# EP 58- Salud Preventiva: ¿Es mejor prevenir que lamentar?

An episode of [Economics Data Podcast](https://invisiblenetwork.ai/podcast/1690287258), 17 Jul 2024, 25 min.

Audio: https://dts.podtrac.com/redirect.mp3/api.spreaker.com/download/episode/60710769/ecd_salud_preventiva.mp3

Hoy hablamos de un tema que no podemos dar por sentado: la importancia de cuidar nuestra salud, específicamente la salud preventiva ya que siempre es mejor prevenir que lamentar🙌🏼✨ Definitivamente no podemos cuidar nuestra salud solamente cuando nos duele algo o cuando salimos embarazadas sino que siempre debe ser una prioridad en nuestras vidas porque esto no solo afecta nuestras finanzas sino también lo más importante nuestra calidad de vida. En este episodio nos acompaña la dra Anahí Goicochea @drgoicochea para hablarnos de la importancia de la salud preventiva y de tener un médico internista (que es algo que todos debemos tener)🙌🏼 Si quieres seguir aprendiendo de finanzas “con cucharitas” síguenos Instagram Youtube TikTok

## Transcript

[0:02] Welcome to Economics Tata Your Finance Podcast Here we will talk light and sincerely about
[0:09] money where together we will turn the hard into easy and clear we will take
[0:16] our finances to another level. From now on, your numbers will be as
[0:20] if you' ve never committed errols for a lecturing past, a healthy present,
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[0:32] Arroba Economista welcome to a new episode of economic Tata your Podcast Finance. I
[0:39] am Laura and Akim and today we come with a subject that I would say
[0:45] that many, even if we have all the money, cannot be taken for
[0:50] granted and it is health. An episode dedicated to health with paletico to open
[0:55] many eyes, too many eyes. I' d say one ale annella plus
[0:59] health, money and family. Yes, 100% who doesn' t want
[1:03] health and money, and I would also say who specifically we' re going
[1:08] to address in preventive health, that I associate it with finance, because you
[1:14] actually plan, make your budget. But at the same time, this is
[1:19] a subject that is not much talked about, as well as the finances that
[1:23] do not speak to us in school, which necessarily do not educate us to
[1:27] the importance of having preventive health, to have their checkups. Just before starting
[1:33] this episode Christian of the team that runs our podcast, told us that he
[1:38] was more than ten years old without going to a doctor. Yeah, well,
[1:41] people' s culture day. Culturally, we' re leaving health for
[1:47] when it hurts, when I have a bother, when I have some symptoms.
[1:49] If I don' t have any symptoms, I don' t have
[1:52] anything. But how many diseases and how many diagnoses there are hidden behind No
[1:57] hurt me that one day, a little accurate. You start when there'
[2:01] s a pain, when there' s a stain, when you get pregnant.
[2:06] But a lot of people before that don' t go to a doctor,
[2:09] let alone do a general checkup. You remember Kim, last year we
[2:13] had a general checkup. How much you had without checking out this style.
[2:19] It was your first time, at my first time, at the age of
[2:23] twenty- eight, first general checkup that what shame? True if a tervaescucha
[2:27] no and I was my second time, but the first time it was my
[2:32] mom who forced me because she did have that culture, but the truth is
[2:37] that it is something that is not spoken. I feel it' s an
[2:38] underrated subject, but for that we invite a professional, Dr Anai Goycochea,
[2:45] an internist doctor. Welcome there that' s going to open our eyes.
[2:51] I would say about the importance of having these checkups, of worrying about preventive
[2:59] health and whether or not you will wait when we have a crime or when
[3:04] something hurts or when something appears in our peel Then, before we start,
[3:09] Anai, what is an internist doctor. For those of you who listen to
[3:13] me telling you before the air, I wasn' t quite clear about what
[3:17] an internist doctor was specializing in. Let' s see to make an easy
[3:22] comparison, so that the internists understand. We are like pediatricians, but in
[3:25] adults, that is, we are the basis of all subspecialties. We have
[3:30] to know everything, then what we do most. Well, it' s
[3:35] an integral management of the entire body, but we also give a lot of
[3:38] emphasis to what preventive medicine is, making sure patients carry their screening, age
[3:45] screening, risk factors, etcetera. Basically we' re an adult pediatrician.
