Adam Rosendorff — Cross (Recall)
2,301 linesSAN JOSE, CALIFORNIA OCTOBER 1, 2021 P R O C E E D I N G S
(COURT CONVENED AT 9:01 A.M.)
(JURY IN AT 9:01 A.M.)
JUDGE DAVILA: WE'RE BACK ON THE RECORD IN UNITED STATES VERSUS HOLMES. ALL COUNSEL ARE PRESENT. MS. HOLMES IS PRESENT. OUR JURY AND ALTERNATES ARE PRESENT. GOOD MORNING. THE WITNESS IS ON THE STAND. GOOD MORNING, DOCTOR.
ADAM ROSENDORFF: GOOD MORNING.
JUDGE DAVILA: BEFORE WE BEGIN, LADIES AND GENTLEMEN OF THE JURY, LET ME ASK YOU THAT QUESTION AGAIN, AND THANK YOU FOR YOUR PATIENCE. DURING OUR BREAK I'M CURIOUS TO KNOW WHETHER ANY OF YOU WERE SUBJECT TO OR HAVE HAD CAUSE TO HEAR, LISTEN TO, VIEW, HEAR, READ, OR HAVE COMMUNICATION IN ANY WAY ABOUT ANY MATTER OR ISSUE INVOLVING THIS CASE? AGAIN, IF ANYONE WISHES TO SPEAK PRIVATELY, PLEASE LET ME KNOW THAT. IF ANYONE HAS HAD OCCASION TO RECEIVE INFORMATION ABOUT THIS CASE, PLEASE RAISE YOUR HAND NOW. I SEE NO HANDS. THANK YOU. BEFORE WE RESUME OUR EXAMINATION, I JUST WANT TO REVIEW OUR SCHEDULE FOR NEXT WEEK, LADIES AND GENTLEMEN. LADIES AND GENTLEMEN, NEXT WEEK WE'RE GOING TO HAVE A LONG WEEKEND. WE WILL NOT BE IN SESSION THURSDAY THE 7TH NOR WILL WE BE IN SESSION FRIDAY THE 8TH. THE 11TH IS A HOLIDAY, SO WE WILL NOT BE IN SESSION ON MONDAY THE 11TH. WE WILL RESUME THE TRIAL ON THE 12TH, THE 12TH OF OCTOBER. I JUST SHARE THAT WITH YOU AND COUNSEL FOR YOUR INFORMATION. AND WE'RE IN OCTOBER ALREADY, AREN'T WE? MY GOODNESS. THE WITNESS IS ON THE STAND. YOU'RE STILL UNDER OATH, SIR.
(GOVERNMENT'S WITNESS, ADAM ROSENDORFF, WAS PREVIOUSLY SWORN.)
JUDGE DAVILA: DID YOU HAVE A FEW MORE QUESTIONS, MR. WADE?
CROSS-EXAMINATION (RESUMED) BY MR. WADE:
ADAM ROSENDORFF: GOOD MORNING.
MR. WADE: I'D LIKE TO JUST RESET THE TABLE WHERE WE ENDED UP LAST WEEK OR THE LAST SESSION IF THAT'S OKAY?
ADAM ROSENDORFF: SURE.
ADAM ROSENDORFF: YES.
MR. WADE: AND PROFICIENCY TESTING IS A PERIODIC PROCESS TO CHECK THE ACCURACY AND PRECISION OF TESTS IN A CLINICAL LABORATORY; CORRECT?
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND IN STANDARD PROFICIENCY TESTING THE LAB RECEIVES SAMPLES FROM AN OUTSIDE AGENCY; RIGHT?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND FOR THERANOS'S PROPRIETARY TESTS, IT WAS APPROPRIATE TO USE AN ALTERNATIVE ASSESSMENT OF PROFICIENCY, OR AAP, PROGRAM THAT THERANOS DEVELOPED INTERNALLY; CORRECT?
ADAM ROSENDORFF: I CAN'T ANSWER THAT YES OR NO.
ADAM ROSENDORFF: YES.
MR. WADE: AND WE WERE LOOKING AT SOME EMAILS WITH YOU AND MR. YOUNG, DR. YOUNG. DO YOU RECALL THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND IT WAS THE AAP PROGRAM THAT THE COMPANY PUT THAT POLICY IN PLACE WITH RESPECT TO THE EDISON ASSAYS. DO YOU RECALL THAT?
ADAM ROSENDORFF: I WROTE AN SOP FOR AAP. DANIEL WROTE AN EMAIL WITH SUGGESTIONS AS TO HOW THAT WOULD HAPPEN. THE ACTUAL IMPLEMENTATION WAS STILL BEING DISCUSSED AT THE TIME WHEN DANIEL SENT HIS EMAIL.
MR. WADE: AND WE'LL COME BACK THERE IN ONE SECOND. BUT UNDER THE CLIA REGULATIONS, THE LAB IS NOT REQUIRED TO DO PROFICIENCY TESTING ON EVERY TESTING METHOD IT HAS AVAILABLE TO IT; CORRECT?
ADAM ROSENDORFF: UM, UNDER CLIA THERE ARE WHAT ARE CALLED CMS REGULATED ANALYTES AND CMS LISTS THOSE ANALYTES IN THE CODE OF FEDERAL REGULATIONS. THOSE ARE THE ANALYTES FOR WHICH PROFICIENCY TESTING IS REQUIRED BY LAW AND THE AGENCIES THAT YOU HAD MENTIONED WOULD REPORT ANY FAILURES TO CMS WITH REGARDS TO THOSE ANALYTES.
MR. WADE: RIGHT. BUT AND MY POINT IS THAT YOU ONLY HAVE TO DO PROFICIENCY TESTING IF THE TESTING METHOD IS YOUR PRIMARY METHOD; CORRECT?
ADAM ROSENDORFF: CORRECT.
MR. WADE: NOW, YOU MENTIONED SOME OF YOUR DISCUSSIONS IN THE EMAILS WITH DR. YOUNG. LET'S GO BACK AND MAKE SURE WE'RE ON THE SAME PAGE THERE. IF YOU COULD PULL UP EXHIBIT 4044, OR WE'LL PULL IT UP ON THE SCREEN. IT'S IN EVIDENCE. I BELIEVE IT'S ON YOUR SCREEN, DOCTOR, IF THAT'S EASIER.
ADAM ROSENDORFF: OKAY.
ADAM ROSENDORFF: YES. YES, I DO.
COURT CLERK: IS IT ON THERE?
JUROR: OKAY.
COURT CLERK: YES?
JUROR: NOW IT'S OKAY.
BY MR. WADE:
ADAM ROSENDORFF: YES.
MR. WADE: AND THIS IS AN EMAIL THAT YOU SENT IN PREPARATION FOR THE DECEMBER 2013 INSPECTION; CORRECT?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. LET'S GO -- AND YOU INDICATED THAT YOU WERE WORKING WITH DR. YOUNG TO PREPARE AN SOP REGARDING THE PROFICIENCY TESTING PROGRAM --
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND LET'S GO TO EXHIBIT 1580, WHICH IS ALSO IN EVIDENCE. IF WE CAN GO TO PAGES 4 AND 5 AND JUST BLOW UP THE TOP TWO EMAILS. ACTUALLY, YOU KNOW WHAT, DOCTOR, YOU RECALL THERE WAS SOME CONFUSION IN CONNECTION WITH IN THIS EMAIL CHAIN IN YOUR LAST TESTIMONY? DO YOU RECALL THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND IF WE CAN PULL UP EXHIBIT 12478. THAT MIGHT BE EASIER. DO YOU HAVE THAT IN FRONT OF YOU? I'M SORRY, THAT'S NOT IN EVIDENCE YET, ALTHOUGH THE EMAIL CHAIN IS IN EVIDENCE. DO YOU HAVE THAT IN FRONT OF YOU?
ADAM ROSENDORFF: THE SCREEN IS BLANK RIGHT NOW.
MR. WADE: IF YOU LOOK IN YOUR BINDER, VOLUME 2, I BELIEVE YOU'LL FIND EXHIBIT 12478. AND WE PUT A POST-IT NOTE ON TOP OF EACH OF YOUR BINDERS, DOCTOR, SO YOU CAN SEE THE NUMERICAL RANGE TO TRY AND MAKE IT EASIER FOR YOU. OKAY?
ADAM ROSENDORFF: THANK YOU. I HAVE IT.
MR. WADE: OKAY. DO YOU RECOGNIZE THIS TO BE A SUB EMAIL THAT WAS WITHIN EXHIBIT 1580, PART OF THAT EMAIL CHAIN?
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED. IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 12478 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
MR. WADE: AND THIS IS THE EMAIL, IF WE LOOK AT THE BOTTOM EMAIL FIRST, THIS IS ON NOVEMBER 26TH, 2013; CORRECT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THAT'S THAT SAME DAY OF THAT PAST AGENDA EMAIL REGARDING PREPARATIONS FOR THE INSPECTION; CORRECT?
ADAM ROSENDORFF: YES.
MR. WADE: AND IT LOOKS LIKE YOU AND DANIEL IMMEDIATELY WENT TO WORK ON PREPARING THAT SOP; CORRECT?
ADAM ROSENDORFF: DANIEL IS PROVIDING HIS SUGGESTIONS FOR WHAT THE SOP WOULD LOOK LIKE AND VARIOUS ALTERNATIVES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. LET'S GO UP THE TOP, TO THE TOP EMAIL. AND THEN THERE THE NEXT DAY, OR MAYBE IT'S THE, MAYBE IT'S THE SAME DAY IF WE HAVE THIS GREENWICH MEAN TIME ISSUE. YOU RESPOND AND SAY, "THANKS, I'LL WRITE UP THE SOP AND INCORPORATE WHAT WE HAVE DISCUSSED." RIGHT?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: I HAVE IT.
MR. WADE: AND DO YOU RECOGNIZE THIS TO BE THE SOP THAT WAS CREATED FOR PROFICIENCY TESTING FOR THERANOS LAB DEVELOPED TESTS ON THE EDISON 3.5?
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED. IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 9939 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
MR. WADE: IF WE CAN BLOW UP THE TOP HALF. DO YOU SEE IN THE UPPER RIGHT-HAND CORNER THERE IT SAYS THE EFFECTIVE DATE IS NOVEMBER 26TH, 2013?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES. BUT IT'S -- IT APPEARS THAT IT WAS SIGNED SOME TIME AFTER NOVEMBER 22ND -- ON DECEMBER 2ND.
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND IN ANY EVENT, WHENEVER IT WAS EFFECTIVE OR WHENEVER IT WAS SIGNED, WITHIN A WEEK YOU HAD FOLLOWED THROUGH ON THAT COMMITMENT THAT YOU HAD MADE TO MS. HOLMES AND MR. BALWANI AND YOU HAD PREPARED THE SOP; CORRECT?
ADAM ROSENDORFF: YES.
MR. WADE: LET'S TAKE A LOOK AT THIS SOP. LET'S GO TO THE THIRD PAGE AND BLOW UP THE TOP UNDER THE PURPOSE. AND THIS NOTES, "THE PURPOSE OF THIS PROPOSAL IS TO DEVISE AN ALTERNATIVE ASSESSMENT PROTOCOL (AAP) FOR THE LAB DEVELOPED TESTS ON THE EDISON 3.5 IMMUNOASSAY INSTRUMENT." CORRECT?
ADAM ROSENDORFF: YOU READ THIS SENTENCE CORRECTLY.
ADAM ROSENDORFF: YES.
MR. WADE: AND UNDER THE SCOPE YOU NOTE THAT THIS APPLIES TO ALL OF THE IMMUNOASSAY THAT ARE TO BE ON THE 3.5; CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND IT SAYS, "IT IS THE RESPONSIBILITY OF THE TECHNICAL SUPERVISOR TO ENSURE THAT THE AAP IS CONDUCTED AT LEAST TWICE A YEAR FOR ALL FOUR ANALYTES." CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I BELIEVE IT WAS HODA ALAMDAR.
