Daniel Rosas 🩸🦀

@hematoin Thank you. Any thoughts on homocysteine?

Sou hematologista que atua bastante com coagulação (trombose e hemostasia) e essas são três coisas que eu gostaria que todo médico soubesse sobre exames de trombofilia: (+)

"Younger doctors don't want to work as hard" is the laziest diagnosis in medicine right now. They are responding rationally to a system that has quietly eaten the part of the job worth working hard for. On The Podcast by KevinMD, palliative care physician and physician development coach Christie Mulholland laid out five things health care has to stop doing if it is serious about physician well-being. The one worth bookmarking: Stop blaming the generation. Read the behavior as a signal. When senior faculty describe residents who "just want to finish and leave," they are describing a rational boundary around administrative burden, prior auth, documentation, and corporatized workflows that have narrowed the space to do actual clinical work. Senior physicians sometimes admit the truth in private: their generation had time to sit, teach, and think between patients. That margin got liquidated into throughput. The game changed. The scoreboard did not. The reframe that matters for every chief, every program director, every chair: how the profession responds to the doctors who are setting these boundaries will determine whether there are enough physicians in practice ten years from now. This is not a calling-vs-job debate. It is a retention signal. Christie's second insight is the one most well-being committees will never admit out loud: we keep asking the doctors who care most about burnout to run wellness programs as volunteers, with no budget, while they absorb the distress of every colleague who comes to them. The well-being champion role is itself a burnout vector. The one worth saving for the AI conversation nobody is having honestly yet: Remember the MyChart patient messaging rollout. The promise was better patient care. The delivery was years of uncompensated "pajama time," inbox work spilling into evenings and weekends, and only now a slow retrofit into billable time. Ambient AI scribing and clinical decision support are on the same trajectory right now. Christie's argument: if an AI tool is going to affect patient outcomes and physician workload, it should be vetted like a medical device, by a multidisciplinary committee with physician voices in the room from day one. The EMR rollout is the lesson the industry is about to repeat with higher stakes. Listen to the full conversation on The Podcast by KevinMD. Link in the replies. Program directors and chiefs: what is the single structural change you would make tomorrow if retention of junior physicians were the only metric you were judged on? #ThePodcastbyKevinMD

Extremely happy & proud to share that our South Florida fellowship society initiative has officially been approved as a Chapter within @FLASCO_ORG ! Sincere thanks to all advisors and mentors @edgardo_ny @LuisRaezMD @HemOncMiami Dr Atif Hussein @DrMudad as well as all collaborators! @DocOncMD and I are excited to grow this chapter - advancing medical education, research, and collaboration for fellows across South Florida and the entire state. 🚀 @SylvesterCancer @mhshospital

@OncBrothers @BijoyTelivala @RenoHemonc @PTarantinoMD @NVijayvergiaMD @Papa_Heme @ErikaHamilton9 @CathyEngMD @hoperugo @Dr_RShatsky @NiuSanford @GIMedOnc Besides one error in a TNM stage for a lung case, it has been very accurate

A lot of buzz around AI (particularly LLMs). Are you actively using this in your clinical practice? #OncTiwtter #MedTwitter #HemeTwitter @BijoyTelivala @RenoHemonc @PTarantinoMD @NVijayvergiaMD @Papa_Heme @ErikaHamilton9 @CathyEngMD @hoperugo @Dr_RShatsky @NiuSanford @GIMedOnc

@oncology_bg Amazing video

Hey #ELCC2026 audience, you are seeing things like HR 0.71(95% CI, 0.67-0.92) and feeling impressed. But do you actually- not like pretend, but actually- understand what these numbers mean? I give you a primer here in my new video. Watch (or just read the transcript)- medscape.com/viewarticle/ef…

What actually happens when two oncologists disagree on stage? @DocOncMD gives a preview in this audio clip! Listen as he shares why the debate format hits differently and why these conversations matter once you’re back in clinic. We’re live this Saturday in Miami and you should join us: hubs.ly/Q046t2Lv0 #OLNGreatDebates #Oncology #MedicalOncology #CancerCare

Florida is showing up in a big way for #OLNGreatDebates this March in Miami! We’re proud to welcome an exceptional group of faculty from across the state, representing @MoffittNews, @SylvesterCancer, @MayoClinic, Memorial Cancer Institute, @AdventHealth, @MountSinaiMiami, @OncologyInst, and @MiamiCancerInst. Take a look at their debates: hmpglobalevents.com/olngreatdebates #Oncology #MedicalOncology #GICancer #LungCancer #BreastCancer #GUCancer #GynecologicOncology

@allisonoconn Some oncogene driven NSCLC

Today I learned immunotherapy is so effective for melanoma brain mets (same efficacy as peripherally) that if asymptomatic, treatment is immunotherapy, not radiation. Radiation is used if immunotherapy doesn’t work. Any other types of brain mets where systemic tx is preferred?

