How do you log multiple iso palliative cases for your case log.

[johnbeck]

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Hi friends,

What is the rule for logging cases when one individual is receiving concurrent treatment to multiple differnt sites. I often treat patients who require, for example, an iso at the spine, hip and ribs. All these isos are set during one sim session. I make blocks and design fields for each site separately. In these cases, do you log only one case? Or, do you create a separate log for each site treated? To date, I have been logging only one case for these patients.

As I have thought about this, if the patient had separate simulations for each site on differnt days, I would likely log them as separate cases. However, if we treat them all at once, I log them as a single case. It seems like maybe I should just log each separate iso as a separate case? I am not really hurting for cases. I just want to keep an accurate log.

Thanks for your input!

 

[ramsesthenice]

I'm pretty sure if you sim different sites on different days your ok for two cases. Personally, the only time I credit myself with two from the same day is if one is Standard EBRT and the other is CK as those are very different plans.

 

[thesauce]

As I have thought about this, if the patient had separate simulations for each site on differnt days, I would likely log them as separate cases. However, if we treat them all at once, I log them as a single case.

It's been some time since I looked at it, but I believe the rule is that you only log multiple sims for a single patient if you sim for a separate ISO in a separate sim session or if you have a significant reduction in volume (like a boost).