Rad Onc Twitter

[Radonc90]

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1) Oh my God, I agree with Ralph.

2) As someone who has a PhD, Brian NAILS IT for me here. I fit into most of those boxes (burned out, slow project, want to focus on clinical learning). That being said...I can still play the game, and have managed to author or co-author over a dozen manuscripts in residency. Are any of them good? Eh...

Actually,

I only agree with 50% of what RW said: junky research ---> no. Great research ---> YES!
RW has this superiority syndrome, everyone below him and not doing lab research is considered inferior.

BK is right though, the emphasis needs to be clinical. Those who wish to pursue academic/advancement etc., then pursue research and publish.

Anyway, surgonc has similar issues, even with surplus of surgonc's, many of them have PhD and pursues lab research.
What I have learned over the years, the guys that publish a lot of pancreatic gene research is very lousy in the OR doing a Whipple procedure...
It is close to impossible being good in both lab and clinical, no matter what specialty you are in.
Excellent clinical skills are already very difficult to achieve!

 

[Krukenberg]

I’ve always been impressed with how many academic neurosurgeons have their own labs. Don’t know how they do it, but I guess you can’t ever fault their work ethic

 

[elementaryschooleconomics]

When the sun goes down, the radical candor comes out!

 

[deleted605854]

When the sun goes down, the radical candor comes out!

View attachment 321683

Wow! Radical candor and Talmudic inspired admonishment

Perhaps Ralph sifted through the CVs of the applicants to his program and got upset. He needed to vent

It's ok Ralph. Your oligomet idea came to full fruition thanks to a hard working mega energy Canuck. You can retire now

 

[kimplera]

there has been an enormous investment in radiation/immunotherapy research, to the point that nearly every person that I knew from residency that was successful getting a position doing some basic/translational work is doing this. This is obviously important work, but not a wise allocation of resources or talent from a distant perspective.

All great points, but this one especially...

 

[Radonc90]

RW is a A-hole, sometimes.
He should retire, leaving room for young bright people to take over.

 

[thecarbonionangle]

RW is a A-hole, sometimes.
He should retire, leaving room for young bright people to take over.

he is not wrong that MPH is a useless degree. A broken clock is right at times folks!

 

[Radonc90]

Yeah,

But RW forgot to read ASTRO policy that they love to police Twitter and asks ASTRO members to be respectful to each other.
Remember ASTRO posted some BS a few months ago ..."While we cannot control one's tweet...".

Someone needs to send this link to RW:

Board and Leadership - American Society for Radiation Oncology (ASTRO)

The Board is composed of 15 members: Chair of the Board, President, President-elect, Secretary/Treasurer, Immediate Past Chair of the Board, Chair and Vice-chair of the Clinical Affairs and Quality Council, Chair and Vice-chair of the Education Council, Chair and Vice-chair of the Government...

www.astro.org

 

[thecarbonionangle]

Yeah,

But RW forgot to read ASTRO policy that they love to police Twitter and asks ASTRO members to be respectful to each other.
Remember ASTRO posted some BS a few months ago ..."While we cannot control one's tweet...".

Someone needs to send this link to RW:

Board and Leadership - American Society for Radiation Oncology (ASTRO)

The Board is composed of 15 members: Chair of the Board, President, President-elect, Secretary/Treasurer, Immediate Past Chair of the Board, Chair and Vice-chair of the Clinical Affairs and Quality Council, Chair and Vice-chair of the Education Council, Chair and Vice-chair of the Government...

www.astro.org

of course “be professional” only applies to some and certainly always used to silence other views in medicine. Rohub is a total dumpster fire where nobody can speak their mind. The ASTRO goon squad who police it frothing at the mouth that someone spoke badly about the “leaders” is the real echochamber. Steinberg and Randall posting absolute nonsense bs without being challenged is a great example of the state of our field. These corrupt warm body lovers need to be put out to pasture. They have raked it for long enough.

 

[Radonc90]

I saw the Steinberg's BS.
But somehow missed the Randall stuff...

 

[medgator]

I saw the Steinberg's BS.
But somehow missed the Randall stuff...

Upton Sinclair:
"It is difficult to get a man to understand something when his salary depends upon his not understanding it"

 

[Radonc90]

Thanks for the Randall stuff.
I thought most of his stuff sounded "more naive" than harmful.
Steinberg stuff was harmful to young trainees.

