Man wearing metallic necklace dies after being sucked into MRI machine
545 comments
·July 21, 2025bookofjoe
vonneumannstan
>1. I had to anesthetize the patient in the sub-basement, two floors below the main OR — where there were always other anesthesiologists able to help in an emergency. In the MRI suite, no one could hear my silent screams if I got in trouble nor were there knowledgeable extra hands to, for example, squeeze the breathing bag if I needed to prepare for an emergency intubation.
You are allowed to put patients under general with no one else present? That doesn't seem like it should be possible
bookofjoe
>You are allowed to put patients under general with no one else present? That doesn't seem like it should be possible
Every day in ORs around the world manuy thousands of anesthesiologists — and CRNAs where approved — put patients under general with no one else present. Are you proposing that two anesthesiologists be assigned per patient, like scheduled airlines?
Should piloting a plane solo be outlawed?
If, after three years of residency and roughly 1,500 cases done under supervision, many more done without supervision, a written examination, and an oral examination, you aren't qualified to administer a general anesthetic solo, then you have NO business giving general anesthesia no matter how many other qualified or unqualified others are present.
rscho
I agree you should be able to provide solo, but there is also substantial evidence supporting the addition of a CRNA to make anesthesia teams, that are safer (and even more expensive) than either CRNA or MD operating alone. In many countries, teams are the standard of care.
haiku2077
> Should piloting a plane solo be outlawed?
Pretty much every civil aviation authority in the world requires two pilots on commercial flights.
fluidcruft
Accreditation is a thing. You don't have to be accredited to practice medicine. But you might want to be if you want insurance or the government to pay you for practicing medicine.
vonneumannstan
Im sorry but how does this possibly jive with what you literally just said?
> In the MRI suite, no one could hear my silent screams if I got in trouble nor were there knowledgeable extra hands to, for example, squeeze the breathing bag if I needed to prepare for an emergency intubation.
Presumably the patient just dies in that scenario that you are supposedly qualified and prepared for?
rscho
The MRI+anesthesia problem has recently got much worse, since we're now seeing MRI hybrid ORs pop up. Compounded with the 'lean management' principles en vogue in hospitals, this is a disaster waiting to happen. Personnel is often affected to multiple ORs, including standard and hybrid sites.
hermitcrab
>In the MRI suite, no one could hear my silent screams
I understand it is caused the 'donut of death' for that reason.
zabzonk
Why darkened glass?
Luc
It's not darkened on purpose, but as a result of containing electromagnetic radiation shielding.
queuebert
The EM shielding is simply a wire mesh, not tint. The glass doesn't have to be darkened, and probably wasn't, but often the room is darkened to make the scan more comfortable and calming. Also, in my experience the room doesn't have many lights, and the patient is inside the bore, making them hard to see.
nness
From a cursory search, seems like 1. Privacy, and 2. RF shielding of equipment behind the glass and from influencing the MRI scan itself.
bookofjoe
Privacy is irrelevant: the MRI suite is so remote from the rest of the hospital that no one goes there who isn't supposed to be there.
bookofjoe
[flagged]
lostlogin
> Once the patient was anesthetized and the heavy door to the MRI machine room was closed and locked, I could only monitor my unconscious patient through a darkened heavy glass window.
Why was the door locked?
fluidcruft
There's some sort of latching mechanism to seal the faraday cage. Sometimes it's a latch, sometimes it's pneumatic or a bladder that inflates.
The doors can also lock (I'm pretty sure they are required to be locked when qualified personnel are not present) but usually they are not locked when the scanner is staffed and in use.
BuildTheRobots
Faraday cage makes sense considering the RF sensitivities involved with MRI.
I do wonder if someone being in the room is enough to distort a scan? As there's no ionising radiation danger, it always seemed odd that you were left alone in there.
lostlogin
Sort of?
It should be lockable when no staff are present and no one is in there.
It just needs to close when in use.
azalemeth
We have ear defenders and staff inside and monitoring visible in both locations -- anaesthetic machine in the control room. There's not much you can safely do in the fringe field but you can do CPR and rapidly get someone out of the room (and before my spinal injury I used to practice both of those regularly, particularly when part of a team scanning patients with inotropes)
fragmede
So no one can accidentally walk into the room while wearing metal while it is on, to prevent injuries like the post we're commenting on, from happening.
fluidcruft
No, that's wrong. The locks are because the magnet is always on but the scanner is not always staffed. The scanner door is never locked when the scanner is staffed or a patient is inside.
lostlogin
The door shouldn’t be locked when staff are present.
It certainly shouldn’t with people inside.
I work in MRI.
adastra22
I don't mean this in a bad way, and I am genuinely curious: what is an anesthesiologist doing on HN?
0x7cfe
Just in case, Con Kolivas, a prominent contributor to the Linux kernel, is also an active and practicing anesthesiologist. People are awesome.
foo-bar-bat
I think the sorting hat outcomes for technical polymaths and driven entrepreneurs is the hat is sometimes quantum, and can rightfully put you into any or multiple houses at Hogwarts? Like Harry.
Last time I had a major surgery the anesthesiologist at Stanford was also simultaneously a full time employee of Apple. (At the time we were competitors; we figured out during surgical prep that we had friends/colleagues in common.)
Similarly, while working at another FAANG company, one of my colleagues was simultaneously a practicing MD (PCP) at Stanford. He later left both jobs, to start own biz.
At one point he referred me to another Stanford doc who was simultaneously the founder of a diagnostic-tech startup, which sadly has since fizzled.
