Recent content by Haybrant

Huh? What is G3 toxicity to colon that hyofrac SIB is going to cause an issue. Elective nodes arent really hypofrac'd and all trials arent going to let you blow through large bowel/small bowel metrics. This must all be rectal.

where do you guys stand again on hydrogel, why so against it but then scared about your rectal doses, even low doses (V40-50!?)

my understanding is that this is no longer the cap due to pact act provisions, could be much higher now

do you place it yourself? MRI is tomorrow so i can look but ya with the increased IPSS sounds like not much of an option

We have our urologists place the hydrogel and fiducials, they have been doing it for many years and have done a great job. Recently have had some issues. Urologist and rep came down to talk to me couple weeks ago after one placement on a patient that was a very good SBRT candidate with IPSS of 4...

Didn’t read every response but right now may be the hardest time to make a move in the history of our lives. Cost of living and cost of housing/childcare is insane and cost to borrow $ is ridiculous. Better pony up on the salary if you want to attract good candidates. I don’t know Tampa but I’m...

i sim'd him prone, it got the conduit out of the way a bit but did nothing for the low hanging bowel. I saw some studies that conduits do ok getting some RT but there are higher side effect risks. Doesnt look like the conduit is directly in any part of the field.

I have a patient who underwent cystoprostatectomy for high grade urothelial ca throughout the bladder and concurrent high risk prostate cancer Gleason was 10, PSA was 10ng/ml and he had positive margin and ECE in 2022. Initial PSA undetectable but 1 year later it was 0.2 and now 0.6. PSMA PET...

If you’re seeing 6-8 consults a week with 15-20 on treat what’s the potential yearly RVUs that you may be generating? Just a ballpark. Trying to eval a hospital based job offer right now in major metro area northeast. Any advice on how to find those numbers would be helpful, not really sure if...

thanks for attaching these guidelines; not really seeing where it shows such high dose needed for HL palliation; NHL yes, but HL too, 36 in 12? Thanks

saw the pt hes fairly poor performance status had a BKA and has pretty bad sores contralateral leg high risk of losing that leg too. Trying to limit RT timing to not lose time from rehab. Is 300 x 10 involved node ok for palliating a hodgkins or do you go lower dose. Thanks

this sounds pretty good. what is included for STLI for a IIA hodgkins anyway?

78 yo man with significant comorbidites (vasculopath, DMII with left BKA, cad, worsening dementia) has a distant history 15 years ago of treatment for dlbcl in remission now found to have growing supraclav node biopsied positive for nodular sclerosing Hodgkin's Lymphoma. Very poor chemo...

med onc saying no chemo. considering 2.5 x 28 fractions to 70 and trying to push out hot spots to the aorta/PBT. did not see this suggested, anyone with concerns about this regimen

thanks very helpful yes taken in context of his biopsy and path this makes sense. So what do you guys think for treatment? Im not a fan of surgery in this case esp if they cant access this node, feel like we should do RT + ADT but he is 53 and does appear to be pretty gung ho surgery based on...