Racz Radiation

[RaczOnRaczOnRacz]

PM&R resident here currently doing a pain rotation. I recently saw a Racz procedure for failed back syndrome on a 50 yo M that was 9+ minutes of fluoro time. The total radiation amount was over 600 mGy.
I'm no expert but to me this seems like a huge amount of radiation. If I was this patient, I would be more concerned about the risks of the radiation exposure over doing a procedure that may or may not work.

Any thoughts?

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[willabeast]

PM&R resident here currently doing a pain rotation. I recently saw a Racz procedure for failed back syndrome on a 50 yo M that was 9+ minutes of fluoro time. The total radiation amount was over 600 mGy.
I'm no expert but to me this seems like a huge amount of radiation. If I was this patient, I would be more concerned about the risks of the radiation exposure over doing a procedure that may or may not work.

Any thoughts?

new spine docs + inexperienced x ray techs = lots of exposure time. BTW i cut my DSA to 4 frames per second. no need for 8 frames.

 

[SSdoc33]

PM&R resident here currently doing a pain rotation. I recently saw a Racz procedure for failed back syndrome on a 50 yo M that was 9+ minutes of fluoro time. The total radiation amount was over 600 mGy.
I'm no expert but to me this seems like a huge amount of radiation. If I was this patient, I would be more concerned about the risks of the radiation exposure over doing a procedure that may or may not work.

Any thoughts?

it takes me a month to rack up 9 minutes of flouro time. also, the racz procedure is nonsense. let this experience be a lesson that #1 pain patients are very vulnerable and are willing to try anything a doctor says even if it is stupid and #2 there are a lot of bad pain docs out there.

your instincts are correct

 

[mpdoc2]

PM&R resident here currently doing a pain rotation. I recently saw a Racz procedure for failed back syndrome on a 50 yo M that was 9+ minutes of fluoro time. The total radiation amount was over 600 mGy.
I'm no expert but to me this seems like a huge amount of radiation. If I was this patient, I would be more concerned about the risks of the radiation exposure over doing a procedure that may or may not work.

Any thoughts?

0.6 Gy is a relatively small dose of radiation compared to what we treat prostate cancer to (81 Gy)

 

[Ducttape]

I have seen quite a few patients that have had radiologist performed sacroiliac joint injections with 2+ minutes of fluoro time... Occasionally i take 6 seconds, and feel bad that its excessive


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