📝My highest number of ERAS letters of recommendation yet! 5️⃣ students are applying to #radonc, surgery, and internal medicine this year and I'm delighted to support them. Fun fact, I have been working with one of them since 2019!! 💪

Many American families struggle to put food on the table ...but we won't know how many after this year. 🍎 Food insecurity is apolitical 🍎 The fight against hunger is not a 🔴 or 🔵 issue, it's a human issue @hcwvshunger.bsky.social @tmprowell.bsky.social @shematologist.medsky.social

#WeekendsinHouston: 4️⃣ Chinos at brunch (flashback to last month when my sister and nibling visited)

"When you go into the 🏥, they’re going to ask if you’ve had a fall in the last month. They’re going to ask you if you feel blue as a depression screen. I feel #financialToxicity & essential-needs screening is so important to ask every single person." www.healio.com/news/hematol...

Our @mdanderson.bsky.social patients need ~ 130 units of red blood cells & 110 units of platelets each day. They depend on local donors to meet this need. 🩸Today I spent some more time in the chair, donating platelets for my patients. www.mdandersonbloodbank.org

🧬🎙️ Our classic paradigms of screening & referral fall apart in the new era of proliferating indications of germline #genetictesting in cancer. I discuss a program w/ Dr. Hoffman using non-genetics providers to increase access while maintaining quality. @ascocancer.bsky.social

"Currently available value frameworks have been primarily developed from a first-world perspective; are they truly applicable in settings where even basic resources are limited?" 🌎In @gohealio.bsky.social from prior Costs of Care fellow Dr Haydeé Verduzco-Aguirre www.healio.com/news/hematol...

Had a wonderful day brainstorming on the future steps for Costs of Care with these healthcare visionaries. Thank you to Dr Vinny Arora for hosting us U Chicago Pritzker School of Medicine on the phenomenally beautiful UChicago campus.

"The hike is complete but the trail is still there; it needs hikers to be complete." Daniel Wolfson on the ABIM Foundation #ChoosingWisely program sunsetting and who will take up the banner to improve value in healthcare. The onus is on us. The trail awaits. 👣🛤️⛰️

"Ideas just exist. It's the people/groups who grab those ideas & fulfill them who make change." Daniel Wolfson at the US Students and Trainees Advocating for Resource Stewardship (STARS) Faculty Summit on how ABIM Foundation built #ChoosingWisely, translating ideas into action.

⭐️ In Chicago for the #ChoosingWisely Students and Trainees Advocating for Resource Stewardship (STARS) Faculty Summit. Dr Chris Moriates kicks is off with a review of how high value education can have ripple effects to change minds... creating a generation of change agents. 💫

Got a preview to the @astro-org.bsky.social #ASTRO25 #radonc 5k Race for Research swag!! Check out this awesome tech 🧢, perfect for casual OR competitive runner/walkers. Pick it up at the ROI booth along with your "I'm running for..." bib! 🏃🏻🏃🏼‍♀️🏃🏾‍♂️💨 Register today: zippy-reg.com/online_reg/?...

My first time @astro-org.bsky.social #radOnc head quarters! So excited to be here at the ROI Board of Trustees meeting. The future is bright for #radiationOncology research. 🌅☢️⚡️

"I felt seen" I received an amazing compliment with these words (part of this framed poem) from a patient today. The 📄 is called "Origami Heart Soar" ❤️ so creative & evocative... so thoughtful & heartfelt. It will stay with me 🙏 in my heart (and on my wall). #withPermission

Chair-Elect @ryannipp.bsky.social, MPH, FASCO, attended @ascocancer.bsky.social Quality as a trainee, and the science, education, and community he found there has kept him coming back.   “For many of us, it is our favorite meeting of the year." #ascoQLTY25

☢️Celebrating #WorldRTDay #WRAD with photos of my #womenWhoCurie mom. When she became a #radonc in the 70s, cobolt machines were the only option. Now linear accelerators are standard & next gen tech offers even more power & greater precision. @OncoAlert ⚡️worldradiotherapy.org

✅ Vaccinated before fall conference season. 2025-2026 Flu and Covid shots are now available at CVS.

