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Evan Thomas MD/PhD Profile
Evan Thomas MD/PhD

@EvanThomas84

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Radiation oncologist. @UABRadOnc ➡️ @OSUwexmed . CNS, GU, SRS, SBRT, fxnl SRS. Dogfather. Interests: 🥃, 🏌️‍♂️, 🏃, Trek & killing cancer. Opinions are mine.

Columbus, OH
Joined February 2013
Don't wanna be here? Send us removal request.
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@EvanThomas84
Evan Thomas MD/PhD
9 months
I'm incredibly excited to announce opening of our new sham-controlled RCT of #radiosurgery for #spasticity in patients with #spinalcordinjury , #CerebralPalsy , #stroke . Thanks to @VarianMedSys for funding & to my colleague & tx inventor, Dr Pantaleo Romanelli #Neurosurgery #pmr
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@EvanThomas84
Evan Thomas MD/PhD
3 years
@sheelasinharoy “We thank Reviewer 1 for providing a surprisingly prescient demonstration of the necessity of this publication, and have in fact included a screen capture of his review as Figure 4 in the latest revision.”
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@EvanThomas84
Evan Thomas MD/PhD
4 years
@ccardyDNP Name and shame. 70% isopropyl alcohol is best disinfectant for viruses, but sunshine is the best disinfectant for malignant programs @ARRO_org @acgme
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@EvanThomas84
Evan Thomas MD/PhD
3 years
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@EvanThomas84
Evan Thomas MD/PhD
6 months
@BillAckman @realDonaldTrump @POTUS Can’t you just go be a billionaire in peace somewhere?
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@EvanThomas84
Evan Thomas MD/PhD
4 years
@mtgreenee @Twitter Can someone help this nice lady find the manager??? #CongressionalKarens
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@EvanThomas84
Evan Thomas MD/PhD
4 months
@arghavan_salles When I worked in service, the vast majority of these tips were kept by management.
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@EvanThomas84
Evan Thomas MD/PhD
5 months
We’ve all been there. #radonc
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@EvanThomas84
Evan Thomas MD/PhD
6 years
@ttervo21 @SenSanders Student loans are not dischargeable just because someone doesn’t finish a degree.
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@EvanThomas84
Evan Thomas MD/PhD
5 years
@OneNationOrg Disingenuous and dishonest add paid for by greedy private insurance companies.
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@EvanThomas84
Evan Thomas MD/PhD
1 year
#EssentialTremor is a disabling condition affection >10 million in the US. For patients refractory to medication, a #radiosurgery thalamotomy can relief tremor by as much as 60-75%. No scalp burning and no shaved head. Treatment is noninvasive and takes 1-2 hours!
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@EvanThomas84
Evan Thomas MD/PhD
8 months
I’m officially on the believer train for low-dose radiation therapy for arthritis. I treated a gentleman in his 70s for an aggressive, myeloma relapse in his left orbit, causing massive proptosis & vision loss. Treatment was very effective to the orbital mass, however, he had
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@EvanThomas84
Evan Thomas MD/PhD
2 years
Fantastic work by one of our head therapists helping one of our pediatric patients go Super Saiyan for his #radonc treatment today @OSUCCC_James @OSUWexMed
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@EvanThomas84
Evan Thomas MD/PhD
5 years
Car broken into last night— laptop, switch, zelda & Witcher iii games, and hospital badge stolen. Guess what they intentionally left behind... 😂 #radbio
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@EvanThomas84
Evan Thomas MD/PhD
1 year
@drernestomd @MarcusBlimi Weird how your medical school demanded you and everyone around you to have vaccinations when you were going to be around sick people during rotations, huh?
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@EvanThomas84
Evan Thomas MD/PhD
4 years
Excited to announce that w/ help of wonderful folks @WashURadOnc , the @US_FDA has awarded @UABradonc very first IDE to prospectively study #cardiacSBRT for refractory ventricular tachycardia. Trial to open soon at UAB & WashU! Study P.I.’d by @jmstahlmd & co-PI’d by @SBRT_CR .
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@EvanThomas84
Evan Thomas MD/PhD
4 years
And my little brother is officially the most badass member of the family as he graduates @USArmy Ranger School today! Congrats Lt Aaron Thomas! Hooah buddy!
