Podcasts about centroamerica

Años han pasado desde que Nayib Bukele ha tomado las riendas del gobierno de El Salvador y lo ha convertido en uno de los paises mas segurios de Centro America. Pero a que coste? Hoy analizamos si el "milagro salvadroeño" es la punta de un iceberg peligroso, o un modelo a seguir por otros paises. Entrevistaremos a un Salvadoreño repatriado, que volvio a El Salvador y que nos cuente a pie de calle su experiencia. VIAS DE CONTACTO: Radio: https://edenex.es/ RADIOCADENA SPAIN www.radiocadenaspain Un abrazo desde Argentina fmlarama.listen2myradio.com fmlarama.blogspot.com Fm 107.3 Mhz. Email: podclave45@gmail.com Web: clave45.wordpress.com Google+ : podclave45@gmail.com Twitter: @laclave45 @santiso6969 Facebook: https://facebook.com/clave45 YouTube.com iTunes.com Spotify.com Escucha La Clave Roja, por Pites de Grao https://www.youtube.com/@PitesDeGrao Y por Ivoox https://www.ivoox.com/podcast-clave-roja_sq_f11686536_1.html

Los constantes cambios de precio en la industria por parte de las tres grandes compañías me han puesto a pensar sobre el tema de la accesibilidad, más aún para aquellos que somos de América Latina e incluso de Centroamerica donde somos el patito feo de las empresas porque "no gastamos tanto" así que en este audio me saco del pecho un tema que me deja qué pensar con la industria del videojuego.

Igor Sibaldi"Come non essere stupidi"Esercizi di anticonformismoMondadori Editorehttps://www.mondadori.it/libri/come-non-essere-stupidi-igor-sibaldi/«La parola “stupido” è entrata presto nel nostro vocabolario personale, a quattro anni sapevamo già che effetto fa sentirsela dire. “Stupido!” è un segnale d'allarme. Significa: attento, stai per superare una soglia psicologica che non conviene a nessuno, e dalla quale è difficile tornare. Abbiamo imparato presto a dirlo anche di altre persone: “Lui è uno stupido”. Pronunciare questa frase dà sollievo, perché sottintende: “Se ho notato che lui è uno stupido, ci sono buone probabilità che io non lo sia”. “Ma stupido in che senso?” Non l'abbiamo mai domandato neanche noi, per timore di essere presi per stupidi. Le aree della nostra esperienza nelle quali si può essere stupidi sono dodici; io, almeno, non ne ho contate di più.Ognuno le ha tutte, e tutte contribuiscono a plasmare il nostro mondo personale: conosciamo, agiamo, pensiamo, vogliamo, ricordiamo e dimentichiamo attraverso di esse. In Come non essere stupidi spiegherò come analizzare queste dodici funzioni, produttrici di realtà e di irrealtà. Sono tanto potenti quanto fragili, facilmente si bloccano, si istupidiscono; per fortuna, a ogni loro blocco si può porre rimedio, se ci si accorge. Di capitolo in capitolo appresterò un vero e proprio check-up psicologico e anche esistenziale, e per ciascuna delle dodici funzioni indicherò metodi ricostituenti, che vanno da semplici esercizi o prove di abilità a programmi rieducativi (cosa leggere, cosa ascoltare, di cosa conversare).»Oggi tira aria di conformismo, come raramente è accaduto in Occidente negli ultimi tre secoli. In tempi di conformismo c'è parità tra quello che è permesso dire e quello che la stragrande maggioranza crede di pensare e vuole sentirsi dire. Questo libro ci allena a esserlo un po' di meno: conformisti e stupidi.Igor Sibaldi, di origine russa, è scrittore, filosofo, filologo, studioso di teologia. Ha di recente pubblicato per Mondadori l'ampio romanzo storico La Russia non esiste, prima parte di una trilogia che abbraccia tutto il Novecento. Tra i suoi titoli più noti, I Maestri invisibili, Libro degli Angeli, Il codice segreto del Vangelo. Ha tradotto Guerra e pace e altri classici russi; ha tradotto e commentato il Vangelo di Giovanni, dal greco, e buona parte della Genesi, dall'ebraico antico. Dal 1997 tiene frequenti conferenze in Italia, Svizzera e Centro America.IL POSTO DELLE PAROLEascoltare fa pensarewww.ilpostodelleparole.itDiventa un supporter di questo podcast: https://www.spreaker.com/podcast/il-posto-delle-parole--1487855/support.

Ho intervistato Sebastiano Ramello, una persona straordinaria, una vita piena di avventure, più che bandierine sulla mappa lui è spinto dalla curiosità di conoscere davvero un luogo e il suo popolo è stato decine di volte in Cina, in Nepal, in India,in Centro America, ci ha raccontato anche aneddoti di altri tempi che oggi giorno sono davvero difficili da poter rivivere. Autore di diversi romanzi, come ci ha consigliato più che sui social potete trovarlo in libreria.Ti ricordo che questo è un podcast indipendente e autoprodotto, se ti è piaciuto lascia 5 stelline e condividilo con un amico. Grazie

TEMPORADA 31 DE LA LUZ DEL MISTERIO Vive el Misterio... Pasa, ponte cómodo y disfruta... FROM SAN SALVADOR Una experiencia única de comunicación desde San Salvador en primer lugar conoceremos la información que algunos medios se han hecho sobre América del Norte se desintegra desde las profundidades. El fenómeno denominado goteo cratónico implica la fragmentación de la base del continente en masas rocosas, un proceso que podría estar impulsado por los restos de una antigua placa tectónica que se hunde en el manto terrestre. Desde Estados Unidos nos llega más dato más datos sobre el documental ovni “80 años de mentiras y engaños”: ¿Es esta película una prueba de la existencia de vida extraterrestre en la Tierra? The Age of Disclosure, un nuevo y provocador documental que defiende la existencia de extraterrestres, ha generado asombro y críticas en el festival de cine SXSW. Un nuevo y llamativo documental que afirma la presencia de vida extraterrestre en la Tierra y denuncia un intento del gobierno estadounidense de ocultar información sobre posible actividad extraterrestre está causando sensación en el SXSW. Luego, desde San Salvador viajamos a mundo de los mitos y las leyendas mayas, conectamos con seres de otro mundo con la ayuda del sacerdote maya, Alberto Lobardi, conocemos la cosmogonías maya, sus rituales y su contacto con seres de las estrellas. Más tarde, Raúl Mendoza, nos lleva a la magia de las leyendas y los mitos de El Salvador, en Centroamerica. Un viaje apasionante hacia la historia de ser humano que puedes conocer a través de La Luz del Misterio en London Radio World y sus plataformas. ——————————————————— Síguenos a través de: edenex.es ZTR Radio.online London Radio World En Ivoox Itunes Spotify Amazon YouTube Si deseas apoyarnos: https://www.ivoox.com/ajx-apoyar_i1_support_29070_1.html Más información: laluzdelmisterioradio.blogspot.com laluzdelmisterio@gmail.com

TEMPORADA 31 DE LA LUZ DEL MISTERIO Vive el Misterio... Pasa, ponte cómodo y disfruta... FROM SAN SALVADOR Una experiencia única de comunicación desde San Salvador en primer lugar conoceremos la información que algunos medios se han hecho sobre América del Norte se desintegra desde las profundidades. El fenómeno denominado goteo cratónico implica la fragmentación de la base del continente en masas rocosas, un proceso que podría estar impulsado por los restos de una antigua placa tectónica que se hunde en el manto terrestre. Desde Estados Unidos nos llega más dato más datos sobre el documental ovni “80 años de mentiras y engaños”: ¿Es esta película una prueba de la existencia de vida extraterrestre en la Tierra? The Age of Disclosure, un nuevo y provocador documental que defiende la existencia de extraterrestres, ha generado asombro y críticas en el festival de cine SXSW. Un nuevo y llamativo documental que afirma la presencia de vida extraterrestre en la Tierra y denuncia un intento del gobierno estadounidense de ocultar información sobre posible actividad extraterrestre está causando sensación en el SXSW. Luego, desde San Salvador viajamos a mundo de los mitos y las leyendas mayas, conectamos con seres de otro mundo con la ayuda del sacerdote maya, Alberto Merino, conocemos la cosmogonías maya, sus rituales y su contacto con seres de las estrellas. Más tarde, Raúl Mendoza, nos lleva a la magia de las leyendas y los mitos de El Salvador, en Centroamerica. Un viaje apasionante hacia la historia de ser humano que puedes conocer a través de La Luz del Misterio en London Radio World y sus plataformas. ——————————————————— Síguenos a través de: edenex.es ZTR Radio.online London Radio World En Ivoox Itunes Spotify Amazon YouTube Si deseas apoyarnos: https://www.ivoox.com/ajx-apoyar_i1_support_29070_1.html Más información: laluzdelmisterioradio.blogspot.com laluzdelmisterio@gmail.com

