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[Fwd: RE: detecting medical isotopes at airport security]
-------- Original Message --------
From: "Williamson, Matthew/Medical Physics" <willim01@MSKCC.ORG>
Subject: RE: detecting medical isotopes at airport security
To: William V Lipton <liptonw@dteenergy.com>
Go ahead...
-----Original Message-----
From: William V Lipton [mailto:liptonw@dteenergy.com]
Sent: Monday, November 24, 2003 10:04 AM
To: Williamson, Matthew/Medical Physics
Subject: Re: detecting medical isotopes at airport security
May I post this to RADSAFE?
Bill
"Williamson, Matthew/Medical Physics" wrote:
> Our institution attempts to provide wallet sized cards for all
> diagnostic and therapeutic administrations of radioactive material
> with an estimate for the duration of time they will continue to be
> detected. I don't see where this is a HIPPA violation. The card is
> only meant for instances where an authority figure approaches an
> individual. The card facilitates the investigative process.
>
> Yes, only the people directly involved in the ptn's care are permitted
> to access relevant information. A ptn could choose NOT to address the
> police officer citing HIPPA...and then miss their flight.
>
> During my interaction w/ NYC, I've noticed that the education curve
> for radioactive materials in the public was exponential. They seem to
> have a decent handle on what 'looks' like a medical application of
> radioactive material.
>
> Matt Williamson
> Memorial Sloan-Kettering Cancer Center
>
> -----Original Message-----
> From: owner-radsafe@list.Vanderbilt.Edu
> [mailto:owner-radsafe@list.Vanderbilt.Edu] On Behalf Of William V
> Lipton
> Sent: Monday, November 24, 2003 7:30 AM
> To: Carol Marcus
> Cc: knwachter@juno.com; radsafe@list.Vanderbilt.Edu
> Subject: Re: detecting medical isotopes at airport security
>
> 10 CFR 35.75 requires, "...instructions, including written
> instructions, on actions recommended to maintain doses to other
> individuals as low as is reasonably achievable if the total effective
> dose equivalent to any other individual is likely to exceed 1 mSv (0.1
> rem)...."
>
> I propose that this be revised to: (1) delete the threshold so that
> it applies to all nuc med patients, and (2) add a requirement to
> include information on whether the patient is likely to alarm
> personnel radiation monitors.
>
> The opinions expressed are strictly mine.
> It's not about dose, it's about trust.
> Curies forever.
>
> Bill Lipton
> liptonw@dteenergy.com
>
> Carol Marcus wrote:
>
> > At 12:46 PM 11/21/2003, knwachter@juno.com wrote:
> >
> > >Does anyone know of incidents where residual medical isotopes in a
> > >traveller's body set off radiation monitors at an airport? A
> > >cardiologist mentioned to me that he had heard of Tl-201 a day or
> > >two
>
> > >after a cardiac scan tripping alarms at some airports. Just
> > >curious.
> > >
> > >knwachter@juno.com
> >
> > Dear Radsafers:
> >
> > ...
>
> > I really think that
> > patients who receive radiopharmaceuticals should be given a card the
> > size of a credit card to carry in their wallet for a few weeks, and
> > that the card contains all the relevant information and a number to
> > call to check. However, I guess that would now be a HIPAA
> > violation!
> >
> > Ciao, Carol
> >
> > Carol S. Marcus, Ph.D., M.D.
> > <csmarcus@ucla.edu>
> >
>
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