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[Chartreuse Wombat]

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[Gfunk6]

 

[TheWallnerus]

I knew Jay Loeffler had joined the group. Looks like they finally photoshopped him on the front page. Good for him. He's kind of one of rad onc's longest johnsons is he not. I had a good radiology friend in Florida and he and Loeffler and Joe Namath used to hang out together on private jets and that sort of thing. Now Jay's in Florida makin' real money before he retires. Hope he has some friends at CMS to postpone APM because in that practice he's gonna take a lot of Medicare.

 

[BobbyHeenan]

I knew Jay Loeffler had joined the group. Looks like they finally photoshopped him on the front page. Good for him. He's kind of one of rad onc's longest johnsons is he not. I had a good radiology friend in Florida and he and Loeffler and Joe Namath used to hang out together on private jets and that sort of thing. Now Jay's in Florida makin' real money before he retires. Hope he has some friends at CMS to postpone APM because in that practice he's gonna take a lot of Medicare.

Believes so much in proton therapy (former director at harvard protons as I recall) he now doesn't even need it to practice as a distinguished rad onc.

 

[communitydoc13]

now doesn't even need it to practice as a distinguished rad onc

A common theme.

 

[elementaryschooleconomics]

1) That's...a whole lotta old white guy in the sweater-over-button-down uniform on the landing page. I feel like one is about to reach through the screen, hand me a toffee, pat my hand, and ask me to refill his Flomax.

2) I rely on @Chartreuse Wombat for all my Florida RadOnc updates.

3) Here's something from my portfolio, perhaps they can hire me to maintain their website:

 

[medgator]

1) That's...a whole lotta old white guy in the sweater-over-button-down uniform on the landing page. I feel like one is about to reach through the screen, hand me a toffee, pat my hand, and ask me to refill his Flomax.

2) I rely on @Chartreuse Wombat for all my Florida RadOnc updates.

3) Here's something from my portfolio, perhaps they can hire me to maintain their website:

View attachment 348314

They are practicing in Naples, should fit right in

 

[Lamount]

Home - Radiation Oncologists in Naples, FL | Inspire Oncology

Our expert cancer team will guide you through your cancer journey, providing a thorough understanding of your diagnosis and treatment options to help you feel

www.inspireoncology.com

Inspire Oncology offers the single most experienced and distinguished team of radiation oncologists in the nation.

Discuss

They DO like pretty distinguished.

 

[TheWallnerus]

They DO like pretty distinguished.

I taught one of them how to plot Kaplan-Meier survival curves

 

[temujim]

I taught one of them how to plot Kaplan-Meier survival curves

At least one of them could be taught. Back in the day wrote a paper and a collaborating surgeon wanted to delete all the KM curves. Thought they were the devil's work. Wanted to report crude rates.

 

[deleted1111261]

Why more academics don’t choose this path surprises me. Good for him!

 

[jondunn]

Why more academics don’t choose this path surprises me. Good for him!

What do you mean? It’s a totally different practice than he is equipped for. Are you saying community practice is that easy that someone who hasn’t done it for 40 years can easily slip in and be a generalist? Or are you saying that more private practices should hire figurehead old men to put on their website?

 

[deleted1111261]

What do you mean? It’s a totally different practice than he is equipped for. Are you saying community practice is that easy that someone who hasn’t done it for 40 years can easily slip in and be a generalist? Or are you saying that more private practices should hire figurehead old men to put on their website?

Yeah- I wasn’t clear I guess. I would think more people would leave after 5-10 years, but academic retention seems high.

Also, many community practices specialize these days - we certainly did at Banner.

 

[thesauce]

I would rather see more private practice people go into academics than the other way around.

 

[deleted1111261]

It’s rare. Especially after 5 years out. There is a discrimination towards private folks, from what I see. I was told multiple times “we can’t afford you” without actually giving me a number. Also, after not being institutionalized, they may think that private / community folks will be docile enough to fit in.

 

[medgator]

Yeah- I wasn’t clear I guess. I would think more people would leave after 5-10 years, but academic retention seems high.

Also, many community practices specialize these days - we certainly did at Banner.

Would you trust a breast or prostate only guy to go into PP after a couple to several decades in practice? I wouldn't and some of them will tell you in person they wouldn't feel comfortable in a full spectrum practice either

 

[TheWallnerus]

Would you trust a breast or prostate only guy to go into PP after a couple to several decades in practice? I wouldn't and some of them will tell you in person they wouldn't feel comfortable in a full spectrum practice either

Which is wild. Of course a "breast rad onc" would know how to treat breast. But any other rad onc academic iteration sometimes can't. And a doctor called a radiation oncologist not being able to treat breast would be like a doctor called a surgeon not being able to suture.

 

[medgator]

Which is wild. Of course a "breast rad onc" would know how to treat breast. But any other rad onc academic iteration sometimes can't. And a doctor called a radiation oncologist not being able to treat breast would be like a doctor called a surgeon not being able to suture.

Bruce hafty told us in residency he'd feel comfortable doing breast and maybe a glottic and that was about it

 

[elementaryschooleconomics]

Bruce hafty told us in residency he'd feel comfortable doing breast and maybe a glottic and that was about it

"I prefer BID for T1 larynx over this 225 cGy nonsense, too much edema!" - Bruce treating glottic in 2022, probably

 

[Lamount]

Which is wild. Of course a "breast rad onc" would know how to treat breast. But any other rad onc academic iteration sometimes can't. And a doctor called a radiation oncologist not being able to treat breast would be like a doctor called a surgeon not being able to suture.

With a good dosimetrist and access to the internet, I think it would be hard to find a halfway decent rad onc who couldn’t treat breast. Personally, I’d just prefer not to 🙂