Lastly, I know a practicing anesthesiologist married to a serial entrepreneur who's built and sold stuff you've heard of. They or some of their hundreds of employees may be here, dunno. Won't out them.
magicalhippo
Maybe he's a midnight hacker?
I work as a programmer, but it was and still is my hobby. And I could have ended up in a different line of work. In which case I'd most likely still be here but with a different day job experience.
fouc
HN users cover a broad spectrum of people, computer developers are just a subset.
xeonmc
[flagged]
seanicus
Thanks for the insight. re:#3 how do mistakes not get reported? Is it because this incident resulted in a police report and is unusual in this context?
bookofjoe
Deaths in the OR like cardiac arrests, fatal hemorrhage from burst aneurysms, etc. are always reported within the hospital. Whether others outside learn about such things is often a matter of persistent family and relatives demanding to see the actual death report and contemporaneous notes.
Fatal mistakes usually stay within hospital departments and are discussed at length in regular confidential Morbidity and Mortality conferences.
thaumasiotes
Why is anyone getting general anesthesia for an MRI? It's a non-invasive procedure.
magicalhippo
My dad's cancer spread to the bones in the spine and rib cage. He told me it was incredibly challenging and exhausting to stay still during scans as it just hurt so bad. Several times they had to redo scans as he moved.
I can certainly imagine there are many similar scenarios where it's just not possible for a patient to be completely still, or it's better for them to avoid excessive rescans.
Xiol32
To add to the sibling comment, being stuck in a small, incredibly loud tube usually pinned under some receiver isn't great for claustrophobic patients either.
BuildTheRobots
A lot of people get panic attacks / claustrophobia and are incapable of getting in or staying still for a scan.
I have a lot of sympathy. I'm pretty good in confined spaces usually, but even after multiple MRIs it's still a surprisingly stressful experience. The buildup and safety questions make the pre-experience worrying. The aperture is surprisingly small. Depending on the scan, part of you might be caged in place, and it's extremely noisy and you're aware of a lot of mass and power spinning very close to your face.
Also, some of the radiologists don't help. It's not deliberate, but they're entirely desensitised to the experience (and often haven't actually gone through it themselves; which again seems crazy considering the lack of radiation). My last scan was of my lower back, but they were already set up (from the previous scan) to feed me in head first rather than feet first. From their point of view it saves a bit of faffing with the software and moving the pillow to the other end. From a patients point of view it makes all the difference in the world; it's a very different psychological experience having your legs inside with your head free, vs being stuck head first in something and having it whizz past next to your head.
I've had a goodly (read unhealthy) number of CT and MRI scans and I'm bright enough to understand which one is significantly more detrimental to my long term health. I'm also aware that on a subconscious almost cellular level, it's the benign one that absolutely terrifies me every time...
lostlogin
Critically ill patients, animals, children/babies.
thaumasiotes
This is what restraints are for.
avalys
It’s notable that he was not the patient, he was the patient’s husband who somehow was allowed to enter the room with the MRI machine.
The superconducting magnet in an MRI scanner is always on even when not performing a scan.
This was pure and simple negligence by the MRI operators. Access control is the most basic part of MRI safety!
Even if he was not wearing this “chain”, he never should have been allowed to enter the room. He could’ve been wearing a steel wristwatch, had a keyring in his pocket, etc.
LeifCarrotson
> "I'm saying, 'Could you turn off the machine? Call 911. Do something. Turn this damn thing off!'" [pleaded the victim's wife].
The journalist missed a golden opportunity for education here: most MRI scanner magnets cannot be turned off like that. For the few that can, it's going to cost >$50,000 just to refill the liquid helium, not to mention the real and opportunity costs associated with rendering the machine offline for days or weeks.
If people don't know about the magnet, or don't know that it can't be turned off (or perhaps assume it's "off" because the scan was over, as I would guess happened here), accidents happen.
Aurornis
The cost isn’t the issue.
Quenching the magnet takes up to several minutes. There are also alarms to warn people to get away because the rapidly expanding helium could displace oxygen in the room.
It’s not about the cost. If there’s an emergency that necessitates pressing the button they’ll be pressing it as soon as someone can reach it. It still takes time for the magnetic field to dissipate.
rzzzt
What sort of decay curve can you plot from the magnetic field dissipating over time? Is it linear?
daft_pink
I’m pretty sure when some guy gets sucked into the machine, the downtimes/lawsuits/etc and pressing the emergency button and having a ton of down time is a sunk cost at that point and you are basically obligated to do everytyhing you can to avoid catastrophe to reduce your legal peril.
fnordpiglet
There’s also the basic idea that a human life is worth saving. The money can be figured out later. Sadly though the magnetic fields of an MRI don’t disappear by simply powering the machine down. It can take a while even then. The fact a man with an enormous iron chain is allowed to walk into the room under any circumstance is where the lawsuits will come from, and rightly so.
DebtDeflation
If anyone is curious what pushing the button to turn off (AKA "quench) the magnet looks like, there's this video of an MRI machine being decommissioned:
https://www.youtube.com/watch?v=9SOUJP5dFEg
You push the button, then 15 seconds later the liquid helium is vented through a pipe on the roof of the hospital (it's quite a spectacular display), and then the superconductor starts to heat up and no longer be a superconductor so the current that's been flowing through the coils (they are energized once, when the machine is first installed, and then continue flowing forever so long as the superconductor is superconducting since there's no resistance) and the magnetic field decays to nothing.
