Hernano, a very good friend of ours, I followed him during my training as an academic, he called and said, oh, I need a coloproct like you

to work with me and everyone, the president of Unimed, called you, I said where to let's do the following I'm an evangelical from the Assembly of God Uhum I said let's give it to God because the best thing is that you can consult someone who knows your future and God knows our future only him only him and I took it and said let's pray we deliver where we are going I don't want to go with anyone else's decision I don't want to go with my decision I don't want to make a mistake This step we

don't tell anyone you and Franc there quietly quietly my mother Sônia Lemos my mother is an education teacher retired physicist, she has and still does, but it's smaller, there's a prayer group in our house, right, my father's house there in Rosario, it's a gigantic house, and the mother has a little corner of it. There she went with her sisters to pray, some very simple sisters, very humble, she and one day my mother said, Fernando, God woke up a child Grandson of a lady who is here and said something about your life, do you want to

hear me ? I said, I want to hear it, a 6-year-old child woke up in the night and said that the light in the room was turned on and said that she heard it with an audible voice but it wasn't a dream, no, uncle, I woke up and the light turned on in the room, an audible voice saying send Fernando Lemos coming to Rosário do Sul and it was like that and the mother when she told me this story it fell silent as we say in Rio Grande do Sul it fell silent in my heart

dis Franc is the answer I wanted is the answer we both knew we were asking we asked we asked Uhum And I called and told you I'm going to Rosário do Sul for you can't imagine what my trip to Rosário do Sul was like in relation to many doubts at a young age my father received me with greater affection so much so that we worked on the at the Family Clinic, everything there, Lemos Clinic, right ? you opened it in what year was it in 2 2013 2013 just with a cell phone iPhone uhum simple

recording without anything no one me holding it here putting it instead Francine helping me first video I recorded Do you know what it was Um unlearning What you learned about cleaning years later is to defecate that every The world is doing something wrong, we can talk about this subject, let's talk about it, okay? And then it exploded, people started seeing results, surgery started, colonoscopy started, care began, and you adapted it to your father's clinic so you could have a surgical center there. truth, no, actually we have a clinic there, a very large clinic there, but

actually there I only do my consultations and small procedures, right? Then you used the hospital, the hospital that God organized something that is every surgeon's dream, I have my anesthetist everything that is local you have to wait for the anesthetist to release from the surgery I have my anesthesia dr Sandro Ivan hitter has been working with me for many years, we have our operating room, room four, the famous room four, the operating room , which is the dream, right? all the care and at the same time you are willing to make your own schedule so

that was it, you organized everything and in fact it started to create this movement of people going to Rosário so much so that the hospitals in my city are filled because of the col proctology every week there are people from outside the country, two sisters from Italy came to consult, they spend this week there to consult, some already come to do the procedure with me, others end up consulting and return for surgery later, already people, all that place to imagine this world, Rosário Zinho of the South So you move the economy too, right? The hotels,

the restaurants, how cool, how cool, and now it's doing what I had here in Rio, I think less than 30 days ago, there was a convention called adep, which is one of the biggest relationship conventions in the world they are about businesspeople, right Uhum And I was a speaker at the event , right, and one thing that moved a lot of people, it showed the entire trajectory of the day, is that the time arrived, right, when I said, oh, and I'm still in Rosário, SL appeared like this, in Rosário do Sul, 40,000 inhabitants, right, inclusive

There was one that afterwards we had a photo session of there that said like this Doctor, your glamor is that you live in the countryside, you make everyone go there, that's what I had never thought of in that way, but I really think what I think in relation to divine direction, for sure, my grandfather Pat Ethno was one of the Pioneers of the Assembly of God of Rio Grande do Sul, my entire family on the parents' side are evangelicals, we have countless cousins ​​who are doctors, right, almost all of them are urologists, right? There's one

who's a pediatric cardiologist, there's another who got married now who's a procto, she also married my cousin who's a urologist, right? So we're very involved with this spiritual part and I tell you, I can't dissociate my professional life from your spiritual life. of my spiritual life I can't I can't understand how Sometimes people can't understand this here but I can't I'm going to pray I have my prayer ritual alone sometimes I think it's beautiful what they send me these days they sent me one Daniel Brown, one of our team who lives in Toronto, he is

a great strategist, he sent me a video on Instagram of people praying inside the ENT surgical suite before starting the procedure, oh he said, what do you think? That's what I said, look at my way, isn't that me ? While I'm washing myself to go into the operating room, there's my quiet moment of prayer with God inside, I say my prayers, I talk there, like I do every day when I start my appointments. I deliver everything I see in the morning and operate and do colonoscopy in the afternoon this is my routine and always in

the afternoon when you do the procedure, always in the afternoon when I do the procedure and always Before starting early in the morning there and these services of yours, eh, right? what you said, France, you serve people from Spain, and they are always in person, or you do the first appointment online, then that person has both on Monday, on Friday, there is telemedicine, which are online consultations, people from all over the world, to Mon Uhum, but Many want to come in person, we had a filmmaker from Thailand who came to us recently, there was a

patient who came from the United States. We have several patients who want to come so much that my city doesn't have an airport, there's all the personal logistics, they go to Santa Maria or Porto Alegre rents a car Santa Maria de Rosário do Sul is 120 km away, rents a car and goes there and does the procedures, they stay there for a few days and then some. patients here in Rio São Paulo who go there to do procedures with me and they go there for 30 Days 60 Di says one thing but I think Fernando

that there is something I think there is, I think that God always, when we are on the right path, the doors they open up a lot more, they open up like you said, now I think there's something that you welcome and talk about things that people they have taboos or shame or prejudice and somehow you put this in Dea brings a welcome a humanization a way I'm not here to judge I'm here to say that this exists and what we should do don't you also think that these people feel very welcome to talk about whatever

it is for you, I believe that, after we opened the channel and I started talking about these taboo subjects in a very calm way, in a very calm way, I really like telling people what age it is I don't even have a nose, what do people have? I say, touch your birthday , please go take a shower, touch your anus, feel it. more direct contact with the external Ahem Yes, but in the sense of being an organ like any other in that sense in that sense like any other, right And the one that I don't

really like clichés but this cliché we have to say save information It's true free information of the death uhum right And there are some topics you touched on a subject indirectly that we say that sometimes people think like that, some in quotes haters But you're talking about this subject you Are encouraging I 'm not encouraging I'm a professional expert on the subject Including I recently recorded a call on Instagram that got a lot of attention. I told about a case that happened to a 19-year-old girl last week and I said who is going to solve

this problem? Because of the misinformation that was following us, this tragedy wouldn't happen. What happened to this girl, who is going to solve it now, oh, not because of my religion, my concepts, my way of thinking, no, God doesn't want ignorance, right ? true she had an anal intercourse uhum and there was a complete laceration of her anal spinter due to doing it wrongly and incorrectly, whether I think it's right or not medicine whether I think it's right or not, people will continue to practice anal intercourse and have sex anal , exactly my objective is

to tell you the correct way to give guidance like an expert and save correcting the problem . we also address coloproctology and these days there was a patient who came from one state to consult with me, she came from a Bia state, it seems like it was 2,3,000 km away, she arrived like this Doctor, I paid for this consultation and traveled so far just to Talking about anal sex is a problem for you, sir, I only say it in the right place, I say, I told her that, then I said, it's me you have to

talk to, not for magazines, I'm from the time of Capricho magazine, you know, I even remember the little things there. Oh, no, you have to talk to someone who has the expertise to talk about this, someone who has information to talk about but she's not sure, look at what the prejudice of things really is like because you can see when we're going to start a relationship with a young woman a girl who is going to get married Finally, I'm going to start having my first sexual experiences, don't go to the gynecologist and go there and

find out everything properly, so people who practice anal sex also need or want it, they need to have understanding to just not go through this what this girl went through is actually like this, I have a thought of mine in relation to why proctology, right, let's get to that subject, proctology has always been involved in all ancient civilizations, you know that, um, we want to know, we want to know, come on, look how interesting you are You might think I'm pulling Embrace for the proctology roast, but I'm going to pull it in the same way

for you, look how interesting all the ancient civilizations that touched on medicine touched on the subject of the rectum and years years civilizations from 5000 years ago found a sculpture that They did all the reading with bono 14 and it dates back 5000 years ago to a person doing a high enema. I'm going to explain to the public that it's a high enema, so the enema is like a bottle with a little tube that goes into the anus, the anal canal and press it inside to do the famous intestinal washes we call it enema today

enema okay And in fact they saw the person bending down squeezing this enema why because always in ancient civilizations it was said that you expelled the spirits through your cleansing defecation so the act of staying, which in all countries in the world is not a tradition in Brazil, has a history like this Doctor, I don't have to take a laxative once a year to be able to cleanse myself, that's where this story came from, you know, intestinal washing another very interesting thing 1822 they found the Egyptian hieroglyphs dating back 3600 years talking about a very

famous pharaonic dynasty there and he had a pet doctor of his you know what the title of the guardian doctor of the pharaoh's years was what that that what that this what this doctor was a prista proctologist Clear guardian of the years a single man of a single man of the pharaoh other the stories of Pria that that that enchant me there is a legend of the Ibis bird the Ibis bird he has a a big beak If someone wants to research and tells the legend that the God totes he incorporated into the ibs bird

and the ibs bird, I say very naughty, dived into the Nile River and pulled water into his beak and the most famous doctor in Egypt was bathing in the Nile and he came in with his beak penetrated this doctor dropped this liquid inside and the doctor ended up defecating Freeing himself from these spirits that's when the study of enema enemas began From this legend, right? Another extremely interesting thing that involves everything proctology, there was, you know, there is the patron saint of proctology I don't know, I don't know who he is, his name is San

Fiacre, San San Fiacre, San Fiacre. He was an Englishman who ended up in the sixth century . people went there and he had a history of a gift of healing but he suffered from a problem he had hemorrhoids and couldn't get cured of hemorrhoids There was a stone that warmed up in the sun and he sat on that stone Then he says you cured him of hemorrhoids sitting on the hot stone that's why nowadays there are accent baths accent baths and to this day this stone is there and people go there and sit on the

stone to take photos so San fiacre became the patron saint of proctology another story interesting ã Napoleon Bonaparte, you've already heard about the position in which Napoleon lost the war, right, that's always wrong, it was the position Napoleon lost the position, pectoral gito for the public to understand the position on all fours, right, when sometimes they want to make a shout, look at the joke, oh This is the position that Napoleon lost the war, right, in Gu , in fact, there were some that started to study what this position could be. hemorrhoids and he had

a hemorrhoidal thrombosis on the eve of the battle of waterlow he couldn't sleep at night he couldn't ride his horse and he lost the battle to England and Prucia because of hemorrhoidal thrombosis which hurts a lot which hurts a lot another very interesting subject you know what was the most expensive surgery ever performed in the world have you heard about it, so I'll tell you , please, famous Sun King Louis I had a fistula in, for those who don't know, an anal fistula is an orifice, a little hole that is around the anus, it can

be in any position within the 360º of the anus that always leaves a pus-like secretion coming out and from time to time that fistula closes up and becomes like if it was a boil and then it bursts, it relieves it but it always stays much more common than you imagine, I have my anal fis office every day and he had an anal fis that opened closed the abed and there was no one to help, that way there was no specialist at the time to correct what they did they decided the following let's get the best

surgeon in France Dr CL let me remember his full name Dr fris and they said you will have to operate on the king but there are details if it goes wrong there is history that death, my God, he didn't even have a choice, it was just that for 10 years he was operating commoners and people from the Asylum and he created a technique to operate on the Sun King and he operated on the Sun King successfully, so much so that many Fran songs that are sung today were still later sung that the Sun King was

operated on and was cured And this doctor he, in addition to being decorated as a Knight of the Kingdom, they paid for him, they did not pay in Franco, they paid in Pounds sterling 300,000 pounds sterling, which today is equivalent to 166 million reais and is considered the most expensive surgery ever in the world, the surgery that was performed in in the King And to finish the historical part did you know that the hypocritical father of Medicine was a proctologist Jura had no specialty but I say he is a priest he wrote 60 treatises it

is even called the Hippocratic Corpus do you know how many of these 60 treatises he spoke about intestine Ret 60s % that's why I say that hipc and he said an enigmatic phrase 370 Years Before Christ he said like this without microbiota without knowing anything he said all diseases see the intestine from where he got this one and today more and more people are seeing dermatological problems problems of anxiety depression autoimmune diseases obesity related to the intestinal microbiota so that's why the history of proctology is so Florida and always full of em ISO is talking

