Power Cut Causes Radiation Machine to Over Expose Patients 2001 | Plainly Difficult
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- čas přidán 28. 06. 2024
- On the 27th February 2001, a power cut at the Białystok oncology Centre, caused a Linac Radiotherapy Machine to over expose 4 patients with a radiation beam.....
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Thank you for teaching us about "radioferapy" I had never heard of such a thing before you 😂
Wow. Now that's a nice album. I could listen while reading, sleeping, yoga or just cause it's great 👍🏼 . Must get moolah together for that one . And I can use it , cool 🎉 perfect for flowing Flowers. And yes, the calm of loneliness. It is here too. In bone chilling Minnesota 😊 ty
I must say your videos are always great content; haven't missed you in months maybe a year, I watch them all! Thank you for your time! I wish I could support you more❤
I disagree.. this should have been at the HIGHEST point before death... it COULD HAVE been MUCH WORSE... ahhh but we don't know what happened to the victims... I was gonna say that I'm probably wrong saying it SHOULD be at the highest before death, but that should be for limbs being amputated, paralysis, blindness, you know the HORRIBLE things that are life changing yet not life ending...... BUT since we have NO IDEA what happened to them (Which I've said before SHOULD REALLY be a MAJOR PART of your videos... like the final outcome of the patients, lawsuit results, fine amounts, law changes, design implementations, etc ... the result of what the long term impact of these disasters have had... you only mention these things occasionally and there are videos that I just feel aren't complete without this stuff) ..... So I guess you're right giving it a 2.... it changed a few medical equipment designs, hurt a handful of people, but in the scheme of things wasn't a HUGE deal except for the victims... which this ends up being one of those videos that feel just a tiny bit incomplete... but medical info on the victims is prolly real hard to come by, plus it's another country... and that's why I said a TINY BIT incomplete
You still did a WAY BETTER job than I could have done on this.... :) THANK YOU!!! :)
A small scale radiation accident that has nothing to do with Canadian equipment? No way
Concerns were raised by the patient, they were followed up and it was investigated, tested, the fault caught, IAEA called in. This has probably been the most professional response to such an incident we have seen in these videos.
Yes, I agree. This was on the better end of how these incidents are handled.
Indeed. I wonder in general how old that machine was. The components on the photos shown in the video looked like Comecon stock you’d see in the 80s. Those by themselves had iffy reliability. Some pieces would last forever, some would fail in interesting ways prematurely. Process control was poor at times and the chase of the production numbers led to ahem “shortcuts” being taken.
Yep, I expected the standard: sweep it under the rug scenario.
Right! No cover ups? No paying the patients like ten dollars to get the government off their back two decades after the incident? What is this, an alternate universe??
Yeah, the source wasn't melted down and incorporated into structural steel, brought into anyone's kitchen, or anything like that!
This one is refreshing. After hearing you explain the recommended safety protocols I was expecting a "but in practice they...". It seems like the people at this hospital did everything correctly, following safety protocols, stopping when they heard irregular complaints from the patients, examining the machine, and notifing the correct authority to do a more in depth investigation. Of course it's still awful that this happened due to a faulty machine design paired with a safety protocol that didn't mention power cuts, but it is in a way comforting compared to many of these other stories.
Yeah, the lack of normal PD bingo card items “budget cuts”, “undermanning”, “not following procedure”, etc is noticeable.
This reminds me of the THORAC-25 incidents whereby patients were also overexposed due to a software bug.
czcams.com/video/-7gVqBY52MY/video.htmlsi=2rDDo1vtL7y0hjo0
THERAC, and Plainly Difficult has a video on it
@Shinji_Dai Kyle Hill does too, his goes into a bit more depth
Was going to say the same
@Sniperboy5551 oh yeah, Kyle's video is excellent, but since we're already on PD's channel, I thought I'd mention him first
So very proud of the hospital staff for acting on the side of caution and responding to this incident so well. This could have been a much more serious incident had they not done so. bravo.
