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RickyScott said:
She probably does feel poor. If she earns 300k and pays 50+% in state, city and federal taxes followed by 5k a month in rent, she is quickly down to around 80k. (If she ever has a kid, nanny to allow long work hours could take out at least 40-60k) And, Hopefully she doesn’t have student debt,
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$250-300k is middle class in many places like nyc, SF/bay area etc. Perpetually renting as a physician, don't make enough to save up a nest egg and buy a place.
 
RickyScott said:
She probably does feel poor. If she earns 300k and pays 50+% in state, city and federal taxes followed by 5k a month in rent, she is quickly down to around 80k. (If she ever has a kid, nanny to allow long work hours could take out at least 40-60k) And, Hopefully she doesn’t have student debt,
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If she feeling poor as attending in NYC then how are their residents surviving on <80K

It was conscious decision to live in NYC…yawn LOL
 
Oh, Jesus. What's her income matter in this scenario? She has a point or she doesn't. Overall, she clearly does, but in this instance, I'm not so sure the elephant in the room is that people die at a higher rate at community hospitals in the first year of their diagnosis than at academic centers.
 
Ray D. Ayshun said:
Oh, Jesus. What's her income matter in this scenario? She has a point or she doesn't. Overall, she clearly does, but in this instance, I'm not so sure the elephant in the room is that people die at a higher rate at community hospitals in the first year of their diagnosis than at academic centers.
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The notion that patients who have the means to travel to a large referral center are a uniquely favorable and self-selected cohort has been well described for many years.

academic.oup.com

Is Patient Travel Distance Associated With Survival on Phase II Clinical Trials in Oncology?

Abstract. Background: Prior research has suggested that patients who travel out of their neighborhood for elective care from specialized medical centers ma
academic.oup.com academic.oup.com
 
theradiator said:
The notion that patients who have the means to travel to a large referral center are a uniquely favorable and self-selected cohort has been well described for many years.

academic.oup.com

Is Patient Travel Distance Associated With Survival on Phase II Clinical Trials in Oncology?

Abstract. Background: Prior research has suggested that patients who travel out of their neighborhood for elective care from specialized medical centers ma
academic.oup.com academic.oup.com
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Looking at the bars in the article mentioned/tweeted, it appears everywhere is more or less equivalent after year one. Perhaps people aren't traveling to die at MSKCC, though I'll admit I only perused the methodology. Makes sense.

Edit: interesting article you cited, thanks.
 
Ray D. Ayshun said:
Looking at the bars in the article mentioned/tweeted, it appears everywhere is more or less equivalent after year one. Perhaps people aren't traveling to die at MSKCC, though I'll admit I only perused the methodology. Makes sense.

Edit: interesting article you cited, thanks.
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At last when it comes to colon cancer, Harvard has found that we compensate for survival benefit of big academic centers by increasing nuts in the pts diet. In fact, the nuts may have a bigger benefit than chemo. would love to see survival benefit from driving 100 k bmw.
ascopost.com

Nut Consumption in Patients With Stage III Colon Cancer

ascopost.com
 
ROforbetterorworse said:
If she feeling poor as attending in NYC then how are their residents surviving on <80K

It was conscious decision to live in NYC…yawn LOL
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A lot of residents get subsidized housing/roommates and deferred loans. A single resident with subsidized housing/and or roommate and loan deferral may be better off than an attending with a newborn.
 
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RickyScott said:
A lot of residents get subsidized housing/roommates and deferred loans. A single resident with subsidized housing/and or roommate and loan deferral may be better off than an attending with a newborn.
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Do you have any idea what the “subsidy” is or just Gatoring ? 15 years ago it got you a studio for about $2500. I’m pretty sure $350k gets you a lot further.
 
drewdog1973 said:
Do you have any idea what the “subsidy” is or just Gatoring ? 15 years ago it got you a studio for about $2500. I’m pretty sure $350k gets you a lot further.
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Attendings don’t live in studios or have roommates, and most will have newborns, which will require care. What is rent today on 1 to 2 bedroom in manhattan?
 
