Rad Onc Twitter

[Neuronix]

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Is that automatically at least a grade 2 toxicity, if not grade 3? Definitely not ribbed for your pleasure.

I have CTCAE grade 1 anxiety while reading that post.

 

[Gfunk6]

So . . . they shove that thing up your dingus daily for seven weeks? Well, at least you won't make a sound when you fart anymore.

 

[RickyScott]

So . . . they shove that thing up your dingus daily for seven weeks? Well, at least you won't make a sound when you fart anymore.

Balloon bros got this, no problem

 

[w00tz]

I reflexively tightened my sphincter at the sight of that.

 

[medgator]

I think i found something worse than spaceOAR... Although i suspect the colostomy risk is far lower

 

[Ray D. Ayshun]

why does it have to be attached to the couch? You could just have a patient choose from an assortment of things at consult, one of which he'll have to put in his ass each treatment: candle, banana, broom handle. Prolly lots cheaper than that thing.

 

[RickyScott]

why does it have to be attached to the couch? You could just have a patient choose from an assortment of things at consult, one of which he'll have to put in his ass each treatment: candle, banana, broom handle. Prolly lots cheaper than that thing.

Probably has some kind of motor attached to it…

 

[RadOncDoc21]

Going to prison is another viable option.

 

[elementaryschooleconomics]

Alright fine, their device can move small bowel, but mine can move the diaphragm!

 

[Lamount]

So . . . they shove that thing up your dingus daily for seven weeks? Well, at least you won't make a sound when you fart anymore.

I had a long day and this post had made laughing pretty hard

 

[Radonky]

But wait...there's more!

It also doubles as a bite block!

 

[SubserviantToABR]

But wait...there's more!

It also doubles as a bite block!

Wow, that left the taste of a 9 volt battery in my mouth, haha.

 

[evilbooyaa]

I reflexively tightened my sphincter at the sight of that.

You're not the only one.

Man we put our prostate patients through an awful lot just to get radiation. I think I'd rather just get surgery then have that shoved up my bum daily for even 4-5 weeks.

 

[metallica81788]

That device is how we get to more extreme hypofractionation even faster

I remember seeing that at ASTRO in 2017 and being scared coming from training where daily balloons were a thing.

 

[deleted941485]

That device is how we get to more extreme hypofractionation even faster

I remember seeing that at ASTRO in 2017 and being scared coming from training where daily balloons were a thing.

Those devices were as silly then as they are now. I remember my attending in residency talking about how he would use them regularly...even as a PGY-3 at the time I thought it was a bit much. Lost a ton of respect for people including my own attendings over that time frame. I think that was really just the first thing that made me think maybe we are just inventing reasons to complicate what should be a simple treatment.

 

[thecarbonionangle]

A giant rod up ur arse for radiation? WOW just when i thought i had seen it all. That looks massive.

 

[RickyScott]

That device is how we get to more extreme hypofractionation even faster

I remember seeing that at ASTRO in 2017 and being scared coming from training where daily balloons were a thing.

I think you could bill a device for the balloons daily or something like that.

 

[elementaryschooleconomics]

*several additional Spratt Tweets later*

This is peak RadOnc Twitter - Drew Moghanaki, OF ALL PEOPLE, is trying to police someone else's behavior, and Sue Yom is chastising him for using a gif OF A FICTIONAL BATMAN CHARACTER.

Strong work everyone.

 

[Neuronix]

@Dan Spratt

 

[TheWallnerus]

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*several additional Spratt Tweets later*

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This is peak RadOnc Twitter - Drew Moghanaki, OF ALL PEOPLE, is trying to police someone else's behavior, and Sue Yom is chastising him for using a gif OF A FICTIONAL BATMAN CHARACTER.

Strong work everyone.

Sue's murdering good fun. I'm pretty sure Drew would be at home in the Arkham Asylum.

 

[Lamount]

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*several additional Spratt Tweets later*

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This is peak RadOnc Twitter - Drew Moghanaki, OF ALL PEOPLE, is trying to police someone else's behavior, and Sue Yom is chastising him for using a gif OF A FICTIONAL BATMAN CHARACTER.

Strong work everyone.

Aside from the drama around threatening comic book characters, this should be an interesting debate. It's really important question with huge implications. On the one hand, RCT are the gold standard and one will always question the conclusions of any study that isn't a RCT. On the other hand, with the RCTs that ask the most important questions, accrual is very challenging... especially when we are talking about including specific molecular subtypes. I keep on flip-flopping on what I think.

 

[Ray D. Ayshun]

Could we please incorporate "do what sounds reasonable" to oneself into NCCN guidelines for all disease sites prior to upcoming oral boards?

