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Shoe-Fitting Fluoroscopes
Radioactivity and Effects
By Sarah Wascura
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Case Study
Gerda Roehler FenstermakerShoe store clerk 1940’s and 1950’s
Farr’s shoe store, AllentownUtilized shoe-fitting fluoroscopes Breast cancer in 1971And again in 2003No family history – Blame?
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Local Fluoroscopes
Allentown and QuakertownFarr’s, Leh’s, Hinkel & Biehn
Novelty item used to show how foot bones fit in shoes
Local workers have said to have battles with cancerCoincidence?
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Cancerous Link
Radiation proven to alter cell structureHigh levels shown to mutate cellsLow levels used as cancer treatment
Approximately 75% of breast cancer in the US is traced to radiation exposureMostly medical X-rays
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X-rays are bad?
Women who have a history with radiation exposure tend to avoid moreNo dental X-rays
No diagnostic X-rays
IMPORTANT: No mammograms
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The BIG Question
Is there a proper link between X-rays and cancer?
Or is it that women who have been exposed to X-rays do not seek proper preventative measures against breast cancer?
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So what is a fluoroscope?
Medical equipment in doctor’s officesUsed to see movement inside the body
OrgansBones
Used today to assist in the movement of catheters into organs
Upper gastrointestinal tract tests account for almost half of all fluoroscopy use
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Mainstream Transition
Used after WWI to assess soldier’s feet while still inside boots
Introduced into society to test the fit of shoes in shoe stores
Children and adults could see bones of feet inside shoes – novel concept
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Components
X-ray tube is in the base of the cabinetPlatform above tube to place foot
Aluminum filter between foot and X-ray tube3 eyepieces: one for child, parent, and
shoe clerk
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The Shoe-Fitting Fluoroscope
Eyepieces at top
Ledge for foot to rest
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Intention
“Scientifically” fit shoes to feet
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Radiation Doses
Average dose of radiation38.4 R per minute
High doses100-350 R per minute
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Controlling Radiation
Factors to control:Output of X-ray tubeThickness of filtersDistanceTime and number of exposures
Intensity switchesPush-button timer (20-30 seconds)
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Regulation
American Standards Association regulated dose to 2 R per 5 second exposure
Children should have no more than 3 exposures in a day
No more than 12 per year
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The Demise
Due to health hazards, the shoe-fitting fluoroscope was all but gone by the early 1970’s
Since then, clerks have wondered how their lives have been affected by this radiation