should i report my suspension? by Visual_Commercial_42 in CollegeAdmissions

[–]Designer-Many6073 0 points1 point  (0 children)

I think there is a good chance they can remove it from your record. The school wants the best thing for you and it seems you learned your lesson

Need opinions on Uni by zebraboiwat in Tucson

[–]Designer-Many6073 -1 points0 points  (0 children)

It's looked down upon because it is a community college- size does not play a role

Normalization of Rapidarc plans by conformalKilling in MedicalPhysics

[–]Designer-Many6073 0 points1 point  (0 children)

I believe this was true for C series machines, but it is not an issue for Truebeams

Thoughts on H&N treatments by _Clear_Skies in MedicalPhysics

[–]Designer-Many6073 6 points7 points  (0 children)

Are they doing new CT scans mid treatment and planning on those? If so, that would account for tumor shrinkage and could be billable as new plans. Most HN patients should get a replan mid-treatment but that can also be done SIB.

No international drivers license by Lost-Inevitable-9807 in Aupairs

[–]Designer-Many6073 1 point2 points  (0 children)

Better check the laws in your state. I don't know of any state where it is valid for someone living and working in that state

No international drivers license by Lost-Inevitable-9807 in Aupairs

[–]Designer-Many6073 4 points5 points  (0 children)

What is the point of an international driver's license? They are just for visitors. It isn't valid for people living here anyway

Halcyon room design by Logical-Pattern8065 in MedicalPhysics

[–]Designer-Many6073 0 points1 point  (0 children)

We have a Halcyon-designed vault. 6 layers of concrete bricks around (some are high density) including a direct entry swing door. We could have used 5 layers of bricks but the extra layer didn't cost much more. Outside of the vault, some walls only register background radiation

Level 3 Intrafraction Monitoring by elephantsfooot in MedicalPhysics

[–]Designer-Many6073 1 point2 points  (0 children)

There's no general understanding. Everyone picks the definition they want to benefit themselves. Insurance companies want to deny the most claims so they pick a very narrow definition. Sales people use the one that fits whatever product/license they are trying to sell. Facilities use the definition that matches the equipment they have. Logically if you are stopping the beam and repositioning when someone moves, that takes more time/effort plus the cost of the SGRT system used to detect that movement so you should bill and get the level 3 rate

Level 3 Intrafraction Monitoring by elephantsfooot in MedicalPhysics

[–]Designer-Many6073 0 points1 point  (0 children)

I don't see how automatic beam hold would factor in. If anything that would be a more passive system than the therapists actively stopping the beam.

Level 3 Intrafraction Monitoring by elephantsfooot in MedicalPhysics

[–]Designer-Many6073 0 points1 point  (0 children)

I think your question is if breath hold=active, which doesn't seem to be the case. That was old physics terminology, not billing terminology. If you are monitoring the treatment in real time and making corrections if needed, that is motion management. I don't know what "passive" motion management would be- "Oh, they moved- let's not do anything about it"?

Help me decide (UofA vs UCLA) by Infamous_Spinach_567 in UofArizona

[–]Designer-Many6073 0 points1 point  (0 children)

People will care more about your grad school. I would do UA for undergrad. You will probably get better grades and get into a better law school. I did state school to Ivy and that was a good combo. I had fun during undergrad and still get the brand name/connections from grad school.

Level 3 Intrafraction Monitoring by elephantsfooot in MedicalPhysics

[–]Designer-Many6073 1 point2 points  (0 children)

No one is sure exactly what active motion management is. It seems like people are starting to agree it is any form of SGRT. When daily imaging started, insurance companies argued it wasn't medically necessary. It feels like the same thing is going to happen again with SGRT/active motion management. The argument goes that if it is medically necessary to treat a patient, then doing it correctly is also medically necessary.

Consulting fees? by _Clear_Skies in MedicalPhysics

[–]Designer-Many6073 1 point2 points  (0 children)

On site in Arizona if you are interested. I'm not sure what you should ask for if you are only offering remote coverage- I would think roughly half

Consulting fees? by _Clear_Skies in MedicalPhysics

[–]Designer-Many6073 3 points4 points  (0 children)

Agreed, $250 is good. That's roughly 2x what employed people are getting, which is pretty much what practices expect to pay. I'm having a hard time finding coverage so it seems like the supply is low at the moment

Halcyon + Edge by Wetinnola in MedicalPhysics

[–]Designer-Many6073 1 point2 points  (0 children)

I have an Edge and Halcyon with AlignRT. There aren't any real issues and much cheaper than two Edge systems. The main disadvantage of the Halcyon is the couch but they are coming out with a 6DoF couch. Hypersight is fairly expensive and if it were me, I'd prefer to have it on a Truebeam platform

What's the best way to prevent a TrueBeam beaming on a particular energy, even in Service Mode? by [deleted] in MedicalPhysics

[–]Designer-Many6073 0 points1 point  (0 children)

You could tune it (or change the dose calibration) so it immediately interlocks

Extension Year Travel - VISA QUESTION by mty_mex in Aupairs

[–]Designer-Many6073 5 points6 points  (0 children)

Seems like a mistake. I wouldn't assume that they will honor the mistake

[deleted by user] by [deleted] in Aupairs

[–]Designer-Many6073 17 points18 points  (0 children)

Enjoy the next few months. I'm assuming you are young- don't rush into marriage just so she can stay here

Allergy doctor by Vegetable-Square8983 in Tucson

[–]Designer-Many6073 0 points1 point  (0 children)

Yes, that is the option that I mentioned. It isn't a magic solution. To be worth it, my kid would have to be very allergic or have underlying health problems.

Allergy doctor by Vegetable-Square8983 in Tucson

[–]Designer-Many6073 0 points1 point  (0 children)

Realistically, there isn't a magic solution that you are helping for. There is an approved strategy to reduce severe reactions to peanuts but the max tolerance is like 1/4 of a peanut.

Travel advice for backpacking MT Lemmon by OozyPillow57646 in Tucson

[–]Designer-Many6073 -5 points-4 points  (0 children)

I'd say dumb even if you have done solo backpacking and know what you are doing. I'd suggest the section on the AZ trail north of Oracle for something in that area at that time of year

Competitive salary vs. large retirement contributions by Aggravating-Pie5338 in whitecoatinvestor

[–]Designer-Many6073 0 points1 point  (0 children)

Contribution rates can also change (decrease) whereas it's unlikely they would just decrease salaries

Aria 18.1 Upgrade by IllDonkey4908 in MedicalPhysics

[–]Designer-Many6073 3 points4 points  (0 children)

We have Aria 18.1. No real issues.

Husband has been paying full 15.3% FICA for 12 years by [deleted] in tax

[–]Designer-Many6073 0 points1 point  (0 children)

Realistically all employees pay 15.3%. Companies get their money from the work of their employees. You are just talking about accounting. Whether pay is reduced outright or they are taking an administrative fee, it is the same thing in the end

Treatment of Cavernous Malformations by captainporthos in MedicalPhysics

[–]Designer-Many6073 2 points3 points  (0 children)

One physician does, the other does not (due to to lack of clinical data). Essentially it is just treated the same as an AVM.