vi clinic valero rivera(1)
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FD[ FJ[EILJ[ HJ PIHEFFD JL
JF AZX@IF U JF XPD@DOI^PJQJLXEQI
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QE KFELEK QDFJPI PEQJPD
Fd ~pdkxekd hj~ipxeqd mjljpd zld{ elxjpdkkeilj{ kil jf ipmdle{gi tzj
gzkbd{ qjkj{ ~pihzkj he{azlkeilj{ hjf ge{gi& tzj {j xpdhzkjl jl fdd~dpekel hj hifip& he{xpj{{& u {i`pj xihi elkd~dkehdh ~dpd ~pi{jmzep kil fd
ge{gd,
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QE KFELEK QDFJPI PEQJPD
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kip~ipdf, Dfmzld{ hj j{xd{ ~dxifimed{ {j bdl jrxjlhehi hjf gzlhi hjf
hj~ipxj df hj fd {dfzh jl mjljpdf? "kihi hjf xjle{& big`pi hj fdldhip& jxk%
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QE KFELEK QDFJPI PEQJPD
FD[ FJ[EILJ[ HJ PIHEFFD JL JF AZX@IF U JF XPD@DOI ^PJQJLXEQI
^jpi ~i{e`fjgjlxj fd{ fj{eilj{ hj gduip xpd{kjlhjlked jl jf gzlhi hjf
azx`if {il fd{ hj fd piheffd& li xdlxi ~ip fd apjkzjlked jl tzj {j
~pj{jlxdl {eli ~ip fd pj~jpkz{el tzj jl fd qehd azxzpd hj fi{
hj~ipxe{xd{ xejljl,
Pj~d{jgi{ fd j~ehjgeifimed hj fd{ fj{eilj{ pjkimehd{ fi{ : fxegi{ di{
jl fd{ heajpjlxj{ d{jmzpdhipd{ hj~ipxeqd{ jl J{~dd
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QE KFELEK QDFJPI PEQJPD
@dfilkj{xi Azx`if
Gdli =&2*
Kihi >&04*
Big`pi ;&::*
Gzjkd >&;:*
Piheffd 48&0*
Kifzgld 4:&0*
Xi`effi 05&=*
^e =&:*
Gz{kzfi{ 48&8*
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Gdli >&;*
Kihi >&8*
Big`pi >&1=*
Gzjkd >&00*
Piheffd 04&=*
Kifzgld 40&2*
Xi`effi 08&:*
^e 4;&0*
Gz{kzfi{ 41&0*
Ixpi{ 4>*
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QE KFELEK QDFJPI PEQJPD
Pzm`u Qifje`if
Gdli =&2*
Kihi >&04*
Big`pi 40*
Gzjkd >&;:*
Piheffd 04*
Kifzgld 41*
Xi`effi 4>*
Kdpd 44*
Kd`jd 40*
Ixpi{ 2*
Gdli 2*
Kihi 4&0*
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Gzjkd 8&:*
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Kifzgld 40&>*
Xi`effi 88*
^e 1&0*
Gz{kzfi{ ;&2*
Ixpi{ 0*
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Fd{ fj{eilj{ jl jf azx`if u xdg`el jl fd piheffd xejljl zld he{xpe`zkel heajpjlxj kilfd jhdh
/ Gjlip elkehjlked jl gjlipj{ hj 42 di{Jlxpj = u 40 di{ fd elkehjlked j{ elkfz{i kelki qjkj{ elajpeip,
/ Dzmgjlxd kil fd jhdh' 40 d 4; ;& 8 fj{eilj{)ozmdhip)4>>> bipd{' 41 d 4= 8 fj{eilj{)ozmdhip)4>>> bipd{
/ Kdz{d{?' Gjli{ qjfikehdh
' Gjli{ ~j{i' Gjli{ dmpj{eqehdh' G{ afjre`efehdh
QE KFELEK QDFJPI PEQJPD
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J{xj ~ipkjlxdoj {j pjafjod jl lzj{xpi kfz` xdlxi jl jf ~ipkjlxdoj hj fj{eilj{
hj piheffd kigi jl fd he{xpe`zkel
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l 7 4=l 7 4= jtze~i{jtze~i{
ElmfdxjppdElmfdxjppd Dp{jldf AK& Gdlkbj{xjp Zlexjh AK&Dp{jldf AK& Gdlkbj{xjp Zlexjh AK&Kbjf{jd AK& Feqjp~iif AKKbjf{jd AK& Feqjp~iif AK
ApdlkedApdlked^dpe{ [delx'Mjpgdel AK^dpe{ [delx'Mjpgdel AK
ExdfedExdfed DK Gefdl& AK Elxjpldeildfj& Ozqjlxz{DK Gefdl& AK Elxjpldeildfj& Ozqjlxz{