MR. WADE: AND I BELIEVE THERE WAS A COUPLE DAYS AGO SOME TESTIMONY THAT MAYBE YOU SERVED IN THIS ROLE DURING THAT TIME PERIOD. DO YOU THINK NOW IT WAS HODA?
ADAM ROSENDORFF: I WOULD HAVE TO LOOK AT CMS FORM 209 TO VERIFY WHAT THE POSITIONS WERE ON THE ROSTER AT THAT TIME.
MR. WADE: IN ANY EVENT, WHETHER IT WAS YOU OR HODA, YOU, OF COURSE, HAD THE ULTIMATE RESPONSIBILITY OVER AAP; CORRECT?
ADAM ROSENDORFF: YES.
MR. WADE: LET'S GO DOWN TO THE BOTTOM OF THAT SECTION. DO YOU SEE WHERE IT SAYS, "THE LABORATORY TECHNICAL SUPERVISOR IS RESPONSIBLE FOR THE FOLLOWING," AND THEN IT LAYS OUT, "TO MAKE SURE THAT THE SAMPLES ARE IDENTIFIED, AND TO ENSURE THAT OVER A 12 MONTH CYCLE, SAMPLES REPRESENTING THE ENTIRE RANGE," AND THEN WE GO ON TO THE NEXT PAGE, "OF ASSAY ARE SELECTED AND SUBMITTED FOR THE TESTING." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THAT'S WHERE WE TALKED ABOUT THAT YOU NEEDED TO MAKE SURE THAT YOU HAD TESTS IN THE MIDDLE AND THE UPPER AND LOWER LIMITS TO MAKE SURE THAT THE DEVICE COULD PICK UP ALL OF THOSE RANGES; CORRECT?
ADAM ROSENDORFF: NO. THE RANGE OF VALUES IN A PROFICIENCY CHALLENGE NEED NOT BE AT THE LLOQ OR ULOQ. THEY SHOULD INCLUDE BOTH NORMAL AND PATHOLOGICAL VALUES.
ADAM ROSENDORFF: YES.
MR. WADE: LET'S GO TO 3.4. DO YOU SEE THERE IT SAYS, "THE LABORATORY DIRECTOR IS RESPONSIBLE FOR THE FOLLOWING: REVIEWING AND APPROVING EACH PT TESTING EVENTS DOCUMENTATION." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND I DON'T WANT TO GO THROUGH EVERY STEP HERE, BUT IS IT FAIR TO SAY THAT YOU WERE TO IDENTIFY FIVE SAMPLES AND COMPARE THE PERFORMANCE OF THOSE FIVE SAMPLES ON THE EDISON AGAINST THE PERFORMANCE OF THOSE FIVE SAMPLES ON A GOLD STANDARD ASSAY?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND IF YOU LOOK AT 5.2 IT SAYS OUT OF THOSE FIVE ESSENTIALLY YOU CAN MISS ONE; CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND IF YOU LOOK AT 5.4.1, THERE'S DISCUSSION OF HOW TO DEAL WITH FAILURES AND IF THERE ARE FAILURES, YOU NEED TO SIGN OFF ON IT BEFORE ANYTHING ELSE HAPPENS; RIGHT?
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND LET'S GO TO THE NEXT PAGE. THIS INCLUDES AGAIN THE REFERENCES OF THE RELEVANT REGULATORY PROVISION WITHIN THE CLIA REGULATIONS; CORRECT?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: WHAT IS 7603, THE EXHIBIT NUMBER?
ADAM ROSENDORFF: OH, I SEE.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: NOW, YOU RECALL THAT YOU WERE ASKED ON YOUR DIRECT TESTIMONY SEVERAL QUESTIONS ABOUT RESULTS THAT WERE SENT TO MS. CHEUNG IN FEBRUARY OF 2014 AFTER COMMERCIAL PT SAMPLES WERE TESTED ON AN EDISON DEVICE?
ADAM ROSENDORFF: I THINK ERIKA RAN THE EVENT AND SENT OUT THOSE DATA TO OTHERS.
ADAM ROSENDORFF: YEAH.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES, YES.
MR. WADE: ALL RIGHT. AND THIS EXERCISE WAS NOT DONE PURSUANT TO THE POLICY THAT YOU PUT IN PLACE; CORRECT?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: I CAN'T ANSWER THAT YES OR NO.
ADAM ROSENDORFF: RIGHT.
ADAM ROSENDORFF: IT WAS A REASONABLE SPOT QC CHECK. IT WAS NOT FOLLOWING THAT POLICY, NO.
MR. WADE: RIGHT. SO IT WAS -- IF YOU THINK IT WAS A REASONABLE SPOT QC CHECK. THAT'S YOUR TESTIMONY?
ADAM ROSENDORFF: YES.
MR. WADE: I DIDN'T ASK ABOUT THE QC CHECK. I ASKED WHETHER IT WAS AN APPROPRIATE APPLICATION OF THE AAP POLICY THAT YOU PUT IN PLACE AT THE COMPANY?
ADAM ROSENDORFF: NO, IT DID NOT MATCH.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES. I WAS STILL CONCERNED, THOUGH, ABOUT THE DATA THAT I WAS SEEING.
ADAM ROSENDORFF: OKAY.
MR. WADE: AND THAT WAS DR. YOUNG'S POSITION AT THE TIME AS WELL THAT IT DIDN'T MATCH THE AAP POLICY?
ADAM ROSENDORFF: THAT WAS HIS POSITION, YES.
MR. WADE: AND AS A RESULT OF THAT INCIDENT, THERE WAS CONSIDERABLE CONFUSION ABOUT PROFICIENCY TESTING FOR EDISON DEVICES WITHIN THE COMPANY; CORRECT?
ADAM ROSENDORFF: THERE SEEMED TO BE A NUMBER OF PEOPLE TAKING VARIOUS POSITIONS. NOT ALL OF THEM WERE AWARE OF THIS ALTERNATIVE ASSESSMENT PROFICIENCY SOP.
MR. WADE: AND THEY WERE TAKING THOSE POSITIONS WITHOUT UNDERSTANDING THE POLICY AND THAT WAS CREATING SOME CONFUSION; CORRECT?
ADAM ROSENDORFF: YES.
MR. WADE: IF YOU COULD TURN YOUR ATTENTION TO 1589, WHICH I BELIEVE IS IN THE GOVERNMENT'S BINDER.
ADAM ROSENDORFF: I HAVE IT.
MR. WADE: OKAY. IT'S IN THE GOVERNMENT'S BINDER, BUT I DON'T BELIEVE THEY PUT IT INTO EVIDENCE. DO YOU RECOGNIZE THIS DOCUMENT TO BE AN EMAIL THAT INVOLVED YOU AND A NUMBER OF OTHERS WITH RESPECT TO CERTAIN QC STEPS FOR THE EDISON?
ADAM ROSENDORFF: I'M STILL READING THE DOCUMENT BEFORE I CAN RESPOND TO YOU.
MR. WADE: WELL, JUST FOR PURPOSES OF CLARITY, THIS WAS AN EMAIL CHAIN THAT YOU WERE ON WITH MR. BALWANI AND OTHERS IN THE LAB IN FEBRUARY OF 2014; CORRECT?
ADAM ROSENDORFF: CORRECT.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED. IT MAY BE PUBLISHED.
(GOVERNMENT'S EXHIBIT 1589 WAS RECEIVED IN EVIDENCE.)
MR. WADE: DO YOU RECALL THAT AS A RESULT OF THAT SPOT CHECK, AS YOU DESCRIBED IT FROM MS. CHEUNG AND SOME OF THE CONFUSION, THAT THE LABORATORY LEADERSHIP DECIDED TO DO ADDITIONAL STUDIES?
ADAM ROSENDORFF: I DON'T, I DON'T RECALL. THAT'S MY UNDERSTANDING FROM READING THE DOCUMENTS TODAY.
MR. WADE: OKAY. YOU SEE -- ACTUALLY, IF WE CAN GO TO THE LAST EMAIL, MR. BENNETT. THANK YOU. BLOW THAT UP. DO YOU SEE THIS IS AN EMAIL FROM DR. PANDORI TO YOURSELF, MR. GEE, MS. CHEUNG, AND THREE OTHER PEOPLE WHO WORKED IN THE CLIA LAB?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES. THIS WAS THE TEAM IN THE CLIA LAB WORKING ON THE EDISONS, YES.
MR. WADE: RIGHT. THESE WERE -- I THINK THEY WERE ALL WOMEN, THESE WERE THE WOMEN WHO WERE FOR THE MOST PART RUNNING THE TESTS ON THE DEVICES; CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND MR. GEE WHO IS RESPONSIBLE FOR QUALITY ASSURANCE AND QUALITY CONTROL IS THERE AS WELL?
ADAM ROSENDORFF: YES.
MR. WADE: AND LET'S JUST LOOK AT THIS EMAIL. DO YOU SEE THE SECOND IT SAYS, "AS PER OUR DISCUSSION, WE WILL BE APPLYING THE NEW QUALITY MEASURE TO OUR EDISON TESTS." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND THEN IT SAYS, "GOING FORWARD, ONCE PER WEEK (WEDNESDAY THE FIRST WEEK, MONDAY THEREAFTER) WE WILL BE COLLECTING AND COMPARING 5 SAMPLES." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND IT SETS FORTH THAT THOSE WILL BE COMPARED WHERE THERE WILL BE A COMPARISON OF VENIPUNCTURE AND FINGERSTICK ASSAYS. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND IT SAYS RIGHT UNDER THOSE STEPS, "SUCH COMPARISONS WILL BE PERFORMED INITIALLY USING THESE FOUR TESTS," AND IT SAYS, "VITAMIN D, TPSA, FT4, AND TSH." RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND -- BUT MORE WERE COMING ONLINE AROUND THIS TIME? DO YOU RECALL THAT FROM YESTERDAY OR ON WEDNESDAY?
ADAM ROSENDORFF: YES, THE PLAN WAS TO INTRODUCE MORE IMMUNOASSAYS THROUGH THE YEAR.
MR. WADE: AND DO YOU RECALL WHEN WE WENT THROUGH THAT CALENDAR, THERE WERE A FEW THAT CAME ONLINE IN MARCH; RIGHT?
ADAM ROSENDORFF: I DON'T RECALL MARCH SPECIFICALLY.
MR. WADE: OKAY. WE'LL COME BACK TO THIS. BUT IT ACTUALLY SAYS IN THE NEXT SENTENCE, WE WILL ADD MORE TESTS TO THIS PROCESS OVER TIME; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THE INITIAL FOCUS WAS ON THE FOUR BECAUSE THOSE WERE THE FOUR THAT HAD BEEN IN THE LAB FOR THE LONGEST PERIOD OF TIME; RIGHT?
ADAM ROSENDORFF: I CAN'T ANSWER THAT YES OR NO.
MR. WADE: OKAY. AND DR. PANDORI -- AND BY THE WAY, DR. PANDORI AT THE TIME WAS THE CO-LAB DIRECTOR?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: YES.
MR. WADE: AND HE HAD THE QUALIFICATIONS FOR BEING A CLIA LAB DIRECTOR FOR A HIGH COMPLEXITY LAB; CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND HE NOTES HOW HE SUBMITTED THIS IN-HOUSE STUDY FORM AND HE THANKS EVERYONE FOR THEIR WILLINGNESS TO DO THAT. DO YOU SEE THIS?
ADAM ROSENDORFF: YES.
MR. WADE: AND THEN LET'S GO TO THE NEXT EMAIL UP THE CHAIN, WHICH IS ON THE FIRST PAGE, BOTTOM EMAIL. DO YOU SEE THAT? THAT'S AN EMAIL FROM MR. BALWANI?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND HE TALKS ABOUT HOW THIS STUDY IS GOING TO BE DONE A LITTLE BIT. AND THEN AT THE BOTTOM OF THAT PARAGRAPH HE SAYS, "SO THIS NEEDS TO BE PERFECTLY PLANNED AND PERFECTLY EXECUTED." DO YOU SEE THAT?
