The mystery of medical diagnosis!

In my #Krav class I’m the only woman (besides the instructor). However, women are the main targets of violence — 1 in 3 face it in life. I train hard, for myself and to inspire my daughter 🧑‍🧒‍🧒and her friends which is already happening 🫶

Come hear @leticiakawano.bsky.social share her 2️⃣ favorite features in #MAGICapp 💥 Leticia is a guideline developer who first used MAGICapp as Clinical Chair of the WHO guideline on COVID-19, & later as a methodologist with the BMJ Rapid Recs, book 🗓️ a demo here: forms.monday.com/forms/baaf06...

How can evidence-based medicine #EBM guide decisions on hormone therapy (HT) for #menopause & #perimenopause? Have a look at this a conversation with @guyattgh.bsky.social exploring the particular context of HT to address irritability, brain fog 🧠, and sleep 😴🔥 youtu.be/2SN6yxb8KTU?...

Had such a great time recording these snippets with you, @guyattgh.bsky.social Beyond the fun, I’m deeply grateful for your mentoring and friendship over these past five years—time really does fly. Your guidance has truly shaped me into a better clinician. #EBM

Behind the scenes with @guyattgh.bsky.social , where we trade some of academia’s pomp & circumstance 👑for a bit of humor 😎😅 But wait the topic is serious (shared decision-making on hormone therapy for #menopause, through the lens of #EBM). Stay tuned for the full conversation 🤩

One of the best parts of in-person events is the chance to actually meet *in person* the colleagues you’ve been working with from afar. These moments remind me that collaboration is not just about outputs, but also about people: I need this! #GIN2025 @guyattgh.bsky.social @lisheyu.bsky.social

Why I never skip the gym when traveling for conferences: Endorphins first, sharper mind after. Healthspan is built choice by choice, day by day. Consistency matters

With rising violence against women 🤷‍♀️, learning to neutralize a threat is more than self-defense 💥 it’s reclaiming agency, while investing in healthspan. Training #KravMaga adds explosiveness (fast-twitch fiber resilience), ballance & coordination under stress #LoveThat

Honored to celebrate 🥳 the 1st anniversary of Público 🇧🇷 Brasil, nested within Público — one of Portugal’s 🇵🇹 leading newspapers. In 2025, Público Brasil reached over 2M views, amplifying the voice of the Brazilian community in Portugal. www.publico.pt/autor/letici...

Box jumps 💥aren’t just about performance😎. Research shows high-impact jumps increase hip bone mineral density and recruit type II muscle fibers — the ones we lose fastest with age #perimenopause #menopause health prevention 😍 Refs: PMID: 37790374, 39822926, 37748300;

1/ 🇵🇹 Immigrant Residency by Decree = Fragile Ground Crossing back into #Portugal after weeks in 🇧🇷 brought discomfort. The operational backlog in processing residency permits, with a record influx of immigrants in 🇵🇹, means that many live under temporary decrees rather than secure documentation +

Spotted at Brasília #Brazil airport 👀😅 “Epic journeys begin with a warm welcome” — says the New York tourism ad, under the gaze of 🗽 the Statue of Liberty. Hard not to read it with irony, given how warm the US reception often feels for foreigners lately…🤌🤯

8/ #Menopausecare has long been trapped between rigid protocols and “trial-and-error.” N-of-1 trials offer a third way: science, but personal. It’s time we move beyond averages—and start building evidence that begins with the individual ♥️ End

The land of freedom 🤌

What I love about interferons is their simplicity ;-) But seriously a great @cellcellpress.bsky.social new review of IFNs that are our 1st line of defense vs infections and have a critical role in many inflammatory an autoimmune diseases www.cell.com/cell/fulltex...

🌐 Rethinking Menopausal Care with N-of-1 Trials 🧵 1/ Menopause is universal, but the way each woman experiences it is anything but. Hot flashes, sleep disruption, mood shifts, brain fog, bone loss—symptoms vary in intensity, timing, and response to treatment.

Thanks for tagging & for the reminder that these often neglected aspects of holistic medicine are the most important to patients I like how you put it - ‘stability should be the start not the end-point’

Let me repost this aware that my social media activity is rendering non-eligible to enter USA 🇺🇸😅 www.state.gov/releases/off...

1/ Leaving behind the physician I was. “Stable” was my finish line—now it’s my starting point😍. #ILD #pulmonaryfibrosis Earlier in my career, I focused on stability checks (CT, PFTs, symptoms). If unchanged, I reassured. In hindsight, I regret stopping there +

Minutes before landing at #Manaus in the heart ❤️ of the #Amazon, see the amazon river?

@kerrijohannson.bsky.social , I don’t think your HP research loses ground here. The integrative clinical definition of HP (clinical construct) you’ve worked with remains intact. What’s shifting is mainly for path and radiology — they’ll call the pattern BIP unless exposures + context are there.

