Google Cloud Speech-to-Text API (Chirp) + Gemini 2.5 Flash Non-Thinking. Treat it as a searchable index of what was broadcast, not a quotation record.
00:00:17from last year showed that seven out of
00:00:2010 female content creators suffer digital
00:00:24violence and if you are part of the lgbtq+
00:00:27community you are three times more likely
00:00:31to suffer harassment or to
00:00:34the severity is more present in cases of have what you say invalidated and that is cold, very strong data in which we have
00:00:38to well, stop and think what are we doing with
00:00:42our time, but above all
00:00:45head region when patients are in with social networks, right? Uh, for example, with the case of LGB2
00:00:49Q and more we talked about it
00:00:52in terms of the algorithm, right? It's not that the algorithm or the
00:00:55social network is open, respectful, not
00:00:59homophobic. directly that it hates you, but we are immersed
00:01:03in a society that if it causes
00:01:05Criticizing bodies on them noise and everything, with a simple report
00:01:08button for that content, the
00:01:12algorithm says, "Oh, that's wrong," and everything, so the algorithm is
00:01:15statistics, it's not something direct
00:01:19and that's why we have to control ourselves with social networks, well,
00:01:23but how? Because you fall, effectively, you fall
00:01:27into a situation of addiction, of a trap
00:01:31open, that is, from stage two of of what, what is happening, who is saying it, what is
00:01:34even the news you are finding out through there, yes, an addiction, it can become
00:01:38an addiction to social networks, that's why we spend so
00:01:41much time on those platforms
00:01:43and another of the consequences that can happen
00:01:47with the use are psychological
00:01:50problems, we can fall
00:01:54into self-esteem problems since
00:01:57algorithms and social networks prioritize more heteronormative
00:02:01bodies, so the
00:02:03constant comparison of ourselves
00:02:07with this type of content can lead to
00:02:10us not feeling comfortable with our body and everything, that's why this
00:02:15it's 4 hours but compared clinical case of Snapchat
00:02:18dysmorphia came out, right? That people sought to
00:02:22operate in the way they would look similar to the filters that appeared on
00:02:25social networks, apart from that, as you
00:02:29said, it also becomes an addiction, and it can cause stress,
00:02:31anguish, this has also been proven,
00:02:34there is also a study that recorded neuronal
00:02:39uh, people's activity when a notification arrives and
00:02:41everything and you release a lot of dopamine, so that's
00:02:45why it becomes an addiction again, that's why you hear this little message
00:02:49of the notification and you say "oh, let's see what it is" and
00:02:52you see the like and you release dopamine and you say "oh yes" and you
00:02:56Because these social networks what go back and go back and go back, you become dependent on this. No,
00:03:00and you compare, right? How many likes does another person have, how many,
00:03:04no, even uh, I think you start
00:03:08with the likes that other people have, but then
00:03:11you start with the likes you had before, right? And you say, "Ah,
00:03:14well, for example, oh, here
00:03:18uh, I showed a little more here, no, and that has more
00:03:21likes, so I'm going to show more," that is the price we pay
00:03:24in order to have that social acceptance and
00:03:28it's something we have to be very careful about because
00:03:32how far could we go to
00:03:35uh be valid for other people, so here are
00:03:39some points, let's see what
00:03:42could be very important, first of all, this is
00:03:46a point we already talked about, cure the algorithm, right?
