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CT scan worth the radiation?

2 years 11 months ago #50236 by jimjeffcoat
I always ask for a thyroid shield. (A lead collar to protect your thyroid). I've never had a CT tech refuse.

TURBT w/ Mitomycin 12/14/15 (PUNLMP)

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2 years 11 months ago #50133 by Obie
This is a good blog thanks. I myself was exposed to cobalt 60 in the 90's at a Nuclear power station. I Injested it while working and carried it in me for at least a month. I have been under dr care ever sence doing chest exrays yearly. I now have bladder cancer and am wondering if that is the cause. Anyone have any input. Alan

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5 years 4 months ago #45096 by jimswife
Personally I do think the CTs are worth the exposure. If I had what Jim was diagnosed with Stage IV BC I would not hesitate. Jim didn't either. Will it end up causing problems down the line? I doubt it will. As a former and older RT(R)(M) Registered Radiologic Technologist Radiology and Mammography who worked in Nuclear Medicine way back with I131, Strontium etc I have participated in a survey for the past 30+ years. The survey is conducted by the U of MN and focused on those of us who have had a lot of exposure to radiation. I also worked in radiation therapy using Cobalt systems. The survey is finding that we who have been exposed a great deal don't seem to have any higher rate of cancers etc than other people. So, if you need the CT (remember they are lower dose these days) have it. I know I will encourage Jim to have his when it is requested. I am somewhat concerned as we move forward in our new medical insurance system that we may be rationed on some testing but that will be a discussion for another day. Meanwhile, stay well, All! PS Jim is 3 yrs post RC/IC next month and cancer free until proven otherwise. Not too shabby for a stage IV BC survivor!

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5 years 4 months ago #45076 by teresa56
Hey Folks,

Yes, I hear you all. One of those very difficult decisions to make. Catherine....4 in 4 years. Not bad. I had 3 (also double because of the contrast.....actually one was a triple!) in 1 year! When the Dr. suggested one more that same year--I questioned whether it was really necessary.
Yes, with high grade bladder cancer, and esp. because it started in my kidney and now I only have one kidney left--I need to know what's going on in that other kidney. But I'm still not absolutely convinced that a CT scan is the only way. Even a urine cytology would show cancer cells IF something IS going on in the kidney. I am sent for regular chest x-rays too!

I will probably need another soon, and yes, I'll probably have it.

I did find a great article (that I tried to attach but wasn't successful) with suggestions for helping to guard against the toxic effects of CT scans. It could be found on the internet if you do a search.

Blessings to you all!
Teresa
p.s. BCG #4 (of induction phase) tomorrow!

Radical Laproscopic Nephro-Ureterectomy: 05/18/12
TURBT: 01/14/13 (dx: CIS, high grade)
TURBT: 05/28/13 (dx: pT1, papillary urothelial carcinoma, & high grade & CIS)
BCG: Induction Phase completed: 07/31/13

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5 years 4 months ago #45074 by mmc
I get mine. I have one coming up next month but I'm on chemo and stage 4 so it's clearly worth the risk.

Mike

Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results....distant mets
2/2014 ct result...spread to liver, kidneys, and lymph...

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5 years 4 months ago #45069 by sara.anne
I have been paranoid about CT scans for other issues particularly when they have seemed like "fishing expeditions" (the doctor says he doesn't really know what the problem is so he wants to do a CT). HOWEVER, with my bladder cancer, my uro is relatively conservative with his recommendations. A CT scan is about the only way to check for occurences in the upper tract...which I DO NOT WANT. Therefore,
in the case of keeping an eye on my bladder cancer, I agree to them.

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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