 

[TheWallnerus]

On the one hand, RCT are the gold standard and one will always question the conclusions of any study that isn't a RCT

So should I question if smoking causes lung cancer

 

[dieABRdie]

Me: *scrolling through cat pics on Twitter, briefly forgetting my day job*

Twitter: "HEY HAVE YOU EVER BEEN ANNOYED BY BOWEL AND WANTED TO PHYSICALLY DO SOMETHING ABOUT IT? TRY THIS ONE EASY TRICK!"

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Rad Onc research... Med Oncs are developing novel targeted agents and immunotherapies leading to ever expanding indications for treatment. We are busy shoving things up peoples rectums.

Less assplay more innovation please...

 

[Lamount]

So should I question if smoking causes lung cancer

Sure... go for it! haha

I guess I should have specified "therapeutic" trials

 

[thecarbonionangle]

Many humourless turtles in our field. WHY SO SERIOUS???!!!!

 

[thecarbonionangle]

Rad Onc research... Med Oncs are developing novel targeted agents and immunotherapies leading to ever expanding indications for treatment. We are busy shoving things up peoples rectums.

Less assplay more innovation please...

We shove rods because there are no rad onc girbles

 

[elementaryschooleconomics]

1) I'm an Ashwin fan

2) "I presume Dr Spratt is not a murderer or supportive of murderers" should be the ASTRO 2021 tagline. Perhaps ADROP can use it at their next propaganda webinar trying to lure medical students into the field?

"RadOnc: generally against murder, maybe."

 

[Ray D. Ayshun]

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1) I'm an Ashwin fan

2) "I presume Dr Spratt is not a murderer or supportive of murderers" should be the ASTRO 2021 tagline. Perhaps ADROP can use it at their next propaganda webinar trying to lure medical students into the field?

"RadOnc: generally against murder, maybe."

Once again, thank goodness sdn radonc isn't radonc Twitter. What a cesspool.

 

[Ray D. Ayshun]

We shove rods because there are no rad onc girbles

?????

https://mobile.twitter.com/lemmiwenks?lang=en

 

[deleted1111261]

Once again, thank goodness sdn radonc is radonc Twitter. What a cesspool.

Seriously. Wow. That’s all I can say these days wrt Twitter.

 

[deleted1111261]

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1) I'm an Ashwin fan

2) "I presume Dr Spratt is not a murderer or supportive of murderers" should be the ASTRO 2021 tagline. Perhaps ADROP can use it at their next propaganda webinar trying to lure medical students into the field?

"RadOnc: generally against murder, maybe."

@Dan Spratt is not supportive of murder nor is he a murderer, unless you count the rampant and relentless killing of prostate cancer.

 

[Ray D. Ayshun]

@Dan Spratt is not supportive of murder nor is he a murderer, unless you count the rampant and relentless killing of prostate cancer.

Nobody kills prostate cancer, just makes it undetectable for 10-20 years.

 

[RadOncDoc21]

Not going to lie… I’m so glad I didn’t go into academics!

 

[deleted1111261]

Nobody kills prostate cancer, just makes it undetectable for 10-20 years.

😂 true. Sleeper hold?

 

[medgator]

Not going to lie… I’m so glad I didn’t go into academics!

Best decision i ever made coming out of training was to go PP. Seems like it is getting worse on the other side as the years go on

 

[Lamount]

Nobody kills prostate cancer, just makes it undetectable for 10-20 years.

A wise man once told me “with a high enough dose of radiation, you can kill just about anything”

 

[RickyScott]

Best decision i ever made coming out of training was to go PP. Seems like it is getting worse on the other side as the years go on

Yip, imagine having to work with Drew, or for an Adam Dicker or Lisa Kachinic type and having no escape because of the horrible job market.

 

[elementaryschooleconomics]

Best decision i ever made coming out of training was to go PP. Seems like it is getting worse on the other side as the years go on

Every day, now, I wake up realizing I'm no longer trapped in the garbage fire that is Academic Radiation Oncology, and I feel a spring in my step, a flutter in my chest, a twinkle in my eye...because I'm free.

For my own amusement, I might bring a copy of my PhD dissertation into my private practice office so it can stare at me, like:

 

[evilbooyaa]

😂 true. Sleeper hold?

Dan Spratt's sleeper hold definitely kills more prostate cancer than other GU Rad Oncs.

