Revert "Revert "Revert "Revert "Revert "cambios paciente"""""

This reverts commit ea2a40b7fe80fa623baa2361fffa90e06506436d.
Revert "Revert "Revert "Revert "Revert "Revert "cambios paciente""""""

This reverts commit 3664e85fcce067f239942da33392ebc3247a946f.