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00:23Amables Televidentes, Friday has arrived and Telematutino 11 has started, as always I have no words to thank you for the support you give us for TeleSistema Channel 11 and for our YouTube channel, Telematutino11RN.
00:35Good morning to everyone, good morning Jacqueline Morel.
00:37Hello Ramón, good morning, good morning Dominican Republic, the weekend begins, how good, the month of March is already over, we are in the middle of Lent, welcome on this Friday, March 28, to Telematutino 11.
00:49It is a pleasure that you are with us and allow us to accompany you at this time of the morning, we are going to do together a small tour of some of the important issues of the country today.
01:00Today we have a very special program, we are going to have the participation of Dr. Laura Estallat, she is an ophthalmologist, microsurgeon and also an aesthetic medicine specialist.
01:13And in a second participation we will be accompanied by Carlos Carrera, he is the representative of the UNICEF, the United Nations Fund for Childhood, and announces the Grand Teletón Juntos por la Niñez.
01:26So we invite you to be with us this morning on Telematutino 11.
01:30The program is very compressed and very diverse. Yesterday Jacqueline and I were commenting on the measure of the Ministry of Economy and Finance of Haiti,
01:41which established that from April 7, foreign products will not be able to enter through the terrestrial border, but will have to do it through the maritime route,
01:54alleging customs issues. But we commented that when you say foreign products, Dominican products are foreign products for the purposes of Haitians.
02:08And so the question, the doubt that there is, is whether this will affect the bi-national market that feeds the border provinces and that helps the poor Haitians who cross the Dominican Republic
02:24and buy eggs, buy chicken, buy agricultural products to negotiate in their country to earn a few cents.
02:33If this is the case, obviously this will affect trade, it will affect those border provinces, it will affect the Dominican intermediaries and the poor Haitians.
02:42But we will have to wait until April 7, right?
02:45Well, Ramón, look, many things. The first thing is that when we talk about borders, the only border that Haiti has is with the Dominican Republic.
02:52That is, the products that enter from the Dominican Republic to Haiti, from here, I don't know if they come from other countries and use the Dominican terrestrial route to enter.
03:05We don't have that data, so those will also have to enter by sea.
03:10Look, each country has the right to put the regulations that it understands it should put, whether it is of the type of customs, whether it is of customs control, whether it is of migratory control, whether it is of the type of collection of whatever.
03:29What we want to know exactly is what the measure implies and the Dominican authorities, and above all the Dominican businessmen who always bet that it is the government that solves their problems, well, know what to do.
03:45If the rules will be that they will not allow products from the Dominican Republic or from another country by land, we will have to accept that it is by sea and we will have to adjust whether it is convenient or not.
04:02And I'm going to tell you one thing, Ramon, you ask me if it affects or ask people if it affects the bi-national market, I tell you that yes.
04:09Do you know why? Because the images, I have not been in the bi-national market, but the images that are presented of the market, you have not seen that there are trucks and things full of merchandise.
04:19Well, look at the images.
04:21So those goods that pass through the market, obviously they will no longer be able to pass, and the market transactions, how much do they have?
04:32It is up to a certain amount, that is, there will be a way to control that, there will not be, I do not think there is in any way, because how are you going to know?
04:45And there is the mess of normal purchases, small, medium and large merchants come to do business on the border to sell their products and supply the Haitian market.
05:01So we will have to wait, but of course that will have implications unless it is fixed on the way.
05:07And I am very afraid of this arrangement on the way, Ramon, because we have seen in the past that when Haiti is not happy and is never happy with us,
05:16I do not know if you saw a video that I sent you, I sent it to you on Instagram.
05:21A Haitian threatening, and threatening and insulting the Dominicans, and claiming the property that this territory is theirs.
05:31So I'm going to tell you, they've always been angry and for anything, the retaliation is to affect trade.
05:38Because as it is always said, obviously many Dominican products are sold to Haiti, but they are sold to Haiti because they buy it from us,
05:47because that people need it, because it is cheaper to buy from the Dominican Republic.
05:52But I'm selling you something and you buy it if you want and if you need it.
05:57That is to say, we both need it.
05:59We will have to see, and it is not the first time that they put measures.
06:05No, sometimes because of the avian flu, they themselves close.
06:09But also the Dominican government at some point, because of the channel issue, also closed trade for many months.
06:16So we will have to wait.
06:18There he is saying with him that he is worried, well with him he will have to see if they export products to Haiti,
06:26they will have to do it by sea.
06:28That's what's left.
06:30That's the right.
06:32As we have it with the migratory issue.
06:34And any other issue.
06:36But we will have to send all the products by sea, until the bands occupy the dock.
06:44But that will be their problem.
06:46And they in practice, let's see what happens and how people stay.
06:51Because that binational market is the one that supplies food and how many things all those people need.
07:01But not only the people who are near the border, the Haitians.
07:06And it is cheaper for them to buy here than to import from the United States or other nations.
07:12That's why, because it's cheaper.
07:14But they will know, we'll see what happens.
07:17On the other hand, I am struck by isolated voices.
07:21With the issue of the patriotic march to Friusa.
07:24That they tell you that what they want is a dead man.
07:27That those guys are fascists.
07:29That there will be violence.
07:31And I ask myself, but in this country we are used to marching.
07:34Here was a green march, which was against a government and there was no violence.