 

[deleted1111261]

So…

announcement of kind of a weak debate from Astro editor in chief -> very good thread from a chairman (who I agreed with, but certainly points worth debating if you don’t agree) -> social media policing begins with a misunderstanding of GIFs and memes -> jokes made (some more clever than others) -> frustration with the direction this went, chairman deletes posts -> chief of social media police “finishes him”

This is RadOnc in a nutshell. How people see this trainwreck (potential jobs issue, academic arrogance, schoolmarm behavior, the need for constant lips on anus of gatekeepers) and aren’t completely turned off continues to surprise me. Don’t people know - these people are going to be your bosses and those that decide your future…

sigh …

 

[SubserviantToABR]

So should I question if smoking causes lung cancer

So…

announcement of kind of a weak debate from Astro editor in chief -> very good thread from a chairman (who I agreed with, but certainly points worth debating if you don’t agree) -> social media policing begins with a misunderstanding of GIFs and memes -> jokes made (some more clever than others) -> frustration with the direction this went, chairman deletes posts -> chief of social media police “finishes him”

This is RadOnc in a nutshell. How people see this trainwreck (potential jobs issue, academic arrogance, schoolmarm behavior, the need for constant lips on anus of gatekeepers) and aren’t completely turned off continues to surprise me. Don’t people know - these people are going to be your bosses and those that decide your future…

sigh …

I just read that thread, and my head hurts.

It sounds like some (particularly those with names that rhyme with GU) people in that thread have the endorectal stem (Rad Onc Twitter) stuck in their rectums.

 

[RadOncDoc21]

So…

announcement of kind of a weak debate from Astro editor in chief -> very good thread from a chairman (who I agreed with, but certainly points worth debating if you don’t agree) -> social media policing begins with a misunderstanding of GIFs and memes -> jokes made (some more clever than others) -> frustration with the direction this went, chairman deletes posts -> chief of social media police “finishes him”

This is RadOnc in a nutshell. How people see this trainwreck (potential jobs issue, academic arrogance, schoolmarm behavior, the need for constant lips on anus of gatekeepers) and aren’t completely turned off continues to surprise me. Don’t people know - these people are going to be your bosses and those that decide your future…

sigh …

I’m sure in all of their minds, they are superheroes with so many “gotcha” comments, but it’s all embarrassing.

The only way it makes sense for me is to imagine that they are first graders. I’ve learned in life it’s best to never argue with a fool or in this case fools. This is why I choose to remain anonymous and prefer SDN over Twitter as I know for sure my opinions would be taken out of context and my name would be dragged through the mud. Once the Twitter police comes in, all arguments cease and don’t move forward especially if it goes against the grain and it’s always the “popular” opinion of the self-selected crowd that “wins.”

These are our very outspoken and influential “leaders” and yet we wonder why our field is unpopular at the moment.

 

[TheWallnerus]

academic arrogance, schoolmarm behavior

Totally schoolmarmy in rad onc. I like that observation. Everyone wants to police everyone else. Sue Yom went totally School of Rock factotum on Dan. If I'm Dan it doesn't bother me though and I sure don't tweet delete. But I guess that's why Dan is chair. The MedNet once deleted a great (and tame) prostate DRE cartoon I posted because of many user complaints. So it doesn't surprise.

Rad onc culture versus other specialties' culture. For consideration: this month's Journal of Surgical Research. Can you imagine a cover like this on the Red Journal. Or a lead article like this...

 

[DoctwoB]

As a regular placer of things up patients rectums (fingers, ultrasound probes), even I think that looks rough. Even worse then endorectal coils for earlier MRIs, which im glad people realized that if we wanted widespread MRI use we’d need to learn to do it without shoving balloons into rectums.

also I’m no radonc, but isn’t it shoving the anterior rectal wall even more firmly onto the prostate?

 

[thecarbonionangle]

man that entire exchange makes me sad for our field with the fake outrage mob mentality, the inability to take a joke or any criticism. This field is doomed! Get out while you still can

 

[elementaryschooleconomics]

Whoever is running the VVPN Twitter account, I would like to deeply tip my hat to you:

 

[deleted1111261]

Pretty sure it’s BK 🙂

 

[BobbyHeenan]

I will (and my MD Anderson surg onc buddy agrees) forever believe real world data can’t control for the “ability/financial security to book a flight, healthy enough to take it, family support enough to do it all, ability to navigate a cross country course of cancer care to get your treatment in Houston or Rochester.”

the protoplasm just hits different when you (literally) fly into your treatment.

this may or may not apply to much proton data.

 

[RickyScott]

I will (and my MD Anderson surg onc buddy agrees) forever believe real world data can’t control for the “ability/financial security to book a flight, healthy enough to take it, family support enough to do it all, ability to navigate a cross country course of cancer care to get your treatment in Houston or Rochester.”

the protoplasm just hits different when you (literally) fly into your treatment.

this may or may not apply to much proton data.

Or for some proton huckster to be completely honest about data