ADAM ROSENDORFF: HUH --
ADAM ROSENDORFF: YEAH, YEAH.
MR. WADE: "IF THE CLIA TEAM NEEDS HELP PULLING THE RIGHT DATA THEN PLEASE INCLUDE THE APPROPRIATE TEAM MEMBERS." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND "ALSO, I WOULD LIKE TO SEE A PROJECT EXECUTION PLAN THAT CLIA SHOULD GENERATE." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND THEN HE SAYS, "AND THEN SHARADA, SURAJ, AND DANIEL WILL REVIEW AND SIGN OFF BEFORE WE BEGIN THIS." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND IF YOU GO BACK TO THE HEADER IN THAT EMAIL, YOU SEE THAT MR. BALWANI ADDED IN TO THIS EMAIL CHAIN DANIEL YOUNG, DR. YOUNG, DR. SIVARAMAN, DR. SAKSENA, AND TINA LIN. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THOSE WERE PEOPLE WHO HAD A LOT OF EXPERIENCE WITH THE RESEARCH AND DEVELOPMENT OF THOSE ASSAYS; RIGHT?
ADAM ROSENDORFF: DANIEL AND SHARADA FOR SURE. SURAJ AND TINA I'M NOT SURE.
ADAM ROSENDORFF: YES.
MR. WADE: AND LET'S GO UP THE CHAIN TO THE NEXT EMAIL. AND YOU PROVIDE SOME CLARIFICATION ON WHETHER THE TECHNICAL ISSUES RELATING TO WHICH BLOOD TO USE. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THEN IN THE BOTTOM YOU SAY YOU WILL WORK WITH LANGLY BEFORE WE SUBMIT THE PLAN TO DANIEL AND YOURSELF FOR REVIEW. YOU'RE ENDORSING THIS APPROACH; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I'M ACTUALLY THE ONE THAT WILL HAVE TO SIGN OFF ON THE PLAN.
ADAM ROSENDORFF: I WOULD HAVE TO APPROVE THE PLAN.
MR. WADE: RIGHT. AND YOU'RE SAYING THAT YOU'RE GOING TO REVIEW IT AND THEN YOU'LL RUN IT BY THEM, TOO; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: I ALSO WANTED TO GET THEIR BUY IN TO MAKE SURE WE GET DONE.
MR. WADE: OKAY. AND YOU SEE IN THE NEXT EMAIL ABOVE MR. BALWANI RESPONDS AND THEN ON THE SECOND LINE THERE HE SAYS, "IF YOU WANT TO RERUN THIS ONCE TO GENERATE QC DATA, I HAVE NO ISSUES WITH THE FOLLOWING AS COMMUNICATED YESTERDAY." DO YOU SEE HIS DISCUSSION THERE?
ADAM ROSENDORFF: YES.
MR. WADE: AND HE SAYS HE WANTS IT TO BE USEFUL TO CLARIFY ANY CONFUSION CAUSED BY THE PT SAMPLES; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND THEN THE NEXT SENTENCE HE SAYS, "WE CAN DECIDE HOW OFTEN WE NEED TO DO THIS." DO YOU SEE THIS?
ADAM ROSENDORFF: YES.
MR. WADE: AND THEN HE SAYS, "THIS IS SOMETHING THAT YOU AND MARK CAN DECIDE AND THEN LANGLY CAN IMPLEMENT." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: WHERE IS THAT?
MR. WADE: 3526. THERE'S A POST-IN NOTE ON TOP OF THE BINDER THAT SHOULD TELL YOU WHICH BINDER. I APOLOGIZE, BUT I'M NOT WORKING OFF THE SAME BINDER AS YOU. I'LL TELL YOU WHAT, I'M SORRY TO JUMP AROUND, DOCTOR, BUT LET'S GO TO 12582 FIRST, AND THEN WE'LL COME BACK TO THAT EMAIL THAT I JUST MENTIONED.
ADAM ROSENDORFF: OKAY.
MR. WADE: AND DO YOU SEE THIS IS AN EMAIL BETWEEN A GROUP OF PEOPLE WITHIN THE CLIA LAB RELATING TO VITAMIN D RESULTS IN MARCH OF 2014?
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 12582 WAS RECEIVED IN EVIDENCE.)
MR. WADE: IF WE CAN BLOW UP THE BOTTOM EMAIL. NOW, THIS IS MR. GEE SENDING AN EMAIL TO THE PEOPLE -- THE WOMEN WITHIN THE LAB WHO ARE RUNNING THOSE EDISON DEVICES; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND THAT'S FROM THIS, THIS STUDY THAT WAS UNDERWAY THAT WE WERE JUST LOOKING AT; RIGHT?
ADAM ROSENDORFF: I DON'T KNOW IF IT WAS UNDERWAY OR NOT. I SAW THE PROPOSAL.
MR. WADE: WELL, LET'S TAKE A LOOK. LET'S GO UP TO THE NEXT CHAIN. IT STRADDLES THE PAGE. BUT DO YOU SEE IT'S AN EMAIL FROM ERIKA CHEUNG, IF YOU LOOK AT THE BOTTOM OF THE FIRST PAGE, AND THEN WHAT IS ON THE SCREEN IS WE'LL JUST LOOK QUICKLY AT THE BOTTOM OF THE FIRST PAGE. I WANT TO MAKE SURE THAT YOU UNDERSTAND THE TIMING OF THIS.
ADAM ROSENDORFF: UH-HUH.
MR. WADE: OKAY. DO YOU SEE THERE THIS IS AN EMAIL FROM ERIKA CHEUNG AND IT RESPONDS TO THE EMAIL FROM MR. GEE? DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THEN IF WE GO TO THE NEXT PAGE, THIS IS MS. CHEUNG PROVIDING THAT DATA IN CONNECTION WITH THAT VITAMIN D STUDY. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YEAH. SO THIS IS A TABLE WHERE THEY HAVE RUN FIVE SAMPLES ON THE DIASORIN INSTRUMENT, WHICH WE WERE USING, IT WAS AN FDA APPROVED INSTRUMENT THAT WE WERE USING TO MEASURE 25 HYDROXY, VITAMIN D. GO AHEAD.
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND WHAT MS. CHEUNG IS DOING IS SHE'S SAYING HERE'S A TABLE WHERE YOU CAN FILL IN THE INFORMATION FOR THE EDISON DEVICES; CORRECT?
ADAM ROSENDORFF: THAT'S CORRECT.
MR. WADE: LET'S GO TO THE NEXT PAGE. AND DR. PANDORI HERE SAYS HE'S NOT SURE IF IT MATTERS, BUT HE SAYS LET'S DO THIS BLIND TO THE PREDICATE RESULTS, MEANING LET'S NOT LET PEOPLE KNOW WHICH SIDE OF THE TEST THAT THEY HAVE; RIGHT? HE WANTS THIS TO BE PURE AND ANONYMOUS; RIGHT?
ADAM ROSENDORFF: I'M NOT SURE WHAT HE MEANS BY BLIND BECAUSE THE TECH WOULD BE STANDING IN FRONT OF AN EDISON PROCESSING THE SAMPLE SO THEY COULDN'T BE BLIND TO THE METHOD BEING DEPLOYED. I THINK HE'S ALSO SAYING THAT HE WANTS THE EDISON GROUP TO DO THIS AND NOT R&D.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. LET'S -- AND IF YOU GO UP TO THE TOP EMAIL, YOU'LL SEE DR. GEE AGREES WITH YOU OR AGREES WITH DR. PANDORI; CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: ALL RIGHT. LET'S GO TO 3526. I BELIEVE THAT'S IN THE -- IT'S NOT IN EVIDENCE. I BELIEVE IT'S IN THE OTHER BINDER MAYBE THAT YOU JUST PUT DOWN.
ADAM ROSENDORFF: OKAY.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND THAT'S AN EMAIL BETWEEN A GROUP OF PEOPLE WITHIN THE CLIA LAB WITH THE SUBJECT MATTER INTERNAL VITAMIN D PT. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. BOSTIC: HEARSAY, YOUR HONOR.
(PAUSE IN PROCEEDINGS.)
MR. WADE: YOUR HONOR, I NOTE THIS IS AN EXHIBIT IDENTIFIED BY THE GOVERNMENT, NUMBER ONE; AND, NUMBER TWO, THIS IS PART OF THIS ONGOING PROCESS THAT IS HAPPENING WITHIN THE CLIA LAB. THE WITNESS HAS ALREADY --
JUDGE DAVILA: IS THIS OFFERED FOR THE TRUTH OF THE -- WHAT IS SAID IN THE EMAIL ITSELF?
MR. WADE: I BELIEVE I CAN LAY THE FOUNDATION FOR THIS. THIS IS A BUSINESS RECORD THAT IS BEING APPLIED. IF THE COURT REQUIRES ME TO DO THAT. BUT IN ANY EVENT, IT WOULD BE OFFERED FOR THE STATE OF MIND OF MS. HOLMES.
JUDGE DAVILA: AS TO WHAT ISSUE?
MR. WADE: AS TO THE INTERNAL -- THE PERFORMANCE OF THE INTERNAL PROFICIENCY TESTING AT THIS PERIOD IN MARCH OF 2014.
JUDGE DAVILA: YOU'RE OFFERING IT FOR THAT PURPOSE ONLY?
MR. WADE: I -- WHY DON'T I LAY THE FOUNDATION, AND I WILL OFFER IT FOR THAT PURPOSE. ALTERNATIVELY IF, IF THE COURT DOESN'T --
JUDGE DAVILA: WELL, THAT'S MY QUESTION.
MR. WADE: THIS WAS AN EMAIL THAT WAS COMMUNICATED IN CONNECTION WITH THAT STUDY THAT WE WERE JUST TALKING ABOUT; CORRECT?
ADAM ROSENDORFF: IT APPEARS TO BE.
MR. WADE: YEAH. AND THE EMAIL -- THERE WAS A LOT OF EMAIL COMMUNICATIONS IN THIS TIME PERIOD THAT WE JUST LOOKED AT. DO YOU RECALL SEEING THOSE?
ADAM ROSENDORFF: YES.
MR. WADE: AND THOSE EMAIL COMMUNICATIONS WERE THE WAY IN WHICH THE LAB WAS COMMUNICATING ABOUT HOW TO EXECUTE ON THIS STUDY WITHIN THE CLIA LAB; CORRECT?
ADAM ROSENDORFF: YES.
MR. WADE: AND IT WAS THE WAY IN WHICH MEMBERS OF THE TEAM WERE ON A REGULAR BASIS SHOWING INFORMATION, SHARING INFORMATION ABOUT WHAT WAS HAPPENING; CORRECT?
ADAM ROSENDORFF: YES. BUT IT LOOKS LIKE SURAJ WENT TO SUNNY AND SHOWED HIM SOMETHING ON PAPER. SURAJ CAME BY AND SHARED DATA, ET CETERA. SO WHAT I'M SAYING IS THAT THE EMAIL OBVIOUSLY WASN'T THE EXCLUSIVE. THERE WERE FOLKS SHOWING EACH OTHER DATA ON PAPER AND WHATNOT.
MR. WADE: RIGHT. AND IN ADDITION TO THE EMAIL PRACTICES OF SHARING INFORMATION, SOMETIMES THERE WOULD BE MEETINGS WITHIN THE CLIA LAB; CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: THIS EMAIL IS ABOUT SURAJ COMING TO SUNNY AND SHOWING HIM DATA FOR VITAMIN D.
MR. WADE: OKAY. AND WHEN YOU -- WHEN THE LAB WAS COMMUNICATING ABOUT THESE RESULTS AND SHARING SHOWS RESULTS WITH MANAGEMENT, WAS IT IMPORTANT THAT THE INFORMATION BE ACCURATE?
ADAM ROSENDORFF: SURAJ IS NOT PART OF THE LAB.
