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Article #108: X-Rays - What You Don't See & Feel Can Hurt You

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There is little doubt that x-ray The point is that even the experts aren't
technology (x-rays, CT scans, sure of the degree of damage. But they
fluoroscopy) in medicine has done much all are sure of the damage. We should
good and is an invaluable diagnostic take the hint.
tool. Although I seriously question its Unfortunately technicians and
usefulness as a therapeutic tool (e.g. radiologists do not always critically
cancer radiation therapy), that will not control x-ray dosing. They are concerned
be the focus of this article. with diagnostic images that are easy to
X-rays are high-energy nuclear emissions read, not so much with what the x-rays
that have the ability to pass right are doing as they are not so gently
through tissue and leave an image on a perambulating through your tissues. Since
film, called a radiograph (the film adverse effects are not immediate and
itself is not an "x-ray"). Less emission would be impossible to tie to the
gets through denser tissue like bone, and techniques used, caution can be pretty
more goes through soft tissue to darken much thrown to the wind. People do not
the film. This results in the contrast, always behave in your best interests if
the picture of our insides, seen on the there are no consequences to them for
films - light areas are dense tissues, their actions. I am not saying this
darker areas are less dense. always occurs and that medical personnel
That little lesson in radiology aside, are not concerned for your safety, just
it's what the x-ray does as it passes alerting you to the fact the door is wide
through the body that should be of open for sloppy work.
concern to all. The high-energy x-ray It is estimated that dose reduction, beam
particles can wreak havoc on their collimation (control), rare-earth screens
journey through tissue. When they hit and filtration, carbon fiber materials,
electrons they confer upon them high more extensive lead shielding, decrease
levels of unnatural energy. Like a bull in contrast resolution and use of a
in a china shop, these electrons can pulsed system in digital radiography and
cause mutations including deletions and an array of constraining techniques in
translocations of DNA material. The fluoroscopy could reduce exposure by
wreckage is often beyond the capability several fold.
of DNA repair mechanisms. The resulting That's what they can do. What you can do
instability of the chromosome is a is not submit to x-rays unless absolutely
precursor to cancer. Cancer is, in necessary. Don't run to the emergency
effect, the inability of a cell to any room every time you stub your toe or feel
longer know its place and behave within an ache. Don't do everything physicians
its normal constraints. The control say without question. Find dentists who
mechanism for cell behavior is the will only take x-rays when it can be
genetic material with which x-rays and proven to you it is absolutely necessary.
their misbehaving electron progeny play Offer to sign liability waivers if they
havoc. want. Tell them you have already had too
This sounds like free-radical activity, many x-rays and you know the dangers are
but is different in that it is far more cumulative.
energetic and potentially damaging. The The bottom line is that the vast majority
body has mechanisms in place to scavenge of x-rays are unnecessary and physicians
and quench free radicals, but x-ray know it. Any experienced practitioner can
energy is several orders in magnitude usually tell you what's wrong (usually
beyond those neutralizing capabilities. nothing that will not cure itself with a
X-ray mutational damage can kill a cell little time) before they even see you,
or alter it. If the cell is altered, that and with a little history taking and
change stays with it since the genetic palpation (touchy-feely) they can get
material will replicate the error. If even closer. But they are hesitant
more damage to the genetic material (understandably) to give you their
occurs, the results are additive. experienced wisdom because they are
Remember that. Radiation damage is worried about their liability (rightly
cumulative. It never goes away, it is so), not your chromosomal damage which
just added to until the cell dies or the will not show up for years and would by
genetic aberration results in cancer and then be impossible to relate to their
resultant organism death. x-rays.
There is NO safe level of radiation. It So you must take control over your own
is a risk versus benefit game as is all body. You make the decision about x-rays,
of medicine. and any other medical intervention for
There are those within the medical that matter, by getting informed.
community who argue (with substantial Weigh the risk versus the benefit. And
supporting data) that the 300 million or remember, any medical intervention is a
so x-rays taken each year add up to a risk.
very significant factor in cancer References:
mortality and even atherosclerosis. The Gofman, JW, Radiation from Medical
latter is a result of mutational damage Procedures in the Pathogenesis of Cancer
in the endothelium (coronary blood vessel and Ischemic Heart Disease: Dose-Response
wall) to create a mini tumor nidus from Studies with Physicians per 100,000
which an atherosclerotic plaque emerges. Population,
Since x-rays always cause damage, and the Committee for Nuclear Responsibility, San
damage is related to the number and Francisco, CA, 1999.
strength of exposures, the obvious (
solution is to have fewer x-rays and Gofman JW, "What Are the Main Critiques
lower dose x-rays. But don't get real of the 1999 Study by Gofman, after Three
comfortable with that either. Recent Years of Peer-Review?" Committee for
research has shown that repair of low Nuclear Responsibility, San Francisco,
dose radiation damage to genetic material CA, 2002.
may be ignored or delayed by cellular (
repair mechanisms. High doses that kill Gofman JW, "FDA Proposes New X-Ray
cells, preventing them from unbridled Regulations: Immense Health Benefits
reproduction (cancer), might be better Possible -- Unless Naysayers Prevail.
than the low doses. But high doses create X-Ray-Induced Diseases, Hormesis, and
low dose scatter and more widespread Medical Ethics,"
potential damage. Testimony submitted to the FDA, March 31,
How's that for a confusing mess? 2003.






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