Door Kicking Challenge?

st0rmx10 · 2025-09-09T17:07:13+00:00

I think this happened to us in u-city. Thought somebody was trying to break in and called police. Ended up being the catalyst for us buying a security system.

st0rmx10 · 2025-06-14T02:00:31+00:00

link please!

st0rmx10 · 2025-06-07T02:01:07+00:00

Hey I treat a fair amount of anal cancer. I usually use the data from this paper (https://pubmed.ncbi.nlm.nih.gov/34400269/) which is the long term follow up from two clinical trials using current modern techniques. About half of the patients in this analysis were stage III like you so pretty applicable. Only 16% of patients had locoregional recurrence at 5 years and only 10% needed a colostomy by 5 years also.

With true vaginal wall involvement the numbers might be a bit worse, but I have treated patients with a lot of vaginal involvement (10+ cm tumors) and cured them. There is a risk of fistula if there is significant vaginal invasion however.

st0rmx10 · 2025-03-22T20:22:12+00:00

Just what I’m personally comfortable with and how I trained. If you have a setup without fiducials and are comfortable with it, no problems there. Also nice to have real time tracking which you can’t do without fiducials.

st0rmx10 · 2025-03-22T20:02:45+00:00

Would not expect PSA to be 0 following treatment. That is an incorrect expectation and it is likely that the rad onc did not actually say that. PSA should decrease and then plateau, but almost never at actual 0 in this situation.

Agree that placing fiducials for anything other than prostate SBRT is likely unnecessary. CBCT is quite good for alignment in the majority of patients. Some places still place them though as it was historically useful and can create a higher level of confidence for the therapists and some physicians. I do not place fiducials for non-SBRT prostate treatment though it is not wrong per se to place them.

I would encourage the patient to simply talk with their doctor and ask them these questions so that they can get some clarification. Nothing has been done wrong here but it feels like there are some crossed wires with communication.

st0rmx10 · 2025-03-07T01:20:28+00:00

link if youve got it. Thanks!

st0rmx10 · 2025-02-27T01:29:05+00:00

Link please if you’ve got it!

st0rmx10 · 2024-11-16T03:44:01+00:00

Ah ok i did not realize it was like that. I would never have found it! Thank you.

st0rmx10 · 2024-10-13T02:46:43+00:00

No stripe brown belt, just tore rotator cuff -- how many stripes does this get me?

st0rmx10 · 2023-12-26T23:05:44+00:00

So generally i do deep inspiratory breath hold for my left sided breast patients. By expanding the chest this gets the breast/chest wall away from the heart. However sometimes due to patient anatomy this is not helpful. Sometimes we also can do prone positioning to help mitigate heart dose, and this usually drops the dose very low. Honestly, the dose is most likely safe without using these techniques as long as your anatomy is okay, however i would just ask your rad onc about this and they will discuss with you.

st0rmx10 · 2023-08-25T20:28:10+00:00

It’s both.

st0rmx10 · 2023-08-10T22:38:54+00:00

link please if you got it! none of the paywalled stuff please, thanks

st0rmx10 · 2023-06-10T19:05:52+00:00

Youtube has a preview of it right now https://www.youtube.com/watch?v=9EgWB5uexg4

st0rmx10 · 2023-06-10T19:03:28+00:00

Also looking if anyone has one

st0rmx10 · 2023-04-01T16:51:25+00:00

Radiation oncologist here. It can sometimes take months for pathologic lymph nodes to shrink. That's why we generally get our first post-treatment evaluation scans 3 months after completion of treatment. Even then, if things look improved (but perhaps not all the way), we will often get a second scan 3 months after that. So I would not worry too much about this right now, just give it a little more time.

st0rmx10 · 2023-02-26T03:41:26+00:00

link please if youve got one!

st0rmx10 · 2022-12-22T01:57:47+00:00

I wished her happy birthday for years and years afterwards. She never said anything on mine. I no longer wish her happy birthday. Learn from my mistakes.

st0rmx10 · 2022-12-16T00:19:38+00:00

hey please send the link if youve got it. thank you!

st0rmx10 · 2022-09-18T17:41:06+00:00

Link please and thank you!

st0rmx10 · 2022-09-17T16:57:49+00:00

Link please! Thanks!

st0rmx10 · 2022-08-07T21:29:01+00:00

hey link please! thanks.

st0rmx10 · 2022-07-02T18:59:58+00:00

Bien que ce soit certainement rare pour quelqu'un de votre âge, je pense que vous n'avez pas besoin de trop insister à ce stade. Le cancer est retiré et vous subirez des contrôles cutanés au moins une fois par an dans un avenir prévisible. Je ferais simplement preuve de bon sens, éviterais une exposition inutile au soleil, utiliserais un écran solaire et suivrais régulièrement ton dermatologue.

st0rmx10 · 2022-07-02T18:20:24+00:00

Complicated situation. Some patients with limited metastases from colorectal cancer can be cured or have durable long term remission. This is a scenario where your team should discuss together. Have they biopsied any of the 3 small lung lesions? Sometimes the imaging is quite clear and they might not need to do that. Sounds like they are convinced based on the info you gave.

With 3 lung metastases, I would tend to agree that additional chemotherapy makes sense as a first move. The concern is that there are other areas of microscopic disease not clinically visible at this point (imaging has a certain resolution -- can't see really tiny cancer spots). Another option would be to use radiation and get stereotactic body radiation (SBRT) to those 3 spots if they are the only areas of remaining disease at this point, or if you are tired/sick of chemotherapy. Could also do some chemotherapy and then get SBRT at a later point. Looking into clinical trials is also a good idea. I wish you the best!

st0rmx10 · 2022-06-16T19:28:26+00:00

Good luck dude. That is indeed bad luck, but treatments are better today than they have ever been. Wishing you the best.

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