about the rectum and for years he said this, right and the session is already full of fingers, right no eaaa extension of the intestine is an organ that we have to consider, we have to consider the size of this organ per PR skin, right ? very interesting, seven out of every 10 people in the world will have a problem in the anal region sooner or later seven out of every 10 people uhum mainly referring to us here if you want us to talk a little bit about hemorrhoids We will definitely talk about it, let's already

be here we are Here we have people here in the room, I'm sure it's an intimate subject, no one will tell you but you have friends, family, relatives, including I have patients in my office that I find extremely funny, Doctor no [__] to my husband that I have a Rida but why then am I going to operate on such a thing you can say that I am going to operate on something else but what but I will say what if I am a specialist not in straight destiny and years any of these three people will

have to operate because in fact, the real story is this We all have hemorrhoids, period, so be the first first concept of Taboo that we have we have to break down here we don't know when everyone has it, we are born already we are born with hemorrhoidal vessels everyone what we have to differentiate is hemorrhoidal disease when these vessels are causing symptoms uhum they are there they are there they are there then it starts first second third fourth degree that this here is more if I had been talking For experts, what matters to the LEGO

public is the following: hemorrhoids It can occasionally bleed bright red blood, it can be a little blood on the toilet paper, it can be blood that goes along with the feces, usually bright red, it often causes anal itching uhum Okay, people often think that anal itching is related to worms, worms, that's actually it, folks, it's a taboo myth, anal itching is related to worms in children, adults, it's only related to worms, if you have a worm infestation, anal itching, you have to think of dermatitis, ringworm and an internal disease that it produces without leaving panties

or underwear dirty, an acidic liquid that causes itching, you can't imagine how people have anal itching and it's something extremely embarrassing. I have colleagues who say I'm attending and I have a Giant itching, let's treat it, there's a way to treat it, and a lot of people go there and look, they have hemorrhoids, other people have an edema, a swelling when they defecate, other people defecate and prolab and have to push it in with their hand, very common, third-degree hemorrhoids, very, very much, I tso I sneeze, it jumps out, I have to push it in

and I have a fourth degree that is always externalized, right? And in fact, there are many things that we can do to prevent hemorrhoidal disease, which, of course, the public who is here watching us exactly What are the biggest causes , right? when it's going to give us symptoms it's going to give us symptoms but there's one detail the symptoms are seven out of every 10 like me Medicine, I'm sure there won't be, right, you had it, maybe you had it, and Ah, but it went away, it swelled up, then it deflated, let's go first,

habit, 95% of the world's population doesn't know how to clean it up years later and defecates, first step, that's already a probability of a probability. pre-disposition to have hemorrhoids, so if you do it wrong, you will have a very high chance of developing a hemorrhoidal disease. Of course, there are pathologies that can lead to an anal fissure, using the wrong toilet paper with anal exema, but as we are talking about Talking about hemorrhoids, let's talk about anal hygiene, how the mother teaches the child, how the father teaches the son, how the grandmother teaches the grandson,

we learned what we defecated, take toilet paper, rub it and look, rub it and look, and I really like play and say, look what the years have done to you that you have to be so hard to preach with so much force, that's why it has to hurt, you know, with a lot of force rub rub rub rub be more affectionate, you have to have Car the an it is a fabric that there are a lot of nerves that have a lot of vessels it was not made to be rubbed under any circumstances and not

even after you get out of the shower how do you perform anal hygiene, okay let's say the perfect thing and I always like it I'm very practical B don't say it like that, oh I know that you can't do perfect all the time, even when I talk to my patients I say that I also can't do perfect all the time, right, perfect and two other options are perfect, defecate, wash with water, neutral soap, neutral neutral neutral neutral n PH, more or less in seven , a little glycerin soap, it's a neutral soap, that's what we

give the baby a bath in, right? Afterwards, you're going to wash this soap off with water and dry it. preferably with something soft, a little something soft, a tissue, there's paper that I'll tell you about, but people ask what's the best paper, single sheet, double triple sheet, I say none, years, you don't have to use paper, it's just for cleaning the shower head, touching You can't, you can't wash, you can't, you don't have a shower, you don't have to defecate , you don't have a shower, you don't have the old ones, which unfortunately don't exist

anywhere anymore. predebon she had it in Bologna, Italy, which is considered the oldest university in the world, right? And she sent me a photo there that all the bathrooms in Italy have a bidet, a bidet, it's perfect, okay, you couldn't wash it, let's go so no one else does it wrong and I say I I'm not sad that people remember Dr Fernando Lembo sitting on the toilet, I'm not sad, pari, on the contrary, toilet paper you want to use, there's no way to wash it, you can use it, throw it away, use 20 or 30

sheets, bad luck, you'll use it up, but never again in your life Do that, here's a question, is the neutral soap in tablets or liquid, it doesn't matter, why don't we go out with soap that we've been cleaning for years, so but you can take that Zinho small neutral liquid soap and there's a tip for having it at home I'll say in the shower we can talk about it and there's the third option that women really like the wet wipe wet wipe you can use the wet wipe look for travel or in the work environment

where there's no way to wash it You can just that has a detail of the wet wipe, choose a wet wipe without al in quotes as natural as possible without odor without alcohol, right Without a lot of fragrances there, but after you used the wet Leo, take normal paper and dry it, it makes this soft touch, we already have this moisture Normally, the anus has apocrine glands that produce sweat, we sweat a lot through the anus, which is one of the major causes of mycoses and dermatitis there, so you can use it, but then it

has to dry, so choose the perfect one. is to wash with water, neutral soap and dry with small gentle touches, toilet paper, use 20 pieces just touching it or a wet tissue and then dry like this, so I'll ask another question and if we wash with neutral soap, I always choose liquid and then we dry with a hairdryer then you're touching on the topics that I talk about the most let's go let's go First of all Let's open a parenthesis here if you allow me in relation like this, please what soap do you have to

have inside your shower I'm going to explain it to you now for men and women, vagina and penis, I'm colox but I'm going to explain the gynecological and urological part as well . Tomorrow , let's go, we have to respect the PH of the local flora . Bullets on postites in men who always have redness at the tip of the penis are always looking for urologists for that, sometimes they end up looking for me because people often confuse uro with procto, right? of genial hemorrhoid Let's open this one so it's neutral neutral Because the PH

is neutral it's neutral it's a little glycerin soap so you have to have it in your box for your bath a glycerin soap you have to have a glycerin soap a little glycerin soap you have to have point, just like this, the vagina and the vulva, which is the external part of the vagina, has a very acidic PH. The PH of the vagina is 3.8 to 4.2 for those who are not very aware . It's very acidic, very acidic, vulva, 4.5 to 5.5, it's still very acidic . glycerin to clean the negative vaginal part because

they think it's beautiful Ah, soap for the negative vaginal part, the vagina has to have a liquid soap with an acidic pH to clean the vaginal part And a liquid soap with a pH to clean the penis part So at least you have to have two different types of soap in your shower you have to have at least a neutral one to clean the anal part and you have to have a soap with a liquid acidic pH to clean the vaginal part and the P part you can use the same Yes as It's acidic, it's

also difficult to find No, it's not difficult to find because most of the intimate liquid soaps released by Anvisa already have a low pH, it's already specific for that, so the only exception because everything in medicine has an exception, which is for you to use one neutral soap on the vaginal part are for girls up to puberty who do not have a well-formed microbiota, you still use it there, but to avoid a series of problems we have to take care of this one with the PH, it is perfect and for example aal is the Neutral

PH and if you don't have it, for example if you traveled, do you have it there or neutral, you don't have it, it's better not to use any. You can't. You can't wash it because of contamination . We have to have two in the box, I say, hi, these guidelines here, sometimes people are listening to a podcast, I say, it's guidance that's worth millions, it's for your life, you're going to change paradigms, you're doing your whole life wrong, we're here. breaking paradigm This is right, no people wanted to invent it, I'm not talking about guesswork

, Dr Fernando Lemos, here's what science says, it's what the facts say, right? I'm going to mention the brand name here, I know that many will already call one that is the most famous in Brazil, here folks, bactericidal soap, please, it was created, you know, for what purpose do few people know, to get rid of your Flora, which is for you to wash your hands? eventually and to pass it before somewhere where you are going to have surgery So it was for the surgical center it is not to use US so I only use this

soap for my whole body it is destroying it only in my intimate part it is poison it destroys it it is poison so no use soaps ah bacter cdos under no circumstances should I sweat, never use them unless for example I had surgery on my knee a few months ago and I was playing tennis I tore my meniscus and my knee surgeon Dr Fernando Barros my friend he gave it to me an orientation 24 hours before you wash your right knee with bactericide where you go before the surgery perfect that's what it's made for you

understand not for way to continue about care to prevent hemorrhoidal disease we talk we talk about mod toilet paper let's go second thing dfk position everything wrong dfk I don't think so I have my stool stool color like this, even me I'll mention the name I'll mention the name take my cell phone I'll show you my stool since we're intimate Franc I'm sorry about the intimacy with your husband, but I have a stool that's really charming. I'm going to tell you, you can't continue, I'm going to call here, continue. So look at this Ah, I

went to the podcast for the second time with your friend Vilela. and even Vilela always jokes with me that I broke it that I cut him off that he liked to do some things in the toilet wasting time in the toilet and he says that every time now he remembers me let's go to the toilet now that too It's something to change your life, first of all, the toilet is for you to stay in for as little time as possible and people sit around Look how cute Fernando for BS D Ana Beatriz what an example

ol ol It's true she has it look here it doesn't need to be so It's stylish like that, but if you don't have style, I won't even go with it. Congratulations on the design, and in fact the toilet is for you to use and get out of here. This story, until I became a joke, said I wrote there, it's not for updating the social network. It's not for taking a cell phone so much that it is extremely unhygienic, taking a cell phone into a bathroom is hugely contaminated, because we have a toilet with a hole

in the middle that forces the hemorrhoidal vessels downwards and also the mucosa of the rectum. I released the video on my Instagram now, which even surprised me, it got 12 million views quickly, me talking in the surgical suite about two surgeries I was going to have and one of the cases was on my cell phone and his prolabor rectum fell out while he was waiting for it. He consulted with me a year ago I said stop sitting down in the old days it was the newspaper, right, no one else L Newspaper Nowadays, cell phone here,

it's a little magazine JN little newspaper, right, or and you kept forcing it and ended up having a prolapse, so you just defecate and get out there D I have Don't worry, I hear that, don't worry, somewhere else, not on the toilet, I say, this is not a place to relax, okay, go relax in the hammock anywhere, not sitting on the toilet, right, and so, the correct position for defecating, let's go there first, never throw your body back if they knew the public knew the physiology of the sphincter muscles Internal has to relax the external

has to contract the pubus rectus muscle it has to open oaf is complex defecation defecation is very complex every time I defecate sometimes I stop myself thinking Look what's going on happening, it's opening here, relaxing there, tightening there, something complex and so on, if you keep your body thrown backwards, all this physiology and dynamics are the body and it has to be slightly thrown forward, not extremely, but it has to be thrown a little forward 30 gra 30 gra forward, this is the ideal as far as possible, even women need it more than men because

of the climacteric and post-menopause, the elevation of 12 to 15 cm as Bia showed the stool because if you do this you end up opening an angle of the straight and making it easier for the feces to go down because the rectum is only called rectum it is not straight, did you know that, it is straight here is the rectum but it is pulled by an angle that pulls the rectum forward the rectum it is like this when we we defecate this angle has to come like this so the rectum can open and when you

put your feet on top this angle opens this angle and slightly forward I raise both legs here and a little bit forward and quickly another detail for disease prevention hemorrhoidal disease so that we can be educational about this not staying if squeezing without feeling like it Oh I have to go traveling now I'm going to the toilet I need to do this now I need to do not that as well as a big flaw in women now I'm going to give it a little tug on the women here okay I deal with a lot of

problem that I say is the biggest female disease in the world, which is intestinal constipation, right? 2.2 billion people in the world are constipated, 2 billion billion, just remember, half of them are half women and 2.2 million are constipated, right? Another thing that is ear pulling in women I even have a video talking about this, don't you have your pet bathroom Ah, I don't go to the bathroom if I'm here on the pod people podcast guys, it doesn't inhibit the defecatory reflex, no White when Do you feel like doing this? Sometimes I'm having surgery, I

can already feel like staying. There's no way I can stop my surgery. Exactly that, but as far as possible, don't do that. Don't do that. Break this taboo in your head, please, I only defecate in my house I say it's the pet bathroom I say don't have a pet bathroom as much as possible because every time you lock it, you know what happens to the rectum, it increases complacency, it starts disturbing the parties inside, then you know what what will happen is the famous defecatory blockage, you will end up defecating and you will never empty

it all and then one of the main causes of constipation in women who have acquired it because of locking themselves up when they have the urge to defecate is the main cause of constipation in women, no, no, no is the main One of the factors is one of the factors ok I would say it is the second ok first intestinal inertia which is the intestine l genetic cause but pain block extremely common but what makes me sad is that the person was not supposed to be constipated she acquired it because of a bad habit, okay?