[3:49] Oh, yeah, well, so we go first to an internist doctor and
[3:53] then he refers us to tell us where you go to such studies, because
[3:59] the truth is that I have no idea what studies we have to do.
[4:01] Actually, yes, everyone should have a family doctor, every adult, not
[4:04] children are pediatricians and then adults or since the age of seventeen and eighteen,
[4:09] they should be transferred to what is an internist doctor and this should be the
[4:13] axis of their health care, of preventive medicine. He should be the one
[4:19] to do his routine check- up, make the diagnostics on time, and
[4:25] make the necessary refreshments. Excellent, I mean. I' m leaving already
[4:28] with this and I' m paying with this episode, with this teaching,
[4:31] because for me, my GP is a gynecologist, because really, for a
[4:35] very recent state and I was just commenting that the truth that we, as
[4:42] women, often shake the gynecologist for our routine checkup Pope Nicola, and that
[4:45] we have very much in mind However, we forget the rest of the body
[4:49] that many times the gynecologist does send you in the labs of the place or
[4:53] you mean. We should really focus on the following internist, more gynecologist way.
[4:59] Why don' t we take Pope Nicolao and we won' t be
[5:01] doing the geniturinary exam and so on. But it should be a combination of
[5:08] both the same. Men begin to go to the urologist, check the prostate,
[5:11] but the rest of the body does totally and every time one has to
[5:15] go to where an internal doctor is annual. Ideally, it should be nullified
[5:18] in a patient without risk factors and without any finding, ok that has no
[5:23] condition risk factors. What are you looking at risk factors? First, hereditary,
[5:30] that there is some hereditary condition in the family, that has some genetic
[5:33] burden, that mom mom has anti- infarct early fifty years, what exactly
[5:39] hypertension, diabetes, cholesterol. There are many cases of cholesterol. I don
[5:44] ' t know if you' ve heard. People say it' s not
[5:46] that I produce it. It' s not why I eat because I don
[5:48] ' t let myself hear. So yes, there are people who have a
[5:51] hereditary genetic theme and produce it with hystr and they don' t know it
[5:57] and they realize it when they have an event or that at least once a
[6:02] year or a first approach to know what' s behind that patient to determine
[6:08] how frequent it is, but a healthy person once a year that is complementary,
[6:12] for example, that checkup that Kimmy and I had made that it'
[6:15] s a general checkup with me to have an intern doctor, that is,
[6:17] I also have to have my internist doctor right and clear, of course,
[6:21] because those plans, that is, they make you a general checkup. But
[6:26] there is no questionnaire, that approach to the patient that specifically asks you what
[6:31] your habits are, what has happened in your family, what vaccines you have,
[6:35] what is another topic, the vaccine in adults. People think we don
[6:38] ' t get vaccinated, but yes, then it' s not the same
[6:44] thing to customize that checkup as making you something standard that' s not bad,
[6:47] because there are many companies that offer it to you and you have to
[6:53] take advantage of those benefits, not because it works much better, but you
[6:55] have to complement them. We need a little kindage, a little more ok
[6:59] then, definitive, we have to go annually to an internist doctor and from
[7:02] there, because we also do our annual medical checks. What are those annual
[7:08] medical checks that you say yes or yes. A person has to make a
[7:13] basic look, a blood count. We need to know if there' s
[7:15] anemia and anemea I follow an alteration the same. We need to know what
[7:17] the sugar is, the sugar level that the patient handles cholesterol, the average
[7:24] of that sugar. Also the thyroid, as is the liver, a urine
[7:28] test, a coprologous sexually transmitted disease in patients who are sexually active and in
[7:35] women, obviously, already complement them with the checkup of the gynaecologist and in
[7:40] men more than forty with the horologist OK and then from the seventeen years that
[7:44] is passed from the pediatrician to the correct internist. So it is seventeen,
[7:49] eighteen, seventeen, one thousand seventeen. I went all the way old to
[7:54] a pediatrician' s biggest. Yeah, I' m gonna be embarrassed.
