Holiday treatment schedules

Discussion in 'Radiation Oncology' started by oldking, 10.30.14.

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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

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    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

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    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

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    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

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    Great minds think alike!
     
  6. californiaXRT

    californiaXRT

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    We just take all of November off at my practice.

    Y'all are slipping
     
  7. oldking

    oldking Senior Member 10+ Year Member

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    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

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    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

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    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

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

    medgator Senior Member 10+ Year Member

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    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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