The heat pursued and overwhelmed the beautiful Saturday afternoon. The fan in the living room was doing its best, working at full speed with energy and verve. In a hard-fought struggle, the blower was trying hard to dissipate the choleric heat.

The temperature was oppressive, my body dazed and overheated, sweating uncontrollably. The end of the month was approaching, I was preparing the health statistics, in my residence, on a small improvised table that served as a desk. Papers and records were everywhere. I was not prospering, my concentration was dazed and dulled by the intemperance.

I got up to hydrate myself, opened the refrigerator and with a scrupulous glance, I avidly took a tour. I was attracted by the exquisite aroma of cinnamon, I immediately visualized the source, the pitcher of oatmeal water. I poured myself a charitable glass of the distinguished concoction, tasting its freshness and enjoying its caresses on its journey through my palate.

My thoughts were suspended by the insistent and persistent knocking on the door "knock, knock!" "Knock, knock!""Knock, knock!" I immediately responded, "Just a moment, I'm coming."

When I opened the door, there was a short, middle-aged woman with a few extra pounds. Her face looked familiar, but I didn't remember seeing her for any health problems. She was carrying in her hands, with effort, a kind basket that included seasonal produce, glistening avocados, ruddy tomatoes, fresh oranges, and leafy guavas.

"Good afternoon, Mrs...tell me please, how can I be of service" Concerned about the weight she was holding I said. "Let me help you hold your basket" and invited her into the living room "Come in, have a seat." I set the basket on the floor and hurried to the kitchen to pour her a glass of oatmeal water.

"Here, that will quench your thirst and hydrate you" I turned my eyes to her face, she was flushed, her eyes arcane and enigmatic, her lips discolored. They held her glass, uneasy, sweaty, trembling hands. Everything about her, denoted nervousness, uneasiness, and perturbation. I decided to give her free reign to the encounter and give her the lead. "Don't worry, I'm here to watch over your health."

She fiddled with the liquid in the glass and sipped it as slowly as she could. It was obvious that she was having trouble getting a word in edgewise. Then I thought to myself, Could it be that she is mute?. And with that thought in mind, I asked her, "Do you have speech or hearing limitations?" She shook her head.

After a few minutes, she handed me the glass and said: "Hello, doctor. It's nice to meet you. My name is JD, I have not been your patient until now. We have said hello when you go to visit and cure Doña ET's leg. Yes, I live on Flower Street, right next to your house."

His words brought light and dispelled my doubts. She continued: "The basket is for you. I selected its contents myself, I hope it is to your liking " And she began to cry, to cry and there was no way to stop her despite my efforts.

I tried to soothe her with my words "Thank you very much, JD It looks appetizing, an incitement to my taste buds. Thank you for your gesture" However, she was still crying. I decided to step in and handle the situation. Her shock was evident, she had a patient in front of her who had come for care and help.

I said in an energetic voice "Let's go to the consultation!" I stood up and continued "JD in the consulting room there is a couch where you can rest and we can talk". The residence where I was staying had a room equipped as a doctor's office. All its furnishings and instruments were for that purpose. There I saw patients when necessary, especially late at night.

She stood up abruptly and said out loud "I'm pregnant" With joy and excitement, I grabbed her arm and replied "Congratulations, congratulations. Come on JD, let's start the first prenatal consultation."

However, she was sad, I glimpsed no trace of excitement and joy. Then I asked her with a frown and at the same time expectant for the answer "Didn't you come for...?" "If so, forget it..."

She caught her breath and immediately clarified the situation, "How can you think of it doctor, such an idea has never crossed my mind. I love my baby, that's why I'm here" Her words serenaded me, we were on the path of light, on the right path.

I began the anamnesis (interrogation of personal and family history, etc.), in short, everything that corresponds to a detailed clinical history.

Her case was cause for concern, attention, and vigilance. The patient was 44 years old, with a history of two previous deliveries, the last one 22 years ago. All information about the baby's father was unknown, as it was a chance encounter. Physical examination diagnosed obesity, which was not favorable. Her pregnancy was at an early stage, so she did not bring many features to the evaluation at that time. In conclusion, this was a high-risk pregnancy for both mother and baby.