[7:58] Yeah, and these types of checks are insurances that include them. They are
[8:05] offered in everything, both in hospital and in clinic. Every internist doctor is
[8:09] trained for that, to give you a complete evaluation that goes from the physical
[8:15] examination and the additional tests are going to be included in the insurance. If
[8:18] you go to a center or a doctor who takes your insurance, okay,
[8:22] the consultation is true, but since what are imaging labs, usually insurances have
[8:28] coverage for this. The decision of which doctor to go to is going to
[8:33] depend a lot on what, on your insurance, on your financial possibility,
[8:37] on what you' re looking for. Be a personalized care, quick or
[8:43] otherwise, you have a problem going to a center where there are more patients,
[8:46] that you have to wait a little longer than that will vary. Yeah,
[8:50] look. I remember when we opened last year we were doing this study
[8:52] that was totally new to me. I already worked more or less had the
[8:58] experience of the previous one. But I' m going like a tourist,
[9:03] like, okay, everything' s gonna be fine, because I feel good.
[9:07] I don' t have anything at all, I don' t have
[9:09] any symptoms. I' m young and you' re not pregnant in eando
[9:11] she' s not pregnant. Nothing perfect and all of a sudden they make
[9:16] me alert when they already give me the diagnosis like diagnostics, like Mira came
[9:20] out here, this came out there and I kind of what. But I
[9:22] don' t feel anything. And from that study, because we continue to
[9:26] investigate, investigate, investigate, until we arrive at a disease that I have
[9:33] that for me the unknown all my life. But I' m already talking
[9:37] to my current doctor. It is an immune system disease that has also developed
[9:43] a lot in this my rheumatologist tells me. In recent years, after covid
[9:46] I don' t know if there is any relationship and I' ve realized
[9:54] that all my life I had it, that is, according to the symptoms
[9:58] I felt maybe when I had it. I don' t know in two
[10:00] thousand twelve out of two thousand three, I mean, I had some symptoms
[10:03] and I said, but I have no idea where this comes from. But
[10:05] he' s gone. Yeah, it doesn' t hurt me, nothing
[10:07] happened and I was going on my life when maybe I could have been medicated
[10:13] from that moment, for ten twelve years ago, if I had gone to
[10:18] preventive health, to this kind of studies, to an internist doctor, as
[10:22] you say clearly and in more common things like hypertension or diabetes, it'
[10:26] s called silent killers, because not so symptoms. It' s not true
[10:30] that every patient has high blood pressure, he' s gonna have a headache,
[10:31] or he' s gonna have chest pain, he' s gonna have
[10:33] some kind of symptom. Or that all the patients who raise their sugar are
[10:37] going to be dizzy or they' re going to be urinating a lot,
[10:39] drinking a lot of water. Not all of them. There are patients who
[10:41] realize that they are hypertensive, that they are diabetic when they end up in
[10:45] a state of emergency or because they had an ACB a Strck or because they
[10:50] had a heart attack or because they are hospitalized, because the sugar levels are
[10:54] very high and cannot be controlled. Then the best way to realize it is
[10:56] shaken to a consultation, a simple take- up of pressure once a year.
