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

This reverts commit 1978b62aa4bf98336b1ae18dbba541ddedb8cddc.
Revert "Revert "Revert "Revert "Revert "Revert "Revert "Revert "cambios paciente""""""""

This reverts commit cacccf0cf624c39c4239013cd533b2b070f9fcf0.