Rad Onc Twitter

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RadsWFA1900 said:
Now they are finally realizing their dream with pathways and the like…total control over them.
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I don't have a problem with pathways and such. The main issue is enforcement by payors taking away physician discretion. For all the crap I give Potters about his diversity editorial, he is the author of a good pathway type paper on palliative spine treatment. The irony is pathway based medicine reduces any disparity between community and academic centers.

jondunn said:
I’ve seen some really bad community care.
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I've seen some, but in general I'm almost always impressed by how thoughtful most docs in our field are. Even ones in the middle of nowhere.
 
TheWallnerus said:
One of the best ways to get a yes answer to “Have you seen bad academic care” is ask a PGY5 rad onc resident.
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We are pretty skewed in residency too. We see the community "f*** -ups" coming in for re-treatment, but often don't see our own "f*** -ups" because those patients don't get followed closely by us.
 
SubserviantToABR said:


No offense to the legendary CRT, but are we going back to this again? Anyone willing to traverse the country on the Oregon Trail and risk cholera with a 21EX on their wagon? I can only carry so much food and ammunition!
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Sometimes Charles’s optimism gets the best of him. I wrote a cute little anatomy paper as a first year resident. Kid you not, Charles made me submit it to NEJM.
 
SubserviantToABR said:


No offense to the legendary CRT, but are we going back to this again? Anyone willing to traverse the country on the Oregon Trail and risk cholera with a 21EX on their wagon? I can only carry so much food and ammunition!
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Dysentery was the real killer in the game i thought?
 
medgator said:
Dysentery was the real killer in the game i thought?
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I think the future radiation oncologist should be able to hunt deer, ford a river, weather storms, withstand infectious diseases, and palliate bone mets, without dying too soon (hopefully, all can retire at 58!). The Oregon Trail and future of radiation oncology is treacherous, Godspeed.
 
i didnt have enough wRVUs last month to ford the river
 
communitydoc13 said:
I don't have a problem with pathways and such. The main issue is enforcement by payors taking away physician discretion. For all the crap I give Potters about his diversity editorial, he is the author of a good pathway type paper on palliative spine treatment. The irony is pathway based medicine reduces any disparity between community and academic centers.


I've seen some, but in general I'm almost always impressed by how thoughtful most docs in our field are. Even ones in the middle of nowhere.
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Pathways are a cancer.
 
1647132480117.png
 
SubserviantToABR said:
I think the future radiation oncologist should be able to hunt deer, ford a river, weather storms, withstand infectious diseases, and palliate bone mets, without dying too soon (hopefully, all can retire at 58!). The Oregon Trail and future of radiation oncology is treacherous, Godspeed.
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Oregon trail probably in sync with "radonc best jobs trail", geographically speaking
 
jondunn said:
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Drew Moghanaki is a terrible person, who happens to have a presence on social media representing radiation oncology. Our field is going through a lot of challenges, and he does nothing but brings an additional negative light to radiation oncology.

He's been discussed here before about his pandering and brown-nosing, but I am glad someone like Brendon Stiles is putting him in his place. Drew needs to step away from the bottle...absolute creep.
 
jondunn said:
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Seems like Stiles/Obi-wan is legit high grounding Drew/Anakin these days on twitter. That's a maiming. Next time we see Drew he'll be breathing funny and demand to be called Darth Moghanakus. He's a Sith dealing in absolutes.
 
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SubserviantToABR said:
Drew Moghanaki is a terrible person, who happens to have a presence on social media representing radiation oncology. Our field is going through a lot of challenges, and he does nothing but brings an additional negative light to radiation oncology.

He's been discussed here before about his pandering and brown-nosing, but I am glad someone like Brendon Stiles is putting him in his place. Drew needs to step away from the bottle...absolute creep.
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Drew and Evan "I drink while I contour brain mets" Thomas. Perfect duo .
 
jondunn said:
its drew himself that many find distaste with
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Totally. It's the way he tries to lure these thoracic surgeons into a Twitter argument and then hit them with virtual signaling (like he did in the other tweets to that thoracic surgeon asking him if he ever saw inoperable patients), same way as someone trying to lure you into their white, unmarked van with candy.
 
radoncftw said:
Drew and Evan "I drink while I contour brain mets" Thomas. Perfect duo .
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Ray D. Ayshun said:
I heard about a pretty impressive single iso 40 target plan on a patient with 20 brain mets he was able to generate.
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Not the best form to say this…

We are all human. When we beat each other up for stuff like this, we are only giving society more permission to expect purity from physicians.

If you are going to get personal (and you probably shouldn’t), the most reasonable criticism would involve what one posts on twitter.

Don’t crack jokes on a public forum claiming another physician (by name) allows drinking to impact patient care. It’s almost certainly untrue but, even if it were, it would still be in poor taste.

SDN is great for rad onc because it democratizes the debates that are important to our field by eliminating the threat of punishment for dissension. However, when the focus shifts from debating ideas to attacking individual physicians, SDN is no better than the wall of a bathroom stall.
 
Lamount said:
Not the best form to say this…

We are all human. When we beat each other up for stuff like this, we are only giving society more permission to expect purity from physicians.

