Manfredi Arioti
337 posts


For ICs:
Whats is your workhorse wire now?
#cardiology
#radialfirst
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Lettera al presidente Lotito - Firma la petizione! c.org/Jnh7qLXyyD via @ChangeItalia
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Lettera al presidente Lotito - Firma la petizione! c.org/7D8Dc27RYG via @ChangeItalia
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@OfficialSSLazio Tifatevi da soli...noi attenderemo la liberazione della NOSTRA Lazio!
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@SpaceLazio @OfficialSSLazio Reato di mancato tifo....ahahah pagliacci
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@TuttoMercatoWeb Quanta ignoranza, ad oggi l Atalanta è meglio di Roma e Lazio
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Sabatini: "Raspadori alla Checco Zalone, voleva il posto fisso... Atalanta scelta stile Sassuolo" tuttomercatoweb.com/serie-a/sabati…
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@FBiasin mi allegate la pagina del regolamento dove si parla di questa pagliacciata dello step on foot...solo in Italia?!?!
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@Claudel_it confermate ogni giorno di più l'opinione diffusa...i figli stupidi di Roma
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@OfficialSSLazio Indegni di questa tifoseria. Società dilettantistica
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@DrBruggeman Same in Italy....things get also worst when the admins get paid rich money rewards for achieving budget results. The system is done!
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I translated this into English for everyone to read. This is written by an orthopedic surgeon colleague in Spain, but I know my American colleagues will appreciate the text an similarities to challenges we face here
1/
The Asymmetry in Medicine in Spain: Responsibility Without Authority (I)
Opinion
Francisco J. Guitián Lema
The Asymmetry in Medicine in Spain: Responsibility Without Authority (I)
“There is irrefutable empirical proof of this asymmetry: the doctor can replace anyone; no one can replace the doctor,” states Francisco J. Guitián Lema, a Vigo-based traumatologist specializing in orthopedic surgery
There is a truth so elementary that it feels uncomfortable to state it: a hospital exists solely and exclusively to cure the sick. It is not there to provide jobs or to justify organizational charts. Nor to feed bureaucracies or to experiment with organizational theories. It exists so that a sick human being leaves it less sick or, at the very least, having received the best possible treatment.
From this premise follows a logical consequence that the Spanish healthcare system seems determined to ignore: in that healing process, there are only two absolutely indispensable figures. The patient, who is the reason for the entire structure’s existence, and the doctor, who possesses the knowledge to guide that process. Everything else — and this is not disdain, but taxonomy — is support structure. Necessary, valuable, often heroic, but auxiliary.
The doctor is the only professional capable of performing the core act that justifies the hospital’s existence: diagnosing the disease and establishing the treatment. Without a diagnosis, there is no possible direction. Without a therapeutic indication, there is no meaningful action. An orderly transports the patient, but it is the doctor who determines where and why. A nurse administers medication, but it is the doctor who decides which, how much, and when. A technician performs a test, but it is the doctor who orders it and interprets its result.
This functional hierarchy is not a social convention or an inherited privilege: it is a direct consequence of training. Six years of medical school plus four or five years of MIR specialization produce a professional capable of integrating knowledge of anatomy, physiology, pathology, pharmacology, and a thousand other disciplines into a diagnostic synthesis that no other healthcare professional is trained to perform.
There is irrefutable empirical proof of this asymmetry: interchangeability. A doctor can, in case of need, perform the functions of any other hospital professional. They can push a stretcher, insert an IV line, draw blood, take vital signs — in Germany, doctors routinely perform these functions. The reverse is not true. An orderly cannot diagnose pneumonia. A nurse cannot order a surgical intervention. The doctor can replace anyone; no one can replace the doctor.
Recognizing this reality does not imply disdain toward anyone. Nursing care is essential. The orderly’s work ensures that hospital flow does not stop. Everyone deserves respect and fair compensation.
But respect for personal dignity cannot be confused with functional equivalence. In an operating room, the surgeon is not worth more as a human being than the assistant; but their function is irreplaceable in a way that the assistant’s is not.
This distinction, obvious in any other field, has become taboo in Spanish healthcare. The prevailing egalitarianism has managed to make an evident functional truth be perceived as a moral offense.
Angel L. Rodríguez@angelluisamyts
"un hospital existe única y exclusivamente para curar enfermos. No sirve para dar empleo ni para justificar organigramas. Tampoco para alimentar burocracias ni para experimentar teorías organizativa" Gran artículo, merece la pena leerlo. farodevigo.es/opinion/2025/1…
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@AllRoundLazio @DAZN_IT Se fischia su basic quest' episodio manco esiste. Categoria di scarsi e arroganti. Siete dei 🤡
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#29agosto 1998, la #Lazio prima si fa riprendere al "Delle Alpi" e poi va a vincere la Supercoppa Italiana battendo la #Juventus 2-1 (38' Nedved, 86' Del Piero (rig), 93' Sergio Conceicao) | #WhenWeWereKings #LazioNostalgia
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@SpaceLazio @CorSport Sempre gli stessi errori, sarebbe da spedire col fiocco alle cifre della premier....altro che salto di qualità!
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Il Burnley piomba su Valentin #Castellanos.
Il club inglese avrebbe provato ad aprire una trattativa grazie alla mediazione dell’agente di Taty, ma in risposta avrebbe ottenuto il muro della #Lazio, convinta che con #Sarri l’argentino possa fare il salto di qualità.
➡️ @CorSport
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The training of our young doctors has been disastrously compromised by the government's plan to replace them with PAs cdn.intelligencebank.com/eu/share/qMbw1…
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@BURZOTTA_F @ziadalinyc Amazing opportunity to meet a true master and a great teacher!
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This week, our interventional cardiology residents had the unique opportunity to be teached by @ziadalinyc in our heart-team room… Fantastic (also for me) to attend his lesson about #coronary calcium growth, staging evaluation by #IVUS or #yesOCT and management by #PCI !!!!



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Manfredi Arioti retweetledi

@CotsCardiology @DrDerekConnolly @DrScottMurray @LondonCardiacCT @NickCurzen @mirvatalasnag @ColinBerryMD @HRahbi @danmckenzie73 Personal call, for sure aspirin and high intensity statin, then would spend time in truly investigating symptomatic status (dyspnea as equivalent? Fatigue, level of actual activity?) not uncommon to find out activity level has been tapered to a comfort zone.
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Posted with permission. 57 male screening CTCA after heart concern. Asymptomatic. Rx OMT - ACE-I Statin ASA. CMR - Lifestyle advice given. Any other suggestions? @DrDerekConnolly @DrScottMurray @LondonCardiacCT @NickCurzen @mirvatalasnag @ColinBerryMD @HRahbi @danmckenzie73

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@NicolaRaiano Ha tutte le ragioni del mondo. Ormai arbitrano come vogliono loro!!!
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La maleducazione di #Gasperini ai microfoni di DAZN.
Davvero imbarazzante, e non è la prima volta.
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