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OK – so I went into panic mode just a bit too soon. Found this in the Illinois regulations: Maybe I should quit thinking about this stuff after 9: 00pm😊 Nevermind . . . Diane M. Elmer, M. S. , DABR, CHP Medical Physicist Medical Physics</div>
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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link="#0563C1" vlink="#954F72" style='word-wrap:break-word'><div class=WordSection1><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'>OK – so I went into panic mode just a bit too soon. Found this in the Illinois regulations:<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'><img width=681 height=99 style='width:7.0937in;height:1.0312in' id="_x0000_i1028" src="cid:image002.png@01DCD36A.8477A560"></span><span style='font-family:"Aptos",sans-serif'><o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'>Maybe I should quit thinking about this stuff after 9:00pm</span><span style='font-family:"Segoe UI Emoji",sans-serif'>😊</span><span style='font-family:"Aptos",sans-serif'><o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'>Nevermind . . .<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'><o:p> </o:p></span></p><div><p class=MsoNormal><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#1F497D'>Diane M. Elmer, M.S., DABR, CHP<o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#1F497D'>Medical Physicist</span></b><o:p></o:p></p><p class=MsoNormal><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#1F497D'>Medical Physics Consultants, Inc.</span></b><o:p></o:p></p><p class=MsoNormal><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#1F497D'>Cell: (217) 553-3049</span></b><o:p></o:p></p><p class=MsoNormal><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#1F497D'><img width=131 height=49 style='width:1.3645in;height:.5104in' id="_x0000_i1027" src="cid:image003.jpg@01DCD36A.8477A560" alt=logo></span></b><o:p></o:p></p></div><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b>From:</b> delmer@mpcphysics.com <delmer@mpcphysics.com> <br><b>Sent:</b> Thursday, April 23, 2026 9:29 PM<br><b>To:</b> 'intl_dxmedphys_wd_osu_list@lists.osu.edu' <intl_dxmedphys_wd_osu_list@lists.osu.edu><br><b>Subject:</b> Regulatory requirement - assigned dose to a embryo/fetus of a declared pregnant woman is NOT the dose to the baby badge<o:p></o:p></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'>Just curious if anyone else has recognized that, for regulatory compliance purposes, we are <u>not</u> allowed to assign dose equivalent to the embryo/fetus from the fetal monitor? <o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'>NRC regulation (and most state regs are identical with regard to this) require that we use the DDE to the declared pregnant woman as the assigned dose to the embryo/fetus (20.1208 c)1).<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'>This pretty much means that most all busy cath lab cardiologists would exceed the limit during pregnancy.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'>Am I missing something? Are we assigning fetal monitors for a reason other than regulatory compliance?<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'><img width=694 height=400 style='width:7.2291in;height:4.1666in' id="Picture_x0020_1" src="cid:image004.png@01DCD36A.8477A560"></span><span style='font-family:"Aptos",sans-serif'><o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Aptos",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#1F497D'>Diane M. Elmer, M.S., DABR, CHP<o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#1F497D'>Medical Physicist</span></b><o:p></o:p></p><p class=MsoNormal><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#1F497D'>Medical Physics Consultants, Inc.</span></b><o:p></o:p></p><p class=MsoNormal><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#1F497D'>Cell: (217) 553-3049</span></b><o:p></o:p></p><p class=MsoNormal><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#1F497D'><img width=131 height=49 style='width:1.3645in;height:.5104in' id="Picture_x0020_3" src="cid:image003.jpg@01DCD36A.8477A560" alt=logo></span></b><span lang=EN-IE style='font-size:12.0pt;font-family:"Aptos",sans-serif'><o:p></o:p></span></p></div></body></html>