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.
Members don't see this ad.
Fpg1245 said:
I often wonder if it was always like that or just the need to prove oneself even in the most trivial sense makes one almost psychotic.
Click to expand...
There are just some people who truly enjoy sadistically making other people suffer in the power structure. And they gravitate to the environment that allows them to enjoy this pleasure.
 
sirspamalot said:
And the funny thing is.. I really* wanted to be a Chairman at a Top 10 place and was "on that track" but just hated (I mean truly despised) some of my fellow staff and the general environment (at a Top 10 place). Left for private practice, made 2M+ year 1, and that was the end.

I enjoyed writing papers and doing that stuff.. but, no real regrets. I would enjoy teaching residents, reviewing/editing papers etc but I absolutely will not tolerate the psychopathy that was legendary at my institution.
Click to expand...
I really do think I would enjoy teaching residents, but echo avoiding some of the personalities. I just don't have a filter any more and would probably say something stupid.
 
TheWallnerus said:
"I'm going to give some big 'ol radiation doses to a major organ with no evidence that it works"

Whether evidence is there or not, this is not the mindset of a doctor I'd like treating me
Click to expand...

Can you believe this person was almost the top education leader within ASTRO? 🤣

Insane, even by Rad Onc standards.
 
RealSimulD said:
Ignoring her comments about resident quality, which annoy me to this day, pretty much every one that is in her orbit loves her as a teacher and mentor. So, that’s something.
Click to expand...

She did expand Columbia's resident compliment from 6 to 8 residents in 2019 when she became chair there. That really probably says it all (along with her truly appaling public ABR statements).
 
fiji128 said:
She did expand Columbia's resident compliment from 6 to 8 residents in 2019 when she became chair there. That really probably says it all (along with her truly appaling public ABR statements).
Click to expand...
Whatever “legacy” was there from research it is tarnished by incredibly consistently poor “leadership” and judgement
 
This just in.. An unbiased reason to pour more money into radiation. Oh not us you silly goose... Proton Centers.

www.linkedin.com

Economics of Healthcare: Why Proton Therapy Research Funding is Important

By: Ron DiGiaimo, MBA, FACHE and Bri Driggers Healthcare has made a major impact on our country’s economy, and it is interesting to see how cancer care fits into that picture. There are many moving parts to the oncology portion of healthcare economics; medical oncology and the associated high-cost d
www.linkedin.com www.linkedin.com

I tip my hat to Ron. He smiled and aw shucked who me!? himself submissively to radoncs... and made many many millions. He is personable and knows his stuff but the conflicts of interest are... legend.
 
fiji128 said:
She did expand Columbia's resident compliment from 6 to 8 residents in 2019 when she became chair there. That really probably says it all (along with her truly appaling public ABR statements).
Click to expand...
I think she said you need 8 post 2016 residents to get a cumulative IQ equivalent to 6 pre 2016 residents.
 
sirspamalot said:
This just in.. An unbiased reason to pour more money into radiation. Oh not us you silly goose... Proton Centers.

www.linkedin.com

Economics of Healthcare: Why Proton Therapy Research Funding is Important

By: Ron DiGiaimo, MBA, FACHE and Bri Driggers Healthcare has made a major impact on our country’s economy, and it is interesting to see how cancer care fits into that picture. There are many moving parts to the oncology portion of healthcare economics; medical oncology and the associated high-cost d
www.linkedin.com www.linkedin.com

I tip my hat to Ron. He smiled and aw shucked who me!? himself submissively to radoncs... and made many many millions. He is personable and knows his stuff but the conflicts of interest are... legend.
Click to expand...
I think Ron has a good point in one part of the article, paraphrasing - radiation oncology spending is about 2% of all oncology and proton therapy is about 2% of that. Basically peanuts.

I think we should be tooting our value-based-care horn pretty loudly at this point. For a treatment that half of cancer patients receive, with many of them cured, 2% of the total oncology pie is a steal for patients and payors.
 
IonsAreOurFuture said:
I think Ron has a good point in one part of the article, paraphrasing - radiation oncology spending is about 2% of all oncology and proton therapy is about 2% of that. Basically peanuts.

I think we should be tooting our value-based-care horn pretty loudly at this point. For a treatment that half of cancer patients receive, with many of them cured, 2% of the total oncology pie is a steal for patients and payors.
Click to expand...
Anybody have updated statistics on the "half curative half palliative" line?

Doesn't feel true anymore
 
IonsAreOurFuture said:
I think Ron has a good point in one part of the article, paraphrasing - radiation oncology spending is about 2% of all oncology and proton therapy is about 2% of that. Basically peanuts.

