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BIG NEWS - CT Causes Leukemia ?
Eran Tal-or e_talor at rambam.health.gov.ilThu Nov 29 05:52:41 GMT 2007
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On his letter Dr Mattox wrote: "I have been told by one of the most successful plaintiff attorneys that I know that she has attended a number of conferences preparing plaintiff attorneys to sue on the basis of a patient having cancer, lymphoma, and leukemia secondary to CT scanning earlier in life" Sometimes I have the feeling that medicine is a little bit simpler on this side of the Atlantic. But I guess it only a matter of time. Eran Tal-Or M.D. M.H.A. Trauma Unit Rambam Medical Center Israel -----Original Message----- From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of KMATTOX at aol.com Sent: Thursday, November 29, 2007 3:47 AM To: trauma-list at trauma.org; ccm-l at ccm-l.org Subject: BIG NEWS - CT Causes Leukemia ? I am co posting this to both Trauma and ccm-l lists because of the intense interest of both groups. Two years, TWO YEARS ago, this subject was discussed in some detail on both of these list servers. Today the NEJM and tonight, the major national TV news programs made this subject a BIG DEAL. What took them so long to discover what the debaters on these list servers discussed two years ago. Today the New England Journal of Medicine and also published in a Ft Lauderdale paper are reports that CT is overused and it can lead to cancer. The NEJM article has some of the following comments: 1. Up to 1/3 of CTs in the United States are ordered unnecessarily, often before the patient is ever examined (KLM Agrees with the later statement but believes that the un necessary figure may be as high as 90%) 2. Up to 20 million adults and 1 million children have un necessary CT scans annually 3. 100-200 times more radiation is inflicted on a body after a CT compared to a routine chest X-ray 4. 2% of cancers seen in 20 years will be secondary to CT scans performed today. 5. ECRI ( http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2007-November/_http://www.ecri.org/_ (http://www.ecri.org/) ) has indicated that 3000 persons with cancer today are secondary to excess radiation secondary to CT scanning. I do not know if these suggestions are true or not, so...............................I looked at population based incidence of cancer in 1970, 1980, and the last 10 years thinking I would see a flat line incidence of leukemia and lymphoma per 100,000 population. However ...................................................... I have been told by one of the most successful plaintiff attorneys that I know that she has attended a number of conferences preparing plaintiff attorneys to sue on the basis of a patient having cancer, lymphoma, and leukemia secondary to CT scanning earlier in life. The focus of these seminars is to lead attorneys to focus on class action suits, especially against doctors, in patients with cancer and in whom there was ANY question of un necessary CT scanning or excessive CT scanning earlier in the cancer patient's life. Anticipating this subject, several months ago, this and other subjects was put onto the Las Vegas Trauma Conference ( _www.trauma-criticalcare.com_ (http://www.trauma-criticalcare.com) ) It is all there. Think of this day and the attention that CT scanning has gotten the next time you give a verbal or written order for a CT scan, especially if you have not yet examined the patient and obtained a simpler more indicated test. k **************************************Check out AOL's list of 2007's hottest products. (http://money.aol.com/special/hot-products-2007?NCID=aoltop0003000000000 1) -- trauma-list : TRAUMA.ORG To change your settings or unsubscribe visit: http://www.trauma.org/index.php?/community/ -- This message has been scanned for viruses and dangerous content by Rambam Medical Center Mail Scanner, and is believed to be clean. -- This message has been scanned for viruses and dangerous content by Rambam Medical Center Mail Scanner, and is believed to be clean.
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