Rad Onc Twitter

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RadsWFA1900 said:
Meanwhile over in Med onc…
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I am actually sad by Spratt's tweets. I've met him in person and think very highly of him, he couldn't be nicer or more helpful, and I really respect his work.

But his online behavior is awful. It's not good for the him, Case, or the field.
 
Radonky said:
I am actually sad by Spratt's tweets. I've met him in person and think very highly of him, he couldn't be nicer or more helpful, and I really respect his work.

But his online behavior is awful. It's not good for the him, Case, or the field.
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But he’s out here catching flies all over the place
 
RadsWFA1900 said:
Wake me up when the MOs start bickering on Twitter about the costs of nivo. Oh that’s right they’re too busy pushing drugs and survival curves out. While ROs flex their righteous indignation.

RO twitter ****ing pathetic group…this is why I needed a 260 on step I?
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lol you must not follow many med oncs.
 
It's amazing that a man whose presence in this field has become so large can act so small. I think Spratt was someone that many of us respected, myself included, for engaging with us and openly discussing our concerns as well as his. I like a lot of the work he's done and appreciate the lack of "hand waving" when he gives opinions on how to manage some of the more controversial situations in prostate cancer. That being said, I do think it's clear that he does not like to be challenged. He has his opinions, he feels strongly about his opinions, and there's not much room for any opinions that are contrarian to his. That's a dangerous trait for a person in power.

This fringe group is quite misunderstood. We may bash radonc but it's not because we hate it, we just hate the direction it's moving in. If anyone were to ask me and many of us here, I'd tell them I absolutely love my job and this field. The issue is that we as mostly private practice physicians have a very different reality to those in academia and it's a reality that many of our academic counterparts either refuse to acknowledge or knowingly pretend doesn't exist. We are viewed as/treated like second class citizens and it's entirely reinforced when a chairman of an academic department behaves this way. Simul brings up a valid point in what looked like a civil discourse and the response amounts to "I'm sorry, who are you to have an opinion?" What a douche.
 
RSAOaky said:
It's amazing that a man whose presence in this field has become so large can act so small. I think Spratt was someone that many of us respected, myself included, for engaging with us and openly discussing our concerns as well as his. I like a lot of the work he's done and appreciate the lack of "hand waving" when he gives opinions on how to manage some of the more controversial situations in prostate cancer. That being said, I do think it's clear that he does not like to be challenged. He has his opinions, he feels strongly about his opinions, and there's not much room for any opinions that are contrarian to his. That's a dangerous trait for a person in power.

This fringe group is quite misunderstood. We may bash radonc but it's not because we hate it, we just hate the direction it's moving in. If anyone were to ask me and many of us here, I'd tell them I absolutely love my job and this field. The issue is that we as mostly private practice physicians have a very different reality to those in academia and it's a reality that many of our academic counterparts either refuse to acknowledge or knowingly pretend doesn't exist. We are viewed as/treated like second class citizens and it's entirely reinforced when a chairman of an academic department behaves this way. Simul brings up a valid point in what looked like a civil discourse and the response amounts to "I'm sorry, who are you to have an opinion?" What a douche.
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Well said.

I'm a Spratt fan for the reasons listed above. I like how he bulldogs the urologists too and (at least I perceived it this way) backed up claims with data. I liked how he wasn't afraid to make "controversial" statements about protons.

But that interaction was just an awful look. I was really disappointed.
 
BobbyHeenan said:
Well said.

I'm a Spratt fan for the reasons listed above. I like how he bulldogs the urologists too and (at least I perceived it this way) backed up claims with data. I liked how he wasn't afraid to make "controversial" statements about protons.

But that interaction was just an awful look. I was really disappointed.
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Absolutely agree. Hey @Dan Spratt everyone make's mistakes, esp. on Twitter. We own up to it and SDN will forgive (not sure if Twitter has that ability...). Keep visiting SDN!
 
Fringe Group, noun. a group that is on the periphery of a larger organization because its views are more extreme than the majority.

We're not just some fringe group. There are dozens of us!

In all seriousness though, calling Simul the leader of some fringe group of radonc outcasts is a gross mischaracterization. While we all respect and mostly agree with him, I wouldn't say that we follow him. He just happens to be one of the few of us willing to voice his opinions publicly, despite often being contrarian to the "radonc is great" party line. While that makes it easier to be critical of him as an individual, perhaps it would be more constructive for our leadership to question why there are so many that would only voice their opinions anonymously. This interaction does nothing to assuage those fears and only serves to push more of us to "the fringe."
 