JUDGE DAVILA: LADIES AND GENTLEMEN, THIS EXHIBIT AND THE CONTENTS OF IT WILL BE ADMITTED NOT FOR THE TRUTH OF THE MATTER ASSERTED IN THE EMAIL ITSELF. IT IS ADMITTED ONLY FOR THE PURPOSE OF ESTABLISHING MS. HOLMES'S STATE OF MIND AS TO THE ISSUE INFORMED. IT'S NOT OFFERED FOR THE TRUTH OF WHAT IS STATED, ONLY AS TO MS. HOLMES'S STATE OF MIND ON THIS ISSUE.
JUDGE DAVILA: IT MAY BE ADMITTED FOR THAT PURPOSE.
JUDGE DAVILA: YES.
(GOVERNMENT'S EXHIBIT 3526 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
MR. WADE: NOW, THIS EMAIL COMES A COUPLE OF WEEKS AFTER THE EMAIL CHAIN WITH MR. PANDORI ABOUT THE STUDY THAT WAS GOING TO BE DONE?
ADAM ROSENDORFF: I'M SORRY, I DON'T REMEMBER THE DATE OF DR. PANDORI'S EMAIL. I ASSUME THAT'S CORRECT, YEAH.
ADAM ROSENDORFF: YEAH.
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND THERE WAS PARTICULAR FOCUS ON THAT BECAUSE THAT WAS THE DATA THAT MS. CHEUNG HAD SHARED; CORRECT?
ADAM ROSENDORFF: CORRECT.
MR. WADE: OKAY. AND YOU SEE THIS EMAIL HAS THE SUBJECT MATTER INTERNAL VITAMIN D PT. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND THEN THIS SAYS, "SURAJ CAME BY AND SHARED THE INITIAL DATA FOR PT FOR OUR VITAMIN D LOOKS GOOD." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND WE JUST SAW IN THE EMAILS THAT MS. CHEUNG AND THE OTHERS WHO WERE WORKING IN THE CLIA LAB ON THE EDISONS WERE GATHERING VITAMIN D DATA; CORRECT?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: ARE YOU ASKING ME TO READ "IT LOOKS GOOD"?
ADAM ROSENDORFF: YEAH. THAT'S MR. BALWANI'S ASSERTION.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I DON'T BELIEVE MR. BALWANI IS QUALIFIED TO REVIEW THE DATA AS FOR IT'S LOOKING GOOD, QUOTE UNQUOTE, OR NOT.
ADAM ROSENDORFF: I THINK SURAJ IS SHOWING IT TO HIM. HE'S PART OF THE R&D AND NOT PART OF THE CLIA LAB. THAT IS CONCERNING TO ME.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: IT WAS NOT PRESENTED TO ME.
MR. WADE: OKAY. MR. BALWANI THEN SAYS, "THIS IS NOT A BIT SURPRISING TO ME NOW THAT WE ARE COMPARING APPLES TO APPLES." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: THAT YOU'RE COMPARING OR FOLLOWING A PROCEDURE THAT IS SIMILAR TO THAT AAP WHERE YOU'RE COMPARING THE EDISON DEVICE AGAINST THE GOLD STANDARD; CORRECT?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: YEAH. YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: UH-HUH.
JUDGE DAVILA: IS THAT YES?
ADAM ROSENDORFF: YES.
BY MR. WADE:
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I'M NOT SURE WHO HE WAS REFERRING TO WHEN HE SAYS PLEASE KEEP ME IN THE LOOP IN REALTIME. I'M ASSUMING HE'S ADDRESSING THE GROUP, THE WHOLE GROUP THAT IS IN THE TO LINE.
MR. WADE: OKAY. AND I JUST WANT TO MAKE SURE THAT I UNDERSTAND YOUR TESTIMONY. IS IT YOUR TESTIMONY THAT YOU DIDN'T LOOK AT VITAMIN D THAT WAS COMING BACK FROM THE EDISON TEAM IN CONNECTION WITH THIS PROJECT?
ADAM ROSENDORFF: IT WAS NEVER PRESENTED TO ME.
ADAM ROSENDORFF: OKAY. I HAVE IT.
MR. WADE: DO YOU SEE THIS IS AN EMAIL FROM MR. GEE TO YOU AND DR. PANDORI AND A COUPLE OF YOUR COLLEAGUES ON MARCH 14TH, 2014?
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION. IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 13750 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND THAT WOULD INCLUDE SOME OF THE KEY LEADERSHIP, IF YOU WILL, WITHIN THE CLIA LAB, THE CORE PEOPLE?
ADAM ROSENDORFF: THE MEETINGS WERE WITH THE WHOLE CLIA LAB.
ADAM ROSENDORFF: YES, I REMEMBER HER, BUT I DON'T REMEMBER WHAT HER ROLE WAS SPECIFICALLY.
ADAM ROSENDORFF: I DO NOT RECALL.
ADAM ROSENDORFF: YES, I BELIEVE SO.
ADAM ROSENDORFF: YES.
MR. WADE: IF WE CAN BLOW UP ITEM 2. DO YOU SEE THERE IT SAYS THAT THERE WAS DISCUSSION OF AAP FOR ALL SEVEN EDISON ASSAYS?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: NO. I DO NOT HAVE A CLEAR RECOLLECTION OF WHAT WAS DISCUSSED AT THAT MEETING. I DON'T HAVE ANY REASON TO DOUBT THE ACCURACY OF THE MINUTES.
MR. WADE: AND JUST SO WE'RE CLEAR, ISN'T THAT EXACTLY -- YOU WOULD HAVE EXPECTED MR. GEE AS THE PERSON TASKED WITH THE AAP TO PERFORM THAT; CORRECT?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: I HAVE IT.
MR. WADE: AND THIS IS AN EMAIL BETWEEN A GROUP OF PEOPLE WITHIN THE CLIA LAB, INCLUDING YOURSELF, DR. PANDORI, MS. ALAMDAR, AND A COUPLE FROM OUTSIDE OF THE CLIA LAB?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED. IT MAY BE PUBLISHED.
(GOVERNMENT'S EXHIBIT 3477 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
MR. WADE: IF WE CAN START AT THE BACK. IF WE CAN BLOW UP THE BOTTOM EMAIL. OKAY. THIS IS MARCH 18TH; CORRECT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THAT'S FOUR DAYS AFTER THE EMAIL FROM MR. BALWANI ABOUT THE INTERNAL VITAMIN D PT; CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES, YES.
MR. WADE: OKAY. LET'S GO UP TO MR. BALWANI'S RESPONSE. NO. I'M SORRY. IF WE CAN BLOW UP THE EMAIL RIGHT ABOVE MR. GEE. WE'RE GOING TO GO RIGHT UP THIS CHAIN. OKAY. DO YOU SEE MR. BALWANI RECEIVED THAT, RECEIVED THOSE RESULTS AS WELL?
ADAM ROSENDORFF: YES.
MR. WADE: AND I JUST WANT TO MAKE SURE, THERE'S BEEN SOME TESTIMONY ABOUT WHETHER IT'S APPROPRIATE FOR MR. BALWANI TO RECEIVE INFORMATION. DO YOU HAVE ANY ISSUE WITH HIM BEING COPIED ON ANY OF THIS INFORMATION?
ADAM ROSENDORFF: IN GENERAL, I DON'T THINK MR. BALWANI WAS QUALIFIED TO BE DIRECTING A QC STUDY. IT WAS NOT APPROPRIATE FOR HIM TO BE DIRECTING CLIA STAFF OR MAKING ANY KIND OF DECISIONS TO THE VALIDITY OF DATA.
ADAM ROSENDORFF: IF HE HAD REQUESTED IT THEN YES.
MR. WADE: OKAY. WELL, LET'S TAKE A LOOK AT THIS EMAIL. DO YOU SEE THERE HE WILL SAY -- HE SAYS, "FOR THE NEXT RUN, I WOULD LIKE TO NARROW DOWN WHY 1 SAMPLE IS OFF IN THIS 5 RUNS?" DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: THAT'S WHAT THE INFERENCE -- YEAH, THAT'S THE INFERENCE, YEAH.
MR. WADE: OKAY. AND JUST SO WE'RE CLEAR, FOUR OUT OF FIVE WOULD HAVE BEEN PASSING UNDER THE AAP POLICY; RIGHT?
ADAM ROSENDORFF: YEAH.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: SO I DON'T KNOW IF THIS STUDY WAS RUN FAITHFULLY TO THE AAP SOP BECAUSE THAT SOP SPECIFIES THAT YOU ALSO NEED PATHOLOGICAL SPECIMENS, RIGHT.
ADAM ROSENDORFF: I DON'T RECALL THE STUDY. I'M JUST READING IT HERE WITH YOU TODAY.
MR. WADE: OKAY. AND YOU SEE HERE THAT HE SAYS HE WANTS TO UNDERSTAND WHY ONE OF THE FIVE RUNS DIDN'T PASS. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND DO YOU SEE THAT HE SAYS -- AND AGAIN, THIS IS ON VITAMIN D, WHICH IS THE ISSUE THAT MS. CHEUNG RAISED; RIGHT?
ADAM ROSENDORFF: MS. CHEUNG'S EMAIL THERE WERE A NUMBER OF ANALYTES THAT WERE -- I BELIEVE IN THE QC SPOT-CHECK THERE WERE A NUMBER OF ANALYTES THAT WERE LOOKED AT.
ADAM ROSENDORFF: I CAN'T ANSWER THAT YES OR NO.
MR. WADE: YOU DON'T REMEMBER. OKAY. HE SAYS HERE LET'S INCREASE THE NUMBER OF SAMPLES FROM 5 TO 10 OR 20 SO WE RUN MORE TESTS. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THAT WOULD BE DOUBLE OR 400 PERCENT OR SOMETHING MORE THAN WHAT WAS REQUIRED UNDER AAP; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THEN IF YOU GO UP TO THE NEXT EMAIL MR. GEE SAYS HE WILL MODIFY THE STUDY PLAN TO ACCOMMODATE YOUR SUGGESTIONS. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
MR. WADE: ALL RIGHT. LET'S GO TO THE NEXT EMAIL. NOW HERE MR. BALWANI SAYS, ONLY IF THEY MAKE SENSE. YOU GUYS DECIDE BUT SEEMS LIKE MORE DATA WILL BE USEFUL; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: YES.
MR. WADE: LET'S GO UP ONE MORE EMAIL. DR. PANDORI SAYS, "I DO LIKE THE IDEA OF RUNNING MULTIPLE DEVICES." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: SO THE IDEA OF RUNNING MULTIPLE DEVICES WOULD BE TO MAKE SURE YOU GET THE SAME RESULT ON TWO DIFFERENT DEVICES.
ADAM ROSENDORFF: FROM DEVICE TO DEVICE, RIGHT.
MR. WADE: RIGHT. AND HE SAYS THAT. BUT HE SAYS, "INCREASING THE SAMPLE SIZE TO 10 OR 20 AND RUNNING ON TWO DEVICES IS MORE DIFFICULT THAN IT SEEMS, FOR THE REASON THAT WE PLAN TO ADD TSH AND FT4 TO THIS STUDY NEXT MONDAY." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND SO HE'S SAYING WE'RE TESTING VITAMIN D, WE'RE GOING ON TO DO THE SAME TESTING ON TWO MORE ASSAYS; RIGHT?
ADAM ROSENDORFF: YES, YES.
ADAM ROSENDORFF: YES, YES.
MR. WADE: AND SO IF, IF YOU DO THAT, THAT WOULD MEAN THAT EITHER HE SAYS THERE ARE 60 OR 120 RUNS ON THE EDISONS. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND, AND DR. PANDORI SAYS THIS WOULD COMPLETELY OCCUPY THE EDISONS FOR ONE OR TWO DAYS; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YEAH. I MEAN, I THINK MR. BALWANI WAS PROPOSING FOR VITAMIN D AND SAYING WE SHOULD EXTEND THIS TO THE OTHER EDISON ANALYTES, WHICH IS APPROPRIATE. HE'S ALSO JUST SAYING ON A PRACTICAL LEVEL THAT SAMPLE SIZE FOR ALL OF THE ANALYTES RUNNING ON TWO DEVICES IS GOING TO PREVENT THE REGULAR CLINICAL SAMPLES FROM BEING, YOU KNOW, TESTED AND WILL IMPACT TURNAROUND TIMES.