Protons FLASH being done for 8x1 at Ucinn for peds. This is the next frontier for 8x1!
 
drewdog1973 said:
Do you have any idea what the “subsidy” is or just Gatoring ? 15 years ago it got you a studio for about $2500. I’m pretty sure $350k gets you a lot further.
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Pretty sure we call it "drewdogging"

To be fair though, Manhattan re did a take hit with covid
 
RickyScott said:
Attendings don’t live in studios or have roommates, and most will have newborns, which will require care. What is rent today on 1 to 2 bedroom in manhattan?
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Attendings have roommates…usually called a partner/spouse though 😉

It’s around 3-3500 per month for a 1 bedroom in midtown

They can afford it
 
RickyScott said:
At last when it comes to colon cancer, Harvard has found that we compensate for survival benefit of big academic centers by increasing nuts in the pts diet. In fact, the nuts may have a bigger benefit than chemo. would love to see survival benefit from driving 100 k bmw.
ascopost.com

Nut Consumption in Patients With Stage III Colon Cancer

ascopost.com
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My experience is that when my patients drive a $100K BMW they

1) Smoke significantly less (or don't smoke at all)
2) Present with earlier stage disease because of regular screening and also because they notice lumps earlier in their thin necks
3) Get their surgeries from specialists that do one type of surgery
4) Have significanty fewer comorbidities
5) Have better radiotherapy plans because I don't have to shoot beams through an extra 10cm of adipose tissue

@RickyScott, I think you should write up the paper and send it to JCO. I agree with you that >$100K BMW ownership will be associated (p<0.001) with increased overall survival.

Good luck getting the funding from BMW for the future randomized trial though...
 
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Music Man Stan said:
My experience is that when my patients drive a $100K BMW they

1) Smoke significantly less (or don't smoke at all)
2) Present with earlier stage disease because of regular screening and also because they notice lumps earlier in their thin necks
3) Get their surgeries from specialists that do one type of surgery
4) Have significant fewer comorbidities
5) Have better radiotherapy plans because I don't have to shoot beams through an extra 10cm of adipose tissue

@RickyScott, I think you should write up the paper and send it to JCO. I agree with you that >$100 car ownership will be associated (p<0.001) with increased overall survival.

Good luck getting the funding from BMW for the future randomized trial though...
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More importantly they probably don’t live under powerlines which we all know cause cancer.
 
theradiator said:
The notion that patients who have the means to travel to a large referral center are a uniquely favorable and self-selected cohort has been well described for many years.

academic.oup.com

Is Patient Travel Distance Associated With Survival on Phase II Clinical Trials in Oncology?

Abstract. Background: Prior research has suggested that patients who travel out of their neighborhood for elective care from specialized medical centers ma
academic.oup.com academic.oup.com
Click to expand...

This is an interesting thought experiment. There are two extremes to consider: 1) The better outcomes at PCHs are borne entirely of better care at these centers; 2) The better outcomes are borne entirely of a healthier patient population.

Sure, even when you control for every disease related characteristic imaginable, the patient who travels to another city for care is likely a little better off than a similarly staged patient who doesn't. That being said, it also seems somewhat foolish to assume that the intangible difference between the PCH patient and the community hospital patient entirely explains differences in outcomes -i.e. that healthier patients are lured to PCHs by their undeserved reputations, thus creating a self-fulfilling prophecy.

The truth is likely somewhere between... assuming one extreme is no less unreasonable than assuming the other.
 
Lamount said:
This is an interesting thought experiment. There are two extremes to consider: 1) The better outcomes at PCHs are borne entirely of better care at these centers; 2) The better outcomes are borne entirely of a healthier patient population.

Sure, even when you control for every disease related characteristic imaginable, the patient who travels to another city for care is likely a little better off than a similarly staged patient who doesn't. That being said, it also seems somewhat foolish to assume that the intangible difference between the PCH patient and the community hospital patient entirely explains differences in outcomes -i.e. that healthier patients are lured to PCHs by their undeserved reputations, thus creating a self-fulfilling prophecy.

The truth is likely somewhere between... assuming one extreme is no less unreasonable than assuming the other.
Click to expand...

I have no doubt that the quality of the surgery will be better overall at these places. But its is disingenuous to claim there is somehow this huge survival advantage enjoyed by those that simply elect to get treated at one of these centers.
 
Lamount said:
This is an interesting thought experiment. There are two extremes to consider: 1) The better outcomes at PCHs are borne entirely of better care at these centers; 2) The better outcomes are borne entirely of a healthier patient population.

Sure, even when you control for every disease related characteristic imaginable, the patient who travels to another city for care is likely a little better off than a similarly staged patient who doesn't. That being said, it also seems somewhat foolish to assume that the intangible difference between the PCH patient and the community hospital patient entirely explains differences in outcomes -i.e. that healthier patients are lured to PCHs by their undeserved reputations, thus creating a self-fulfilling prophecy.