07:40Here was the march of the flag against the PLD government and there was no violence.
07:45Obviously, the authorities have to intervene in Friusa to guarantee the lives of the protesters.
07:53But they have every right to make peaceful marches anywhere in our territory.
07:59And I personally support the march.
08:02And that has to be multiplied in many marches.
08:05It is a way of demanding from the government and businessmen that the immigration law be respected.
08:11Because that's what it's about.
08:13That the immigration law be respected.
08:15Look Ramon, I have not seen, and I confess,
08:19the motivations that the old order has to make the march, the old Dominican order.
08:25If the goal is to make a presence and tell the authorities and businessmen and the country
08:34that we have to be vigilant, that we have to be aware of what is happening with this immigration
08:40that does not seem to stop, despite the efforts that the government is making.
08:45And the implications that this has for nationality, for sovereignty, for culture, for education,
08:51for everything that has to do with a country that is considered organized.
08:58It is worth the march and calling for attention, as long as it is peaceful.
09:03And there has to be tolerance of expression.
09:06It cannot be insulting. It has to be respectful.
09:09We have to be clear about the objectives of that march.
09:12And that Haitians respect it, and that those who go there, Dominicans also respect it.
09:18There is no need to arm ourselves, nor do Haitians have to be armed, nor do Dominicans.
09:23We have to listen to each other on both sides.
09:26And obviously, the protesters of that day have to have all the support of the authorities.
09:33Completely, so that there is a lot of apprehension,
09:36and that this does not become something that leaves us with sad news to comment on next Monday.
09:43I hope not, but yes, that it is a call for attention,
09:48and that it serves the authorities especially, Ramón.
09:52In these days, there was a strike in San Francisco and Macorís,
09:56and there were dozens and dozens of military trucks and jeeps to guarantee peace.
10:02And nothing happened.
10:04So, that's it. Before the demonstration takes place, that has to be there.
10:09And as the president says, that's where the authorities come in and out,
10:12and act without any kind of problem.
10:14Well, because there has to be a military presence,
10:17because the police are sometimes half cowards,
10:20that there is a military presence that guarantees the safety of Haitians and the safety of Dominicans.
10:25Well, there has to be enough protection.
10:29We don't want hostilities from any of the parties,
10:34because that's not how things are resolved, Ramón.
10:37And just today, we were talking before starting the program about some articles,
10:42and there is an article today in the prestigious newspaper Listin that says that the march is not the way.
10:47But it does not present any alternative of what the way is.
10:51What is the way to solve the issue of this immigration and the impacts it has?
10:57Well, it must be addressed.
10:59The government says it is addressing it.
11:01I am not sure if they are dispatching what was promised of weekly deportation.
11:08Deportations are extremely expensive.
11:11And we insist on economic burning, making the law work,
11:15and dismantling, even if it is slowly, the business that the military and private businessmen,
11:24and accomplices, authorities, and people from the community themselves, facilitate and hide.
11:36There is a whole paraphernalia of trucks, of jeeps, of transit homes,
11:45because they don't stay on the border.
11:48It is for the east.
11:50It is for where the constructions are and where the agricultural plantations are.
11:55On the other hand, yesterday, the president of the Central Electoral Board went to the Senate
12:01to ask for support.
12:04I think he has to meet with the executive power, which is the one that makes the budget.
12:09Ramón, that is not in the budget.
12:13No, that is not in the budget.
12:15And then?
12:16We are talking about 6 billion pesos, which is not an ordinary figure,
12:22because this year's budget is 5 billion pesos.
12:26To provide for a new certificate, which will have many security factors,
12:31it is said that it will even be used on the cell phone, mobile ID,
12:37so you will not need it physically, but you will have it on the cell phone.
12:42Of course, 6 billion pesos is a lot of money.
12:45It is a lot of money for this economy, for the budget,
12:49and it concerns the fact that the company that won was an Haitian company.
12:54But it is true.
12:56That is what that same articulist you mentioned says.
13:01It is supposed that there are companies that are specialists in that kind of thing,
13:04but there are North American companies, all kinds of companies.
13:06French, European, all kinds.
13:08It is very delicate.
13:09The one who manages the cell phone will manage a lot of data,
13:13will manage the civil registry.
13:15So it is very delicate that this is in the hands of certain foreigners.
13:20Look, I think there will be enough time to analyze the approximate cost
13:27of about 6,500 million pesos,
13:30about 2,081 million for the printing of the cell phone,
13:35and 3,500 million in operational and logistical expenses.
13:40The board will explain how that is, how many years it will cover,
13:46how many people it is going to give the cell phone to,
13:51because I was dividing it.
13:53What interests me is you, between the number of inhabitants,
13:56but it is not like that because not everyone who is born has a cell phone.
13:59No, now the cell phone is requested 16 years in advance.
14:0216 years in advance.
14:03What is going to imply all this?
14:04What is the machine?
14:05What use is it going to give?
14:06How long?
14:07And so on.
14:08What I do see...
14:09And all, sorry, the education campaign for people to change their cells.
14:14Yes, because the cell phone is expired.
14:16Years ago.
14:17Many years ago.
14:18Years ago, it was expired.
14:19In fact, I was going to do a Google renewal and you told me,
14:22that cell phone is expired.
14:23And it is true.