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^ipxzmdf^ipxzmdf AK ^ipxi& [F @jlaekdAK ^ipxi& [F @jlaekd
@fmekd@fmekd @pzmmj CQ@pzmmj CQ
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J{kikedJ{kiked Pdlmjp{ AKPdlmjp{ AK
ZJAD [XZHUZJAD [XZHU4>>> fj{eilj{ jl :>> ozmdhipj{ ~ip xjg~ipdhd4>>> fj{eilj{ jl :>> ozmdhipj{ ~ip xjg~ipdhd
QE KFELEK QDFJPI PEQJPD
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Elaipgj 0>>1'>= hj{~z{ hj 1 xjg~ipdhd{ hj Kbdg~eil{ Fjdmzj
40*
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Fd{ fj{eilj{ d~dpjkjl g{ jl jlxpjldgejlxi i jl ~dpxehi
Pj~dpxehd{ ~ip bipd{ hj jlxpjldgejlxiOzmdhip? ' =1 ) 4>>> bipd{ hj jlxpjldgejlxi
' 415 ) 4>>> bipd{ hj ~dpxehiJtze~i? ' 4 fj{el ) 5 {j{eilj{ hj jlxpjldgejlxi' 4 fj{el ) ; ~dpxehi{
Xe~i hj fj{el? ' Jlxpjldgejlxi? 28* fj{eilj{ ~ip {i`pjkdpmd' ^dpxehi? 11* {il fj{eilj{ xpdzgxekd{
Azx`if @d{j? Jlxpjldgejlxi ;2*^dpxehi 10*
^i{ekel hjf ozmdhip u fj{eilj{
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Dkj~xdhd?
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QE KFELEK QDFJPI PEQJPD
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QE KFELEK QDFJPI PEQJPD
Kigi j{ fd dpxekzfdkel hj fd piheffd u {z{ pj~jpkz{eilj{ jl jf xe~i hj
fj{eilj{ tzj {zapj
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QE KFELEK QDFJPI PEQJPD
Kigi j{ fd dpxekzfdkel hj fd piheffd u {z{ pj~jpkz{eilj{ jl jf xe~i hj
fj{eilj{ tzj {zapj
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Fd piheffd j{ jf kilozlxi hj hi{ dpxekzfdkeilj{
4, Dpxekzfdkel Agipi)~dxjfdp?
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Dpxekzfd fi{ klhefi{ ajgipdfj{ kil fd gj{jxd
xe`edf, Azlhdgjlxdfgjlxj j{ zld dpxekzfdkel hj
kdpmd
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QEE KFELEK QDFJPI PEQJPD
^ip xdlxi j{ jf {i~ipxj hj fd j{xpzkxzpd kip~ipdf u d fd qj fd pj{~il{d`fj hj
fd gduip ~dpxj hj fi{ mj{xi{ hj~ipxeqi{ u g{ kilkpjxi{ fi{ hjf azx`if,
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^pjhe{~i{ekel^pjhe{~i{ekel
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qjlhdoj{&%qjlhdoj{&%
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Adkxipj{ elxpl{jki{
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Adkxipj{ jrxpel{jki{
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Elaipgj 0>>1'>= hj{~z{ hj 1 xjg~ipdhd{ hj Kbdg~eil{ Fjdmzj
40*
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0,0 Fj{eilj{ gz{kzfixjlheli{d{,
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Jojg~fi{ hj fj{eilj{?
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Jojg~fi{ hj fj{eilj{?
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Jojg~fi{ hj fj{eilj{?
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QE KFELEK QDFJPI PEQJPD
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QE KFELEK QDFJPI PEQJPD
Jojg~fi{ hj fj{eilj{ ~ip {i`pjkdpmd?
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QE KFELEK QDFJPI PEQJPD
Jojg~fi{ hj fj{eilj{?