I think we should be tooting our value-based-care horn pretty loudly at this point. For a treatment that half of cancer patients receive, with many of them cured, 2% of the total oncology pie is a steal for patients and payors.
Click to expand...
Money better spent on trials to actually prove protons > photons
 
IonsAreOurFuture said:
I think Ron has a good point in one part of the article, paraphrasing - radiation oncology spending is about 2% of all oncology and proton therapy is about 2% of that. Basically peanuts.

I think we should be tooting our value-based-care horn pretty loudly at this point. For a treatment that half of cancer patients receive, with many of them cured, 2% of the total oncology pie is a steal for patients and payors.
Click to expand...

It's a good point, but protons are such an easy target politically, and as the data has not shown them to decrease toxicity as was promised for the high cost (10% rate of ORN anyone?), it's not good for our specialty to have that target around.
 
IonsAreOurFuture said:
I think Ron has a good point in one part of the article, paraphrasing - radiation oncology spending is about 2% of all oncology and proton therapy is about 2% of that. Basically peanuts.

I think we should be tooting our value-based-care horn pretty loudly at this point. For a treatment that half of cancer patients receive, with many of them cured, 2% of the total oncology pie is a steal for patients and payors.
Click to expand...

A great way to toot our value based care horn is not to open a proton center and load it with breast cancer cases. It's just a disingenuous argument. We have half the proton centers in the world and they are heisting medicare right now by treating a lot of patients that even ASTRO says should only be treated on trial. Funding is not the barrier to proton research. It's greed.

I see papers about underserved regions. I see calls for equity. I see calls for value based care. Yet, I see no one writing papers about how we should better fund rural photon linacs. Weird.
 
OTN said:
It's a good point, but protons are such an easy target politically, and as the data has not shown them to decrease toxicity as was promised for the high cost (10% rate of ORN anyone?), it's not good for our specialty to have that target around.
Click to expand...

IF the randomized trials are negative, then it will also have been gambling any future trust or hope for higher reimbursement if/when we come up with better tech or another indication for radiation or future ideas for radiation...

"You lied to us about proton therapy, why should we believe you about MRI/adaptive, radiation for arthritis, etc?"
 
BobbyHeenan said:
IF the randomized trials are negative, then it will also have been gambling any future trust or hope for higher reimbursement if/when we come up with better tech or another indication for radiation or future ideas for radiation...

"You lied to us about proton therapy, why should we believe you about MRI/adaptive, radiation for arthritis, etc?"
Click to expand...

If Ortho has taught medicine anything. Lack of evidence doesn’t mean lack of coverage.
 
NotMattSpraker said:
I see papers about underserved regions. I see calls for equity. I see calls for value based care. Yet, I see no one writing papers about how we should better fund rural photon linacs. Weird.
Click to expand...
Not weird at all. To paraphrase Frank Herbert from "Dune"

The Radiation Oncology ruling class (including ASTRO/SCAROP) for whom value-based guidelines and discussions of equity were a kind of puppet show to amuse the field and keep it docile believed essentially that all radiation- even protons - could be reduced to profit motive.
 
Fpg1245 said:
If Ortho has taught medicine anything. Lack of evidence doesn’t mean lack of coverage.
Click to expand...

I don't know the ortho literature, but I presume they don't run huge randomized trials to ever dis prove their prior therapies.

I'm just spit balling on the internet though. Maybe wrong here.
 
Gfunk6 said:
"Aggressive palliative radiotherapy," "eradication of all known disease," and "durable local control" are also known as "not medically necessary" by our dear friends in EvilCore (tm).
Click to expand...
This is why for every insurance company patient treated the professed intent to the insurance company should be definitive intent, as defined by the NCI
 
RO28 said:


okay so yeah the culture towards women is absolutely abysmal...but man there is so much more to unpack in this interview.
Click to expand...


Idk sucha but I have met people that crossed his path over the years. Firmly 2 camps. Those who loved him and those who chose not to say anything.

This is kids stuff though compared to the overt sexism and criminality that exists beyond the spotlight in radiation oncology.

We should be better than this but we are not but introspection was never the establishments strong suit.
 
Luther Brady sliced and diced authorships in his papers and textbook however the hell he wanted 🙂 and as a junior author, our job was to stay quiet
 
There is so much to unpack with this interview.