NEW YORK (ITALPRESS) - E' stato presentato, per la prima volta a New York, il Rapporto Italiani nel Mondo, la pubblicazione della Fondazione Migrantes dedicata al mondo della mobilità italiana. Sono intervenuti, tra gli altri, Delfina Licata - Curatrice RIM, Fabrizio Di Michele - Console Generale d'Italia a New York, Christian Di Sanzo - Deputato Nord e Centro America, Emiliano Manfredonia - Presidente Acli, Mons. Gian Carlo Perego - Presidente Fondazione Migrantes. Moderati da Stefano Albertini - Direttore Casa Italiana Zerilli Marimò NYU, hanno presentato anche Paolo Ricotti - Presidente Patronato Acli, Silvana Mangione - Vice Segretaria Generale CGIE, Stefano Maruso - Direttore Patronato Acli, Don Luigi Partarulo - Responsabile Comunità Cattolica Italiana New York. E' stato presentato anche dal Patronato Acli USA un trailer del video "Biblioteca Vivente", un progetto con interviste di italiani residenti in America.xo9/mgg/gtr(Video di Stefano Vaccara)

NEW YORK (ITALPRESS) - E' stato presentato, per la prima volta a New York, il Rapporto Italiani nel Mondo, la pubblicazione della Fondazione Migrantes dedicata al mondo della mobilità italiana. Sono intervenuti, tra gli altri, Delfina Licata - Curatrice RIM, Fabrizio Di Michele - Console Generale d'Italia a New York, Christian Di Sanzo - Deputato Nord e Centro America, Emiliano Manfredonia - Presidente Acli, Mons. Gian Carlo Perego - Presidente Fondazione Migrantes. Moderati da Stefano Albertini - Direttore Casa Italiana Zerilli Marimò NYU, hanno presentato anche Paolo Ricotti - Presidente Patronato Acli, Silvana Mangione - Vice Segretaria Generale CGIE, Stefano Maruso - Direttore Patronato Acli, Don Luigi Partarulo - Responsabile Comunità Cattolica Italiana New York. E' stato presentato anche dal Patronato Acli USA un trailer del video "Biblioteca Vivente", un progetto con interviste di italiani residenti in America.xo9/mgg/gtr(Video di Stefano Vaccara)

Maurizio Campisi"L'ira nella palude"Neos Edizioniwww.neosedizioni.it Uno sperduto villaggio del Sud del Costa Rica, in riva all'oceano, è circondato da una vasta palude. Un giorno la sonnolenta e tranquilla quotidianità di San Gerardo viene spezzata dalle urla di terrore di un ragazzo che sbuca dalle mangrovie. Trasandato e sconvolto, racconta al capitano del piccolo commissariato locale una storia inquietante ed incredibile. Quattro amici si erano addentrati nella palude per trascorrere un fine settimana di divertimento e per pescare in maniera illegale, tirando delle bombe in acqua e facendo così strage di pesci. A quel punto era apparso un individuo che aveva assassinato uno dopo l'altro tre ragazzi. C'è un solo modo per scoprire la verità: entrare nella palude e andare a verificare. E così, in una calda mattinata del 1993, un gruppetto di quattro uomini e un cane si avventura tra sentieri e canali, affrontando leggende e cadaveri.Fascinosa e terribile, enigmatica e indifferente, la palude indurrà ciascuno dei personaggi a manifestare la propria vera essenza e nessuno si salverà da se stessoIntriso di mistero, questo giallo, che si potrebbe definire ecologico e che prende spunto da una vicenda realmente accaduta, parla dell'incapacità umana di trascendere pulsioni e sentimenti e del difficile equilibrio con la natura. Maurizio Campisi, nato a Rivoli, vicino a Torino, nel 1962, è giornalista e scrittore (oltre che musicista). Vive e lavora in Costa Rica, dove risiede dal 1993. È direttore didattico del comitato di San José della Società Dante Alighieri. Specializzato nelle tematiche legate all'America Latina, ha scritto per differenti riviste e quotidiani.  É stato corrispondente dal Centroamerica per il settimanale Diario diretto da Enrico Deaglio e corrispondente per l'America centrale della Radio Televisione Svizzera Italiana. È autore di saggi e di romanzi noir.IL POSTO DELLE PAROLEascoltare fa pensarewww.ilpostodelleparole.itDiventa un supporter di questo podcast: https://www.spreaker.com/podcast/il-posto-delle-parole--1487855/support.

La elección de Pablo Jose Hernandez a la presidencia del PPD y su mensaje.Las "vacaciones" de JGo y las semejanzas de la agenda de su gobierno y el de Trump.La visita de Marco Rubio al caribe y Centroamerica y la irrelevancia puertorriqueña.El cierre de USAID, la "guerra tarifaria", la propuesta sobre Gaza y la oligarquía aliada del trumpismo MAGA.Conducido por Néstor Duprey Salgado y Eduardo Lalo.Síguenos en las redes:Twitter: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@PalabraLibrePR⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Palabra Libre PR⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Página web: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Palabra Libre – Más allá del bipartidismo (palabralibrepr.com)⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 

Aguacateros del Edomex exportan su producto por intermediarios México invirtió más de 42 mdp en campañas contra el fentaniloMarco Rubio, termina gira internacional por Centroamérica  Más información en nuestro podcast

ROMA (ITALPRESS) - Si avvicinano le festività natalizie e, quest'anno più che mai, le tendenze di viaggio appaiono diversificate e, quindi, ricche di opportunità per gli operatori. L'Osservatorio di BIT 2025 prevede che almeno il 60% degli italiani si metterà in viaggio in occasione del Natale, con un aumento significativo della domanda per l'estero rispetto agli anni precedenti. Cresce l'interesse per i viaggi che coniugano avventura e relax, con tour in Paesi che offrono sia la natura selvaggia sia le spiagge di sabbia bianca e acque cristalline: tra le più gettonate, le destinazioni dei Caraibi come l'evergreen Repubblica Dominicana, dove alla vacanza 'sole e mare' si aggiungono grandi parchi naturali incontaminati e le suggestive località ispaniche con le loro tradizioni. Ancora più positivi i numeri delle destinazioni del Centro America, come l'emergente El Salvador tra parchi naturali, vulcani, rovine maya e inaspettati laghi interni. Le analisi dell'Osservatorio sulle destinazioni a corto e medio raggio rivelano che, durante le feste, capitali europee come Parigi, Vienna o Londra, famose per gli scenari natalizi particolarmente fastosi, restano il must per i soggiorni più brevi. Per quanto riguarda la capitale britannica, l'ente del turismo Visit Britain prevede un record di 25 milioni di visite per una spesa turistica di quasi 14 miliardi di sterline.mgg/mrv

The Standards Show LatinoAmerica brings you the stories behind the standards in South America, Central America and the Caribbean. Episodes are in Spanish or Portuguese. In this episode, Andrea Sandi meets Antonino Serra, an expert on consumer law and protection. She speaks to him about the main challenges for consumer protection in the region, and how standards support consumer rights.And because it's The Standards Show, Antonino describes his standards journey and his My Favourite Standard.The Standards Show LatinoAmérica le trae las historias detrás de las normas en Sudamerica, Centroamerica y el Caribe. Los episodios se encuentran el español o Portugues. En este episodio de LatinoAmérica Andrea Sandi conversa con Antonino Serra. Antonino reside en Argentina y es un experto en leyes nacionales e internacionales sobre protección del consumidor.Andreas habla con Antonino sobre cómo se relacionan las normas con la protección del consumidor, los principales desafíos para la protección del consumidor en la región y ejemplos claros de cómo las normas apoyan los derechos de los consumidores.Y como esto es The Standards Show también conversamos acerca de su travesía en normalización y sus normas favoritas.The Standards Show | LatinoAmericaConoce más / Find out moreIRAMRegistro Nacional de Associaciones de ConsumidoresConsumers International Contactate con The Standards Show / Contact The Standards Showeducation@bsigroup.comenvia un mensaje de vozSigue y suscríbete en redes sociales / Find and follow on social mediaX @standardsshowInstagram @thestandardsshowLinkedIn | The Standards Show

Real Estelí supo aguantar el resultado en el Cuscatlán y el empate 0-0 fue suficiente para garantizar su boleto a semifinales y a la próxima Champions Cup 2025.