“If future patients knew the real truth about #radiation, they would be less scared about treatment.” [☝️92% of pts tx with breast conservation & 81% who had mastectomy for #breastcancer agreed with this] #bcsm #radonc   ☢️ @astro-org.bsky.social @ascocancer.bsky.social @americancancersoc.bsky.social

🏃🏻‍♀️🚶🏻Run or walk for @astro-org.bsky.social ROI 5k to help fundraise for #radonc research & foster our wonderful #radiationoncology community. 🌅Join our sunrise group along the San Francisco Bay ⏰ 7:00 AM 📆 Tuesday, Sept 30 @oncoalert.bsky.social Register today! zippy-reg.com/online_reg/?...

Going through old photos & papers with my #radonc mom. Found a Red Journal @astro-org.bsky.social paper from 1991, a list of conferences my mom was considering attending including ABS & ARS, and this photo from the late 1980s. They had the first linac in Indiana, beating IU by 4 weeks.

When my husband died of cancer, I used his life insurance to 1) pay the bills while adrift/grieving and ultimately 2) pay for medical school. Because 🧑🏻‍🎓⚕️is very expensive, I still ended up with >$150k of student loans. Today I was finally able to completely pay off my debt. ✅

Reviving this @medscape.com @medscape.org article about what makes us excited to be in #radonc: "Our subspecialty is constantly working to improve survival and patient well-being, form deep connections with our patients, and push the boundaries of medical innovations." ☢️ #WomenwhoCurie #WeWhoCurie

⏰Discounted access to the 2025 @ascocancer.bsky.social Quality Care Symposium is ending soon! Join us at #ASCOQLTY25 the premier meeting addressing quality, safety, & efficiency of cancer care delivery. 📆 Early Registration by: Wed, September 3 at 11:59 PM (ET)

🌺 Artechouse Houston today with our multidisciplinary family. Social work, nursing, and physician reporting for fun. #weekendsinHouston

Audubon’s Birds of America is produced by National Museums Scotland in partnership with the Houston Museum of Natural Science. 🐦 ❤️ #weekendsinHouston

Proud to give a Project ECHO talk this morning about #burnoutMitigation. Why is burnout so common in medicine and what can we do to start intervening?

The patient voice is essential. Ms Ivy Elkins was an incredible advocate & vital contributor to science. I was proud to have worked with her & glad this patient-centered work continues on in her honor. #priorAuthorization #fixpriorAuth @jama.com Network Open jamanetwork.com/journals/jam...

New 🎙️: Drs Abby Rosenberg & @lghazal.bsky.social discuss optimal care for #AYACSM #AYAC psychosocial needs incld skills building & engaging in key health care discussions. Our convo is based on a RCT showing an education program can ⬆️QOL & ⬇️anxiety at 6 & 12 mo. @ascocancer.bsky.social

#BreastCancer @oncoalert.bsky.social update: Predict added #radiation to their #bcsm recurrence risk & OS calculator. They rec you use a left sided mean heart dose 2Gy if you don't know ☢️ specifics. Without #radonc input this has a high likelihood of either over or under estimating risk.

Out and about in Houston. Diho Square in Chinatown and the Houston Farmer's Market in Northside. #weekendsinHouston

4️⃣ in 🔟 in the US have #medicaldebt. Whether you have a chronic illness, need an expensive treatment, or are caring for a loved one, debt unfortunately seems unavoidable. 🎙️I was recently featured on #UncaredFor Podcast Season 3 "We need healthcare that doesn't feel like a fight."

New #BytheBook #ASCOEdBook @ascocancer.bsky.social Podcast with Drs Hope Rugo and @mdanderson.bsky.social #radonc resident Dr Kamaria Lee discussing #financialToxicity in #breastCancer #bcsm and how to fix it. 📚 ascopubs.org/doi/10.1200/... 🎙️ ascopubs.org/do/intervent...