[11:01] That' s what sugar is recommended. Same. To measure those sugar
[11:03] levels once a year definitely preventive health and those checkups not only reduce economic costs
[11:11] eventually of chronic diseases that can happen to me serious diseases, but also improve
[11:16] my quality of life. I mean one, a lot of times you hear
[11:20] Wow. Thirty- year- old gave him a heart attack. He was
[11:22] super healthy, he was exercising food, but there are parts that you don
[11:28] ' t see how or you don' t realize, like genetics. Maybe
[11:31] my grandmother, and that' s what you can see with an internist doctor,
[11:35] with these preventive checks of me foreseeing or maybe when I get a diagnosis,
[11:43] because controlling it with more time and so not just for example, saving
[11:48] in medical expenses, but also better my quality of life. Yes, I
[11:54] feel that preventive health is also synonymous with self- esteem that if you take
[12:00] care of yourself, you love yourself. I remember a few months ago in
[12:03] another we recorded an episode talking about insurance in general, and in that episode
[12:09] I said Wow. Yeah,' cause my daughter has better insurance than me
[12:11] and the girl who was in like the episode told me, but it'
[12:16] s just that and the exact self- love I mean, you also have
[12:20] to take care of yourself. It' s all happy. We invest in
[12:22] living room, that hair, nails, in clothes, shoes, wallet,
[12:26] makeup, in seeing us, well in photos memories with our family, our
[12:31] children, that a wedding that this a car. But in our health,
[12:35] without health, we have nothing, absolutely nothing. Everything goes away, everything
[12:39] goes away, and there are so many young people who have events that could
[12:43] have been preventable. Just listening to the little heart, see that I'
[12:48] m listening to something, we' re going to an echocardiogram because todo is
[12:50] normal. Or look at her dad and/ or mom having a heart attack
[12:54] at age fifty or forty- five. What' s going on here.
[12:56] We have to study it. Or look, you don' t know her
[13:01] cholesterol level so high, that artery so covered up. I mean, there
[13:03] ' s a way to spot it on time, but that' s why
[13:07] it' s important to go and that' s why it really caught my
[13:09] attention. I mean, I was very interested in doing this episode, because
[13:11] there' s a lot of ignorance. People don' t give priority to
[13:16] health. My father- in- law is one we' re begging for.
[13:20] We tell him we' re not going to buy the tickets for a
[13:22] trip we have with him until he goes to the doctor, because he'
[13:26] s about ten years old in going to the doctor and people take it for
[13:30] granted. Like, yeah, I' ve always been healthy, but you
[13:35] don' t see everything, you don' t all use it and you
[13:37] recommend, for example, everyone. I didn' t say. I didn
[13:41] ' t tell a person or that he feels bad or that he' s
[13:43] already healthy. You have to go true. Let' s get to that
[13:46] first, let' s break a myth that age. You have to go
[13:50] where an internist doctor or not to be reviewed annually Look since one is born.
[13:54] You have to go to the doctor, start checking with the pediatrician,
[13:58] monthly, two months, tremes, etcetera. See But there comes a time
[14:03] when the parents, like they stop taking it clear I didn' t feel
[14:07] sick, not this and they don' t carry it. If it'
[14:07] s not so fermented. That' s wrong. Children also need an annual
[14:11] checkup to see that everything is okay or just the vaccine. For example,
[14:13] the vaccine or check of stalmological than the hearing test that the school asks for,
[14:18] but then does nothing else. But that must be perpetuated in time and
[14:22] already once he turns seventeen eighteen, then in the switch to the internist and
[14:26] continue with these checks. So this is something for everyone. Not that I
[14:31] don' t pull twenty- five years. No, no, it'
[14:35] s not all life, all life. It' s just for my father
[14:37] - in- law, who' s fifty, but also for Marcos,
[14:41] not really. And so many things we heard. As a young man,
[14:41] who doesn' t go to the doctors either, he says it' s
[14:43] I mean, I have a close friend, younger than I' ve been
[14:48] 27 years old, has and has hoid- shooting cancer in the case,
[14:52] for example, of you you commented your father- in- law, my
[14:56] father- in- law also a person who never goes to the doctor,
[15:01] that is, and even with a record as a mon and something comes out
[15:05] in their skin and we, the family, became alarmed that what this is.
[15:05] You don' t have to go to the doctor. That didn'
[15:05] t come out a year ago and it disappeared and it was a serious illness.
[15:11] When we went to the doctor, then don' t let that serious
[15:16] symptom come, get that serious diagnosis, get that feeling or that extreme situation
[15:22] for you to get time for this clear. You can live your life fully.