"... because if I do the video will be way too long." says Mr. Difficult who uploaded an 18-hour video... 🤣
Pls link lol
@@ADogNamedStayczcams.com/video/6apzEwfbAI0/video.htmlsi=wXPEFXW0YQTDGTin
@@ADogNamedStayit's 12 hours actually but yeah, Year 7 compilation is MASSIVE
It would be Plainly Difficult to binge watch that
@@colonelgraff9198
I saw that...
Some trivia around this accident, that I gathered from archival press releases:
- Neptun 10P was designed in mid 70's. It was considered a big improvement over russian accelerators that were available earlier.
- This particular unit was from '83 and was rebuilt by its manufacturer in '93.
- Over 100 such machines were made in Poland, most of them sold abroad, including Italy, France, Germany.
- 12 such machines were in use in Poland at the time (2001). There were 4 left in 2006 (two Neptun 10P's and two updated 10PC's), as accelerators from Siemens and Varian took their place.
- After the accident this particular Neptun was never used to treat patients again and eventually scrapped.
- Neither doctor nor technician were found guilty in trial. Victims were granted compensation between 50-100k PLN (2-4 average yearly salary at that time) from the hospital.
- As of 2008 4 out of 5 victims were alive, still treating their wounds. It's not clear if death of the one woman was related or caused by the incident.
Mhm 2008 is 7 years after the incident. Many of the breast cancer patients are of a quite advanced age. Treatment still often deemed promising, know of a woman who was treated in her late 70s and lived well past 90, but not everyone is so lucky.
Thank you, much appreciated.
My family and I was living for a short period of time in the same house with the most burned woman (twin house). She passed away around 5 years ago (I don't remember exactly). She had multiple health conditions, including diabetes. She wanted to live anyway :) She loved to live, was talkative, simple woman. She was treated in France after this incident. May she rest in peace... 💚
It is not true. Technichan was sentenced to a fine.
I love how your art skills has just gotten better and better year after year.
Thank you!
🤣
Ah yes, the irradiation machine that looks like a toothbrush, an among us character, and mailbox all had children with each other.
@@Auroral_AnomalyA lot of medical equipment looks like among characters. Round and long, basically cylinders with rounds
@@xWood4000 The drawing not the equipment.
My uncle had a hole burned into his foot by a radio-therapy machine. This happened in a private hospital in Johannesburg, South Africa a few years back. I don't know which machine it was, but apparently the problem was not due to a malfunction but due to operator error. My uncle successfully sued the radio therapist for malpractice but I don't know whether the incident was investigated by the international body mentioned in this video. His foot never fully recovered since it took him a long time to find a doctor who could effectively treat his radiation burn.
Was it a THERAC-25?
Presumably the IAEA wouldn’t be called-in unless it was a design flaw. Operator error, severe criminal negligence, is probably “dealt with” by a prosecution. Of course as you say it hardly remedies the situation.
Wonderful how John's subtle and cracklingly dry sense of humor manages to keep the mood of some horrific stories bearable. PD is an outstanding YT channel. Thank you, John.
One of the best channels on CZcams in my opinion. Love Plainly Dofficult
Only John can get away with "No worries mate in Polish" in such a serious topic.
Your pronunciation of Białystok is almost on point! If there's more Polish in future videos, think of the "ł" as the "w" in words like well, word, water, wheel etc. Never heard of this case before!
Thank you! I will do thanks for the tip!
@@PlainlyDifficult As a Polish learner, can confirm it's a hard language if you're not used to it. (At least it's not Czech, which is basically like if Polish _Wheel of Fortune_ charged 10,000zł a vowel...)
Try Finnish..
@@WackoMcGooseI think Czech is much easier. Polish is oddly medieval, with lots of archaisms and odd orthography. _szcz_ is one letter (щ in Cyrillic)
@@brick6347 I suppose so, yeah. Along with having both "sz" and "ś" (and a few other pairs) that are "functionally the same sound" according to my teacher.
