ccml Sunday's Case - 4 days Later

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In a message dated 1/29/2007 10:53:17 AM Central Standard Time,  
rfsmithmd at comcast.net writes:

http://www.wright.edu/admin/ehs/RadOffice/biological%20effects%20of%20ionizi
ng%20radiation.pdf


 
yep...I've seen that one before...and just like a radiologist to include a  
disclaimer at the begining of the document:
 
<block quote>
Ionizing radiation in very high levels is known to increase the incidence  of 
cancer, birth
anomalies, erythema, and other problems. In low levels,  these effects are 
either very, very small
compared to natural incidences or  non-existent depending on the biological 
model used for
estimating the  potential risk. Regulatory agencies assume that radiation 
effects observed  in
people exposed to very high doses can be linearly extrapolated to  background 
levels. This model
is called the “linear no-threshold theory”  because the modeled effects are 
linear with dose and no
threshold is assumed.  The linear model most likely over-estimates harmful 
biological  effects
because it does not fully account for the body’s ability to repair  damage.
</block quote>
 
I have had a number of arguments with both surgeons and radiologists over  
the years about the need for radiographic verses ultrasongraphic verses simple  
history and physical examination of the patient. I have had ONE surgeon in the 
 past 5 years willing to examine the patient for appendicitis before the CT 
was  ordered, and several radiologists who preferred CT (which they could view 
by  Telerad, AND already had techs in house to perform) for pelvic problems 
rather  than the more desirable (for suspected gyn problems) ultrasound, which 
mostly  were not connected to the Telerad system, and rarely have 24 hour tech 
coverage  in house.
 
ck
Charles S. Krin, DO FAAFP
(just an old country doc)

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