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Times-Advocate, 1979-08-15, Page 25 (2)By JACK RIDDELL MPP Huron -Middlesex There has been con- siderable controversy on the subject of x-rays since a team of three physicists and an engineer• released a report stating that excessive radiation from x-ray machines causes some 20 cases of leukemia in Ontario each year. This is a statistical estimate based •on preliminary findings in a survey of 20 hospitals during 1977 and 1978, which show some five percent of hospital x-ray machines emit ex- ceptionally high doses of radiation because they are not adjusted properly. During debate on this disclosure, we learned that no certification is needed in Ontario to permit a doctor, dentist or chiropractor to establish and run an x-ray clinic. Such certification to guarantee that a clinic is being run safely, that staff is properly trained and that patients are properly cared for, is issued by the Ontario Medical Association on a voluntary basis only, and apparently of a total of 686 hospital and medical premises using x-ray equipment, only 207 have volunteered for certification. We also learned that fewer than one-third of the Ministry of Health's own x- ray equipment operators. working in chest clinics around the province are registered radiological technicians. There was considerable concern about a 1973 Health _Ministry report, on which no •govern- ment action had been taken, which warned that chiropractors who owned their own equipment ad- ministered an excessive number of x-rays and � .00b4=?':'- . .. :.. xwua',�?'ana„4,�� s& s. e'�°»�Fe°� : aZ'F:h.: ftX'.sb'Lher' Controversy surrounds X-ray practices recommended that they no longer be able to claim from OHIP for x-rays, but instead be allowed to refer patients to radiologists. A spokesman for Ontario tJ»ropractors stated, at a press conference, that it • would be a big mistake to ban such x-rays which are a necessary diagnostic tool. He said that chiropractors receive about 450 hours of classroom and on-the-job instruction in the use of these .machines during the four year course offered •by the Canadian Memorial Chiropractic College in Toronto. The controversy about x- rays is not confined to Ontario. A professor of the Harvard Medical School sounded the alarm in the June issue of the N" England .. Journal of Medicine. He stated that it's sometimes easier for doctors -to order x-rays than think; that radiologists take too many pictures during x-rays of the kidney, spine, heart and skull; that follow-up films for a healed duodenal ulcer are often unjustified; that it is ludicrous for some • hospitals to take daily x-rays .to follow the course of pneumonia; that 38 percent of patients having routine chest films for admission to hospital had already had one taken earlier that year. There were other problem areas. For instance, 50 percent of U.S. technologists did not meet the standards of their professional society, i and some 27 million repeat x- rays had to be taken because films were either too dark or too light, or the patient had - been positioned the wrong way. He concluded that poorly trained technicians were one of the major problems in the U.S. medical world. In the midst of the resent controversy in Ontario, the two radiation experts who originally sounded the alarm here. issued a statement • urging the public not to 0 refuse any x-ray prescribed by a doctor, because by refusing such a diagnostic examination the patient runs a greater risk from failure to • find serious disease. According to them, the r risk of getting cancer from F` an abdominal x-ray .is equal to that of smoking 32 cigarettes. They also said C that work is well under way to correcimg,_.tbe situation • REPRESENTS EXETER — Tracey Campbell. representing Exeter fair. will be among 95 contestants seeking the Miss CNE Queen of the Fairs title when the Canadian National Exhibition opens today. Tracey won the local fair title last year To hold benefit Patrons will have one last chance to see This Foreign Land at the Blyth Summer Festival this year. A benefit performance of the play has been scheduled for Saturday, August 18 at 2 p.m. All proceeds from the per- formance will be donated to the Actors' Fund of the Canadian Actors Equity Association. Actors. technicians and administrative staff will be volunteering their time and services, over and above their regular duties, in order to make this performance a success. The total of all admissions paid to the performance will be used to aid those actors who through illness or misfortune, have become unable to practise their craft. Admission to this per- formance is at regular Festival prices --$4.25 for •adults, $3.50 for senior citizens and $2.50 for children. Reservations for the performance must be made through the Festival's main box office (phone 523- 9300) . The final performance of This Foreign Land will be that evening, August 18, at 8:30 p.m. A physician writing .a column in a Toronto paper suggests that patients should follow the same approach as doctors, who never submit to questionable films. The key question to ask, he says, is "Would you get x-rays, doctor, if you had this problem?" Obviously, any major change in body function is cause foriconcern although sometimes the symptoms have a comparatively simple explanation. In many in- stances, films are only necessary if time and moderation fail to relieve the situation. Doctors tend to protect their families from defensive x-rays. It's been estimated that in the United States about 30 percent of all x-rays are done for fear of future malpractice suits. Physicians want to use every precaution to guarantee that nothing has been overlooked. A member of a doctor's family is likely -to have a sprained ankle strapped up and forget about an x-ray. Similarly a doctor's child won't be subjected to x-rays of the skull unless there's been a serious injury. They know that only one in every thousand skull films done on children ever shows a fracture. Jack's Jottings What about dental x-rays? Most physicians agree to full -mouth films every few years. Then selective ones at yearly visits. However, they would doubtless object to a complete series of x-rays every six months or even once a year. The physician advises "Never urge your r doctor to take x-rays, or 'think he's behind ` the times for not recommending them." Times -Advocate August 15, 1979 Page 13A `� COMPLETE ' aMbCOVERAGE FOR ' � �Q►• Home ' Farm �4 •life ' Commercial ' Automobile Registered Retirement Plans CONTACT Bev Morgan Insurance Agency Ltd. 238 Maur St. Phone 235-2544 Exeter Acro" hnm Savewav Lumber ti i Ub`;ea for P tjO e recipe Fun Ic tion r favourite can be s your Cooking Special c� s SUbrn I r from ale��pe $ 5r de fr. of 2 be ma rile f �1 5 �N�II first p rile o s10, drag second P e of A Seco prize .� third and p►S today ov< <ec; pvooday Ma\\ y10 Pd ete� te B oX E....IS. G i • GEE* . . • 1 • r through educational 1.... programs for staff operating . the x-ray machines and n, inspections in hospitals ■■• • throughout Ontario, with ••. equipment being readjusted ... where necessary. le■■■. In future. they maintain i ' that groups of radiation ' , experts will have to be i stationed in hospitals and i clinics across the province to ensure quality. a • a••• • 1 v� ' . r o' ° ecipes • o��ect,o orite c o c s fav° re� ti.• ■ THAN �� EveryoneI Bo`nafor making our-nia Sale a big success. The remaining Summer Merchandise will still be sold at 60% OFF the suggested retail price until this stock +s depleted. 4t, • twit aluliatialts.tq_.e :sle jetin'winners. Hilda Bax • Joane Perry Cathy Heywood Kathy Stilson Lynn Dobson Melissa Dark THANKS AGAIN 1••••/ • . . . . . . • . 1 1 . r••.• .r s •••• ••••••eN•••1 ••mays 4 •,'Y, It ■I.•f • 4... ••■ ••• .•• •• • •• Z1 • •4 1 r .••e••,• , .414a: OOOOOOO pea e • . R1 i .•Sm.as!!!!e••. .'- • Y e. W. •rir•i+,,=tai?%' 1