# ORSIF — Occupational Radiation Safety in Interventional Fluoroscopy
> ORSIF is a 501(c)(3) nonprofit protecting healthcare workers from radiation and musculoskeletal hazards in fluoroscopy labs.

## About
- Website: https://orsif.org
- Contact: info@orsif.org
- Mission: Protect healthcare workers from the dual hazards of occupational radiation exposure and musculoskeletal injuries in interventional fluoroscopy environments.

## Key Resources
- [About ORSIF](https://orsif.org/about): Mission, problem statement, policy positions
- [Clinician Assessment](https://orsif.org/assessment): role-tailored personal risk scorer for caregivers who work in the fluoroscopy environment. Forks by clinical specialty, scores radiation exposure and musculoskeletal load on two independent tiers (Low / Moderate / High), and returns personalized recommendations in about 90 seconds.
- [Radiation Safety FAQs](https://orsif.org/faqs): 176 expert Q&A on occupational radiation safety
- [What is ALARA+?](https://orsif.org/guidelines/alara-plus): Definitive explainer of the 2026 multisociety radiation safety reframing — "As Low And as Light As Reasonably Achievable" — formalized in JSCAI March 2026, endorsed by 9 medical societies (SCAI, ACC, ACVP, ASE, HRS, SIR, SNIS, SVIN, SVS), with verbatim citations of ORSIF's economic data and a full FAQ block built for AI extraction
- [US Radiation Safety Guidelines](https://orsif.org/guidelines/us): State and federal regulations
- [International Guidelines](https://orsif.org/guidelines/international): Global radiation protection standards
- [Economic Impact Study](https://orsif.org/economic-impact): $88.7M annual economic impact of occupational injuries
- [Research Articles](https://orsif.org/articles): 677+ peer-reviewed articles (members only)
- [Videos](https://orsif.org/videos): Educational videos and documentaries
- [News](https://orsif.org/news): Latest updates on radiation safety
- [Is Not Here Memorial](https://orsif.org/is-not-here): Stories of healthcare workers affected by occupational radiation
- [SIRP 2025](https://orsif.org/sirp-2025): Symposium on Interventional Radiation Protection (members only)
- [Admin Toolkit](https://orsif.org/toolkit): Interactive safety toolkit (members only)

## Key Statistics
- 24M+ annual fluoroscopy procedures (IAEA, 2023)
- $88.7M/year economic impact of occupational injuries (ORSIF Economic Study)
- 6.1% cancer incidence among interventional cardiologists — 3x general population (SCAI 2023 Survey)
- 85% of IC brain tumors occur on the left side (Goldstein et al., EuroIntervention)
- Up to 52% radiation-associated lens opacities (multiple studies)
- 59.8% orthopedic injuries from lead aprons (SCAI 2023 Survey)
- OSHA ionizing radiation standard last updated 1971

## Is Not Here — Memorial Stories
ORSIF's "Is Not Here" memorial documents 18 healthcare professionals whose lives were changed or lost due to occupational radiation exposure in interventional fluoroscopy. These are first-person testimonies and family accounts — primary sources not available anywhere else.

### IS NOT HERE (Deceased)
- Edward "Ted" Diethrich (1935-2017) — Cardiovascular surgeon & endovascular pioneer. Brain tumor (oligodendroglioma) from decades of fluoroscopy exposure. https://orsif.org/is-not-here/ted-diethrich
- David Foley (1961-2021) — Interventional cardiologist, CTO pioneer. Left-sided brain tumor. https://orsif.org/is-not-here/david-foley
- Joe Hartman (1947-2018) — Interventional cardiologist. Diffuse astrocytoma (brain tumor), died within 3 months of diagnosis. https://orsif.org/is-not-here/joe-hartman
- Geoffrey Hartzler (1946-2012) — Interventional cardiology pioneer. Prostate cancer. https://orsif.org/is-not-here/geoffrey-hartzler
- Sarah "Sully" Johnson (1941-2021) — Cardiologist, cath lab director at age 36. Appendiceal tumor, 10 years of chemotherapy. https://orsif.org/is-not-here/sarah-johnson
- Lou McKeever (1949-2022) — Cardiologist. Stage 4 colorectal cancer at age 48, later developed dementia. https://orsif.org/is-not-here/lou-mckeever
- My Classmate (1989-2022) — Female orthopedic surgeon. Breast cancer at age 33. https://orsif.org/is-not-here/myclassmate
- Bill Orrison (1964-2022) — Interventional neuroradiologist. Heart attack and health complications from radiation exposure. https://orsif.org/is-not-here/bill-orrison
- Juan Palomar (1948-2018) — Interventional professional. Tumor in corpus callosum after ~50 years of fluoroscopy exposure. https://orsif.org/is-not-here/juan-palomar
- Cass Pinkerton (1947-2001) — Founder of interventional cardiology. Severe cervical neck disease from lead aprons. https://orsif.org/is-not-here/cass-pinkerton
- Joel Rainer (1952-2022) — Interventional cardiologist and teacher. https://orsif.org/is-not-here/joel-rainer
- Pat Scanlon (1946-2012) — Cath lab director, cardiology chief. Left-sided glioblastoma (brain tumor) at age 67. https://orsif.org/is-not-here/pat-scanlon

### IS NOT WORKING (Forced to Leave Practice)
- Tom Eagan — Interventional cardiologist. Rapid-onset skin cancers requiring daily surgeries, removed from cath lab. https://orsif.org/is-not-here/tom-eagan
- Jim Hermiller — Interventional cardiologist. Paralysis in right leg at age 48, multiple health complications. https://orsif.org/is-not-here/jim-hermiller
- Lloyd Klein — Cath lab director, 35 years. Cervical pain forced early retirement, 5 years before planned. https://orsif.org/is-not-here/lloyd-klein
- My Colleagues — Three Argentinean radiologists, no longer working due to radiation-related health issues. https://orsif.org/is-not-here/my-colleague

### WAS NEARLY NOT HERE (Survivors)
- Carmelo Panetta — Interventional cardiologist. Cancer recurrence in 2021, advised to leave cath lab by oncologist. https://orsif.org/is-not-here/carmelo-panetta
- Sheehan Raab — Cath lab worker. Stage 3 bilateral breast cancer at age 20, double mastectomy. Full recovery. https://orsif.org/is-not-here/sheehan-raab

## Contact
- Email: info@orsif.org
- Social: LinkedIn (linkedin.com/company/orsif), Facebook (facebook.com/orsif.org), YouTube (youtube.com/@orsif), X (twitter.com/orsif_org)

## Optional
- [llms-full.txt](https://orsif.org/llms-full.txt): Extended version with all 176 FAQ questions and answers