RadOncMegatron said:
Absolutely agree. Hey @Dan Spratt everyone make's mistakes, esp. on Twitter. We own up to it and SDN will forgive (not sure if Twitter has that ability...). Keep visiting SDN!
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Part of why I prefer SDN over Twitter is that there's no character limit.

We're doctors. We know science and medicine are nuanced. Why in the world are people over on Twitter trying to have meaningful discourse?

I mean I know the answer, it's obvious - ego. But look, if your ideas are sound you don't need to throw the weight of your pedigree behind them. Or heck, just like I can make an anonymous Twitter account, you can come on SDN with your real name. There are no rules, just do whatever.

We can argue ideas, get annoyed, then just reset the next day and keep going. SDN: the enlightened version of Twitter.

RSAOaky said:
Fringe Group, noun. a group that is on the periphery of a larger organization because its views are more extreme than the majority.

We're not just some fringe group. There are dozens of us!
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What people forget is there are a small group of us who post regularly...but thousands of lurkers. Anyone can go check the view count on the front page for themselves. This Twitter thread is at what, 600k+ views now? I just added it up, and just threads I've started that are currently on Page 1 have over 50k views, combined.

Is this fringe? Are we really fringe? I think we're pretty mainstream. I think our concerns are pretty well shared, actually.

If someone wants to come on here and tell me what fringe/radical concerns we have, I'm all ears. The thesis of many of my posts are "wow, we sure are training a lot of RadOncs but reducing RadOnc's footprint, should we think twice about that?"

I feel like that's pretty vanilla, yes? Or maybe my views that we should think twice about using proton CSI for lepto is extreme? I dunno.
 
Thank you for saying that.

I’m no more intelligent, hard working, accomplished or interesting than any of the other RadOncs out there. I’ve had my share of troubles and controversies, but all in all, I’m a nice guy who loves this specialty, but cannot stand how leadership has behaved over the last 15 years.

At the same time, people’s titles and publications and positions mean zero to me. There are a handful of ROs that I truly admire and look up to - Beriwal, D’Amico, my old managing partners at my private practice, many faculty at Banner and MDACC that have been wonderful to me, the CCF guys, BK, Randy Waggoner, Todd Scarborough and many others that know exactly who they are. The rest of #radoncrocks - I DGAF who you are. If you’re kind to me and teach me something, you’re a friend of Simul for life (you’re FOS!). If not, you mean nothing. People don’t realize that being chairman or 300 papers published or some Astro leader means diddly squat to the 80% of us out here just trying to practice medicine, live our lives, spend time with our families, enjoy our hobbies.

These people think they are celebrities and rock starts. People wouldn’t even make eye contact with them on the street - nobody knows who we are. Yet, they act like they are God’s gift to humanity. They are niche specialists who happen to be known by a few thousand people. That’s it and that’s all.

This interaction was actually really hurtful. Not to me - I really don’t care or have an ego. But, to call the 80% - to call practicing docs - a fringe group? Their are undertones there that I really don’t like. “You people …” It’s frightening to see what they would do to me if they had any actual authority or control.

Anyway- this has been such a great learning experience. Let’s keep it up!
 
between yesterday and today, I had 3 rad oncs IRL text me spratt's tweeet like 'wtf'

the sad thing is, and I am part of it, like 95%+ of people who saw that tweet by spratt I am sure were disgusted by it, but no one publicly spoke up. Who wants to be part of it? I am not even in academics so it doesn't matter, but it's not worth it. I don't want to call attention to my happy little corner of the rad onc world. I feel bad Simul had to stand alone.
 
jondunn said:
between yesterday and today, I had 3 rad oncs IRL text me spratt's tweeet like 'wtf'

the sad thing is, and I am part of it, like 95%+ of people who saw that tweet by spratt I am sure were disgusted by it, but no one publicly spoke up. Who wants to be part of it? I am not even in academics so it doesn't matter, but it's not worth it. I feel bad Simul had to stand alone.
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He kinda had to considering spratt has literally blocked a cadre of people on Twitter who might actually call out his pathologically narcissistic behavior

 
medgator said:
He kinda had to considering spratt has literally blocked a cadre of people on Twitter who might actually call out his pathologically narcissistic behavior

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Did you guys catch the ketchup reference. Can you trust a man who hates mustard. (8:28)

 
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TheWallnerus said:
Did you guys catch the ketchup reference. Can you trust a man who hates mustard.

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Responding twice, but after watching the condiment talk, I want to know so badly if he does DREs. Ive saved at least 12 hours, 30 mins to an hour of which i wouldve had my finger in some rando's ass.
 
