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The following was received from the Florid … The following was received from the Florida Department of Health (FDH) via email:</br>Source: Co-60, Gamma-Knife treatment</br>Dose to brain lesion: 15 gray in Orlando, 18 gray in Colorado</br>On April 27, a patient was consulted for a Co-60, Gamma-Knife treatment at Advent Health Orlando. The original (Adventist Health Orlando) Radiation Oncologist was made aware of previous treatment in Colorado and requested medical records. However, for two weeks in mid-May, the original Radiation Oncologist went on vacation. Then on May 14, the patient received Gamma Knife treatment from a different (Adventist Health Orlando) Radiation Oncologist. 13 brain lesions were treated. On May 17, the patient's records from Colorado were received by Advent Health Orlando, where on June 4 the original Radiation oncologist reviewed patient's records and discovered that, to 1 of the 13 lesions, the patient received 18 gray of treatment from a linear accelerator in Colorado, then received 15 gray of treatment from a Gamma Knife in Orlando. The Radiation Safety Officer (RSO) called (FDH) at 1000 EST on June 5, to report a potential medical event involving a duplicate treatment of a gamma knife to a patient.</br>The patient and the physician have been notified. The RSO stated that in the future, but not the present, unintended clinical consequences to the patient's target organ are expected as a result of this incident.</br>Florida Event Number: FL21-074</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, 5 June 2021 +
55,293 +
11:19:00, 5 June 2021 +
04:00:00, 5 June 2021 +
The following was received from the Florid … The following was received from the Florida Department of Health (FDH) via email:</br>Source: Co-60, Gamma-Knife treatment</br>Dose to brain lesion: 15 gray in Orlando, 18 gray in Colorado</br>On April 27, a patient was consulted for a Co-60, Gamma-Knife treatment at Advent Health Orlando. The original (Adventist Health Orlando) Radiation Oncologist was made aware of previous treatment in Colorado and requested medical records. However, for two weeks in mid-May, the original Radiation Oncologist went on vacation. Then on May 14, the patient received Gamma Knife treatment from a different (Adventist Health Orlando) Radiation Oncologist. 13 brain lesions were treated. On May 17, the patient's records from Colorado were received by Advent Health Orlando, where on June 4 the original Radiation oncologist reviewed patient's records and discovered that, to 1 of the 13 lesions, the patient received 18 gray of treatment from a linear accelerator in Colorado, then received 15 gray of treatment from a Gamma Knife in Orlando. The Radiation Safety Officer (RSO) called (FDH) at 1000 EST on June 5, to report a potential medical event involving a duplicate treatment of a gamma knife to a patient.</br>The patient and the physician have been notified. The RSO stated that in the future, but not the present, unintended clinical consequences to the patient's target organ are expected as a result of this incident.</br>Florida Event Number: FL21-074</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. +
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11:19:00, 5 June 2021 +
0.305 d (7.32 hours, 0.0436 weeks, 0.01 months) +
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