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Re: medical isotopes - patient expense
I'm sure that software is either available or could be easily developed which
would print out a personalized message, after the staff inputs patient and
radionuclide information. I would guess that the cost would be a few
$0.01/patient; maybe less.
The opinions expressed are strictly mine.
It's not about dose, it's about trust.
Curies forever.
Bill Lipton
liptonw@dteenergy.com
"Celia Rajkovich, RRPT" wrote:
> How much more could it possibly cost an institution to type up instructions
> for each radioisotope test they provide, run them off (bulk)and hand them
> out to the patients along with the discharge instructions.
> The hospitals in my area do not tell you the "details" of your
> "radioisotope procedure" nor do they provide discharge instructions
> pertaining to the rad part of the procedure.
> I know this because I had a thyroid scan last year. I received no details
> before I arrived at the hospital and I was not asked any questions at the
> hospital. I asked the technician what the activity of the Tc-99m was right
> before he injected me.(Boy was he surprised!). Yes, I asked him to please
> check that the activity was correct.
> Following the test,the supervisor brought the film in for me to view. It
> turned in to a field trip.
> I was a walking high rad area when I got home. If I were not a HP I would
> never have known. Some might say that if we don't know we are better off
> (stress etc.)I'm not buying that! I could have went home to a baby, been
> pregnant or maybe I worked in a nursery/daycare and was going to work
> afterwards.
> I think a little extra effort from the nuc med staff is needed.
>
> >> --On Monday, November 24, 2003 9:56 AM -0500 William V Lipton
> >> <liptonw@DTEENERGY.COM> wrote:
> >>
> >> > Maybe I'm missing something, here, but how expensive could it be to
> >> > provide each patient with a sheet of instructions? I fail to
> >> > understand how you consider providing patients with information on
> >> > what you've done to them, "over the top."
> >> >
> >> > The opinions expressed are strictly mine.
> >> > It's not about dose, it's about trust.
> >> > Curies forever.
> >> >
> >> > Bill Lipton
> >> > liptonw@dteenergy.com
> >> >
> >> > SiegelB@mir.wustl.edu wrote:
> >> >
> >> >> How much are you willing to pay per nuclear medicine procedure for the
> >> >> added cost of providing this information to all patients? Since this
> >> >> appears to be a very small problem indeed, the proposed solution
> >> >> seems a bit over the top.
> >> >>
> >> >> Note that revised 10 CFR 35.75 actually was a rule that resulted in
> >> >> substantial medical care cost savings, since formerly many of the
> >> >> patients affected by this rule were hospitalized for 2-3 days to
> >> >> protect members of the general public from a radiation hazard. The
> >> >> cost of providing these patients with oral and written instructions
> >> >> is offset by the costs saved, but this would not apply to the
> >> >> millions of other patients who have nuclear medicine procedures each
> >> >> year.
> >> >>
> >> >> Barry A. Siegel, MD
> >> >> siegelb@mir.wustl.edu
> >> >>
> >> >>
> >> >> William V Lipton
> >> >> <liptonw@DTEENERGY.COM To: Carol
> >> >> Marcus <csmarcus@ucla.edu>
> >> >> > cc:
> >> >> > knwachter@juno.co
> >> >> > m,
> >> >> > radsafe@list.vand
> >> >> > erb ilt.edu
> >> >> Sent by: Subject: Re:
> >> >> detecting medical isotopes at airport security
> >> >> owner-radsafe@list.van
> >> >> derbilt.edu
> >> >>
> >> >>
> >> >> 11/24/03 06:29 AM
> >> >> Please respond to
> >> >> William V Lipton
> >> >>
> >> >>
> >> >>
> >> >> 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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> >> >
> >> >
> >> > **********************************************************************
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> >> >
> >> >
> >>
> >> Celia Rajkovich, RRPT
> >> Carnegie Mellon University
> >> EH&S - Radiation Safety
> >> Mellon Institute 313 Box 90
> >> Pittsburgh Pa. 15213
> >> Phone 268-7502 Fax 268-1736
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> >> medium. Thank you for your cooperation.
>
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