Published May 29, 2009
Ok just thought i would share..had a patient today, full vent support following a massive stroke. Patient of Dr. X, who by the way is a total pain in the butt and thinks he is Gods gift to medicine. Patient had to go for MRI (and believe me. when Dr X says take him, we better run, cause when he gets back he expects it to be done, and the results waiting on him.) So, get patient off vent, bag him all the way to MRI, only to find out that we cant get it right then, because patient has a METAL penis implant....METAL!! Never heard of such. So we have to run around trying to get info on it from family, have to call physician (in another state) that put it in, etc, etc to get cleared to have the test...needless to say that after SIX hours of bagging this guy, he finally got his MRI..only to show what we already know...massive infarct and pretty much zero probability of recovery...oh the things people have in their body...METAL!!!!!
9livesRN, BSN, RN
no need for viagra!
just aim and you're good to go!
Wow, that's really interesting. Did it look like just a regular penis? I was just wondering cause no one noticed it until you got to the MRI, right?
..needless to say that after SIX hours of bagging this guy, he finally got his MRI..only to show what we already know...massive infarct and pretty much zero probability of recovery...oh the things people have in their body...METAL!!!!!
I know NOTHING of this, which is why Im asking...But 6 hours of bagging? Is that safe? Why wasnt he brought back to the unit and vented until things were able to be sorted out?
HouTx, BSN, MSN, EdD
LOL! I'm sure we all came up with mental pictures, didn't we? However, I would bet that the metal in question was part of a pneumatic valve system that was popular prior to Viagra .... nuff said.
When i was working in an assisted living facility, we had an elderly man in his late 80s admitted. Well all the staff at some point noticed that he had a permanent errr. . . you know. lol. Anyhow, in his last days his family and hospice nurse were there a lot, and apparently the nurse asked his wife about it. . and sure enough he had a metal implant placed in the 80s!
CrunchyMama, ASN, RN
Wow....that's funny, lol!
Daytonite, BSN, RN
How is it they ended up doing an MRI if this patient had a metal implant? That usually is a cause for canceling an MRI. I have a pacemaker and MRIs are out of the question.
I have no idea why he wasnt brought back to the unit..things there are so twisted..i think they didnt want to bring him back, only to have to turn around and go right back, since they didnt know how long it would be. I We knew he had an implant but didnt know it was metal..apparantly it was safe for the MRI after all, snce he got it and didnt stick to the machine!!
i def learned something today.
It depends on the metal used Daytonite, hence the call to the manufacturer. Not all metal reacts with magnets, the only example I can think of off the top of my head is aluminum.
I think the bigger deal with pacemakers and MRI's is the magnetic field can interfere with the electrical field of the pacemaker (the battery, etc). I think they're shielding them better these days with the newer pacemakers....I could be wrong, but I seem to remember hearing in class that some newer pacemakers don't contraindicate MRI's.
Sounds like you were in a hard spot!!!:yeah:
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