[15:26] You can enjoy yourself, you can travel, you can eat what you
[15:28] like, so you like it, but you have to make sure you'
[15:33] re okay. You know how many cases we have seen of patients or that
[15:37] the brain blood in the brain because it presented it very high, that it
[15:41] broke an artery and ended in vegetables, when it could have been something detectable
[15:46] in time young people also with diabetes that starts before complications without knowing because they
[15:52] didn' t know they were diabetic. Then it doesn' t allow them
[15:58] to walk a lifestyle that he wanted. So actually these medical checkups in conjunction
[16:02] with lifestyle, sleeping well, not smoking and doing exercises are super vital.
[16:10] That' s what I was gonna ask you. The lifestyle, which is,
[16:11] regardless of my age, regardless of whether I am healthy or not,
[16:15] what habits I should have to take care of my health, among them,
[16:22] feed me see or I am a fan of that I like to eat well,
[16:25] I give myself my tastes, but already I feel bad when I have
[16:29] several days eating badly. For example, of course, even the body reacts
[16:33] differently. A good diet, which is a balanced diet. What we recommend,
[16:36] not to have a high consumption of processed foods, that is John Food,
[16:41] food from small beans that are ready to come. That' s not
[16:45] ideal, so it' s as natural as possible and balanced. In the
[16:48] most recent studies, it is a Mediterranean diet, a type of Mediterranean diet
[16:53] is what has really shown the most benefits on a general level. I mean,
[16:56] you don' t have to be sick for that. Examples for example,
[17:00] for fish listeners include carbohydrate pastes that are not simple, that are not
[17:07] charity complex that this is not taken soft drinks, do not take a game.
[17:11] Olive oil, plaice oil, groceries are used. That' s cheap.
[17:15] Vibre vibrates it, of course. Rice, that is, you can
[17:18] complement all lean meats. It' s not the same as a little rib
[17:26] as a pimple, a leg to eat a pork steak, for example.
[17:29] In other words, there are wide options and not all have to dry up
[17:34] a tuna in water. Sambear that not buy it in oil, buy it
[17:38] in water. It' s a difference that can make quite a long-
[17:42] term difference. Exercise. Exercise, that is, it' s vital,
[17:47] be it cardiovascular for at least two and a half hours of the week and
[17:52] endurance, two or three half- hour sessions of the week is the minimum
[17:57] to avoid anything and to have long- term benefits. Sleep well. Sleeping
[18:02] well is super important. People don' t understand. Sleep. Sleeping is
[18:07] very important. Depending on the age, it will vary how many hours we
[18:10] should sleep. But you have to sleep, you have to remove the cell
[18:15] phones before sleeping, the screens, the television, the lights, things that
[18:18] stimulate you to have a better quality of sleep. Controlling the pressure against sugar
[18:22] basically and stress is something that has been talked about a lot that now stress
[18:32] causes diseases, that stress worsens diseases also what you can tell us about that.
[18:41] Yes, stress produces certain substances in your body, which makes your sugar
[18:45] go up, put you under pressure, don' t sleep well and so
[18:48] on. Then proper stress management is ideal, but it is very personal to
[18:53] manage to crash another topic. You can recommend us maybe some things or maybe
[19:00] address us to I don' t know, someone or some website where people
[19:03] can look for how to handle stress, like because you say it like it
[19:07] ' s handled, breathes it. Let' s see if I tell Ma
[19:11] and Mommy breathe, that' s why it' s not that easy,
[19:15] don' t look at the breathing exercises. It is a tool, meditation,
[19:18] guided meditation, which is not how people think one has to have clean
[19:22] head without thoughts. I mean, one can meditate having thoughts and that following
[19:27] is also another tool that we have and then everyone could therapy to learn,
[19:34] to have tools for managing stress that I recommend to everyone, because the tools
[19:37] that each one is going to have are different, not the same ones,
[19:41] the tools that I need to rest, to relax, to destress me,
[19:45] than those that you may need clearly. It gives me peace to walk my
[19:52] bitch and I get stressed. It gives me peace to walk my little dog.
