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Fri Nov 30 17:27:36 GMT 2007

I've just logged off PubMed where I was a bit overwhelmed by all the
literature on the matter.  Additionally, it's interesting to read (abstracts
only, so far) the conflicting studies on whether or not to even re-scan the
injured spleen in the asymptomatic patient.  Scalea and co. say 'don't
nother.'  Others advocate it even for grade I injuries.  Clearly there is no
consensus.

Will this parallel the "steroids in spinal cord injury' dilemma (some would
say hysteria) from the early 90's?

CM Ursic
Santa Fe, NM, USA

On 11/30/07, kmattox at aol.com <kmattox at aol.com> wrote:
>
> Caesar.   Not just this one article.   There are now about six articles.
> In addition there is an extensive review on the internet.   Do a google
> search for Radiation Risks from CT scans and be prepared for 8 hours of
> reading from all of your secondary searches and surfing.
>
> K
>
>
> Sent via BlackBerry by AT&T
>
> -----Original Message-----
> From: "caesar ursic" <cmursic at gmail.com>
>
> Date: Fri, 30 Nov 2007 09:26:05
> To:"Trauma &amp, Critical Care mailing list" <trauma-list at trauma.org>
> Subject: Re: BIG NEWS - CT Causes Leukemia ?
>
>
> Normally I make them wait four-six months if the interval scan shows no
> problems, depending on the severity of the original injury and what I
> perceive to be the patient's proclivity to common sense, reason and self
> restraint.  In these two cases where such scan will (likely) *not* be
> forthcoming, I am going to tell them that I *cannot* in good conscience
> write them such a letter, and that they will just need to decide on their
> own if and when they will allow their son to resume contact sports and
> other
> high risk activities (it's starting to snow here, and the skis and
> snowboards are getting restless).  Curious about what the rest of you
> would
> do in my situation.
>
> And now I'm off to the library to find that NEJM article.  I get the
> feeling
> that this will be a recurring matter.
>
> CM Ursic
> Santa Fe, NM, USA
>
>
>
> On 11/30/07, William Bromberg <brombwi1 at memorialhealth.com> wrote:
>
> > Caesar — so when are you going to allow the return?
> >
> > Did you think I'd let THAT one go?
> >
> > Bill
> >
> >
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-- 
'Twas brillig, and the slithy toves
Did gyre and gimble in the wabe:
All mimsy were the borogoves,
And the mome raths outgrabe.

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BIG NEWS - CT Causes Leukemia ?