And yeah, Finnish does me a frighten, as does Hungarian. Eighteen cases?!
This was definitely handled much better than the Therac-25 but this was newer equipment and people are more aware of such incidents nowadays
Before watching this I assumed it was about Therac-25
The "ł" in Białystok is spelt pretty much like "w" in english. This actually was fairly big news back then. I was following this a bit, since half of my family is from Białystok. In the end nobody was sentenced, though the nurse and a technician were tried. In the end cleared of any charges. And the story has a semi-sad finale: one of the patients did die, although it was unclear whether it was from the "overdose" or the whole treatment failure...
The technichan was fined.
Two lessons from this:
1. Use a separate test tool to verify the operation of dangerous equipment.
2. Check critical parameters are in the correct range, not just that they are below some limit
Good video and thanks for the effort of releasing one each week.
3. Listen to patients.
3. Take the atomic death ray offline when you receive the first complaint about itching.
I'm glad he mentioned that breast cancer can be as psychologically damaging as it is physically. I have a good friend who actually had a double mastectomy because she had a really high risk for developing breast cancer. She is glad she chose what is best for her health but remains self-conscious despite having her nipples tattooed on and implants. 0:42
I'm a man but I can understand. I can't imagine going through that, it must feel like your womanhood has been stolen from you
This case is unique. There wasn't much negligence or wanton carelessness on the part of the staff. They had gone through this before and the manual didn't demand a total system verification check after power failure. They had observed no indicated faults during startup. The 2 things that should've caused a halt were the irregular beam formation and the patient complaint immediately after treatment. It's tragic, but this is one of those "Found out the hard way" situations. :(
Both of my parents got cancer within a year of each other, and of the ways of treating it, surgery has been the most effective by far. My mom's cancer free after it, but dad's was inoperable so he's had almost every flavor of chemo and radiation and is barely treading water as the average lifespan of people with his type of cancer gets closer.
I'll keep your dad in my thoughts
😔
My aunt recently died of cancer. She went in with an apparent laryngeal growth and was green lit for surgery. They opened her up...then closed her, determining she was more cancer than person. Treatment: Morphine, and she went into hospice. Pulled her own tubes out multiple times, wanting to go out on her own terms.
She had some sort of mental trauma earlier in life, the whole time I knew her, she was almost catatonic, needed assisted living services. That last time my Dad visited her though, she was different. He took a picture of her, she had this intensely lucid look in her eyes and a wry smile. I think it was "terminal rally". She died very soon after.
There are so many different types of cancers arising from varying types of cells in varying locations. Some cancers such as a basal or squamous cell carcinoma are slow growing, well encapsulated or localized for a year or more, and they are easily cut out if caught early, and usually the cure rate is in the far upper 90 percent range. Other cancers are extremely aggressive and not only do they grow very quickly, they also grow in areas that are very vascular or packed with lots of lymph nodes and lymph vessels. Merkel cell carcinoma for example, grows very quickly within 2-4 weeks and within that short timespan it grows tendrils into nearby lymph vessels and lymph nodes. Merkel cells live in the deep layer of our skin which is why they have great access to these blood and lymph vessels just below and beside themselves. Even though you cut out a huge margin around a MCC tumor, odds are significant that by the time it is noticed there are cells which have already gotten into and broken off within the local lymph system and are floating around in very distant lymph nodes as well as the abdomen and abdominal organs like the liver. You have to cast a wide net with radiation and chemo to attempt to neutralize those rogue metastases. Sometimes a tumor is too big to cut out immediately. A brain tumor may be so large at first that it is invading an area which can't be surgically manipulated, so they use chemo and radiation to first shrink the tumor away from that area and then they cut it out. My friend had breast cancer which would have been much more likely to metastasize if they had cut into the area when compared to chemo and radiation alone. It was well encapsulated, but the edge margins were vague and cutting open blood and lymph vessels in the area would allow free cancer cells to get out of the capsule and slip into a severed blood or lymph vessel which would lead it to distant places. She achieved a cure after a few months of chemo and radiation. She was prepared to have a double mastectomy, and the thought was devastating to her but she ended up not needing to do any of that.