The truth is likely somewhere between... assuming one extreme is no less unreasonable than assuming the other.
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I'm still not sure I understand the methodology in this paper, but, "because these analyses only use Medicare data for risk adjustment, a critical question is whether the lack of cancer specific data on each treated patient, which can only be obtained readily from cancer registries, matters for performance assessment at the hospital level." IOW, I would think that on average, lung cancer patients would do much better at a hospital that has a thoracic surgeon, and in turn, a large business treating stage I lung cancers while the community treats proportionally more stage III and IV. OTOH, as was said, I have no doubt Mayo does a better job than a community hospital on average. Going back to Dr. Chino's rhetorical question, "would I do better coming to MSKCC for stage I breast cancer treatment," I think her answer should be yes or some variation thereof. If that same patient asked me if they'd do better going to MSKCC, I'd say no, but I certainly wouldn't say worse.
 
fiji128 said:
Risk Adjusting Survival Outcomes in Hospitals That Treat Patients With Cancer Without Information on Cancer Stage
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Selection bias often works the other way. I recommend for anyone considering the value of these sorts of studies, just go straight to the CMS data.

Hospital Compare | CMS

Try a few outcomes (peri-operative mortality, infection, etc.) You will be shocked. But also, I don't take this data that seriously.

Evidence based medicine gives us the tools to degrade the importance of not just personal but also institutional expertise. A 190 bed rural hospital can adapt that central line insertion check list and protocol developed at Johns Hopkins and become just as good (if not better if nursing continuity better and no damn trainees around) at reducing infections.
 
Ray D. Ayshun said:
I'm still not sure I understand the methodology in this paper, but, "because these analyses only use Medicare data for risk adjustment, a critical question is whether the lack of cancer specific data on each treated patient, which can only be obtained readily from cancer registries, matters for performance assessment at the hospital level." IOW, I would think that on average, lung cancer patients would do much better at a hospital that has a thoracic surgeon, and in turn, a large business treating stage I lung cancers while the community treats proportionally more stage III and IV. OTOH, as was said, I have no doubt Mayo does a better job than a community hospital on average. Going back to Dr. Chino's rhetorical question, "would I do better coming to MSKCC for stage I breast cancer treatment," I think her answer should be yes or some variation thereof. If that same patient asked me if they'd do better going to MSKCC, I'd say no, but I certainly wouldn't say worse.
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It’s tricky spot bc publicly no Sloan attending can say my “number 1 ranked” cancer hospital in the most populous city in the US that charges more than everyone else is not better than community

They have to say that, and tbh if I’m the chair or ceo I’d fire them if they didn’t even if it’s purposefully disingenuous

for some diseases it may be true, primarily surgical dependent like lung as you mentioned or pancreas, or some metastatic clinical trial where drug actually works before gen pop gets it

But 0 chance they are better for stage 1 breast cancer or prostate cancer getting IMRT or SBRT or even GBM
 
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Our practice is negotiating and working with private payers on new reimbursement models as well as computer systems to monitor and cut cost of care. Seems to me if you actually cared about financial toxicity you would come join a practice like ours and not price gauge patients. Am I wrong?
 
xrt123 said:
Our practice is negotiating and working with private payers on new reimbursement models as well as computer systems to monitor and cut cost of care. Seems to me if you actually cared about financial toxicity you would come join a practice like ours and not price gauge patients. Am I wrong?
Click to expand...

But then you wouldn't be able to live in Manhattan and play victim on Twitter and say that Asian and white men in private practices and even academic satellites in less saturated areas who spend 60 hours a week treating 40+ patients at a time make more money than your single site practice where much of your time is spent on financial toxicity and diversity research. And imply that the singular reason that they make more money than you is because HR has a separate payscale for women. And simultaneously also imply that they make more money because they treat and bill inappropriately. And imply that their patients have worse outcomes because they are worse doctors than academics. And imply...

I'm not going to refer to any specific individuals, but after a certain post that demonstrated a fundamental misunderstanding of basic concepts expected of academics such as selection bias, I was inspired learn a bit more. I doubt that at many places other than academia and its intersectional hierarchy could you get away with look-at-me fashion statements and divisive and political twitter posts. I'm pretty sure that would get you a talking to by the senior partners regardless of your sex. Oh, and yet another mutli-generational rad onc family. When I think of privilege, I can't think of anything more privileged than growing up as a child of a rad onc during the field's golden era. And we see it so much and it's such a slap in the face to those of us who didn't come from rad onc families or much at all who struggled to get into med school after going to public schools and then compete with these people to get a training spot. To imply we are somehow victimizing these people. Nepotism sucks.

