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    • R
      They are pretty great. We have an excellent VA on our campus and vets make up about 25% of my volume. I see the good and the bad of the...
    • R
      ramsesthenice replied to the thread ASCO 2024.
      Im somewhere in between you and Evil on this one. I am with you on the fact that I don't think ENI per say does much if anything in...
    • R
      ramsesthenice replied to the thread ASCO 2024.
      No, I meant the way I said. Mid 30s (what they did) is low for SBRT. Combine it with tight margins, and it doesn’t seem to be...
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      ramsesthenice replied to the thread ASCO 2024.
      You are correct that the surgeons are the gate keepers on this one. Ours believe, so we do it. Another thing to consider is pointing out...
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      ramsesthenice reacted to Palex80's post in the thread ASCO 2024 with Like Like.
      First of all, a disclaimer: I do not believe in elective nodal irradiation for pancreatic cancer. I think it adds very little, apart...
    • R
      ramsesthenice replied to the thread ASCO 2024.
      No. Repeat offender. Couldn’t figure out what to do recently with an MSI high LARC that was totally resectable and didn’t respond to...
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      ramsesthenice replied to the thread ASCO 2024.
      Not exactly the same, but seeing someone tomorrow who was, in my opinion, mismanaged by someone not thinking critically. True gastric AC...
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      ramsesthenice replied to the thread ASCO 2024.
      If I read the abstract correctly, there shouldn't be any more failures in the SBRT arm. Looks like they will get the same number of...
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      ramsesthenice replied to the thread ASCO 2024.
      I'd say my population is closer to 60-70% getting surgery. But the number not getting it/refusing is pretty high so I suspect we will...
    • R
      This is largely my thought as well. For people with reasonable insurance, even going to a less expensive community center will likely...
    • R
      It’s like anything, you have to enjoy what you do. One of my favorite radiologists (does body MRI) lives up the street from me and loves...
    • R
      ramsesthenice replied to the thread ASCO 2024.
      Correct you are and hopefully we get there. I just have yet to meet a cardiothoracic surgeon even willing to talk about it. There is a...
    • R
      PYL scans pretty well did that for us already. Negative scan…knives out! If they are going to operate anyways, it would be good to at...
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      ramsesthenice replied to the thread ASCO 2024.
      Same. At least ranch makes everything better right? Just in case 😊
    • R
      ramsesthenice replied to the thread ASCO 2024.
      It’s not even that complicated in some (many) places. When ESOPEC shows FLOT is at least equivalent to CROSS, many centers will abandon...
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