Thanks again to Dr. Nesterov for his interest and insightful observations on the management and organization of work in a Nuclear Medicine Department [1,2,3]. However, I cannot help but criticize some claims that may seem disrespectful to all professionals working in our departments and wrap up this discussion. I am deeply convinced that the new generations of health workers are perfectly capable of overcoming power and gender inequalities and that they know how to discriminate between activities of value and waste. However, it may be necessary to provide them with the tools to improve patient paths and processes with a view to real communication quality and effectiveness: lean thinking could be one of these tools. Personally, but I do not think I am alone, I have great faith in the cultural and organizational renewal of our young colleagues and I believe that only teamwork can bring improvements in terms of quality. Instead of bringing criticism without specific personal experiences, we should try to use the tools to be able to obtain departments that are more agile and more easily usable by patients, with less complexity for workers. The paradigm to be broken down is represented by the barriers to renewal, by the ascetics seated above the columns. Furthermore, I continue to have faith in the foresight and cultural openness of our young doctors.