It's not an instantaneous process.
foo-bar-bat
This is only comment in this entire thread that's worth reading.
chrisandchris
> The journalist missed a golden opportunity for education here: most MRI scanner magnets cannot be turned off like that.
Thanks for that - and it reminded me of the sad state media is today. I read the same story in about 4 papers and nowhere was written _why_ they couldn't turn off the machine.
Miss the days where journalists actually read what they have written.
josephcsible
> most MRI scanner magnets cannot be turned off like that. For the few that can, it's going to cost >$50,000 just to refill the liquid helium, not to mention the real and opportunity costs associated with rendering the machine offline for days or weeks.
I thought these days, most MRIs did have an emergency quench button.
jpgvm
Yeah I would say all modern MRIs do. However one misconception is that loss of field strength is instantanous, it's not. The field strength drops off over about 15s or so as the helium boils off and the magnet losses superconducting properties.
So the emergency quench is less useful than it sounds in these situations... it's very likely if an MRI is going to kill you it's going to do it fast enough for it not to be relevant.
lostlogin
After GE got their shit together, yes. https://www.diagnosticimaging.com/view/everything-you-need-k...
sapiogram
> For the few that can, it's going to cost >$50,000 just to refill the liquid helium
In this case, they were going to have to do that anyway. Might as well shut it down right away.
Aurornis
An emergency quench of the magnet takes about 1-2 minutes.
There isn’t a way to instantly turn it off.
Insanity
Fair, but these are split-second decisions and they likely didn't have a lot of time to react.
DanielleMolloy
MRI techs do not think about it cost when life is at danger. If someone is in life danger due to the magnet, you quench. This is standard MRI education.
I think the big question here is why they didn’t..
Aeolun
You are going to have to turn it off if there’s a body attached to your machine too, so that’s not much of a lost opportunity.
ryandvm
How hard is it to gate the patient entrance to the MRI with a big-ass metal detector turned up to 11? Why is this still a problem?
scarier
This is already a common practice. One of the issues with the standard implementation is that it’s set up as an administrative control rather than an engineering control (which would be significantly more difficult/expensive/space-consuming). At least one other comment thread has discussed the airlock implementation that I’m sure a very large number of people have independently thought of.
browningstreet
I recently had an MRI in one of those full-body MRI machines.. and we went through two locked doors and they used a wand on me (like they have at airports) to scan my body, even after I answered that I had no metal anywhere in my body. There were 3 operators/nurses in the inner ring of all this, operating machines.. securing my limbs, etc.
So at least in some places, this is the SOP.
Cthulhu_
Or gate it, period - nobody should get in that easily.
SketchySeaBeast
I wonder if that's a problem in case a medical intervention is required.
lostlogin
MRI operator here: the false alarms from all the metal that’s fine are an issue. Most people have some in/on them and it’s usually fine.
int_19h
Given the rather spectacular failure mode, isn't this rather a case of "better safe than sorry"? i.e. even if it's technically safe, why not require people to remove everything that triggers the detector just to be sure?
xrcyz
What distinguishes fine from not fine? During COVID a tech asked me to get in the MRI machine wearing a face mask with a metal wire across the nose. They seemed exasperated when I refused.
supportengineer
What if people used their eyeballs and their common sense? Everyone failed here.
theshrike79
The average MRI operator isn't going to start wrestling with a dude with a 20 pound metal chain around his neck.
They'll try to talk sense into you, but they're not security guards nor trained in close combat.
Nor are the doors locked or secured, they kinda assume that people don't just rush in and do as they're told.
codyb
Is there any indication this man was aggressively trying to enter the room before the technician eventually let him in? The article just says his wife called out to him, then the tech let him in and that's it.
pxtail
> The superconducting magnet in an MRI scanner is always on even when not performing a scan.
This should be placed on the entrance with big bold letters, I think that a lot of accidents could be avoided by simply providing "WHY" information. I had MRI scan and I wasn't aware that machine was active even when not performing scan and now after knowing that I think that personnel there was very lax with allowing me to enter the room after instructing me to put metal objects away AND without enough emphasis how dangerous it could be if I forgot to do so.
nancyminusone
They do. You'll be hard pressed to find a magnet room without this [0] sign on the door. That said, it's probably not that warning to most people. Fridge magnets are always on too.
0 - https://www.zzmedical.com/exclusives/mri-warning-wall-sign-m...
Aeolun
Yeah, saying ‘serious injury may occur’ is the same as saying serious injury may occur when doing sports. It’s too abstract. I need an image of my keys being ripped out of my pocket and being stuck to the machine to really understand what will happen.
jlokier
I tried to look. "Access Denied - Sucuri Website Firewall"
paulryanrogers
Technically he entered "without permission" but at the urging of the patient. Still negligence, though more understable. I wonder if a metal detector that prevents opening the door would help? Perhaps with a big, scary red override button for emergencies?
potato3732842
Tech: "ok we're done here"
Wide: "honey can you come in here and help me since I don't have my walker"
<dude walks right in and gets dead>
Not hard to imagine something like that happening too fast to be stopped, especially if staff is distracted by the transition from running an MRI to getting the patient in/out.
al_borland
It seems like there could be a double door situation. Go through the first door, close it. The room detects metal, and only unlocks the door to the MRI if the other door is closed and no metal is in the room.
I’m not sure what kind of emergency would warrant allowing metal to pass through when metal is detected, if there is a risk of death for using it.
xboxnolifes
> I’m not sure what kind of emergency would warrant allowing metal to pass through when metal is detected, if there is a risk of death for using it.