My condolences, a best friend of my mom's own mother just passed of aggressive stage four uterine cancer this Tuesday. What was worse was she died before my mom's best friend could make it to the airport and her flight was delayed by a snow storm, so I can understand how that must've felt for you. I'm also at a higher risk of developing ovarian cancer(endometrioid and clear cell) because of my deep infiltrating endometriosis and endometrioma of the ovaries, it's scary what cancer can do and it affects different people so uniquely which is rather sobering to me. I'll keep your dad in my thoughts as I hope he'll pull through this. If not, although I'm just a stranger on the internet, I and other people in the comments section are here for you
@@mannys9130 my dad's is pancreatic, I'm not sure what it's official name was, only that his kind doesn't normally present until near-terminal but it grew on the "head" rather than the "tail" so it showed up sooner. Not before it hit stage 4 and metastasized to his spine of all places and left the lymph nodes pretty much alone.
I would like to hear you do a history of radiotherapy. I’m betting you would do a rocking report on the subject and I would like to learn about it.
Thanks for the suggestion!
@@PlainlyDifficult honnestly i would be interested too and i think a truckload of people at least would be too!
Yea that would be very interesting
@@PlainlyDifficult my pleasure. Your channel is one of my five top favorites on CZcams and my number one favorite for serious educational content! Not only that but I have only purchased merch from three CZcamsrs and your merch was one of those three. I have been enjoying CZcams for over a decade so I guess that says something of how much I appreciate the work you do and the videos you create.
I’d also be very interested. You’re so knowledgeable, especially for someone so young. I’ve now got a real interest in nuclear power and radio isotopes which I would never have thought would happen.
The disaster scale jumps from paper cut to like...... quadriplegic/in a coma/not today but maybe dead tomorrow PRETTY FAST.
Log-ish scales do that, yes:)
@@absurdengineering ah I see, the scale equivalent of "well that escalated quickly" 😂
Oh BLESS you for making the intro music quieter! I appreciate it so much.
Sometimes I fall asleep with your videos on and the intro would sometimes jolt me awake because it was often much louder than the voiceover
😂
The Disaster Scale redesign is fabulous unlike the circuit design of this very large microwave oven! Thanks for another horrifically fascinating episode
Im from Poland and I've never heard about this. I was too young when it happened. Thank you for this story!
Wow, I didn't expect a case from my country here. 😮
When I heard you at the beginning I was like: "Wait. Did he just mean to say Białystok?". 😂
Your pronounciation was surely a little bit off, but I still immediately connected it to a proper word without any previous context, so you did great. 😀
Props to you. ❤
I install the Varian Truebeam which you pictured at the beginning of the video. I travel the US South and Central America installing these 23k lb machine. Heavy rigging,precision leveling, and isocenter being the very short hand of installation. The vault these linear Accelerators go in are pretty impressive themselves the lead bricks lining the walls and the 10k lead lined door is impressive!
You help prolong peoples' lives. Thanks for doing what you do.
The amount of shielding these machines get is truly impressive. Annoying when trying to call senior physicist/engineer when something inevitably goes wrong haha.
Gotta love how they always show a TrueBeam in these awful linac disaster videos... It's never a TrueBeam...
(I'm a field service engineer for them in NYC)
(It's probably just because it's the easiest linac to get a clear picture of)
@blevin591 at Sloan Kettering? I've a few times in NYC
@@CuddleParrot211 I work on the downtown Sinai sites primarily, but they definitely know me at MSK
You have a way of presenting oftentimes very morbid, horrific and unforgivable situations and incidents with a dry, humanistic view blended with humor at critical times. Very well done as always!