Fj{eilj{ gz{kzfdpj{
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QE KFELEK QDFJPI PEQJPD
Tzj mjljpdl fd{ fj{eilj{?
@dod{ hj azx`ife{xd{ u ~ip xdlxi he{gelzkel hjf ~ixjlkedf hjf jtze~i
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0, Jqexdp fd {emzejlxj? ^PJQJLKEIL
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[ifzkeilj{?
4, Kepzmed? Bdu tzj elxjlxdp {ejg~pj {jp kil{jpqdhip& xihi u tzj
pj~pj{jlxj zl gduip xejg~i hj pjkz~jpdkel,
Jxi-i j{xdp kelki gj{j{ hj `dod "02,>5,>1%
Ajpldlhi Xippj{& i~jpdhi hj gdhpzmdhd hj fd fj{el jl jf gjle{ki
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qj hj fd fj{el hj gjle{ki jrxjpli kil zld dpxpi{ki~ed ~pdkxekdhd ~ip jf
~pi~ei Kzmdx& jlkdpmdhi jl jljpi hj fd ge{gd elxjpqjlkel, 45,>8,4>
Fd gjoipd hj fd xklekd li eg~fekd g{ jaekdked aeldf
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[ifzkeilj{?
4, Kepzmed? Bdu tzj elxjlxdp {ejg~pj {jp kil{jpqdhip& xihi u tzj
pj~pj{jlxj zl gduip xejg~i hj pjkz~jpdkel,
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QE KFELEK QDFJPI PEQJPD
GJLE[KJKXIGED U DPXPI[E[
^pjqei d fi{ di{ 2>gjle{kjkxigd xixdf ~ipdpxpixigd
^i{xjpeip d fi{ di{ 2>?Gjle{kjkxigd ~dpkedf~ip dpxpi{ki~ed
Dkxzdfgjlxj g{dfxjpldxeqd{? [zxzpd&xpdl{~fdlxj,,,
Qdfipdp fd jqifzkel azxzpdhj fd{ gjle{kjkxigd{~dpkedfj{& {zxzpd{ uxpdl{~fdlxj{
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QE KFELEK QDFJPI PEQJPD
Fd kepzmd hjf gjle{ki bd ~pihzkehi gzkbi{ jr'
ozmdhipj{ kil j{xd{ {jkzjfd{
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[ifzkeilj{?
0, J{ jqehjlxj tzj ixpd{ qjkj{ li bdu gjoip i ~i{e`fj i~kel tzj fd
tzeppmekd "fj{eilj{ femdgjlxi kpzdhi dlxjpeip%
;, Xpdxdgejlxi{ gheki{& ae{eixjpd~zxeki{ u hj pjbd`efexdkel azlkeildf
8, Z{i hj ~pixjkkeilj{
^jpi kfdpdgjlxj fi gjoip j{ fd ^PJQJLKEIL
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QE KFELEK QDFJPI PEQJPD
^pjqjlkel ~dpd fd pjhzkkel hj fd fj{eild`efehdh ?Fd`ip hj xihi{? jlxpjldhipj{& ozmdhipj{& {dlexdpei{,
Xdlxi hjlxpi kigi azjpd hjf jlxpjldgejlxi
[i`pjxihi jl jhdhj{ xjg~pdld{
Jl azlkel hj fd{ apjkzjlked{ hj fj{eilj{ u fd adkefehdh ~dpd el{xdzpdp ~dzxd{
hj xpd`doi
Dlfe{e{ hj fi{ ~pimpdgd{ hj jlxpjldgejlxi,Jqexdp tzj fi{ kd{xemi{ {jdl jlxpjldp g{
Elxjlxdp gjoipdp fi{ jfjgjlxi{ hjf jlxpjldgejlxi
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i fd jlxpjld`efehdh j{ zl adkxip gzu eg~ipxdlxj%
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QE KFELEK QDFJPI PEQJPD
Tzj qdfipdkel jkilgekd ~dpd {z kfz` xejljl j{xi{ ozmdhipj{ 9
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QE KFELEK QDFJPI PEQJPD
^pimpdgd{ hj ~pjqjlkel?
4, Dhjkzdkel hj fi{ ~jpeihi{ hj kdfjlxdgejlxi d fd dkxeqehdh kilkpjxd d
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^pimpdgd{ hj ~pjqjlkel?
