The Jogger
Legendary Member
- Location
- Spain
PS: I have to say they were ultra efficient............
Given that I had not seen a doctor for over 25 years when I got ill, that nobody asked me about allergies or other illnesses, and the amazing lack of a working nationwide NHS computer system, I feel pretty sure that my CT scan was done without checking whether the dye might cause problems.The problem is how much you tell the patient
If you tell the patient "I am about to give you an injection that may kill you" then there is obviously going to be a lot of concern, anxiety and probably a cancellation
However if you have checked the patient's risks (iodine allergy, use of metformin, asthma) and associated indicators, and reduced these, then the chances of a reaction are very low.
If the same one is still used, you'll end up on the floor if standing.Given that I had not seen a doctor for over 25 years when I got ill, that nobody asked me about allergies or other illnesses, and the amazing lack of a working nationwide NHS computer system, I feel pretty sure that my CT scan was done without checking whether the dye might cause problems.
When I asked the radiographer about it, she said that it would be obvious very quickly if the dye did not agree with me ...!
If the same one is still used, you'll end up on the floor if standing.
No reaction to newer ones.
One lasting memory was having X-rays done that required a barium meal/drink beforehand. I was left the two litre jug & a cup with the instruction to drink as much as possible.
Knew that if I drank the one cup, I'd drink no more. Previous experience. Took hold of the two litre jug and drank the contents. Joined a few minutes later by a few more an a radiographer, with some more cups and a puzzled look on her face when she saw the empty jug.
Two or three cups would have sufficed!
I'm told I went white, before just dropping to the floor.The new ones do have reactions as the basic problem is the iodine content
They have a different form and a lower concentration, which has reduced, but not removed the chance of a reaction
I'm told I went white, before just dropping to the floor.The new ones do have reactions as the basic problem is the iodine content
They have a different form and a lower concentration, which has reduced, but not removed the chance of a reaction
I'm told I went white, before just dropping to the floor.
Next time I mark that form yes.
Has there been any progress with that national NHS computer system?
When I had my second PE last year the hospital that I ended up at in Northampton could not access my records in Halifax. It shocked me that I had to tell the consultant my history because he could not just look it up!
A month ago I had a wasted 8 hour round trip to Addenbrooks. I realised this when he started the meeting with "have you got a copy of your records"Has there been any progress with that national NHS computer system?!
I do not dispute that a patient's concern at possibility of side effects may outweigh the benefit the procedure will bring to them.The problem is how much you tell the patient
If you tell the patient "I am about to give you an injection that may kill you" then there is obviously going to be a lot of concern, anxiety and probably a cancellation
However if you have checked the patient's risks (iodine allergy, use of metformin, asthma) and associated indicators, and reduced these, then the chances of a reaction are very low.
In this case the benefit of telling the patient is far outweighed by the worry and concern you will cause
The other point is that diagnostic imaging has two possible outcomes, to confirm or disprove a diagnosis. Quite often the clinical presentation of an illness has several possible diagnoses.
Although a CT scan not finding anything seems to be an unnecessary radiation dose, the fact that you have excluded a particular illness enables the proper diagnosis and hence still justifies the dose to the patient