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Re: Outpatient Thyroid Ablations
>Date: Wed, 27 May 1998 08:52:00 -0400
>Reply-To: Medical Physics Mailing List <MEDPHYS@LISTS.WAYNE.EDU>
>Sender: Medical Physics Listserver <medphys@lists.wayne.edu>
>From: "Moore, Marleen M." <Marleen.Moore@VTMEDNET.ORG>
>Subject: Re: Outpatient Thyroid Ablations
>X-To: "larocca@frontiernet.net" <larocca@frontiernet.net>
>To: MEDPHYS@LISTS.WAYNE.EDU
>
>An update (at least to this list) on what the NRC may be thinking re I-131
>patients. We had our annual inspection last week. The inspector indicated
>that there (hedge word, hedge word) is support to rescind the I-131 release
>critieria and return to the absolute 30 mCi. Seems there are some public
>perception problems arising.
>Marleen Moore, M.S.
>Fletcher Allen Health Care
>Burlington, VT 05482
>
>> -----Original Message-----
>> From: The LaRocca's [SMTP:larocca@frontiernet.net]
>> Sent: Tuesday, May 26, 1998 9:09 PM
>> To: MEDPHYS@cwis-20.wayne.edu
>> Subject: Re: Outpatient Thyroid Ablations
>>
>> Scott,
>>
>> As a consultant, many of my clients are now treating outpatients at home
>> with I-131 therapy. Our programs have been very successful. Occasionaly,
>> the question of a hotel stay has arisen. Fortunately, I had the support
>> of
>> the authorized users to not permit such treatment.
>>
>> The though of potential problems that can arise of a contaminated hotel
>> room would be a nightmare !!!!!
>>
>> Tom
>>
>> ----------
>> > From: SCOTT DUBE <SDUBE@QUEENS.ORG>
>> > To: MEDPHYS@cwis-20.wayne.edu
>> > Subject: Outpatient Thyroid Ablations
>> > Date: Tuesday, May 26, 1998 8:53 PM
>> >
>> > We have been treating thyroid ablation patients on an outpatient basis
>> for
>> > a few months now. As incredible as it seems, many patients can be
>> > given 150 mCi of I-131 and sent home if they follow some relatively
>> > reasonable precautions for the first four days.
>> >
>> > Today we were presented with a new twist. The patient said she lives
>> > in a one bedroom apartment with several others and could not comply
>> > with the release criteria. However, she would rather check into a hotel
>> > room for four days rather than stay in the hospital. She said she would
>> > bring her own linens, towels, and eating utensils.
>> >
>> > As Radiation Safety Officer, I was asked if that was permissible. I
>> said
>> > absolutely no way. I believe the NRC modified the release criteria with
>> > the intent that these patients would go back to their own homes. But
>> > some questioned this decision.
>> >
>> > Can anybody out there give me a reference which would support or
>> > refute this decision?
>> >
>> > *****
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>>
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