I am stepping out at the 2026 GO2 Hollywood 5K Walk/Run & Kite Fly. Join me or donate to help increase #LungCancer survival! do.nr/vo06r0oc via @DonorDrive

Fight For Air Climb - Miami Consider helping w my fundraiser, thanks a ton action.lung.org/site/TR;jsessi…

@FIFACentro @grok did he really say this?

🚨🗣️Mbappe : “We don’t celebrate little trophies like Supercopa, we celebrate when we win Champions League trophies. They don’t know what UCl finals feels like…”

Why do US medical residents typically earn $16 per hour?

Christmas came early this year 🎅 🎄

Latino gang representing 🇨🇴 🇺🇸 Proud and honored! #2025ASHAwards #ASH25 #ASHEducation #ASHTrainee #ASHTraineeCouncil @ASH_hematology @e_toro123 @DocOncMD @AEDiazMD @cvelezmejia

⁦@LuisRaezMD⁩ ⁦@Latinamd⁩ It has been a great pleasure to speak ⁦@OncLive⁩ during the #lungcancerawarenessmonth

Speaking tonight in Ft Lauderdale @OncLive #SOSS Lung Cancer with Chair @LuisRaezMD @DocOncMD @mhshospital @NaglaAKarimMD @GWtweets Dr Alberto Chiappori @MoffittNews #lcsm #LCAM @SylvesterCancer

@GeronimoMorgans Spot on. His evolution as an 8/6 hybrid is huge—tempo control through constant scanning/open body shape, breaking the first line early rather than over-carrying. And in OOP he locks rest-defence, seals half-spaces, sweeps second balls, wins duels. Deserves more flowers.

Plenty of deserved praise has gone Doku’s way for his remarkable improvement this season, yet Nico G has followed a similarly impressive trajectory in midfield. He’s been bossing every game he steps into and stats don't lie: circulating possession (controlling/dictating rhythm), dominating duels, passing first > carrying when deep and staying composed both IP & OOP. There aren’t enough flowers being given to him for the consistency and class he’s shown.

@GeronimoMorgans Couldn’t agree more with number 2

Winning is the philosophy of Manchester City. Winning at any cost is now the identity of this team. However, there are two pressing issues Pep Lijnders must address immediately: 1. Lack of intensity: We are not aggressive enough in our press, which gives opponents too much space and leaves us vulnerable to counters. 2. Poor coordination: Our pressing triggers and defensive shape are often disconnected, creating exploitable gaps. The second-half performance was strong because we dueled, we fought, and we showed spirit. But that level of commitment and cohesion must be consistent across both halves, in every game. It’s as simple as that.

@DouglasAdlerMD @dgermain21 Super helpful perspective. Posts like this make you stop and think about where you want your career to go

I was in academics for 20 years, and was a full Professor of Medicine with Tenure. 5 years ago I left for a large private GI group. People often ask me about pros and cons of both worlds. Here are my top tips to consider. #gitwitter #medtwitter #MedX

Nos complace anunciarles uno de nuestros eventos más importantes del año: un foro en línea, gratuito e interactivo sobre cáncer de pulmón. Este evento está diseñado específicamente para pacientes, familiares (cuidadores) y sobrevivientes de cáncer de pulmón. Detalles del Evento: ➡ Fecha: Sábado, 9 de agosto de 2025 ➡ Modalidad: En línea ➡ Costo: Gratuito ➡ Oportunidad única: Tendrá la posibilidad de interactuar y hacer preguntas directamente a médicos especialistas. No pierda esta oportunidad de obtener información valiosa y conectarse con expertos en el campo. Regístate gratis aquí give.cancergrace.org/event/foro-de-…