00:03:49Uh, cure it,
00:03:53how? Uh, you can restart the application you're
00:03:56using, we have to delete cookies,
00:04:01which are these data that absorb information from other platforms to give you the content you
00:04:05want, have a critical scroll,
00:04:08scroll and like critical things, not just sharing
00:04:12for the sake of sharing, be aware of what
00:04:16we are seeing and what we want to see, if we are simply watching videos
00:04:19of jokes or videos of kittens and everything that doesn't contribute
00:04:23anything, well, we can skip those and better
00:04:27prioritize videos that make us
00:04:30believe in critical thinking, not just staying in one because we can
00:04:34create this bubble of information that we
00:04:37cannot escape, these echo chambers, so we have to be
00:04:41very selective when
00:04:45it comes to having these types of
00:04:48likes, another thing
00:04:50against diet culture: "You're beautiful, no we can do is something very visual, you can do this from
00:04:54your phone, the icons of the
00:04:56applications
00:04:58have these colors. Not only because they are beautiful, but because they are psychologically
00:05:02studied to attract attention, so
00:05:05there are ways that your phone can make these
00:05:09applications, not only social networks but all
00:05:12the ones you have, stay in a monochromatic
00:05:16color, a gray, a black and everything and it doesn't attract as much
00:05:19attention, so that can be done, that can be done, so you can control it, so it
00:05:23doesn't attract as much attention, the fact of having this blue
00:05:27light that is your phone constantly looking at it and everything
00:05:31because it is also damaging to the
00:05:34eye in the long run, right? That many say
00:05:38who knows what will happen to us in the future because it is
00:05:42so used to being on television, on computers, on
00:05:46phones, even it's already night and we have our
00:05:49phone here, so we also have to take care of that very important
00:05:52part of health, another very important point is
00:05:56disconnecting notifications, that is, deleting
00:06:00notifications so as not to have this anxiety
00:06:04that I get a message and everything, oh well, I'll
00:06:07check it, of course, we could
00:06:09prioritize certain applications, maybe WhatsApp, no, WhatsApp, yes, leave
00:06:13the notifications active because you never
00:06:17know when you need an urgent message and everything, maybe
00:06:20I, personally, would leave those as the
00:06:24only active notifications because I think that being connected is very
00:06:28important, but the rest of what is
00:06:31Instagram, Facebook, TikTok, Snapchat,
00:06:35Bumble, any application that you choose
00:06:38as your favorite, I think it is good to eliminate
00:06:42this notification sound and choose a time to
00:06:46check them, say, "you know what, from 2 to 3 in the afternoon, at
00:06:49lunchtime, from 3 to 4, I'm eating, I see the
00:06:53notifications, I see this and here so that not
00:06:56and finally, there are applications that regulate the
00:06:59use of other social networks, right? You can put a
00:07:02padlock on them, they are social networks that are
00:07:06applications that you tell I don't
00:07:08know
00:07:11Instagram, we are going to dedicate 2 hours, to TikTok
00:07:15only one hour, to Facebook
00:07:18half an hour, right? And that already
00:07:21makes your phone have a timer and you can't go over that
00:07:24so obviously if we add that up
00:07:28to 9 hours and 13 minutes, yes, it's terrible, if
00:07:31there is a time practically
00:07:35uh all your working day, all your waking day, well, being
00:07:38focused there and being quite
00:07:41addictive and I have been there, I think we have all been
00:07:45in that moment let's go with
00:07:48something so simple,
00:07:51minds, attention is already very
00:07:55short, it has already been seen that movies
00:07:58have been shortening their time, episodes too, in fact, series
00:08:02are no longer like before, before they were 24 chapters, now they are eight
00:08:05chapters, why?
00:08:09they do is give us a lot of microcontent, content
00:08:12that doesn't exceed a minute, that doesn't exceed 30 seconds because you lose
00:08:15the user's attention, so we got so used
00:08:19to it that many people, even if they are watching a movie that
00:08:22lasts an hour and a half, which is not a lot of time, it is a time that can
00:08:26their phone, no, they are not even paying
00:08:29attention, well thank you very much for this tour, for social
00:08:33networks and for what it also means to start
00:08:36making our eventual disconnections, Arisal, yes, just little
00:08:40by little, but yes, focus on real life, not on
00:09:55We have on the line Dr. Marcela Hernández from the Dermatology
00:09:59Service of the Manuel Gea González General Hospital precisely
00:10:02so that we know how to treat these pressure ulcers and how to
00:10:06prevent them. How are you, Doctor? Thanks for being on Much More Than
00:10:09Two.
00:10:11Hello, well. Good morning, fine, thank you very much for the
00:10:14invitation, well, we were already defining
00:10:18what these pressure ulcers are, but I think
00:10:22it's also convenient for you to give us a little description
00:10:26from a medical point of view of these wounds that form on the
00:10:29skin and their degree, right? Their degree of
00:10:33severity, Doctor.