The risk would be in the false positive during an emergency situation.
lostlogin
A lot of patients and staff have small metal items that aren’t ferrous and it is fine. Many implants, lots of clothing (bra, jeans) and jewellery. You just have to be careful. I’m an MR tech.
theshrike79
"The room detects metal" is a massive cost compared to just, you know, doing what the operators tell you to do, which works in 99.99999% of the cases.
WillAdams
There is (at least according to one episode of _Grey's Anatomy_) a big scary red button to shut down the machine in an emergency, resulting in expensive to restore operation:
https://www.reddit.com/r/explainlikeimfive/comments/m9algh/e...
According to the above post, it's a venting of the liquid helium, which requires ~$25,000 to replace).
swat535
I'm not sure: "apologies, it was too expensive to turn it off, better luck next time" is a valid justification nor is it a solution.
9dev
We’re talking about a human life here. Fuck the balance and vent immediately!
onemoresoop
Nobody should have permission and be kept away at all times by staff. They'd probably follow rules for a while now.
MisterTea
I am willing to bet a lot of money he was going into that room no matter how many times he was told not to or how many signs were posted. Some people have an extreme contempt for authority and will stubbornly ignore direction. Sometimes,bad things happen to them.
OisinMoran
Calling a 9 kg chain a "necklace" is a bit misleading. It makes it seem like it could have gone in unnoticed. "medical episode" is also very vague, what was the actual cause of death?
SketchySeaBeast
Given that the chain drug him across the room, I can imagine that the actual death might be quite grisly - if it can cause a man to be "hurled towards the machine" it's possible it was worse than a mere strangulation, and that sort of detail isn't really required in the article.
jacurtis
There is a video of it floating around for the morbidly curious. I won't link it here. It is very NSFL. I was accidently shown it while scrolling instagram and wish I hadn't seen it.
He is able to talk, you can make out his words, but he is clearly choking or being strangled. He was fully sucked into the machine. There was a very strong guy trying with everything to pull him out. He made some pretty sad and harrowing words when he realized he wasn't going to make it. Again, the video is out there if you really want to see it. I do NOT recommend it though.
privatelypublic
Here's a well known and SFW training video about MRI magnets. It'll put the problem into perspective without needing eye-bleach.
userbinator
I've seen a lot of gruesome stuff so I'm not bothered by that, but curious how someone got a camera, presumably with ferrous parts, in there without it also getting pulled into the magnet.
gamblor956
The video is a fake.
potato3732842
The article covers the timeline of his death. Whatever the details they weren't so incapacitating as to prevent him from saying goodbye to his wife before losing consciousness.
SketchySeaBeast
The timeline supplied being "he waved goodbye to me and then his whole body went limp".
JackFr
According to other articles I've read, multiple heart attacks.
patcon
Yes, and didn't die until the next day.
I believe many articles are leaving these parts unsaid due to sensational assumptions they benefit from in virality.
EDIT: source https://healthimaging.com/topics/medical-imaging/magnetic-re...
whalesalad
9kg is nearly 20lbs in freedom units. That is an insane amount of metal to wear around your neck, let alone in the vicinity of an active MRI machine.
shrubble
If it was any kind of weight training vest it would be wrapped around the chest and therefore any orientation would involve him being squeezed by the magnetic force. Imagine two dinner plates, front and back; whether he was facing forward or back wouldn’t change much.
ottah
[flagged]
Telemakhos
It was for weight training (according to [0]). Weightlifters wear them on the neck to help build neck muscle.
[0] https://www.theguardian.com/us-news/2025/jul/21/new-york-mri...
darth_avocado
As much as I would like to say “What are you doing weight training in an MRI room?”, a bigger pressing question is “How did the staff miss this?”.
MRI is extremely dangerous when it comes to having magnetic metals on you and it’s SOP from the hospital to ensure there is none when the patient goes in. The one time I had to get it done (in a different country) I had to walk through TSA like metal detectors before I get into the MRI room. Is that not common here? Not even hand held wands? We just trust the patient now?
supportengineer
Why wouldn't every human being involved in this be essentially screaming at him not to bring that thing anywhere near MAGNETIC resonance imaging?
ramenbytes
The wife says the chain and lock were for weight training.
codyb
This explains so much. I was wondering how in the hell the damn chain I've already broken twice with mere snags was going to hurl my body through the air towards a machine like that.
Yeesh, what would happen with a wedding ring? If it was a magnetic band would it just sheer through your finger whizzing towards the machine?
onemoresoop
> Yeesh, what would happen with a wedding ring?
Probably not enough mass to kill you but the pull must be considering.
thekevan
Read the article.
>She said he was wearing a 20lb (9kg) chain with a lock that he used for weight training.
ottah
I read the article, I don't buy it was for weight training. Certainly doesn't require a padlock around your neck to add resistance weights. Also I have never seen a person wearing a chain daily for resistance training. I've seen weighted vests, and other easier to wear gear. I do however know many people in kink who wear chain collars, and don't tell strangers what it actually is.
theshrike79
Someone said it was a strength training thing, some crossfit cult thing of carrying heavy crap around your neck.
Freak_NL
[flagged]
richrichardsson
Very likely severed spinal column, if not complete decapitation.
netsharc
I don't think the human body is that fragile, the magnet probably dragged his body, head first, until it hit a solid object, in this case the cover of the MRI machine. Slamming your head at that speed isn't that healthy.
kulahan
This was my assumption as well. What the heck has everyone assuming it’s a decapitation? Dude was dragged by the neck at high speed towards a large machine. Massive head injury sounds very reasonable, maybe even expected.
richrichardsson
I see hyperbole is misunderstood here.
potato3732842
The article says he had time to say goodbye to his wife before he suffocated and later died at a hospital.