[19:56] I mean. But it' s all there. I come, please,
[20:03] in Santo Domingo there are people who get surprises by washing. I don
[20:07] ' t know or it' s so personal, true, so different,
[20:12] so unique, because I really messed up this thinking thing and I already have
[20:22] a stress shot up and ana that you' d tell a person who'
[20:25] s never checked out, we' ll leave you the camera and give him
[20:26] the boje. Please don' t and what would you tell them to make
[20:30] their appointments today or soon, make that first approach so they can ask you
[20:34] a questionnaire to see where we' re going to start, what you have
[20:37] to send to do from the basics. First, it' s not that
[20:40] we' re going to complicate his life, but of the most basic ones
[20:42] to see where we have to go. That' s the most important thing.
[20:45] Yeah, and for anyone who avoids going to the doctor because they don
[20:48] ' t want to know something, they don' t want a diagnosis.
[20:52] Gentlemen, you are lengthening the impossible and you are, in addition, affecting
[20:57] the quality of your life of your yesterday, the quality of your pocket.
[21:00] Also because a diagnosis, when it arrives later than it should have arrived,
[21:06] becomes much more complicated in terms of cost. You can make up a thousand
[21:11] percent of the whole family. Sure, I mean, it' s not
[21:14] the same thing. You have to be buying a blood pressure treatment for sugar
[21:17] that heart failure, being on hemodialysis, that is, all those expenses that
[21:22] you have gone on time to detect the modifiable risk factors, because not all
[21:26] of them can be modified, but what we can do to delay it or
[21:30] that if these diseases arrive, be able to do it in time and manage
[21:36] it time to avoid the complications that is possible. I would say that health
[21:41] is something non- negotiable, that is, everyone should have a non-
[21:45] negotiable fixed spending there for my preventive check- up every year, that is,
[21:51] I have to take care of this as the most precious thing. It
[21:52] goes as you take care of the wallet you like the most, as you
[21:57] yearn to go on that journey and to your Turkey itself. We have to
[22:02] take care of our health, because at the end of the day no matter
[22:06] how much money you have can come to a disease God free that sometimes money
[22:11] can' t take you to all the plans all that you wanted, all
[22:15] those trips, is that you wanted to do to focus on the primordial,
[22:18] which is health. But now perhaps even in a mistime and more expensive totally,
[22:23] then we really have to prevent that we advocate for this let' s
[22:27] say that this episode will reach many people who will keep sharing it so that
[22:33] their legacies, their friends, their relatives can also wake up and like to
[22:37] open it, I' m know I said look, I have to make
[22:41] a cup. I have to know where. I' m standing if I
[22:45] ' m over a year old without going to a general practitioner, an internist
[22:48] doctor, if I' ve never done a study, lady of an alert
[22:52] episode, that you have to do it, because you don' t know
[22:55] what might be going on, what you can prevent. And that really changes
[22:56] your life, that' s prevention. It changes your life and will benefit
[23:00] you in many ways, including obviously the economic. We, as a financial
[23:06] advisor, recommend, because maybe just as you are saving money to form your
[23:11] emergency fund, because you are also forming a health fund, because there is
[23:15] no emergency fund that can withstand a catastrophic disease or a delay that diagnoses it,
[23:21] then, just as you are saving for different goals, for your emergency
[23:25] fund investing because it also takes a part for those annual checks that you must
[23:30] do, also depending on the insurance coverage and others and to also take care
[23:34] of your health. So, regardless of age, and we, in all
[23:37] the theories, in all the workshops we' re going to give, are
[23:41] going to include that health fund for that preventive check- up that we all
[23:45] have to do annually, so thank you very much. Ana there you can
[23:52] leave to the listeners where they can find you. Well, I give consultation
[23:56] at the professional tower of hearts United. You can enter my instagram of Dr
[24:03] Go and Cochea and there you can have the data. All right. Thank
[24:07] you for all your input. You' re gonna have me as a patient
[24:11] and my husband, too. That' s right, you' re both
[24:15] going, yeah, thanks to your dad' s mom. Thank you for
[24:18] the invitation. Well, I' ll see you next time. Lady is
[24:22] an episode full of tips so you can take care of your health, so
[24:26] you can prevent things that can be prevented. Not to regret, of course
[24:30] don' t keep this episode just for you to share. We' re
[24:33] on the next one. Be

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