00:10:37Of course, uh, well, pressure ulcers, as their name suggests,
00:10:40are uh a product
00:10:43of the impact of the surface on the
00:10:46bony prominences of the body. They mainly occur in areas where we have
00:10:50bone in close contact with the skin, that is, there isn't much
00:10:53subcutaneous fat, much fat covering those
00:10:57bones, such as, for example, uh, the bony prominences that
00:11:00would normally be affected would be the hip, the sacral
00:11:04region, uh, sometimes it can even affect the heels or even the
00:11:10bed and lean too much on one point of the head, these
00:11:14ulcers can also appear. Generally, we see them in people who have
00:11:18mobility problems, either because they have an illness that
00:11:21keeps them in bed or because they have some
00:11:25condition in which uh well, it prevents them from moving,
00:11:28right? People who have some uh paraplegia,
00:11:32fractures or who have some medical device that prevents
00:11:36them from moving freely, can develop
00:11:39these pressure ulcers
00:11:42and well, they can range from lesions that only involve a
00:11:46slight redness of the skin, those would be like grade one,
00:11:49to lesions that even reach deep tissues like the
00:11:53bone, that is, literally we can see... three large cavities in which
00:11:56exposed bone is seen and those are grade
00:12:00four and it can be very serious, even the bone can become
00:12:03infected, requiring antibiotics and
00:12:05hospitalization, so well, we have to know
00:12:09how to prevent them, sometimes when you have a patient
00:12:12like the one you mentioned, Doctor, in a situation
00:12:15of immobility, one feels that well, it's almost
00:12:19impossible to stop them, right? But what
00:12:23should be done? What must be done
00:12:27is to try to treat the patient in an integral
00:12:30way, they must have their illnesses controlled
00:12:34and we must perhaps give them medical treatment for some illness
00:12:37because that will have a great impact on whether
00:12:41patients can recover or can have a benefit to their
00:12:45overall health and furthermore, we must
00:12:48ensure we have protection zones precisely for the
00:12:52bony prominences, meaning we can use
00:12:55gel pads, foams, some mattresses that also have
00:12:59different types of, uh, like
00:13:01little air pockets that inflate and deflate that are called alternating pressure
00:13:05mattresses, uh, keep changing their position at least
00:13:09every 2 hours and try to avoid them staying in the same
00:13:12position constantly, try to keep them moving,
00:13:16keep the skin in good condition, put cream on it,
00:13:19keep the patient clean, avoid them, for example, using
00:13:22a diaper and leaving it dirty for a long time and
00:13:26uh try also, well,
00:13:28to prevent it precisely from the moment we see the redness, pay more
00:13:32attention to that area so that it doesn't progress, yes, because
00:13:36humidity plays a role, right? The
00:13:38parts
00:13:42exactly, yes, humidity and the use of diapers
00:13:45or some, for example, mattresses that are a little more
00:13:49plastic could generate more humidity and that also damages
00:13:52the skin and well, it can lead to
00:13:57What is shearing, Doctor? Shearing
00:14:00is a way in which
00:14:04mechanically the skin uh has friction with a
00:14:07surface, for example, when we are uh slightly
00:14:11reclined on a pillow or on the bed that
00:14:15we have our head slightly raised and we are
00:14:18on a plane not totally lying down, like one starts
00:14:22to slide, so to speak, on the bed, right? So the
00:14:26skin has a uh friction mechanism
00:14:29against the bed or against the surface on which we are sitting
00:14:33or lying down, it is from there that pressure
00:14:36ulcers can also be generated, agreed, once we have detected
00:14:40that a bedsore is appearing as you said, level one,
00:14:44which is the redness there, uh,
00:14:47apart from that, perhaps we can make this change of
00:14:51mattress, put these uh well, like
00:14:55uh small cushions, some things that have to do
00:14:59with another texture, more friendly to the body,
00:15:03but in terms of applying, if you apply some
00:15:06creams or what do we do there or some special
00:15:08ointments,
00:15:11there are several products, let's say, on the market that can
00:15:15work, really it's not so much that
00:15:18we need a very special cream but to keep
00:15:21the skin hydrated, it can be with a cream, let's say, a
00:15:25commercial body cream,
00:15:28also keep it dry, perhaps if we see that it is an area of a lot of
00:15:31humidity, uh these creams with zinc oxide, similar
00:15:36to the ones we use with babies when they have diaper rash, could also
00:15:39work, for example, on the buttocks, in the genital area, uh there
00:15:43that are areas of a lot of humidity, uh we could
00:15:46apply them, but as long as we keep the skin hydrated with a
00:15:50white body cream, and not too much color, and that it is a
00:15:54greasy cream and we keep the area
00:15:58clean and dry, then that would be more than enough,
00:16:01Doctor, we also saw here, we heard rather in the hard
00:16:04data that this type of problem occurs in women
00:16:08or that sometimes
00:16:12women, uh, do you corroborate this from your
00:16:16clinical experience?