Which makes sense since it's about the same timeline of death and outcome you'd expect from an industrial accident involving big industrial chain at a hundred pounds per link or whatever.
cjbgkagh
I wouldn’t %100 trust an eye witness account, especially for something so traumatic where an alternate outcome might give them some solace.
unsupp0rted
We didn't evolve to have the warning mechanisms for modern life.
Tell a person there's a tarantula or a cobra in the next room and not a second will go by without them being deeply aware of this information.
Tell them it's a 3 tesla magnetic field and they'll run in carrying a piece of sheet metal and a pocket full of ball bearings.
sippeangelo
This doesn't track to me. People have been irrationally afraid of things since the dawn of time, based purely on hearsay (see religion). And surely even the simplest of language serves to warn about unseen dangers.
Entering the MRI room myself I was very familiar with the dangers of bringing metal inside, to the point where I would second guess myself and my own body. "What if my leg bone actually has metal in it for some reason?!"
Workaccount2
There are people who flock towards information about technology (probably almost everyone here as well as many in their social circles) and there are people who run from information about technology.
I know people who if you tried to explain an MRI to them, would become visibly uncomfortable and search for any way to change the topic.
balamatom
>I know people who if you tried to explain an $X to them, would become visibly uncomfortable and search for any way to change the topic.
Expected behavior. Explanations of complex topics are to be rejected if explainer does not have sufficient authority to make behaver hold-still-and-listen.
I know such folk, too, and this is among the thing about people which annoys me to no end. If a MRI tech tried to explain the shit to one such acquaintance, they would try to change the subject like you say. OTOH, if the doctor in charge tries the same, the listener will instead have to zone out. But zoning out is a more expensive operation, as any zooner knows. (Which is why they hold doctors, lawyers, and other semi-priests in high reverence, up to pushing kids to take up these rather joyless professions to the exclusion of all sense.)
Peeps here equally well-behaved other way round tho. C-f "mal" = 0. Geez I really needed to witness the absolute by-the-book Freudian slip that can be found at 1:55 of one of the probably infinite interview cuts, then have MRI safety explained to me by hacker noosers on their Monday morning.
Karawebnetwork
> "What if my leg bone actually has metal in it for some reason?!"
I have a titanium plate in my head, so it's not magnetic.
When the MRI tech asked if I had any metal in me, I said I had titanium on my skull.
She asked if I was sure it was titanium.
I knew it was, but I was nervous, so I said, "I think so."
She half-joked, "Well, if it's not, we'll find out real quick."
It was titanium.
But they never really double-checked or anything.
Part of me thinks that because of my age, she could tell it wasn't iron or anything dangerous.
But another part of me feels like she honestly didn't care that much and meant it when she said we'd find out fast.
Aeolun
It’s probably of the “if it’s in your head, it can’t be anything other than titanium” variety. It’s not like they’re going to break open your head to check.
octopoc
Wouldn’t your head have started to get pulled towards it as you approached, so maybe you could stop approaching once you felt something weird going on in your head?
bapak
I think people are just not aware of how bad it is. People might think it's "fork in microwave" oopsie bad, not "fire at the gas station" fatal bad.
Velorivox
It’s certainly bad enough that you shouldn’t be able to enter a room with an operational MRI machine just like that, as a normal guest with no training and no escort. One cheap RFID reader could have saved a life here.
xattt
Both can be true. We learn to fear and respect modern technology because of training and reinforcement that might occur as part of learning.
Consider the “Things I Won’t Work With” column. There is a healthy degree of respect for various compounds that’s learned with experience. This is similar to the way that (properly trained) electricians work with electricity, and nuclear plant techs work around radioactive material.
zimpenfish
> "What if my leg bone actually has metal in it for some reason?!"
I had that constant thought for the 15 minutes of my knee MRI (except s/leg bone/body/). Most discombobulating.
mcv
There's lots of ways we could have metal in our body. A hip replacement, a forgotten piercing, old tooth fillings, maybe you accidentally swallowed some piece of metal.
If MRI scanners are this deadly, everybody should be really thoroughly screened and scanned to be allowed into the room. And even into the room next to it. How can the door of that room open while the machine is still turned on? (Edit: apparently the magnets in these machines usually can't be turned off, which changes the question to: how was he allowed to enter the room at all?)
But wearing such a heavy chain while accompanying your spouse to an MRI scan, is also not the best move.
Aeolun
I had two head MRI’s, and both times I was equally terrified my metal fillings would start bouncing around my head.
xattt
Wait till you learn about Peripheral Nerve Stimulation effects:
https://www.robarts.ca/scholl_group/research/peripheral_nerv...
moralestapia
Hehe, in my case I used to have a metal filling that was removed, but I was still worried about a missing piece of it or something.
Apparently it's not an issue, even if you do have them.
conradludgate
My first MRI I confirmed I have no metal on my body to the technician, but by the time I was inside I suddenly remembered I have metal fillings. I was so stressed by the time the machine turned on, but yeah no problems at all
rbanffy
We don't have a sense for detecting 3 Tesla magnets because they don't happen in nature. People can see a tarantula, and, depending on the snake, hear it as well.