TheWallnerus said:
Did you guys catch the ketchup reference. Can you trust a man who hates mustard. (8:28)

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Anyone else get this vibe:

bateman said:
My name is Dan Spratt. I’m 40 years old. I believe in taking care of myself and a balanced diet and rigorous exercise routine. In the morning if my face is a little puffy I’ll put on an ice pack while doing stomach crunches. I can do 1000 now. After I remove the ice pack I use a deep pore cleanser lotion. In the shower I use a water activated gel cleanser, then a honey almond body scrub, and on the face an exfoliating gel scrub. Then I apply an herb-mint facial mask which I leave on for 10 minutes while I prepare the rest of my routine. I always use an after shave lotion with little or no alcohol, because alcohol dries your face out and makes you look older. Then moisturizer, then an anti-aging eye balm followed by a final moisturizing protective lotion.
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TheWallnerus said:
Did you guys catch the ketchup reference. Can you trust a man who hates mustard. (8:28)

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@Ray D. Ayshun with a post of the year candidate

Sometimes the most accomplished people are just so unrelatable. These sort of people can do great things, but they should not give TED talks.

My pithy and anonymous reply (zero original thought).

-all you need is love
-if science is infinite, any persons contribution is infinitesimally small
-at least try Sriracha
 
jondunn said:
between yesterday and today, I had 3 rad oncs IRL text me spratt's tweeet like 'wtf'

the sad thing is, and I am part of it, like 95%+ of people who saw that tweet by spratt I am sure were disgusted by it, but no one publicly spoke up. Who wants to be part of it? I am not even in academics so it doesn't matter, but it's not worth it. I don't want to call attention to my happy little corner of the rad onc world. I feel bad Simul had to stand alone.
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I’ve received the messages, as well. I’m not feeling alone at all, but I’m touched (seriously).
 
TheWallnerus said:
Did you guys catch the ketchup reference. Can you trust a man who hates mustard. (8:28)

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If you don’t use any (!) condiments and if part of the reason is because it saves you time (!!), it is important to also have the insight to know that you should never tell this to anyone, ever, under any circumstance.
 
OTN said:
If you don’t use any (!) condiments and if part of the reason is because it saves you time (!!), it is important to also have the insight to know that you should never tell this to anyone, ever, under any circumstance.
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It ain't just about the IQ, it's also about the EQ....
 
First of all, many condiments are essentially anutritional. Hot sauce, mustard, salsa, relish, kraut, etc… minimal (if any) calories. Some sodium, but can take the place of salt. So I’m not buying the “healthy eating” line.

I think he honestly believes the the average human being spends 5-10 minutes applying condiments to their food each day, and it took a genius intellect like his own to crack the code toward saving that hour a week.

He needs to spend more time watching subway sandwich artists to understand that it takes 4 seconds to apply mustard to even a foot long sandwich.
 
Mandelin Rain said:
First of all, many condiments are essentially anutritional. Hot sauce, mustard, salsa, relish, kraut, etc… minimal (if any) calories. Some sodium, but can take the place of salt. So I’m not buying the “healthy eating” line.

I think he honestly believes the the average human being spends 5-10 minutes applying condiments to their food each day, and it took a genius intellect like his own to crack the code toward saving that hour a week.

He needs to spend more time watching subway sandwich artists to understand that it takes 4 seconds to apply mustard to even a foot long sandwich.
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Tasty sandwiches are a waste of time, proper grammar in a note is a waste of time... by corollary is contouring a waste of time? I know of other prominent GU chairmen who do not contour a single prostate; just sign off on what the dosimetrist has done.
 
Sriracha for Indian (and some Thai) food. Franks for Buffalo flavored stuff. Cholula for breakfast stuffs. Trader Joe’s Habenero for most anything else.
 
9:30

Dan Spratt: "You have to really ask yourself are you doing this because you want to achieve impact in this world? The byproduct of impact, sure, as you've heard, I have papers and grants, I have a good salary, I might have been recognized for things, but those are byproducts and I can care less what my CV looks like. I do it for the impact and these things come with it."

Also Dan Spratt: I've changed multiple national guidelines and work w/ NCI, NRG, CMS, FDA, & pharma, I'm kind of a big deal
 
RSAOaky said:
9:30

Dan Spratt: "You have to really ask yourself are you doing this because you want to achieve impact in this world? The byproduct of impact, sure, as you've heard, I have papers and grants, I have a good salary, I might have been recognized for things, but those are byproducts and I can care less what my CV looks like. I do it for the impact and these things come with it."

Also Dan Spratt: I've changed multiple national guidelines and work w/ NCI, NRG, CMS, FDA, & pharma, I'm kind of a big deal
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Well, he CAN care less about accolades. He can care a lot less.
 
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