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Emma B. Holliday MD Profile picture
Emma B. Holliday MD
@DrEmmaHolliday
Mom of 4 amazing kids/Wife of @JeremySomerson/ Rad Onc treating GI cancer. Passionate about patient care, PRO/QOL, & #MedEd. Tweets my own, not med advice
Apr 22, 2023 • 17 tweets • 5 min read
There has been a lot of 🔥discussion lately of short course radiation (SCRT) for locally advanced rectal cancer (LARC).
I❤️SCRT bc it is convenient for working patients or those who travel for 🏥care. However, the RAPIDO update gives me pause. Let’s look at the history of SCRT: When I was a resident-the great Bruce Minsky taught us that SCRT was born when a surgeon said- “sure you can do preop RT if you want- but I’m taking the patient to the OR next week- so do what you can in 5 days” 🤷‍♀️ 25Gy was safe and feasible even in the 2D era.