Giuseppe Mendicino"Conrad, una vita senza confini"Laterza Editoriwww.laterza.itPisa Book Festivalsabato 5 ottobreGiuseppe Mendicino"Conrad, una vita senza confini"Masterclass su Conrad a 100 anni dalla morte, nel 1924Cento anni fa moriva Joseph Conrad, lo scrittore che ci ha lasciato opere indimenticabili, da La linea d'ombra a Cuore di tenebra. Orfano giovanissimo, esule, per vent'anni in viaggio sulle navi che solcavano tutti i mari del mondo, la sua stessa vita fu romanzo appassionante, finalmente raccontata in questa biografia.Il 3 agosto del 1924 moriva a Bishopbourne, un piccolo e tranquillo villaggio dell'Inghilterra meridionale, Józef Teodor Konrad Korzeniowski, ovvero Joseph Conrad, uno dei più grandi scrittori della modernità. Unico erede di una famiglia aristocratica polacca, quasi cinquant'anni prima aveva lasciato il suo Paese per sfuggire alla polizia zarista e per inseguire il sogno romantico di una vita sul mare. Si era imbarcato a Marsiglia e aveva navigato per vent'anni. Questa vita avventurosa, sempre a contatto con il lato più selvaggio e imprevedibile della natura e degli esseri umani, trovò poi forma, trasfigurata, in capolavori come La linea d'ombra, Cuore di tenebra, Lord Jim, Tifone.Con lui si viaggia dall'arcipelago malese al Centro America, dal cuore del continente africano a cupe atmosfere londinesi, leggendo storie che hanno affascinato generazioni di lettori, coinvolgendo i più giovani per il senso dell'avventura e del mistero e i più adulti per la profondità e la molteplicità di punti di vista interpretativi e narrativi. Questa biografia, intrecciando vita e opere, ne porta in piena luce aspetti coinvolgenti e intramontabili: il confronto con la natura e con la storia, la solitudine e le responsabilità dell'uomo, l'amore per la libertà e l'avversione per ogni totalitarismo.Giuseppe Mendicino è conosciuto soprattutto per i suoi lavori biografici su Mario Rigoni Stern, tra i quali Mario Rigoni Stern. Il coraggio di dire no (Einaudi 2013).Si è interessato, attraverso libri, saggi e articoli, a scrittori e scrittrici del Novecento accomunati da una chiara etica civile: Primo Levi, Nuto Revelli, Dino Buzzati, Luigi Meneghello, Massimo Mila, Emilio Lussu, Giovanna Zangrandi. Sin da ragazzo ha coltivato una grande passione per le opere di Joseph Conrad, che lo ha portato ad affrontare quest'accurata indagine critico-biografica. Per Laterza è autore di Mario Rigoni Stern. Un ritratto (2021).IL POSTO DELLE PAROLEascoltare fa pensarewww.ilpostodelleparole.itDiventa un supporter di questo podcast: https://www.spreaker.com/podcast/il-posto-delle-parole--1487855/support.

The Standards Show LatinoAmerica brings you the stories behind the standards in South America, Central America and the Caribbean. Episodes are in Spanish or Portuguese. In this episode, Andrea Sandi meets Cesar Diaz, CEO at INEN - the National Standards Body for Ecuador. He describes the role of INEN for the Ecuadorian National Quality infrastructure. And being The Standards Show, he also shares his standards journey.The Standards Show LatinoAmérica le trae las historias detrás de las normas en Sudamerica, Centroamerica y el Caribe. Los episodios se encuentran el español o Portugues. En este episodio de LatinoAmérica Andrea Sandi conversa con Cesar Díaz. Cesar es Director Ejecutivo de INEN y nos habla sobre la relevancia del INEN en la infraestructura de la calidad del Ecuador, sobre su travesía en normalización y las mejores prácticas de trabajo del INEN.The Standards Show | LatinoAmericaConoce más / Find out moreINENContactate con The Standards Show / Contact The Standards Showeducation@bsigroup.comenvia un mensaje de vozSigue y suscríbete en redes sociales / Find and follow on social mediaX @standardsshowInstagram @thestandardsshowLinkedIn | The Standards Show

En nuestro episodio 385 conversamos con Alberto Rincón, Director general en L'Oréal Centro America y Región Andina sobre:+ Un momento de rebeldía en su vida. + Vivir la fusión empresarial  Carulla - Éxito+ Traer la estrategia global a lo local+ El futuro del mercadeo+ Cómo liderar desde el ejemplo.+ El liderazgo empieza cuando asumimos esa responsabilidad.+ Crear equipos donde cada uno aporte desde su fortaleza para aumentar el impacto del grupo.+ La seguridad psicológica es crítica para que todos den su mejor versión.Acá puedes conocer más sobre Hackers del Talento y Ricardo PinedaSuscríbete a nuestro newsletter Cartas al Talento donde reflexionamos sobre Talento Humano, el futuro del trabajo y la humanización

Igor Sibaldi"Ribellarsi al destino"Impara a non rassegnarti e prendi sul serio i tuoi desideriMondadori Editorewww.mondadori.itRibellarsi al destino significa smettere di rassegnarsi e cominciare a prendere sul serio i propri desideri. È un'impresa eroica: chi osa affrontarla, si trova a combattere contro spietati avversari interiori e collettivi.“Destino”, ci spiega Igor Sibaldi in queste pagine, è l'antico nome dato a tutto ciò che limita le nostre possibilità e che accresce il peso dei nostri difetti. È una barriera da smantellare, scoprendo e superando tutte le sue componenti, a partire dall'influsso dei genitori fino alle paralizzanti certezze su cui si fondano la morale, il progresso e la psicologia della nostra epoca: è ciò che questo libro insegna a fare. Ci insegna poi ad andare incontro con eccezionale fiducia a tutto quello che può accadere quando si esce dalla morsa del “destino”, e proprio i nostri difetti possono servire da guide personali, da sorgenti di energia e di autenticità. Il risultato è un ampliarsi imprevisto dell'orizzonte e dell'idea che si ha di se stessi. È questo l'inizio dell'autentica libertà e di quello che gli antichi chiamavano successus, “il fidarsi di ciò che può succedere”, equivalente dell'inglese happiness, da to happen. È un attimo, ma cambia la vita, per sempre, come un prodigio.Igor Sibaldi, di origine russa, è scrittore, filosofo, filologo, studioso di teologia. Ha di recente pubblicato per Mondadori l'ampio romanzo storico La Russia non esiste, prima parte di una trilogia che abbraccia tutto il Novecento. Tra i suoi titoli più noti, I Maestri invisibili, Libro degli Angeli, Il codice segreto del Vangelo. Ha tradotto Guerra e pace e altri classici russi; ha tradotto e commentato il Vangelo di Giovanni, dal greco, e buona parte della Genesi, dall'ebraico antico. Dal 1997 tiene frequenti conferenze in Italia, Svizzera e Centro America.IL POSTO DELLE PAROLEascoltare fa pensarewww.ilpostodelleparole.itDiventa un supporter di questo podcast: https://www.spreaker.com/podcast/il-posto-delle-parole--1487855/support.