MR. WADE: RIGHT. AND DR. PANDORI IS APPROPRIATELY WORRIED ABOUT MAKING SURE THAT THE PATIENT TURNAROUND TIMES --
ADAM ROSENDORFF: YES, YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: ESSENTIALLY.
ADAM ROSENDORFF: YES.
MR. WADE: AND HE SAYS, "LET'S JUST DO THIS FOR VITAMIN D THIS WAY AND OTHERS THE WAY ALREADY PLANNED." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND SO WE'RE GOING TO BE DOING THESE OTHER TESTS, BUT LET'S STILL GET SOME MORE INFORMATION ON VITAMIN D?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: THERE IS A REQUIREMENT FOR INSTRUMENT-TO-INSTRUMENT COMPARISON WITHIN BOTH CAP AND CLIA REGULATIONS WHERE YOU MAKE SURE THAT THE INSTRUMENTS ARE RETURNING COMPARABLE RESULTS. THAT'S A SEPARATE EXERCISE PT.
ADAM ROSENDORFF: IT'S RELATED I WOULD SAY.
ADAM ROSENDORFF: YES. THERE WAS NOTHING IN THAT POLICY ABOUT RUNNING IT ON DIFFERENT INSTRUMENTS THOUGH.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND IF WE GO UP THE CHAIN TO THE LAST EMAIL IN THIS CHAIN DR. PANDORI AGREES. DO YOU SEE THAT? AND HE NOTES -- HE ATTACHES A PAPER ABOUT VITAMIN D VARIABILITY. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND VARIABILITY IS A CONCEPT THAT WE'VE TALKED ABOUT A LITTLE BIT IN YOUR TESTIMONY. DO YOU RECALL THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: IT'S DONE A NUMBER OF DIFFERENT WAYS. IT'S DONE MASS SPEC, MASS SPECTROMETRY, LIPID CHROMATOGRAPHY, MASS SPECTROMETRY, AND IT'S PROBABLY THE MOST ACCURATE WAY OF QUANTIFYING VITAMIN D AND ITS VARIOUS METABOLITES. DIASORIN IS CONSIDERED A VERY GOOD PLATFORM TO MEASURE VITAMIN D IN THE INDUSTRY AT THE TIME.
MR. WADE: DO YOU SEE HERE IN THE LAST SENTENCE DR. PANDORI NOTES THAT VITAMIN D SEEMS NOTORIOUS FOR VARIABILITY ON EVEN FDA APPROVED TESTS. DO YOU SEE THAT?
ADAM ROSENDORFF: THAT'S HIS ASSERTION, YES.
MR. WADE: YEAH. OKAY. DID YOU DISAGREE WITH THIS ASSERTION AT THIS TIME? I DIDN'T SEE A RESPONSE FROM YOU.
ADAM ROSENDORFF: I DIDN'T READ HIS PAPER. I DON'T RECALL WHAT MY THOUGHTS WERE ON THAT.
MR. WADE: LET'S GO TO 1593 -- I'M SORRY, 12593. AND WHILE YOU'RE LOOKING FOR THAT, LET ME ASK YOU THIS. THAT EMAIL THAT WE JUST WENT THROUGH --
ADAM ROSENDORFF: YES.
MR. WADE: -- DID THE GOVERNMENT SHOW YOU THAT IN CONNECTION WITH THE PREPARATION OF YOUR TESTIMONY HERE?
ADAM ROSENDORFF: NO, NO.
ADAM ROSENDORFF: I HAVE IT.
MR. WADE: LET'S GO -- DO YOU SEE THIS IS AN EMAIL ON THE BOTTOM BETWEEN YOU, DR. PANDORI, AND DR. ROSENDORFF ABOUT THE SUBJECT PT PLAN AND COMMUNICATION?
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED, AND IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 12593 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
MR. WADE: LET'S GO TO THE BOTTOM EMAIL. DO YOU SEE THAT'S AN EMAIL FROM MR. BALWANI TO DR. PANDORI AND YOU?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND IT SAYS, "PER OUR CONVERSATION FROM THIS WEEK, I WOULD LIKE A COMMUNICATIONS PLAN CLEARLY DOCUMENTED ON HOW WE DO AAP FOR PT." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND IT SAYS, "THE SOP FOR THIS HAS ALWAYS BEEN IN PLACE, BUT YOU MENTIONED YOU DIDN'T KNOW ABOUT THIS UNTIL THIS WEEK AND NOW THAT YOU HAVE READ IT, YOU WANTED TO ADD A FEW MINOR CLARIFYING DETAILS TO THIS." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND BECAUSE DR. PANDORI JOINED THE COMPANY AFTER YOU IMPLEMENTED THAT PLAN, THAT POLICY?
ADAM ROSENDORFF: I HAD WRITTEN THE POLICY.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND NEXT PARAGRAPH HE SAYS, "MORE IMPORTANTLY THOUGH, I WANT OUR AAP SOP PROCESS IN A POWERPOINT IN WHICH THIS COULD BE EASILY EXPLAINED AND UNDERSTOOD BY OTHERS IN CLIA." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THIS WAS BECAUSE THERE WAS SOME OF THAT CONFUSION RELATING TO THE AAP WITHIN CLIA; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: AND SO WHAT HE WAS ASKING FOR WAS A POWERPOINT THAT EXPLAINED THE POLICY TO EVERYONE WITHIN CLIA; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND IF YOU GO TO THE BOTTOM PARAGRAPH THERE HE ACTUALLY ASKS FOR THAT. HE WANTS YOU TO DO THIS, CREATE THIS POWERPOINT, AND THEN SHOW THAT POWERPOINT TO EVERYONE IN THE GROUP; RIGHT?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: I DON'T RECALL ME SHOWING IT TO THE GROUP MYSELF. I THINK MARK DID.
MR. WADE: OKAY. WELL, LET'S GO UP THE CHAIN. THE NEXT EMAIL. AND HERE YOU SAY -- THIS IS AN EMAIL FROM YOU TO MR. BALWANI COPYING MR. PANDORI; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND THEN YOU SAY, "MARK AND I WILL PUT TOGETHER A POWERPOINT THAT WE CAN COMMUNICATE IN OUR CLIA GENERAL MEETING." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: MARK PUT IT TOGETHER.
ADAM ROSENDORFF: I DO NOT RECALL.
ADAM ROSENDORFF: YES.
MR. WADE: IT SAYS, "I AGREE THAT MISCONCEPTIONS AROUND THIS NEED TO BE DISPELLED." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I HAVE IT.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED. IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 13921 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
MR. WADE: AND THIS SAYS -- THIS IS AN EMAIL WHERE YOU'RE COMMUNICATING THAT ATTACHED UPDATED EDISON AAP PROTOCOL; CORRECT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THAT'S EXACTLY WHAT YOU SAID -- THIS REFLECTS THE CHANGES THAT YOU MENTIONED TO MR. BALWANI IN THE PRIOR EMAIL; CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I'M SORRY, COULD YOU REPEAT?
MR. WADE: -- THE PROCEDURE SOP FOR PROFICIENCY TESTING FOR THERANOS LAB DEVELOPED TESTS ON THE EDISON 3.5 DEVICES IS ATTACHED TO THAT EMAIL; CORRECT?
ADAM ROSENDORFF: YES.
MR. WADE: THIS WAS -- IS NOT THE SIGNED VERSION. YOU WERE JUST SENDING AN ELECTRONIC VERSION TO THEM VIA EMAIL; CORRECT?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: I HAVE IT.
MR. WADE: AND THIS IS AN EMAIL FROM DR. PANDORI TO YOU AND MR. BALWANI IN APRIL, MID-APRIL 2014; CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED. IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 7440 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
MR. WADE: THIS IS AN EMAIL WHERE DR. PANDORI IS FOLLOWING THROUGH WITH A DISCUSSION WITH MR. BALWANI AND HE'S COMMUNICATING THE POWERPOINT PRESENTATION THAT WAS PREPARED; CORRECT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THIS WAS TO TRY TO DISPEL THE CONFUSION THAT WAS EXISTING WITHIN CLIA LAB ABOUT AAP AND PT?
ADAM ROSENDORFF: YES.
MR. WADE: LET'S TAKE A LOOK AT THAT POWERPOINT. DO YOU SEE THE SUBJECT LINE HERE AND THAT'S A PICTURE OF THE SIGN FOR THE LOCATION OF THE LAB; IS THAT RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND LET'S GO TO THE NEXT PAGE. THIS JUST PROVIDES THE GENERAL FRAMEWORK FOR WHAT IS REQUIRED FOR PROFICIENCY TESTING BY CMS; RIGHT?
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND THEN IF YOU GO TO THE NEXT PAGE. WE TALKED A LITTLE BUILT ABOUT A TARGET THE OTHER DAY. PROFICIENCY TESTING IS DESIGNED TO ASSESS ACCURACY; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: AND, IN FACT, THE SECOND POINT THERE DO YOU SEE IT SAYS, "YOUR LAB IS COMPARED TO PEER GROUPS ON THE BASIS OF EQUIPMENT." RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: AND SO THAT'S KIND OF THE APPLES TO APPLES THAT HAS BEEN REFERRED TO; RIGHT? YOU NEED A PEER GROUP?
ADAM ROSENDORFF: YES.
MR. WADE: LET'S GO TO THE NEXT PAGE. AND HERE IT SAYS, "THERANOS TESTS HAVE NO PEER GROUPS." RIGHT?
ADAM ROSENDORFF: I CAN CLARIFY IF NEEDED, OR IF NOT, WE WILL CONTINUE WITH THE DISCUSSION.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: ON THE POWERPOINT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: THAT WHAT WAS ACCURATE?
ADAM ROSENDORFF: THIS INTENTION WAS MORE IN THE VEIN OF WHAT I NEED TO DO. SITTING HERE AND GOING THROUGH THE DOCUMENTS, IT LOOKS LIKE THIS WAS ONLY DONE FOR VITAMIN D PER THE PREVIOUS EMAILS WE WERE REVIEWING, YEAH.
MR. WADE: SIR, DO YOU RECALL IN THE PREVIOUS EMAILS THERE'S AN INDICATION FROM DR. PANDORI THAT THEY WERE DOING VITAMIN D; CORRECT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THERE'S AN INDICATION FROM MR. BALWANI THAT HE WANTED TO DO EVEN MORE VITAMIN D TESTING; RIGHT?
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND DR. PANDORI DIDN'T WANT TO DO MORE TESTING BECAUSE HE WANTED TO DO PT ON OTHER ANALYTES; CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: NOW, MY QUESTION FOR YOU, SIR, IS DID YOU HAVE ANY REASON TO QUESTION THE ACCURACY OF THIS SLIDE DECK AT THE TIME THAT YOU RECEIVED IT FROM DR. PANDORI?
ADAM ROSENDORFF: I THINK THE SLIDE DECK REFLECTED WHAT I HAD WRITTEN IN THE SOP.
MR. WADE: OKAY. NOW, LET'S GO BACK TO THIS EMAIL. IT SAYS, "THERANOS TESTS HAVE NO PEER GROUPS." DO YOU SEE THAT?
ADAM ROSENDORFF: CORRECT.
MR. WADE: I'M SORRY, IF WE CAN GO BACK TO THE POWERPOINT. ONE MORE PAGE. THERE YOU GO. DO YOU HAVE THAT IN FRONT OF YOU ON THE SCREEN?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: IT SAYS, "ADDITIONALLY, THE SYNTHETIC MATRIX OF MANY COMMERCIALLY AVAILABLE PT SAMPLES IS NOT AN APPROPRIATE ONE FOR MANY THERANOS TESTS." RIGHT? DO YOU SEE THAT?