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@EvanThomas84
Evan Thomas MD/PhD
3 years
Sorry everyone, Hayley & I are officially off the market!
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@EvanThomas84
Evan Thomas MD/PhD
6 years
@SenSanders Physician in residency here. When I finished medical school, I had roughly 200k in student loans. All my federal loans were at 6.8%. Most of these loans were taken out when the interest rates for banks were almost nothing. Very frustrating.
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@EvanThomas84
Evan Thomas MD/PhD
4 years
@WCInvestor You have some ok financial advice sometimes, but sure are oblivious to a helluva lot and nearing boomer level out of touch How about minorities from low-income families, supporting families thru med school, who just want to go back & serve their communities? Or non-minorities?
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@EvanThomas84
Evan Thomas MD/PhD
5 years
Thanks to my newly acquired amazing fiancée, Hayley, for saying yes and making me the happiest guy in the world. Also thanks to Sir Hugo the frenchie for delivering her the ring
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@EvanThomas84
Evan Thomas MD/PhD
4 years
How to walk your dog if quarantined 😂 #COVID19 #SocialDistancing
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@EvanThomas84
Evan Thomas MD/PhD
5 years
Tell your med oncs to hang on a minute. Brain met (1-4) patients with EGFR mutant NSCLC live longer when they get SRS before their TKI. @DrewMoghanaki @DrJohnSuh @DrFiveash @n8pennell
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@EvanThomas84
Evan Thomas MD/PhD
1 year
Another day, another ventricular tachycardia noninvasively ablated with SBRT by the @OSUWexMed cardiac radioablation team.
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@EvanThomas84
Evan Thomas MD/PhD
4 years
@mcsassymd “There is a fracture. I must fix it”
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@EvanThomas84
Evan Thomas MD/PhD
2 years
@MomPedBlog Early on- he personally DM’d me and accused me of being unprofessional for following and like posts from the hilarious parody account…then of course he blocked me
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@EvanThomas84
Evan Thomas MD/PhD
4 years
@jesqa_ Many!
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@EvanThomas84
Evan Thomas MD/PhD
3 years
@AshleyGWinter Oxybutynin for any hot flashes- but then you prob knew that 👍
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@EvanThomas84
Evan Thomas MD/PhD
9 months
Great study out of MDA. Always ask your breast med oncs to hold antibody-drug conjugates when you tx brain mets! Significant association of ⬆️ sRN w/ concurrent ADC & SRS/fSRS.
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@yaoyu_md
Yao Yu
9 months
Happy to share our work on SRS with concurrent ADCs, now out @JAMAOnc ! In this study, led by @EmilyLebow , we investigated the risk of symptomatic radiation necrosis for pts receiving SRS and brain metastases. ADCs included T-DXd, T-DM1, and SG. (1/n)
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@EvanThomas84
Evan Thomas MD/PhD
3 months
The RADIATE-VT trial comparing noninvasive cardiac radioablation to catheter ablation for patients with high-risk refractory VT is now open for enrollment at The Ohio State University.  For details see https://clinicaltrials.gov/study/NCT05765175. #EPeeps #AblateVT #RadiateVT
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@EvanThomas84
Evan Thomas MD/PhD
3 years
@acweyand @ClinicalPearl I must be a hyper-secretor then. My O+ milkshake brings all the skeeters to the yard.
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@EvanThomas84
Evan Thomas MD/PhD
4 years
@DocAroundThClok Add a punch to his “Get 10th hospital visit free “ loyalty card
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@EvanThomas84
Evan Thomas MD/PhD
5 years
Thank you everyone in @UABradonc , @UABmedphys , @UABCardiology for helping our first #cardiacSBRT treatment delivery go smooth as silk. Special shout out to @SBRT_CR , @DoctorPhillEP , & @gdhugo for guidance & peer review in our 1st case! @UABNews @uabmedicine @VarianMedSys
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@EvanThomas84
Evan Thomas MD/PhD
3 years
Oh...NBD...just @POTUS kickin’ it at my future @OSUWexMed Varian Edge linac...
@PressSec
Karine Jean-Pierre
3 years
View from the press pool (James Cancer Center at Ohio State University)
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@EvanThomas84
Evan Thomas MD/PhD
1 year
@SPuro88 Wait- both were on the list? And both were a match for that kidney? This sounds like a transplant coordinator, not a surgeon mistake.