0, Zxefedkel hj gdxjpedf jl `zjl j{xdhi
0,4 Gzkbd{ fj{eilj{ dkilxjkjl ~ip zld gdfd xklekd hj pjdfedkel
hj fi{ jojpkekei{
0,0 Ixpd{ qjkj{ ~ip fd {exzdkel hjf xjppjli hj ozjmi? kil `dkbj{&
bejp`d dfxd& `dppi& dpjld& jxk
0,; Li j{ fd gjoip {exzdkel ~dpd {jml tzj xe~i{ hj xpd`doi?
gzfxe{dfxi{& xpd`doi hj kdg`ei hj hepjkkel& jxk,
0,8 Fi{ jfjgjlxi{ hjf jlxpjldgejlxi j{xl d`{ifzxdgjlxj
i`{ifjxi{,
0,: Fd{ `ixd{ li {il fd{ g{ dhjkzdhd{
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QE KFELEK QDFJPI PEQJPD
^pimpdgd{ hj ~pjqjlkel?
;, Fi{ jfjgjlxi{ hj ~pjqjlkel ~d{eqi{?
;,4 Fd bemejlj kip~ipdf dlxj{ hjf jlxpjldgejlxi
;,0 Fd qj{xegjlxd dhjkzdhd
;,; Jfjgjlxi{ hj ~pixjkkel {jlkeffi{? xidffd ~dpd d~iudp fd `dppd hjfd{ ~j{d{& jxk,
;,8 Fi{ qjlhdoj{ azlkeildfj{,
;,: Fd{ ~pixjkkeilj{ hj lji~pjli
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QE KFELEK QDFJPI PEQJPD
^pimpdgd{ hj ~pjqjlkel?
8, Fi{ ~pimpdgd hj jojpkekei{ dkxeqi{?
Bdu tzj qdfipdp zld {jpej hj kzdfehdhj{ u kdpdkxjp{exekd{ tzj ~pj{jlxdl
fd{ dpxekzfdkeilj{ hjf kzjp~i u tzj ~jpgexjl fd pjdfedkel hj fi{
jojpkekei{ u j{azjpi{ hj~ipxeqi{?
8,4 Giqefehdh
8,0 Azjpd gz{kzfdp
8,; J{xd`efehdh dpxekzfdp
8,8 Afjre`efehdh
J{xi{ {jpedl fi{ ~pegjpi{ i`ojxeqi{ hj fi{ ~pimpdgd{ hj jojpkekei{dkxeqi{,
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QE KFELEK QDFJPI PEQJPD
^pimpdgd{ hj ~pjqjlkel?
8, Fi{ ~pimpdgd hj jojpkekei{ dkxeqi{?
8,4 Gdlxjlegejlxi hj fd giqefehdh
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QE KFELEK QDFJPI PEQJPD
8,0 Gjoipd hj fd azjpd
8,0,4 Xpd`doi hj afjripj{ hj fd piheffd
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QE KFELEK QDFJPI PEQJPD
8,0 Gjoipd hj fd azjpd
8,0,0, Xpd`doi hj fi{ jrxjl{ipj{ hj fd piheffd
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QE KFELEK QDFJPI PEQJPD
8,0 Gjoipd hj fd azjpd
8,0,0, Xpd`doi hj fi{ jrxjl{ipj{ hj fd piheffd
8,0 Gjoipd hj fd azjpd jl kdpmd
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QE KFELEK QDFJPI PEQJPD
Jf xpd`doi ~pjqjlxeqi
/ Li j{ zld ~phehd hj xejg~i,
/ Xejlj `zjld pj{~zj{xd jl fi{ ozmdhipj{,
/ J{ jf gxihi g{ `dpdxi u jaekd hj pjhzkep fd{
fj{eilj{,
/ [ejg~pj xejlj tzj kilxjg~fdp fi{ jfjgjlxi{ ldxzpdfj{
hjf ax`if,
/ [il gzkbi g{ eg~ipxdlxj{ ~dpd jf pjlhegejlxi aeldf
hjf jtze~i tzj fi{ aekbdoj{ hj elqejpli,
/ Jf li ozmdp kil fi{ gjoipj{ ~pihzkj hjppixd{
kig~pigjxjhipd{,
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