41.4 Gy is hard to salvage and palliate… at the time of relapse people would ask at tumor board if you’ve done the right thing.. at least after I’ve given 50.4 Gy I can say yes
When a University (chair is in ASTRO) takes over a small hospital and proceeds to push out the solo RadOnc working there, one selling point is “we will always have a free doc there for you”. seen this firsthand many times
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