00:16:19Well, actually, here in the dermatology service where I am,
00:16:22we receive women and men
00:16:26equally, we don't see such a predominance
00:16:29in gender, maybe it could be that it's reported a little more in
00:16:33women, because generally women go to health
00:16:37services more than men, so probably many
00:16:41times in men it's underdiagnosed because they
00:16:44don't go to health services as much as women,
00:16:47but in general it can affect both sexes
00:16:51equally and in the part you already mentioned,
00:16:54Dr. Marcela Hernández, regarding infections,
00:16:57there we do have to pay special
00:17:01attention, what do we do?
00:17:04Yes, in general, when the skin is already
00:17:08pressure injuries, well, the skin, let's say,
00:17:12normally forms a protective barrier against the environment, so
00:17:16when the skin is already broken, when it has opened, we must maintain
00:17:20a lot of hygiene in the purations, keep the area clean, it can even be
00:17:23simple hygiene with soap, with water and a mild
00:17:27soap, uh or some commercial antiseptic like
00:17:31uh those that contain hypochlorous acid,
00:17:34uh that type of antiseptics can help
00:17:37us keep the area clean so that bacteria do not proliferate there in the
00:17:41wound and uh maintain, well, precisely the measures
00:17:45of uh prevention and treatment, which is mobilization,
00:17:48right? Uh, if we continue uh on the same pressure
00:17:51point, uh even if we are doing the best purations
00:17:55in the world, the patient will not heal, so
00:17:58we need to emphasize
00:18:02especially mobilization, keep the wound clean
00:18:05and cover it, preferably
00:18:07always cover wounds, I know many people say that you have to let
00:18:11the wound ventilate or breathe to heal, the truth is
00:18:14that it has already been proven that keeping a wound covered,
00:18:17as long as it does not have a very
00:18:20serious infectious issue, uh, but keeping wounds
00:18:24covered precisely prevents dust, fecal matter or some
00:18:28situation, let's say, from the environment that could
00:18:31uh promote the
00:18:33development of microorganisms.
00:18:35Well, then let's go, to point three, because you said broken skin is
00:18:39the second phase, right?
00:18:42The first is redness, what would be phase three,
00:18:45Doctor? Phase three is when there is
00:18:48exposure of deeper tissues such as muscle,
00:18:52tendons, so uh, for example,
00:18:55we see this very frequently in the sacral and hip area, uh
00:18:59there, well, uh we have a little
00:19:02more tissue, so we start to see even exposed
00:19:05muscle, uh there, well, even though we still don't see the
00:19:08bone because bone is grade four, well, that means that the affection
00:19:12is greater,
00:19:15in grade four we are already with an infection
00:19:18declared, in grade four it does not properly
00:19:22mean infection, but rather that tissue was
00:19:25destroyed so much that it reached the bone, it may not be
00:19:29infected, but tissue is destroyed by pressure
00:19:32until it reached the bone of the
00:19:34wound, is there a way to... reverse this
00:19:38situation, Dr. Marcela Hernández? Yes,
00:19:41there is a way, but it is a rather
00:19:44complex issue, in general we need a lot of support from
00:19:48the network of caregivers who have the patient to keep them
00:19:51moving, the patient must have special
00:19:54nutritional management in which we
00:19:57increase protein intake so that their body has the
00:20:00possibility of regenerating tissue,
00:20:04we also sometimes have to resort to some procedures
00:20:07or some special wound dressing materials,
00:20:11also control all the diseases the
00:20:14patient has, because when the body is sick sometimes
00:20:18well, it precisely directs more energy towards treating the
00:20:22disease, for example, whether it's cancer, uncontrolled
00:20:25diabetes, some infection in another part of the
00:20:29body, so we need to control all
00:20:32that so that the wound can heal.