14:24The issue is that many explanations will have to be given.
14:29Another thing that I see difficult is that we are in March,
14:32almost in April.
14:33They say it is in November that they want to start.
14:36And if that is not in the budget,
14:38with the limitations that the budget has this year,
14:42due to the collection issue,
14:43this is a year that comes,
14:45that we do not know how it comes,
14:46we have to be prudent,
14:48a little difficult.
14:49Perhaps the president of the board,
14:51what he wants is to start talking about that issue in time,
14:53air it well,
14:54see everything.
14:56But I don't know how, Ramón,
15:00can you make a bid that a company wins without having the approval of the executive and the legislative?
15:06Well, suppose that when you make a bid,
15:09you have the guarantee of the funds.
15:11So that bid does not exist?
15:13I mean, there has to be a guarantee,
15:15because we are not talking,
15:16we are talking about a world that exceeds the budget of this year,
15:21which is 5 billion.
15:22Of course, in the years that there are elections,
15:24the budget is much greater,
15:26but we are talking about an important sum,
15:2856 billion pesos is an important amount of money.
15:31Exactly.
15:32And what we have to see is the availability,
15:34the possibility,
15:35because we have to change it,
15:37because there is no doubt that it is expired.
15:39Yes, Ramón, but look,
15:40I tell you from now on,
15:41there is no availability,
15:42unless we are in a loan to change the cedula.
15:44If it is in November,
15:46look, and the president of the board has shown so far,
15:50to be a heavy, prudent person,
15:53perhaps he is airing the issue
15:56and will give us more details later,
15:58and suddenly the need is created, of course,
16:03to replace that document that is already expired.
16:06In the future, let's see when it can be done
16:09or with what funds it can be done.
16:11Or what is the plan?
16:12Because there must be a plan.
16:13I don't think he will,
16:14knowing that we are in March or April,
16:16go to Congress,
16:17say that this costs,
16:18that there are not three cheles,
16:20and believe that it is done this year
16:22when there are so many limitations.
16:24Unless a complementary budget is made
16:29or the next one is included.
16:31But the data I have
16:33is that the collection
16:35is falling far below the estimate.
16:39They tell me that in January and February,
16:42those who know and handle this,
16:44the increase is just over 3%,
16:47that is, the equivalent of inflation,
16:49that is, it is a vegetative growth.
16:52So if we already have a budget
16:54that is going to be smaller,
16:56that is going to force the government...
16:58Because you aspire to one thing,
17:00but the collection is another thing.
17:02And if it doesn't work,
17:03sometimes you say,
17:04I'm going to earn so much,
17:05but if you don't reach that goal...
17:07Or you cut expenses
17:09or incur a higher deficit,
17:12which is the main fear.
17:14Finally, in this month,
17:16the banks,
17:18on the subject of the monetary law,
17:20celebrate their assemblies
17:22and have to present their financial statements
17:25audited by external auditors,
17:27worth the redundancy.
17:29We have the data of the Popular Bank
17:32with excellent numbers.
17:34The assets are already
17:36849 billion,
17:38and they are already approaching
17:40one billion pesos.
17:42The loan portfolio reached
17:44537 billion.
17:47A very low morosity of 1.33.
17:50And they had record profits
17:54of 34,797 million.
17:57If you count the income tax,
18:00because the banks do pay
18:02income tax,
18:04they had net results
18:06of 27 billion pesos.
18:08This implies, Ramón,
18:10and you told me,
18:11an increase of 12.5%
18:13compared to the previous year,
18:15which is a negligible figure.
18:17It was also the case
18:19that the main financier
18:21of the PYMES in the country,
18:23more than 4,000 families
18:25obtained mortgage loans
18:27to also buy their houses,
18:29and more than half a million people
18:31fulfilled their dream through a loan.
18:33Also, well,
18:35the morosity,
18:37the coverage of the portfolio
18:39exceeded 226%,
18:41the total deposits rose
18:43with 1,694 million,
18:45with an increase of 89,188 million pesos,
18:49representing a growth
18:51of 16%,
18:53which shows the confidence
18:55of the clients in the institution.
18:57So, how good
18:59that we have these numbers, Ramón.
19:01Also, there we see photos
19:03of the main executives
19:05of the Dominican People's Bank.
19:07They made some changes
19:09and were ratified
19:11by personalities who are
19:13an important part of the bank
19:15and who have helped
19:17the PYMES to become
19:19what it is today.
19:21Let's go to the interview
19:23with Dr. Laura Espaillat,
19:25an interesting combination,
19:27she is an ophthalmologist,
19:29microsurgeon,
19:31but also an aesthetic medicine
19:33specialist.
19:41Good morning, Dr. Espaillat.
19:43Good morning.
19:45Thank you very much
19:47for the invitation.
19:49We are very happy
19:51to have you here
19:53with us today.
19:55We are very happy
19:57to have you here
19:59with us today.
20:01We are very happy
20:03to have you here
20:05with us today.
20:07We are very happy
20:09to have you here
20:11with us today.
20:29Good morning, Dr. Espaillat.
20:31Good morning.
20:33Good morning.
20:35With the zoom vision
20:37One of the main requirements was not to wear glasses after surgery.
20:41But what happened?