Dr. Armando Hernandez-Rey is Conceptions Florida's medical director and triple-board certified in Reproductive Endocrinology and Infertility; Obstetrics and Gynecology; and Surgery. Dr. Armando Hernandez-Rey has over 24 years of experience in the medical field. He graduated from Universidad Autonoma de Ciencias Médicas de Centro America in 1998. He attended medical school at the University of Miami Miller School of Medicine for his specialization in Obstetrics and Gynecology. He specializes in treating patients with polycystic ovary syndrome (PCOS), recurrent pregnancy loss (miscarriage), and severe endometriosis. He is especially interested in fertility preservation (eggfreezing) for patients who must delay childbearing for personal or medical reasons, including cancer and systemic lupus erythematosus. Dr. Hernandez-Rey is an assistant clinical professor at the Herbert Wertheim College of Medicine at Florida International University and serves as an ad-hoc reviewer for the prestigious peer-reviewed journal, Fertility and Sterility. He has also published several articles and chapters in medical literature.   Website https://www.conceptionsflorida.com Instagram https://www.instagram.com/conceptionsflorida/ Facebook https://www.facebook.com/conceptionsfl Tiktok https://www.tiktok.com/@conceptionsflorida     For more information about Michelle, visit: www.michelleoravitz.com   The Wholesome FertilityFacebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/   Instagram: @thewholesomelotusfertility   Facebook:https://www.facebook.com/thewholesomelotus/     Transcript:   Michelle (00:00) Welcome to the podcast, Dr. Hernandez -Ray.   Armando Hernandez-Rey MD (00:04) Thank you, Michelle. Thanks for the invitation. It's really an honor and a privilege to be on your show, on your podcast.   Michelle (00:09) Yes, well, I've heard a lot about you over the years because I've had a lot of patients go to you. And one of the things that I've heard is that you do really well with surgeries and fibroids and you're able to in and   but in a way that still preserves fertility. So that was one of the things that I've learned.   Armando Hernandez-Rey MD (00:32) Well, reproductive endocrinology and infertility as a subspecialty is a surgical subspecialty as is OB -GYN, which is a mandatory path to get to the infertility route. Unfortunately, a lot of the newer generation is not operating because they're not taught, not through no fault of their own, they're not taught. The reality is that it is...   Michelle (00:47) Mm -hmm.   Armando Hernandez-Rey MD (00:55) for a myriad of reasons this phenomenon has happened. Number one, the minimally invasive surgery tract has been developed where you have the person who's really just really perfected their obstetrical skills. And then you have the gynecologic oncology route and the pelvic urogynecology or pelvic reconstruction route and the minimally invasive surgical route. And a lot of the reproductive endocrinologists,   have said, you know what, I'm going to forego surgery and I'm going to refer it out. My personal philosophy, and this is in no way critical to absolutely anybody, it's just my own, is that I went into medicine to be a surgeon, I actually wanted to be an orthopedic surgeon. I ended up not liking it, I had a very bad fracture when I was in my teens playing competitive soccer, and I really had some PTSD from that fracture, so I just couldn't see myself doing   orthopedic surgery, but I somehow found my way towards OBGYN, absolutely loved it. And eventually towards the reproductive endocrinology route, which encompasses a lot of surgery, should you allow it. And so yes, like you said, fibroids are an important part of fertility. you, tubal reconstruction used to be much more important than it is now. People are more, are bypassing that route and going directly to in vitro fertilization.   Endometriosis, as I said, I was running a little bit late today. I was in a very, very complex endometriosis case with a patient with bilateral endometriomas and complete frozen pelvis and scar tissue. And, you know, just a little bit longer, I had to work with the colorectal surgeons to do some resection of the colon because it was, you know, endometriosis is such an awful, awful disease. So yes, to answer your question, I...   Michelle (02:41) Yeah.   Armando Hernandez-Rey MD (02:44) Absolutely love surgery. I think it's an integral part of the infertility journey to get a patient from being infertile to getting them to a high level of success with any sort of treatment. And hopefully it's more conservative than having to resort to artificial insemination or in vitro and with just surgery and corrective surgery, we can help the couple achieve a pregnancy.   Michelle (03:07) Yeah, and I think it's important because I think that a lot of people might not realize that there are certain people that specialize in this or have experience doing that, doing surgery and really getting in there because it is important to find somebody who's specialized if you have a complicated case.   Armando Hernandez-Rey MD (03:23) I think it's important. I think people feel well taken care of. Again, my perception, people feel well taken care of when everything is done in house. Meaning, you know, there's no messages that get lost as you refer a patient out who may have the minimally invasive surgery knowledge, but not necessarily the focus on infertility, reproductive endocrinology.   Michelle (03:33) Mm -hmm.   Armando Hernandez-Rey MD (03:50) specialist has and I think people feel comfortable with that.   Michelle (03:52) Yeah, absolutely. Because there's some people that will take out fibroids, but they're not doing it with fertility in mind. You know, for many women, it could just be just taking out fibroids, but you're doing these things with fertility in mind.   Armando Hernandez-Rey MD (04:07) There are many great surgeons out there that are not infertility specialists. You know, I want to make sure that I'm clear. I just think that I was, I always love surgery. I happen to do surgery and I feel my patients feel very comfortable with me doing the surgery and not being referred out. It's what I think. You know, the journey, the infertility journey is very complex. It requires a lot of a woman in particular more than the male and to be   Michelle (04:25) Yeah.   Armando Hernandez-Rey MD (04:36) you know, passed around, it gets complicated. And I think it's nice to be able to offer that service to patients.   Michelle (04:44) Yeah, for sure. And then you do specialize in miscarriages.   Armando Hernandez-Rey MD (04:49) Sure, I mean, I think we all really have a focus on on as you know, we're all specialized in miscarriages and and PCOS and all that there's some people that tend to see More miscarriage patients or they people will refer miscarriage patients to us We have a particular kind of focus on that, you know, I think a lot of it is   genetic, a lot of it is immunologic, a lot of it is just taking a holistic approach to things and not just focusing on one or the more common causes of infertility. And even now, I think that, you know, the use of supplements, which maybe 15 years ago was maybe considered some snake oil. Now, I think there's a lot of provocative data that has shown that supplements do work, in particular in   Michelle (05:18) Mm -hmm.   Armando Hernandez-Rey MD (05:44) cases with recurrent miscarriage. And now we have the ability to measure those levels and we are now ability to supplement those levels and they have tremendous impact positively on these patients.   Michelle (05:57) And what supplements have you seen help with miscarriages?   Armando Hernandez-Rey MD (06:02) Well, I think a lot of it has to do with what the cause of the miscarriages is. Oftentimes, believe it or not, miscarriages can alluded to fibroids, it could be anatomical, sub -mucosal myoma. Well, there's not gonna be any supplement that's gonna help with that. It's just purely the surgical route or the diminished ovarian reserve,   Michelle (06:07) Mm -hmm.   Mm -hmm.   Armando Hernandez-Rey MD (06:29) cause for recurrent miscarriages, which is older women or ovaries that are behaving or eggs that are behaving older than what their chronological age would dictate, you have a higher chance for aneuploidy. And in those cases, there's a variable cocktail of supplements that we use, including ubiquinol, including N -acetylcysteine, including vitamin E, even melatonin has been shown to be very, very effective. And I can go on and on, even alpha lipoic acid.   Michelle (06:50) Mm -hmm.   Armando Hernandez-Rey MD (06:57) as well. There's some very nice studies coming out of Mayo Clinic that have shown that aflalipoic acid is very, very good for recurrent miscarriages. So again, things that we thought were, well, they can't hurt, now we know that they absolutely help.   Michelle (06:57) Yeah.   Right. Yeah. I mean, that's great because it just helps to know that there's something that people can do that really does make a difference. And it's not just like in theory with miscarriages when it comes to immunology. I'd love to talk about that because I know that that's a big one. Actually, I did see a study that showed that women who have are more sexually active, that their immune system calms down. It behaves differently in the luteal phase.   Armando Hernandez-Rey MD (07:31) Mm -hmm.   Michelle (07:44) so that it's able to receive life so that it's not seeing like the sperm as an invader the, yeah.   Armando Hernandez-Rey MD (07:50) So women that are more sexually active than others, it's probably a function of repeated antigen exposure, which is the more the woman is exposed to the antigens of the sperm, more there becomes an acquiescence by the immune system to be more receptive of that embryo. Because remember, the embryo is   Michelle (08:06) Mm -hmm.   Armando Hernandez-Rey MD (08:19) a haplotype, meaning it's half female, half the woman, half the mother, and half the male. And the only genes that the immune system of the mother has got to harbor the pregnancy are her own. And so oftentimes the immunologic processes are heightened because it does not recognize the male antigens that are formed part of the embryo in general. But as a whole, I mean, recurrent pregnancy loss,   Michelle (08:33) Mm -hmm. Right.   Armando Hernandez-Rey MD (08:47) is, is a small portion of the general population and, it's skewed towards advanced maternal age and advanced paternal age. so the immunologic component, while absolutely important, I think it's the one where we're still not a hundred percent sure how to absolutely treat it. Although supplementation and.   immune suppression definitely are known to work. It's the testing that I think we still need a lot more work in doing because you know people talk about NK cells and you know that was part of my thesis when I was a fellow. So we talk about NK cells and ANA and antiphospholipids and all of that and the reality is that these tests have very very   poor sensitivity in the realm of immunologic infertility or reproductive immunology. And so you may have COVID and then you can test positive or lightly positive for NK cells. And so I think that the overwhelming response by the treating physician is, well, they're positive, they must be immunologically incapable of handling a pregnancy. So therefore we should treat.   Michelle (09:40) Mm -hmm.   Armando Hernandez-Rey MD (10:04) with nowadays what we use as intralipids. Back in the day, we used to use IVIG that has kind of fallen by the wayside a little bit. I think it's better to treat empirically than to have someone treat or test for all of these different immune markers that really, really in the presence of immunology and reproductive immunology,   They have very low sensitivity. Now if you're treating or you're looking for lupus or rheumatoid arthritis or mixed collagen disorder or Sjogren's for sure, they are your go -tos every single time.   Michelle (10:44) And what about a PRP for ovaries? What has do you do offer that?   Armando Hernandez-Rey MD (10:50) ovaries. American study of reproductive medicine came out with a black box warning that they do not recommend PRP for ovaries. Now, PRP for recurrent implantation failure, poor lining development, there is some very robust data that there may be some room or benefit for this.   Michelle (10:57) okay.   Mm -hmm.   Armando Hernandez-Rey MD (11:14) And we do do offer that. We do not offer intra ovarian PRP because ASRM has a huge black box warning on this. It's a liability. The potential for infection is there. Tubo ovarian abscess have been reported, adhesions, periovarian adhesions, and with very little to no benefit whatsoever. I mean, the whole premise for it is that we are...   Michelle (11:16) Okay.   wow, okay, I didn't know that.   Mm -hmm.   Okay, got it.   Armando Hernandez-Rey MD (11:42) regenerating the follicle complex and therefore improving egg quality and that definitively has not been shown to be the case. Although anybody who suffers from that as I would be would be like, slide me up. But unfortunately, you know, it's very easy for us to fall prey to things that we desperately want without having the medical literature to corroborate it or back it up.   Michelle (11:49) Got it.   Right.   Got it. So that's actually showing to not necessarily be what a lot of people originally thought, but for the uterus, it has been shown to help.   Armando Hernandez-Rey MD (12:15) Yes, we are doing PRP installations and very select group of women with those diagnoses in particular. And.   Michelle (12:25) So who would be a good candidate? Somebody who's had failed transfers, inflammation.   Armando Hernandez-Rey MD (12:30) Yes, someone with very high quality embryos, high quality embryos that are not getting pregnant. Also patients, for example, patients who have adenomyosis that do not develop a nice lining, a thickened lining. Those have been shown. Our numbers are very small, you know, by no means.   Michelle (12:42) Mm -hmm.   Mm -hmm.   Armando Hernandez-Rey MD (12:53) they are in the realm of what a randomized controlled trial should be. We're following the data from the randomized controlled trials and from the literature that's out there. So patients with adenomyosis who have poor lining development, recurrent implantation failure, so patients with euploid embryos, that means a normal embryo that's tested that looks to be high quality. Also, after a second implantation failure, we'll...   offer that to the patient as a possibility.   Michelle (13:19) Mm hmm. Got it. Awesome. And then also we were talking about Ozempic pre -talk. So I'd love to get your... Yes. Yeah. Ozempic babies.   Armando Hernandez-Rey MD (13:24) the topic du jour these days, right?   It's right. So as we were discussing, I mean, this, this phenomena is not really a phenomenon that's surprising at all. It is just a, a byproduct, a side effect of, of how the medication works and the effects that positive effects that I have on women with in particular, and ambulatory disorders, specifically polycystic ovarian syndrome, which is often tied to or associated with insulin resistance, obesity, sometimes even overt.   type 2 diabetes and the elevated levels of insulin, the elevated testosterone levels, they all work together to create this sort of environment within the ovary and the system of the female which creates an ovulatory disorder or dysfunction. And as a woman loses weight by virtue of the way that these GLP1s or glucocortes   Michelle (13:58) Mm -hmm.   Armando Hernandez-Rey MD (14:22) Glucagon like peptides work They're very successful. They're very good at number one slowing gastric emptying which in turn slows down the release of sugar into the blood system to the Number one number two it stops the the release of glucose produced by the liver and Number three increases insulin levels so increase insulin levels helps get the the   the sugar into the muscles out of the circulation and out of stimulating the ovaries and the theca cells to produce more androgens which then get produced produce more estrogen which then stops the hypothalamic pituitary ovarian axis from functioning correctly and as these levels drop patients automatically begin to have spontaneous ovulation if the system is working and the male has normal sperm and they're sexually active.   this is how the ozempic baby phenomena occurs. And what we discussed also is that the concern is of the downstream consequences of ozempic babies given that the current recommendations are to have at least a two month washout period before anybody starts to try to conceive.   Michelle (15:32) So two month washout means like really not trying anything. Yeah. And then also, I know like naturally, myonocytol is really helpful as well for insulin resistance. It might take a little longer. And then also metformin has been used as well.   Armando Hernandez-Rey MD (15:37) No exposure, right? No exposure.   Yeah. Yes. So, my own hospital is, is a, is a great product. my own hospital alone, although you will find oftentimes my, my own hospital with a D chimeric, hospital and really the literature shows that my own hospital by itself is the one that truly has the most benefit might be hard to find.   Michelle (16:06) Right, yeah.   Right because for a little while they said my own hospital and dechiro, but now they're going back to saying just my own ocital, correct?   Armando Hernandez-Rey MD (16:23) Yeah, well the way that it's normally found in the body is at a ratio of 20 to 1. And that's what those supplements show, 20 to 1. Although we know now that in the ovary it's almost 40 to 1 ratio of myoinocytol to D -chimeric, inocytol.   Michelle (16:30) Mm -hmm.   Mm -hmm.   Mm -hmm.   Armando Hernandez-Rey MD (16:49) Myo Inositol is actually not an essential vitamin, but it's considered like a vitamin, but it's in the category of B8 It's a glucose like peptide that basically helps to Help the system function by processing the circulating blood sugar in a way that's more physiologic and there by lowering insulin levels and thereby also helping tremendously with   Michelle (16:56) Mm -hmm.   Mm -hmm.   Armando Hernandez-Rey MD (17:16) regularity of cycles and even spontaneous ovulation as well. And metformin obviously is medication that's been around for many, many years. It is somewhat of a controversial drug. It is an anti -aging drug even these days because we know that insulin levels are so profoundly toxic for aging for the muscle and for the system in general.   Michelle (17:29) Mm -hmm.   Mm -hmm.   Armando Hernandez-Rey MD (17:45) And so we know it works, we know that it helps with the efficiency of insulin. And so it's certainly been used for many, many, many years in the presence of patients with polycystic ovarian syndrome. I would challenge people to be a little bit more meticulous about using it in patients who are the lean PCOS.   Michelle (18:11) Right.   Armando Hernandez-Rey MD (18:11) or the skinny PCOS or the ovulatory PCOS even though insulin levels have been shown to be higher, slightly higher in...   Michelle (18:19) So you're talking about being cautious with metformin, not necessarily myonositol. Yeah, yeah.   Armando Hernandez-Rey MD (18:22) Metformin, you also don't want very high levels of myelonostetal because they can be, you know, there is some quote unquote toxicity. I think the recommendations are up to four grams per day. I think all the recommendations are four grams per day in two divided doses, two grams in the morning and two grams at night. I've seen patients be on eight grams and 10 grams and toxicity really starts happening around the greater than 10 gram dose.   Michelle (18:29) Mm -hmm.   Mm -hmm.   