Embracing Texas decor for our home. 🤠🌵⭐️ #weekendsinHouston

#Medicaldebt is an indicator of an inherent failure of our health system to protect the most vulnerable. Aggressively pursuing it does little to serve the financial bottom line of a hospital, while exposing the most vulnerable & their families to a lifetime of downstream consequences. @jama.com

🚨This @jama.com NO 📄 examines St Louis physician practices who SUE their patients. There are inequitable impacts of debt collection. Areas with ⬆️ % of Black residents & ⬇️ incomes... face ⬆️lawsuits, ⬆️judgments, & ⬆️wage garnishment. #Medicaldebt has disproportionate effects on certain communities.

We have agency. We can speak up. We can show up. Advocating for cancer care means speaking to legislators, bringing patient stories to the front lines of policymakers, supporting & amplifying each other to continue to do the work that changes outcomes. ➡️ @oncoalert.bsky.social @statnews.com

✅Another #platelet donation I love how @mdanderson.bsky.social allows you to donate to honor specific patients. If they don't need🩸, they get an honorarium credited to their account. And donations are always needed; for someone, they're a lifesaver. Literally. www.mdanderson.org/cmp/blood-do...

This @jama.com NO cohort study of >5000 examined legal barriers to cancer care access faced by pts & their caregivers. Findings suggest a need for health care teams to better understand legal issues & design more accessible legal navigation services. @triagecancer.org jamanetwork.com/journals/jam...

Breakfast with 3️⃣ #womenWhoCurie who started @mdanderson.bsky.social the same time I did. Colleagues & friends help you navigate a new world together. ❤️🙏 #weWhoCurie cc: Drs Manzar, Kesaria, Yoder [Forgot to post last weekend so pretend that this is today] #weekendsInHouston

🗣️"The system is horribly broken & it hurts patients unnecessarily” 🗣️"They wrote me off as a dead man”   Navigating #priorauth requires tech savvy, an understanding of insurance processes, knowledge of personal rights, & time to engage in the process.   @ascocancer.bsky.social @astro-org.bsky.social

New📄in @thelancet.com oncology: The US does not have a comprehensive national health insurance plan. Instead coverage is derived from a patchwork of various federal, state, & local policies. This system stymies access to care for ~11M #undocumentedImmigrants currently contributing to the US economy.

Excited to share news of my promotion to Associate Prof in #RadOnc. I have been blessed as junior faculty with both senior & peer mentors who have given me opportunities, feedback, encouragement, & support over the past 6 yrs. Excited to see what the future holds @mdanderson.bsky.social

Tonight we joined other bird nerds from the Houston Audubon society in an Old Navy parking lot at dusk to watch thousands of purple martins perform an aerial opera at 100 ft for 20 minutes before finally swooping down and roosting. It was stunning. #weekendsinHouston

#Caturday update. We are hosting my sister's cat Gary. He is like a friendly little panther.

A strange thing happened. I emailed myself to personally invite me to the conference that I am chairing. Excited to see me (and hopefully you!) at #ASCOQLTY25 😂 @ascocancer.bsky.social www.asco.org/quality

In this analysis of >8k with #GIcancers: 👉45% (n=3,764) had a COST score of <26, indicating #financialToxicity 👉28% (n=2,321) reported at least 1 health related social risk... including > 1️⃣in🔟 who couldn't afford 🍔🥗, 🛏️🏡, or 🚗🚐 @ascocancer.bsky.social ascopubs.org/doi/pdfdirect/10.1200/OP-25-00218

“When choosing cancer therapies, people should not have to choose between being alive & living”   Toxicity minimizing language ("safe” & “tolerable”) are subjective & can downplay QOL limiting side effects from treatment. 🚨New @ascocancer.bsky.social Podcast is live today! @coffeemommy.bsky.social

Propagation Sunday! Potted 6️⃣ different rooted plant cuttings. 🌱🪴 Zebrina, pothos, snake, mini monstera, spider, and monstera vine

Sheldon Lake State Park and WaterWall. 🐦 ☁️ 💦 #WeekendsinHouston

🤩 @drrobinyabroff.bsky.social is a leading researcher in the financial hardship & economic burden of cancer, health insurance coverage & benefit design, and how health policy shapes access & affordability of healthcare in the US. I am overjoyed to give her this @ascocancer.bsky.social 🏆 #ascoqlty25