As a cancer patient who had surgery, chemo and radiation therapy, I can only say there is no better time to have cancer than now;) it was still weird to see my gigercounter to malfunction after the readings went off the scale. I work as a programmer in a medical field and it scares the f*** out of me that I could make a programming mistake like in that notorious radiation therapy machine. Thank you for your videos and I love those witch cover radiation events.
Ok, your graphic for the "Chief Physicist" at 6:48 gave me a good chuckle.
Really appreciate you expanding outside of the single incident disaster videos. Love them, but really love having months or years of murky context laid out clearly in your style. Thanks again for a great one John!
I like your new disaster scale. One of your best so far. Thanks John....
I definitely think that it should be a 3 on the Disaster Scale, especially since their life expectancy is reduced.
I’m also shocked that after the first patient experienced skin irritation and itching that they didn’t stop to look at the machine.
I agree, if 0 is no injury, 1 is minor injuries and 2 is serious injuries, then serious injuries that will kill people over time should be 3. Also, yes, the classic 'doctors don't listen to patients' problem rears it's ugly head again. I think they just presume that every complaint is just a whiny person who can't tolerate a tiny bit of discomfort. It can be a big problem with healthcare in the UK, with valid complaints and self-diagnoses being shrugged away because 'ah, it's not that bad, stop complaining'.
Not surprised. The attempted malpractice and medicaid fraud they attempted on me.. Claimed "end-stage liver disease" due to 25 years of chronic alcoholism and tried to pressure me into: portal vein bypass surgery, liver biopsy, esophageal varices check and clamping (scope down my esophagus - I don't recall what they called this), blood clot surgery of some sort in my leg, amputation of both feet due to edema causing severe cellulitis and they claimed gangrene, gallbladder removal, installation of a permanent tube into my peritoneum to allow me to drain fluid.
All bogus claims. I denied every single procedure. I had no family or friends or advocates, and they tried to gaslight me into telling me I needed all this stuff. And a liver transplant. Since I was all alone and did not feel I deserved a new liver or continued life, I denied every procedure and went home to die. Since they told me I had three to six months to live.
Now 3 years later, I am healthier than I ever was even as a teenager. My blood work is perfect. My stools are perfect. CT scans show no chrissis of the liver. Nothing. Not a sign anything was ever wrong with me. Zero carb diet and intermittent fasting. All of which they told me NOT to do. They told me to eat a lot of fructose and carbs. Fructose damages the liver. Had I done many of their procedures, I'd not have been able to even digest the fat properly as required by keto.
I could write a couple of books about this. Suffice it to say, doctors (specialists, not so much physicians) are all about some sick twisted desire to harm patients and mutilate their bodies because they are greedy. So of course, they're going to continue to bill patients for this radiation therapy. I'm surprised the patients that were injured (permanently) by the device were even told about it and not lied to and gaslit into thinking their cancer got worse because of something they did to themselves.
They wanted to amputate my feet for cellulitis and I refused. 5 days of IV drip antibiotics in a hospital bed (elevated feet) was all that was needed. They lied about the gangrene. Doctors disgust me.
Oh, and the esophagus procedure would have put me at risk of bleeding to death if I ever coughed too hard or pushed too hard on the toilet. I would advise anyone to avoid doctors if they're "diagnosed" with cancer. There are stages of tissue malformation starting with visceral fat around your organs to full blown cancer and everything between. Much of it can be reversed by reducing whole-body inflammation (caused by insulin; fixed with no-carb diet) and autophagy will remove the bad cells (autophagy triggered through fasting). Doctors just want to get rich and mutilate your body.
@@paulsaulpaulI had an experience in which high-risk (you could arguably call it "mutilation") surgery was a possibility, but they decided to just try really aggressive IV antibiotics as a "hail Mary" instead. It worked, and I went home 3 days later. And so while I'm sure (and I mean that--as in I am *sure*) your characterization applies to some doctors, it's hardly universal.