Oh, and I learned a new word today from the post: BIPOC. Woke sure is a hard language to learn when it is constantly changing. Racism also sucks.

Over the past year, I've noticed something: The harder somebody tries to force an idea on you without allowing questions and the harder somebody tries to shut down debate about another idea, the more likely that the first idea is a lie and the second idea is true. For those of us watching from the sidelines, it's all very obvious. But what are we going to do? I'm sure getting cancelled really sucks and I'm still a hungry rad onc rat who needs his cheese and am very jealous of these guys.
 
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1625452223798.png
 
FrostyHammer said:
Wonder if she lived in the surfside condos that collapsed.

Regardless, I'm sure Reshma Jagsi is ready to write a eulogy and explain how society did this girl no favors and how we need radical feminist change.
Click to expand...

A quick google search shows she went to a Christian college and was a member of college republicans. She may have actually brought some real needed diversity of thought to the field. So if that's true, I'm not sure how that will play out as the only people who eat their young more than rad oncs are the woke.

Regardless of who she was or what she believed or how she died, what a loss.😢
 
Apparently "a car accident" according to a tagged post on her Instagram profile.

It's very sad, indeed. Apart from being a very engaged colleague, she obviously reached out to many non-radoncs and aided in our speciality becoming more visible.
 
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njshibby said:
Some real ****ed up posts happening right now.
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Chill... That post wasn't disparaging the dead. It was disparaging the ivory tower academic hypocrites who will use someone's death to further their gendermongering agenda. You know they'll do it too. Those people have literally zero shame.
 
FrostyHammer said:
Chill... That post wasn't disparaging the dead. It was disparaging the ivory tower academic hypocrites who will use someone's death to further their gendermongering agenda. You know they'll do it too. Those people have literally zero shame.
Click to expand...
You mean…

#womenwhocurie

??

aka “we are oppressed victims (because we are expected to have the same number of training hours) even though we are preferentially selected in residency rankings”

Imagine if the female pilot of your regional jet explaining that she only needed 1000 hours instead of 1500 hours of training for her ATP certification because she got pregnant during training and making her make it up was sexist. What a sexist thunderstorm with sexist gusting 40 knot crosswinds. And that stupid sexist pitot Valve that clogged and didn’t tell you your airspeed. Don’t ask questions.
 
FrostyHammer said:
Regardless, I'm sure Reshma Jagsi is ready to write a eulogy and explain how society did this girl no favors and how we need radical feminist change.
Click to expand...
Turaco said:
aka “we are oppressed victims (because we are expected to have the same number of training hours) even though we are preferentially selected in residency rankings”
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Totally effed up. By preemptively hypothesizing on Jagsi's response and perseverating on #womenwhocurie in the setting of a tragic event you are making the point better than they ever could that there is an underpinning chauvinism and misogyny at SDN in particular and radonc in general.

Incel level bull. Dare you to reply thread available for this type of grievance.
 
communitydoc13 said:
Totally effed up. By preemptively hypothesizing on Jagsi's response and perseverating on #womenwhocurie in the setting of a tragic event you are making the point better than they ever could that there is an underpinning chauvinism and misogyny at SDN in particular and radonc in general.

Incel level bull. Dare you to reply thread available for this type of grievance.
Click to expand...
Yeah. This board doesn't always aim high, but that was definitely aiming low. Really low.
 
FrostyHammer said:
Chill... That post wasn't disparaging the dead. It was disparaging the ivory tower academic hypocrites who will use someone's death to further their gendermongering agenda. You know they'll do it too. Those people have literally zero shame.
Click to expand...
It's much better to use their death to further your fearmongering agenda against Reshma Jagsi.
 
Mandelin Rain said:
It's much better to use their death to further your fearmongering agenda against Reshma Jagsi.
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communitydoc13 said:
Totally effed up. By preemptively hypothesizing on Jagsi's response and perseverating on #womenwhocurie in the setting of a tragic event you are making the point better than they ever could that there is an underpinning chauvinism and misogyny at SDN in particular and radonc in general.