Armando Hernandez-Rey MD (18:52) I in our office we only use it, you know, what's recommended which is the four gram total per day two grams in the morning two grams at night and I don't think it's the end -all be -all I don't think it's you know treating anything in life is multi -pronged. It's not just one single thing perhaps but I definitely believe very wholeheartedly that it does assist in in adjunct treatment, although we certainly have patients put patients on on myocytil and combined with   Michelle (19:06) Yeah. Right.   Armando Hernandez-Rey MD (19:20) diet and exercise and have been able to achieve pregnancies on their own, which is obviously what we want instead of having to go through treatments.   Michelle (19:27) That's great. I mean, I will say that I was very surprised this past year. two different patients came from different, different places, not yours, it was other doctors, but I think the nutritionist there suggested metformin when they did not have insulin resistance or PCOS for egg quality.   Armando Hernandez-Rey MD (19:47) Yeah, I'm not familiar with any studies that have shown that have improved that. In fact, when I was a fellow, we were, just as I was coming into fellowship, where I trained, Rutgers was involved with a very well known and publicized study, it's called the PP COAS study, which looked at patients on placebo versus metformin alone versus metformin with Clomid, sorry.   placebo versus clomid versus clomid with metformin and there was no difference in pregnancy rates or anything else. I'll go one step further with them going back to the myonocytol. It has even been shown to decrease the rates of gestational diabetes and so in our patients with PCOS with who are you know   Michelle (20:18) Mm -hmm.   Mm -hmm.   Armando Hernandez-Rey MD (20:39) Stage one, type one obesity, type two, we'll continue them on the myonostetal throughout the pregnancy and when they leave us and go to their OB -GYN, in our referral letter back, we'll say that we're recommending for her to continue on myonostetal because there have been improvements in sugar levels and glycemic control and reduction in gestational diabetes overall.   Michelle (20:54) Yeah, that's good to know.   another big one is vitamin D. A lot of people, even though we're in Florida here, we have a lot of sun. A lot of people are very deficient in vitamin D.   Armando Hernandez-Rey MD (21:11) Yeah, What it is is a combination of things. Number one, we're not as sun exposed as you think we are. You know, we're always in a car, we're always indoors, it's very hot. And yes, we go out to the beach and there is a lot of sun, but we become very, very sensitive to the sun and to the untoward effects of the sun.   Michelle (21:17) Mm -hmm.   Armando Hernandez-Rey MD (21:35) So we protect ourselves tremendously. That's number one. Number two is that I think the levels are set higher than what the average person can sustain with just diet and sun exposure. And actually the recommendations now in the infertility world that when you order a vitamin D from Quest, they'll tell you that the levels are, you want them at   Michelle (21:38) Mm -hmm.   Armando Hernandez-Rey MD (22:04) definitively above 20 Certainly above 30 and now recently now the recommendations are that for them to go above 40 and and and Yeah, I'm not yeah, so I heard I've read 40 I it was a Paper that came out of Either the Lancet or   Michelle (22:11) Yes, yep, I've been hearing that or even 50. Yeah.   Armando Hernandez-Rey MD (22:27) or fertility necessarily, anyone, one of, that they recommend now for vitamin D levels to be above 40. So that's really hard. I mean, I work really hard. I take a lot of vitamin D and I'm just barely scraping like 50. You know, I take about 5 ,000 units a day, which is what we're recommending nowadays, 5 ,000 units of vitamin D. And I take that every single day and I barely scratch,   Michelle (22:38) Mm -hmm.   Yeah.   Armando Hernandez-Rey MD (22:56) you know, 45, 50 every time I get an average check. So I'm not getting as much sun as I think I am, number one. I am out fairly often. I do play some golf, not enough. And yet it's not enough. So definitely supplementation's important.   Michelle (23:03) Mm -hmm.   Yeah, magnesium is also important. That's another thing. It's to not be deficient in magnesium because magnesium plays an important role of our absorption of D, which, you know, obviously doing this, I learned, I was like, that's might be deficient magnesium and be taking a lot of D and then their body's not processing, which is why it's important sometimes even in foods, foods have everything. So like,   even beef liver, you know, from Chinese medicine perspective is so beneficial because it has iron, but it has it in a combination of nutrients that helps the body absorb it.   Armando Hernandez-Rey MD (23:46) Yeah, B6, B12 are incredibly important for iron absorption as well. So all of these things are extremely important. Everything is all intertwined and we're just learning about this. And for us, I've really gotten grabbed hold of this whole longevity thing, hence my aura ring and all of this. And...   Michelle (23:57) It is.   Yeah.   Armando Hernandez-Rey MD (24:09) I'm just trying to apply a lot of the things that we know today work for longevity medicine and anti -aging principles to the infertility world because it's all intertwined. It's all intertwined.   Michelle (24:16) Yeah.   without a doubt. It's funny because that you say that because I always say it's pretty much anti aging. Yeah.   Armando Hernandez-Rey MD (24:26) Yeah, totally, totally. They're even coming up with a way to stop menopause.   Michelle (24:36) wow. How?   Armando Hernandez-Rey MD (24:37) which is extremely interesting. Believe it or not, recombinant antimullerian hormones.   Michelle (24:42) How is that? Explain that.   Armando Hernandez-Rey MD (24:46) So the way that antimullerine, the function of antimullerine hormone at the level of the ovary is that it stops follicular recruitment. That's why women with PCOS have higher AMHs and therefore they have higher egg counts and higher, they tend to go into menopause later on, et cetera. That's because they have high levels of antimullerine hormone. So by reproducing or creating it in the laboratory and then from an early stage,   This is in its infancy, by the way, okay? So this is, yeah, this company, I believe she's a Harvard scientist, biochemist or something, who's coming up. My point is that, listen, that it's all intertwined, aging and even in menopause, for God sakes. Now I've been doing this for so long that I now,   Michelle (25:18) It's new.   Mm -hmm.   Armando Hernandez-Rey MD (25:39) seeing menopausal patients who were like, you know, listen, you took care of my baby, you're a reproductive metachronologist, you understand the science, will you treat me? And, you know, like, and I realized, like, somewhere, some women got like, they got a some bad luck thrown their way because, you know, with the WHI results and the way they were interpreted, they made hormones bad. And somewhere along the way, someone said,   It's okay for women to suffer from menopause, just suck it up. Like it's not okay. That's not okay. That's not okay. And so if you start from very early on and, you know, and, and really practice what you preach, which is healthcare and not sick care, which is what we practice in the United States, you know, we're just very, we, we're not proactive. We're reactive to when a patient is sick instead of early intervention, early screening and all of that.   Michelle (26:25) Yeah, absolutely.   Armando Hernandez-Rey MD (26:30) And that goes for the infertility world and that goes for a woman's long reproductive life extending past menopause. I think we still have a lot of challenges to overcome, but I think that we're heading in the right direction. Sorry to digress a little bit. I went off on a tangent there for a second.   Michelle (26:43) Yeah, for sure. no, it's okay. But you know what? I love the passion and I love that, that, you know, ultimately is great. It's important, very important, because it's true. And I agree a lot with what you just said, that we should be proactive when it comes to healthcare. I mean, really when it comes to so many things and something else that I...   that I read, it was an animal study. It was a study on, I believe it was like, I don't remember which kind of animal it was. I think it was like either sheep or cows or some form of those where they actually gave them oxytocin right before IUI. And that improved the chances of the conception rates, which I thought was very interesting because I think that that's one of the things with IUI that's missing because obviously you're taking away the connection.   that is usually there when you're just under natural circumstance. And I thought it was interesting because I was looking into it for something else to understand from a Chinese medicine perspective, because they have this heart -uterusconnection, that connection, the bonding. And so what I found was interesting too is that oxytocin increases around ovulation and after intercourse. And usually what they look at it as its role is usually for labor.   not so much conception. So I was just going to kind of like pick your brain on that. Any thoughts on that?   Armando Hernandez-Rey MD (28:13) Well, I mean, oxytocin is secreted at the time of... I'm not sure of ovulation, I didn't know that. But definitely at the time of...   Michelle (28:21) or it increases around that time, like right before ovulation in the cycle, a woman cycle.   Armando Hernandez-Rey MD (28:27) What we know that it's involved is at the time of orgasm. And so this may promote uterine contractility, which is what is used for intrapartum, to promote contractility of the uterus, to promote descent and eventual delivery. And we know that it's intimately involved in orgasm, we're seeing.   Michelle (28:33) Mm -hmm.   Mm -hmm.   Mm -hmm.   Armando Hernandez-Rey MD (28:55) during intercourse and orgasm and so with you know the projection of with the secretion of oxytocin and it causing uterine contractility obviously not at the same level that it does during labor but at smaller amounts then I can see how there could be a role for oxytocin in artificial insemination.   Michelle (29:18) even in fertility in general and because it's got to be there for a reason why would the body produce it around that time?   Armando Hernandez-Rey MD (29:25) Well, yeah, I guess, but it's either IUI or IVF and we definitely don't want oxytocin during the IVF cycle.   Michelle (29:33) Right, because you don't want to contract, right?   Armando Hernandez-Rey MD (29:35) Right, because we're transferring an embryo where there should not be any oxytocin. And you can have the most beautiful embryo, but if you screw up the embryo transfer, through no fault, just because it's a difficult transfer for a myriad of reasons, and you cause uterine contractility, then there's a high likelihood of pregnancy not occurring during that time.   Michelle (29:57) Right. I think it would be an interesting thing to look into for IUI. There might be something to it, because if it works with animals, and the animals obviously have similar certain functions that we do, mammals, that seems like an interesting thing.   Armando Hernandez-Rey MD (30:10) Yeah.   I think there's not going to be a lot of resources put into improving IUI, to be honest with you. IUI, I think it is what it is. And I mean, I think the majority of research is going to go to improving even more IVF rates, because I think ultimately patients are going to want to go more.   Michelle (30:22) Mm -hmm. Yeah.   Armando Hernandez-Rey MD (30:40) towards IBF, no matter how hard we try to say, hey, listen, there's this option or this option or this option. It's more become a more of an instant gratification society. Number one, number two, people are waiting longer. So therefore they're more pressed for time, if you will. And I think there will be less of a motivation to go down a treatment option that frankly,   Michelle (30:48) Mm -hmm.   Mm -hmm.   Armando Hernandez-Rey MD (31:07) You know, has a low pregnancy rate.   Michelle (31:09) Right. And then my other question is, what are your, thoughts about a lower intensity cycle?   like lower amounts of hormones for older women. In some cases I've heard it might be a little better. you do? Yeah, yeah.   Armando Hernandez-Rey MD (31:24) We use it all the time. Yeah, we use it all the time. I think it's...   a very successful option in cases with severely diminished ovarian reserve. I think that the senescent ovary does not do well with high impact medication or high doses of medication separately, but you know, jointly the medication costs are exorbitant and you end up having the same number of eggs that are mature, that get fertilized with a mini stent protocol as you do with   Michelle (31:38) Okay.   Mm -hmm.   Mm -hmm.   Armando Hernandez-Rey MD (31:59) a high dose regimen.   Michelle (32:02) Okay, so you've seen good success with that.   Armando Hernandez-Rey MD (32:06) Well, I mean, not good success because generally these cases are, we've seen success. Let's call it that. Because the patients that you're treating with these medics, with this protocol are patients who are POI, you know, premature ovarian insufficiency, diminished ovarian reserve, poor egg quality, high rate maniploidy. So these are your poor responders essentially. And they're very...   Michelle (32:12) Yeah, okay.   Mm -hmm. Mm -hmm.   Armando Hernandez-Rey MD (32:34) specific factors that propel a woman to have success with this protocol compared to her twin sister with almost the same testing who doesn't do as well.   Michelle (32:47) Got it. And then lastly, we talked about this in the pre -talk, let's talk about marijuana and sperm, data is showing. Yeah.   Armando Hernandez-Rey MD (32:55) I don't do it myself, but I have no problem with people that do. What the data has shown that we're just becoming more and more familiar because the overwhelming number of people who are using cannabis and open about it, which is the second part, which was very difficult to conduct studies because it was so people were ostracized. They were looked at.   not the wrong way and seen as in the fringe. And now it's, you know, it's so mainstream. but so now we're, we're keenly aware, of patients were able to analyze them and what we know without a shadow of a doubt that the potency of the cannabis that's being produced these days is anywhere between eight to 12 times more potent than I think I use the joke of the guys at Woodstock back in the sixties, right?   Michelle (33:21) Mm -hmm.   Mm -hmm.   Armando Hernandez-Rey MD (33:46) where everybody was getting pregnant and everybody was high on life, all of those things. And then what we've also known, which I did mention, is that using the vape pens, whatever types of inhalers as opposed to the traditional joint, if you will, increase the potency of that by a factor of two to three. The cannabis that was already potent to begin with.   Michelle (34:08) Yeah.   Right.   Armando Hernandez-Rey MD (34:14) So what you're seeing in males in particular, and I'm not sure that the literature is so complete on the female aspects, are that we're seeing a high levels of fragmentation. And what fragmentation is, is imagine that sperm is like an Amazon box. And inside that box, there's a porcelain doll that's wrapped in these packing cubes. They're held very, very tight. And under...   Michelle (34:26) Mm -hmm.   Armando Hernandez-Rey MD (34:40) The best of circumstances, those packing cubes are wound so tight, packed so tight that nothing, if I kick the box off the Amazon truck, nothing is gonna happen to the porcelain doll. Well, as fragmentation occurs and it happens under natural conditions and old guys like me, you know, patients who, occupational hazards, firefighters, exposed to toxins, a lot of people who use fertilizers, et cetera, et cetera.   you see high levels of fragmentation. I'm talking about DNA fragmentation. And so what we're seeing is high levels of fragmentation at the level of the DNA of the sperm, which has significant effects on embryo quality, embryo development, and pregnancy rates, and high levels of aneuploidy, which is abnormal embryos. So,   Michelle (35:10) So you're talking about DNA fragmentation. Yeah. Yeah.   Mm -hmm.   Armando Hernandez-Rey MD (35:33) You know, I'm not here to like, you know, slap you on the wrist and say don't smoke weed, but really that's what you're facing. And we know that this happens in women with cigarette smoking. Like this is a well -known cause of an accelerated transition to perimenopause. You know, 65 % of women who smoked a pack a day for greater than 15 years will go into menopause before the age of 40, assuming they started before their 20s. That's a pretty...   Michelle (35:40) Bye.   Mm -hmm.   Armando Hernandez-Rey MD (36:03) ominous number, actually. Thankfully, not many women smoke these days, cigarettes anyway. So I guess the results of cannabis on females is yet to be elucidated, but we definitely have some pretty compelling evidence in terms of the male data that show that it can have detrimental or deleterious effects on sperm quality and not necessarily on numbers.   Michelle (36:04) Yeah.   Mm -hmm.   right, which is what people look at usually when I mean, that's like the, the analysis is always on numbers shape and, numbers shape it. Yeah. And morphology and they won't necessarily look at the DNA fragmentation. That's actually not something that REIs usually initially look at.   Armando Hernandez-Rey MD (36:33) Exactly.   the thesis in morphology.   is done in a well not initially unless there's comorbid situations or things that raise your red flags. For example, advanced paternal age, we always do it. Particularly in egg donor cycles, right? Because patients will be like, well, I'm using an egg donor and why don't I have bad energy? Well, because your husband could be 70 or 60 and   Michelle (37:11) Yeah.   Armando Hernandez-Rey MD (37:14) And then their fragmentation is completely elevated and through the roof. So yeah. So, you know, firefighters, occupational hazards.   Michelle (37:18) Right. So, yeah, it's important. It's important for people to hear this because they can go in and say, the semen analysis was perfect. But that, like what you just said, is not really checked. So they may not, in a healthy, like, younger guy.   Armando Hernandez-Rey MD (37:35) It's not as nuanced as we once thought it was.   Michelle (37:38) Yeah. Yeah. Interesting. It's, it's fun. It's always fun for me to talk to our, our ease, you know, just to get, to pick your brain and get your thoughts. and you're my neighbors. So it's pretty cool.   Armando Hernandez-Rey MD (37:50) That's right. Thank you very much for the invitation. This was really fun. We spoke about a wide array of different topics here. So this was really nice to connect this way.   Michelle (37:53) Yeah.   Yeah.   Yeah, for sure. And I know that a lot of people are going to be like, this is interesting information. Cause I know that what you just mentioned, a lot of it is not common knowledge. people don't know automatically hear about this or really know to think about asking about it. So, so I appreciate all your information, all your good, good data. And, for people who would like to work with you or in town, how can they find more about you?   Armando Hernandez-Rey MD (38:27) Well, we are at Conceptions Florida. We have two offices in Merritt Park, Coral Gables and one in Miramar and hopefully soon also in Boca. And I'm there Armando Hernandez -Ray, MD I'm sure. Easy to find these days on Google, but I'm happy to help in any way that we can. We've been doing this for a long time, quite successfully, thankfully. And we take a lot of pride, humbly speaking, but probably also.   in having a good footprint in South Florida and the infertility world and trying to offer the best care possible.   Michelle (39:01) Awesome. Well, this was such a pleasure and thank you so much for coming on today.   Armando Hernandez-Rey MD (39:05) Thank you, Michelle.    

