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I would call out 2 points on this. The latest revisions proposed for 8. 39 want you to consider the dose to receptors from all sources as I recall, you would need to account for this in addition to the potential dose per course of treatment issues. </div>
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I would call out 2 points on this.</div>
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<div dir="auto" role="presentation">The latest revisions proposed for 8.39 want you to consider the dose to receptors from all sources as I recall, you would need to account for this in addition to the potential dose per course of treatment issues.</div>
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<div dir="auto" role="presentation">A lot of the problem is state / local laws and ordinances. Good luck w that. MA for example forbids a single radioactive atom from going to landfill or trash to energy processing. When the landfill alarms went off they
wanted us to localize the source, ID it and find where it came from < usually mail from a patient >.... </div>
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There is absolutely nothing the state Radiation regulator can do about it. Unless you get some sort of national preemptive law/regulation on radioactive waste this will not change.</div>
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Even if the NRC and EPA came to some grand agreement tomorrow with a unified standard and guidance it still would not solve the local issues.</div>
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So...to the original question. </div>
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<div dir="auto" role="presentation">What does the law In your area require?</div>
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<div dir="auto" role="presentation">What is the lowest exposure risk including handling and storage?</div>
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<div dir="auto" role="presentation">What exactly are they storing and why? Take all steps for waste minimization.</div>
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<div role="presentation" dir="auto">How long to hold is just a guess on how hot it was and how long til "safe" "background " or "low enough they wont see it at the landfill"</div>
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Bryan Lemieux, MS CHP DABMP</div>
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Associate Chief - Radiation Safety</div>
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Radiation Safety Officer </div>
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UK HealthCare</div>
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<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" style="font-size:11pt" color="#000000"><b>From:</b> Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces@lists.osu.edu> on behalf of Jeff Moirano via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list@lists.osu.edu><br>
<b>Sent:</b> Monday, 14 September 2026 21:00:44<br>
<b>To:</b> Shane McCotter <shane@rpcphysics.com><br>
<b>Cc:</b> DxMedPhys List <intl_dxmedphys_wd_osu_list@lists.osu.edu><br>
<b>Subject:</b> Re: [Intl_DxMedPhys] Pluvicto Patient Waste Storage Timeframe</font>
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External Sender</span></div>
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I do agree that having patients collect and decay waste at home is counterproductive, especially for Lu-177 therapies. We recommend they put it all directly in the normal trash. SNMMI, ACNM, ACR, and AAPM released a joint position statement</div>
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<div dir="ltr">I do agree that having patients collect and decay waste at home is counterproductive, especially for Lu-177 therapies. We recommend they put it all directly in the normal trash.
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<div>SNMMI, ACNM, ACR, and AAPM released a joint position statement that states the same. </div>
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<div>Jeff<br>
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<div dir="ltr" class="x_gmail_attr">On Mon, Sep 14, 2026 at 1:20 PM Shane McCotter via Intl_dxmedphys_wd_osu_list <<a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu">intl_dxmedphys_wd_osu_list@lists.osu.edu</a>> wrote:<br>