00:20:35Well, definitely then, from phase one we have to be
00:20:39very, very vigilant because also, uh, in each
00:20:42stage, I imagine the pain increases, right? Because there is
00:20:46discomfort and pain always, right? Yes, also.
00:20:50It is very painful for patients, I mean, with the exception of those who, for example, already
00:20:54have a problem with a spinal injury or something
00:20:58that causes them to have insensitivity, but
00:21:01uh, in general, if they have normal sensitivity, then yes, it is somewhat
00:21:04painful. So, well, that's where the
00:21:08care is, in any case, uh
00:21:11these cushions, this can
00:21:14also be put especially in these parts where the pressure is
00:21:18more severe, you already mentioned the
00:21:20heels. Exactly, the heels,
00:21:24there are some heel protectors as they are called, which are like special
00:21:27cushions to put on the heels, and the
00:21:31fact of also using these devices that are to prevent and to
00:21:35treat pressure sores, does not exempt us from
00:21:38having to move the patient because many times, uh, we do get to see
00:21:42family members say, "well, I already bought the mattress, I already
00:21:45bought the cushion, I already bought the heel protectors and they are still getting ulcers, why?"
00:21:49Because even so, despite buying all these
00:21:53devices, we still have to mobilize the patient.
00:21:57It's necessary to mobilize them anyway, and of course, that also requires
00:22:00specialization, of course, right? Knowing how to manage and how
00:22:04to move them, yes, also,
00:22:08but that's what's important, and well, knowing that all these supplies
00:22:12exist that can help caregivers, right? Caregivers in
00:22:16the management of these patients to prevent ulcers, anything else you would like to...
00:22:20add, Doctor, that you would like to add, that the
00:22:23audience should know to treat these bedsores, these
00:22:26pressure ulcers?
00:22:29Uh, well, yes, that in general also, uh, take great care of the
00:22:32nutrition of your patients, a good diet will also
00:22:36improve uh the
00:22:40speed with which wounds heal and that in case
00:22:44they require uh some
00:22:47advice for wound care, well, the treatment is
00:22:51by several specialties, let's say, not only dermatologists dedicate
00:22:54ourselves to this, but also the geriatrician or the internist or
00:22:58even general practitioners,
00:23:02nurses, uh, physical therapists too,
00:23:06uh, and for the care as such of the wounds
00:23:09it can also be surgeons or well,
00:23:11dermatologists, to go to any of this medical
00:23:15personnel, uh, well, to find out, to recognize what we have
00:23:19to do, to know how to do it, but thank you very much, we thank
00:23:22Dr. Marcela Hernández from the dermatology service of the
00:23:26Manuel Gea González general hospital, your presence here in Much More Than Two, we
00:23:29wish you a very good day and thank you, thank you very much.
00:23:50Hello, I'm María Teresa Priego, this week in "Openly"
00:23:54we reflect on the right to die well, what a person
00:23:57considers an undignified life, so no matter how much they tell you
00:24:00no, but the person has already decided that that life is
00:24:04unworthy of being lived, what have been the debates in countries where
00:24:08it is already legal, it is the recognition that we as people can
00:24:11decide what kind of death we want,
00:24:15openly, Friday 8
00:24:18p.m.
00:25:06The return of Pulp, we visited the pop icons in their
00:25:10studio, but first we asked ourselves where the cult comes from
00:25:14to
00:25:14thinness.
00:25:26Body positivity has gone out of style and the heroin
00:25:30chick body has returned. Our plus-size heroines
00:25:34have now transformed. Stars like Lizzo became
00:25:37famous with empowerment anthems
00:25:40matter what they say." Those
00:25:44days seem to be over. Now they are
00:25:47thin, and what happened to self-love? It disappeared
00:25:51like belly fat. Why? Perhaps because in troubled
00:25:54times we try to control the only thing
00:25:57we can, our weight. Dieting is not just a personal
00:26:01matter. It is also a political act. What does
00:26:05your weight have to do with power, industry, racism, and
00:26:09social control?
00:26:10Let's find out.
00:26:15This is everyday life on social
00:26:17media.