 

[medgator]

Thanks for the Randall stuff.
I thought most of his stuff sounded "more naive" than harmful.
Steinberg stuff was harmful to young trainees.

Naivete regarding the job market and oversupply can be very harmful to young trainees (and med students!)

 

[Radonc90]

On a different topic: Patient Advocate at ASTRO20...

For a patient to post this, it is incredible, it makes me sad...

 

[Ray D. Ayshun]

On a different topic: Patient Advocate at ASTRO20...

For a patient to post this, it is incredible, it makes me sad...

I certainly have less than stellar feelings about ASTRO, but I'm not sure I can argue they're not advocates for patients. I don't think I understand the tweet, though like most tweet that don't start with "honored to be...," it has the typical outrage.

 

[radiation]

I certainly have less than stellar feelings about ASTRO, but I'm not sure I can argue they're not advocates for patients. I don't think I understand the tweet, though like most tweet that don't start with "honored to be...," it has the typical outrage.

I think they were charging patient advocates to participate. First it was $500, then $200 after some gnashing of teeth. Refused to give free registration

 

[medgator]

I certainly have less than stellar feelings about ASTRO, but I'm not sure I can argue they're not advocates for patients. I don't think I understand the tweet, though like most tweet that don't start with "honored to be...," it has the typical outrage.

This sounds tone deaf nonetheless

 

[Ray D. Ayshun]

I think they were charging patient advocates to participate. First it was $500, then $200 after some gnashing of teeth. Refused to give free registration

I guess I also don't know what to make of that. I'm a patient advocate. I didn't get free admission. Cancer survivor, too. Sometimes, things aren't free. I'd prefer we make things that are important and necessary free. A conference about implicit bias and spine SBRT isn't one of those things.

 

[elementaryschooleconomics]

Ugh, charging full price for most of the participants for this leaves such a bad taste in my mouth. While I think they did a good job for what it was, this stains ASTRO for me forever. Though I may disagree with their stance on certain things (antitrust, collusion, etc) I can at least understand their viewpoint. In this case, it felt like a moneygrab in a time when things aren't going great, and other conferences this year were either free or reduced cost. It was tone deaf.

 

[Mandelin Rain]

I mean, the conference is happening anyway. It doesn't cost more to have patients audit it unless you get deluged with patient advocates and need bigger spaces. Virtual conference? no more expense.

 

[Ray D. Ayshun]

I mean, the conference is happening anyway. It doesn't cost more to have patients audit it unless you get deluged with patient advocates and need bigger spaces. Virtual conference? no more expense.

I don't disagree. Members too. But it's far from a travesty. what's more confusing is that a pretty involved patient advocate thinks something relevant will happen at ASTRO, though based on the rest of her twitter page, I'm pretty sure I know which talks she wanted to stream.

 

[deleted605854]

Is ASTRO the only professional medical society to mandate that patient advocates pay to register for a virtual meeting?

 

[RickyScott]

Is ASTRO the only professional medical society to mandate that patient advocates pay to register for a virtual meeting?

View attachment 321788

wouldn’t be surprised

 

[medgator]

Is ASTRO the only professional medical society to mandate that patient advocates pay to register for a virtual meeting?

View attachment 321788

Based on what was described about asco, maybe?

 

[Ray D. Ayshun]

Is ASTRO the only professional medical society to mandate that patient advocates pay to register for a virtual meeting?

View attachment 321788

What they did discouraged her from watching any of the conference. I'm not understanding why she's not thanking them.

 

[medgator]

Simul you're always welcome here.

I just hope that when they finally throw me out of academics and all their affiliates for my online identity that there will be a job left for me to go to.

Word on the street is that the WWC crowd brought on the heat and got to SimulD

 

[elementaryschooleconomics]

Word on the street is that the WWC crowd brought on the heat and got to SimulD

Ah...and that's why I only lurk Twitter, it's such a dangerous place. Can't say I'm surprised, but I'm definitely disappointed.

Not surprised but disappointed sums up my feelings on RadOnc in general in 2020.