20:43When the patient was operating and regaining his vision,
20:46he began to notice the years that had passed,
20:50and they were translated into wrinkles, spots, flaccidity,
20:55and they returned to the consultation, to the monthly checkup, with glasses.
20:59And I asked him, but why are you wearing glasses if you don't need them anymore?
21:03And they told me, doctor, it's because I don't like the way I look.
21:06I don't like the way I look now that I've regained my vision.
21:09So I said, well, I've heard it so many times that we're going to do something
21:13so that the patient, after he regains his vision,
21:16can sit with a pleasant look.
21:19So I decided to study aesthetic medicine
21:22to be able to offer a complement to my patients after their surgeries or before.
21:28Doctor, one question, how frequent is the cataract in a patient?
21:33And the age at which a person qualifies for a cataract surgery?
21:40Look, I always tell my patients, if we have the blessing of living to a certain age,
21:46we're all going to develop cataracts.
21:48And everyone develops cataracts.
21:50Yes, at some point in their life, we're all going to develop cataracts,
21:54because it's the natural aging of the crystalline,
21:58which is the lens with which we are born.
22:01There are some conditions that predispose us to this cataract being developed earlier.
22:06Like, for example, a diabetic patient,
22:09a patient who uses certain medications, like steroids,
22:13a patient who has suffered a trauma,
22:15are patients who are going to debut with a cataract a little earlier than the general population.
22:20But we're talking about what age, 40, 50, 60 years?
22:23Look, in medicine, never two plus two is four.
22:26But what is the youngest and what is the oldest you've had a cataract?
22:30I can operate on pediatric and young patients.
22:33Pediatric, you mean young children?
22:35Young children. There is even a congenital cataract.
22:38There are children who are born with cataracts.
22:40On one occasion, I had a little patient who,
22:43let's say, because of a bad practice,
22:46received so many steroids because of another problem he had,
22:49that he became blind and deaf.
22:52And we had to operate on him.
22:54And it was an extremely satisfying experience,
22:57because when that young man, who was only 13 or 14 years old,
23:01could not see or hear, that is, he could not develop with his environment.
23:05And when he woke up from the cataract, he woke up crying,
23:08because he said, I can see, I can see.
23:11Doctor, and the maximum age?
23:13I have operated on patients up to 98 years old, up to 100 years old,
23:17because there is no maximum age.
23:19That is, surgery is a fairly safe surgery.
23:21We use it only...
23:23I told you my story, doctor.
23:26Now, there is an issue, doctor.
23:28Cataract surgery is the replacement of the crystalline.
23:31Correct.
23:32Which is very delicate, because we only have a crystalline,
23:35it is not replaceable.
23:36So you put one, that is...
23:38We put an intraocular lens.
23:40Which is the replacement of the crystalline.
23:42Correct.
23:43Let's say it is something artificial that is introduced.
23:46Exactly, exactly.
23:48So everything is extremely small.
23:51The space where we work is...
23:54That is why we are micro-surgeons, because they are...
23:57We work with wounds of millimeters,
24:00and everything is extremely precise for surgery.
24:03So when we are going to calculate that lens,
24:06we must do it in such a way that after the surgery,
24:09the patient does not depend on using more lenses.
24:12Doctor, are there people who operate without cataracts to stop using lenses?
24:16There is what is called refractive FACO surgery,
24:20which are patients who have not yet developed cataracts,
24:23and they want to remove the lenses and advance that surgery.
24:27But that is for those who have myopia.
24:29Or for those who have astigmatism and...
24:32It can be any refractive error.
24:34It can be myopia, astigmatism or hypermetropia,
24:37because it is corrected with the lens that we are going to use during surgery.
24:42I personally do not practice surgery,
24:46that is, I have a patient who still corrects me 20-20 with my lens,
24:50and it is perfectly fine.
24:52I try to delay it a little,
24:54because as minimal as the risks are, all surgeries entail risks.
24:58So I like to wait,
25:00since the cataracts have a little bit of symptomatology,
25:04to be able to take that patient to a surgical act.
25:07Doctor, you specialize in what is called the anterior part of the eye, right?
25:11Exactly, the anterior segment.
25:12The anterior segment.
25:13The anterior segment.
25:14Because there is anterior and there is posterior.
25:16Yes, the eye is divided into two parts,
25:19and basically what divides it is the crystalline.
25:22Everything that is left in front of the crystalline is the anterior segment,
25:26and everything that is left behind...
25:28That is what we see.
25:29Exactly, we see the colored part, which is the iris.
25:33Behind the iris...
25:34Well, and the white, what you see, and the red.
25:36That is the sclera.
25:37That is the sclera.
25:38So behind the iris is placed the crystalline,
25:41and already after the crystalline,
25:43then the vitreous humor begins,
25:45the retina and the optic nerve,
25:47which we know as the posterior segment.
25:49And that is another specialty.
25:50That is another specialty.
25:51The retinologists are in charge of that.
25:53Exactly.
25:54We are going to take a short break,
25:56and in the next segment we are going to talk about the aesthetic part.
25:59Epa!
26:16This morning at El Matutino 11,
26:18we are talking with a young professional,
26:20but very trained,
26:21Dr. Laura Espaillat.
26:23She is an ophthalmologist, micro-surgeon,
26:25and also an aesthetic medicine specialist.
26:27We have already seen,
26:28we have already talked about cataracts,
26:30and other diseases of the sight,
26:32and how they are corrected.