Many colleagues within the panel were not convinced either. I respect these opinions and value them as they bring balance and the necessary counterpoints for the ILD field to keep progressing for the ultimate benefit of patients. ping @kerrijohannson.bsky.social

Food is more than nourishment — it’s connection. 🇧🇷✨ Sharing a meal of fish with shrimp, roasted potatoes, and fresh fruit for dessert reminds us that well-being is also about joy at the table, presence with others, and the warmth of brasilidade 🇧🇷. When feeding the body also feeds the soul. 🍤🥔🍓

Place matters for health: our biology & well-being are shaped by context: people, rhythms, foods & landscapes. Returning to my roots this summer - home country 🇧🇷 - was incredibly nurturing. About belonging, connection, familiar foods, familiar nature🌳 🟰 health resilience reinforcement💕 #exposome

A morning at the 🇧🇷 market is also a walk through our exposome — every color, aroma, and choice shaping our health over time. Fresh, minimally processed foods from healthy soils reduce harmful exposures and strengthen protective ones. Prevention starts here. 🌱

Our latest @michaelemann.bsky.social @peterhotezmdphd.bsky.social in @americanscientist.org ahead of the Sept 9 release of our book #scienceundersiege www.americanscientist.org/article/supp...

The summer of ILD classification continues .... 🫁 "Update of the International Multidisciplinary Classification of the Interstitial Pneumonias: An ERS/ATS Statement" 🌟 Several changes to how IPs (note: not IIPs) defined & classified 💡(why not #openaccess??) publications.ersnet.org/content/erj/...

Agree - if anyone wants to read it and can't access it, message me and I'm happy to send. Society funded and supported projects like this that directly impact patients and clinical care should be available for all, IMHO.

I completely agree - if the purpose of this work was to communicate changes in classification to the widest possible audience then it should be open access. Also, most funding bodes require us to make our work available for good reason

I’ll only comment about what I could see*: A. Authors names are spelled correctly B. Institutional affiliations are well written C. Conflicts of interests perfectly phrased & punctuated * Q to @profjdchalmers.bsky.social : Doesn’t placing guideline papers behind paywall beat the purpose?

The 🇧🇷 Amazon rainforest : a jaw-dropping experience for its sheer vastness, its extraordinary biodiversity, and its rich blend of cultural and culinary traditions. #AnavilhanasEcologicalReserve

🇧🇷 Connection to nature, connection to loved ones, sustainability, and exercise: nothing could be better than that #Blissful #Amazon

Rio Negro, 🇧🇷 #Amazon: Dark from tannins, acidic (pH <5), warm from sun heat, and almost mosquito-free — a perfect example of nature’s chemistry in balance, where ecosystem health supports human health. Beautiful biome…

⭐️Star fruit (carambola) can be neurotoxic for people with kidney disease, even in small amounts. As a doctor in #Brazil 🇧🇷 , I once treated a worker who, unaware of the risks, ate too many from a tree at a job site. He ended up hospitalized 🫠

🫁💸 From the RENOVATE trial: HFNO vs. NIV in acute respiratory failure → economically neutral overall. ✅ Cost savings in non-COVID ARF ❌ No savings in COVID-19 🏥 ICU stay = main cost driver Clinical noninferiority + cost neutrality = smarter health tech decisions. pubmed.ncbi.nlm.nih.gov/40744283/

In Brazil, food is rhythm, relationship, and ritual. Markets connect us to people, not just produce. Eating with intention rooted in place and culture is powerful medicine. Grateful for what my home country continues to teach me. 🇧🇷 #MindfulEating #Brazil

In our backyard in #Brazil six macaws 🦜 eating coconuts 🥥 🌴 (They are usually sooo LOUD 💥🔉but at this time they were eating silently 🤣)

Hello from joyful #Brazil 🇧🇷Bonjour du joyeux Brésil 🐕🐶🐾

Holy shit, they did it. They wrote the headline.

Impressive safety data for the JN.1 Covid booster vaccine from a nationwide Denmark study jamanetwork.com/journals/jam...

Strength alone won’t optimize your metabolism. Cardio adds heart efficiency, better glucose control & lower mortality risk (PMID: 30646252, 21115758). Combine 2-3h/week lifting + 2–3 h/week Zone 2 cardio for metabolic health optimization 💥

🧪 attending events in person, such as festivals is great for wellbeing but in Australia, similarly to many other countries, such events continue to suffer post COVID and also, prices keep rising. Smaller community events such as participatory art might fill a gap scitechdaily.com/experts-reve...

Super important to assure data quality over time

Nature & music aren’t luxuries — they’re evidence-based well-being • Time outdoors = less stress, better mood, sharper mind. • Music = lower anxiety, improved heart health, emotional balance. Everyday choices matter ♥️ Pics: Iguaçu waterfalls park 🇧🇷

Few things awaken the senses like a Brazilian 🇧🇷 open-air market. The vibrant colors, the sweet aroma of ripe mangoes, the earthy scent of fresh cassava, and that mix of herbs and spices that feels like home ♥️ #Brazil

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É o Brazuca estilo “Por Deus, pela pátria e família & recatada e do lar”, Casa Grande e Senzala para exportação 😖: MORRO DE PREGUIÇA e tenho ALERGIAAAA

I was explaining to my Ukrainian colleague the phrase ‘There’s no such thing as a free lunch’. She told me the equivalent in Ukrainian is ‘The only free cheese is in the mousetrap’ - which is so much better

I experienced yesterday the first xenophobic attack (on Instagram, where I do sci comms in Portuguese) as a Brazilian living in Portugal 🇵🇹. Anti-immigrant talk keeps growing, legitimized by politicians. #NoToXenophobia #Portugal #Lisbon #Lisboa www1.folha.uol.com.br/internaciona...