- Joined
- Aug 4, 2020
- Messages
- 1,967
- Reaction score
- 3,354
Sounds like a CMS qui tam waiting to happen, anyone up for a 10-25% cut if they win?I suspect this is quietly becoming a huge problem as academic satellite networks expand. This is not good and seems like it could be just a matter of time until some department has the equivalent bombshell that surgeons have when they run multiple ORs at once with trainees doing basically unsupervised surgery.
Sounds like a CMS qui tam waiting to happen, anyone up for a 10-25% cut if they win?
Vince (Offer Shlomi) actually could resurrect his career pimping protons.
From the article "Although the investigators state that POLAR is a signature of radiation omission, one could also argue that this signature appears to identify a group of individuals who do not receive appreciable local control benefit from adjuvant hormone therapy either if classified as low risk..... (several lines down on same theme)... In support of treatment with radiation alone without hormone therapy"
Anyone else get a VuMedi today for a video from Buchholz on "Omitting Radiotherapy After Lumpectomy" - jeeeezhus.
"Radiation isn't the worst thing in the world to receive, especially with hypofrac"
How is this stuff getting made? And then no comment on what happens when people don't take ER consistently..
And by radiation, I'm certain Buchholz is referring to photons only. Treating low-risk cancer with six weeks of proton therapy on the other hand is completely fine . . .Anyone else get a VuMedi today for a video from Buchholz on "Omitting Radiotherapy After Lumpectomy" - jeeeezhus.
"Radiation isn't the worst thing in the world to receive, especially with hypofrac"
How is this stuff getting made? And then no comment on what happens when people don't take ER consistently..
And by radiation, I'm certain Buchholz is referring to photons only. Treating low-risk cancer with six weeks of proton therapy on the other hand is completely fine . . .
Happens every day at every proton center. I really hope people are not thinking this doesn’t happen.And by radiation, I'm certain Buchholz is referring to photons only. Treating low-risk cancer with six weeks of proton therapy on the other hand is completely fine . . .
Ditto for prostate I'm guessing (8-9 weeks)Happens every day at every proton center. I really hope people are not thinking this doesn’t happen.
As long as the academic centers are charging 100K for hypo prostate and Building proton centers all over the state and claiming it’s not financially toxic. I’ll keep conv frac.Ditto for prostate I'm guessing (8-9 weeks)
No, I think they only get < = 28 fx nowDitto for prostate I'm guessing (8-9 weeks)
Um, no. I have to protect my sources so it must suffice to “just trust me.”No, I think they only get < = 28 fx now
Have heard same, including "big names" who do it. And why not, it's perfectly fine treatment.Um, no. I have to protect my sources so it must suffice to “just trust me.”
You’ve heard itHave heard same, including "big names" who do it. And why not, it's perfectly fine treatment
I'm sure it happens. Object to it happening at "every" proton center.Happens every day at every proton center. I really hope people are not thinking this doesn’t happen.
They don’t I have to. I have ethical colleagues at proton centers and patients come in all the time demanding protons. Docs inform him that photons are equal maybe even better, but plenty of pts still want protons. As I said before, it is legit not to hypofractionate with protons given the excess toxicity.I'm sure it happens. Object to it happening at "every" proton center.
I'm sure there have been cases at the one I'm affiliated with but I know the docs don't hawk it like that.
I see this as a failure of the doctor doing the consult. Part of my job is explaining why protons may/may not be of benefit in a particular situation. Treating a patient just because they demand it is at minimum lazy medicine.They don’t I have to. I have ethical colleagues at proton centers and patients come in all the time demanding protons. Docs inform him that photons are equal maybe even better, but plenty of pts still want protons. As I said before, it is legit not to hypofractionate with protons given the excess toxicity.
I am sure that they explain “no proven benefit” but pts still have made up their minds due to advertising. Besides, protons are never of benefit for prostate cancer- how would you even begin to have that discussion? In my best judgement, they are always worse/never appropriate. Would I dare to treat a prostate with imrt without a spacer or balloon- of course. How abt with protons? Almost no one does-Isn’t this a tacit admission they are more toxic.I see this as a failure of the doctor doing the consult. Part of my job is explaining why protons may/may not be of benefit in a particular situation. Treating a patient just because they demand it is at minimum lazy medicine.