ADAM ROSENDORFF: THAT'S WHAT I'M READING, YES.
ADAM ROSENDORFF: YES.
MR. WADE: ALL RIGHT. AND THEN IT EXPLAINS, IF WE GO TO THE NEXT SLIDE, "HOW IS PT PERFORMED THEN ON THERANOS TESTS?" DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND IT TALKS ABOUT HOW YOU LOOK TO THE CLINICAL AND LABORATORY INSTITUTE. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: SURE.
ADAM ROSENDORFF: YES.
MR. WADE: LET'S GO TO THE NEXT SLIDE. AND IT EXPLAINS OUR AAP INCLUDES A COMPARISON OF A PREDICATE FDA APPROVED METHOD. THAT'S THE GOLD STANDARD; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I CAN'T ANSWER YES OR NO TO THAT QUESTION.
ADAM ROSENDORFF: ARE YOU ASKING FOR MY OPINION?
MR. WADE: I'M, I'M ASKING IF THE REASON -- IF THAT WAS THE REASON THAT THE AAP METHOD WAS USED WAS TO AVOID CONCERNS ABOUT THE MATRIX EFFECTS, AMONG OTHER REASONS?
ADAM ROSENDORFF: THOSE WERE SOME OF THE REASONS THAT HAD BEEN PROPOSED.
ADAM ROSENDORFF: YES.
MR. WADE: AND LET'S GO TO THE NEXT PAGE. SIR, CAN YOU READ THAT FIRST BULLET FOR US, THE FIRST AT THE TOP OF THE PAGE?
ADAM ROSENDORFF: "THE THERANOS AAP IS SUPERIOR TO STANDARD PT, AND WILL PROVIDE EVEN MORE QUALITY ASSURANCE."
ADAM ROSENDORFF: YES.
MR. WADE: AND IT SAYS IF AAP SHOWED ANYTHING WRONG WITH A TEST, IT CAN BE CAPTURED AND REPAIRED VERY QUICKLY; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: ARE YOU ASKING ME IF PROBLEMS WERE REPAIRED QUICKLY IN REALTIME?
MR. WADE: I'M ASKING YOU IF THAT WAS THE GOAL OF THE IMPLEMENTATION OF THIS POLICY IN THIS SLIDE DECK?
ADAM ROSENDORFF: WELL, THAT'S THE IDEAL -- THAT WOULD BE IDEAL, YES.
MR. WADE: OKAY. GREAT. THEN THERE WAS AN OPPORTUNITY TO ASK QUESTIONS. DO YOU RECALL WHETHER THERE WERE ANY QUESTIONS ASKED?
ADAM ROSENDORFF: I DO NOT RECALL.
MR. WADE: BUT THE IDEA WAS THAT MR. BALWANI AND YOU AND DR. PANDORI WANTED TO PUT THIS INFORMATION OUT THERE TO EVERYONE IN THE CLIA LAB AND GIVE THEM A CHANCE TO UNDERSTAND IT AND TO ASK QUESTIONS; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: SURE.
MR. WADE: AND ON WEDNESDAY DURING YOUR TESTIMONY WE TALKED ABOUT A MEETING THAT YOU HAD HAD WITH S.E.C. ATTORNEYS AND SOME OF THE PROSECUTORS IN 2016 WHERE YOU STATED THAT THERE WERE GOOD RESULTS FROM AAP ON THE EDISON MACHINES. DO YOU RECALL THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND WHAT I'D LIKE TO DO IS WALK YOU THROUGH SOME OF THE EVENTS IN THE FALL. IF WE CAN GO TO EXHIBIT 12846. BY THE WAY, WHILE WE'RE LOOKING FOR THAT, THE POWERPOINT WE JUST WENT THROUGH, DID THE GOVERNMENT SHOW YOU THAT IN YOUR PREPARATION?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I HAVE IT.
ADAM ROSENDORFF: UH-HUH, YES.
MR. WADE: YOU RECOGNIZE THIS TO BE AN EMAIL BETWEEN YOU AND MS. KHAN AND CHRISTIAN HOLMES RELATING TO A PHYSICIAN INQUIRY IN OCTOBER OF 2013?
ADAM ROSENDORFF: ARE YOU REFERRING TO THE FIRST EMAIL ON THE FIRST PAGE?
ADAM ROSENDORFF: UH-HUH.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND THIS EMAIL STARTS WITH THE FOLLOWUP ON A PHYSICIAN INQUIRY RELATING TO A TEST. DO YOU SEE THAT?
ADAM ROSENDORFF: IT'S AN EMAIL FROM ANAM TO CHRISTIAN REGARDING A PHYSICIAN INQUIRY.
ADAM ROSENDORFF: UH-HUH.
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED. IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 12846 WAS RECEIVED IN EVIDENCE.)
MR. WADE: OKAY. DO YOU SEE HERE THERE'S -- DO YOU REMEMBER MS. KHAN? IS SHE A CUSTOMER SERVICE REPRESENTATIVE?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND WE TALKED ABOUT THE OTHER DAY THERE ARE A LOT OF DIFFERENT INQUIRIES THAT COME FROM PRACTICES; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I TOOK ALL OF THE INQUIRIES SERIOUSLY, SIR.
MR. WADE: OKAY. I'M GLAD TO HEAR THAT. BUT YOU WERE PARTICULARLY CONCERNED IF THERE WAS A MEDICAL INQUIRY; RIGHT?
ADAM ROSENDORFF: IT'S ALSO A MEDICAL ISSUE WHEN YOU'RE ISSUING LAB RESULTS TO PATIENTS.
MR. WADE: OKAY. BUT, FOR EXAMPLE, IF THE MEDICAL PRACTICE CALLED AND SAID WE NEED MORE FORMS, THAT'S NOT SOMETHING THAT YOU NECESSARILY NEED TO BE INVOLVED IN; RIGHT?
ADAM ROSENDORFF: CORRECT.
MR. WADE: OKAY. AND THERE COULD BE OTHER MINOR ISSUES THAT YOU MIGHT NOT NEED TO BE INVOLVED IN, RIGHT, DR. ROSENDORFF?
ADAM ROSENDORFF: SURE. CORRECT.
ADAM ROSENDORFF: YES.
MR. WADE: AND I WANT TO BE CAREFUL NOT TO IDENTIFY THE PATIENT. IT'S REDACTED ON THE SCREEN. OKAY? AND ONE OF THEM WAS, IF YOU GO UP THE CHAIN, MR. HOLMES SAYS, "WE WILL REPEAT THE TESTS, AND PLEASE PASS TO ADAM REGARDING HER REQUEST TO SPEAK WITH SOMEONE IN THE LAB." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND DO YOU RECALL SOMETIMES MR. HOLMES WAS ASKED ABOUT REQUEST FOR REDRAWS BECAUSE HE HAD THE AUTHORITY TO WAIVE ANY CHARGES FOR THAT AND COULD GRANT A TEST AT NO COST IF ONE WAS REQUESTED?
ADAM ROSENDORFF: I HAVEN'T SEEN EMAILS ABOUT HIM WAIVING CHARGES. I HAVEN'T SEEN EMAILS ABOUT HIM APPROVING TESTS, APPROVING REDRAWS FOR THE PURPOSE OF WAIVING CHARGES.
MR. WADE: OKAY. AND I DIDN'T SEE IF YOU HAD SEEN EMAILS. WERE YOU AWARE THAT HE HAD THE AUTHORITY TO WAIVE CHARGES IF A TEST WAS REDONE?
ADAM ROSENDORFF: NO, I WAS NOT.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND SHE SAYS, "CAN YOU PLEASE REACH OUT TO THIS PHYSICIAN. SHE HAS SOME QUESTIONS REGARDING HER PATIENT'S FT4 AND TSH RESULT." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND LET'S GO UP TO THE NEXT -- LET ME GO BACK TO THAT ONE EMAIL FOR JUST ONE SECOND. THAT'S ON OCTOBER 10TH, 2014; CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND SHE SAYS, "CAN YOU PLEASE REACH OUT TO THIS PHYSICIAN? SHE CALLED AGAIN TODAY BECAUSE SHE HASN'T HEARD FROM ANYONE YET. SHE SENT HER PATIENT BACK YESTERDAY AND THE FT4 RESULT WAS LOW AGAIN." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES, IT APPEARS SO.
MR. WADE: OKAY. SO YOU ASKED FOR THE PHONE NUMBER. IF WE GO UP THE CHAIN, AND DO YOU SEE YOU ASKED FOR THE PHONE NUMBER AGAIN?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: SURE.
ADAM ROSENDORFF: YES.
MR. WADE: AND YOU SAY -- YOU EXPLAIN HOW SHE'S PUZZLED ABOUT THE RESULTS AND YOU EXPLAIN WHAT -- SOMETHING ABOUT WHAT YOU COMMUNICATED THERE. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THEN DO YOU SEE THAT SHE SAYS WE DISCUSSED THE POSSIBILITY OF WHAT MIGHT BE CAUSING THE RESULTS. IT'S A VERY TECHNICAL ISSUE THERE; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: AND I DON'T WANT TO GET BOGGED DOWN IN THAT. BUT YOU ALSO SAY WE DISCUSSED THE EQUILIBRIUM DIALYSIS IS THE GOLD STANDARD ASSAY FOR FT4. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND DO YOU SEE THE NEXT SENTENCE THERE, IT SAYS, "THE M.D. IS EXTREMELY POSITIVE AND EXCITED ABOUT THERANOS AND WANTS US TO 'CRUSH QUEST DIAGNOSTICS'"?
ADAM ROSENDORFF: I SEE THAT.
ADAM ROSENDORFF: YES.
MR. WADE: AND LET'S LOOK AT THIS NEXT ISSUE. AND, NO, I'M SORRY, THE BOTTOM EMAIL IN THAT CHAIN. IT STARTS "NOTE." I WANT TO FOCUS ON THAT. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND IT SAYS, "AAP PERFORMED ON 4/18/2014 INDICATES THAT THE THERANOS METHOD IS, ON AVERAGE, 10 PERCENT LOWER THAN PREDICATE." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES, IT APPEARS SO.
ADAM ROSENDORFF: YES.
MR. WADE: IF WE CAN CAPTURE ALL OF THE EMAILS AT THE TOP THERE. HE THANKS YOU FOR THE FEEDBACK. HE WANTS YOU TO KNOW THAT THE LOOP HAD BEEN CLOSED ON THAT; RIGHT.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I CAN'T ANSWER YES OR NO.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND AS A GENERAL MATTER, YOU HAD RETURNED DOCTOR CALLS MUCH MORE QUICKLY THAN THAT I ASSUME.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: OKAY.
MR. WADE: OKAY. AND DO YOU SEE THAT THIS IS AN ISSUE, ANOTHER PHYSICIAN CALL BACK ISSUE. THIS ONE IS IN LATE SEPTEMBER 2014. DO YOU SEE THAT?
ADAM ROSENDORFF: YES, YES.
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED. YOU MAY PUBLISH.
(DEFENDANT'S EXHIBIT 13922 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
MR. WADE: AND DO YOU SEE ON THIS EMAIL CHAIN THERE ARE A NUMBER OF PEOPLE INVOLVED IN THIS, RIGHT, UP AT THE TOP?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND THIS WAS AN INQUIRY THAT HAD APPROPRIATELY BEEN REFERRED TO YOU ABOUT A CONSULTATION WITH A DOCTOR; RIGHT?
ADAM ROSENDORFF: I DON'T RECALL THE BACKGROUND. IT'S ME ASKING ABOUT AAP FOR TESTOSTERONE. I JUST DON'T REMEMBER THE BACKGROUND ON IT.
MR. WADE: OKAY. WELL, LET'S BLOW UP THAT SENTENCE. YOU WERE TALKING ABOUT WANTING TO GET THAT INFORMATION IN CONNECTION WITH YOUR INQUIRY ON THIS DOCTOR; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: AND SO THEY DIDN'T ACTUALLY ANSWER MY QUESTION HERE.