@@paulsaulpaulThat is, they explicitly TOLD me that they were doing everything possible to avoid surgery, and they did indeed do that. I mean, it really was basically "here, have two IV antibiotics and morphine and we're all just gonna cross our fingers".
@@paulsaulpaulAre you saying that they wanted to amputate before even seeing if the antibiotics worked, or that they only even did the course of antibiotics because you refused the amputation?
I find there to be a flaw in your patented chart from 9:28. If the world would end, you wouldn't be around to make a video about it, nor would anyone be able to watch it. So nr. 10 on the scale would therefore never happen... Great video as always. Cannot get enough of these unfortunate mishaps involving radiological devices!
a big shout out from Poland , its great to hear some story from my country. I was waiting a long time for this to happened, thank you.
955K subs, and you deserve every one of them John. Excellent examination of these mishaps and their consequences/followup.
It's scary another medical instrument could end up like the Therac-25, especially as late as 2001, knowledge should have prevented from happening again, nevertheless, this radiological incident should be included with the Therac-25 legacy.
Love the new scale. I always think your radiation/nuclear episodes are the best.
Something like this, just a bit worse, happened in my country Costa Rica with the 1996 San Juan de Dios radiotherapy accident. 13 dead, 114 to 115 exposed, one doctor in jail.
I would love to see it covered in this channel.
Your turkey knife needs to be sharpened. The most dangerous thing in the kitchen is a dull knife...😂
Great video as always John!!!
there was also the Sarragossa radiotherapy incident where 27 people were wounded and 11 died due to overexposure
(So close to the 1 million subs, congratulations mate and well deserved for your unique style of presentation!)
A story about the horrible design problems with the AEC radiation therapy equipment that killed patients in Tyler, Texas and elsewhere in the 1980's would be a worthy topic.
they named a place after me?
at least this episode didnt involve a Canadian built machine 😵💫
TYVM for another upload
🥶🇨🇦😁
😂😂 I feel this
WHY WERE POWER CUTS SEEN AS A NORMAL THING????
I was just happily watching the new disaster video by PD when it suddenly turned out that it was in my country 😭 but then I was kind of proud of my contrymen that they managed NOT to turn it into a shitshow and behaved reasonably. Big "boo" for the machine manufacturers for basically messing up the design.
Wow I thought this was the software bug but appearantly this is another incident. Those machines are scary af.
Your thinking of the older Therac 25.
considering that polish NFZ is almost always looking for shortcuts it's incredible that they reacted in such professional manner.
I was surprised to see that I haven’t already been subscribed to you for a while, youtube just recommends me your videos every time you upload
The name Plainly Difficult is such the PERFECT name for your content John. Been here 3 year and without your ever so simple breakdown i couldnt understand a thing. Plainly Difficult is so accuate!!
Cheers
🤘🏻🏴
Thank you!!
@@PlainlyDifficult thank YOU John
🤘🏻🏴
I am genuinely surprised how this was handled immediately after the event so that only a handful of patients were affected after they raised concerns - unfortunate for those that were affected but props to those who acted swiftly to have it addressed - having experienced many unfortunate interactions in the NHS I can believe that something like this would not be acted upon so quickly in a UK hospital - far too much apathy and shrugging of shoulders when concerns are raised or they take months to be acted upon. Second I am baffled that such a complex machine would have interlocks and failsafes that were not off by default - that is poor 😮
I love this topic, honestly medical machine malfunctions are so rare to here talked about an I would to hear more. I mean you've got some crazy machinery for medical care, CT, Mri's to name a few more common ones. ❤ love this video keep up the good work
Personally, I'd bump this up a level of 3 on your new scale. That's f*cked.
When I come down with the big C, and if this kind of treatment is avail. I'd like to to be able to check with a separate dosimeter of my own or a 3rd party. This kind sh*t scares the shite outta me.
On a lighter note- are you doing voice-over commentary for other channels now?
Thought I heard you doing a voice over for another channel I follow (Kyle Hill?)