And that's it, and if you keep locking yourself in, that's not the case, oh, that's the cause of hemorrhoids, you'll leave hard stools there and when you pass a hard poop, it's going to hurt, it's definitely going to hurt, it has to have a basic consistency, something else. Interesting thing , right? You don't need to use so much radicalism here, but it's something you'll never forget. Almost no one thinks about it. When we're sitting around, talking, watching a Netflix series, marathoning Netflix, traveling by bus or by plane or by car, we're not squeezing the year.

We are always squeezing years here with our weight on top of years Yes, of course without us realizing without realizing it, but I like to say it like that Doctor, but my chair at work in my office is extremely comfortable when I hit the at most Du o'clock, give yourself a little lift just to circulate the vessels, the arterial and venous blood in your anal region and almost no one thinks about it we are always squeezing here o Sometimes people have hemorrhoidal thrombosis which is very painful, which is the swelling on the outside also caused

by this another detail Be careful if you are predisposed to squats with weight in the gym weightlifting before you start a flood of questions here so I can't do bodybuilding you can but be careful if you already have that predisposition you have already had a bleed Zinho for good There was a time when there was a little swelling on the outside, ah, pain, I had a little ball years ago that then disappeared. But I listen, right, it's the pepper's fault, even many non-specialist colleagues ask me this a lot , the truth is, no, what's the

truth? take a look here I read like this, all the foods that cause acid feces that lower the PH of the feces will cause problems with something in the anal region if you have a hemorrhoid it can get worse if you have a fissure it can get worse a cryptitis can get worse that causes fe like they did these tests these tests did it like this, interesting people, people took people's feces, saw the PH and then put a series of foods and then donated the PH of the feces, then the people in subsequent defections and

everything that lowering the PH will make the poop acidic and this acidity can pass there and hurt or inflame a predisposing problem that you are there that has a neutral PH Perfect neutral PH Pepper and peppers so it doesn't mean that it creates hemorrhoids it will make the feces acidic that if you already have it, you already have it or if you consume it in great excess, there's another detail, more than two black coffees a day, we say that up to two, it's quite tolerable, more than two goes black coffee, that coffee that we drink

in the morning is the enough for the day until two and we've already run out, today we already have alcoholic drinks of any kind, popcorn and peanuts, tolerate if consumed once a week, chocolate, those who like it, tolerate if consumed three times a week, every day, everything low PH of the fees we are talking about here popcorn also popcorn mendoim popcorn mendoim popcorn, right in fact, embedded salami sausage sausage, right, that lowers the PH a lot, another thing that is very critical are industrialized tomato extracts and sauces that have a lot of acidifiers, okay, if

you making a tomato sauce with the fruit is absolutely no problem, but this extract and ready-made seasonings, folks, there are ready-made seasonings here . anal with excess garlic onion loses its acidity after it passes through the stomach Garlic, on the contrary, increases and acidifies the fes. How will I know that I am consuming a lot of garlic which will harm my hemorrhoidal vessels if you are eating and you feel that garlic is preponderant in the food in terms of taste, it has gone beyond the limit, garlic has many benefits, so chicken with chicken, forget that

this is not the one from the bar, right ? Chicken chicken and eventually Obviously No problem at all But those people who use garlic I see nowadays are Ah, very fashionable Everything about cooking, everything, right And garlic is always very present, right And it really gives a taste in addition to giving a lot of gas it gives a lot of gas also garlic gives a lot of gas it ferments too much exactly I always say this to people and another subject, right, I get asked a lot since we are talking about hemorrhoid disease we can

talk about it anal sex causes hemorrhoids Good question, ask if you do it wrong ahem let's talk about it, okay, let's go, sexonal causes hemorrhoids is a question that I get asked a lot, I say first of all , do you already have hemorrhoids ? wrong, it does have a greater predisposition to, in addition to causing anal fissure, which is a very common thing, which is a small cut, a bruise that hurts a lot, one of the worst pains you have with kidney stones is anal fissure pain, a defected person has anal fissure pain and

ISO kidney stones are equivalent to pain, pain, pain, exhausting pain, right? Acute anal fissure is such a pain that people do everything they can to avoid defecating because of the pain, but then it ends up being worse than the nap because the poop remains hard to remove it then, sometimes you have to remove it with your finger, uh, which is the fecaloma that ends up gathering there, right, so, anal intercourse done incorrectly can inflame hemorrhoidal disease, it can inflame the fissure, it can worsen any problem in the anal region, let's go anal coitus anal sex

First of all we have to understand in a basic way for those who are laymen what we have there first we have an internal sphincter which is a circular muscle that is inside, ok and out of curiosity did you know that it is the most He is always strong in his body, more precisely, he is stronger than the heart, the heart beats. So, if you are going to have an anal relationship, Fernando has to consider that that muscle there tends to stay closed. The details come, the details come first , so it's a muscle that's

always contracted, always closed. It's only going to open when we defecate, that's the only time it opens . yes, that's what we can hold Ah, I feel like pooping I can't do it now I'm going to hold back This is the external one that we control the internal one a First of all you will want to enter the anal region with the penis or with some object remember that the door is closed and tightly closed tightly a vaginal part the door is ajar I always like to say this here That's right ajar so first of

all it is closed and the external sphincter is also closed it is not as powerful as the internal sphincter but it is there closed so it supports the his internal partner partner First of all, when I go to do a proctological exam, a curiosity, I examine my some older doctors, older prct, examine the genito-urinary patient, I don't even examine my father, he always asks me, are you going to ruin your back because a father is a father? right, I examine it by lying on the patient's side, the patient's left lateral side feels much better, okay,

he doesn't feel so embarrassed . everything at the time of the proctological examination, imagine that I'm in the office, which is Anders, I get the lubricant that I use, I don't know, I don't touch it directly, for sure Look, what has to be done You have to let me know You have to let me know You have to let the spinter know that something something is there appearing there , right, it's there, so first of all you have to be a good visitor to let me know that it's arriving at the house, about 5 seconds,

I do the massage like this, then with a slow tip of the finger in a good way. slow So the first tip for anal sexual intercourse is you have to lubricate the external part, do a little massage and slowly the pulp of the finger would be gently introduced into the anal canal just to talk about anatomy anal margin the outside part years anal canal a little further inside and Inferior rectum further up uhm perfect now the detail this yes this is this is a this is the office detail is this here like this for your

your Audience here straight is not straight that we agreed right so you have to respect the entrance of the penis in the rectum understanding that it is not straight What is the correct position to start anal intercourse does anal sex have a position ? that no one will forget the penis the tip of the active member's penis has to point to the navel of the recipient, lie on your side, look here on the left side, look here, look at mine here, I'm lying down examining the patient, the patient's year is here the person is lying

here, the person's navel is right here, so when you're lying on your side, even if you don't want it, the penis will point towards your erect penis, it will point towards your navel, just think with me now, just think with me how the vast majority of people what happened to this young woman who I told you, who was 19 years old, how it is, how most people who are going to have anal sex do it on all fours, think with me, the belly button is not down where it is that the penis is up there,

it's not in the correct position in the atomic, you understand Think She's on all fours, the navel is down there and the penis is up here, oh the navel should go into the penis like this, anatomically impossible And so that's it It happens I have a lot of laceration because of this laceration and it sticks now to the left side Fernando it's because of the port system no no no no no no no no no no no no no no no no no no no no no no no no no no no no no no

no's no no no's no no no's no no no's no no no's no no no no's no no no no's no no no no no no no no no no, no no no no no no no no no no no no no no no no no no no no no no no being no no no no no being the other thing being the other thing is it also lubricates the penis doesn't lubricate just the years it seems like a Silly nonsense, but it's not like people lubricate a lot, either just the penis or just the

years, you have to lubricate both water-based lubricants, I don't like silicones, I don't like those gelzins that smell like something because it reminds me of the PH of the years, it reminds me of the years It's extremely sensitive, water-based lubricant has several markets and the other thing we talked about is that you have to give the active person some parquet uhum it has to be slow movements, this one for quiet is a fear that we use a lot of the sun, that's not it. truth, stop being quiet, slowly, slowly, that's it, stop being quiet, I'll

give you one, stop, the back and forth can't be quick like vaginal sex, exactly, no it may have to be slow so lubrication penis the anal part lying on its side with water water- based lubricants B on the ass side on the side penis has to be pointing towards the part of the navel navel on the side you can change the position later of the introduction then you can because you've already finished you've already rectified the rectal pubus angle this rectal pubus Look what a great muscle it is look what it looks like it comes

out of the pubus that's why it's not a pubus it comes out of the pubus here in front it goes all the way around and pushes the rectum forward it's a strap it's a literal literal strap and when you do it you beat his angle that's why doing it in other positions is it's extremely Complicated when he relaxes he rectifies Oh I want to change the position for us OK Okay, so that 's something, but if you want to continue sideways, that's great, the best way to do it is better, right slowly, that's something that,

if done incorrectly, can also be harmful, I've had a lot of hemorrhoidal bleeding, a lot of bleeding already. I had large hemorrhages after anal coitus from people who make it fun, ah, little lubricant, a case like this happened that marked my life, it was a case of a girl who had a disproportion between her age and the size of her partner's penis. There was a perforation, a vaginal rectum, his penis came out of the vagina, in the vagina, my God, this is a case of being documented in conferences, I even have photos of these people,

they are horrible And not to mention that the reconstruction is very complicated, very complicated, I have a photo on my cell phone, anal, it's something for those who know how to do it is not for those who think everything is the same CL just to say that we obviously have several doctors here watching, I also have many followers who are doctors, I say so, this was an anecdotal case in quotes that we called on in the sense that it is a very rare thing to happen but it happened and it happened to a patient of

mine when I went to touch her birthday where did my finger come out with my glove ol in the vagina Imagine my God you have no idea lack of contamination complexity a complexity to correct the chance of having a colostomy for a period of time and if there were, for example, the following, let's think about this, if there were the guidelines we are giving here, it wouldn't happen, so all over the world I say like this, even I don't say if I could Open like the internet and tell everyone to stop and listen to me,

one thing I would talk about cleaning years ago but later I would also talk about the sexual coit part that many people get angry with, then the doctor is talking about stimulating a Christian, talking about how to do it. correct way and I think I think it's so Christian, on the contrary, I think that you teach how to do the right thing by avoiding illnesses and avoiding problems is an extremely Generous thing and there is and there is that thing about prejudice Going back to talking about this I remember in my time I did it

before of studying psychology, I did nursing, I didn't complete it , but I did and at Santa Casa de Misericórdia here in Rio , someone took it with a feather duster, right? He uses absurd things on his anus, he thinks the anus is a trash can. I have it because I've seen it and those soft drinks they called caçulinha, there was even that one at the Andaraí Hospital when I was on general duty, a lot of it, a seven-day candle, what is that? this is the case the case plus the case certain foods T two

very unusual cases one happened to my team at the PUC hospital it didn't happen to me there but there were two cases that marked one was my patient one was that a fluorescent lamp that he introduced burst inside, my God, what a danger to talk about, this person broke out, this person died, this person died, ok, oh, and of course now we're counting, right ? People always want to explain the reason to me because I don't want to know, I'm not there to know, so this person went to tell me and then someone ended up

listening and now it's a joke for everyone which way he went, he was changing the light bulb and he fell like hell who changes the light bulb naked doesn't exist NC, that's what you understand, example and there was also an anecdotal case there that it was a person who was a man who broke the leg of a wooden table, I don't believe it and inserted the wooden leg inside, we already had those Rodox insecticides, ah, those are big like that and you know which one is strange cup that you will find strange because it doesn't

even have a phallic type on the object so you can compare compare that it's very annoying to take out I've had it in several cases ping-pong ball ping-pong ball pingpong doesn't even have it so annoying to take out because then I can't fit my finger in to be able to remove it, so I have to put a suction cup or get a pair of tweezers that we call Duval to be able to pull it out. I've had a number of girls with ping-pong balls, there are some who are doing exercise who learned how to do

