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The following information was received fro … The following information was received from the State of Pennsylvania via email:</br>A female patient was to receive HDR twice a day for a total of 10 treatments with an expected dose of 34Gy via mammosite treatment. A dummy wire was inserted into the balloon to check and measure the tube length for dosage calculations. A CT scan was performed daily to verify the position of the treatment site. Treatment calculations were done, reviewed, approved, and treatment began Monday, February 23, 2009.</br>(On) Friday, February 27, 2009, a different therapy physicist was checking the patients charts and thought that there may have been an error.</br>(On) Monday, March 2, 2009, the original physicist checked the findings of the different therapy physicist and discovered that there had been an error in the placement of the source during the treatment. The source was not fully inserted into the balloon, but was 3cm from where it should have been, thereby resulting not only in a large difference in the tumor dose received (approx. 30% of intended) but also in a severe dosage to non-intended areas of the patient.</br>The physicist, RSO and two licensee's radiation oncologist reviewed the situation once it was discovered. The patient is being followed for any sequelae (pathological conditions) to the event. It was reported that erythema (dilated capillaries) is developing consequential to the event. Follow ups are expected to occur weekly. The oncologist has discussed the event with the patient.</br>PA Case # PA090011</br>A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.necessarily result in harm to the patient. +
04:00:00, 17 March 2009 +
44,911 +
09:05:00, 17 March 2009 +
04:00:00, 17 March 2009 +
The following information was received fro … The following information was received from the State of Pennsylvania via email:</br>A female patient was to receive HDR twice a day for a total of 10 treatments with an expected dose of 34Gy via mammosite treatment. A dummy wire was inserted into the balloon to check and measure the tube length for dosage calculations. A CT scan was performed daily to verify the position of the treatment site. Treatment calculations were done, reviewed, approved, and treatment began Monday, February 23, 2009.</br>(On) Friday, February 27, 2009, a different therapy physicist was checking the patients charts and thought that there may have been an error.</br>(On) Monday, March 2, 2009, the original physicist checked the findings of the different therapy physicist and discovered that there had been an error in the placement of the source during the treatment. The source was not fully inserted into the balloon, but was 3cm from where it should have been, thereby resulting not only in a large difference in the tumor dose received (approx. 30% of intended) but also in a severe dosage to non-intended areas of the patient.</br>The physicist, RSO and two licensee's radiation oncologist reviewed the situation once it was discovered. The patient is being followed for any sequelae (pathological conditions) to the event. It was reported that erythema (dilated capillaries) is developing consequential to the event. Follow ups are expected to occur weekly. The oncologist has discussed the event with the patient.</br>PA Case # PA090011</br>A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.necessarily result in harm to the patient. +
Has query"Has query" is a predefined property that represents meta information (in form of a <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Subobject">subobject</a>) about individual queries and is provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a>.
00:00:00, 17 March 2009 +
PA-0121 +
Modification date"Modification date" is a predefined property that corresponds to the date of the last modification of a subject and is provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a>.
23:27:01, 24 November 2018 +
09:05:00, 17 March 2009 +
0.212 d (5.08 hours, 0.0302 weeks, 0.00696 months) +
04:00:00, 17 March 2009 +
URL"URL" is a <a href="/Special:Types/URL" title="Special:Types/URL">type</a> and predefined property provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a> to represent URI/URL values.