ML20141J108
| ML20141J108 | |
| Person / Time | |
|---|---|
| Issue date: | 11/25/1995 |
| From: | Siegel B NRC |
| To: | Stewart Schneider NRC |
| Shared Package | |
| ML20007J296 | List:
|
| References | |
| FRN-62FR4120, RULE-PR-20, RULE-PR-35 AE41-2-023, AE41-2-23, NUDOCS 9708140402 | |
| Download: ML20141J108 (2) | |
Text
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From:
Barry Siegel <siegelb0mirlink wustl.edu>
3V To:
Stewart Schneider <sxs40nrc. gov >
Date:-
11/25/95 2:19pm
Subject:
Patient Release Rule Stewart:
I have reviewed the-draft Commission Paper you sent to me by fax on 11/21.
I offer the following comments.
1.
The document indicates, on page 5, that the ACMUI objected to the word
" consequences"'largely because explaining the= " consequences" of low dose
. radiation (e.g.,' from Tc-99m radiopharmaceuticals) "cannot always be explained r
to the patient without causing unjustified alarm." Further, the document-
~
indicates;that.ACMUIcfelt that "...-physicians cannot explain lwith certainty the effects of low doses of Mdif aTstikeliiMEif~Yne-ACMU@ladiation..."-sitisiDL-Our principal concern is that i
there;is SCIENTIFIC.EVIDENCEtbsupportadiscussionof=consequencesfrom l doses in t e raiiffrom 100~tr500-mrem. The ACMUI strongly believes in maintaining exposures ALARA,-but not because there are documentable consequences to INDIVIDUAL subjects of failure to do so. The word " rationale" allows the physician to 'Iscuss ALARA-practices without ever implying that there will be consequences from many of these potential exposures (I-131 excepted, of course) if the patient chooses to ignore the physicain's instructlons.
I'suggest cou follow.the ACMUI's recommendation.
lO 2.
The ACMUI did not finally recommend deleting the phrase "... an C/
activity other than the activity administered." We made that initial recommendation on the first day, but then changed the recommendation on the second day after reviewing the draft regulatory guide, and recommended that the phrase should-be
"... the retained activity rather than the activity administered." The staff plan to use the phrase "... -less than the activity administered" is potentially acceptable, but is not nearly as explicitly clear-as the ACMUI recommendation. As I pointed out at the meeting, the "less than" phrase theoretically allows me to release-a patient if I say to myself "let's pretend I only gave this patient 15 mci instead of 150 mci." This is patently ludicrous,-but is incorporhted with the staff's less explicit wording.
I suggest you follow the ACMUI's recommendation as bning the scientifically more
. precise _way to say what NRC intends.
These recommendations are well explained in the minutes of the last ACMUI meeting.
I will be out of town until Wednesday 11/29, but will be back in my office
-that afternoon if you have any questions.
Barry Siegel CC:
Josephine M. Piccone <jmp10nrc. gov >
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9708140402 970807 PDR PR 20 62FR4120 PDR CiGQNO%CM
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Received: from igate.nrc. gov by irm12 (5 x/IMDl.7)
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id AA19015; Sat, 25 Nov 1995 12:21:00 -0500 Received: from wugate.wustl.edu by igate.nrc. gov (4.1/TMD1.6) id AA21365; Sat, 25 Nov 95 12:21:17 EST Received: from mirlink.wudl.edu by wugate.wustl.edu (8.6.12/8.6.11) with SMTP id LAA21302; Sat, 25 Nov 1995 11:21:11 -0600 Message-Id: <199511251721.LAA21302@wugate.wustl.edu>
Date: 25 Nov 1995 11:19:50 U From: "Barry Siegel" <siegelb@mirlink wustl.edu>
Subject:
Patient Release Rule Return-Receipt-To: "Barry Siegel" <sie
" Stewart Schneider" <sxs40nrc. gov >gelb@mirlink.wustl.edu>
To:
Cc: " Josephine M. Piccone" <jmpl@nrc. gov >, " Larry W. Camper" <1wc@nrc. gov >
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