exercises on the internet from there eee but like this It happens a lot and it's serious and people start pushing and forget that the rectum is not straight and sometimes by pushing you can have perforation of the rectum due to the way of introduction they introduce a pen they introduce a That day there was a cigar protector that was placed inside that got mixed up with the parties and the person spent three days trying to take it off and when he got there everything was impacted, defenses there he said to me like this, this person

just came from another state because Because of that, for me, I didn't want to come in her condition, I said so, I just wanted to say one thing to the Lord, if you just don't take this away from me here in the office, I'll die but I won't go to the hospital and I said what's my chance? I said my chance to take it away. It's small because you've been moving it for three days, it's already impacted upwards, okay, and many times we have to open the belly to push it from top to bottom to

get it down because it's gone in a lot, yes, because there's that sigmoid curve, if things go there, you can have one has to be opened but I tell you this, the vast majority of cases I can remove through the transanal rectum, okay. And in this case, by the grace of God, I managed to remove it during the consultation at the office, I had a rectoscopy, which is an exam that we examine in the office. And I managed to fish it and I took it out, it took me an hour and a little bit, taking

a lot of delicacy and we managed to remove it, so be careful with objects that are introduced into the anal region. which is not a place to not be delicate, you know, any part of the body we have to treat with great respect, with great delicacy, the anal and rectal region is also and I was saying that, oh, about these aspects of the prct, we are touching some subjects that are not taboo but are little talked about another subject that is very little talked about and I came across so many curious cases that this too

will change the thinking of many people here in relation to worms uhum right If I stop and asking the population took medicine for worms this year, most of them nothing, I just give it to children, what I hear is as if the worms, after we become adults, forget about us only as children, like, some concepts here, Bia, about this subject here, this here It's learning for life, it's for life, right? It's estimated that at one point 5 billion people in the world are infected by lumbricoides ascaris, which is the famous lumbriga, yes, that white guy,

there are many people with abdominal pain, tired, mild anemia, abdominal pain, vitamin deficiency due to worms. due to worms This is a story that I deal with a lot, even in a good way, I argue a lot in a good way with colleagues, explaining the following, I like them to ask me, when was the last ephesus exam that you asked for epf exam for asoló in three samples which is what we teach in college as a coloproctom I say I think it's been 20 years or so since I haven't asked why I don't ask because

it has to be treated Regardless of whether it's positive or negative here comes a science Zinha da something here, remember with us we said that we have 9 to 15 M destination degado more than 230 in bulk and if you didn't get the right sample that's my recommendation to the world once a year We all have to deworm ourselves who deals with rural areas or If you have pets at home, you need them twice a year and anyone who eats Japanese food at least twice a year is okay. And so it's something that can cause

such serious problems. because worms can enter the lungs, yes, yes, they can enter the bile ducts, a jaundiced, yellowish person, a problem I think, a worm gall problem, that's not so uncommon, we had, for example, a case that happened in my city a few months ago now. patient was dying in the ICU, we were cachectic and the intensivist spoke to me and I said she is not in a position to have a colonoscopy because she has all the preparation for a colonoscopy but in short, we ended up taking her without much preparation and it was

a worm infestation, ass infestation, so much so that I recorded the video and I put it online and for people to imagine what it's like oh in 10 minutes I don't even have Tiktok one person got 5 million views Tiktok less than 10 minutes this video of mine is on my channel summary of the work we came we showed that there and the person survived we gave the ideal treatment he survived I had another extremely case I have some rare cases to tell one of them is one my father called me at the office my

father has an ultrasound at the clinic and he did an ultrasound he called me I said, look at this bladder, what was in there, an ascaris, a dead calcified lumbriga inside, so we went to investigate the man had sex with his partner without a condom and she had a worm infestation, then I investigated and it entered through the oreta, how long has it been there to calcify only by cystoscopy to remove it I had another extremely case that some will find sad here others will find Maybe a little disgusting but let's tell you because it's

medicine of course a patient of mine went defecation and noticed that a worm came out in quotation marks for her years Then I got desperate and called him and he went to help pull 4 m it was a Saginata tapeworm the solid tapeworm it gives up to 3 but saginata can give up to 8 m a saginata tapeworm then I went to find out that they ate meat it wasn't it it wasn't it was undercooked meat raw raw meat and I've also had a case of the boyfriend kissing each other that the girl even joked

about. Romanticism is over, right ? raw, right? And another thing, Japanese foods are very fashionable, right? My Alert asks me a lot about this since 2018, it has increased 283 times, a specific type of sushi worm contamination salmonella is not a very complicated name for AIDS diasis Do you think that I think that days and actually the problem is that you know where you are eating, another great tip is the chopsticks, that's the rxi, right Uhum, rxi, what would it be right to do to ask for a gafo, a knife and you cut it because

you see this whole xuxi worm? it's 3 cm you can see it's visible it's visible, right? If it had been frozen at -20º for at least 24 hours, it cancels out this Veres or during or just 15 minutes at 35º that has to have a specific um but the tip I give is the following If you eat Japanese food twice a year, you need deworming because that way we know the scheme, which is generally a certain medicine, you know, 500 mg that you do three times in a row, it takes everything or you have to

make combinations because the doctors don't either. They indicate how to do it, they don't know, we can say it here , clearly, doctors don't know, due to disorientation, what to do and what to give, you understand, come on, Ivermectin, everyone used it during the Covid period, some of them liked it, they didn't like it, it's good for the worm, they ask me this a lot, a lot of my colleagues ask me Send a message I can use this here guys to do a complete treatment PR part of worms I don't like mectin very much I

don't like it very much, okay I'll tell you what I like, you ask me this a lot and the question is what I but I have which probiotic to use and which remedy you use a good quality Albendazole of 400 mg uhum for 5 days ok it kills cysts eggs dear you know why not one a day one a day one a day but there is a little detail like that oh I I already spoke to one of the laboratory directors, there is an Albendazole that is the original, right? I'm not going to say the

name of the brand here, yes, but I know what it is and there is something written on the box that I told the owner, let's take it out here, he says So, the single dose that goes through the mind of the general practitioner pharmacist, a single dose that is a single dose, a resolution It's a single dose per day, I said this, look, it's a So you take a subdose, the person thinks it's treating them and they end up selecting even more, okay, he explained to me clearly that there was no way to do it,

they would lose the patent at Anvisa, it would cost a few million dollars to be able to open the patent on this medicine, I said, but this is a Look, this is a disservice because col pro has very little, so C days just to understand when a person has this infection powder sushi sashimi It is very common for us to see people like this who have abdominal pain because the contamination causes abdominal pain a few hours later, nausea, vomiting in some people, generally within 2 days, these worms are eliminated, our own organism eliminates them, but

there are cases and they are not few cases of intestinal perforation because of this perfect sushi worm So it has to be dewormed twice a year and when it is detected that this worm is present Look how crazy you have to do on the day I said that Albendazole you use for 5 days 400 mamas, do you know what this is like? You use 80,000 MG per day for up to 21 days, three weeks, when you detect it, you detect the disease and it is serious, you detect the disease in the sushic part, the person

arrives with a lot of D because it is an abdominal pain, almost as if it were us we call abdominal surgeons Acute faada not that stabbing thing, right then you have to treat it for a longer period of time but like this, the treatment of worms is something extremely so anal scratching is generally not worms but I take advantage of it in I say masão is taking advantage of it I give it to everyone I give it to all my patients every few months At least I take it twice a year, you always understand Oh,

I'm because people like to say that to me, I hear it a lot, Doctor, I'm very hygienic, I say Yeah, don't put the hand on nowhere Does the restaurant Do the restaurant you eat at is washed with such filtered water the food that is made and the taler that you eat what autoclave they use Is that it and there are a series of things do not exist this story about I'm hygienic to the point of not having it, we have it and that's something that can also save many people from inconvenience, knowing that adults have

to treat worms twice a year, almost and depending on If you're someone who has a pet and likes Japanese food frequently You have to do this at least every three months TR is it if you do it twice a year ok, I'm already that comes to my mind I can't help but say it and otherwise I feel guilty about it I would like to talk to you about a subject that is also an intimate subject uhum and take advantage of your audience and the audience in relation to clothes intimate uhum okay I, as a woman,

I was going to comment on this in the disease part, but let's comment like this, oh, years, it produces sweat, we said this, ours in the inginal region, groin, your very, very right, the vaginal part with the fluids, your, my, my life advice that I would like everyone to change from the moment they are listening to this so they never change again, come home at the time you arrive, let's say 6:30 pm, 7 pm, the vast majority of people arrived at this time uhum, don't wear panties and underwear anymore until next time day, please let

it air out Ah Doctor, but I'm going to sleep naked, you need to sleep in pajamas and a nightgown, you want to sleep naked, but I don't cover it up with underwear . with impotence that few doctors talk about and my father criticizes me a lot about this, I have always been taught since I remember being a child, my father says this to me, my brother, I only have one brother and he says, let's not sleep in Cuquinha, we arrived from school and we're going to take off our underwear so it was a habit that

I got into a habit and I created a habit and I started to give a lot about it and so on guys, First of all, there's one thing that's common in the office and easy It's anal ringworm, dermatitis, it's humid, it's stuffy, what the fungus likes is a stuffy place, a humid place, so preferably, if you can, don't wear it in your daily life, very tight underwear, preferably cotton, that's it, almost everyone even explains it, but what not What they explain is that you have to remove this when it's evening, at least to keep it

for at least 12 hours without anything getting in the way and another important thing for the men who are here watching or some Mother sends it to her son, boxer briefs are not fashionable, they are tight, right, tight. on the thigh , it tightens here, right? Think about something with me, the testicle, the scrotum has to be at a temperature of 34.5 G, think with me, 34.5 What is the body temperature? the term Chulo that they say in R Grande do Sul with the bag in the summer that happens doesn't fall because the bag, I

don't know how to say the bag falls in the summer that falls, right, Bru falls in the summer, Bru falls, falls, can't handle it and what happens in the winter collects collects because we have a very strong muscle called the cremaster and this muscle is what makes this rise, you know, so here look at the divine wisdom so that you can always leave it at 34.5 G, which is the best functioning of the testicles and if you wear boxers during the day like everything that men are using, you're stifling them, you're damaging sperm production for

men who can't get pregnant and the second thing is that it reduces testosterone production, sexual impotence and a young, beautiful, beautiful person who's going to blow it and with that more traditional, traditional underwear Ah, but People really like to say masor but PR I'll never be able to use it, of course you can use it but don't use it in your everyday life, ok, go out to dinner, do this here, have a night with your husband, what a boyfriend, I know. Whoever it is, do what you want, but in your day to day life, the

basics of the morning are all my father's male patients, my father is radical with this, they use samba songs that no one really likes, Boni, but I don't think so with pets, I think men do men don't want Bia men don't want you say you don't want to look bad in your jeans you really have to be comfortable with them that's it here my father fights with it thank you get there to consult with him with other underwear he does o ih but like this, I say without extremism women and men don't cover the anal

region the anal vaginal region vaginal D vaginitis causes discharge and ringworm so be careful with that And the afternoon has come, remove it and the other tip that I can't forget about the anal region freedom freedom and after you took your last shower uhum dry your anus with a towel you know we learned that it's not like that slowly and and obligatorily guys, from today onwards, put a hairdryer at room temperature in your routine, you can't dry it properly do a dry test then you who are afraid of your anus took a shower, it's clean,

put your finger in your anus, you'll see that it's still wet but look Bru, Bru goes to the same gym as me, I use the hair dryer bathroom, you don't use it for the hair on top, you'll use it No, but you use it for the hair on the bottom, so now, enjoy it, it dries, obviously, men, the panna part, women, the vaginal part, you don't need to put that horrible jet of strong hot wind there so it doesn't dry out, okay? because it's just that guys we launched something I think it was yesterday and

yesterday we released guidance on this too and a lot but it will dry out if you don't use room temperature it's not hot but you have to have it men like to say oh I'm single Yes , buy yourself a hairdryer, but it's the minimum, right ? part penen part vaginal part and the anal part is more than obligatory people dry it wrong years they dry it badly and go to sleep with it damp humid right it's even more so with air conditioning it's very prone to ringworm very very much can you tell a case

like that oh one In case I, who marked me My Life in relation to mycosis, know that mycosis is one of the most boring things to deal with because it comes back because who is going to miss all the people I said come back then People get there and say, look, I'm going I really like to tell my patients that they come from far away, I say, I'm going to give you a Ferrari, but you have to know how to drive a Ferrari. There's no point in having a Ferrari, which is cutting-edge treatment, and you