26:33And now we are going to talk about the aesthetic part,
26:35which she also explained to us in the previous segment,
26:38how she came to give that option to the patient,
26:41after the glasses were removed,
26:43and you could see there that there were wrinkles in the eyes.
26:46How much can those wrinkles be corrected, doctor?
26:49And what is the method that you use?
26:52If it is surgical, or bio-stimulants,
26:55or fillers, or what type?
27:26And how do you take care of the skin early, doctor?
27:29Or the skin of the eyes?
27:49The sunscreen is put on the eyes?
27:55We should always look for sunscreen.
27:57And not the sun.
27:58These television lights work as if it were the sun.
28:01Everything that can cause damage,
28:04at the level of what is the natural composition of the skin,
28:08that destabilizes it,
28:10will cause wrinkles, spots,
28:13and all the other free radicals
28:15that cause damage to the skin.
28:17So, that's the first thing.
28:20Try to prevent.
28:22Second, we have a wide range of services
28:24that we can offer to patients,
28:26ranging from botulinum toxins,
28:29laser, fillers, among others,
28:33to treat the specific problems that each person presents.
28:37Laser.
28:38Laser.
28:39I had understood that laser could not be used
28:42in the Dominican Republic, in these countries,
28:44due to the type of skin and the climate we have,
28:47because it tends to stain the skin.
28:49It is correct,
28:50but we have different types of laser.
28:53So, it is very important,
28:55when we are going to use these aesthetic medicine services,
28:59to go to a trained professional,
29:02who knows.
29:03Because while it is true that some types of laser,
29:06for the phototypes of our country,
29:08which are already phototypes of the classifications that we have,
29:124, 5, 6,
29:14which are people with more melanin,
29:16more pigment in their skin,
29:18there are lasers that we cannot use on them.
29:21But we have another range of services that we can offer.
29:24It does not include surgery.
29:26Yes, of course it includes surgery.
29:28But the patient already took off his glasses,
29:30he is wrinkled and says,
29:32I do not like how I look, I have bags.
29:34And there, tell him to put on a protector,
29:37and that is already difficult,
29:39but if people want to take that off.
29:41Of course, yes, totally.
29:42What happens is that the important thing is
29:44to be able to postpone surgery as much as I can.
29:48Why?
29:49It is not the same as me at 40, 50 years old,
29:53resorting to having a blepharoplasty,
29:56or resorting to having a facelift,
29:59because then when I am 60 or 70,
30:01the capacity of options that I have is reduced.
30:05So the ideal thing is to try to postpone that surgery
30:08to the point where I need it.
30:10So we have several options that we can use,
30:14such as micro needles, radio frequencies,
30:17and other methods to try to postpone that surgery,
30:20which will eventually be necessary,
30:22because if we have the blessing of reaching a certain age,
30:25then there will be a range of possibilities
30:28that will be more reduced,
30:30and we will have to get to surgery.
30:33Who complains more that I have these wrinkles and bags?
30:36Men or women?
30:37Women, definitely.
30:39My female patients,
30:40although lately there has been a change in that,
30:45because I say that we, women,
30:47worry about looking good,
30:50I understand that it must be reciprocal.
30:52Our partners also have to worry about
30:55aging in a pleasant and satisfactory way.
30:59So today there is already a small change
31:02that male patients also resort to aesthetic medicine treatments.
31:08Doctor, going back to the eye issue,
31:11apart from the cataract,
31:13what other diseases do you treat in the anterior part?
31:19Well, in the anterior segment,
31:22which is the one in which I am a specialist,
31:24we also treat glaucomas,
31:26we also treat pathologies such as
31:29what is commonly known as a nail,
31:31or pterygium,
31:33everything that has to do with the front part of the eye,
31:35conjunctivitis and others.
31:37However, in our center,
31:39we also have sub-specialists
31:42from the different areas of ophthalmology.
31:45We have a pediatric ophthalmologist for children
31:48and we also have a retinol ophthalmologist
31:51for the posterior segment.
31:53And all that is recoverable?
31:56I mean, any of the pathologies that you mentioned earlier
32:00that worry the population of the whole world so much,
32:03because it is the sight, it is seeing,
32:06and putting yourself in the hands of a professional for some correction,
32:10that requires a lot of courage
32:12and having the confidence that everything will be fine.
32:15Well, there are causes of reversible blindness
32:20and causes of irreversible blindness.
32:22One of the main causes of irreversible blindness
32:26is what we call the silent disease,
32:29which is glaucoma.
32:31Why? Because glaucoma will not give you
32:33any signs or symptoms
32:35until it is very advanced in the disease.
32:37Why does it start by reducing peripheral vision?
32:40So, if I'm looking at your face, I see you well,
32:43but I don't realize that everything around me is reducing
32:47and it is not reversible.
32:50The damage that is caused by glaucoma,
32:52I can stop it when I diagnose it,
32:55but what you already lost, I can't recover.
32:58That's why we recommend that everyone,
33:01even if they don't have any signs or symptoms,
33:03evaluate their eyes at least once a year.
33:06Regardless of age.
33:08Regardless of age.
33:09Children, teenagers, young people,
33:11at least you go to a check-up,
33:13they find everything fine and tell you,
33:15come in two years.
