Once more, diversity is the rule for success.

The cardiology community mourns the loss of Dr. Eugene Braunwald, a towering figure whose work shaped modern cardiovascular medicine. From foundational discoveries in heart failure to Braunwald’s Heart Disease, his legacy will guide generations to come. A true giant in our field.

Golden rules to define the good from the bad and ugly docs. Dicas da SBD para reconhecer médicos charlatães portugues.medscape.com/viewa…

2/ The Inverted Pyramid What is happening in contemporary Spanish healthcare is a phenomenon worthy of anthropological study: the pyramid of authority has been inverted while the pyramid of responsibility remains intact. Doctors are required to answer to the judge, to the professional college, to hospital management, to the patient, and to society for every clinical decision. When something goes wrong — and in medicine, things go wrong with a measured and inevitable statistical frequency — the doctor stands alone facing the disciplinary file, alone facing the lawsuit, alone facing the newspaper headline. Yet, that same professional has been systematically stripped of the corresponding authority. A nurse questions an order in a prosecutorial tone. An orderly decides that a transfer can wait and walks away. A technician refuses to take an X-ray because “the indication is not clear.” And the doctor, who has just weighed fifteen differential diagnoses, must justify themselves to someone who lacks the training to understand the complexity of what is being decided. The most egregious example comes from the administrative level. The manager who prohibits the use of a certain implant because there is a cheaper one, without understanding that the cheaper one has a failure rate three times higher. The protocol that limits monthly MRIs, as if pathology should adapt to the budget. It happened with shoulder arthroscopy in its early days, banned because “the instruments and implants were very expensive”: the decision on which surgical technique to use was left in the hands of someone who could not distinguish an arthroscope from an otoscope. The message is devastating: your clinical judgment is subordinate to my economic judgment. Your knowledge is worth less than my Excel spreadsheet. And there is the degradation of the medical signature. Everything is signed: reports, requests, reports, consents, invoices. This leads to a loss of value in the signature; it banalizes it. But it is a selective banalization: when the signature implies responsibility, it is demanded rigorously; when it should imply authority, it is ignored. The doctor signs a surgical indication and the manager postpones it. Signs a material request and the administrator rejects it. The signature serves to condemn you, not to make them obey you. The pattern is invariable: the doctor signs, answers, bears the consequences. But does not decide, does not command, does not have the final word in. Next installment: “The Perverse Framework” Subscribe to continue reading (Original source: farodevigo.es/opinion/2025/1…)

🇧🇷🇧🇷🇧🇷🇧🇷

Why pay wall such an important commentary? @hrs_journal

Every minute you are in a scanner or getting blood drawn, or searching the Internet for information on coronary disease, CAC or plaque volume, you could be on a bike.

This is an underestimated problem especially in countries like Brasil. jmir.org/2025/1/e67485/

This is for Kfir and Ariel. Share this 🟧 in support of the Bibas family. May their memory be a blessing.

Nosso cérebro é extremamente habilidoso em criar e realizar análise crítica porém, a sua capacidade de armazenamento é usualmente mais limitada.

400 days. That our hostages are held in captivity by Hamas. That our civilians are terrorized by terrorist organizations. That we are operating to bring our hostages home and restore security to our civilians.

And the health #DigitalTransformation Journey goes on. Next week in #RiodeJaneiro for fisweek.com.br.

Será uma honra compartilhar e aprender com essas feras em inovação e #healthcare @HealthInnovaHUB youtube.com/watch?v=4hdOkRnN…

Vai ser uma honra participar na moderação do painel "Clinica Digital" no evento do @HealthInnovaHUB Vamos abordar aspectos bem interessantes! Nos vemos lá! 🫵 dia 24/10 Station Vila Olímpia (Av. Dr. Cardoso de Melo, 1491 - Vila Olímpia, São Paulo - SP, 04548-005)

Check out my latest article: THE Health Journey: from Hipócrates to Algorithms linkedin.com/pulse/jornada-d… at @LinkedIn

Finally, back to X !

Due to demands by “Justice” @Alexandre in Brazil that would require us to break (in secret) Brazilian, Argentinian, American and international law, 𝕏 has no choice but to close our local operations in Brazil. He is an utter disgrace to justice.

Lifelong learning! badges.com.br/share/24791969… #BrasilOpenBadge # Blockchain

Gestão sustentável para clínicas de saúde: existem vantagens? linkedin.com/pulse/gest�… via @LinkedIn