don't have a driving license, okay I say this is it. I had a patient of mine, he was from a city called Uruguaiana, 300 km from my city, and he arrived with me, angry, and literally left me a cupcake like that with recipes, and doctor, I have a daughter who lives in São Paulo, another I live in Curitiba I've been to 16 doctors and no one cures me of this Funga I can't take it anymore because it's a disorder it's an itch it's a thing You have no idea what anal itching is What is anal

mycosis discomfort that is that humidity which is there, summary of the work, he is my patient to this day, he tells everyone how he was, how he healed and I said this to him, I almost mentioned his name here, I said this, you don't think that I I'm going to give you another recipe for you to put in this cupcake and say that Dr Fernando Lemos L gave me a medicine that didn't help either, right, what did I do with it ? He's going to lift his legs up, he's going to be naked, he's going

to turn on the hairdryer at room temperature, even he was a widower, he hadn't bought a hairdryer, you're going to be without underwear all day at most, samba song and 12 years of his suffering was resolved with a simper dryer and hair hair and boxer shorts and the absence of it I think a famous gri should propose an idea, you know, I hadn't even thought of So that's it, just with that, look how interesting it is to just do style people if you do styles If you make it a little looser, you know, it doesn't

have to be that big, it doesn't need to be business, it's not a fashion designer, it makes something beautiful, it buys the underwear a little bit looser, right, it's possible to make a beautiful song And not to mention, right? everyone thinks they are extremely virile and handsome, tight underwear can cause premature sexual impotence because it will stifle and the testicles that produce testosterone will not be able to work properly, neither the sperm nor the testosterone . It's simple to solve, simple to solve, let's go, we're talking about probiotics, what really works because I've seen people

take probiotics and, on the contrary, they have excess gas, how does this thing work, you know, giving good fiber D good bacteria how does this work Fernando This is a science, right ? touching on a subject, ah, fundamental, touching on a subject that they are now relating dysbiosis with multiple sclerosis with mothers who have dysbiosis problems with children giving birth to autistic children, they are even relating psychiatric problems, dermatological problems, depression, anxiety, why then comes the hypocrites phrase, right, all diseases? they come from the intestine, right? Why is the name of my channel called planet

intestine? You know, I was taking a shower one day before creating the channel and I saw myself in my head like this, the largest planet of living microorganisms lives inside me, so I'm a planet. so that's when the name came up, it was thought of this way Planet intestine In fact, we have 10 trillion microorganisms that live inside you permanently and are permanent, including bacteria, which is mainly bacteria, fungi and viruses, 10 trillion, which is almost the same number of cells that we have that passes through our mouths for years during the day 100 trillion

10 trillion is living there but during the day because of food and saliva we are swallowing 10 trillion then people started to think like that as soon as they started studying 100 trillion 10 trillion are always there, think with me, it's not possible for us to have this bunch of micro organisms in there and just to form feces and eliminate it, it's not possible, then the studies began, serious studies, Harvard universities and a very well-known university in Ireland, cork they started doing the following Look what they did as soon as the serious things started they

started replacing probiotics for what weeks and then donated cortisol um cortisol pass being a very easy language for people to understand it causes irritation anxiety is outside its normal levels Ok and another research did the same thing and increased GABA Gamma aminobutyric acid which is what to use natural stimulus and what Rep probiotic increased GABA and decreased cortisol Cortisol then it started but what relationship does this have here? Then you discovered that I see Sometimes people talk in a way like that, ah, like a parrot, one passed it to the other, they have no idea

what they're talking about, it was discovered that 88 to 91% of serotonin is produced by the neuronal network in the intestine This is a total paradigm shift, right, as a psychiatrist, this changes everything , so just a little bit, I thought everything was in the brain, now I saw that this almost 20 m neuronal network that we have there is what is producing more serotonin, which is where it started. to be studied in relation to these these phyla of these bacteria, right there are the firmicutes bacteroidetes then they started to study the following, just a

little bit the obese he has the right thing is to have firmicutes are the GR positive bacteria and bacor Gran negative bacteria, right it has to be the proportion generally two to one two of firmicutes to one for bacterio Odete and start to see that obese people are five of fic bread bacterio Odete will be the flora of the obese person is different from the flora of the person who is thin so there is no way to lose weight permanently if not organizing your intestinal microbiota, I've even made videos saying that if you want to

lose weight, take care of your intestine, okay? And then we started several things and then came to the conclusion just a little bit 70% of lymphocytes, macrophages and leukocytes are produced in the intestine So our defense is in the intestine 70 % 70% also now interesting that serotonin is produced but it is not this serotonin that reaches the brain it signals it signals and it goes up through the parasympathetic to increase production there this is very interesting because there are people who say like that, wait, but in the middle from the intestine, this serotonin doesn't

rise, it doesn't rise, but it is in relation to synergy, right synergy, good And then we began to see that this dysbiosis It could generate a series of Out obesity was already there obesity was there, then it started, stress was already there immunological changes were already there, look, just now they started to relate it, you know, with hypertension and diabetes and it's not that simple just replacing probiotics, it's certainly not as simple as it seems, right? People really like to talk about a detail like that, oh, oh oxidative stress, for example, I'm not radical With

food, you'll never tell me like that, you only have to eat this ISS No, I'm not because I think like that, acute inflammation is something good, right, if it hurt, acute inflammation I operated on a patient, acute inflammation, ingested something bad Acute inflammation gets there, the tissues produce release cytokines that go there and resolve the problem, regenerate, but if you continually inflame chronic inflammation, then you will produce a lot of free radicals and there won't be as much antioxidants to be able to block this Free Radical. - if these are oxidative, which is what generates

obesity, hypertension, diabetes, this here and in fact, foods, they are inflammatory, just think with me like this, why am I not Radical for a reason, if you eat from time to time, you will generate inflammation acute yes no chronic no chronic Oh you can never eat that, I respect my colleagues and personal friends who are just like that but if you spend every day consuming inflammatory food you will have this inflammatory cascade always activated and always producing And then it will end up giving tissue damage that we call oxidative stress which is what generates obesity

diabetes skin pathologies I did a live just now with a colleague who is a skin expert talking about psoriasis acne everything related to the intestine skin axis right Because of the leaky intestine, right? So, actually, how do I treat dysbiosis How do I treat dysbiosis in several ways? First, reduce inflammatory foods, which really are inflammatory foods, come on, sugar in large quantities, I'll tell you here, I love chocolate, I've never told you I love this here, I have to confess, but I eat it sporadically so as not to cause my daily chronic inflammation, think about

it. From today onwards, there is a lot of sugar, gluten, farinaces, you can consume daily, there's another detail here, ok Be careful with trans fat, it really is inflammatory, most ice creams have a lot of trans fat, biscuits, stuffed biscuits, snacks that parents are giving to their children, and children have been becoming inflamed since adolescence, instant noodles, sausages, personal care, turkey breast, I've seen people talking like it's a very healthy thing, right? I'm not saying you can't consume it, I've already said that I'm not radical, but turkey breast, it's embedded, it's embedded, it's like mortadella,

like salami, like this one, right? so first thing it reduces inflammatory food second detail it replaces omega-3 omega-3 it acts directly on our immunity and immunity nowadays you have to remember the intestine so along with the inflammatory cells of the intestine there are cells that are very unknown but So this omega-3 for the intestine is more eh dha or more ah Hey, I'll explain to you Ah, there is a cell in the intestine that is very little known by most colleagues who don't deal with the area, it's called th17 th17 is a cell anti-inflammatory uhum

we have to if you have your microbiota Healthy this cell It's high it's high it's high Uhum And there's a phylum nor HDL it has to be high th17 it has to be high like for example talk about Ah these probiotics everyone I've heard of lactobacilli bifido bacterium But there's a phylum that few people talk about, it's called aerm musin fila aerm musin fila it controls the permeability of the intestine When our intestinal flora is healthy it has to maintain between 3 and 5% of everything which is in our intestine and when we are sick

it remains less than 1%, so much so that studies began on those who have psoriasis who have problems with the phylum, who have problems with acne with rosacea with demma, it has to do with this phylum, right? it is low, it increases intestinal permeability, then toxic substances enter the bloodstream, like cresol, ah, phenol, and this ends up destroying even the skin, yes, the barrier to sitting, the person has B hydration, creatine, premature aging, so with the enzyme, sorry, omega-3, what is it like? I replace it, I replace it like this, minimum dose 10000 1200 per

day, adding DH with Epa, preferably high Epa because nowadays you can already tell, right? If it's DH, even talk a little about science when DH is higher than you focus, but it's cerebral, it's cognitive, right, high Epa is more anti-inflammatory, but the heart part, more vascular part, right, but PR of your intestine, if you can have a little more depth, Oh, but my omega-3 isn't so good, it's ok. you using a trusted brand Ok Even if it's not that much higher proportion, something else I use and really like would be another podcast for us to

talk about supplements Glutamine Glutamine is wonderful, Glutamine is a non-essential amino acid, sometimes people don't understand what what does it mean to say non-essential non- essential is when our body produces people essential Do you think it's not important it's a non-essential medical terminology the body produces but we can't produce In the quantity color which are supplements are medicines is not what your body can no longer produce it and we can replace it just with food and Glutamine has several benefits but the main one it closes this intestinal permeability these Lick Gut it closes and does

not let these toxins these bacteria enter so here it is like if it were a cement of these cells of the small intestine enterocytes Glutamine another detail to prevent dysbiosis studies suggest that running three times a week for 32 minutes Look how crazy 32 minutes right And you know I'm very eh always the people in my family always play a lot with me because I'm busy with my schedule, you know, I wake up at 6:44, I've always been like this my whole life and I liked the 32 minutes because the study took 32 minutes three

times a week or at least five times a week 30-minute walk for my patients, daily walks for 30 minutes are a rule for those who cannot do another type of physical activity, then I do weight training but you have to have your aerobic activity because this here helps part of your intestine, you have dysbiosis, that's another detail I I do replace probiotics because I'm being emphatic like this because I already I saw some colleagues saying like this, this is something a discussion about the specialty Oh, if you just take care of your diet and your

habits, it's not necessary, actually, it's not like that, I have a video where I say this, because I use probiotics daily, I I've been using probiotics for 12 years, my life changed after organizing this here, but what's the problem with probiotics, everyone's messing with it, I see some recipes like this, you know what people think is beautiful, I'll show you some recipes. that I receive there from everything that is everywhere in this world acidophilic lactobacilli I'm going to put 2 billion I'm giving an example of a doctor doing it or a nutritionist or 2 billion

oh I'm going to put Helvetic lactobacilli 1 billion or rinos 4 billion I'm going to put the bacterium lactes steak more than Doctor gave 20 billion people, there are many people who inactivate themselves And then it's throwing money away throwing money away it's a science prescribing probiotics is something I'm going to give you a tip now that my is What tip from inside the office am I I don't prescribe manipulated probiotics uhum my little secret runs the skin cons I'm just telling you inside I'm telling you here for the first time I'm saying this here

