Rad Onc Twitter

[deleted941485]

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I would watch that reality show - academic chairs retire to join community practices as generalists. Exclusion criteria include graduating residency after 1992.

Picture it: the confused look on some old white dude's face, puttering around the clinic in his knit sweater, grease pencil in one hand, chain with a magnet in the other, whispering about shadows and simulators. A nurse gently takes him by the elbow and leads him back into his office. He is inadvertently given a QA sheet to sign from a prostate VMAT case and experiences severe angina when reading the plan MU number.

"Anachronistic Isocenter", coming this summer on NBC.

Episode 1 - Whiplash - After a little misadventure at Big Name Big Academic center that left a patient ****ting into a colostomy bag…WB Boomer is asked to resign as chair of Holier Then Thou University Health System.

Episode 2 - Cow Tipping - removed from city life and a tarnished reputation, Boomer finds himself thrust into a new practice in northern Mississippi swapping artisan bagels and liberal politics for freshly killed venison and MAGA hats.

Episode 3 - Meet the cast - Boomer meets his partners in the clinic. Needless to say he is surprised by their diversity and credentials. He learns a valuable lesson about the terrible job market.

Episode 4 - Accounting for Friction - Boomers new colleagues watch in horror as he treats bone Mets to 45Gy and uses the wrong pronoun to describe a staff member. Hospital admin starts to get worried

Episode 5 - Boomerang - All good Things come to an end - after 45 years of practice and a fat bank account that would make Al Capone blush. Hospital admin decides to pull the plug on WB Boomer after making derogatory comments regarding the work ethic of racial minorities. He threatens to sue but after having a minor stroke decides to resign before be can be fired. He boards the next plane back to big city to meet up with his third wife (who may or may not love him for his money and life insurance)

 

[Ray D. Ayshun]

Worked out well for Jay L. Perfect transition after he became Medicare eligible

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Looks like there was a recent sweater sale at the local Nordstrom.

 

[RickyScott]

Looks like there was a recent sweater sale at the local Nordstrom.

Odd choice for florida. Acapella group?

 

[Ray D. Ayshun]

Odd choice for florida. Acapella group?

Haha. Made me want to make some sort of jersey boys comment.

 

[Conn Seannery]

Is this real?

 

[jondunn]

what do you think

 

[Mandelin Rain]

Is this real?

Amazing. I'm guessing a troll account though

 

[medgator]

Is this real?

You can tell by the underscore hash tags. Very clever though

 

[Conn Seannery]

I googled this guy. Holy cow.

 

[Doctorer]

Someone must be pretty bored to make these fake accounts, but I can't deny that it's pretty funny on a Friday morning.

 

[RickyScott]

Someone must be pretty bored to make these fake accounts, but I can't deny that it's pretty funny on a Friday morning.

Perhaps someone with 10 pts on beam?

 

[TheWallnerus]

I can almost smell the smoke coming out some of Big Rad Onc's ears this AM with these troll tweets

 

[jondunn]

I can smell the smoke coming from my office bong

weed is legal in my state!

you ever contoured a nasopharynx case while three hits deep?

 

[Mandelin Rain]

I can smell the smoke coming from my office bong

weed is legal in my state!

you ever contoured a nasopharynx case while three hits deep?

Take a picture. Post it to twitter.

 

[deleted1111261]

I googled this guy. Holy cow.

Went from mildly amusing to racist in about 3 seconds.

 

[deleted941485]

Went from mildly amusing to racist in about 3 seconds.

This is bonkers…but wow. Wonder who it is. Lemmiwinks?

 

[jondunn]

Went from mildly amusing to racist in about 3 seconds.

no doubt was one of our SDN colleagues. this is their strong suit!

 

[jondunn]

This is bonkers…but wow. Wonder who it is. Lemmiwinks?

most likely. he/she already replied




carbonionangle, I hope this aint you sis!

 

[Conn Seannery]

Went from mildly amusing to racist in about 3 seconds.

I think the guy deserves a second chance.

 

[thecarbonionangle]

Some may argue the real racism is the “leaders” soft bigotry of low expectations. Back a few years ago, chairs did not tweet pictures shilling for warm bodies or cared about giving a minority a hand up. Competitive programs reeked of priviledge and pedigree. Now everyone wants a black or latino to throw them into a job market where there is no biryani, fufu, injera, barbacoa nearby in the heart of MAGA 4 hours away from an airport. What a woke field folks!

 

[thecarbonionangle]

most likely. he/she already replied




carbonionangle, I hope this aint you sis!

Not my style or type!

 

[deleted1111261]

Some may argue the real racism is the “leaders” soft bigotry of low expectations. Back a few years ago, chairs did not tweet pictures shilling for warm bodies or cared about giving a minority a hand up. Competitive programs reeked of priviledge and pedigree. Now everyone wants a black or latino to throw them into a job market where there is no biryani, fufu, injera, barbacoa nearby in the heart of MAGA 4 hours away from an airport. What a woke field folks!

Two wrongs make a right ?

 

[jondunn]

 

[TheWallnerus]

Breast cancer.

Inspiring today

Nauseating tomorrow

 

[Ray D. Ayshun]

Oh is she in for it. Breast is the worst.

 

[Conn Seannery]

The reply to the Ralph Weichslebaum tweet is interesting.

 

[RadOncDoc21]

The reply to this tweet is interesting.

 

[jondunn]

 

[medgator]

Any opinion?

 

[jondunn]

 

[medgator]

Most unfilled spots and highest % filled with foreign grads as far as surgical/ROAD specialties go #SoMuchWinning

 

[jondunn]

highest % filled with foreign grads

def doesnt look like it.

 

[evilbooyaa]

Is this real?