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@EvanThomas84
Evan Thomas MD/PhD
4 years
Don't forget to check out my two chapters in Dr's Yamada, Fiveash, Chang, and Knisely's hot new @SpringerNature book, "Radiotherapy in Managing Brain Metastases." 🔥🔥🔥
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@EvanThomas84
Evan Thomas MD/PhD
4 years
It really STINGs when *very* recently discovered pathways not even covered in latest edition textbook are put on minimum competency board exams. #abr #radbio
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@EvanThomas84
Evan Thomas MD/PhD
1 year
So happy I’m at home spending another 10-15 hours repeating the same mandatory training modules as last year instead of 1. Spending time with family 2. Patient care 3. Working on research 4. Anything else
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@EvanThomas84
Evan Thomas MD/PhD
7 months
Boswellia has been one of the most impactful things I’ve integrated into my practice as a CNS oncologist. An unexpected benefit has the discussion it opens up into the CAM therapies my patients are otherwise using.
@PDBrownOnc
PDBrown
7 months
Frankincense week 1/4 50 patients Gr1-3 RN after SRS for brain mets · Treated Boswellia Serrata 4.2-4.5g/day in divided doses · >50% response rate · 1/3 w/ symptomatic RN able to avoid steroids · 6% Gr1-2 GI (diarrhea)
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@EvanThomas84
Evan Thomas MD/PhD
2 months
We really need to lobby hard to get SBRT into NCCN guides as Cat 1 in all the areas where we have RCT’s (which is more and more)
@5_utr
M. Bolton
2 months
🚨 TACE + TKIs +/- SBRT OS (17.93 vs. 9.61 months, HR=1.869 [95%CI, 1.059-3.266], P=0.017) Survival benefit with SBRT #asco2024
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@EvanThomas84
Evan Thomas MD/PhD
4 years
Saw under 50yo gentleman for adj RT after RALP for high risk prostate ca w/ ECE & positive margins w/ FOUR PAD PER DAY INCONTINENCE. If he has 30 more years, that’s roughly 43800 pads. Even w/ value packs at Walmart, that’s $32000 in pads. Wonder if anyone consented him for that?
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@EvanThomas84
Evan Thomas MD/PhD
10 months
A centromedian nucleus thalamotomy is a noninvasive radiosurgical treatment used for certain types of severe refractory pain. For #trigeminalneuralgia that has failed other options, the second/third order neuron synapse of the trigeminothalamic tract can be targeted here.
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@EvanThomas84
Evan Thomas MD/PhD
2 years
Thanks for highlighting @DrewMoghanaki . SRS has many exciting non-oncologic applications including #epilepsy , #tremor , #dystonia , #depression , #OCD , #arrhythmia , & we are even exploring indications like #addiction . Field needs⬆️ CNS #radoncs willing to branch out of oncology!
@DrewMoghanaki
Drew Moghanaki 🐕
2 years
Radiosurgery for Refractory Depression likely saved the lives of patients who participated in this IRB-approved clinical trial. Treatment target = bilateral anterior limb of the internal capsule) #radonc
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@EvanThomas84
Evan Thomas MD/PhD
2 months
My sergeant and I beating the heat
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@EvanThomas84
Evan Thomas MD/PhD
5 years
“When a patient reports their treatment as fast and boring, there is no higher praise for a medical physicist.” - @gdhugo #SNORAD2019
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@EvanThomas84
Evan Thomas MD/PhD
3 years
And it's ordered!!!!!
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@EvanThomas84
Evan Thomas MD/PhD
6 months
1/N @AnthemBCBS just denied authorization for #SRS for one of my patients with medically refractory OCD. But I’m sure it’s an honest lack of awareness! 🧠💡 “Breaking the Chains of OCD: The Promise of Stereotactic Radiosurgery” - A thread on a groundbreaking treatment for
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@EvanThomas84
Evan Thomas MD/PhD
5 years
My kind of beer. Image courtesy of ⁦ @HLomas4 #oncology #radonc @DrewMoghanaki ⁩ ⁦
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@EvanThomas84
Evan Thomas MD/PhD
1 year
@AmarUKishan giving us a great breakdown of what we know about #sbrt in high risk prostate cancer & to pelvic LN’s @the_RSS #pcsm
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@EvanThomas84
Evan Thomas MD/PhD
2 years
Just wanted to say that I had fair, reasonable #radonc P2P w/ @evicorehc today. 1. Peer was a rad onc 2. Peer appropriately questioned IMRT for a palliative ES-SCLC tx . 3. Peer listened to case, requested plan comparison & to see volumes. 4. I provided, peer approved.
