Rad Onc Twitter

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Radonc90 said:
You guys forgot that proton is a positive charge, proton gives your body a positive charge...you are full of energy...you can run the marathon.

Physics 101 boys and girls...
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Great Job Reaction GIF by Bounce
 
medgator said:
I'm just amazed at MSKs shameless plug of protons in the tweet, personally, essentially insinuating the guy is running marathons because of protons instead of photons
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And here I thought my idea of advertising robotic prostatectomy by tweeting about patients banging their wives or others on post op day 1 was original . . .
 
elementaryschooleconomics said:
If the basic science exams prevent the "reduction of our influence in patient care"
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I just can't stop thinking about this -
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Eliminating or restructuring board exams on BASIC SCIENCE in a clinical specialty could reduce our influence in patient care?

What about over a decade of manuscripts talking about how expensive we are? Or the majority of institutions handing off radiopharmaceuticals to Nuclear Medicine because we didn't want the responsibility? Or the army of people with legions of trials aimed at reducing or eliminating the use of radiation in every disease site? Two of the authors on this response - Andrea Ng and Kaled Alektiar - specialize in lymphoma and sarcoma. How's that going for us, friends? Still a robust presence of radiotherapy in lymphoma and sarcoma?

I want to be crystal clear: I am 100% in favor of anything to reduce the burden on our patients and improve outcomes for them.

I am also 100% in favor of reducing the burden on the physicians choosing a career in Radiation Oncology and improving their outcomes as well. We're too small of a specialty for all this effort aimed at increasing our ranks while diminishing our role. These classic strawmen of "anti-trust" or "our board exams protect us" or "we didn't mess up, the residents are just extra dumb this year" are only hurting us in the long run.

But hey, I'm sure the executives at Blockbuster, Sears, and Lehman Brothers thought they were doing the right things, too.
 
elementaryschooleconomics said:
I just can't stop thinking about this - View attachment 345660

Eliminating or restructuring board exams on BASIC SCIENCE in a clinical specialty could reduce our influence in patient care?

What about over a decade of manuscripts talking about how expensive we are? Or the majority of institutions handing off radiopharmaceuticals to Nuclear Medicine because we didn't want the responsibility? Or the army of people with legions of trials aimed at reducing or eliminating the use of radiation in every disease site? Two of the authors on this response - Andrea Ng and Kaled Alektiar - specialize in lymphoma and sarcoma. How's that going for us, friends? Still a robust presence of radiotherapy in lymphoma and sarcoma?

I want to be crystal clear: I am 100% in favor of anything to reduce the burden on our patients and improve outcomes for them.

I am also 100% in favor of reducing the burden on the physicians choosing a career in Radiation Oncology and improving their outcomes as well. We're too small of a specialty for all this effort aimed at increasing our ranks while diminishing our role. These classic strawmen of "anti-trust" or "our board exams protect us" or "we didn't mess up, the residents are just extra dumb this year" are only hurting us in the long run.

But hey, I'm sure the executives at Blockbuster, Sears, and Lehman Brothers thought they were doing the right things, too.
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I enjoy reading your posts. They’re so damn spot on.
 
Ray D. Ayshun said:
Lol. The short answer is 0 hours. The rhetorical answer is, "Is there a post on #surgtwitter where someone asks if people block off time to be in the OR?" It's ****ing dumb that as a procedural specialty, the true procedure we perform is crammed in randomly, or during the weekend. Of course, I have no answer as to how to change that, or if it should be charged.
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Despite the many problems with my institution and their domineering oversight of my schedule, I have ~2 hours of "treatment planning" time blocked daily. In theory at least, because the last hour of day blocked I would not have clinic patients scheduled from 4-5pm. Effectively it becomes 1 hour daily.
 
metallica81788 said:
Despite the many problems with my institution and their domineering oversight of my schedule, I have ~2 hours of "treatment planning" time blocked daily. In theory at least, because the last hour of day blocked I would not have clinic patients scheduled from 4-5pm. Effectively it becomes 1 hour daily.
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Wow. Daily!
 
Ray D. Ayshun said:
Lol. The short answer is 0 hours. The rhetorical answer is, "Is there a post on #surgtwitter where someone asks if people block off time to be in the OR?" It's ****ing dumb that as a procedural specialty, the true procedure we perform is crammed in randomly, or during the weekend. Of course, I have no answer as to how to change that, or if it should be charged.
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I could not agree more. The "procedure" that is arguably the most important and meaningful thing that we do - designing the actual radiation - gets done late at night or on the weekends. I don't see radiologists dictating or pathologists reading slides at home after the workday ends. This expectation that radoncs should just be in clinics or tumor boards all the time and everything else gets "fit in somewhere" is strange.
 
sueyom said:
I could not agree more. The "procedure" that is arguably the most important and meaningful thing that we do - designing the actual radiation - gets done late at night or on the weekends. I don't see radiologists dictating or pathologists reading slides at home after the workday ends. This expectation that radoncs should just be in clinics or tumor boards all the time and everything else gets "fit in somewhere" is strange.
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Wanna publish my poll, Sue?? Got nearly 300 responses!
 
sueyom said:
I could not agree more. The "procedure" that is arguably the most important and meaningful thing that we do - designing the actual radiation - gets done late at night or on the weekends. I don't see radiologists dictating or pathologists reading slides at home after the workday ends. This expectation that radoncs should just be in clinics or tumor boards all the time and everything else gets "fit in somewhere" is strange.
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SHOUT IT LOUD. PUBLISH IN RED JOURNAL NOW NOW NOW (well at least PRO, ok?) 😛

If there were ever a time to abuse your power it is now! jk jk! (jk...?)
 