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All, I am interested in your thoughts regarding patient instructions for at-home waste storage before disposal. I have recommended patients collect items (pads, diapers, etc. ) for 5 days and store for 70 days before disposal, however, one of</div>
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All,</div>
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I am interested in your thoughts regarding patient instructions for at-home waste storage before disposal. I have recommended patients collect items (pads, diapers, etc.) for 5 days and store for 70 days before disposal, however, one of our AU's is requesting
we remove the storage requirement allow patients to dispose of all materials without decay based on these studies (<a href="https://urldefense.com/v3/__https://jnm.snmjournals.org/content/64/10/1567__;!!KGKeukY!1AP1MpV5dSTwsgzAipPNSxW2zEFl5sw_yqZ2skGAqT1NFshsAMKGAjzkj7ufTPmG3lI5wa4IXl-WOO0efXaFYKbF29ysFbouyLBIGTA$" originalsrc="https://urldefense.com/v3/__https://jnm.snmjournals.org/content/64/10/1567__;!!KGKeukY!1AP1MpV5dSTwsgzAipPNSxW2zEFl5sw_yqZ2skGAqT1NFshsAMKGAjzkj7ufTPmG3lI5wa4IXl-WOO0efXaFYKbF29ysFbouyLBIGTA$" id="x_m_3233351425624785300OWA08335a36-e7d4-440c-c167-186d82275103" title="https://jnm.snmjournals.org/content/64/10/1567" target="_blank" style="margin:0px">Link
1</a> & <a href="https://urldefense.com/v3/__https://www.ovid.com/jnls/health-physics/fulltext/00004032-200203000-00009*radioactivity-appearing-at-landfills-in-household-trash-of__;fg!!KGKeukY!1AP1MpV5dSTwsgzAipPNSxW2zEFl5sw_yqZ2skGAqT1NFshsAMKGAjzkj7ufTPmG3lI5wa4IXl-WOO0efXaFYKbF29ysFbou5xnoIrg$" originalsrc="https://urldefense.com/v3/__https://www.ovid.com/jnls/health-physics/fulltext/00004032-200203000-00009*radioactivity-appearing-at-landfills-in-household-trash-of__;fg!!KGKeukY!1AP1MpV5dSTwsgzAipPNSxW2zEFl5sw_yqZ2skGAqT1NFshsAMKGAjzkj7ufTPmG3lI5wa4IXl-WOO0efXaFYKbF29ysFbou5xnoIrg$" id="x_m_3233351425624785300OWA8951687e-3b8d-73d9-9c16-9e54fad3729c" title="https://www.ovid.com/jnls/health-physics/fulltext/00004032-200203000-00009~radioactivity-appearing-at-landfills-in-household-trash-of" target="_blank" style="margin:0px">
Link 2</a>) and discussions they have had with other AU's in NRC and agreement states.</div>
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I have reached out to a few other RSO's and institutions, and I have received answers to store items ranging from a few days to 70 days, and I am hoping to get a more definitive answer from the list.</div>
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Thank you,</div>
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<p style="margin:0in; font-family:Calibri,sans-serif; font-size:11pt"><span style="font-size:9pt"><img width="132" height="74" size="13580" src="cid:ii_1a0a28726c9cb971f161" style="width:1.384in; height:0.773in; margin-top:0px; margin-bottom:0px"></span></p>
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<span style="color:rgb(0,156,242)"><b>Shane McCotter, M.S., DABMP </b></span></p>
<p style="margin:0in 0in 0in 0.1in; font-family:Calibri,sans-serif; font-size:11pt">
<span style="font-size:10pt"><b>Medical Physicist</b></span></p>
<p style="margin:0in 0in 0in 0.1in; font-family:Calibri,sans-serif; font-size:11pt">
<span style="font-size:9pt"><a href="tel:(218)%20349-3548" value="+12183493548" target="_blank">(218) 349-3548</a> </span></p>
<p style="margin:0in 0in 0in 0.1in; font-family:Calibri,sans-serif; font-size:11pt">
<span style="font-size:9pt; color:rgb(0,0,0)"><a href="mailto:shane@rpcphysics.com" target="_blank">shane@rpcphysics.com</a></span></p>
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<span style="font-size:9pt; color:rgb(5,99,193)"><a href="https://urldefense.com/v3/__http://www.rpcphysics.com/__;!!KGKeukY!1AP1MpV5dSTwsgzAipPNSxW2zEFl5sw_yqZ2skGAqT1NFshsAMKGAjzkj7ufTPmG3lI5wa4IXl-WOO0efXaFYKbF29ysFbou71hN5tc$" originalsrc="https://urldefense.com/v3/__http://www.rpcphysics.com/__;!!KGKeukY!1AP1MpV5dSTwsgzAipPNSxW2zEFl5sw_yqZ2skGAqT1NFshsAMKGAjzkj7ufTPmG3lI5wa4IXl-WOO0efXaFYKbF29ysFbou71hN5tc$" id="x_m_3233351425624785300OWA213a5f2d-2879-b627-dce7-07fc365d82fb" target="_blank" style="color:rgb(5,99,193); margin-top:0px; margin-bottom:0px"><u>www.rpcphysics.com</u></a></span></p>
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