Incel level bull. Dare you to reply thread available for this type of grievance.
Click to expand...

my comment has nothing to do with either reshma jagsi nor the tragedy of this young radiation oncologist’s death.

if you wish to see my comment on this tragedy see above my last post. The post above was in response to the post regarding “gendermongering” which is a real and separate issue. Multiple prominent rad oncs have publicly vocalized support of waiving residency training requirements for those who take maternity leave, which if you believe the training requirement matters, presents a competency issue and threat to the public. If you want to move the comment to other thread that is fine:
 
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communitydoc13 said:
Incel level bull. Dare you to reply thread available for this type of grievance.
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also, this is an ad hominem. Nothing I wrote was wrong.

i agree that the context in which this issue was raised was probably not the best but it does not mean it is not an issue. I have nothing against Resma Jagsi, do not know her, and agree that segueing from someone’s death into a separate political topic was probably not the classiest move.
 
TheWallnerus said:
If society is going to be OK with a nurse sticking needles up a patient's butt to 1) pull tissue out to diagnose cancer, or 2) put foreign objects in to treat cancer, society should be just fine with nurses drawing circles on a CT scan, or a 3-second eyeball of a computer screen for an IGRT match.


Except maybe in protons where the SpaceOAR could be necessary-ish. And they say two wrongs don't make a right: not when it comes to protons and SpaceOAR!
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If you break any medical task that a doctor does into small enough steps you can get enough midlevels to accomplish the same task.
 
communitydoc13 said:
Totally effed up. By preemptively hypothesizing on Jagsi's response and perseverating on #womenwhocurie in the setting of a tragic event you are making the point better than they ever could that there is an underpinning chauvinism and misogyny at SDN in particular and radonc in general.

Incel level bull. Dare you to reply thread available for this type of grievance.
Click to expand...

Mandelin Rain said:
Yeah. This board doesn't always aim high, but that was definitely aiming low. Really low.
Click to expand...

Mandelin Rain said:
It's much better to use their death to further your fearmongering agenda against Reshma Jagsi.
Click to expand...

drewdog1973 said:
Just nasty.
Agree, incel style
Click to expand...

Name-calling is not acceptable in this forum and is highly unprofessional.

Y'all just don't get it. Did you not see the point that @Turaco and I were trying to make? Because y'all are accusing us of doing the exact same thing. Let me explain since y'all clearly didn't get the point.

The point was that whenever there are tragedies like this (or tragedies like residency expansion), the ivory tower academic hypocrites always come roaring in to push their agendas. In Reshma Jagsi's case it's her gendermongering she's made a career out of. In other cases maybe a greedy PD would use this open seat to get a resident exemplifying "diversity" or other nonsense like that.

But, when @Turaco and I point out what the ivory tower academic hypocrites would do in these situations, we are the ones that are called incels. I guess by that token and y'all's logic, let's pose an analogous scenario so y'all can better understand:

The tragedy in this scenario isn't a young girl's death, but rather it's the tragedy of residency expansion and greedy SOAPing. Then, we at SDN try to point out the expected/projected reaction from the ivory tower academic hypocrites and how they'll use that tragedy to push their agenda to keep residency seats for cheap labor. The ivory tower academic hypocrites then call us trolls.

That's basically what y'all are doing with @Turaco and I. News flash: We are on your side. We also mourn this girl, and we also mourn residency expansion. We have no sympathy for the ivory tower academic hypocrites who will use both those situations to further their reckless agendas.
 
FrostyHammer said:
Name-calling is not acceptable in this forum and is highly unprofessional.

Y'all just don't get it. Did you not see the point that @Turaco and I were trying to make? Because y'all are accusing us of doing the exact same thing. Let me explain since y'all clearly didn't get the point.

The point was that whenever there are tragedies like this (or tragedies like residency expansion), the ivory tower academic hypocrites always come roaring in to push their agendas. In Reshma Jagsi's case it's her gendermongering she's made a career out of. In other cases maybe a greedy PD would use this open seat to get a resident exemplifying "diversity" or other nonsense like that.

But, when @Turaco and I point out what the ivory tower academic hypocrites would do in these situations, we are the ones that are called incels. I guess by that token and y'all's logic, let's pose an analogous scenario so y'all can better understand:

The tragedy in this scenario isn't a young girl's death, but rather it's the tragedy of residency expansion and greedy SOAPing. Then, we at SDN try to point out the expected/projected reaction from the ivory tower academic hypocrites and how they'll use that tragedy to push their agenda to keep residency seats for cheap labor. The ivory tower academic hypocrites then call us trolls.