RadOncMegatron said:
SHOUT IT LOUD. PUBLISH IN RED JOURNAL NOW NOW NOW (well at least PRO, ok?) 😛

If there were ever a time to abuse your power it is now! jk jk! (jk...?)
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you are funny. anyone who wants to send in reliable repeatable reproducible and impactful science gets a review. personal gripes and woe-is-me's even my own do not. i am supportive of PRO but have no ultimate say in what they do.
 
sueyom said:
personal gripes and woe-is-me's even my own do not.
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That's why we have the Open Access journal Student Doctor Network, a daily publication with an impact factor of - *checks medical student applications* - approximately 82.

I hear there's a theme issue for January 2022 called "RO-APM: Exploring how your practice can buy those little cans of Canada Dry Ginger Ale with food stamps".
 
RadOncMegatron said:
SHOUT IT LOUD. PUBLISH IN RED JOURNAL NOW NOW NOW (well at least PRO, ok?) 😛

If there were ever a time to abuse your power it is now! jk jk! (jk...?)
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Getting harder and harder to get stuff in... At least according to AZ and his farewell letter

 
medgator said:
Getting harder and harder to get stuff in... At least according to AZ and his farewell letter

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If there weren't so many rad oncs we could all get a job and a Red Journal first authorship.

On another note, Anthony said it was "20,000 manuscripts" (I presume) he saw over 10 years. Assuming he didn't look at them on the weekends or while he was sleeping, that's approximately one manuscript every two hours. Quite a feat!
 
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TheWallnerus said:
If there weren't so many rad oncs we could all get a job and a Red Journal first authorship.

On another note, Anthony said it was "20,000 manuscripts" (I presume) he saw over 10 years. Assuming he didn't look at them on the weekends or while he was sleeping, that's approximately one manuscript every two hours. Quite a feat!
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Lot of interesting stuff he penned in that letter
 
TheWallnerus said:
If there weren't so many rad oncs we could all get a job and a Red Journal first authorship.

On another note, Anthony said it was "20,000 manuscripts" (I presume) he saw over 10 years. Assuming he didn't look at them on the weekends or while he was sleeping, that's approximately one manuscript every two hours. Quite a feat!
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The Wilt Chamberlain of manuscripts.
 
Ray D. Ayshun said:
It's good to use a quarterback dropping back as the image. Take the first open thing you see or you're gonna get annihilated.
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I like the analogy.

We've become a field of check downs, averaging 4 yards per attempt. The deep ball has been taken away from our playbook and the O line protection is often non-existent.
 
metallica81788 said:
I like the analogy.

We've become a field of check downs, averaging 4 yards per attempt. The deep ball has been taken away from our playbook and the O line protection is often non-existent.
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We've mastered the Butt Fumble though

1637085146336.png
 
TheWallnerus said:
Survival rates are just "statistics."
(And statistics are the foundation of evidence-based medicine.)

At CyberKnife Miami, they treat regardless of "statistics."

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Very sketchy. They also have trucks with HDR in the back that are sent to nursing homes to treat skin cancer 40 fractions and were accused in whistle blower suit of billing for hyperthermia with heat lamp from home depot.
caselaw.findlaw.com

FindLaw's District Court of Appeal of Florida case and opinions.

FindLaw's searchable database of District Court of Appeal of Florida decisions since
caselaw.findlaw.com caselaw.findlaw.com
 
RickyScott said:
billing for hyperthermia with heat lamp from home depot.
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I'm pretty sure this is a fundamental aspect of the business plan for HeatRX, LLC.

I believe Ben Smith is a founding partner, and Flagship Pioneering is providing some strategic vision.
 
TheWallnerus said:
If there weren't so many rad oncs we could all get a job and a Red Journal first authorship.

On another note, Anthony said it was "20,000 manuscripts" (I presume) he saw over 10 years. Assuming he didn't look at them on the weekends or while he was sleeping, that's approximately one manuscript every two hours. Quite a feat!
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you are a sharp walrus - and you and elementaryschoolE win the funny comments prize
 
winstonfoot5 said:
I, for one, would like to see a double blinded peer-reviewed Wallnerus and ElementarySchoolEconomics Red Journal column authored anonymously under their nom de plume
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I'm pretty sure the Red Journal has a word limit, and I'm pretty sure neither of us understands that concept.
 
sueyom said:
I could not agree more. The "procedure" that is arguably the most important and meaningful thing that we do - designing the actual radiation - gets done late at night or on the weekends. I don't see radiologists dictating or pathologists reading slides at home after the workday ends. This expectation that radoncs should just be in clinics or tumor boards all the time and everything else gets "fit in somewhere" is strange.
Click to expand...

It is standard for a (junior) rad onc to be in clinic at least 4 days a week. Every other academic surgeon or med onc is 3 days tops (usually less). We do not value ourselves enough.
 
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