But you need to seriously piss off the tarantula for it to engage in a fight with an opponent our size. Most of them are sweet and just want to get on with their tiny lives. They are well aware we are not food. Poisonous snakes, on the other hand, tend to be much less chill. Much like wasps, they seem to enjoy causing pain and suffering.
vunderba
Tarantulas covers A LOT of spiders (around 1100 different species). You still have to at least be a bit careful around them since they have urticating hairs.
> Poisonous snakes, on the other hand, tend to be much less chill. Much like wasps, they seem to enjoy causing pain and suffering.
Eh, I don't know about that. For example, sea snakes, despite being incredibly venomous, are actually pretty timid creatures.
Also:
https://www.britannica.com/story/whats-the-difference-betwee...
throwanem
Wasps aren't sadists.
codyb
Agreed, most wasps are super chill if you're not a jackass to 'em. Watching 'em lick up some sugar water is pretty neat in my experience, what with the way they clean their little legs.
unsupp0rted
Another good question is why do we have a sense for detecting things that appear vaguely human but aren't (uncanny valley)?
cjbgkagh
Fear of heights is ingrained, fear of snakes is learned. We can definitely do better to educate people on the fear of magnets, I figure it’s not a priority since we’re not going to encounter many MRI machines in the wild.
How difficult would it be to install metal detectors to give an alarm to people who enter. I have had a few MRIs and they did seem too trusting that I properly remembered to remove anything magnetic.
unsupp0rted
I'd say about 1/5 of the MRI centers I've been to had metal detectors before entry. And 0/5 had ones that were turned on.
kjkjadksj
Fear of snakes is also biological. Look up the cat cucumber videos.
cjbgkagh
For some species that makes a lot of sense, but humans do not react the same way to cucumbers.
I'm going by; https://www.youtube.com/watch?v=3L4lxusff1c "The Surprising Reason Babies Are NOT Afraid of Snakes | Secret Science"
codyb
Maybe if you instead phrased it as "there's a magnetic field in there that will shear anything magnetic straight through your body if you're holding it on the wrong side of you" that might help folk get the picture a bit better? I mean sheesh, I've got a B.S. in Computer Engineering and a 3 Tesla magnetic field doesn't mean much to me either
Aeolun
It won’t shear it straight through your body though. The path of least resistance is to spin you around and then fly off. That doesn’t quite work if the thing is around your neck though.
JKCalhoun
Just a sensitive metal detector around the doorway where you enter the MRI room. It sounds like this guy would have had the metal detector blaring before he even crossed the threshold.
lostlogin
As would staff shoes, bra, jewellery, access card, ring etc etc.
lumpa
"There's a huge evil magnet that will tear you apart if you have any metal on you" sounds much easier to grasp and less likely to lose the listener's attention. Then, when you have them listening: "It can grab you from outside the room and hurl you into the machine where the evil magnet lives! Any metal, be it coins, necklaces, pins in your bones, belt buckles, bra wiring, dog tags. Anything can be the end of you, be damn sure you don't have any metal on you."
Oh, wait, you still want them willing to go near the machine? That complicates things a bit ;)
gadders
Similarly: https://www.fox5ny.com/news/courtney-edwards-piedmont-airlin...
Intellectually, you can think that "If a jet can move a plane, it can move me through space", but you never experience a fan even close to that in real life.
nancyminusone
To be fair, most people aren't going to know what they means. If anything it's going to sound more like "only 3 huh? That doesn't sound very dangerous." Only 3 miles per hour isn't very fast. Only 3 degrees outside is cold, but it probably won't kill you.
30,000 gauss sounds a lot scarier.
mpreda
Not to mention that "gauss" sounds deadlier than "tesla" to begin with. Talking about choosing the right units.
littlestymaar
Cars are quite deadly though.
littlestymaar
Same for 2°C of global warming…
snewman
Obligatory xkcd: https://xkcd.com/3106/
colechristensen
The other side is also true though, "man gets killed by cobra venom" isn't sensational international news because it's an intuitive rational thing we expect to happen. A man getting killed by an MRI machine doesn't fit into our intuition so it gets much more interest than a snake bite.
Aurornis
For anyone wondering why they didn’t just turn the magnet off immediately: Quenching the magnet is not instant. From what I’ve read, it can take 30 seconds to multiple minutes for the magnetic field to dissipate after pressing the button.
Also, the person wearing the 20lb chain was not the patient. There was an access control failure (someone peeking their head into the room?) combined with the extraordinary amount of metal resulting in a lot of pull.
fluidcruft
A gofundme setup by his step-daughter for funeral costs says he was stuck to the magnet for over one hour. Which if accurate seems like the timescale for ultimately being quenched but after a lot of indecision about punching the button. Probably they waited for EMS to arrive and be screened etc and they had to decide etc.
aaronmdjones
That doesn't make a lot of sense to me. You're going to have to hit the quench button at some point anyway, just to remove the chain (and the body attached to it; it's not like you can bring in a pair of bolt cutters to disconnect them if the machine is still operational -- that will only add to the problem). You may as well quench it immediately.
fluidcruft
The other option is a controlled ramp down where the field is dissipated over a few hours which is greatly preferred if possible. But generally the training is to hit quench if someone's life is in immediate danger ... which it obviously was in this case so I'm puzzled the tech hesitated. My overall impression is the site doesn't seem to be run to standard accepted practice for a variety of reasons (which is extremely bad news for them if/when this gets in front of a jury).
csours
Google Street view of the facility:
emptyroads
I was wondering "why would the street view be relevant?"
Turns out, it's pretty relevant to the situation - especially how the unauthorized access was possible.
