Grupo 3
Nurse: Good morning, Mr. Ramirez. How are you feeling today?
Patient: Últimamente me he sentido muy cansado, tengo sofocos y cambios repentinos en mi estado de ánimo.
Nurse: I understand. Have you noticed any changes in your weight, appetite, or sleep?
Patient: Sí, he bajado un poco de peso sin proponérmelo y me despierto varias veces durante la noche.
Nurse: Thank you for sharing that. I’ll note it down. The doctor will want to ask you more about your hormone levels and your blood
sugar.
Doctor: Good morning, Mr. Ramirez. I see you’ve been experiencing hot flashes, fatigue, and mood changes. At your age, these
could be related to andropause, which often involves changes in hormones such as testosterone and estrogen.
Patient: ¿El estrés también puede influir?
Doctor: Yes. Stress raises cortisol, which affects metabolism and blood sugar. Too much cortisol can cause hyperglycemia,
meaning high glycemia or glucose levels.
Patient: Mi padre tenía diabetes mellitus. ¿Debería hacerme pruebas?
Doctor: Yes. We’ll start with a fasting blood sugar test, and if needed, an OGTT—the Oral Glucose Tolerance Test.
Patient: ¿Y si mis niveles resultan altos?
Doctor: Then we may use metformin. Normally, your pancreas makes insulin to control blood sugar, but if it isn’t working well,
medication helps.
Patient: También he notado hinchazón en el cuello. ¿Podría ser algo serio?
Doctor: It might be a goiter, sometimes caused by nodules. We’ll check for hyperthyroidism, which means the thyroid makes too
much hormone.
Patient: ¿Otras glándulas también pueden estar relacionadas con problemas hormonales?
Doctor: Yes. The parathyroid glands regulate calcium, the pineal gland influences sleep, and hormones like oxytocin and
epinephrine are part of stress, bonding, and the body’s alarm response.
Patient: Ya veo, todo está conectado.
Doctor: Exactly. That’s why we’ll run a hormone panel, thyroid ultrasound, and glucose tests. Then we’ll decide on lifestyle
changes, medication, or follow-up.
Patient: Gracias, doctor. Eso me deja más tranquilo.
Doctor: My pleasure. We’ll take it step by step.