isn’t like Houston the most population dense area of TX. “All regions of TX except Houston area have a need for rad oncs.” So we need rad oncs… just not where there’s the most people. Try having that make good sense to a med student looking at rad onc vs say med onc, urology, etc.
feel like I see pulm offering CT screening to pts a lot more in my neck of the woods than the PCPs do
"All regions of TX except Houston area have a need for rad oncs" is a very, very false statement.
Employed Rad Onc opportunities in Laredo and El Paso are available = all of Texas except the Houston area.
I would but it would be an auto-doxx- I'll send you a pm
Absolutely. Many of these pts with terrible lungs can't even get biopsies in some cases, just document growth, pet fdg avidity and beam on if pulm feels bx too risky and CT surgery doesn't want to wedge
The rising incidence of stage one is “causing” the falling incidence of stage III. Also one new stage one lung patient consult per week adds one patient per day on beam, but one stage III consult per week would add 6 patients per day on beam. All of this is to say, it is not clear that significantly more lung cancer patients are seen per year per rad onc today than 20 years ago even with a dramatic uptake in LCS, and some data shows less lung patients per day per rad onc under beam. This math is very interesting.
As stage 3s or 1s?
No, we see this too, except I think we're coming from different starting points. Doctors in the US worked long hours, and a "busy" radonc could have 40-60 patients on treatment. There are still some that do, but it's much rarer/less desired by new grads these days, especially since the potential reward is much lower.
Part time in America is still very sporadic. Mostly because of real and/or imagined supervision issues. As the real continues to become no longer real, and boogeyman stories lose their bite, part time will become much more common.
I guess, but what if that’s the only job you can get and the bosses say “this is just how it is”?
It is nice to see hellpits “lead”, prolific SOAP place wanting warm bodies
Also the issue if tying full employment to insurance. Some places do not give same benefit to part time workers
You can work from home a few days a week and be full time. Image review and treatment planning can be done from everywhere.
I got fed up seeing patients without tissue diagnosis and patients were told “biopsy could collapse your lung”
I discuss it with pulm and CT surgery. Most of the time they tend to be reasonable. A lot of areas are difficult to reach by ENB and when a pt has really bad bullous COPD it can be risky to hit one of those bullae.
Smoker, growth on consecutive CT scans, PET avid, relatively low-risk location.... BEAM ON!
If it doesn't work with brachy it ain't gonna work with SBRT. Especially with the same doses.
Wouldn't surprise me if he shows up as a candidate for President on the ballot
Hopefully he didn't try to brush it off as though nothing happened
thehill.com
TBH, probably safer for the patient to treat the right breast in a 75 lady with a T1aN0 ER/PR+ left-sided IDC with 1 cm margins. Could be a visionary.
brilliant
You know what I'm gonna go ahead and say it - I'd rather that patient receive adjuvant APBI with the Livi protocol than hormone therapy.
Exactly. If practicing best evidence based medicine in a T1N0 ER+ elderly breast cancer case, a rad onc should oversee AT MOST 5 days of wrong site treatment.