1-India. Gli ultra nazionalisti del premier Modi vincono le elezioni ma a sorpresa perdono la maggioranza assoluta. (Intervista a Simona Vittorini docente alla Soas di Londra) 2- Stati Uniti. Joe Biden blinda il confine con il Messico. L'ordine esecutivo condanna migliaia di richiedenti di asilo provenienti dal Centro America. (Roberto Festa) 3- Verso le elezioni europee. In Spagna la sinistra radicale perde consensi a causa delle lotte interne. Ne approfitta per il momento il partito socialista di Pedro Sanchez. (Giulio Maria Piantadosi) 4- In Francia Cnews diventa il primo canale di informazione. L'emittente del miliardario Bollorè, specializzata nella diffusione di false notizia, rischia di diventare una minaccia per la democrazia. (Francesco Giorgini) 5- Riscaldamento globale. Siccità estrema e malnutrizione mettono in ginocchio l'Etiopia. L'appello della Fondazione Cesvi. (Roberto Vignola Vice Direttore Generale Cesvi) 6- Succede in Germania. Quando la TV di Stato genera sondaggi razzisti. Il primo canale ARD ha chiesto agli intervistati se avrebbero voluto più giocatori bianchi nella nazionale di calcio. (Luca Parena)

(00:47) Sara Gandolfi racconta chi è Claudia Sheinbaum, la prima donna a guidare il Paese del Centroamerica.(06:33) Federico Fubini spiega perché nel nostro Paese le bollette dell'elettricità sono molto più alte rispetto al resto dell'Europa.(13:27) Giuseppe Guastella parla della Corte dei Conti che ha condannato l'ex d.g. della sanità lombarda a risarcire i 175.000 euro che la Regione dovette restituire al padre della ragazza in coma irreversibile e morta nel 2009.I link di corriere.it:Claudia Sheinbaum prima donna presidente del Messico: «Sarò una riformatrice»Perché abbiamo le bollette più care d'EuropaCaso Eluana Englaro, condannato al risarcimento dell'Erario l'ex d.g. della sanità lombarda