I've never said it in public why first and I'm not I don't defend the Pharmaceutical Industry on the contrary, well I have many My question is the pharmaceutical industry with some things, right? You're in favor of the patient, I always say this, it's difficult for you to know what form it was, remember that probiotic we're talking about, let's call it bacteria because 90% of bacteria are live bacteria that you're ingesting. In fact, how was it taken to the compounding pharmacy, how is AC seasoned, how do you make this mixture And these large multinationals can make

a mixture of probiotics that are much better stabilized than the pharmacy, in relation to to pressure to humidity and there, for example, I say guys, I'm using lactobacilli rinos, but I say, but what type is hn001, but there is this, this is the science of the thing, so there are good, very specific probiotics and I do replace them in my patients and obviously, the use of prebiotics, which is the prebiotic, it's the fiber, for example, it's a salad, right, it's a vegetable, the probiotic is the exact bacteria and it doesn't cause dysbiosis, which is the

inverted one, right, so it's also suitable, but I like to replace it there. all this treatment, also include probiotics in the mix, that's the way I approach people who have TBI, all of that, the fibers and the PR probiotic omega-3 omega-3 Glutamine physical activity and there are good industry probiotics there are great ones there are great ones and something else which I'll tell you right away because I have a very large audience that lives in the United States and Canada, they love to send me photos of them. Probiotics have 100 billion 30 in Brazil, the

maximum can be 25 billion, it's just arrived on the market about three 4 months ago. maximum take 20 billion now there's one of 25 billion you don't need that much guys you don't need that much right It's not always more that's more , sometimes more is less, right? to be able to do so, yes, in Brazil we have good probiotics with well-studied strains, so much so that I, it's not so easy for a Pharmaceutical Industry to do so much that these are so much that these supplement industries, which are increasingly growing, right, they don't they

can make probiotics, there was even a company with these supplements that got in touch with me and wanted to know, so I could tell them which probiotics are the best so we can make them and I said, you can tell me, you won't be able to do it, so he sent me a message. Look, it's really locked into this here, it's not allowed by Anvisa because if you don't have the conditions, you're dealing with live, living microorganisms. Exactly, they can get lost. So, if you get lost, now for us, I would like a little bit

of these Supernatural experiences in medicine because I think until you were very inspired in choosing your profession, as happened with the boy. The boy who said this had that vision, he has to go to Rosario, right now, what other experiences because I really believe in this, I had some too in CTI things Do you know that I had an experience that a television network went there in Rosário do Sul uhum and came to São Paulo I say no I don't have no agenda for they went there Rosário do Sul and released my report on a

television program on Sunday night uhum and I recently told Vlad who is with us and a filmmaker got in touch with a friend who, if possible, wants to make a film about this in relation to this tell you I have some relations ISS Ah one of them It was an experience like this that was very memorable, first of all ã Anyone who really knows me, my day-to-day friends, doesn't even need to be as close as my wife, my mother, my father, my brother knows that I change my opinion, but it's not so easy uhum it's

obviously you argue with me and you teach me good things I'm going to change my opinion right now, but I'm not very easy to change my opinion I'm not fooled that easily Man I'm not I'm not that stupid for attending the Assembly of God If you knew me, I'm a pain in the ass to convince myself, okay, I always say that I'm not earning anything to say, I couldn't say that because with experience it was for me, but I know that I've already touched several people from all over the world, and we have reports that

are emotional, including people who were about to commit suicide uhum they sent reports we have recorded reports from people this happened here the following I was in the general surgery residency, digestive surgery, I was a resident who had already graduated two years ago, right, and I had done a DPT surgery for those who are surgeons don't know that it's pancreaticoduodenectomy for pancreatic cancer, it's the biggest surgery in digestive surgery, it's DPT and I had operated on pancreatic cancer, a patient, right, resident, right, excited that everything was beautiful and I arrived and told family the day

before I said this about what happened I said Tomorrow he will be discharged fado that night I was on duty at the hospital sleeping in the hospital I was at the time of the beep yes beep I had it I had that you had to Call Central right it was the beep I didn't have a cell phone, then the tetr came, the beep was the first, that was the beep, I was on the beeper, it was the beeper and the beeper was going to the room with four other residents, me and four other residents, and

the beeper had one when a normal number rang. it was a number for some station on the floor, it was calling us that I was taking care of surgical patients and there was a beep that was a cardiac arrest to know that I had to go faster there I was, it always has to be at this time, right 3 TR and In the early hours of the morning, the beeper was changed and everyone was woken up there, but I looked and it was for me, so I ran away, all I saw was Foe, it was

in room 109, and there was something in this hospital where I did residency, so whoever arrived first was the one who got in, yes, and was in charge. stop and try the resident, you wanted to arrive first because either the team was going to go to the Clinic team and the surgery team, which was mine, right, but on this way down the stairs I didn't take the elevator, I kept remembering when 109 109 who is alone? It could be my patient there were five there because it was in Sus's room I went down it just

couldn't be him but I was thinking but the beeper rang for you, right, no, but no, but I attended to everyone on any man, everyone on the floor was me there it is and I went down, no, it wasn't specific and I ran down when I entered the room Who is standing there your patient my patient in that room in that bed in the corner there by the window there I tell you that I was like that Oh, it was trying It was a learning process that I had to take care of delicate surgeries so

as not to promise anything, it was a learning process from a young surgeon Exactly and it was him and I was the first to arrive along with the nurses on the floor there so I took a tube and it started to stop let's go guys drainine tropine the Clinic team arrived and that room full of people there and generally the convention is 30 minutes of resuscitation, right ? he didn't come back At any point he didn't come back at all, nothing or ah he didn't come back, he never came back and it was just that

I made a request Guys, let's go another 15 minutes and then everyone called him Lemos, right? They want to leave, leave, but I'm going to stay here, but the people ended up staying and I'm going for another 15 minutes, 15 minutes hit, the nurse clocked it, Doctor, 45 minutes, it's over then, okay, it's over guys When the 45 minutes happened, that man who was there started to twitch and As a surgeon, a surgeon is extremely rational, much more than any Clinician Uhum, I thought to myself my colonias which are the involuntary movements that can happen

right after death But this is happening right after death 45 minutes ago, there are even these involuntary movements for the person who is watching like that, no, it's just a few minutes two three 4 C minutes I even saw a report of 5 minutes it started to twist in that place there And to make the situation worse, it's not that the light in the room dimmed a phase for me It fell, right, it fell, summary, everyone left the room, left everyone in the room was rushing around the room, the patients left the room with serum

and my patient and I were left there Remembering that at that moment in my life I was a little far from God, young surgeon Silly partner, just working there, just thinking, you understand, I was raised in a thing and in those moments I never left the church but in those moments I knew within myself that it was the moment that I was further away from God, I was aware of that and I stayed and that man continued doing that but he had a look of extreme fear, a face that I can't describe to you, a

face like that, it's scary, I'm going to a place where I don't want to go and then at that moment, several figures came through the window of the room, as if they were dark people, like, uh, like like like like a R a clothes a black robe and entered the man's chest and when he entered he made another face of pain something something like this stage stage like this but like this a face clearly saying telling me to me oh it's not cool where I'm going isn't cool then they went in and left Dev goes

back that way then the man did it and left at that moment something came to my mind saying to me very clearly the life after death that you always believed in is real and don't play with God and the things of God that was a Marco in M ​​I understood like him where he was going wasn't really cool and you can't do anything absolutely nothing you understand and on the contrary you tried to delay the whole time that situation and no one told me that I experienced it people were out there who were there many

people ran out after what happened there people witnessed the power outage because it was a man doing it that was terrifying there the power went out Everyone everyone ran out scene from a horror film you can put it there you weren't afraid Fernando at that moment I was a little scared but at the same time it fascinated you to a point it wasn't actually like that I always knew what I believed in I knew that man was born to be eternal, indisputably, I say whatever, I say, I don't know how it is that someone doesn't

believe in life after death, a person who deals a lot with death, you see when a person dies there it's over, that's all Where is the soul, the spirit of ex person exactly go there and see a person there where is the doll that is there is it the doll please who has witnessed people leaving in the hospital The surgeon has already left you saw it like this ok it's here and in fact this was something that was So, it's something touching, I summarized it here because there are a lot of details about it, but

then, throughout my journey as a proctologist, I operated on a patient a few years ago in a city called Bagé, in Rio Grande do Sul, yes, Bajé Bajé and she Diana had surgery there, from Bigo down, right? It was covered up here, she imagines it as if the surgery were just like that so you can understand Ah, you are facing me with your legs up and I am operating on you here in the middle of your leg. are you And you are looking here at me right here o here ok And there was that one

we put the curtain on which is a hello surgeon alok good I saw the patient and the patient came for the first review a rectal surgery and she said for me Huh, I felt something uncomfortable about her, she didn't tell me anything, but I felt like this, this woman, what happened, did this woman see something? but I felt like she wanted to tell me something and she didn't tell me, I don't know if she was having something to do with surgery, she was unhappy with something when she came on Monday, she was the same way,

wanting to hit the GP on the back, something out like that, I I said, what's going on, what do you have to tell me, I said, well, this Doctor, I have something to tell you, say, first thing, I want to say something to you, I'm a total atheist, okay, doctor, she didn't even know who I was. on the spirituality side, everything I'm an atheist but I have to tell you something I said tell him he said you knew that all the time you were operating you saw that you were talking to the anesthetist you said

Of course it was just a Bigo to below we didn't do any sedation I knew that on her right side all the time there was a being with the face of Jesus Christ standing with his hand looking like this looking at everything L looking at her She was surprised when I said this I told her but this is mine friend who I invite to be with me always , but you had the privilege of seeing what I didn't see but I know he is there and in fact this here is a testimony not for me

because I'm sure blessed are those who didn't see and believed It's for you to understand that it's all real, this Doctor Senor saw that I spoke to Nea twice, I said, I saw because I was sure I was sedated and I closed my eyes, he was there and the whole time this being was standing there looking with his head at So, I always invite him to another case that was remarkable, which even involved a secretary from the office there, I always ask for something that I learned. I always ask like this in my prayers, I

say, God, place your angels around my clinic, place angels in front of the Clinic. protecting the clinic and people who will enter there with bad intentions or in pain who enter my clinic already relieved is my prayer and then a lady arrived, passed by the front of Clínica Lemos and went to a corner where there is a veterinarian, she returned and entered and He spoke to one of my secretaries, by chance, she doesn't work with me anymore, I told her you might think I'm crazy, but you only argued with Fernando, who has a very big

angel in this corner where he comes in here, and he's holding it like a sword, just like if I had been protecting the clinic and the secretary came in there Doctor I have to say something here come here there is a girl there who came to say she asked him to say it here I even know the lady who has I ask for a problem that I think there would be others to tell you, but like that, our mind is so limited that we like to make decisions, saying it doesn't exist is nonsense about things

we don't know and what we don't know is infinitely greater than what we know Infinitely But then we have to having humility because most of our colleagues don't have what is the surgeon's defect and I'm including myself because I'm a surgeon, it's always wanting to find a rational explanation for things that sometimes don't have exp ex there has to have humility to know that there is There are things that we won't explain, right? And this spiritual world is something that causes fear, causes strangeness in everyone, it's easy to say like that, nonsense, illusion, something lunatic,

then it would be very easy to say, but I'm telling you, no, I've had countless reports I say like this, palpable things, extremely palpable things that have actually happened to me, what an example, I, once a month, I speak at my church in my city, it's something I have with God, there are millions, but I have this commitment, right, God F so stand firm here I lifted you up I exalted you I made the world know you Uhum but you remain firm knowing who supported you who lifted you up your humility keep your footing Man

that's right and we were going me and you Francine to Ponta de Leste, ah, summer there, people from Fronteira, we really like summering there in Punta and it's 600 km from my city and my son has a 10 year old son, Francisco, he was 3 years old and we were already 300 400 km away. in Uruguay and the day before he started having violent tonsillitis full of plaque for 3 years, you know, and shouting for food and chorel and I was going to say this, so our vacation we already have so little vacation time, the

surgeon and medicine and it started with antibiotics that was all there and then we are there in Uruguay my mother-in-law my mother-in-law from Bento Gonçalves were together but they were in the truck behind and the car was desperate there was real chaos inside our car there I was driving Francine with Francisco in the back, he was shouting, not eating because it hurt to eat, so for Francini Francine, just a little bit, we are intimate with God, we are servants of God, Francina was teia, she just doesn't have much time to tell today, Fran was teia,

to frine today, besides her entire profession she deals with the inner healing of wounded women, yes, she was a complete atheist until when she met me, we met there at the Conceição hospital in Porto Alegre, there she was a student, she did an internship with me, so we met and I said she was just one Let's pray here for a little while and we Pray summary of the work Francisco stopped crying as if it were a magic trick and one thing he's even embarrassed to tell because it's from a proctologist here Francin gave him salty

snacks He swallowed them No Pain No Pain none and breastfed and improved against facts there are no arguments and it happened to me maybe if I were someone else Oh you're making it up, it happened to me so I have extremely tangible and real things to tell and relate to who Ah I'm just sorry Ah I'm just sorry about that here it is now folks, man, he's the famous Hollywood actor of our time, nowadays many people don't know Jim Carry, right ? He took it and said yes I wanted everyone up to the age of

