Influenza H1N1

Influenza H1N1 pneumonia

Internal Medicine

Internal Medicine has been one of the most exciting fields of human medicine and during the last 3 decades has been enduring as a modern medical specialty given the growing numbers of medical sub specialties. The view of the patient as hole not as an organ or system is the goal in this field with direct impact on clinical workout diagnosis.Modern Internal Medicine also requires a diving in molecular medicine and new imaging technologies, in the same way the old Internal Medicine used the macroscopic view with no image technology. These modern technologies along with the crescent understanding that no organ or system gets ill alone have reinforced the Internal Medicine specialist came back. As in pediatrics, adult internal medicine has his place, the first by attending outside patients the last hospitalized patients. Actually Internal Medicine has been striving in hospital settings. Modern internists should be inspired by William Osler observation methods and ideas.This web site goal is to share clinical experience in Internal Medicine and also became a place for internists present clinical cases of great interest and new ideas.

Medical teaching under attack

MEDICAL TEACHING UNDER ATTACK Medical school all over Brazil have been enduring the new ideas and philosophic concepts not necessarily consensual about the best way to teach medicine. In fact despite the fact the Brazilian medicine has been well seen and effective some people think its time to change. The problem is why and when changes. Thought the world this same process has been occurring but without ideological and political. This the main issue, not allow ideological and political influence because things change all the time. The practitioners should also be listened after all they are the ones in the battlefield and they are the one who will give practical teaching. The current process has been imposed and unfortunately picking just one idea from just one person and the goals are by the way disputable. They believe in things like Cuban medicine and working with syndromic diagnosis and low cost diagnosis. Also aim to prepare new doctors to new objectives such as: a) To work in multi professional environment (where they probably will have a secondary role) b) To enforce the SUS assistance c) To work with syndromic low cost diagnosis instead sophisticated and high tech procedures d) To serve as family doctors e) To give more attention to collective medicine in place of individual medicine The problem is that medicine is an ancestral profession and the sick people will always look for physicians to solve their problems does not matter the name they will give Cuban model is bogus and cannot be evaluated in free way as long there is no freedom in that country and heath officials over there treat the population as a heard . Scientific progress is to slow and also under strong government influence. Many scientific advances are fake and used as propaganda MEC push medical schools to obey their goal and offer technical consulter given the ones who are in charge to evaluate medical schools in of course it’s not fare ! Integrate basic science and clinical practice in our opinion in the best way to improve medical teaching