Holiday treatment schedules

Discussion in 'Radiation Oncology' started by oldking, Oct 30, 2014.

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Which days do you treat during thanksgiving and why?

  1. Normal schedule: treat Thursday and Friday then off Saturday and Sunday

    0 vote(s)
    0.0%
  2. Take off Thursday, treat Friday, off Saturday and Sunday

    8 vote(s)
    40.0%
  3. Close Thursday - Saturday but treat Sunday

    0 vote(s)
    0.0%
  4. Close Thursday - Sunday but treat previous sunday

    11 vote(s)
    55.0%
  5. Off Thursday-Sunday without any extra weekend treatments at all

    1 vote(s)
    5.0%
  1. oldking

    oldking Senior Member 10+ Year Member

    225
    57
    Nov 6, 2002
    Our institution debates this every year. I'm curious what everybody does and their rationale.
     
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  3. medgator

    medgator Senior Member 10+ Year Member

    2,479
    154
    Sep 20, 2004
    Physician
    Seems like our practice is in the majority. Treat previous Sunday and give them a four day thanksgiving weekend.

    In residency, we'd basically have a skeleton crew treating the Friday after thanksgiving with one resident and one attending
     
  4. napoleondynamite

    napoleondynamite Keepin' it real yo 10+ Year Member

    795
    47
    Nov 28, 2005
    Yup my practice is doing the same as Medgator - treat the Sunday before
     
  5. Gfunk6

    Gfunk6 And to think . . . I hesitated Lifetime Donor SDN Moderator 10+ Year Member

    Great minds think alike!
     
  6. californiaXRT

    californiaXRT

    36
    1
    Nov 15, 2013
    We just take all of November off at my practice.

    Y'all are slipping
     
  7. oldking

    oldking Senior Member 10+ Year Member

    225
    57
    Nov 6, 2002
    Aren't you guys concerned about decreased efficacy (especially accelerated repopulation and total treatment time in SCC of head and neck and cervical in particular) with four days off just for staff/faculty convenience?
     
  8. medgator

    medgator Senior Member 10+ Year Member

    2,479
    154
    Sep 20, 2004
    Physician
    No. Essentially you are giving 4 fractions the "week" before with one of those fractions on a sunday, making that full previous week a 6-day XRT week. Why aren't you asking us about the possibility of increased acute effects and efficacy with such a treatment (a la DAHANCA)?
     
  9. Palex80

    Palex80 RAD ON 7+ Year Member

    953
    63
    Dec 17, 2007
    Europe
    I have also seen another option.
    BID for just one day of the "short" three day week.

    So for example:

    Monday 1 treatment
    Tuesday 2 treatments (6 hours interval)
    Wednesday 1 treatment
    Thursday-Sunday break

    By distributing the BID treatments on one of the three days, you have 30% more fractions per linac per day, but noone has to come on a holiday. Which is only the case if you are treating curative stuff.
    If you have WBRT patients on the machine with 10 x 3 Gy, I've seen people not trying to compensate for the break or simply increasing dose per day for the "short" week, like going from 3 to 4 Gy per day.
     
  10. Gfunk6

    Gfunk6 And to think . . . I hesitated Lifetime Donor SDN Moderator 10+ Year Member

    BID is tough when you have 30+ patients on a non-VMAT machine.
     
  11. medgator

    medgator Senior Member 10+ Year Member

    2,479
    154
    Sep 20, 2004
    Physician
    so is treating on a sunday. honestly it's not a bad alternative.... just BID everyone and get out in time for midnight thanksgiving sales!
     

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