-Paquete de ayuda militar a #Ucrania e #Israel avanza para votación este sábado en el Congreso de EEUU. -#Irán al parecer no se molestó mucho con el ataque que le hizo #Israel. -#Francia obliga a sus tiendas a especificar cuando algún producto sin cambio de precio haya bajado de peso ó tamaño.

The Standards Show LatinoAmerica brings you the stories behind the standards in South America, Central America and the Caribbean. Episodes are in Spanish or Portuguese. In this episode, Andrea Sandi meets Alejandro Levy, a sustainable sanitation expert at AguaTuya. He describes the challenges that the water and sanitation sector is facing in Bolivia and role of standards in helping to meet them.The Standards Show LatinoAmérica le trae las historias detrás de las normas en Sudamerica, Centroamerica y el Caribe. Los episodios se encuentran el español o Portugues. En este episodio Andrea Sandi conversa con Alejandro Levy. Alejandro es experto en saneamiento sustentable en AguaTuya. El describe su travesía en normalización, los grandes desafíos que enfrenta el sector agua y saneamiento en Bolivia y la relevancia de las normas internacionales para sus actividades cotidianas.The Standards Show | LatinoAmericaConoce más / Find out moreIBNORCA - calidad del aguaISO TC/282 - reutilización del aguaContactate con The Standards Show / Contact The Standards Showeducation@bsigroup.comenvia un mensaje de vozthe-standards-showSigue y suscríbete en redes sociales / Find and follow on social mediaX @standardsshowInstagram @thestandardsshowLinkedIn

Yvette Borja entrevista al profesor Miguel Angel Diaz Perera sobre la historia de Máximo y Bartola, dos niños Centroamericanos quienes fueron traficados para participar en las exhibiciones de "freak show de Barnum and Bailey" en el siglo 19. Discutan cómo el racismo científico contribuyó a la opresión de Máximo y Bartola, como las percepciones de las nacientes naciones de Mexico y Centroamerica en ese tiempo siguien relevante hoy, y el fenomeno del "espectaculo" y el show de circo también creo estructura para la victimización de Máximo y Bartola. Si quiere apoyar el podcast, puede subscribirse al Patreon por solo $3 al mes. Recibirá acceso a extra contenido como los episodios del #litreview. Siga @radiocachimbona en Instagram, X, y Facebook.

