RE: question concerning stress tests

["Neil, David M" <neildm@id.doe.gov>]

I don't think it would be quite that simple.  Yes, the interpretation would be simple, but maintaining records from all the potential sources would be difficult.  If you are tracking the major exposures, you end up tracking the minor ones, too, because they add up.  So the dentist, and the cardiologist and the internist and the osteopath and the endocrinologist all have to get their reports coordinated so that the total could be kept up accurately.



As it is now, the  MDs MIGHT share information, but probably wouldn't - the records for the stress test are in Dr. Hart's files, the barium swallow study is with Dr. S.O. Fagus, Dr. Pat Ellas did several films while you were in traction, Dr. Glenn Dular administered I131, and they don't even go to the same country club, much less admit to the same hospital.



And not one of them would have a way of knowing about the six bite wings Dr. Fang did during your root canal, not to mention the routine diagnostics.



So short of a unified medical ID card and centralized records (Shades of Hillary! -and I don't mean Sir Edmund ... ), this is unlikely to happen.



NB - all but one of these happened to me :-)  Names are changed to protect the oblivious.



Dave Neil



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

From: Stabin, Michael [mailto:michael.g.stabin@vanderbilt.edu]

Sent: Thursday, January 13, 2005 12:12 PM

To: garyi@trinityphysics.com; radsafe@list.vanderbilt.edu

Subject: RE: question concerning stress tests





>If this idea caught on, it could be the start of a new kind of

dosimetrist.  Working in Dx imaging, this person would maintiain dose

information in the patient's chart and advise the physician on doses and

potiential dose effects prior to imaging procedures.  I think its a good

idea but I suspect that most physicians would not agree.



Any competent physicist or health physicist in the hospital could do

this easily, given the easy lookup resources available. No one would

have to fund a new position. It would be easy to keep cumulative

records, just for physicians to be aware of when ordering tests.





Mike



Michael G. Stabin, PhD, CHP

Assistant Professor of Radiology and Radiological Sciences

Department of Radiology and Radiological Sciences

Vanderbilt University

1161 21st Avenue South

Nashville, TN 37232-2675

Phone (615) 343-0068

Fax   (615) 322-3764

Pager (615) 835-5153

e-mail     michael.g.stabin@vanderbilt.edu

internet   www.doseinfo-radar.com





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