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AskedPublicly Submitted Question
5/8/20171. Is it safe to send a patient home after a radioisotope injection into the bloodstream for a bone scan and then have them come back in 3 hours for the scan?
2. Tech is going to start IV, inject without RN/MD present, take IV out and send patient home. Is this United States safety standard for Nuclear Med?
I had a reaction to the pre-op breast cancer lumpectomy, radioisotopes injected subcutaneous by the MD without any local anesthetic. (allergy to sulfa). When I stood up after the procedure my right arm, hand and all fingers were frozen for about a minute or two after the procedure, I was out of the unit by then, but informed the nuclear med staff of this event for my bone scan 5/9/17.
3. X-ray of my right shoulder after 10 months of pain and limited range of motion from lumpectomy and oncoplastic surgery shows questionable lesions. Bone scan to r/o cancer.
RepliedJHU's Breast Center Reply
5/9/20171. a bit unusual to do it this way. here in the states the patient remains at the medical facility. they are able to go walk about, etc, including outside however so technically it probably is alright.

2. though not standard of care, patients are injected by a medical professional. they stay a little while in the chair to ensure no adverse reaction, then are able to go walk about, etc and return several hours later to be scanned. Given you have a history of a reaction to another isotope, you should stick around, as well as make them aware of what previously happened.

3. we hope that it is something orthopedic and not cancer related.

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