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@EvanThomas84
Evan Thomas MD/PhD
9 months
@marklewismd Got to name and shame and complain to licensing board here. This is incorrigible but not surprising.
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@EvanThomas84
Evan Thomas MD/PhD
4 years
Sooooo.......we had an an attempted alt right coup today..... But at least team @UABradonc all passed their rad bio/physics boards!
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@EvanThomas84
Evan Thomas MD/PhD
3 years
@TrekNewsNet Really???? No one else thinks it’s these two?
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@EvanThomas84
Evan Thomas MD/PhD
1 year
Essential tremor is the most common movement disorder, with increasing prevalence with age. For many people it becomes disabling & impacts ADLs including eating, drinking, & basic household tasks. First line treatment is propanolol and/or primidone. (1/4)
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@EvanThomas84
Evan Thomas MD/PhD
5 years
Great to see @ASTRO_org recognizing the importance (and in this, paradigm-shifting) of non-oncologic applications of RT in @SBRT_CR ‘s late-breaking abstract on cardiac radiosurgery for refractory malignant ventricular tachycardia. #radonc #ASTRO19
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@EvanThomas84
Evan Thomas MD/PhD
4 years
Keynote-522, neoadj pembro + chemo vs neoadj chemo for triple negative breast cancer #TNBC dropped in @NEJM today. ~33% improvement in pCR & prob EFS increase with longer f/u. Seems to mirror I-SPY2 pembro results. Hard to justify not offering now? #oncology #breastcancer
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@EvanThomas84
Evan Thomas MD/PhD
1 year
@DrCasteelEM Please let us know which ED’s you’re covering. I’d like to stay away. If my aorta dissects “atypically”, I’d like an emergency physician to catch it.
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@EvanThomas84
Evan Thomas MD/PhD
5 years
Excellent work by the @MDAndersonNews team showing animal model of dose-toxicity reduction of RT by fasting. Exciting not just for #pancreaticcancer but for any abdominal RT indication. Now if only I could figure out how to get ppl in Alabama to fast 🤔 #radonc #sbrt
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@EvanThomas84
Evan Thomas MD/PhD
3 years
Rewatched #House S01E01 & Wilson the #medonc apparently started radiation for a *presumed* #BrainTumor in 29yo w/ Wernicke’s aphasia w/o any imaging. I advise against this course of action. Turns out she had tapeworms. FYI, it takes > 1000 Gy to kill tapeworms. #radonc
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@EvanThomas84
Evan Thomas MD/PhD
1 year
Best Practice Statement: Just say NO to HIFU and cryo for definitive prostate cancer treatment. Inferior cancer outcomes and inferior QOL. There is no win for the patient here. #pcsm
@RSanchez_Salas
Rafael Sanchez-Salas
1 year
Best Practice Statement from @FocalSociety . Whole Gland HIFU and Cryo. Moving Forward
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@EvanThomas84
Evan Thomas MD/PhD
4 years
F*** cancer. RIP to RBG- Supreme court GOAT You will be missed more than you know. 😢
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@EvanThomas84
Evan Thomas MD/PhD
4 years
@marklewismd I got shamed by the publisher of a book I’m editing, who causally dropped that Fauci (who remains senior editor of Harrison’s NEVER turns in chapters late! 😂 what a freaking legend
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@EvanThomas84
Evan Thomas MD/PhD
8 months
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@EvanThomas84
Evan Thomas MD/PhD
3 years
@AshleyGWinter Works for hot flashes from tamoxifen, AI, and ADT
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@EvanThomas84
Evan Thomas MD/PhD
4 years
@sgremminger @C_Garthwaite @GottliebEcon @amychomd Just thought I'd leave this here while "policy wonk" guys are on the warpath on physician salaries again... @drmattmcfarlane
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@EvanThomas84
Evan Thomas MD/PhD
4 years
I’m an uncle one more time over!!!!!
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@EvanThomas84
Evan Thomas MD/PhD
4 years
Thank you Dr Song. With all due respect to anyone involved, I also find it concerning that ASTRO is more interested in policing [probably appropriate] opinions rather than addressing the unfortunate behavior of the ABR.