If you are going to get personal (and you probably shouldn’t), the most reasonable criticism would involve what one posts on twitter.

Don’t crack jokes on a public forum claiming another physician (by name) allows drinking to impact patient care. It’s almost certainly untrue but, even if it were, it would still be in poor taste.

SDN is great for rad onc because it democratizes the debates that are important to our field by eliminating the threat of punishment for dissension. However, when the focus shifts from debating ideas to attacking individual physicians, SDN is no better than the wall of a bathroom stall.
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The drinking comment was on Evan Thomas' own tweet last year:
1647183563093.png
 
Lamount said:
No s***

His post wasn’t the greatest. Yours was worse.

Edit… I got my posters confused. Apologies
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Sounds like a poll. In all seriousness, his tweet was poster material for anyone trying to suggest we're a country club specialty. I work too damn hard coordinating **** and getting patients treated quicker by weeks than the fractured system in which I work has historically accomplished to be repped on Twitter by that garbage.
 
TheWallnerus said:
The pixel resolution of modern cell phone cameras is uncomfortably high.
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Not just that, but an open laptop in a public place. In any case, Lamount is right, I shouldn't pile on, and we've already run him thru the ringer on this. My joke was in poor taste. But worse? Nah.
 
SubserviantToABR said:
The drinking comment was on Evan Thomas' own tweet last year:
View attachment 351704
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I am strange. My main problem with the post is that I have tried delicate contouring using the touchpad of a laptop. It is about as frustrating as trying to masturbate with salad tongs. And I eat a lot of salad.
 
Ray D. Ayshun said:
Not just that, but an open laptop in a public place. In any case, Lamount is right, I shouldn't pile on, and we've already run him thru the ringer on this. My joke was in poor taste. But worse? Nah.
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💯 not worse. But the pile on wasn’t nice
 
Ray D. Ayshun said:
Sounds like a poll. In all seriousness, his tweet was poster material for anyone trying to suggest we're a country club specialty. I work too damn hard coordinating **** and getting patients treated quicker by weeks than the fractured system in which I work has historically accomplished to be repped on Twitter by that garbage.
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So it is your belief that, because you work hard, you are compelled to attack a physician who is contouring at ASTRO? … seems like he is working pretty hard as well. I don’t know about you, but I really hate having to contour at a conference, using the s***ty choppy Wi-Fi.

Again, attacking people like this is akin to writing cruel things about a classmate, anonymously, on a bathroom wall.

If you feel compelled to slander someone by name, best to sign your own name at the bottom. This way, you will get all due “credit” for your clever observations
 
i dont contour from home but do people seriously never have a glass or pint in privacy at home, get some work done, check it again next day? Or finish some notes at home while having a beer?
I know few woukd admit to it publically but i dont know it for a fact, just know it has to happen because people are people. I dont really have a problem with it, but would never post it publically. Im sure dr thomas knows it was a mistake. We need to allow forgiveness and redemption. Nobody is perfect!
 
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TheWallnerus said:
I am strange. My main problem with the post is that I have tried delicate contouring using the touchpad of a laptop. It is about as frustrating as trying to masturbate with salad tongs. And I eat a lot of salad.
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I once bought a mouse in an airport tech store because I was losing my mind trying to contour with the trackpad. Still have it… solid wired mouse.

I wonder if anyone uses a trackball. I am thinking of giving it a shot because it would be nice not being tethered to a desk, but the learning curve seems daunting.
 
Mandelin Rain said:
Sorry. If a surgeon tweeted himself operating while drinking he’d lose his license immediately. Contouring is our version of operating.

Dude played himself. Feel free to pile on, imo.
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Used to happen decades ago in England/Europe etc... No one made a big deal over a drink probably, but it's just dumb to immortalize that on something like SoMe
 
Lamount said:
So it is your belief that, because you work hard, you are compelled to attack a physician who is contouring at ASTRO? … seems like he is working pretty hard as well. I don’t know about you, but I really hate having to contour at a conference, using the s***ty choppy Wi-Fi.

Again, attacking people like this is akin to writing cruel things about a classmate, anonymously, on a bathroom wall.

If you feel compelled to slander someone by name, best to sign your own name at the bottom. This way, you will get all due “credit” for your clever observations
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What is your deal? Attacking a physician at ASTRO who is contouring? He was contouring at a table a public bar next to a glass of wine. If you can't see my issues with that, then we really needn't talk about it any more. I don't think you're going to convince me to see things your way.
 
Lamount said:
So it is your belief that, because you work hard, you are compelled to attack a physician who is contouring at ASTRO? … seems like he is working pretty hard as well. I don’t know about you, but I really hate having to contour at a conference, using the s***ty choppy Wi-Fi.

Again, attacking people like this is akin to writing cruel things about a classmate, anonymously, on a bathroom wall.

If you feel compelled to slander someone by name, best to sign your own name at the bottom. This way, you will get all due “credit” for your clever observations
Click to expand...
It's a bad look any way you slice it. Why take the risk? It's no big deal imo to have A beer or glass of wine while contouring, it just shows incredibly poor judgement to post that stuff publicly
 
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