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overexposure - mother breast feeds child after I-131 therapy
HOSPITAL | |EVENT NUMBER: 34618 |
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|LICENSEE: WESTERN PENNSYLVANIA HOSPITAL |NOTIFICATION DATE:
08/07/98
|
| CITY: PITTSBURGH REGION: 1 |NOTIFICATION TIME: 17:03
[ET]|
| COUNTY: ALLEGHENY STATE: PA |EVENT DATE:
07/28/98
|
|LICENSE#: AGREEMENT: N |EVENT TIME:
12:00[EDT]|
| DOCKET: |LAST UPDATE DATE:
08/07/98
|
|
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| |PERSON
ORGANIZATION|
| |TOM MOSLAK RDO
|
| |FRED COMBS, NMSS EO
|
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|NRC NOTIFIED BY: MILE PACILIO, RAD SAF OFF |
|
|HQ OPS OFFICER: DICK JOLLIFFE |
|
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|EMERGENCY CLASS: NOT APPLICABLE |
|
|10 CFR SECTION: |
|
|BAE1 20.2202(b)(1) PERS OVEREXPOSURE |
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EVENT TEXT
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| - OVEREXPOSURE OF A 4 YEAR OLD CHILD DUE TO BREAST FEEDING BY HIS MOTHER -
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|
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| ON 07/28/98, A 43 YEAR OLD FEMALE PATIENT REPORTED TO WESTERN PENNSYLVANIA
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| HOSPITAL TO BE EVALUATED FOR THYROID ABLATION THERAPY. DURING
CONSULTATION
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| WITH HOSPITAL PERSONNEL, THE PATIENT DENIED BREAST FEEDING HER 4 YEAR OLD
|
| SON. THE PATIENT CLEARLY HAD THE ABILITY TO SPEAK AND UNDERSTAND THE
|
| ENGLISH LANGUAGE. A HOSPITAL RADIATION TECHNOLOGIST ADMINISTERED A 3.02
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| MILLICURIE CAPSULE OF I-131 TO THE PATIENT IN PREPARATION FOR A WHOLE BODY
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| SCAN SCHEDULED ON 07/31/98.
|
|
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| ON 07/31/98, THE PATIENT RETURNED TO THE HOSPITAL FOR A WHOLE BODY SCAN.
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| THE PATIENT WAS COUNSELLED BY THE ATTENDING HOSPITAL PHYSICIAN AND A
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| MEMBER OF THE HOSPITAL RADIATION SAFETY OFFICE CONCERNING THE PRECAUTIONS
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| SURROUNDING THE IMPENDING ABLATION THERAPY SCHEDULED FOR 08/04/98. AFTER
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| THIS COUNSELLING, THE PATIENT ADMITTED TO BREAST FEEDING HER SON DURING
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| THE PREVIOUS THREE DAYS, STATING THAT SHE HAD BEEN TOO EMBARRASSED TO
|
| DISCLOSE THIS DURING HER PREVIOUS HOSPITAL VISIT. THREE HOSPITAL
EMPLOYEES
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| TOLD THE PATIENT TO IMMEDIATELY DISCONTINUE BREAST FEEDING HER SON.
|
|
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| ON 08/03/98, THE PATIENT AND HER SON RETURNED TO THE HOSPITAL IN ORDER TO
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| HAVE ANY UPTAKE BY HER SON ASSESSED. A BIOASSAY OF THE CHILD'S THYROID
|
| GLAND DETERMINED THAT IT HAD A BURDEN OF 2.7 MICROCURIES OF I-131, WHICH
|
| EQUATES TO AN ORGAN DOSE OF 184 RADS (TEDE = 5.5 RADS). DURING SUBSEQUENT
|
| CONVERSATIONS WITH THE PATIENT, SHE REVEALED THAT SHE HAD CONTINUED
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| TO BREAST FEED HER SON OVER THE WEEKEND, INCLUDING IMMEDIATELY BEFORE
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| REPORTING TO THE HOSPITAL FOR THE BIOASSAY.
|
|
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| HOSPITAL PERSONNEL SUSPENDED ADMINISTERING ANY ADDITIONAL I-131 TO THE
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| PATIENT AND ARE CONTINUING TO FOLLOW THE CONDITION OF THE PATIENT AND
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| THE CHILD. THE HOSPITAL NUCLEAR PHYSICIAN NOTIFIED THE CHILD'S PHYSICIAN
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| WHO IS COORDINATING FOLLOWUP CARE, INCLUDING ASSESSMENT BY A PEDIATRIC
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| ENDOCRINOLOGIST AND PROTECTION BY THE LOCAL CHILD YOUTH SERVICES.
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| THE HOSPITAL NUCLEAR PHYSICIAN ALSO NOTIFIED THE PATIENT'S ATTENDING
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| PHYSICIAN AND SURGEON CONCERNING THIS INCIDENT IN ORDER TO COORDINATE
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| THE PROTECTION OR TREATMENT ALTERNATIVES FOR THIS PATIENT.
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|
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| HOSPITAL PERSONNEL DO NOT PLAN TO ISSUE A PRESS RELEASE REGARDING THIS
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| INCIDENT.
|
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