@Emily_R_Song
Dr. Emily R. Song
4 years
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@EvanThomas84
Evan Thomas MD/PhD
7 months
Merry Christmas to all!
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@EvanThomas84
Evan Thomas MD/PhD
3 years
Proud to be activating with fellow docs & providers in the Alabama Army National Guard Medical Detachment to administer #COVID19 vaccines to underserved regions of my state! #medtwitter #USArmyNationalGuard
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@EvanThomas84
Evan Thomas MD/PhD
4 years
How patients in the South express their gratitude 🥃 #radonc #CancerFree
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@EvanThomas84
Evan Thomas MD/PhD
6 months
We’ve been preaching it for years! PCI only yields benefit in the pre-MRI screening era. No benefit in radiographically negative 🧠’s. #EndPCI
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@PDBrownOnc
PDBrown
6 months
In modern era does PCI improve OS in Small Cell Lung Cancer? YES in both limited & extensive stage in this meta-analysis In subset of trials w/MRI screening pre-PCI, Suggestion OS benefit in limited stage
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@EvanThomas84
Evan Thomas MD/PhD
2 months
I too tend to avoid “whole body radiotherapy” when treating intracranial conditions.
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@EvanThomas84
Evan Thomas MD/PhD
5 years
The #ACA was associated with a significant reduction in suicides among 55-64yo cancer patients. The fact that we let financial toxicity kill our patients before their cancer is revolting. Imagine a world where our care doesn’t bankrupt our patients. #ASTRO19 #Medicare4All
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@EvanThomas84
Evan Thomas MD/PhD
4 years
@WCInvestor Not sure how someone can’t understand how having 6 figures of student debt doesn’t disincentivize people doing primary care in underprivileged medicaid/charity heavy communities...
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@EvanThomas84
Evan Thomas MD/PhD
1 month
@curiouswavefn Omg- I literally asked my BC Calc teacher if I could cancel out the d’s and got shredded.
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@EvanThomas84
Evan Thomas MD/PhD
1 year
One of @OSUWexMed ‘s star #radonc residents @aiims2738 presenting our 3fx fSRS radionecrosis data for brain metastases- keep your V23<20cc! @the_RSS
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@EvanThomas84
Evan Thomas MD/PhD
4 years
Despite massive budget shortfalls from ⬇️ revenue from COVID, @UABNews / @uabmedicine commitment to residents is such that they are honoring promised 2020–21 scheduled salary increases. Truly a privilege to train here.
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@EvanThomas84
Evan Thomas MD/PhD
3 years
Certain aged head-of-ABR rad oncs graduating vs rad oncs graduating today @ParikhSimul @DrChowdharyMD #radonc
@londongymnastic
London Gymnastics
4 years
A news report from MTV taking a nostalgic look at gymnastics in the 1950s compared to the 2016 Olympics. #ThrowbackThursday !
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@EvanThomas84
Evan Thomas MD/PhD
3 months
Don’t forget to check out @drbredel and I’s piece on functional radiosurgery in the 2024 Spring @ASTRO_org #AstroNews .
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Evan Thomas MD/PhD
4 years
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@EvanThomas84
Evan Thomas MD/PhD
3 years
Sorry #radonc world, all the @UABradonc PGY’5s are officially off the market. Good luck & best wishes in @ClevelandClinic to my rockstar co-resident who knows more about p53 than I know about anything!!!
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@EvanThomas84
Evan Thomas MD/PhD
2 months
@Leigh_Phillips You hurt your own cause (which I support) with a ridiculous nonsensical comparison
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@EvanThomas84
Evan Thomas MD/PhD
4 years
Shout out to @uabmedicine for such an efficient healthcare worker #COVID19 #vaccine rollout. In and out in 20 min, including 15 min of post injection obs
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@EvanThomas84
Evan Thomas MD/PhD
1 year
What dose of RT is best at ⬆️ immune responses in tumor microenvironment? Answer may be diff doses preferentially activate specific immune responses! Heterogeneity matters. Thanks @ZachMorrisMDPhD ⁩!⁦ @the_RSS ⁩ Time for those saying all RT ⬇️ immune response is past!