ADAM ROSENDORFF: I'M SORRY, WHICH EMAIL?
ADAM ROSENDORFF: OH, I SEE. I SEE.
ADAM ROSENDORFF: I HAVE IT.
ADAM ROSENDORFF: YES.
MR. WADE: AND THIS FOLLOWS UP ON -- IF YOU GO TO -- DO YOU SEE THIS IS ANOTHER EMAIL ABOUT AN INQUIRY RELATING TO THE TESTOSTERONE ISSUE?
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED. IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 12793 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. IF WE GO UP TO THE 3:29 P.M. EMAIL, DO YOU SEE MS. SCHEER IS HELPFULLY PROVIDING INFORMATION AND REMINDING YOU TO CALL BECAUSE THE PHYSICIAN HAD WANTED TO CALL AT 4:00; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND IF WE GO UP ONE EMAIL INITIALLY WHICH IS THE PRIOR PAGE, YOU RESPOND -- THIS IS OCTOBER 1ST, 2014. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND LET'S GO TO THE NEXT PAGE. ALL RIGHT. IF YOU CAN -- AND DO YOU SEE GENERALLY ALL OF THE REDACTED INFORMATION ON THERE?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: APPROPRIATELY.
ADAM ROSENDORFF: TO PROTECT PHI, ABSOLUTELY. YES.
MR. WADE: AND IF YOU GO TO THE BOTTOM THERE, DO YOU SEE -- LET'S BLOW THAT UP. DO YOU SEE IT SAYS, "FINALLY, AS LAB DIRECTOR --" NOW THIS WAS A PATIENT INQUIRY WHERE YOU WERE ASKED TO TALK ABOUT TESTOSTERONE; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: AND YOU SAY, "FINALLY, AS LAB DIRECTOR, I NEED TO SIGN OFF ON PROFICIENCY TESTING/AAP FOR VITAMIN D AND TESTOSTERONE, WHICH HAVE BOTH BEEN IN PRODUCTION FOR ALMOST A YEAR, WITHOUT (TO MY KNOWLEDGE), A FULLY EXECUTED AAP PLAN AND DATA." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND YOU SAY, "THIS DATA NEEDS TO BE SHARED ALSO WITH OUR QA/QC DIRECTOR AND BE AVAILABLE FOR CLIA INSPECTIONS." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THAT JUST KIND OF -- LET'S GO BACK UP TO THE HEADING OF THAT. THAT EMAIL WAS SOMEWHAT RAISED OUT OF NOWHERE AND YOU'RE ADDRESSING IT TO ELENA AND CHRISTIAN. DO YOU SEE THAT? IT'S ON THE SCREEN.
ADAM ROSENDORFF: AND MAX, YEAH.
ADAM ROSENDORFF: THAT'S CORRECT.
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND IF THEY CAME IN THE LAB AND TRIED TO DO AAP AND PT, YOU WOULD THROW THEM OUT OF THE LAB, WOULDN'T YOU?
ADAM ROSENDORFF: CORRECT.
MR. WADE: OKAY. LET'S GO UP ONE EMAIL. YOU RESPOND TO -- YOU FORWARD THIS TO MR. BALWANI ON OCTOBER 1ST. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: SO NOW MR. BALWANI IS AWARE OF MY REQUEST FOR THE AAP DATA.
ADAM ROSENDORFF: I HAVE IT.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND IF YOU GO DOWN THE EMAIL CHAIN, THERE ARE A FEW OTHERS ON THE EMAIL CHAIN AS WELL, CHRISTIAN HOLMES. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: IF I COULD PAUSE HERE FOR A SECOND. AND I WANT TO GO BACK TO 12793. OKAY. IF WE GO TO THE BOTTOM THERE -- WE'LL PUT IT UP ON THE SCREEN FOR YOU. IT WILL BE A QUICK ONE. IF WE GO TO THE BOTTOM THERE, YOU HAD RAISED THIS ISSUE -- YOU HAD GIVEN THE REPORT ON DR. PALMER; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND IF YOU GO TO THE NEXT PAGE THERE ARE SOME QUESTIONS THAT ARE RAISED THERE THAT NEEDED TO BE LOOKED INTO; CORRECT?
ADAM ROSENDORFF: YES. THE FIRST TESTOSTERONE VALUES OF 280 AND 309 WERE VERY, VERY DIFFERENT FROM TESTOSTERONE THAT WAS TESTED A FEW DAYS LATER, WHICH WAS 705.
ADAM ROSENDORFF: YES.
MR. WADE: AND LET'S GO BACK TO 7482, WHICH I CAN'T REMEMBER IF I MOVED IT INTO EVIDENCE. I WOULD MOVE IT INTO EVIDENCE IF I HAVEN'T.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED, AND IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 7482 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
MR. WADE: IF WE CAN GO TO THE BACK PAGE AND THE BOTTOM EMAIL. IT'S SPLIT ACROSS TWO PAGES. DO YOU SEE THIS IS ABOUT DR. PALMER AGAIN? DO YOU SEE THAT?
ADAM ROSENDORFF: 7482?
ADAM ROSENDORFF: I HAVE IT.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: AGUIRRE.
MR. WADE: SHE'S EMAILING YOU. AND IF WE GO OVER THE TEXT OF THE EMAIL IT SAYS, "WERE YOU SPEAKING WITH A DR. A. PALMER REGARDING FREE AND TOTAL TESTOSTERONE? HE SAID HE WAS WAITING FOR A CALLBACK ABOUT A PATIENT." DO YOU SEE THAT?
ADAM ROSENDORFF: DON'T MENTION THE NAME.
JUDGE DAVILA: STRIKE THAT.
JUDGE DAVILA: THAT'S STRICKEN FROM THE RECORD.
BY MR. WADE:
MR. WADE: THANK YOU, DOCTOR. MY APOLOGIES. DO YOU SEE THERE'S REFERENCE TO A PARTICULAR PATIENT THERE?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES, YES.
MR. WADE: OKAY. AND THEN LET'S LOOK -- NOW, HERE AGAIN, THIS HAD BEEN A WEEK SINCE YOU LAST TALKED TO THE DOCTOR; RIGHT?
ADAM ROSENDORFF: MY RECOLLECTION IS THAT I DID TALK TO DR. PALMER ABOUT THIS.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: DO YOU WANT US TO TALK AGAIN?
ADAM ROSENDORFF: YES, YES, I SEE THAT.
MR. WADE: OKAY. AND SO THIS IS ANOTHER INSTANCE IN THIS PERIOD IN EARLY OCTOBER WHERE ABOUT A WEEK HAD PAST SINCE YOU HAD RETURNED THE DOCTOR'S CALL; RIGHT?
ADAM ROSENDORFF: I HAD ALREADY SPOKEN TO HIM ON ONE OCCASION AND MY -- IT WAS NOT MY UNDERSTANDING THAT HE WANTED ANOTHER PHONE CALL FROM ME.
MR. WADE: OKAY. WELL, LET'S LOOK, LET'S LOOK UP -- AND IT'S IMPORTANT FOR YOU TO HANDLE THOSE CALLS WITH THE DOCTORS; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: BECAUSE THAT'S MEDICAL INFORMATION AND YOU'RE THE ONE WHO IS QUALIFIED TO DO THAT; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I SEE IT ON THE SCREEN.
ADAM ROSENDORFF: YES.
MR. WADE: AND WHICH IS EXACTLY THE THING THAT YOU HAD BEEN SAYING ON YOUR DIRECT EXAMINATION SHOULDN'T HAPPEN; CORRECT?
ADAM ROSENDORFF: I, I CAN EXPLAIN. I DIDN'T FEEL I HAD A GOOD EXPLANATION FOR THE DISCREPANT TESTOSTERONE VALUES, AND I REALLY DIDN'T KNOW WHAT I COULD TELL THE PHYSICIAN MORE THAN I TOLD HIM ON THE FIRST PHONE CALL.
MR. WADE: WELL, DON'T YOU THINK, DON'T YOU THINK UNDER YOUR OBLIGATIONS UNDER CLIA THAT IF A DOCTOR CALLS YOU AND ASKS FOR A CALL BACK TODAY ON A PATIENT MEDICAL ISSUE, THAT YOU AT LEAST OWE THEM A RETURN PHONE CALL?
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND WAS THERE SOMETHING HAPPENING IN THIS PERIOD, DR. ROSENDORFF, THAT WAS -- APART FROM YOUR THING AT THERANOS THAT WAS MAKING IT DIFFICULT FOR YOU TO GET BACK TO DOCTORS BECAUSE THERE'S A COUPLE OF THESE THAT HAVE COME UP IN THIS PERIOD?
ADAM ROSENDORFF: I WAS BECOMING FRUSTRATED AT MY INABILITY TO EXPLAIN DISCREPANT RESULTS. IT CULMINATED ON ONE OR TWO OCCASIONS WITH MY REFUSAL TO JUSTIFY THE DISCREPANT RESULTS TO PHYSICIANS.
ADAM ROSENDORFF: GO AHEAD.
ADAM ROSENDORFF: YES. THE DOCTOR IS WANTING ME TO EXPLAIN WHY THE RESULTS ARE DISCREPANT.
ADAM ROSENDORFF: LABORATORY ISSUE, YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND I BELIEVE IT'S YOUR TESTIMONY THAT THAT IS SOMETHING THAT YOU NEED TO BE THE PERSON TO HANDLE; CORRECT?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: I CAN'T ANSWER YES OR NO.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: AS I MENTIONED, I HAD ALREADY SPOKEN TO DR. PALMER ON THIS ISSUE ON A PREVIOUS OCCASION.
MR. WADE: RIGHT. AND YOU UNDERSTOOD FROM THE CUSTOMER SERVICE PERSON THAT THAT DOCTOR WANTED TO TALK TO YOU AGAIN THAT AFTERNOON?
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND IF WE CAN TAKE THE REST OF THAT PAGE AND JUST -- MR. HOLMES SENDS THIS TO MAX FOSQUE AND SUNNY BALWANI. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND IF WE JUST ZOOM OUT FOR A SECOND, IT'S A PRETTY DETAILED RESPONSE, ISN'T IT?
ADAM ROSENDORFF: IT'S A LONG RESPONSE.
ADAM ROSENDORFF: YES.
MR. WADE: IN THE FIRST PARAGRAPH HE ADDRESSES ISSUES THAT ARE SPECIFIC TO THE QUESTION FROM THE DOCTOR. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND THEN IF YOU SEE -- AND WE TALKED ABOUT WHEN THERE'S A PATIENT INQUIRY, SOMETIMES INFORMATION WOULD BE GATHERED AND IT WOULD BE PROVIDED SO IT COULD BE CONSIDERED AND ANALYZED IN CONNECTION WITH RESPONDING TO THE DOCTOR; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND IN THE SECOND PARAGRAPH HE ADDRESSES THE ISSUE THAT YOU HAD RAISED IN THE OTHER EMAIL ABOUT AAP?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND HE NOTES, "WE ARE DOING MONTHLY (MOST CASES WEEKLY) IQP (AAP) FOR EACH ASSAY ON EDISONS AND OTHER DEVICES DOWNSTAIRS." DO YOU SEE THAT?
ADAM ROSENDORFF: I SEE THAT.
ADAM ROSENDORFF: I DON'T AGREE WITH IT, BUT I SEE IT.
