Recent content by Bequerel

Unconscionable. No field tries to screw private practice more than ours. Of course they carve out their centers and protons, but this Derm carve out is next level diabolical because they knew Derm lobbyists would get this bill canned. They hate private practice radiation oncologists so much...

I was thinking the same thing when reading your countless posts trying to defend ASTRO. I’m trying to figure out which position you hold in the organization

It sounds like it should be called a system that has been working for at least a decade with no problems so quit trying to fix something that ain’t broke. Instead, go fix one of the million things that are already broken.

They should support residency contraction. Until they address that issue..I can’t take them seriously. I think people aren’t upset that they supported supervision..I think people are upset about they way they went about it. Any good leader would have a town hall then write a letter to DC that...

I just saw your username and was wondering if you were planning on asking the small rural hospital to partner in a proton program 😂? In all seriousness…it would be a dream scenario to partner with a hospital and build a program from scratch and reap the benefits of hospital based professional...

If I am in solo practice andI live in pacific time zone and I’m treating til 5pm, do I need to get someone to cover clinic while log in?

Am I missing something…isn’t this old news? I was expecting the date to be 2004 not 2024

I really think old used cheap linac with electrons in an area with a bunch of old people to treat OA and do your own punch biopsies on old patients for skin cancer is a way

I would be very hesitant to treat that whole field (likely >30cm) with concurrent chemo. I’ve moved away from treating huge RP sarcomas since the lancet study was published a couple years ago, granted I haven’t seen something as ugly as the superior portion of that tumor in a while! What is 45...

If convinced recurrence—6Gy x 5

Love the credentials of the expert

it’s been said for years, but only way to fix it is to drastically cut trainees. If someone can get that done, then the field could be saved. I hope it does because I think it’s an amazing and very rewarding field.

None. I envy medical students who have the option to do something else. If you’re an American medical student and have no criminal history and you still choose to go into this field, I have no sympathy for you when you’re either unemployed or making 200k in BFE in 2040.

If you’re getting toxicity with 30/5 then you’re doing something wrong and should probably lower to 26/5 because you’re probably treating too big of a volumes or not cropping off skin or cw enough. I plan on 30/5 but have very low threshold to drop to 26/5 when anatomy isn’t cooperating

If 26/5 ok for whole breast why wouldn’t it be ok for part of the breast? If 40/15 ok for cancer why not ok for pre-cancer? Just reminded me of same argument. Besides, I think we all know that women who qualify for apbi might really be ok with 0 Gy, which makes the argument of 26 Vs 30 that much...