33:16But there are many people who get lost,
33:18even patients who I tell them,
33:20look, you have glaucoma suspicion,
33:22you have to do these studies,
33:24they leave and come back five or six years later
33:26and they already have damage.
33:27And I can't do anything because it has not yet been discovered
33:30how to regenerate the optic nerve.
33:32Doctor, what about the case of high eye pressure?
33:35Because you take the pressure.
33:37Periodically, when you go to your cardiologist,
33:40but it is not frequent that you take the pressure
33:42and there are cases of high pressure.
33:45Glaucoma is mainly caused by the intraocular pressure of the eye.
33:49You have to save the patients,
33:52it is totally independent of the pressure of the body.
33:55Because I have patients who tell me,
33:57no, doctor, I checked the pressure,
33:59I am perfect.
34:00I say no, but it is that the pressure of the eye
34:02is totally independent of the blood pressure.
34:06So you have to check it.
34:08Because precisely glaucoma is caused
34:11by an increase in intraocular pressure.
34:14Doctor, where is your center?
34:16My center is located on Federico Geraldino Street,
34:19Hector Inchaustegui Corner.
34:21It is called MedSpa by Dr. Laura Espaillat.
34:24We have a wide range of services,
34:27as I already mentioned, ophthalmologists.
34:30Apart from that, we also have dermatologists,
34:33because as we do aesthetic medicine,
34:36there are pathologies that are purely of the skin
34:40and they need the advice of a qualified dermatologist.
34:44And we also have the services of endocrinology and nutrition
34:47for those patients who are looking for help
34:50for hormonal replacements or nutritional plans.
34:53Fantastic.
34:55Doctor, and the risk that there are many people hooked
34:58to aesthetic medicine without having the preparation,
35:01without having the title?
35:03Sometimes beauty salons or private ones.
35:05Yes.
35:06There come the great risks of aesthetic medicine.
35:09Aesthetic medicine is one of the branches of medicine
35:12that is most in vogue because we all want to look good
35:15and we all want to age well.
35:17So that's where it comes from that anyone,
35:20even people who are not doctors,
35:22are practicing aesthetic medicine in environments
35:25that are not suitable for that.
35:27And then the great risks that we see today begin to arise.
35:32Even people don't know that because of an aesthetic procedure
35:36you can go blind.
35:38And people don't know and they go and do it in a beauty salon
35:41or in a backyard of a house or in an environment
35:45where they are not prepared for that
35:47and with a person who is not qualified to be able to face
35:50any type of complication that may arise.
35:53So you have to look for a specialist.
35:55Exactly.
35:56You have to look for a qualified specialist
35:58who is in a center, who is qualified
36:01and who uses certified products.
36:04Because many times people are looking for the economy,
36:07but we say that the cheap is expensive.
36:09Yes.
36:10That's right.
36:11Doctor, thank you very much for your advice.
36:14And nothing, Federico Geraldino, Aquina.
36:18Hector Inchaustegui.
36:19Hector Inchaustegui.
36:20Med Spa by Dr. Laura Espaillat.
36:22You know, there is everything, there is everything.
36:26And we are going to commercials and we are going to talk
36:29with the representative of UNICEF
36:31in the country that announces a very important event
36:34of this cauldron.
36:49In the final stretch, we honor with his participation
36:56Mr. Carlos Carrera.
36:58He is the representative of UNICEF in the Dominican Republic.
37:02UNICEF is the United Nations Fund for Childhood,
37:05an extremely important agency of that institution
37:09that is the United Nations.
37:11A very good morning. Welcome, Mr. Carrera.
37:13Pleasure.
37:14Good morning. Welcome again to Telematicine.
37:16Good morning.
37:17It's a pleasure to be here with all of you.
37:19Exactly.
37:20You already have an activity that is already traditional,
37:22which is the telethon.
37:24We even have images of previous telethons,
37:27of previous years.
37:29When is this year's? What does it consist of?
37:32Well, the telethon will be on the 6th,
37:35Sunday, April 6th.
37:37It's the fifth year.
37:38And that's next week.
37:39Next week, yes.
37:41So it's already the fifth consecutive year
37:43that UNICEF in the Dominican Republic
37:45is doing this activity.
37:47It's really an activity of mobilization
37:49of all citizens, of all society,
37:51in favor of children, of children's rights,
37:53in favor of UNICEF,
37:54which is the agency that fights for children's rights,
37:57and also looking for moral support,
38:00but also economic support,
38:02of the citizens.
38:03Basically, inviting people
38:06to become donors of UNICEF,
38:09so that with a small monthly contribution
38:11they can support all the work we do in the country,
38:14in favor of children,
38:16in issues such as health, nutrition,
38:19preventing the mortality of babies,
38:22of small children and mothers,
38:24malnutrition also in small children,
38:27improving the quality of education,
38:30ensuring that children learn,
38:32not only at school,
38:33but really learn what they need
38:35to have a productive life,
38:37protecting children from violence, etc.
38:39All that you mention about UNICEF's programs
38:41in the Dominican Republic
38:43have been standardized and are being carried out.
38:46The participation of people,
38:48either as a recurring donor,
38:50for a monthly contribution,
38:52or the participation in the telethon,
38:54how can it be done?