Idk, but being a long time follower- I can almost tell it's was your voice and if so, I'm glad you're expanding your horizons man!
Good job man and thanks for the consistent content!
Your pronunciation of Bialystok in Polish is spot on! Well done
Thank you! 😃
Thank you so much for toning down intro volume ❤
John you're so close to 1million subscribers!! These types of videos you cover surrounding 'medical' stuff or the technology used in medicine are always so fascinating. I find myself doing further research or looking deeper into what you talk about in your videos and it's a great way to have fun + get educated lol.
Thank goodness the patients were taken seriously. As a former nurse, I can't tell you how many times women aren't taken seriously about their pain. I've had female patients with blood poisoning (septic) come into the ER after their doctors told them they had a cold. I had a woman come in with 2 ruptured ovarian cysts and was told she was just going to start her period and told to take ibuprofen. Those are just the ones I remembered off the top of my head.
I play your videos as background noise and then I thought I heard Białystok. And then I heard Białystok again, this time for real. Tremendous work, I've never heard about this incident before!
I do like the new disaster scale and a rating of 2 seems very accurate to the situation. Great job on the video too! I've seen the horror stories with the Therac 25 unit and thought this was going to be the same but I was surprised to learn its an entirely different unit...
I'm Polish and lived near Białystok but never heard about this case! Thank you! Excellent video!
I love yoir weekly London weather observations at the end of each video.
PLEASE tell me these ladies were compensated through massive lawsuits of some agency, hospital or company.
Exactly my thoughts too.
Knowing how this shithole works - nah, no way
Edit: yeah they got between 12 and 20k USD each xD
@@tetrahedron4752 this was in '00s not '90s lol :J
@@el_es I'd argue it makes little to no difference
All of the stuff with "łowcy skór" came to light in 2002 and vast majority of people involved never faced any consequences
They were probably just told they were crazy.
Honestly I don't mind the longer form videos and appreciate the details that you include!
You sound a little distracted in the outro, I hope all is well with you
I just think your channel is one of th e best on CZcams!
Thank you. I greatly appreciate your videos.
Your pronunciation is excellent! Thank you!
I don't think we have them nowadays but I have a French penfriend, her sister was one of the survivors of this over exposure.
According to my friend, this completely changed her sister. She sank into a depression and waited to die. Several years later she did just that.
So "no deaths"? Just because if takes a few years doesn't mean there were no deaths.
Great video, as usual.
Special thank you for all the diagrams. I understand so much more.
I love these videos, they're events that I don't get to learn about otherwise, being isolated from world news in the USA. If it isn't about us, we don't get to hear about it sadly. Keep em coming!
I recently lost a good friend and my step-grandma to cancer within 5 weeks of each other. My boyfriend had been cancer-free for a while, but the cancer came back after almost a year and took him away from us in no time. My step-grandma had a cancer-related surgery with a 50% chance of survival and didn't make it
I’m sorry you had to go through this. Losing two important people in so short a time. My condolences.
Happy to see some content from my country! We have a lot of interesting incidents and disasters in our recent history, if you manage to get some reports it will give you many hours of videos :)
What a great channel!
Appreciate your attempts in polish!~
Thank you! 😃
Failing to a known configuration is an underappreciated aspect of proper engineering.
I really like your voice and your videos are explained very well even if I don't have prior knowledge about the topic 👍
Thank you.
I'm sorry, but my musical theatre background kicked in when I saw the name of the city where this took place - Bialystok - and all I could think of was a scene in The Producers when the new non-English speaking receptionist is practicing the names of the two main characters, Bialystock and Bloom, as her greeting for answering the phone.
As she is Swedish or something Nordic, it comes out sounding more like, "Bee-al-ee-schtock und 🎵BLOO-oom🎵" with a bit of a sing-song manner....and she's repeating it over and over while picking up the handset of the telephone each time, at the same time, the two men are trying to have a conversation. Much better in the show than I have described here, due to trying to keep it as short as possible. 😊
So I have cancer. I have to go do radiation treatment. Mine is a shot of radiation from a syringe. Woot science.
