RE: question on M. Brucer's P-32 vignette

["Jaro" <jaro-10kbq@sympatico.ca>]

Thank you very much Dr. Marcus, for your prompt reply and valuable personal

insight.



I am left however, with a bit of a puzzle about Brucer and his vignette.

Perhaps the answer lies in the "Chronology from 1940 to 1953" subtitle ?

Is it possible that at that time, nuclear physicians and nuclear pharmacists

weren't quite the large discipline they are today (or even at the time of

writing of Brucer's book, in 1990) ?

He does however say that "A recent (1983) issue of Current Therapy points

out that the choice therapy must be given by a physician with a special

license."

Presumably that "special license" is intended to mean nuclear physicians and

nuclear pharmacists ?

Is it possible to reconcile the difference about P-32 therapy use - or not -

in a way that makes sense to a non-specialist like myself ?



Thanks again





 Jaro



http://www.cns-snc.ca/branches/quebec/quebec.html



^^^^^^^^^^^^^^^^^^^^^







-----Original Message-----

From: owner-radsafe@list.vanderbilt.edu

[mailto:owner-radsafe@list.vanderbilt.edu]On Behalf Of Carol Marcus

Sent: Monday, January 19, 2004 8:51 AM

To: Jaro; RADSAFE

Subject: Re: question on M. Brucer's P-32 vignette



At 08:17 PM 1/18/2004, Jaro wrote:

>What I would like to know is whether P-32 therapy is still unavailable in

the US,



Dear Jaro and Radsafers:



P-32 therapy has always been available in the U.S.  The NRC tried at one

point to forbid it for FDA-unapproved indications, but the nuclear medicine

community, with the help of the head of the NRC Medical Program and the

FDA, prevailed.  This was one of the situations that led to NRC's

"Radiopharmacy Rule", in which NRC stopped trying to tell nuclear

physicians and nuclear pharmacists what drugs they could or couldn't use,

which indications could be treated with which drugs, and how drugs should

be prepared.



While there is still a contingent of vicious bureaucrats at NRC who keep

trying to undercut the Radiopharmacy Rule with specific license conditions

that take away the value of the rule, so far we have stopped them.  Maybe

one day the Commissioners will wise up and get rid of these people,

although I doubt that they have the administrative competence to do so.



Ciao, Carol



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