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After Stroke Scans, Patients Face Serious Health Risks
NY Times ^ | July 31, 2010 | WALT BOGDANICH

Posted on 08/01/2010 5:18:58 PM PDT by neverdem

When Alain Reyes’s hair suddenly fell out in a freakish band circling his head, he was not the only one worried about his health. His co-workers at a shipping company avoided him, and his boss sent him home, fearing he had a contagious disease.

Only later would Mr. Reyes learn what had caused him so much physical and emotional grief: he had received a radiation overdose during a test for a stroke at a hospital in Glendale, Calif.

Other patients getting the procedure, called a CT brain perfusion scan, were being overdosed, too — 37 of them just up the freeway at Providence Saint Joseph Medical Center in Burbank, 269 more at the renowned Cedars-Sinai Medical Center in Los Angeles and dozens more at a hospital in Huntsville, Ala.

The overdoses, which began to emerge late last summer, set off an investigation by the Food and Drug Administration into why patients tested with this complex yet lightly regulated technology were bombarded with excessive...

--snip--

A blood clot in the brain can be dissolved with medicine, but doctors must do it within several hours, before brain cells die from a lack of oxygen.

--snip--

For Dr. Smith-Bindman, a professor at the University of California, San Francisco, the larger question raised by her review of overdose cases, including one in Huntsville, is whether their symptoms actually required such a powerful test in the first place. She also noted that many of the patients were relatively young.

“These tests have really high doses,” she said. “And there’s no system for figuring out who is getting them and why they are getting them.”

Reducing mistakes is important, but the bigger challenge, she said, is to eliminate unnecessary testing.

“Utilization has increased dramatically, and as a society we have not had the time to respond.”

(Excerpt) Read more at nytimes.com ...


TOPICS: Culture/Society; Extended News; Government
KEYWORDS: doctor; doctors; health; healthcarerationing; hospital; hospitals; lab; labs; labtest; labtesting; labtests; malpractice; medicallab; medicaltest; medicaltesting; medicaltests; medicine; obamacare; radiation; radiology; rationing; scans; stroke; strokes; strokescans; stroketest
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1 posted on 08/01/2010 5:19:03 PM PDT by neverdem
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To: neverdem

” Reducing mistakes is important, but the bigger challenge, she said, is to eliminate unnecessary testing. “

Money quote — this, in conjunction with it being from NYT, makes this a fairly subtle Obamacare propaganda piece....

Ya gotta watch ‘em every minute, folks.....


2 posted on 08/01/2010 5:28:15 PM PDT by Uncle Ike (Rope is cheap, and there are lots of trees...)
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To: neverdem

And people always wonder why I avoid doctors like the plague.


3 posted on 08/01/2010 5:31:08 PM PDT by EggsAckley ( There's an Ethiopian in the fuel supply!)
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To: neverdem
I don't understand why medical equipment manufacturing companies spend millions on all kinds of largely useless idiot-proof labelling outside of their machines and manuals, but won't make the effort to implement simple, redundant interlock fail-safes to prevent radiation and other hazardous overdoses.

This peculiar problem is not limited to the medical equipment industry alone. I've seen the same problem with industrial equipment, as well.

4 posted on 08/01/2010 5:33:18 PM PDT by James C. Bennett
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To: EggsAckley

“plague”

So, if you get the plague you won’t seek a doctor?

What you don’t see are the thousands of healthy patients because of doctors for every overdose like this. Besides, who said the doctor did it? I would expect the story involved a technician/operator, not the doctor.


5 posted on 08/01/2010 5:33:42 PM PDT by CodeToad ("Idiocracy" is not just a movie.)
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To: James C. Bennett

We need to see the: “ARE YOU SURE?” prompt when outside a normal dosage.


6 posted on 08/01/2010 5:34:40 PM PDT by George from New England (Escaped CT in 2006, now living north of Tampa)
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To: George from New England

I know it sounds funny, but overdosing radiation is not as uncommon as one thinks it is. I remember reading about several such incidents over the past few years.

I would suggest a big read-out indicating the strength of the radiation, with a proper demarcation of the safe limits.


7 posted on 08/01/2010 5:40:05 PM PDT by James C. Bennett
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To: George from New England
Followed with an "ARE YOU REALLY SURE???" prompt.
8 posted on 08/01/2010 5:44:39 PM PDT by null and void (We are now in day 554 of our national holiday from reality. - 0bama really isn't one of US.)
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To: CodeToad

The “doctor” is the supervisor of the techs. This kind of thing would not happen if the doctor is paying closer attention to his employees.

I saw how unsupervised employees in a hospital literally killed my Dad. I even found him on a cold rainy late afternoon in the ICU, laying in bed with no clothes and no sheets or blankets. He was shivering extremely hard. And I could find no one watching the ICU for at least 20 minutes. When I did find someone, they couldn’t “find” any spare blankets. And this was in a very toney, expensive private hospital. The next day “Nurse Rachet” said it didn’t happen and accused me of being drunk.