00:26:21If you don't look like a fitness model or a gym buddy,
00:26:25then you lack the proper skinny mindset. The
00:26:28popular hashtag Skinny Talk was officially banned in June
00:26:322025, but the toxic content
00:26:35remains. The message is: you're not ugly, you're just
00:26:38fat. Ugh, you think it's never been this
00:26:41bad? No, we've seen this before.
00:26:45Let's remember how things used to be. The motto, "Nothing
00:26:48tastes as good as feeling thin." In the 90s and
00:26:522000s, Kate Moss was one of the most sought-after models, the
00:26:56face of the heroin chic trend. Bodies like
00:26:59this were considered too fat. Nicole
00:27:03Richie was called Paris Hilton's chubby sidekick.
00:27:08tabloid magazine covers was quite normal. In Bridget
00:27:11Jones's Diary, the protagonist
00:27:15weighed approximately 65 kg,
00:27:18about 143 pounds, and measured
00:27:211.65 m. Now it is considered healthy,
00:27:25but her questionable overweight was a central theme of the
00:27:28movie. And Spice Girl Geri Halliwell was asked to step on
00:27:32a scale during a live television interview, which now,
00:27:35fortunately, is totally out of place. The early
00:27:392000s aesthetic has returned: low-rise jeans,
00:27:42size zero, and being thin. Diet culture is reinventing
00:27:46itself for the digital age. Now it's called skinny
00:27:49inspiration, with many filters and very dangerous.
00:27:53Eating disorders and body dysmorphia are on the
00:27:57rise again. In the last 20 years, cases of eating
00:28:01disorders have almost doubled globally, and the
00:28:04real figures may be even higher than what the
00:28:08statistics show. The latest wave of dieting is a sign that
00:28:11something is changing in our society, politics, and
00:28:14culture. Social media amplifies an old
00:28:18problem: you don't diet just for yourself, you are
00:28:21influenced by your environment and the political context.
00:28:24In times of political instability, the desire for
00:28:28control grows. Wars, pandemics,
00:28:33climate crisis, all overwhelming experiences
00:28:36and it leads us to want to control the only thing
00:28:39we can, our body. Fitness monitoring, optimization,
00:28:43fasting, self-discipline become a substitute for the
00:28:46feeling of security.
00:28:49Now we don't just count calories, we also
00:28:52count likes. Views and
00:28:56comments reinforce social control. Fifty
00:28:58years ago, someone noticed something similar. The French
00:29:02philosopher Michel Foucault described a phenomenon typical
00:29:06of humans in Discipline and Punish. Foucault would not have
00:29:09called it self-optimization, but
00:29:12disciplinary power. We exercise self-control and
00:29:15strict discipline because we have internalized norms and
00:29:19ideals. The pressure does not come directly from laws or
00:29:22violence, it comes from personal pressure. We are not
00:29:26just optimizing our body, we are
00:29:29demonstrating our power of control. But what Foucault
00:29:32probably did not anticipate is that now there are injections
00:29:36that promise to make that control even easier
00:29:40and that can worsen the
00:29:41problem.
00:29:44Oprah Winfrey, Elon Musk, Sharon Osbourne, and many
00:29:48more have admitted it, they lost weight using injections.
00:29:51How does it work? Our colleagues at Enforma explained it when
00:29:55the buzz began. The drug acts on different parts
00:29:58of the body, imitating a messenger substance produced naturally
00:30:02in the body, the hormone
00:30:05CLP-1, which is normally released in the
00:30:08intestine. The medication slows down stomach movements
00:30:11so that food stays there longer.
00:30:14Now anyone can lose weight if they want and can
00:30:17afford it. Generally, patients must bear the
00:30:21cost of the injections, and their application is
00:30:24considered an aesthetic treatment. Many people
00:30:27access them without medical necessity, through
00:30:30lenient doctors, online platforms, or
00:30:34private imports. The market is already very large and
00:30:38continues to grow rapidly. Who are the
00:30:41typical users? White, with good health
00:30:44insurance, and high income. People with lower incomes
00:30:48or no insurance have much less access to these drugs,
00:30:51despite often facing greater risks of obesity. The
00:30:55global rise of weight loss injections is not just about
00:30:59image.