This wasn't your typical hospital MRI. This is basically your local tanning salon that somehow acquired an MRI machine.
jpgvm
I wasn't going to click that link but now I have and honestly - that is mildly terrifying.
I don't understand how such a dangerous machine can end up in a place that looks like that.
voidUpdate
If it weren't so dangerous, I'd love to pop along to my local tanning salon and get an MRI scan. I've always been quite interested to see an MRI of my brain. Alas, I'm stuck with waiting for some kind of medical testing to need some test subjects to scan, or a university student needing someone to learn to use an MRI on. Or I guess have a head injury serious enough to need an MRI, but that's less desirable
m_j_g
In Poland you can get one without doctors referal (for CT you need one because of ionizing radiation exposure), it cost between 100-200$ in normal, reputable hospital (not one like from the street view).
harvey9
It isn't dangerous as long as you follow the safety protocol. This guy was very unlucky as he was wearing a weight training device made of metal, not just a watch or earring.
alnwlsn
I've seen many people make 3D prints of their own brain.
Once, I heard a story where some company was trying to get MRI test participants, and if you agreed they offered to print your brain for you as one of the perks.
Turns out, they gave everyone the same brain, like they would just always use the same file when 3D printing it. Probably had a box of pre-printed ones in the back. Dishonest, but I guess how would you ever find out?
kube-system
There are providers that cater to the "I just want to know" market: https://prenuvo.com/
JackFr
You can volunteer for a study. Check for flyers at your hospital asking for volunteers. (Especially psychiatric institutions - they love brain MRIs for their research.)
its-summertime
That size of building is relatively normal for a non-hospital MRI facility.
Der_Einzige
What we are learning is that "non hospital" medical facilities suck.
I can tell you that I don't trust you as a doctor unless you are physically located in a hospital, preferably the larger the better.
If I have an appendicitis on the way to my normal procedure, I want to be within less than 100M of an emergency room already.
Small scale/small time medical offices were a mistake and I'll never change my mind.
nancyminusone
I wonder if you could take a walk around that building and see a compass needle move.
poulpy123
I have only been to MRI in hospitals but it looks shady as fuck
ahartmetz
"Open MRI" - how appropriate. Too open MRI even.
null
sigmoid10
Misleading title.
>he was wearing a 20lb (9kg) chain with a lock that he used for weight training.
That is not what any reasonable person would call a "necklace." Yes, metal and MRIs don't mix well, but normal jewellery won't be able to generate enough force to kill you. It might actually be more dangerous due to inducted currents heating the thing up and giving you burns.
russfink
I entered an MRI room once when my wife was getting ready to be scanned. I had a metal Cross pen in my shirt pocket. Although I was 10 feet back, the pen flew out of my pocket, across the room, and stuck to the magnet. It was scary.
itslennysfault
That's crazy... Did they bill you for the cost of shutting down the MRI and refilling the helium?
hansvm
Depending on the mass they may have been able to remove it manually. A colleague used to use paperclips to study the field lines, and those had very little force.
russfink
It was easy to remove. No shutdown required.
Filligree
They probably left it until the next maintenance cycle. Nobody wants the downtime.
potato3732842
Or sent the tech in with a plastic putty knife to scrap it to somewhere he could get a hand on it and rip it out of there.
Even after adding MRI levels of force a 1oz pen is still gonna be something that you can pick up.
hansvm
Wouldn't that cause heavy distortion in the image though?
poulpy123
Most people don't understand the danger of MRI, myself included. I trust the people and follow their directions but I can't really visualize what it would be like to get caught with metal in a MRI magnetic field.
For quoting the article : « According to the US Food and Drug Administration, MRI machines have magnetic fields that will attract magnetic objects of all sizes - keys, mobile phones and even oxygen tanks - which "may cause damage to the scanner or injury to the patient or medical professionals if those objects become projectiles". » the choice of words from both the bbc and the FDA don't really convey the risks.
Anyway there are very surprising issues in what is described : why did the wife needed her husband's help to get help although it is the role of the technicians ? Why was the husband in a place where he was able to hear his wife and not being prepped for MRI ? Why was it possible for him to enter ? And why wasn't the technician able to stop him entering ?
alnwlsn
I got to take apart an MRI-safe(ish¹) video projector recently. Turns out it was just a regular DLP projector in an RF shielding box, but all the screws and components on the outside (anything that could be removed) were either plastic, non-magnetic stainless steel, or aluminum. They even converted the stock remote control to be powered with a cable instead of a AA battery (most batteries have steel cases).
They replaced the lens with a very long throw one so the projector could be located far away and bolted to the wall. It still had some steel components inside, but the manual made it very clear you were not supposed to open the case while in the same room with the magnet. No other manual I've read has warnings that trying to change a light bulb could kill you.
¹it was designed to be used within the same room as the MRI, but not to go into the magnet bore itself. You were supposed to securely mount it at a distance where the field strength was less than 100 gauss. Since it still contained steel, there were still warnings all over that "this device may become a projectile" if you got too close to the magnet. Installation must have been a bit nerve wracking!
potato3732842
>Installation must have been a bit nerve wracking!
They almost certainly just selected a drywall anchor based on the rating advertised on the package and sent it without any more thought, their ass was covered.
Big picture people who take a step back think about what they're doing don't tend to find themselves installing projectors in hospitals, or if they do they aren't there very long.
KingMob
> Big picture people who take a step back think about what they're doing don't tend to find themselves installing projectors in hospitals, or if they do they aren't there very long.