That's basically what y'all are doing with @Turaco and I. News flash: We are on your side. We also mourn this girl, and we also mourn residency expansion. We have no sympathy for the ivory tower academic hypocrites who will use both those situations to further their reckless agendas.
Click to expand...
I don't think you got that we ****in got it
 
FrostyHammer said:
The tragedy in this scenario isn't a young girl's death, but rather it's the tragedy of residency expansion and greedy SOAPing. Then, we at SDN try to point out the reaction from the ivory tower academic hypocrites and how they'll use that tragedy to push their agenda to keep residency seats for cheap labor. The ivory tower academic hypocrites then call us trolls.
Click to expand...
As above, the tragedy here is the young doctor's death. It was appropriate to post this news on a thread labeled rad-onc-twitter IMO. I personally don't know what the academic response to this has been or will be. They will probably be sensitive to the tremendous loss. We should be too.

This anonymous board functions as an alternative outlet for our field. It is well known (and widely read) within the field but is judged and often dismissed by academic radonc and more importantly early career and aspiring docs. In this meandering thread we've recently hit upon a very important conversation about financial toxicity, the appreciation of selection bias in database studies (as related to justifying cost disparities), the relative toxicity of different care modes (PPS exempt, academic, private/community) and the importance of cost transparency. (What a conversation!)

This conversation was waylaid by an excessive focus on personalities (see Chino, Jagsi) and (irony of all ironies) a dramatic response to gender specific language in a tweet. Then, when a young doctor dies, we post about what academics might do, including pushing feminist agendas?

Trolling is... digressive, inflammatory, extraneous. You be the judge. You and Turaco are some smart MFrs and I've learned clinical stuff from both of you.
 
Mandelin Rain said:
What the **** are you blathering about?

A woman and colleague died tragically. That’s it. That’s the story. Let it be the story. Give condolences, or not. Leave the rest of this unrelated insanity out of it.
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By your logic...
Radonc is tragically dying because of unbridled residency expansion. That's it. That's the story. Let it be the story. Give condolences, or not. Leave your reactions, editorializing, opinions, and thoughts out of it.
Does SDN leave it at that? No. Should it? No. Then why should I or others do any differently?
communitydoc13 said:
This conversation was waylaid by an excessive focus on personalities (see Chino, Jagsi) and (irony of all ironies) a dramatic response to gender specific language in a tweet. Then, when a young doctor dies, we post about what academics might do, including pushing feminist agendas?

Trolling is... digressive, inflammatory, extraneous. You be the judge. You and Turaco are some smart MFrs and I've learned clinical stuff from both of you.
Click to expand...
If what @Turaco and I said was "trolling", then how is it any different from what SDN does about residency expansion on a regular basis?

Radonc is dying a slow death -> OK for us to "troll" the job market on SDN.
A young girl died an acute death -> not OK for us to "troll" the ivory tower academic hypocrites on SDN.
 
FrostyHammer said:
Radonc is dying a slow death -> OK for us to "troll" the job market on SDN.
A young girl died an acute death -> not OK for us to "troll" the ivory tower academic hypocrites on SDN.
Click to expand...
Yesssssss!!!!! Troll the job market, only helping some one. Not demonstrating insensitivity. The job market is bad.

Troll academic hypocrites when they are hypocrites. Like when they post a ridiculous database paper. Or when academics who are not at financially transparent institutions use social media (see thread title) to virtue signal about financial toxicity. (You are actually not trolling here, they are. You are just giving them a hard time. The data base paper and the chair job pep talk are actually digressive and extraneous. Well, you might be being inflammatory but that's your MO).

Don't troll academics when a young doctor dies!!

You got this.
 
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For actually really smart people that contribute at such a high level in this forum (sincerely), I wonder why it’s so hard to not step back and try to see why others take issue with bringing Jagsi into this. Maybe you truly think it’s relevant. I wonder if you have the insight to see why it’s not. A young, possibly troubled young doc died. Your comment is to predict Jagsi making a eulogy that is off the mark? Huh?
 
Well that escalated quickly.


I think it is fair to call out the post for being distasteful. I just wanted to reply on the gendermongering comment— The girls death had nothing to do with it and Frostys comment was obviously sarcasm, not a genuine prediction that anybody would stoop to such a level to presuppose things about this girl and her death to further their agenda. I think they have a limit (I hope)

I have seen it all the time with this constant effort to try and twist anything they can to confirm their preheld belief that the field is methodically discriminatory and the only solution is heavy handed forceful rebalancing of things by those who know better for us.

now I will slowly back away…
 
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