Re: Volatility of I-131 NaI

[William V Lipton <liptonw@dteenergy.com>]

What about people who are allergic to iodine?  Would you be liable if someone
suffered side effects from some iodide that you "prescribed."

My employer screens employees for this.

The opinions expressed are strictly mine.
It's not about dose, it's about trust.

Bill Lipton
liptonw@dteenergy.com

carol marcus wrote:

> 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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