 

[RadOncMegatron]

Word on the street is that the WWC crowd brought on the heat and got to SimulD

Ok I admit I’m stupid. Now please tell what WWC stands for. Somebody else tell me I’m not the only one who doesn’t know lol

 

[RadOncMegatron]

I think they were charging patient advocates to participate. First it was $500, then $200 after some gnashing of teeth. Refused to give free registration

Wow the thread. I think it would’ve been ok to let anyone with terminal cancer to join online free if requested and seems like other MDs did in fact try to advocate for her behind the scenes. Now ASTRO has to deal with Narjust Duma and her virtue signaling. Better watch out before Esther Choo, Argahavan Salles, and Roxana Daneshjou join the party too! LOL

 

[MegaVoltagePhoton]

Ok I admit I’m stupid. Now please tell what WWC stands for. Somebody else tell me I’m not the only one who doesn’t know lol

women who curie

 

[Mandelin Rain]

This specialty has become a bad melodrama.

 

[thecarbonionangle]

Ok I admit I’m stupid. Now please tell what WWC stands for. Somebody else tell me I’m not the only one who doesn’t know lol

googled it and got these top hits

1) water weed cigs
2) woman's world cup
3) white working class
4) white wide c@@@

now take your pick!

 

[RadOncDoc21]

googled it and got these top hits

1) water weed cigs
2) woman's world cup
3) white working class
4) white wide c@@@

now take your pick!

I think I’m going to have pass on all unless 1) is code for something else.

 

[Mandelin Rain]

What did Simul do to offend the WWC crowd?

 

[thecarbonionangle]

What did Simul do to offend the WWC crowd?

don’t f$&@ with the WWC!

 

[w00tz]

What did Simul do to offend the WWC crowd?

Yea, weird to me. I thought he helped call out the ABR when those stories about pregnant/breastfeeding rad oncs taking the boards were coming out.

 

[elementaryschooleconomics]

What did Simul do to offend the WWC crowd?

If this is true, I imagine him openly debating Chelain could have been interpreted as "being on MROGA's side". Per her post earlier in this thread, the anonymous Twitter accounts are seen as "ganging up" on the pro-RadOnc crowd:

I am in agreement with much of what Chirag and others have said. But, it's hard to watch people who spend a lot of time and energy working on these issues get ganged up on in a public forum. I find it stressful to see anonymous people say there are no jobs when I know that if I had been reading these comments as a 3rd or 4th year medical student they would have profoundly influenced my decision to go into radiation oncology.

Chelain and her crew (the ARRO kids of past, present, and future) are generally very popular. While I disagree with her engaging as she did in this instance, I would also count myself as a Chelain/ARRO fan.

But as Prasad talked about a few weeks ago, it's very hard to "agree with someone 60%", ESPECIALLY on Twitter. Simul trying to take a measured approach in that debate, in light of all of his previous statements, was probably a bridge too far for the heavy-handed environment that is Twitter. WWC/the RaRaRadOnc Twitterati hold A LOT of power in the high school drama that is Radiation Oncology in America. Once he was perceived to be on the "wrong side"...it was over for him, regardless of who or what he's supported in the past.

It's just what happens on Twitter. It's why this thread was started on SDN in the first place! So, all you lurking medical students who created Twitter accounts to interact with program and faculty...I wish you the greatest of luck.

 

[scarbrtj]

What did Simul do to offend the WWC crowd?

Something disgusting and unconscionable. He disagreed with them.

 

[deleted605854]

Removed per guidelines

Probably best not to waste my time here anyways

Bye

 

[radoncqs]

Wait...I thought this was America?

Dear medical students who've rotated with me in the last few months. You know who you are and you can probably recognize who I am from my style of writing. I sincerely wish you the best with these crazy people. You will match this year. Celebrate early.

I called Chelain a gaslighter. I did not commend her for showing up on SDN because I knew Simul would be obliterated. Hell, I thought Shah would get in trouble but I guess he's too senior for that. I hope Bates got off unscathed. Can you imagine what would happen to me if I called her a gaslighter on Twitter ? Thank God for SDN.

Woah woah woah - what is this, the Salem Witch Trials? I am friends with Simul. Whenever I disagree with something he says on twitter, I talk to him. Personally. I don't think he even commented more than once during that conversation and what he said was nice?