30 to become millionaires to know that this is not the answer that even though there are words there is something much more there is something that fulfills us much more because we cannot fill our spirit with money, sex and parties we don't fill it, otherwise we wouldn't have billionaires, billionaires, killing themselves and committing suicide, we wouldn't have it, right, our spirit is only filled with one thing, that's why dostoyevski said, right, every man has a void the size of God, I like it. a lot of this sentence, so there are gaps that only God can

fill in with a very specific piece that you can't put in, puzzle that there are gaps that only God can fill in there, whether anyone will see it or not is Bru Let's go to Repórter pipinho now Fernando this moment Here we have a community called sustainable human beings, it's a community made by lay people by people who like general knowledge, there are also trained people there, anyway, but they are people who like knowledge and always when we are about to invite, right, our guest 15 days before, more or less, we present their networks to

them, ok, and they send the questions and we ask them not to follow you at first, just to follow you when the program goes on air and they do the questions on top of your contents your contents ok we can then let's go let's go question number one is it necessary to use intimate soap which type is most recommended you said it well ISS very pedagogically just in short, right intimate soap Regardless of whether it is liquid or in bar with neutral ph, another one for the region of the year and the vaginal and penile

part has to be with acidic ph and if you buy this feminine intimate soap, the masculine intimate soap will be Mandatory with acidic ph, it's perfect but we can check what's on the packaging probably next Bru drinking water on an empty stomach really brings benefits to intestinal health It's true we don't talk about this subject, right, but it's good to ask I'm glad you asked, you know, you know that people think Ah, whoever created the story about water on an empty stomach was I was the promoter in the world but you talk about the quantity,

which is the detail, this is the detail, you understand, you see, I said, I wasn't, I don't want to take the merits, it wasn't me who created the quantity, you were precise, that's how it is. the European society of the party that the Japanese society who are the great scholars in relation to this, have scientific studies in relation to this, they have proven what and I am now doing a test with your followers and with all of you who are here in the room, do what I go say for three weeks 21 days and never

again in your life will you stop that I just listen to the story from the whole world, okay doctor, I drink a glass of water in the morning when I get up, it's good, it's good, but it's irrelevant to getting all the benefits that we will quote in a very brief way here it is between 600 and 640 ml of water in the morning on an empty stomach and wait 30 minutes later to eat, that's the little secret while we sleep we are dehydrated by the sweat that pours out, dehydrating all fluids three times more

body type gastric juice ah bile juice the pancreatic it continues to be produced and uses water in a smaller quantity, we always wake up dehydrated, always so much so that if you weigh it, it will be 1 kg less than the water you lost and the cells are always withered and withered cells do not have a correct balance the whole organism must always be swollen So this number came out 600 m in the morning fasting has countless benefits and numbers that you get in the first week already observe First of all it increases your cognition

increases cerebral flow TR the carotids with this amount you become more connected and attentive in the early hours of the morning according to detail during the day we will come into contact with many people shake hands someone will sneeze on the side actually 600 ml of water Fasting in the morning helps cell renewal, especially the white cells of the defense leoco, so prepare yourself in the early hours of the morning for this contact between bacteria that we are going to exchange and viruses that we are going to exchange here, third detail helps for those who

have circulation problems in their legs so much that the study said that many people who did lymphatic drainage would perhaps lose their jobs if people took that amount tomorrow fasting increases your metabolism by 25% 25% is absurd 25% something else in my specialty completely improves your functioning your intestine while we sleep, do you know where the feces are located in the sigmoid colon? For those who don't know, it's a little bit above the right r. It's not supposed to have feces. It's not supposed to have poop . Of the constipated patients who come to see

me, I examine them, they have feces in their rectum, which means they are not emptying everything, so when you take a standing position, stay in the early hours of the morning, drink that amount of water, your stomach has a reflex gastrocolic It will let you know that it is there that it is there, that helps these sigm parties to do the little turn at that angle that you mentioned rectal sigm transition and that is the rectum emptying something else that is magnificent washes your stomach in the early hours of the morning from the steel of

the at night, that's why there are many patients, Doctor, after I started, I abandoned Prazol and I plant Prazol with 600 ml of morning water on an empty stomach, that's a crazy thing, what you taught me, because it's something extremely simple, it has pushes lava, pushes towards to the duodenum the acid at night so there are many benefits proven benefits that really change life, water in the morning on an empty stomach in the correct quantity 600 600 to 640 ml, which is between 600 and 700 700, right, that's the thing is to find a little

bottle of this size, I take a small bottle that has 515, it's good to increase it just a little bit, increase it, you have to have the supplement, you know, how much I take, I take more or less 1200 to 1300 ml in the morning on an empty stomach, right ? And I already did a test once, I even recorded a video what happened when I didn't drink water in the morning on an empty stomach I had to leave quickly in the morning in a surgery they called something I couldn't take my ritual was all

truncated I was all wrong I was slow I kept feeling like this Have you seen it that I'm agitated and the ciru Jão has to be agitated and I and I what's happening, right? And that was it, I even challenged Rogério Vilela, we started, we did a test, we made a little bottle for him, we went there to the other one Once again, everyone is drinking water on an empty stomach , but this way, it's magnificent, do the test with c, do this test, but there's no point doing it when C days is 21 days

at least to start the benefits and you'll say I'll never stop again hand of this now 30 minutes before this this this some people complicate this because people They go out to work quickly, but it's worth doing it and taking a little something to eat on your job as soon as possible Or waiting for the time to eat because it's something that people ask about, for example, I usually wake up half an hour before before getting up for me it's super calm because I have that period when I wake up and then I'm saying my

prayers Uh, what is this time, this impressive time But you touched on a subject that people complain about a lot Ah Doctor, but I have to I have to Have a cup of coffee from your mother and run quickly, so a little minute for me, it's different, I say, eat later, eat later like this, it's worth it, take it, do something, there's a way to do something like this, it's so simple, it's free, right, water is cheap for you do and and with so many possibilities perfect tant next Bru What are the most common causes

of excess gas um we could stay on a podcast Oh just talking about gas right but we saw the garlic and we could really stay because that's how it is a very big complaint first thing a curiosity will sit down to be objective we eliminate between 5 to 25 gas eliminations per day 20 to 25 25 is normal less than that No Elim never G there is a problem more than that you also have to see which is which That's the problem, we don't have it. I've had patients of mine say, I'm going to tell

you today when you sleep, you eliminate gas without knowing it, so there's no way for us to know exactly. Okay, but just out of curiosity, the number is between 5 and 25 within this period. This amount is normal, that's what I hear a lot from colleagues Ah, the problem with gas gases When I say it's people who either eliminate a lot or people who have gas in their belly, most people like me get stuffed with gas, most of them come to me It's not for the problem of eliminating so much gas that I have, but

that's 5%, 95% of people who can't eliminate gas well when eating, they feel unwell with bloating and stuffiness that happens in men and women, but a lot of women after the your 45 48 years old and above, let's go and what do I hear from doctors Oh that's because of your fermentation of your bacteria in your intestine And if I tell you that this is only 40% 60% it's because of wrong habits let's go first big bad habit that I would also like everyone to change from now on we are on this podcast talking about

a lot of things that are practical to change in life, right so you never forget this podcast, sure we have to chew it five times before of swallowing you cannot produce the enzymes on the tongue and ptyalin if you don't chew at least five times test question for gastro medicine student where digestion begins in the mouth and not in the stomach and Brazilians chew two at most three times and swallow and you overload your stomach This will generate gas, it will generate a distortion in your digestion we have to chew it, put it there, count

it, hmm, one side to the other, five chews before ingesting the food, it has to be pre-digested. your stomach thanks you for the second habit that generates a lot of gas and is terrible for your digestion, which is a habit that I know is very difficult to change, look here, eat while drinking liquid and what I hear from my patients, look, it's to help with digestion, that's what Otherwise, normal digestion takes 1 hour and 2 hours, liquid and solids in the stomach, you haven't learned how to work, it increases by 1 hour and a half,

2 hours, but your digestion is I don't know if you know what I'm going to say, this here used a lot for rural areas of the interior Do you know what pork washing is uhum washing of P mixes everything right mix food and water your stomach becomes a wash when you eat solid li mix meat mix potato mix orange punch if you looked you would be disgusted like It's just that your stomach stays there, you have to take it 15 minutes beforehand or take it 15 minutes later. I was once on a program 15 Minutes

15 and someone asked me a question She said this but now I'm going to take this Dr Fernando Lemos here What I'm going to say is that at meals where there's soup, soup before eating solid, a capelete soup, people should come to solid food too, I also said It doesn't change anything at all, the person eats the same thing, they have to take it, they'll have to wait 15 minutes, they don't know how to work with solids, there's a dyssynchrony because we have the esophagus down there, there's a valve that's the cardia, then there's the

stomach, there's a valve underneath that is the pylorus pylorus has to have a whole synergy of opening and emptying has the small curvature the great curvature one of the curvatures moves better than the other so it all has to do with this physiology of digestion another detail a life tip o sleep If you have a digestive problem lying on your left side, everything is on the left side. Rep the anal issue on the left side , but it's because you don't compress the curvature of the gastric curvature, in fact, I admit that about 20 years

ago I was asked that once and I said, That's a legend, it's a myth, but studies have come out in the last 7 years showing, explaining exactly what it does to prevent reflux, this valve that we have on Card there and laying it on the left side prevents reflux and staying acidic there to generate more gas another detail, don't get me wrong the meal wasn't made to talk I'm not radical I talk but be careful big arguments discussions when we eat and talk you swallow aerophagia is one of the major causes of gas in the

abdominal area is eating and talking and talking I listen here ah but I listen a lot but it's such a great place to have fun, it's ok eventually but don't make it a daily routine to talk during meals, another very bad habit that generates a lot of gas is going to bed right after What you eat gives alkalosis when the stomach the food leaves the stomach and goes to the duodenum, instead of reaching the acid it will alkalize and this alkalosis is what gives us the pleasant sleep that fills the belly, so you have to

wait at least 30 minutes, there are studies saying 45, but 30 minutes is fine, another great detail for preventing gas, it's never enough for a meal to say I'm full Ah, I'm full, the stomach takes a while to tell your brain that you're already satiated, like a proof of this goes in a pizza rotation in the meat rotation Espeto Corrido that we call in Rio Grande do Sul if in a little while the waiters take a while to come and we even call the restaurant bad because it takes a while to come what happens the

hunger disappears right exactly you I was already satiated, exactly, you always end the meal a little hungry, that's because you don't have to be Ché to be satisfied Satisfaction is when you do the right thing, obviously, within gas, very common causes here, I've been discovering it more and more in the past, it was under diagnosed lactose intolerance because it was discovered that after the age of 38, this is the age of up, we all start with an inefficiency of the lactase enzyme that digests lactose after the age of 38, 38, right, it is estimated that

in India, which is a place that study this a lot, 70% of Indians have lactose intolerance, they use a lot of milk in their tea, right? And in fact, be careful with excess lactose after the age of 38 or 40, you have to discover gluten intolerance Sometimes a person may have some fatty liver, hepatic steatosis it can only be generated here and obviously we have already talked a lot about dysbiosis which obviously causes gas so there are simple daily habits but you also have to look at some food intolerance, some change in your liver, right

? ca you are talking about the most common ones for you to prevent perfect next Bru what are the effects of gluten and lactose on the digestive system Especially for those with intolerance respond very quickly it will cause chronic inflammation this chronic inflammation chronic inflammation will always be activated Inflammatory cascade E then it will end up causing cell damage, cell damage, cell forms tissue and tissue forms organ and damage from this here is called oxidative stress, so excess gluten and lactose will really make you inflamed, even for those who don't have tolerance, for example, what's

more, what you said about lactose after 38 is even more so, but just to get a point on what you said, just so I don't leave it here, I have diagnosed lactose intolerance, okay, and I continue consuming lactose, what do you you talked about this subject, right for those who don't have it, you pulled this hook for me so as not to leave this doubt here if you have an intolerance You know what you are and you continue to inflame yourself you will start with extra digestive inflammations skin inflammations exactly Joint pain so many people

who discover withdrawal intolerance, my muscle pain goes away, that pain I had in my hip goes away, that's impressive because you have intolerance and you're still inflaming inflaming inflaming inflaming so the inflammation will come out of the stomach and go and because of intestinal permeability goes to several other organs here comes hypertension diabetes obesity is a chronic inflammatory cascade of illness ncio next Bru there are foods or supplements that can help alleviate the symptoms of an irritated intestine there are several, right there are several, right, look, if I asked mecer me like this, it says

just one supplement we have so many supplements to talk about and we have turmeric with qued enzyme and creatine and vitamin D all sweat but like this it says a supplement for the intestine PR for the intestine Glutamine 10 g per day Glutamine for very inflamed people I can use 20 G per day and I'm going to give you a tip here for your followers, 10 g is what I use, I can reach up to 20 G per day for some people and the time I like is one hour after the last meal before bed