38:55Well, basically,
38:57you can enter our Instagram page,
39:01Facebook, or the website,
39:03and there, directly,
39:05the process is very easy
39:08to enter, to donate,
39:10to become a donor,
39:12and, of course,
39:13in addition to being a donor,
39:15we want them to be activists
39:17for children's rights,
39:18to support, defend,
39:19and also demand the protection
39:21of children's rights throughout society.
39:23What channels will the telethon be broadcast on?
39:25It will be broadcast on the public channel,
39:28but I understand that it will be broadcast
39:30on a good number of other channels
39:32that have kindly joined
39:34once again this effort,
39:36which really, for us,
39:38is a privilege,
39:40to have all this support from the media,
39:42in solidarity with their commitment
39:44also to children's rights,
39:46because this really helps us
39:47reach a lot of people.
39:49Mr. Carrera, how is it,
39:50that is, the programs that you develop
39:52in the Dominican Republic
39:53are standardized
39:54and carried out in other countries,
39:56or are they characteristic
39:57of the needs of the country in particular?
39:59And if so,
40:00how is childhood
40:01in the Dominican Republic?
40:03Indeed, the UNICEF programs,
40:05the UNICEF program in the Dominican Republic
40:07is very thought out,
40:09very negotiated,
40:10discussed with the government itself,
40:12thinking about the needs
40:13and priorities of each country,
40:14each situation.
40:16It is done to the extent
40:17of the needs of the country.
40:19Indeed, to the extent of the needs
40:20and priorities at that time,
40:22because they also vary over time.
40:23Our program has evolved over time.
40:26And the needs,
40:27mainly of the children,
40:28as I said, on the one hand,
40:30the country has advanced very quickly
40:32in its economy,
40:33in its economic development,
40:34but the social development
40:35and social indicators
40:36are not at the level
40:38that one would expect
40:39with this level of economic development.
40:41So the government,
40:42and we, of course,
40:43supporting all national efforts,
40:45are making great efforts
40:46to advance in this regard.
40:48In what areas?
40:49For example,
40:50in maternal mortality,
40:51in neonatal mortality.
40:52In neonatal mortality
40:53we have seen improvements,
40:54and maternal mortality
40:55is costing us a little more,
40:57but these are always issues
40:59in which, above all,
41:00improving the quality of care,
41:01improving the quality of care
41:03is still an issue
41:04that we have to continue working on.
41:06In education, as I said,
41:08the levels of learning
41:10in the educational system,
41:12particularly in primary school,
41:14were not being desired.
41:16When they did rankings in the region,
41:18the country actually appeared
41:20as one of those
41:21that had worse results,
41:23and there is no reason for that.
41:25So we are working
41:27with the Ministry of Education
41:29to improve this learning,
41:30and really,
41:31the efforts they are making
41:32are showing good results,
41:34which improves the learning
41:35of all children,
41:36and especially of those children
41:38who had shown worse results
41:40in the past,
41:42which is a great joy.
41:44In the field of violence,
41:46the prevention of violence,
41:47the prevention also, for example,
41:48of early unions,
41:49of child marriages, let's say,
41:51and the adolescent pregnancy,
41:52which is still very high.
41:54One in four girls
41:56gets married, gets together,
41:58before they turn 18,
42:00and this affects their whole lives.
42:02It affects their full potential
42:04as a person,
42:06to be able to contribute to society,
42:08everything they can contribute,
42:10and to enjoy their rights
42:12as a child, still.
42:13So this is a topic
42:14that we are working on.
42:15Do you always work
42:16at the hands of the governments,
42:18or do you work with private institutions?
42:20We work with all actors,
42:22but our main partner
42:23are always the governments.
42:24Why?
42:25For two reasons.
42:27One, because the Convention
42:28on the Rights of the Child
42:29establishes that, well,
42:30children are the main
42:32holders of rights,
42:34and states are the main
42:36responsible for the fulfillment
42:38of these rights.
42:39So they are the main
42:40responsible,
42:41and so we work.
42:42And secondly,
42:43because UNICEF
42:46is not really an NGO,
42:47it is an organization
42:48of the United Nations,
42:49so our goal
42:50cannot be a few children,
42:51a few communities,
42:52a few schools,
42:53a few cities,
42:54but it has to be the totality
42:56of all the children
42:57who need support,
42:58who need help.
42:59So the only effective way
43:00to achieve that
43:01is with the state,
43:02through public policies
43:03and institutions
43:04that reach the whole country.
43:05That said,
43:06we work with the private sector
43:07in many initiatives,
43:08with NGOs,
43:09faith organizations,
43:11community organizations
43:12of all kinds,
43:13because, well,
43:14we need everyone's support.
43:15But the main partner
43:16is always the state,
43:17which leads,
43:18and also the one
43:19who has the responsibility,
43:20and well,
43:21we also have the need
43:22to align ourselves
43:23with the state policies.
43:25Mr. Carrera,
43:26you say that UNICEF
43:27works for the defense
43:28of children's rights.
43:30When we talk about
43:31children's rights,
43:32what are we talking about?
43:35And if it makes us particularly
43:37different the fact
43:38that we are located
43:39in a region of the world
43:41where we have the highest
43:43rate of inequality.
43:45Indeed,
43:46well,
43:47the Children's Rights Convention
43:48was signed in 1989,
43:50in September.
