Re: Volatility of I-131 NaI

[carol marcus <csmarcus@ucla.edu>]

At 11:49 AM 9/16/99 -0500, you wrote:
>
>I read this as meaning "to write as many prescriptions as are necessary"...
>for EACH employee susceptible to uptake.
>
>
>carol marcus wrote:
>"As it is
>> available only by prescription, get one of your docs to write as many
>> prescriptions as are necessary, and instruct that anyone using it after an
>> accident should report to Nuclear Medicine for a thyroid uptake." 
>
>
>at 06:58 AM 9/16/1999 -0500, you wrote:
>>This seems to be "pushing the envelope," legally.  Two issues:
>>
>>(1)  Can a physician write a prescription "to whom it may concern"?
>>
>>(2)  Can SSKI prescribed for one individual be given to someone else?
>>
>>The opinions expressed are strictly mine.
>>It's not about dose it's about staying out of jail.
>>
>>Bill Lipton
>>liptonw@dteenergy.com
>>
>>
>>carol marcus wrote:
>
>>>   I also send over a fresh bottle of SSKI from time to time
>>> to my RSO, in case I am not around during an accident.  NaI-131 used for
>>> radiolabeling is NOT stabilized, and so it could be more of an issue in
>>> research laboratories than on Nuclear Medicine services.  If there are
>>> laboratories around that use significant quantities of NaI-131 or NaI-125,
>>> it would probably be enough to keep some SSKI around those labs.  As it is
>>> available only by prescription, get one of your docs to write as many
>>> prescriptions as are necessary, and instruct that anyone using it after an
>>> accident should report to Nuclear Medicine for a thyroid uptake.  As
>thyroid
>>> uptake probes are not calibrated for I-131 or I-125 for any clinical
>>> purpose, you might invest in some standards to do so in case of a worker
>>> contamination situation.  At Harbor-UCLA, the RSO and Nuclear Medicine have
>>> uptake probes, and whenever the RSO calibrates his probe, he sends the
>>> sources over to Nuclear Medicine for a calibration as well.
>>>
>>> <csmarcus@ucla.edu>
>Opinions are mine only.
>Roger Sawyer
>Health Physicist
>University of Houston
>rsawyer@uh.edu
>
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Dear Roger:

Not at all.  Just stock it, and whomever needs it, takes it.  A prescription
like this does not have to be individualized.  

Ciao, Carol

Carol S. Marcus, Ph.D., M.D.
<csmarcus@ucla.edu>

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