PR has has studies showing that it is interesting to use Glutamine, few people here know when your cortisol is at a lower level and we know that at night, from 5 pm onwards, cortisol drops a little, so I like to advise my patients on Glutamine on shift in the evening one hour after your last meal water even in water even if it comes in powder it comes in powder Remembering that you don't have dinner after 8:30 pm and it's 9:00 pm ok Ah, yesterday my wife and I are late yesterday, ok we're here traveling late

exception to the rule without radicalisms, you understand, but within your daily life, the digestive part cannot be activated after 9 pm under any circumstances, perfect, ok, so leave that there for then week when you go out with friends, preferably 19 We're going to have dinner and then do what we do. Exactly, exactly, you don't stimulate food at night, which isn't really hot, right, but that's the way it is, and cool foods, use the beabá that everyone says here, understand, use prebiotics, which will be the meal, the feast for your bacteria, legumes, some whole grain products,

some leafy greens, I know that when I say that, a little something comes into my head, thinking, are there people who can't eat a lot of fiber, but we're talking here about an average, an average, understanding So It's because, just to make one thing very clear, we don't have time today to talk about this subject, but the topic of intestinal constipation, we can do a podcast just about that because women like this, ask me like this, 10 patients, eight consult with me, it's intestinal constipation Doctor, I go 30 days without defecating, I only empty it

when I put a douche in the water and fill it with water to defecate my day to day life, I put my hands on it to defecate, I push it through the vagina for years to defecate, here we go, fiber, I'm going to enjoy it this hook of yours to leave this here just in the air fiber is not a solution for everyone's constipation for women over 50 years of age be very careful with fiber so we have to give up lubricants and not fiber so I that doctor said gave me a metamucil fiber which

is very well known and it got worse Doctor, how could it get worse because there's a problem with your expulsion during the defecatory blockage and the more fiber you give the worse it's going to be if you make the bolo ball it's going to be even more difficult, okay, it's a masim just for people being able to open up that fiber is not a solution for everything, it is not a solution for everything, especially for constipation, then I get very indignant, oh, using a little fiber will make things worse, this lady cannot use fiber, fiber

is very good, but in selected cases, certainly even more so. those who have a chronic disease are close to me Bru, digestive problems can impact health in the long term, it impacts everything we talk about, you know, this is it here, right, you're oxidative, chronic inflammation will generate obesity, a dermatological problem problems joint hypertension diabetes type of heart attack and cancer perfect in proportion right in proportion close Bru Doctor It's true that there is a correct position to defecate we say I think everyone has to have their own stool it doesn't need to be a

baning F I'm never careful I saw one Ass stool, right, close like this, I've never given it as a gift to two friends with constipation, what is that, I told you to use it when you went to evacuate, friendship, huh, friendship, friendship and intimacy, I liked it, I'm going to give you a colorful stool at Sobral design. and the size is right 12 15 cm let's go next you How can I know if I'm infected by worms you don't need to know just take the worm you have to do it every month if every month

there's animal vi tropical country ISO because you're going to make a epf there and your doctor will say negative your doctor will say oh you don't need to take medicine to see but it 's nonsense because it can happen exactly on that day time to talk about this, but in short colonoscopy 45 years old comes back no problem 45 years old and above it is mandatory bowel cancer is already the second most common in women after the breast passed the uterus and is already the second most common in men after prostate passed lung What is

everyone alerted now because the artists very famous people the Black Panther there who made the film all died early bowel cancer it was the black panther's intestine because in fact bowel cancer is growing a lot in people under 49 years old, guidance is as follows bowel cancer 45 years old and above all people in the world despite having a wonderful intestine you have to have a colonoscopy 40 years old and above who has a family history of bowel cancer like me, my paternal grandfather died when it was when I was young and I started at

40, do my colonoscopy or regardless of age, if the person has a change in habit, that is, I was always locked up, now I have diarrhea, I always defecate well, now I'm locked up when I change my habit or anemia of unknown cause or there is no age for any bleeding that cannot be explained by the proctological rectal exam. I have patients aged 18 or 25 years old. remove the polyp and the polyp is what becomes bowel cancer suffers from Low medium high grade dysplasia colon cancer So you removed the polyp you avoided it That's

why I say this, it's a treatment Why do people still have bowel cancer today on TR days because the exam is diagnostic and therapeutic and therapeutic so that's what saves lives is colonoscopy then I'm 70 years old how long after 45 only where do you answer this here a question that will speak a lot to me I'm 70 I'm 70 years old and I've never had a colonoscopy until I was 80 years old. Is there any recommendation to have a colonoscopy ? I also advise my patients up to the age of 80 to do it,

how long do you do it, your exam was normal, the vast majority of doctors studies suggest not doing it for 5 years ? If the person is over 50 years old, they're turning 3 years old, I've had some sad stories of patients who had it in their fourth year and already had a PL lesion that was a little bigger there. Ah, but it wasn't detected. I've had undifferentiated tumors that grew quickly, so 5 years is what you will hear in 99% of cases, but for my patients it's 3 years , perfect years, I'll do it

next year . and how can we minimize these problems, mainly this has to do with dysbiosis, there's a person who came to consult with me and said Look, I already had it, I had a curious case Car, I had a case, man, I had a curious case of a couple who almost got together separated by That's why I remembered G is exactly But there's one detail, the man was indignant at the woman who eliminated the gas because it's usually the other way around when they fight and there was an argument I was starting to attend

to my city a discussion about a city neighbor over there, this couple over there, there's a huge fight, she can't take it anymore, this woman started the consultation like this, generally, this is related to dysbiosis, it's messed up, yours, your bowels, regularize that side there, and it's another detail, be careful, slow chewing, you also see that your chewing and starting digestion in your stomach can make gas worse. There are foods that generally cause more odor, but mainly dysbiosis, you have to organize your micr, it smells very bad, there are bad bacteria that are above the

good bacteria, gas isn't it to be fragrant, no one is going to eliminate a gas that smells like doch gabana, right? But it has to have the suig generer smell, which is the normal smell of gas, or nothing, right? It's nothing, but the normal smell of gas has that normal smell of gas that It's normal, it's the normal sulfur smell, right? It usually just wears out, but I don't think it's normal, mine doesn't have it, I'm serious, I have it, I don't have it, so you're a rose tea, oh, it's rose tea, that's it. This

really is generally an extremely sad intestinal microbiota, after I took care of the dysbiosis, I did everything, it got better, better, and use it, use Glutamine, that's all, you just can't use it, you just can't use it, you just can't use it, Glutamine, the cancer patient is just leaving it here, aware, he's undergoing treatment of tumor cancer there are some studies that do not suggest the use of glutamine just for me open this addendum and put this next Bru what specific care are for practicing anal sex in a safe and healthy way we gave a

class you gave a class class on the left side of the navel navel that's perfect next Bru I would like to know if there is a degree of anal narrowing and when it is necessary to look for a specialist, no there are no degrees of anal narrowing when there is anal narrowing it is narrowed point I fear anal rectum stenosis this stenosis can be or A person was born, you know, tell you something interesting. I have many patients who come to Conar with me, 40 or 50 years old, and I go to examine them and

their anal orifice doesn't fit. Not even the tip of my finger can help, even though it's lubricated, and the person says, Doctor, I've suffered my life. every one has an anal orifice of a little child the person was born with a congenital stenosis no Total partial Uhm I had a patient of mine who he put in his bathroom Look how serious this is here two iron bars when he was going to defecate he would squeeze himself like that, oh so much strength, the surgery on this patient that we performed was a horror, it was a

stenosis that he was born with, but that's how rarely pediatricians do it . I mean, you have to have your proctologist, like you have your gynec, your urologist has your prct, I really wonder at what age you have to have your pro. In a pro ethologist, it's at least okay And in fact, but he also had constipation, it was difficult to empty, it was horrible, even though he was taking a laxative to keep the liquid in, the liquid even made it difficult to come out, there's another thing that could cause this, here are people who

have the sexually transmitted disease HPV, okay, it's a lot common and then it will end up inflaming, inflaming and it can cause a stenosis there or even some post-operative complication, right, but there are surgical treatments, don't rush, you can't correct anal narrowing with ointment with medicine, then it has to be surgical, right? be very careful we don't talk about HPV be careful that HPV transmits even with a condom HPV is through contact, right if the person has patients who get there with me sometimes with around the anus imagine that the anus is around here with

HPV and there Inside the anal canal there is absolutely nothing and the person told me Doctor, I did it with a condom but the active person had warts in the pub and by touching the movement there you can transmit another interesting thing that says a little about HPV about oral sex 72 of oropharyngeal cancer in the United States 72 or pharynx includes the tongue base of the tongue the pal, the pharynx and the tonsils are due to HPV oral sex without a condom in Brazil it is only 30% and someone can Asking how to already

ask me, so does that mean that maybe Brazil has less oral sex in the United States? No, I believe that the problem is that of statistics here, we are not very good at writing down things about consent and notifying people, nor do they speak when it is an issue. they don't even talk about sex, right ? There are HPVs that are the most oncogenic, so much so that whenever I operate on HPV, I operate very often on HPV, both in the anal canal and in the internal part . is oncogenic the most common oncogenic is

16 18 31 33 and 45 These are the most common, right, so they are more dangerous danger and remembering that there are very good treatments we do in the office most of the treatments so if you feel like you have a wart in the region of the years it appears go there Sometimes we do a little cauterization I say like this I solved your problem here in a matter of minutes you suffering worried nerves shame and that could lead to cancer in the future so another treatment which is an exam that treat treat exactly perfect

next Bru ah we arrived at a very special moment Fernando this moment here is pipinho our scotte son of doctor Ana he likes to listen to good content, right No, don't let him listen to anything that isn't good content And there he stays the whole time here paying attention to everything you're saying and now he's playing a game where his mother gives voice to him, playing ping-pong with you, she'll play a word or a phrase, whatever comes into your mind, you respond, it could be a simple thing If step doesn't come you can also talk

step But it's come talk Ok perfect an inspiration God two love Francine three Taboo years four What would you do today If you knew that the world ends tomorrow you would connect me more to God five gratitude my parents six happiness my son Francisco Francisco Francisco seven Complete the sentence my purpose in life is to teach people about intimate and taboo topics If you could choose a superpower what would it be and why does it already have healing power, right? nine I miss my adolescence was cool It was really cool It's good and Rosário do

R of time, that creation from the old days that played in the street, going out in the morning at night without any worries, right, but today you live in a city that still gives you that, but even so, nowadays, my son's creation isn't I can create like myself and without having a lot of social media, this has been a blessing in my life for many people, you know, it's a blessing, but it's taking away a lot of Pleasures that people end up not knowing about outside of social media, social media has a good side and

there is a side that we still have to polish, polish, right ? Guys, thank you very much, what a pleasure you're here, it was an honor, I hope we can see each other many more times, the admiration I had just went up, thank you very much, it's a pleasure, you are very charismatic, very much, Av, but the guest is very good and we have some little gifts here for you this is the book that talks about TDH treatment with neurofeedback this is a book of mine called happiness this one is the depressive mind that I

talk about the spiritual dimension and minds and manias boxa aão thank you very much I hope you like it if If you don't like it, you can tell me, we also have more gifts. Let's put these aside now, here this one is a pipinho ecobag, it's ecological and inside we have a notebook for you to put all your dreams and notes for next year and we also have a pipinho mug for you when you have a tea, a water, remember us with great affection Ok and now it's not over yet you're going to use this

camera to give all your messages you don't even have to look at us Francine if he forgets something now is the time guys who wants to find me I'm on Instagram dr. Fernando under Lemos has to have the official seal unfortunately we have more than 100 fake pages of Dr Fernando Lemos on YouTube it's planet intestine Dr Fernando Lemos and we have two projects one of the projects we are already in the third class I created something called the Lemos protocol are treatments for intestinal digestive diseases without needing an infinite number of Dent medications from

a gigantic restrictive list of foods and we generally open new classes every three months for people from all over the world, it was a protocol that I created over 23 years, always in that anguish of not having something routine to treat problems of constipation, dysbiosis, reflux, abdominal pain, everything we contemplate in this protocol we read and we are also starting a new project now at the request, most doctors are very afraid and afraid of exposing themselves on social networks due to some problem with their medical advice Remembering that my wife is a lawyer specializing in

medical defense Francine Lemos, she even has a page on Instagram medical defense legal medical defense that gives great tips there and people want to know how that I managed to reach more than 6.3 million subscribers on YouTube, like me, I was chosen as the most remembered proctology in Brazil, we are the largest proctology channel in the world, living in a city in the interior, showing that all of you have it too But there are some rules There are some strategies that I will start to consider for these colleagues who want, in a very serious way,

in an extremely responsible way, to make the social network something that will greatly enhance your services and even improve your quality of life with the spend time knowing that doctors work exhausting hours and are increasingly being paid less for their perfect work, my dears, we are finishing another episode of the pipo pod, today it was with this wonderful guy here, Dr Lemos, I think you already know if If you don't know, go there and follow him on social media on YouTube Planet Intestine and on Instagram Dr Fernando dot no Dr Fernando dot Fernando under We

read exactly and see if it's verified, okay for us here from kite dust we just believe that it is only through the knowledge of self-knowledge can you change reality, whatever its nature, today was the nature of our intestines because this guy here knows what he's talking about, thank you very much and see you next time podp