43:51It just didn't happen to me,
43:53I turned 18
43:54a few months before
43:55the convention,
43:57but it is the international convention
44:00that most countries have joined.
44:03It is the convention
44:04with the most international support
44:06that exists,
44:07all the conventions
44:08on all the issues there are.
44:10And indeed,
44:11one of the main focuses
44:12is the issue of equality.
44:14That is,
44:15all rights are always in force
44:17for all children,
44:18always.
44:19What does that mean?
44:20That it doesn't matter
44:21if a child is in a war situation,
44:23he has the right to education,
44:24he has the right to health,
44:25he has the right to protection.
44:26If a child has a disability,
44:27he has all his rights
44:28and they must be fulfilled.
44:29If a child is out of his country,
44:31a child who has a different religion,
44:33different skin color,
44:35different nationality,
44:37all the rights of all children
44:40are always in force
44:41and everywhere.
44:42And in this region,
44:43indeed,
44:44we have great problems
44:45of historical inequalities
44:46for many reasons,
44:47and precisely the states
44:48have to look for,
44:49we support the states,
44:51mechanisms,
44:52ways to include,
44:53integrate,
44:54ensure
44:55that all children
44:56have at least
44:57the basic fulfillment
44:58of all their rights.
44:59Then,
45:00the maximum is something else,
45:01but at least the minimum
45:02is fulfilled for all.
45:03And it has been fulfilled
45:04in the Dominican Republic.
45:05You,
45:06from your presence here,
45:07since you have been here
45:08for several years,
45:09have you seen a change
45:10in awareness
45:11of the rights
45:12that these children must have?
45:13Well,
45:14indeed,
45:15we do see improvements
45:16in almost all areas.
45:17We are very,
45:18very
45:19complacent,
45:20well, complacent
45:21not in the sense
45:22that we are
45:23complacent,
45:24but we see good progress
45:25and that gives us
45:26a lot of hope
45:27and a lot of desire
45:28to continue.
45:29For example,
45:30as I said,
45:31the learnings
45:32in primary education
45:33we see that they are improving.
45:34We are also supporting
45:35the state
45:36in developing
45:37an inclusive education approach,
45:38that is,
45:39an education
45:40in which children
45:41with disabilities
45:42can learn
45:43in the normal
45:44educational environment
45:45and not be excluded
45:46or segregated,
45:47but be part
45:48of the educational process.
45:49That already exists.
45:50Sometimes the family
45:51excludes them
45:52but they are supported.
45:53Indeed,
45:54it is a matter
45:55of sensitization,
45:56of social education,
45:57to explain a little
45:58that it is a child
45:59with all his rights,
46:00that he has many abilities
46:01and that we must
46:02enhance and support him
46:03so that he reaches
46:04all his potential.
46:05In,
46:06as I said,
46:07neonatal mortality,
46:08we see that it has fallen
46:09significantly
46:10in recent years.
46:11In the last,
46:12in the last two years
46:13it has fallen
46:14approximately 20%.
46:15It is an important amount.
46:16We see
46:17that,
46:18for example,
46:19early unions
46:20are also falling.
46:21Before,
46:22it was one in three
46:23girls who joined
46:24before the age of 18.
46:25Now,
46:26it is one in four.
46:27There are still
46:28too many,
46:29of course,
46:30but we see
46:31a tendency
46:32to improve.
46:33So,
46:34there are gradual
46:35and incremental
46:36improvements.
46:37So,
46:38we must continue
46:39supporting and
46:40advancing
46:41because we know
46:42that with good efforts,
46:43with good,
46:44with decided work,
46:45with resources,
46:46we can make
46:47great advances,
46:48but we must continue.
46:49Finally,
46:50what is the date
46:51and the subject
46:52of the contribution?
46:53Well,
46:54the date is
46:55Sunday,
46:56December 6th.
46:57It is not necessary,
46:58sorry,
46:59April 6th,
47:00it is not necessary
47:01to wait for that date.
47:02You can join,
47:03you can enter
47:04our website,
47:05Instagram,
47:06Facebook,
47:07etc.,
47:08to get started
47:09from today,
47:10from UNICEF.
47:11They also have
47:12a code
47:13that you can
47:14scan.
47:15And,
47:16but also,
47:17on the 6th,
47:18we are going
47:19to be
47:20hosting
47:21a program
47:22in which
47:23there will be
47:24entertainment,
47:25but also
47:26valuable information
47:27about children,
47:28about the situation,
47:29about how
47:30to improve
47:31children's lives.
47:32And,
47:33well,
47:34we expect
47:35all your support,
47:36all your participation
47:37to really
47:38achieve our objectives,
47:39which are
47:40the fulfillment
47:41of the rights
47:42of all children
47:43in the Dominican Republic.
47:44Very well.
47:45Thank you very much,
47:46Mr. Carlos Carrera.
47:47You have allowed us
47:48to have such
47:49interesting information.
47:50And all we have left
47:51to say goodbye
47:52is to remind you
47:53of the weekly proposal
47:54at 8 a.m.
47:55on Sunday.
47:56Have a happy weekend
47:57and we'll see you again
47:58on Sunday and Monday.
47:59Well, gentlemen,
48:00thank you for tuning in.
48:01Continue with
48:02TeleSistema Dominican
48:03and I hope you have
48:04an excellent weekend.
48:05See you on Monday.
48:18www.telesistema.org