They finally “got” him with their own homegrown deadly virus, staph infection.

If you happen to be a doctor or staff member, sorry for the insults. But I’ve seen way too much to trust anyone in the industry.


9 posted on 08/01/2010 5:47:28 PM PDT by EggsAckley ( There's an Ethiopian in the fuel supply!)
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To: James C. Bennett

Articles like this are scary to me. My daughters were very sick when they were 6 weeks old, and they had CT scans (along with tons of other tests).

They are 13 now, and I wonder if there will be some other scary side effect that we are not aware of.


10 posted on 08/01/2010 5:50:31 PM PDT by luckystarmom
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To: EggsAckley

“And people always wonder why I avoid doctors like the plague”

I attribute my good health to a deathly fear of doctors and hospitals. My grandfather died in a hospital from a superbug he caught there during a minor procedure. My grandmother died from a nurse’s misinterpretation of a doctor’s note, leading to a fatal overdose of medicine.


11 posted on 08/01/2010 5:57:56 PM PDT by The Antiyuppie ("When small men cast long shadows, then it is very late in the day.")
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To: neverdem
The Therac-25 lives!
12 posted on 08/01/2010 6:06:02 PM PDT by DuncanWaring (The Lord uses the good ones; the bad ones use the Lord.)
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To: James C. Bennett
Over the years, I have read a great deal on a series of deadly malfunctions on one particular model of radiation machine: The Therac25.

A cautionary tale for anyone designing computer-controlled stuff.

13 posted on 08/01/2010 6:32:23 PM PDT by Erasmus (Personal goal: Have a bigger carbon footprint than Tony Robbins.)
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To: EggsAckley

My dad had such a morbid sense of humor. He always said to avoid doctors because “they’ll find a way to kill you one way or the other.”


14 posted on 08/01/2010 6:35:13 PM PDT by Paved Paradise
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To: luckystarmom

Your kids will be fine. This is just propaganda from the new york slimes. I am a registered cat scan and mri tech. The one study that might receive high doses is an abdomen and pelvis with attention to the pancreas, and you get more radiation from sun in 3hours. I have been doing this job for 15 years since 1995. I have many of times been in the room with patients, shielded of course, and still have all my hair, no cancer. I would tell that guy to get checked out medically as to why his hair fell out. If it even happened. If you don’t believe me, check out the dosage rate from when we dropped the bombs on Japan, research is out there on radiation exposure.


15 posted on 08/01/2010 6:52:16 PM PDT by claymax ("Man is not free unless Government is limited" Ronald Reagan)
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To: neverdem
For Dr. Smith-Bindman, a professor at the University of California, San Francisco, the larger question raised by her review of overdose cases, including one in Huntsville, is whether their symptoms actually required such a powerful test in the first place.

The threat of being sued is why doctors order so many tests.

16 posted on 08/01/2010 6:58:13 PM PDT by Moonman62 (Politicians exist to break windows so they may spend other people's money to fix them.)
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To: DuncanWaring
Yes, but this is diagnostic imaging, not radiation therapy which is normally used to treat cancer.

I'm just amazed that diagnostic radiology equipment could produce that high a radiation dose. Many of the patients appear to be relatively young. I can imagine the potential liability for the hospitals and manufacturers must be just huge.

17 posted on 08/01/2010 7:01:14 PM PDT by Sooth2222 ("Suppose you were an idiot. And suppose you were a member of congress. But I repeat myself." M.Twain)
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To: Sooth2222

A standard, correctly calibrated CAT scan machine is said to deliver radiation equal to 50 chest xrays. If such a machine is not calibrated properly, or operated improperly, who knows what dose might be administered?


18 posted on 08/01/2010 7:45:18 PM PDT by givemELL (Does Taiwan eet the Criteria to Qualify as an "Overseas Territory of the United States"? by Richar)
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To: givemELL
Skin erythema dose (′skin ′er·ə′thē·mə ′dōs)

A unit of radioactive dose resulting from exposure to electromagnetic radiation, equal to the dose that slightly reddens or browns the skin of 80% of all persons within 3 weeks after exposure; it is approximately 1000 roentgens for gamma rays, 600 roentgens for x-rays. Abbreviated SED.

I read that a CT scan normally delivers about 3-7 roentgens (or centi-Gray units). If patients skin was turning red, and hair was falling out -- this seems a much higher radiation dose than they're letting on.

19 posted on 08/01/2010 8:12:17 PM PDT by Sooth2222 ("Suppose you were an idiot. And suppose you were a member of congress. But I repeat myself." M.Twain)
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To: neverdem
“These tests have really high doses,” she said. “And there’s no system for figuring out who is getting them and why they are getting them.”

The doctors are going for higher resolution - at the expense of the patient. They can just friggin' lower the dose...

20 posted on 08/01/2010 8:14:10 PM PDT by GOPJ (Asked for ZIP? Give 82224 - Lost Springs,Wy - most sparsely populated in country. Freeper:SamAdams)
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