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@EvanThomas84
Evan Thomas MD/PhD
4 years
1st time I shared a textbook pdf w/ colleagues was MS1 year & I got sent to principal’s (dean) office. Doing it again today. Ch 9 of Washington’s rad therapy book is “Infxn Control in Rad Onc Facilities” & is great resource #radonc #covid19 #jc
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@EvanThomas84
Evan Thomas MD/PhD
3 years
Always great to see new agents with CNS activity - just a reminder that intracranial RR to stereotactic radiosurgery is ~100% and permanent LC is >90%!
@StephenVLiu
Stephen V Liu, MD
3 years
Open access @CCR_AACR is report on intracranial efficacy of the #RET inhibitor selpercatinib. In 22 pts on LIBRETTO with measurable intracranial disease, the intracranial RR was 82% (23% CR) with median not reached. @OncoAlert #LCSM
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@EvanThomas84
Evan Thomas MD/PhD
5 months
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@EvanThomas84
Evan Thomas MD/PhD
2 years
@marklewismd @RadiologiaClub Please include picture of burger next time.
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@EvanThomas84
Evan Thomas MD/PhD
5 years
Great study out of @DeptVetAffairs on effect of palliative care use in adv #lungcancer . Use of palliative care 31-365 days after dx -> improved OS & also importantly, drastically reduced likelihood of death in acute care setting. #lcsm Help your pts live out their lives better!
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@JAMAOnc
JAMA Oncology
5 years
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@EvanThomas84
Evan Thomas MD/PhD
1 year
“It’s cool guy, the rad oncs can clean up after me after I destroy your continence and sexual function with an inferior, upfront attempt at definitive treatment.”
@LondonProstate1
Hashim U. Ahmed
1 year
Radiotherapy after focal is also feasible, safe and has reassuring side effect profile and early efficacy.
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@EvanThomas84
Evan Thomas MD/PhD
4 years
Tried to cook bacon on the grill while simultaneously participating in radiosurgery conference. 😖 #radonc #timeofCOVID
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@EvanThomas84
Evan Thomas MD/PhD
2 years
We love it when the therapy dogs come visit us in #radonc . Thanks for stopping by Ellie!
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@EvanThomas84
Evan Thomas MD/PhD
10 months
@ParikhSimul @PhotonMediaOnc @ASTRO_org No but srsly, @_ShankarSiva one of the best dudes ever.
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@EvanThomas84
Evan Thomas MD/PhD
5 years
Excited to be en rte to #ASTRO2019 with a great crew from @UABradonc ! But flying w/ no status 😥 also, I’m a man and totally getting manspreaded by the guy next to me. I never knew. Ladies, I’m so sorry for what you deal with. #womenwhocurie #stopmanspreading
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@EvanThomas84
Evan Thomas MD/PhD
6 months
I really want to shout out to @SeizureSurgeon , @EMiddlebrooksMD , Dr’s Milanese, Almeida, and Tatum for this OUTSTANDING @MayoClinic course. It was my first time there, and due to scheduling I couldn’t be present for all of it, but I intend to be at this meeting every year going
@SeizureSurgeon
Sanjeet Grewal, MD
6 months
First day completed at the Rhoton-De Oliveira Functional Neurology and Neurosurgery Course! @Mayoclinic in Florida. Inspiring talks and discussion, already looking forward to day 2! @MayoClinicNeuro @EMiddlebrooksMD @van_mila @RushnaAli6 @Kendall_Lee1 @DoctorQMd @joao_p_almeida
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@EvanThomas84
Evan Thomas MD/PhD
3 years
Doghouse assembly successful
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@EvanThomas84
Evan Thomas MD/PhD
4 years
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@EvanThomas84
Evan Thomas MD/PhD
4 years
🤞for patient’s QOL ⬆️ Shout-out also to our world-class colleagues in movement disorder neurology who are invaluable in patient assessment, selection, and care. Dr’s Harrison Walker, Anthony Nicholas, Dave Standaert, Nati Stover, Victor Sung, Ben McCullough, & Talene Yacoubian.
@UABradonc
UAB Radiation Oncology
4 years
Scenes from the 1st in world frameless, SRS pallidotomy, administering 130Gy to GPi. Our patient suffers from a movement disorder called primary dystonia. Impeccable innovation & research done by Dr. Markus Bredel, Dr. Barton Guthrie, Dr. Evan Thomas & Dr. Richard Popple #radonc
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