ML20027B956
| ML20027B956 | |
| Person / Time | |
|---|---|
| Issue date: | 12/02/1980 |
| From: | Lubenau J NRC |
| To: | Rehm T NRC |
| Shared Package | |
| ML20027A639 | List: |
| References | |
| FOIA-82-335 NUDOCS 8210120018 | |
| Download: ML20027B956 (1) | |
Text
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Druce King gf "Y g' GOVERNOR
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George 5. Goldstein. Ph.D.
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ENVIRONMENTAL IMPROVEMENT DIVISION H"
P.O. Box 958, Santa Fe, New Mexico 87503 l
"Y l Go' don. M.5.. M.P.H.
- ENVIRONMENT (505) 827-5271 DEPUTY SECRETARY E[ g I
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Thomas E. Baca. M,F.H., Director m a F.'-DIATICG PRJIEC" ION ESEAU Dece:Tioer 31, 198C Sister Celestia Koecel President St.. Joseph Hospital 400 Walter, N.E.
Albuquercue, New Fexico 87102
Dear Sister Celestia:
Tnis letter confirs a telephone conversation between Mr. Leo W. Happert and me 1980 and provides requested inferration. '
during the morning of December 2,89 w
Mr. Huppert asked that the target date for a definitive report regarding apparent misadministration of therapy for cancer of the prostate using iodine-125 se s be set as February 2, 1981. We concur.
Additionally, he requested that I outline the information that the report should contain.
It ray be helpful to define the word "misadrinistration".
In therapy a risadministration is said to have occurred if less than 90 percent of the prescribed dose is delivered to the tumor or greater than 110 percent of the prescribed dose is delivered to any tissue. Without disclosing patient names, we request the follcwing infomation where a therapeutic misadattnistration occurred:
Tne total (I 125 plus external beam, if used) dose prescribed for a.
eacn patient to the:
(1) ttraor (rar.inra and minimum values),
(2) prostate, (3) anterior rectal wall, and (4) posterior bladder wall.
b.
Tne total dose delivered to each of the above.
A case by case expla.ation of reasons f:r rep;rted differences bat.eeen c.
deses prescribed a-d doses delivered.
Tnis inferaticn should include l
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8210120018 820820 PDR FOIA DAVIESS2-335 PDR 1
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dates - and _ nams _ and ' responsibilities 'of persons involved in ' deter-minations_and procedures. Details, i.e., names and dates regarding the alleged enange inLthe conversion factor snould be supplied.
d.
If external beam therapy was involved, please provide the:
(1) history of calibration of the external beam therapy device, (2) hist'ory of_ calibration of any devices used to calibrate the
, external beam therapy device, and
-(3) calculated fracticn of external beam contribution to any l
misad ninistration.
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Fbasures proposed to preclude future misadministrations,
- f. LAssurance that the other therapeutic modalities provided at St. Joseph Hospital are free of similiar systematic error.
- g. - Assurance that each patient involved in any misadministration has been notified or such notification has been made to his physician or designated relative.
h.
Fny indicated requests for modification to your Radioactive Material.
License.
It should be noted that the report will be subject to review by this office and such consultants as may be required. Consecuently, it may be necessary during the review to ask for access to the original records.
If clarification of the above is needed, please telephone me at 827-5271, ext. 271.
Bespectfully, f
Alphonso A. Topp, Jr.
W y ar.1 Manager Licensing and Pegistration Section AAT/1g a
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