Proton Pricing/Protons for Breast Discussion

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Protons for breast cancer: quadrupling costs while also doubling toxicity.

But, by all means, do it if the insurance allows.
 
Breast radiation, described in brief.

Hypofractionated Photons:
Michael Jordan Dunk GIF by NBA


Protons:

Fail The Fresh Prince Of Bel Air GIF
 

I have an idea who this is but won't dox them. But the duality is amazing. On the one hand, you're exploiting medical students and DEI to trap them into radiation oncology to exploit them as you climb the academic ladder, and on the other hand, you're sticking patients with a huge bill for a 3 decade old modality with no proven benefits. If that ain't a grifter, I don't know what is.
 
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Yeah, pretty easy to figure this one out. I believe this institution was a relatively late adopter of protons, with reasonable concerns for going all in and with a self-righteous approach to how they would implement them when they did (to differentiate themselves from multiple other proton centers in the immediate region).

Now soliciting prostate proton referrals, when they probably know better.

Very hard to have the moral high ground in this game.
 
Yeah, pretty easy to figure this one out. I believe this institution was a relatively late adopter of protons, with reasonable concerns for going all in and with a self-righteous approach to how they would implement them when they did (to differentiate themselves from multiple other proton centers in the immediate region).

Now soliciting prostate proton referrals, when they probably know better.

Very hard to have the moral high ground in this game.
Osler wouldn’t approve. Pimping protons and this specialty to URM?
 
I woke up expecting at least one Poe reference. You guys disappointed me 😞
 
I got the letter off doximity. Doc publically invites radoncs to contact him via phone and email to discuss protons for prostate, so can I post? Would love to have group q and a with him on who we should send for protons.
Go ahead brotha!
 
Go ahead brotha!
Ok, the author publically hopes to connect with us and says he can be reached at [email protected] or 202-537-4787. I genuinely would like to connect and learn about the benefits of protons for prostate cancer especially as it relates to the rectum. He is targeting this info/message to radoncs not primary care.
 
Ok, the author publically hopes to connect with us and says he can be reached at [email protected] or 202-537-4787. I genuinely would like to connect and learn about the benefits of protons for prostate cancer especially as it relates to the rectum. He is targeting this info/message to radoncs not primary care.
He is welcome to create an account here, present his data and field a Q&A. This isn't truth social or ASTRO ROhub, no cancel culture here
 
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Oh really? I don't know how other people are reading this statement, but this implies "no side effects" to me.

I guess if I go to Google Scholar and search "proton radiotherapy normal tissue injury" there will be zero results?

1648918053585.png

(editor's note: this is for a lung trial, not prostate, but you get the idea)
 
Ok, the author publically hopes to connect with us and says he can be reached at [email protected] or 202-537-4787. I genuinely would like to connect and learn about the benefits of protons for prostate cancer especially as it relates to the rectum. He is targeting this info/message to radoncs not primary care.

Is this serious? That DEI guy from Johnny Hops is the person publicly peddling protons for prostate like a snake oil salesman?
 
Seems suspect that the ivory towers which are so keen on practicing evidence based medicine also very overtly push protons for prostate...where there is not great data.
 
Id be curious to see if lemmiwinks can circulate on twitter to engage the twitterati, especially academic crew, on their opinion on this.
 
This is different because it's the doctor pushing it on doximity directly, but I wonder how often it's the marketing department for the hospital pushing a campaign that's totally divorced from physician input.

I'm reminded of the Silicon Valley marketing team
 
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