Rad Onc Twitter

  • Thread starter Thread starter deleted1002574
  • Start date Start date
This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
Here's how resistant to change some of these people are.

Lymphoma/Leukemia is STILL it's own section on the oral boards.

1 section of 8 total. 12% of the test! A disease site we hardly ever see/treat outside of the random stage 1 FL. A site MAYO CLINIC residents can go a whole 4 years of residency without seeing a single patient.
 
Here's how resistant to change some of these people are.

Lymphoma/Leukemia is STILL it's own section on the oral boards.

1 section of 8 total. 12% of the test! A disease site we hardly ever see/treat outside of the random stage 1 FL. A site MAYO CLINIC residents can go a whole 4 years of residency without seeing a single patient.
In an academic practice and about 1/6 of what I see is lymphoma. I get a fair amount of refractory low grade NHL, refractory DLBCL, and about 10% HD (not a boomer, just force of habit). Lymphoma patients are a nice breath of fresh air in my otherwise high morbidity/mortality practice.
 
  • Like
Reactions: OTN
Here's how resistant to change some of these people are.

Lymphoma/Leukemia is STILL it's own section on the oral boards.

1 section of 8 total. 12% of the test! A disease site we hardly ever see/treat outside of the random stage 1 FL. A site MAYO CLINIC residents can go a whole 4 years of residency without seeing a single patient.
Our physician ancestors loved performance art, but these sorts of "humanities" were frowned upon by The Establishment.

The solution for a cathartic/creative outlet was the Oral Boards, an event where every person must be tested in every section, even if it's not something they actually practice, even if it's a disease that is objectively rare. A written test cannot suffice, no! For how else will The Elders get to hear the nervous, half-choked swallow of a supplicant stammering to recite their memorized lines about 3D CSI?

Once a year, The Establishment looks forward to The Auditions, whereby hundreds of young adults - who have spent their adult lives in Talmudic study of obscure texts - present their nubile souls for the required hazing in order to be granted membership into The Club. It is a cruel facsimile of what The Elders believe auditions at Julliard are like.

The Establishment feasts upon the memorization of increasingly complex AJCC staging and mostly-invented dose constraints. Hopeful initiates dutifully recite facts about medulloblastoma, Stage IV Hodgkin's, and LDR brachytherapy. The Establishment gleefully proclaims the test one of "safety" while relying on the most un-safe mechanism: human memory. The inherent irony brings them tremendous joy.

Like Dorian Gray, the The Elders reclaim some of their youth after each administration of Oral Boards.

If only The Elders had been allowed to major in Theater and French as undergraduates, like they always wanted. Alas, their parents forbade it, forcing Biology and Chemistry majors instead.

Subsequent generations will pay the price for these Freudian "daddy issues" until the cycle is broken in 2074 when Paul Wallner finally retires.
 
Here's how resistant to change some of these people are.

Lymphoma/Leukemia is STILL it's own section on the oral boards.

1 section of 8 total. 12% of the test! A disease site we hardly ever see/treat outside of the random stage 1 FL. A site MAYO CLINIC residents can go a whole 4 years of residency without seeing a single patient.
It’s important when a lymphoma patient sees a radiation oncologist that they see someone who is familiar with their condition and had the proper training. Oral boards are imperfect but they make sure we produce competent doctors even for the rare stuff we treat. We still have rockstar lymphoma rad oncs, and I am not about to deprive our field of their knowledge and expertise. Especially at the oral boards level.


Hello! I am not Ken Olivier, but I play him on TV
 
It’s important when a lymphoma patient sees a radiation oncologist that they see someone who is familiar with their condition and had the proper training. Oral boards are imperfect but they make sure we produce competent doctors even for the rare stuff we treat. We still have rockstar lymphoma rad oncs, and I am not about to deprive our field of their knowledge and expertise. Especially at the oral boards level.


Hello! I am not Ken Olivier, but I play him on TV
MDACC doc/Proton enthusiast or both? I’m on to you buddy!
 
APCCC is happening. Get your popcorn out!


 
Last edited:

So the academicians over at ASTRO still technically push the almost 10-year-old opinion that we should be using 3D for breast:

1651325388642.png


But:

1651325635274.png


Surely it must be greedy private practice docs doing this?

1651325864386.png


Hmmm...
 
