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Re: AW: Radioiodine Therapy - Identification Card?



Franz, et al -
 
A short "war story" if you will ... several years ago, we were testing some continuous real-time gamma monitors in our offices in Atlanta, GA. We had the monitors set to alarm and initiate a call-back to the control computer at a dose rate of 50 uR/hr. A colleague of mine had been to an outpatient clinic that morning and had a radionuclide procedure ... I can't remember right now exactly what it was, but I believe it used Tl-208. In any case, when he turned the corner about 50 ft away from the detector we noticed a dramatic increase in dose rate, and the detector alarmed in about 10 seconds. We were able to use him as a check source for about 2 days! We also had a gamma spectroscopist at our laboratory at Georgia Tech who underwent a Tl-208 test, and he was reading several mR/hr at one inch from his forehead. It was quite a sight to see the gamma spectrum as he leaned over an open HpGe shield with the detector in "acquire" mode.
 
Bottom line is there are a number of medical procedures that may leave a patient demonstrably radioactive for a period of days ... and it would be nice if there was some way that they could prove that they themselves were the source.
 
Never underestimate the ability of untrained or poorly trained personnel to wreak havoc with radiation detection equipment!
 
My $0.02 (what's that in Euro?) worth ...
 
Jim

>>> "Franz Schoenhofer" <franz.schoenhofer@CHELLO.AT> 2/3/2003 22:17:02 >>>

 -----Ursprüngliche Nachricht-----
Von: owner-radsafe@list.vanderbilt.edu [mailto:owner-radsafe@list.vanderbilt.edu]Im Auftrag von Jim Hardeman
Gesendet: Dienstag, 04.
Februar 2003 22:46
An: radsafe@list.vanderbilt.edu
Betreff: Re: Radioiodine Therapy - Identification Card?

 

Bill -

 

Why limit it to only I-131 ... how about ANY radionuclide with a significant gamma likely to hang around in the body more than a few hours? I like the concept ... it's very similar to folks with prosthetics (say artificial hips or knees, or in my Dad's case, even cardiac stints) having a card to get through metal detectors.

 

-------------------------------

 

Jim,

In Austria patients leaving therapy with I-131 are handed over a leaflet, which tells them the do's and don'ts. (To avoid too close contact with family members, especially children, not to spill their urine in the bathroom in droplets, etc.) Other radionuclides are to my knowledge not adminstered in such quantities, that special provisions should be necessary. Since in Austria police is not equipped with contamination meters, no problems are to be expected.

 

I personally have since a few years also two cardiac stents implanted, the P-32 gone since long, and I can tell you that not a single metal detector at any airport, whether in the USA, Japan, Europe, Mexico etc. has ever detected them. The mass is much too low.

 

Best regards,

 

Franz