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I wrote a prescription for 5mg of oxycodone, #90 tabs today. H&N pt with odynophagia. Pharmacy sent a PA request. It costs $9.43 at Publix without insurance. I refused and sent pt the goodrx coupon. #radonc #fixpriorauth

pubmed.ncbi.nlm.nih.gov/36621991/ Sophia Kamran, MD Matt Spraker Sean Collins Prostate SBRT @ USF Health Thomas P. Kole, M.D., Ph.D Mudit Chowdhary, MD "observed a high negative biopsy rate immediately following 3 months of apalutamide monotherapy in men followed on AS" Tis not AS if you treat! Enza: treat men on AS. Apa: "Hold my beer"

This is peak "are we the bad guys?" The lack of self awareness in this tweet is next level! The use "medical experts" and "more appropriate treatment" is rich! #fixpriorauth

Last week, I told a 60yom with prostate ca his outcomes would be equal with xrt or surgery out to 10 years. I felt uncomfortable beyond that and my bias was for surgery. I'll be calling him back tomorrow with new data. What changed? #radonc

5/ Here's the top 10. Only 1242 US #radoncs did any stereotactic treatments (for Part B) in 2021. The person who did the least did it 12 times on 11 patients. Well done Amar Kishan, btw... you're the US Bronze Medalist Well done Sean Collins Prostate SBRT @ USF Health you're Honorable Mention

So honoured to have been part of the PACE team for the last 12 years. I have learned so much from Nicholas van As Prof Emma Hall and the whole team. Thanks to the 874 men and over 30 hospitals who partnered with us and to Accuray for funding. Abstract here astro2023.eventscribe.net/index.asp?sess…

1/n Today we've started a legal campaign to break down state telehealth licensure restrictions. The fact that MD specialists, already licensed in their home state, must also obtain full licensure in every state where their potential patients reside violates the US Constitution🧵

If you're doing prostate SBRT,use motion mgt. Cbct and treat isn't enough. There's triggered imaging on Truebeam, Calypso etc... And of course the OG 😎 CyberKnife. Rectal gas and bladder filling will move your target.

"proton therapy was reviewed including evidence suggesting a decreased risk of developing or worsening erectile dysfunction with proton therapy compared to photon therapy. Protons potentially offer superior control rates" This is what your patients are being told. #radonc

ACRO asked their members what they thought like a bunch of adults with autonomy in medicine. ASTRO got it wrong, hasn't apologized and claims they are "accepting" feedback Todd Scarbrough Jason Beckta Matt Spraker

Perhaps this should be SBRT-esque? I treat an elective volume which seems to get larger every year (I've had next nodal level recurrences) Sean Collins Prostate SBRT @ USF Health Piet Ost

Virtually no debate beyond breakfast meeting. Was legislative draft ever shared? Still don't know authors or their conflicts....#ASTRO Jason Beckta Matt Spraker

Michael Chuong Krishan Jethwa Susannah Ellsworth DocDaviesMD Thomas P. Kole, M.D., Ph.D Todd Scarbrough James Good Austin Sim, MD JD Neil Newman Hyun Kim Cliff Robinson Freddy E Escorcia (@freddyeescorcia elsewhere) Matt Spraker Lauren Henke, MD, MSCI Updated the 5 and 15 fraction dose-escalated templates with recent feedback from upcoming contouring and prescription guidelines. Given the aggressive large bowel metrics, a range has been provided. Open to all feedback. #PancSM #Radonc Dr. Nina Niu Sanford Krishan Jethwa

Virtually no man alive needs protons for prostate cancer. Say it louder for those in the back!

The PACE-A trial results have been published in European Urology European Urology. The phase 3 trial compares the quality of life of #ProstateCancer patients treated with stereotactic body radiotherapy (SBRT) versus surgery, 2 years after treatment. europeanurology.com/article/S0302-….

Tell me you don't understand statistics without saying "I don't understand statistics"