Some people just are in desperate need of attention, who didn't get enough hugs growing up, so they do it by posting their mother's crotch out there for everyone to see.
seriously...
i just don't get why people post on social media about this. texting your mom or your partner or your family/friend texts group should suffice.
 
Could the ortho also get in trouble? Didn’t think texting results or images was allowed

All doctors that I see won’t even send messages to personal email. They require using encrypted message system. Defintely not iMessage
 
Or the outing of the ortho as one of his cancer patients.

Evan Thomas don’t care ‘bout no HIPAA

Could the ortho also get in trouble? Didn’t think texting results or images was allowed

All doctors that I see won’t even send messages to personal email. They require using encrypted message system. Defintely not iMessage
Evan’s approaches are definitely not “my cup of tea,” but that he could get in trouble or cancelled or fired for what is a good hearted tweet is so absurd
 
Evan’s approaches are definitely not “my cup of tea,” but that he could get in trouble or cancelled or fired for what is a good hearted tweet is so absurd
i agree. I have had some mentors in med school, residency etc. who have really impressed upon me how little it takes to "lose everything". It really has influenced how i interact with staff / colleagues and why i don't have a social media presence.
 
I think at the core the interaction posted is really cute. Basically, he took care of someone and that same person then took care of him indirectly. i guess what i don't understand is what compells people to post about it on social media. just enjoy the warm fuzzies it gives you and carry on with your saturday contouring 😉
 
I think at the core the interaction posted is really cute. Basically, he took care of someone and that same person then took care of him indirectly. i guess what i don't understand is what compells people to post about it on social media. just enjoy the warm fuzzies it gives you and carry on with your saturday contouring 😉
Totally. Of course, we all have parents with differing degrees of health, and I am glad she got a great surgery, from a great surgeon, it sounds like. I think a simple, "mom just had her hip replaced by a compassionate and skillful surgeon, mom is doing great" would have sufficed. As oncologists and more importantly, physicians, we all know how precious life is so a good surgery is definitely something to be happy and grateful.

However, posting patient x-ray images (consent, maybe, maybe not), from personal communications between a surgeon and patient's relative (ET not functioning as a physician in this context) using a non-compliant platform, announcing that his surgeon has cancer (again, consent, maybe, maybe not) and calling him a "bad a-- mother f-----" is on a totally different level.
 
I wasn’t making a value judgement per se, just surprising that there isn’t some hospital policy or something against it
Definitely, doesn’t bother me at all personally. It is kind of cute.

But we potentially have direct evidence of two physicians breaking long standing federal privacy protection in 1 tweet.
 
The currency of their world (“peer reviewed publications”) is starting to mean less and less, when a southern RO with zero academic infrastructure can figure this out on his own.
So the academicians over at ASTRO still technically push the almost 10-year-old opinion that we should be using 3D for breast:

View attachment 354070

But:

View attachment 354071

Surely it must be greedy private practice docs doing this?

View attachment 354072

Hmmm...
Any Joe Q. Radonc can figure this out. Just cross-correlate ICD/CPT Medicare data, and follow Jordan Johnson on Twitter. He's got the insurance data. (I'm still not exactly sure how.) Simul just a few months ago was showing how a single breast patient can net an insane amount of profit for a proton center:



The average proton commercial about $200K (for "23 fractions") vs ~$10K for EBRT. (Would be ~$15K for IMRT Medicare, but can go a lot higher were it insurance. Be that as it may...)



And can we be sure that proton places are hypofractionating their breast patients? No.



 

What a weird comment to make to an Army trauma surgeon who probably acutely saved many, many lives here and abroad. Thanks Drew for making us radoncs look terrible. I suppose it is better than calling the surgeon a MFer in a tweet about his mother. Still unclear if surgery was performed or that Evan has a new daddy.
 
What a weird comment to make to an Army trauma surgeon who probably acutely saved many, many lives here and abroad. Thanks Drew for making us radoncs look terrible. I suppose it is better than calling the surgeon a MFer in a tweet about his mother. Still unclear if surgery was performed or that Evan has a new daddy.

He’s such a clown

I met him at a conference once and he was incredibly arrogant, just talked about himself and blew me off

Wish he got off Twitter, agree he makes us look terrible
 
I saw him once, didn’t care to get to know him. Now if he had a dress on…

Hence why I can never be on Twitter!
 
Last edited:
Top