SELECT * FROM `pat_medico_configs` WHERE `medico_data_id`=( SELECT a.`medico_data_id` FROM `pat_medico_appointments` a JOIN `pat_studio_datas` s ON s.`id`=a.`studio_data_id` JOIN `pat_medico_datas` m ON m.`id`=a.`medico_data_id` WHERE s.`location_id`='22330' ORDER BY a.`created` DESC LIMIT 1 ) AND `studio_data_id`=( SELECT s.`id` FROM `pat_studio_datas` s WHERE s.`location_id`='22330' LIMIT 1 ) AND `active`='si' AND `type`='rilascio';