I don't know who you mean by "Women Who Curie" because we're not a single group let alone a single organized group - but I can assure you I didn't have anything to do with Simul leaving Twitter. I will always engage with people who wish to engage with me. I'm not sure what I've said that would be considered gaslighting? I believe I've always been honest (to a fault).

Be careful what you read on the internet.

-Chelain

 

[evilbooyaa]

I caution SDN from posting unconfirmed rumors or musings as to why Simul left twitter. I consider Chelain to be an approachable person and, as a SDN user, is afforded all protections against direct attacks as all other SDN members.

Disagree with the ideas/thought processes and attack those, not the person.

 

[RickyScott]

Woah woah woah - what is this, the Salem Witch Trials? I am friends with Simul. Whenever I disagree with something he says on twitter, I talk to him. Personally. I don't think he even commented more than once during that conversation and what he said was nice?

I don't know who you mean by "Women Who Curie" because we're not a single group let alone a single organized group - but I can assure you I didn't have anything to do with Simul leaving Twitter. I will always engage with people who wish to engage with me. I'm not sure what I've said that would be considered gaslighting? I believe I've always been honest (to a fault).

Be careful what you read on the internet.

-Chelain

Disagree with you on some issues, but support what you are doing.

 

[elementaryschooleconomics]

Woah woah woah - what is this, the Salem Witch Trials? I am friends with Simul. Whenever I disagree with something he says on twitter, I talk to him. Personally. I don't think he even commented more than once during that conversation and what he said was nice?

I don't know who you mean by "Women Who Curie" because we're not a single group let alone a single organized group - but I can assure you I didn't have anything to do with Simul leaving Twitter. I will always engage with people who wish to engage with me. I'm not sure what I've said that would be considered gaslighting? I believe I've always been honest (to a fault).

Be careful what you read on the internet.

-Chelain

You don't find it plausible that someone who uses Twitter and has clout in our field, could have, in solidarity with you, taken offense on your behalf and talked to someone behind the scenes to set certain events in motion?

I would never in a million years think you had anything to do with it or wish anything negative to happen to anyone, ever, but this is well within the scope of what happens on Twitter and in medicine, one of the most tribal and ego-driven professions on the planet. You're right, you're not a monolith, that's unfair. The timing of events places "Twitter Cancel Culture" on the differential, and the people involved could be anyone. Perhaps it had nothing to do with that Twitter thread and the timing is pure coincidence, that's also on the differential.

 

[thecarbonionangle]

I doubt there was any specific thing that triggered. Bottomline if you disagree with the powers you are seen as a “bad apple” and “not a team player”. That sometimes has consequences.

 

[deleted605854]

SDN discussions are futile. They no longer serve even as cathartic release.

 

[deleted605854]

Woah woah woah - what is this, the Salem Witch Trials? I am friends with Simul. Whenever I disagree with something he says on twitter, I talk to him. Personally. I don't think he even commented more than once during that conversation and what he said was nice?

I don't know who you mean by "Women Who Curie" because we're not a single group let alone a single organized group - but I can assure you I didn't have anything to do with Simul leaving Twitter. I will always engage with people who wish to engage with me. I'm not sure what I've said that would be considered gaslighting? I believe I've always been honest (to a fault).

Be careful what you read on the internet.

-Chelain

I never mentioned women who curie

I meant rad oncs on Twitter in general

I just wanted to clarify that

 

[elementaryschooleconomics]

ASTRO 2020 has been the most ELECTRIFYING week in Radiation Oncology in years, maybe ever!

 

[RadOncG]

ASTRO 2020 has been the most ELECTRIFYING week in Radiation Oncology in years, maybe ever!

I'm sad to have missed Paul's commentary on the conference. Seems he was placed in twitter jail.

 

[RadOncDoc21]

I'm sad to have missed Paul's commentary on the conference. Seems he was placed in twitter jail.

View attachment 321798

Just make sure he doesn’t drop the soap!

 

[elementaryschooleconomics]

I'm sad to have missed Paul's commentary on the conference. Seems he was placed in twitter jail.

View attachment 321798

Oh wow...though to be honest, I'm surprised it took this long, that account (while funny) did seem to push the boundary of Twitter's rules...which is evident by this screenshot, haha.