Dan Seitz

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On January 17, 1987, in Yakima Valley Memorial Hospital in Washington (now Virginia Mason Memorial), a patient was due to receive eighty-six rads from a Therac-25 machine (the rad is an antiquated unit of radiation absorption). Before the patient was to receive the dose of X-rays, however, the metal target and collimator had been moved out of the way so the machine could be aligned using normal visible light. They were not put back.
Dan Seitz
Gaaaaah
Humble Pi: When Math Goes Wrong in the Real World
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