They're installed for fMRI research, to show stimuli to study participants.
alnwlsn
Likely true. For all the warnings the thing had about "securing" it, it did not have very many mount points or threaded holes to do so, just some rubber feet. Probably was just sat on a shelf and tied off with a nylon strap. I suppose you aren't going to casually walk past the magnet with a bulky projector like this as you would do with a screwdriver you forgot in your pocket.
kotaKat
https://www.youtube.com/watch?v=EJJ9oqmkItI
I love this old GE training video around the time of MRI's introduction to the medical market. Even the oldest machines could show some significant power back then.
Watching the scale attached to a pipe wrench pulling some significant weight on a wrench will help show the forces that a 20 pound chain would have made...
(Oh, and stay for the 'old custodian' tale in the intro of this one...)
Loughla
When that dude got to throw the wrench at the MRI, you know he was having his best day at work ever. I wouldn't be able to be on camera because of giggling.
redbar0n
The flying wrenches remind me of the Gravity gun i Half-Life 2 :D
lurkshark
> Why was it possible for him to enter?
This is probably the main one. I could completely understand wanting the assistance of a loved one for mundane things like standing up.
Although to your “not prepped for MRI” point, it is kind of wild that someone with a 20 lbs chain around their neck would be allowed even on the same floor as a MRI machine. Although last time I saw one in person, the door to the room did have some pretty blunt warning text in large print.
rbanffy
Last time I went to an MRI, there was a prep room before the MRI machine. There was a stern and visible warning to remove anything metallic from your body before going through the second door. I am fully aware if the pins on my leg were affected, the machine would gladly remove them from my, most likely along with the bone and the leg they are attached to.
A lot of fatal accidents are like that - a series of small mistakes nobody notices, each individually harmless, followed by THAT ONE BIG MISTAKE that ends up killing someone (or a lot of people).
barbazoo
That huge chain though.
barbazoo
People with 10kg chains around their neck might not be the kind of people that you can tell no to.
SketchySeaBeast
Mr. T seems like he'd be quite reasonable if you were discussing medical safety procedures.
potato3732842
"you need to take off the chain"
"nah man, gotta hit my 5k steps wearing 20lb for my fitness goal"
"ok, well just don't go in the room"
"sure"
The kind of interaction that many people will pretty much forget having within the hour.
leptons
You would think a simple metal detector to go through before the lock on the MRI room door unlocks would be a requirement.
I guess maybe the MRI machine might interfere with metal detecting?
scarier
Nope, metal detectors are fairly typical for MRI access. They just generally aren’t set up as an engineering control like you suggest.
null
theshrike79
People should try a magnet fishing magnet.
A fist-sized powerful magnet that's next to impossible to straight-up pull out of ANYTHING. You need to slide it carefully and NOT let your fingers get in between it and anything else.
Now imagine a magnet that's infinitely more powerful than that.
hwillis
A good N52 neodymium magnet can be 1.5 tesla- MRIs are usually 1.5 tesla. The pull force is around the same too- a steel object will experience say 20g, and 100 lb fishing magnets are not hard to find.
The difference is the size. Even a large magnet only hits that 20g force over an inch or two. An MRI pulls at that force over a full foot or more; equivalent to dropping the object from 20'+. Worse, the MRI starts pulling at 5 or 10 feet away. Objects can experience a tremendous amount of uncontrolled acceleration in fractions of a second.
It's not like a black hole- unless you are trapped under something very large, the crushing force is substantial but not incredible. In fact inside the tube the gradient is actually smaller than the entrance of the tube- you are pulled in strongly, but once inside the tube you are pressed against the wall somewhat less forcefully. Instead it's like an invisible waterfall, and any metal will be swept away in it, fast enough to put holes in you.
KingMob
Not sure about medicine, but at least in research, most MRI fields are 3T and up.
asdefghyk
One day a few years ago, I was about to have a MRI and thought I had on metal on me. The technician asked me to check and I discovered a small metal screw in my pocket. I shudder to think what could have happened if it had not been discovered....
jleyank
Y’know, sometimes people saying you can’t do certain things isn’t them just being an asshole. Physics and biology really doesn’t care what people think…
potato3732842
This was not the sort of "paint the room" liveleak tier accident that a hell of a lot of people seem to want to assume it was.
Per the article, the chain was stupid heavy because it was gym/weight training stuff, he was tossed and pinned to the machine where he suffocated, he died at the hospital.
ptruesdell
No, he died the next day, following multiple heart attacks.
As an anesthesiologist I routinely gave anesthesia to patients (usually children) undergoing MRIs over a 38-year career.
I never had anxiety in my daily practice in the OR but anesthesia in the MRI suite ALWAYS provoked anxiety because:
1. I had to anesthetize the patient in the sub-basement, two floors below the main OR — where there were always other anesthesiologists able to help in an emergency. In the MRI suite, no one could hear my silent screams if I got in trouble nor were there knowledgeable extra hands to, for example, squeeze the breathing bag if I needed to prepare for an emergency intubation.
2. Once the patient was anesthetized and the heavy door to the MRI machine room was closed and locked, I could only monitor my unconscious patient through a darkened heavy glass window. Sure, I had monitors for EKG and oxygen saturation outside the MRI room, near the control board where technicians operated the machine, but the automatic blood pressure cuff inflator dial on the anesthesia machine was inside the room and hard to see through the dark glass.
3. It was my good fortune to never have had an emergency in the MRI suite, but events such as that reported above in the OP happened from time to time in hospitals throughout the U.S. and were occasionally reported in the anesthesia literature with the expected cautionary advice. Many more events occurred than were reported.