GETÚLIO AMARAL
Medicine guided by clinical reasoning.
Twenty years inside the hospital taught me that much serious disease begins years earlier — silently, in "normal" lab results.
The medicine I practice today looks for that interval. It's about what comes before — and about coordinating, over the long term, a person's whole-of-health.
The patient's care-managing physician.
The clinician who knows your history in depth, follows your care longitudinally — over months and years — and coordinates the plan between the team with you at Plenya and the professionals already caring for you elsewhere (cardiologist, endocrinologist, gynecologist). I don't replace those relationships: I ensure clinical continuity across the whole, with someone finally looking at the entire person.
- the one who coordinates
- across time
- the whole makes sense
Clinical practice
Practices at two clinics in Londrina — preventive medicine and longitudinal care management at Plenya, clinical nephrology at Nefroclínica — and serves as technical director for in-hospital hemodialysis.
Residency coordination
Coordinator of the nephrology medical residency at Santa Casa de Londrina for over a decade.
The Silent Window
"Antes: The Silent Window Between Normal and Optimal — Where Health Is Decided" (2026, Brazilian Portuguese).
Lectures across Brazil
Lectures for physicians, residents and corporate audiences — on prevention that begins before.
Antes — The Silent Window
Between Normal and Optimal
— Where Health Is Decided
Between what the lab calls normal and what the body can reach as optimal, there are ten to twenty years of silent window.
ISBN 978-65-02-06742-0
Read the book →Plenya
Integrative functional medicine, longevity and longitudinal care management — the care-managing physician model.
Visit website ↗DaVita Intra Hospitalar
In-hospital hemodialysis — Santa Casa de Londrina.
Institutional role · no outpatient scheduling
DaVita Londrina
Outpatient hemodialysis unit.
Institutional role · no outpatient scheduling