Yeeeeesh this, the lisa kachnic fake... all kinda cringe, mang.

 

[medgator]

def doesnt look like it.

Yeah the yellow is unfilled, not foreign. It's higher than any of the other procedural/surgical specialties though

 

[seper]

I can almost smell the smoke coming out some of Big Rad Onc's ears this AM with these troll tweets

I’ve talked to a colleague who literally spent a week trying to have Twitter to delete one of those

 

[Burt Radnolds]

 

[medgator]

Trolls out in full force today

 

[TheWallnerus]

Trolls out in full force today

Mr DeHallahan, I’m ready for my closeup

 

[Palex80]

 

[TheWallnerus]

Now an option in >= Stage IB…

U.S. Food and Drug Administration Approves Opdivo® (nivolumab) with Chemotherapy as Neoadjuvant Treatment for Certain Adult Patients with Resectable Non-Small Cell Lung Cancer

Approval marks the first-and-only immunotherapy-based treatment for use before surgery for non-small cell lung cancer1 In the Phase 3 CheckMate -816 trial, Opdivo plus platinum-doublet chemotherapy significantly improved event-free survival and pathologic complete response compared to...

news.bms.com

 

[RadOncDoc21]

Now an option in >= Stage IB…

U.S. Food and Drug Administration Approves Opdivo® (nivolumab) with Chemotherapy as Neoadjuvant Treatment for Certain Adult Patients with Resectable Non-Small Cell Lung Cancer

Approval marks the first-and-only immunotherapy-based treatment for use before surgery for non-small cell lung cancer1 In the Phase 3 CheckMate -816 trial, Opdivo plus platinum-doublet chemotherapy significantly improved event-free survival and pathologic complete response compared to...

news.bms.com

I saw this coming about 2 yrs ago at a Tumor board. This is only the 2nd quarter as immunotherapy will be used before, during and after each cancer treatment and radiation will be used less, less and less. Yet, we continue to train more docs and the patients we can treat, we try do as little as possible.

 

[TheWallnerus]

I saw this coming about 2 yrs ago at a Tunor board. This is only the 2nd quarter as immunotherapy will be used before, during and after each cancer treatment and radiation will be used less, less and less. Yet, we continue to train more docs and the patients we can treat, we try do as little as possible.

The number of practice changing lung cancer trials is increasing but the fraction containing RT is decreasing. Blip or trend? Lung cancer is so common and lethal it makes sense that such a flurry of immunotx research has been done the last few years. Increasing survival in lung cancer is an oncological BFD. Will tracking lung cancers in real time with MRgRT or protons for N2 push the survival curves higher? Can I interest you in beachfront property in Arizona?

 

[jondunn]

The number of practice changing lung cancer trials is increasing but the fraction containing RT is decreasing. Blip or trend? Lung cancer is so common and lethal it makes sense that such a flurry of immunotx research has been done the last few years. Increasing survival in lung cancer is an oncological BFD. Will tracking lung cancers in real time with MRgRT or protons for N2 push the survival curves higher? Can I interest you in beachfront property in Arizona?

this comparison comes up time and time again but is silly to me.

we should not compare ourselves to a DRUG. we are more like surgeons with a KNIFE. changing the type of knife you are using won't change OS. in fact, people dont like the knife, so the best we can do is come up with better and better ways to use the knife, but that's about it.


and like the knife users, the x-ray users better get in bed with the drug users for trials (and they are, which is good)

 

[RadOncDoc21]

this comparison comes up time and time again but is silly to me.

we should not compare ourselves to a DRUG. we are more like surgeons with a KNIFE. changing the type of knife you are using won't change OS. in fact, people dont like the knife, so the best we can do is come up with better and better ways to use the knife, but that's about it.


and like the knife users, the x-ray users better get in bed with the drug users for trials (and they are, which is good)

I was always told to never bring a knife to a gunfight.

 

[jondunn]

Is immunotherapy even thal effective? I read earlier that only 25% of patients taking Keytruda had their cancer go partially away and only 5% had their cancer go fully away. Does this speak more to melanoma’s lethality thanks immunotherapy’s efficacy?

Edit: seems to be more effictive against lung cancer and some others

Dude. Are you legit asking for a review on immunotherapy in cancer right now?

 

[voxveritatisetlucis]

Dude. Are you legit asking for a review on immunotherapy in cancer right now?

True, bad thread for the question. deleted

 

[Lamount]

The number of practice changing lung cancer trials is increasing but the fraction containing RT is decreasing. Blip or trend? Lung cancer is so common and lethal it makes sense that such a flurry of immunotx research has been done the last few years. Increasing survival in lung cancer is an oncological BFD. Will tracking lung cancers in real time with MRgRT or protons for N2 push the survival curves higher? Can I interest you in beachfront property in Arizona?

I’m not so certain this is accurate (though would be interesting to actually see numbers). I feel like I have heard of many ongoing clinical trials assessing pretty much every immunotherapy/SBRT combo for stage I, CRT +/- IO/anti-tigit for stage II/III… and IO/SBRT combo for oligomet. There are also some interesting new radiation sensitizers under investigation

 

[jondunn]

I’m not so certain this is accurate (though would be interesting to actually see numbers). I feel like I have heard of many ongoing clinical trials assessing pretty much every immunotherapy/SBRT combo for stage I, CRT +/- IO/anti-tigit for stage II/III… and IO/SBRT combo for oligomet. There are also some interesting new radiation sensitizers under investigation

Yes, but his point stands that the knife isn’t the one changing. But I agree.

 

[jondunn]

 

[thecarbonionangle]

it is hard to get excited about something when it pays poorly. People got to put bread on table. Breadlines are here.