The Standards Show LatinoAmerica brings you the stories behind the standards in South America, Central America and the Caribbean. Episodes are in Spanish or Portuguese. In this episode, Andrea Sandi meets Angela McCaskill. Angela is Project Manager for Healthcare Quality at BSI. She describes the main benefits of ISO 7101 - the standard for healthcare quality management. She also describes her amazing standards journey for ISO 7101 - from master's thesis to international standard. And how her passion for the standard and healthcare quality has profoundly changed her personal and professional life.The Standards Show LatinoAmérica le trae las historias detrás de las normas en Sudamerica, Centroamerica y el Caribe. Los episodios se encuentran el español o Portugues. En este episodio de LatinoAmérica Andrea Sandi conversa con Angela McCaskill. Angela es gerente de proyectos en calidad de servicios medicos en el BSI. Angela nos comenta sobre los principales cualidades de la nueva norma ISO 7101, su increíble travesía en normalización con este documento, de tesis de maestría a norma internacional y como el enfocarse en su pasión la ha llevado a grandes cambios personales y profesionales. Conoce mas /Find out moreISO 7101Sigue y suscríbete a The Standards Show en redes sociales/Find and follow The Standards Show on social mediaX @standardsshowInstagram @thestandardsshow Contactate con The Standards Show/Get in touch with The Standards ShowSend a voice messageEnvia un mensaje de vozeducation@bsigroup.comSubscribete donde sea que escuche sus podcasts/Subscribe to The Standards ShowSubscribe to The Standards ShowVisite el sitio web/Check out the websitethe-standards-show

El volcán Popocatépetl, presenta actividad, el semáforo de alerta volcánica se mantiene en Amarillo Fase 2 Hoy No Circula funciona normalmente este sábado 27 de eneroSismo de magnitud 6.1en Guatemala afecto a Belice, Costa Rica, El Salvador, Honduras, Nicaragua y MéxicoMás información en nuestro podcast

La moda es cultura, es arte, es pasión y también una gran industria. Nosotros los latinos al igual que en todo, no nos quedamos nada atrás en este sector. Cada día surgen mas latinos diseñadores, creativos, costureros, modelos etc., que terminan protagonizando en los escenarios mas importantes de esta industria global. Silvia Argüello (@rosaclandestino) quien ha logrado tener toda una trayectoria en la moda nos cuenta su historia. A través de sus experiencias, desde sacar copias en la firma de un gran diseñador, hasta llegar a las complejidades de tener una marca propia basada en Milán, pudimos comprender de que trata esta industria tan exigente y tan relevante a nivel mundial. Siendo una latina apasionada y envuelta en este mundo de la moda, habiendo vivido en los EEUU, Centro America, Milán y ahora la República Dominicana, se dió cuenta de que llegó el momento de destacar lo que merece ser destacado.  EL TALENTO Y EL ARTE LATINO EN LA MODA En este episodio especial,  conocimos todos los detalles de la primera edición de los “Latin American Fashion Awards” (@latinamericanfashionawards) y como Silvia junto a Constanza Etro, lograron hacer una realidad lo que en un momento se pudo haber visto como algo imposible.Este evento ha sido diseñado para celebrar y premiar el talento latinoamericano más destacado y emergente en el mundo de la moda, además de honrar la herencia de la región. Un prestigioso jurado internacional, compuesto por líderes de primer nivel de la industria, respalda esta iniciativa. Se trata de un proyecto sin precedentes que fusiona moda y cultura y, que tendrá lugar el 4 de noviembre de 2023 en República Dominicana. Este evento tiene como objetivo convertir al país en el próximo "Hub de la Moda". ----------Recuerda que puedes escuchar este episodio completo en YouTube, Spotify y Apple Podcast, y seguirnos en nuestras redes en @pesospesadosrd, suscribirse + activar las notificaciones en #YouTube, darnos follow en #Spotify, #ApplePodcast, #GooglePodcast para ver a nuestros invitados y enterarse cada vez que salga un nuevo episodio.

Jueves con Las 10 de Erazno, el Chokolatazo, Parodias, Centro America al Aire, Charla Caliente Sports y mas

Nuestras historias de paz nos traen a una de las regiones más maravillosas del planeta, pero que también ha tenido que afrontar desafíos y conflictos profundos. Hablamos de Centroamérica, de las guerras que tuvo que afrontar en la segunda mitad del siglo XX, de la influencia absoluta de la Guerra Fría en su historia y de una iniciativa de paz que partió de los mismos latinoamericanos con un solo objetivo en mente: no más guerra, no más violencia.   Notas del episodio: Cuándo Centroamérica recibió su nombre? la historia detrás de esta palabra Centroamérica, uno de los hogares de la mayor biodiversidad del mundo Los conflictos centroamericanos bajo el lente de Scott Wallace ¿Por qué Costa Rica no tiene ejército? aquí un artículo que nos cuenta la respuesta La historia del Grupo de Contadora El camino hacia la paz y los Acuerdos de Esquipulas   ¡Síguenos en nuestras Redes Sociales!  Facebook: https://www.facebook.com/DianaUribe.fm/ Instagram: https://www.instagram.com/dianauribefm/?hl=es-la Twitter: https://twitter.com/dianauribefm?lang=es Pagina web: https://www.dianauribe.fm

Jueves con Las 10 de Erazno, el Chokolatazo, ganadores de El Papa mas Chido, invitados nos platican sobre el tema LGBT, Centro America al Aire y mas

Jueves con Las 10 de Erazno, Parodias, el Chokolatazo, Centro America al Aire con Edwin, el Mimoso en entrevista y mucho mas

Jueves con Las 10 de Erazno, Centro America al Aire, La salud Mental, boletos para Disney, Parodias y mas

¿Qué necesita una marca para nacer en RD, crecer en Centro America y llegar hasta Qatar?Desde muy pequeña ayudaba a su madre con la confección de prendas para mujeres y niñas en la ciudad de Santiago, tanto ayudaba que desde niña era modelo/vendedora estrella. Cuando creció, ella y su esposo decidieron tomar lo que empezó en un taller en la casa a ser una marca dominicana top en la industria textil y la producción de moda alineada a las necesidades de la consumidora de hoy. Del taller en la casa a todas las tiendas por departamentos de RD, a la exportación. Conoce la historia de Alba Luz Diaz de Abreu, directora creativa de Camila Casual.------Ya puedes ver todo el detalle de las  BECAS PESADAS que estaremos otorgando junto al TEP de la PUCMM en nuestra pagina web www.pesospesados.do y en nuestras redes sociales. ¡Aplica ya!Recuerda seguirnos en nuestras redes en @pesospesadosrd, suscribirse + activar las notificaciones en #Youtube, darnos follow en #Spotify, #ApplePodcast, #GooglePodcast para ver a nuestros invitados y enterarse cada vez que salga un nuevo episodio.

Jueves con Las 10 de Erazno, el Chokolatazo, Charla Caliente Sports, Edwin con Centro America al aire, Erazno le llama a unas prostis, el Tropirollo y mas

Jueves con Las 10 de Erazno, el Chokolatazo, Centro America al Aire, Reportaje desde la fontera, Parodias y mucho mas

Jueves con llamadas a Mama, Centro America al Aire, Entrevista con Alta Consigna, Parodias y mucho mas

Jueves con Las 10 de Erazno, el Chokolatazo, Centro America al Aire, Tropirollo Comico, Parodias y mas

Jueves en entrevista con Mariachi Vargas, Las 10 de Erazno, el Chokolatazo, Parodias, Centro America al aire y mas

Jueves con Las 10 de Erazno, Edwin y Centro America al Aire, el Chokolatazo, Charla Caliente Sports, Parodias y mas

Jueves con Las 10 de Erazno, Parodias, el Chokolatazo, Centro America al Aire y mucho mas

Jueves con Las 10 de Erazno, el Chokolatazo, Centro America al Aire, el Tropirollo Comico, Fotografo Mexicano gana premio muindial,  Parodias y mas

Jueves con Las 10 de Erazno, el Chokolatazo, Centro America al Aire con Edwin, Fortino de el Chokolatazo tiene pretendientes y los conectamos, Parodias y mas

Jueves con Las 10 de Erazno, el Tropirollo, Centro America al Aire, el Chokolatazo, Charla Caliente Sports, parodias y mas

Jueves con Las 10 de Erazno, el Chokolatazo, el Dr Jesus martines y porque recordamos canciones, Centro America al Aire, Tropirollo Comico, el Padre Jose de Jesus y el papa de Erazno, parodias y mas

Jueves Las 10 de Erazno, Tropirollo Comico, el Chokolatazo, Centro America al Aire, Ezequiel Peña en el estudio, parodias y mas

Jueves con Las 10 de Erazno, Centro America al Aire con Edwin, el Chokolatazo, Charla Caliente Sports, entrevista con Cuatro de Oro, parodias y mas

Jueves con Las 10 de Erazno, Tropirollo, Hector Zagal, Centro America al Aire, Santa habla con niños, parodias y mas

Jueves con Las 10 de Erazno, Parodias, Centro America al Aire, Pepe Aguilar nos platica de su padre, y mucho mas

Jueves con Las 10 de Erazno, el Chokolatazo, Parodias, el Padre Jose de Jesus nos platica de La Ouija, Centro America al Aire y mas

Jueves con Las 10 de Erazno, el Doggy, el Tripirollo, el Chokolarazo, Parodias, Centro America al aire y mas