Rad Onc Twitter

[OTN]

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How does this get thumbs down. IMPORT LOW and Livi are very mature, thousands of patients, etc. There’s as much clinical indication to irradiate elbow as there is uninvolved breast in women who are PBI appropriate (and we know what we’d say about a rad onc who was irradiating elbow for a breast cancer case). PBI pays just as well as whole breast too 😉 maybe even more depending on the insurance guideline.

First, I'd like to start with the caveat that I love Livi and do it as much as I possibly can.

"Misadministration" is far too strong of a word here, as it has a legal definition in radiation oncology, and treating with a different volume and fractionation scheme than what the original twitter OP would prefer isn't it. It's also not even close to a tragedy, and with the difficulty we have in the media when it comes to radiation already, this kind of hyperbole isn't helpful.

Also, what about a perfectly healthy woman who underwent an oncoplastic lumpectomy who is older than 70 and would benefit from whole breast RT? Would it be misadministration and tragic to give her 15 or 16 fractions of whole breast RT?

 

[NotMattSpraker]

My dad would call this talking out both sides of your mouth. And ASTRO is great at it.

I oppose it primarily because I dont think legislating fixed income and unchecked power for a medical society is a good idea. It seems like an especially bad idea for a society that is highly opaque and loaded with COI like ASTRO.

Given that physicians seem to be ever more vocal about regulatory capture in medicine, it's shocking to me that so many people are okay with it.

 

[RickyScott]

I oppose it primarily because I dont think legislating fixed income and unchecked power for a medical society is a good idea. It seems like an especially bad idea for a society that is highly opaque and loaded with COI like ASTRO.

Given that physicians seem to be ever more vocal about regulatory capture in medicine, it's shocking to me that so many people are okay with it.

Exactly- why would anyone want to empower such a bad actor.