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Here's what happens when you don't know which end is up!
[from NRC events report for March 31, 1999]
A MAN SCHEDULED FOR A THERAPY DOSE TO HIS COLON WAS GIVEN A BRAIN TREATMENT
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| INSTEAD.
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| The text following information is a portion of a facsimile received from
the
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| Tennessee Department of Environmental and Conversation Division of
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| Radiological Health:
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| "On 03/30/99, the Radiation Safety Officer at Methodist Central Hospital,
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| Memphis, reported a therapeutic misadministration to the Memphis Field
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| Office Manager. The event occurred on 03/29/99. A man scheduled for a
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| therapy dose to his colon was given a brain treatment instead. The dose
to
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| the brain was 200 rad. The man answered to the wrong name when called for
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| treatment. A written report will be submitted to the State of Tennessee
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| Department of Environmental and Conservation Division of Radiological
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| Health within 15 days."
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| The machine used was a linear accelerator.
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The opinions expressed are strictly mine.
It's not about dose, it's about trust.
Bill Lipton
liptonw@dteenergy.com
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