This reminds of the same incident that happens with a Kyle hill video the threac 25 where a programs bug causes couple of people to die after several doses of radiation was passed through the body
Hey John, great video. I've been subscribed to the channel for a year and a half now. Also, I think the "Forward" section is supposed to be spelled "Foreword." A foreword is a short introduction to a book or other work and I believe that's what you were going for.
I can't imagine getting treated for cancer to find you got zapped instead. What a nightmare. And fu_k cancer!
There’s no such thing as a video too long from John. That’s like telling the misses I last too long
HAPPY SATURDAY NEW PLAINLY DIFFICULT VIDEOOOOOO
I often hear people say they most enjoy these stories featuring dare I say rather plainly, difficult days, with radiation. Not to say I don't enjoy all the videos, more or less, on the channel but personally I would like to say I think not only did railway videos originally bring me here. I also think you're at your best when talking about railways myself. Not to focus too hard on anything in particular or anything. As I say I enjoy hearing your perspective on many things you talk about even besides railways and radiation.
(In Polish)
Good times.
As an electronics engineer I'm rather surprised such a design flaw was allowed to pass. I was on multiple projects back in the 00's designing medical equipment. Even motors for disengaging connectors would receive better protection than that - something that could only create mechanical damage.
In short, it was insane what we had to go though to make it fail safe - and then, as the project manager pointed out - it was one of the lower qualifications because we could only kill one person at a time...
I'm currently watching this about 48 hours after my own cancer treatment (immunotherapy, not radiation), and I have to agree with your first statement: it's never great to get cancer, but this is the best time in all of history to get it. 100 years ago my cancer would have killed me within 6 months. Currently I'm a year and a half in and still expected to live several more years (with slim hopes of becoming NED, maybe, if I'm lucky). Accidents like this can happen though, and it's why there's always at least two sets of eyes on everything done during cancer treatment. It doesn't completely eliminate errors, but it greatly reduces them. Incidents like this are exceedingly rare because the doctors and nurses and techs work so hard to keep them safe.
Man the start gave me chills. My mom had breast cancer but it was caught early, thanks to my dog. He wouldn't leave my mom be and was poking her chest and trying to "claw" it. Finally one day he jumped against my mom and she got a scratch, checked it and found a small lump.
For me my dog is worth his weight^n+10 in gold.
Reminds me of the therac-25 incident lol. Good content!
It's retrospective and you're highlighting the relevant components in what was surely a complex desivn, but having the self-test signal halt the start-up if failed instead of allowing it to proceed if succeeded is one big oversight.
I do agree with it being rated at the lower end of the scale, as the incident was handled very well, especially in comparison to some other radiotherapy-related accidents.
Thanks!
Thank you!!
A new radiation incident, love your vids !
I've been working my way back through your videos and am currently 5 years back. If you haven't done one on the Lac Mégantic disaster yet I think that would be a good one.
Had my „yearly“ chest X-ray done yesterday.
John, I‘m feeling itchy now.. 😵💫
Thank you John. I believe I've mentioned that the radiation incidents you speak of, fascinate me the most of the subjects you cover. I really don't know why. It just is.
Speaking of medical accidents i would love to see a video on the Lyodura scandal most people don't know about
Great job
Fair play to the staff here. Yeah, they probably should have taken an independent reading before restarting treatment, but at least they didn’t try to cover it up when they found out something was amiss
“Power cuts - no worries mate (in Polish)” took me out 😂
Thanks Jon, currently sub zero and blizzard conditions in the center of USA
Hello from the East Coast of the US. Stay warm!
Interesting change from the usual. No cover-up, no training failures, no cost cutting. Just a bad design and appropriate and effective response.
Love your channel! Might want to update your copyright notice to 2024.
Hell yeah Plainy Difficult radiation video. It's gonna be a good day