- Why did they publish this and then basically never mention it's existence (published in 2021), in the light of ASTRO's focus on gender/race/sexuality (anything but cancer)?
- Why do this after he's dead?
- Dr. Lawton's interview technique leaves something to be desired... "I was treated horribly and in such a sexist way." "Ah... wonderful, now tell me about your garden"
- Will there by (faux) outrage demanding the changing the names of lectures and anything with his name on it?
- Will anyone speak up/out over similar things continuing to happen or is #metoo completely dead after the excesses of the movement swallowed up many good people?
 
RealSimulD said:
There is so much to unpack with this interview.

- Why did they publish this and then basically never mention it's existence (published in 2021), in the light of ASTRO's focus on gender/race/sexuality (anything but cancer)?
- Why do this after he's dead?
- Dr. Lawton's interview technique leaves something to be desired... "I was treated horribly and in such a sexist way." "Ah... wonderful, now tell me about your garden"
- Will there by (faux) outrage demanding the changing the names of lectures and anything with his name on it?
- Will anyone speak up/out over similar things continuing to happen or is #metoo completely dead after the excesses of the movement swallowed up many good people?
Click to expand...
Also it makes Dr Asbell look like a helpless damsel with no agency and exposes too much personal travails of her life in a way that really is kind of demeaning. Just because someone gives you personal info in an interview doesn’t mean you have to put on a public website.
 
Also not to mention her personal relationships?! Her spouse sounds like he was (and continues to be) a real winner too.

Whyyyyy was this not edited??! It is so so hard to care for a loved one when they have serious health issues, especially when they may not have been so supportive when the other person in the partnership needed it earlier in the relationship. To have that exposed publicly is embarrassing for the person who hit publish on this.
 
RO28 said:
Also not to mention her personal relationships?! Her spouse sounds like he was (and continues to be) a real winner too.

Whyyyyy was this not edited??! It is so so hard to care for a loved one when they have serious health issues, especially when they may not have been so supportive when the other person in the partnership needed it earlier in the relationship. To have that exposed publicly is embarrassing for the person who hit publish on this.
Click to expand...

LOL they literally included a transcript of Barthold being called out of his office to go to clinic.
 
I don't know...

Part of me thinks that there should be a statute of limitations on being a run-of-the-mill jerk. Truly egregious behavior should leave a permanent stain, but it always seems kinda weird to be publicly condemning someone 3 decades after the fact for some ***-holery that we have all probably witnessed in the past 5 years in our own lives... like if I am hearing this story, I should be hearing 10,000 others too, and then I would be hearing about mundane jerks all day.
 
Lamount said:
I don't know...

Part of me thinks that there should be a statute of limitations on being a run-of-the-mill jerk. Truly egregious behavior should leave a permanent stain, but it always seems kinda weird to be publicly condemning someone 3 decades after the fact for some ***-holery that we have all probably witnessed in the past 5 years in our own lives... like if I am hearing this story, I should be hearing 10,000 others too, and then I would be hearing about mundane jerks all day.
Click to expand...
Yeah, I agree with this.
 
Hello! Sorry to bother you: i'm a med student in Europe thinking about Radonc.
After reading all what i've read.... well... cold shower lol

Do some of you know how is the job market in Europe ? As ****ty as in US?

Should i run away ?

thank you
 
shallwegoout said:
Hello! Sorry to bother you: i'm a med student in Europe thinking about Radonc.
After reading all what i've read.... well... cold shower lol

Do some of you know how is the job market in Europe ? As ****ty as in US?

Should i run away ?

thank you
Click to expand...
Depends on what part of Europe - while it's not done in America, there's a good chunk of countries where Oncologists deliver both radiation and chemo...unless we cure cancer, that's a pretty safe gig.
 
shallwegoout said:
Hello! Sorry to bother you: i'm a med student in Europe thinking about Radonc.
After reading all what i've read.... well... cold shower lol

Do some of you know how is the job market in Europe ? As ****ty as in US?

Should i run away ?

thank you
Click to expand...
No, it´s not that bad. You will however not make the figures that many of the US colleagues make. 🙂

It's important to know however which part of Europe you want to work at, which again has to do with the language(s) you speak.
 
You must log in or register to reply here.

Similar threads

uchihastan
Rad Onc vs. Heme/Onc
Replies
18
Views
2K
medgator
M
B
Rad Onc Procedures and RVUs
Replies
35
Views
5K
CurbYourExpectations
CurbYourExpectations
D
Saving Rad Onc
2
Replies
60
Views
7K
RickyScott
R
TheWallnerus
Rad Onc is in a dark place
Replies
13
Views
3K
RickyScott
R
M
Rad Onc Oral Boards: To quote or not quote studies?
Replies
2
Views
195
medgator
M
Top