MR. WADE: AND HE SAYS, "ALL OF THIS DATA IS 100 PERCENT ON THE FOLDERS ACCESSIBLE TO YOU AND HAD BEEN AGREED UPON OVER 6 MONTHS AGO." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND HE SAYS, "WE SHOULD TAKE THIS DATA AND FORMALIZE IT FOR THE REVIEW AND SIGN OFF." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND HE SAYS, "LANGLY IS NOT THE RIGHT PERSON FOR THIS AS HE IS BARELY KEEPING UP WITH OTHER WORK." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THEN HE SAYS, "AS YOU MAY RECALL, WE ARE DOING EQUIVALENT AAP ON A WEEKLY BASES." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND HE SAYS, "YOU AND MARK HAD CREATED A POWERPOINT FOR CLIA TEAM AND YOU GUYS ACTUALLY HAD POINTED OUT THAT DOING THIS WEEKLY JUST MAY BE TOO EXCESSIVE." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THAT'S THAT DR. PANDORI EMAIL THAT WE JUST TALKED ABOUT, DR. PANDORI SAID IT WAS A LITTLE EXCESSIVE BECAUSE IT WOULD INTERFERE WITH THE OPERATIONS. DO YOU RECALL THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND THEN THE LAST SENTENCE HE SAYS WE'RE ONLY REQUIRED TO DO THESE AAP'S ONCE PER FOUR MONTHS. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. LET'S GO TO THE NEXT PARAGRAPH. THIS PARAGRAPH TALKS ABOUT SOMETHING YOU KNOW WELL. IT SAYS IN ADDITION WE HAVE SEPARATE DAILY QC; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THAT ALL OF THE ASSAYS AND ALL DEVICES FOR CLIA AND THAT IS ALREADY IN PLACE FOR EACH DEVICE AND ASSAY. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. LET'S GO TO THE NEXT PARAGRAPH. NOW, HERE HE NOTES THAT A GROUP OF THEM LOOK AT THIS DATA ON ALMOST A DAILY BASIS. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND WHILE IT'S NOT NEEDED FOR CLIA, IT'S ACTUALLY -- DOING THAT REGULAR TESTING OF ACCURACY WAS HELPFUL FOR R&D HE SAYS HERE; RIGHT?
ADAM ROSENDORFF: I DON'T SEE THAT.
MR. WADE: OKAY. LET ME READ THE SECOND SENTENCE. DO YOU SEE WHERE HE SAYS THEY'RE LOOKING AT IT ALMOST DAILY? DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND THEN IT SAYS, THIS IS NOT NEEDED FOR CLIA PURPOSES. THAT'S TRUE, RIGHT, YOU DIDN'T NEED DAILY AAP FOR CLIA?
ADAM ROSENDORFF: NOT DAILY. YOU NEED A PROFICIENCY PROGRAM.
ADAM ROSENDORFF: YEAH.
MR. WADE: BUT HE SAYS FOR PRODUCT DEVELOPMENT AND PRODUCT IMPROVEMENT PURPOSES IT'S USEFUL; RIGHT?
ADAM ROSENDORFF: I SEE.
MR. WADE: AND THEN HE SAYS, "I WOULD RECOMMEND IF YOU WANT TO GET WEEKLY BRIEFINGS ON THIS, YOU SET UP TIME WITH NISHIT AND CHINMAY ON THE 13 ELISA ASSAYS, CBC, AND ADVIA ASSAYS, AND I KNOW THEY WILL BE VERY HAPPY IN WALKING YOU THRU THIS." DO YOU SEE THIS?
ADAM ROSENDORFF: THOSE FOLKS WERE NOT IMPLEMENTING THE AAP AS I SET OUT IN MY SOP FOR THOSE 13 ASSAYS. I'M NOT CLEAR ON EXACTLY WHAT THEY WERE DOING AND THE DATA WAS NOT ACCESSIBLE IN THE DRIVE AS SUNNY IS ASSERTING.
MR. WADE: WELL, HE'S SAYING RIGHT HERE IN THIS EMAIL, IF YOU WANT IT, YOU CAN GET A WEEKLY BRIEFING ON IT; CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I WENT INTO THE FILE TO TRY TO PULL UP THE AAP DATA.
ADAM ROSENDORFF: IT WAS HARDLY INCOMPLETE.
ADAM ROSENDORFF: I SPOKE TO CHINMAY ABOUT AAP FOR CBC'S.
MR. WADE: OKAY. LET'S CONTINUE WITH THIS EMAIL. DID YOU GO -- IN RESPONSE TO THIS SUGGESTION FROM MR. BALWANI, IS IT YOUR TESTIMONY THAT IN OCTOBER IN 2014 YOU ACTUALLY WENT AND HAD MEETINGS ABOUT THIS?
ADAM ROSENDORFF: I DON'T RECALL.
MR. WADE: OKAY. AND IF YOU LOOK AT THE BOTTOM, NUMBER 6, IT SAYS, "DESPITE ALL OF OUR BEST EFFORTS, THERE WILL BE RESULTS THAT ARE UNEXPECTED." NOW, YOU WOULD AGREE WITH THAT; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: SURE.
MR. WADE: THE -- HOWEVER, IF THERE ARE ANY DISCREPANCIES IN RESULTS, THE BEST IS TO INVESTIGATE, WHICH IS WHAT WE ALWAYS DO." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND THEN HE SAYS, "IN THAT REGARD, THE TEAM WOULD APPRECIATE YOUR INVOLVEMENT IN THAT PROCESS BUT YOU NEED TO BRING UP THE RIGHT ISSUES TO THE RIGHT PEOPLE." RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: HE SAYS, "THE ATTACHED EMAIL," WHICH WAS THE EMAIL, THE OCTOBER EMAIL WHERE YOU RAISED THIS ISSUE WITH THE CUSTOMER SERVICE REPRESENTATIVE AND MR. HOLMES --
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I DID NOT ADDRESS THAT REQUEST TO THE RIGHT PEOPLE TO SOLVE THAT PROBLEM.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: I THINK THE PURPOSE OF MY REQUEST WAS TO MAKE CHRISTIAN AWARE THAT MY REVIEW OF THE AAP WAS NOT BEING PROVIDED TO ME AND NOT BEING DONE. THAT -- YOU KNOW, ONE PROBLEM AND THE ROOT CAUSE OF THE INVESTIGATION WAS THAT THE AAP WAS INCOMPLETE ESSENTIALLY.
MR. WADE: ALL RIGHT. BUT YOU AGREE WITH MR. BALWANI THAT THE PLACE TO RAISE ANY CONCERNS THAT YOU HAVE WITH THE AAP IS NOT WITH A CALL SERVICE REPRESENTATIVE; RIGHT?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: YES.
MR. WADE: AND IF OUR GREENWICH MEAN TIME CALCULATOR IS RIGHT, THAT IS PROBABLY SOME POINT MIDAFTERNOON, SEVEN OR EIGHT HOURS, OR MAYBE IT'S 9:00 P.M.?
ADAM ROSENDORFF: I DON'T KNOW.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: THAT'S BECAUSE IT WASN'T BEING IMPLEMENTED.
ADAM ROSENDORFF: I HAVE THAT.
MR. WADE: DO YOU HAVE THAT IN FRONT OF YOU? AND DO YOU SEE THAT AS AN EMAIL AND A MEETING INVITE RELATING TO THAT MEETING AND IT ATTACHES ALSO A DRAFT POLICY? DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED, AND IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 7494 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
MR. WADE: FOR NOW I JUST WANT TO DRAW YOUR ATTENTION TO THE BOTTOM OF THIS DOCUMENT. DO YOU SEE THAT THIS IS A, THIS IS A MEETING REQUEST FROM MR. BALWANI ON THURSDAY, OCTOBER 9TH, AT 5:25 P.M. OKAY.
ADAM ROSENDORFF: YES.
MR. WADE: AND SO IF IT'S GREENWICH MEAN TIME IN THAT PRIOR EMAIL, IT'S JUST A COUPLE HOURS AFTER HE SENT YOU THAT PRIOR EMAIL; RIGHT?
ADAM ROSENDORFF: OKAY.
MR. WADE: AND DO YOU SEE THAT HE INCLUDES A BIG GROUP OF PEOPLE ON IQP/AAP DECISIONS. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. NOW, DO YOU RECALL INITIALLY -- AND HE'S SENDING YOU THIS INITIALLY, LET'S SCHEDULE A MEETING; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: WHICH BINDER IS THAT IN?
ADAM ROSENDORFF: 139?
ADAM ROSENDORFF: IT IS NOT THERE.
ADAM ROSENDORFF: IT IS NOT THERE. I'M SORRY.
MS. TREFZ: THE VERY BACK.
JUDGE DAVILA: YES.
BY MR. WADE:
ADAM ROSENDORFF: YES, I DO.
MR. WADE: AND DO YOU RECOGNIZE THIS TO BE TWO DIFFERENT CALENDAR ENTRIES RELATING TO THE IQP AAP DECISIONS AND PLAN FORWARD? DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED. IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 13923 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
MR. WADE: OKAY. AND LET'S GO TO THE NEXT PAGE. AND IT WAS RESCHEDULED SEVERAL DAYS LATER AFTER YOUR REQUEST; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THE ENTIRE LEADERSHIP OF THE COMPANY WAS WILLING TO MEET WITH YOU THE NEXT DAY; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I DO NOT RECALL.
MR. WADE: LET'S GO BACK TO 7494 NOW IF WE COULD. NOW, DO YOU SEE THE MEETING WHICH WAS MOVED TO OCTOBER 14TH, 2014? THERE WAS SOME WORK DONE IN ADVANCE OF THAT; CORRECT?
ADAM ROSENDORFF: I'M AT 7494, AND I'M LOOKING AT AN EMAIL FROM DANIEL TO A BUNCH OF FOLKS.
MR. WADE: AND DO YOU SEE THAT IN ADVANCE OF THAT OCTOBER 14TH MEETING, DR. YOUNG SENT A DRAFT POLICY THAT HAD PROPOSED UPDATES FOR AAP. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: THIS POLICY REFERS TO THE ELISA ASSAYS.
MR. WADE: RIGHT. AND THERE WERE, THERE WERE -- IN FACT, HE SAYS -- DO YOU SEE THE BOTTOM THERE? HE SAYS, "THIS PROTOCOL WAS WRITTEN FOR ELISA ASSAYS AND IS CURRENTLY BEING SIMILARLY EXTENDED TO CYTOMETRY AND THEN TO GC." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: IN ADVANCE OF THE MEETING THAT YOU'RE GOING TO HAVE WITH THE SENIOR LEADERSHIP OF THE COMPANY ON THIS ISSUE; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND DO YOU RECALL, I BELIEVE YOUR TESTIMONY IS IN ADDITION TO THOSE PEOPLE THAT WE TALKED ABOUT, BRAD ARINGTON WAS IN THE MEETING; RIGHT?
ADAM ROSENDORFF: YES, HE WAS.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND WERE THERE ANY LIMITATIONS IN THAT MEETING ON YOUR ABILITY TO SAY ANYTHING OR TO DISCUSS ANYTHING?
MR. WADE: OKAY. NOW JUST SO I'M CLEAR, DO YOU RECALL THAT THIS MEETING, THIS MEETING WAS THE MEETING THAT YOU DISCUSSED ON YOUR DIRECT TESTIMONY? DO YOU RECALL?
ADAM ROSENDORFF: YES.
MR. WADE: AND YOU DISCUSSED THE MEETING WITH ALL OF THE SENIOR LEADERSHIP IN THE COMPANY. DO YOU RECALL THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND DO YOU RECALL THEN THE GOVERNMENT ASKED, WELL, DID ANYTHING HAPPEN IN THOSE INTERVENING MONTHS BETWEEN MID 2014 AND WHEN YOU LEFT THE COMPANY? DO YOU RECALL THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: UNDERSTOOD. I READ THIS EMAIL, YES.
ADAM ROSENDORFF: YEAH.
ADAM ROSENDORFF: YES.
JUDGE DAVILA: ARE YOU MOVING INTO ANOTHER AREA?
MR. WADE: I'M ALMOST DONE WITH THIS LINE, YOUR HONOR. I'M CONSCIOUS OF THE TIME. AND THEN MAYBE WE CAN TAKE A BREAK.
JUDGE DAVILA: SURE.
BY MR. WADE:
MR. WADE: AND COMING OUT OF THAT MEETING YOU HAD SOME COMMUNICATIONS AND FOLLOWUP ON IT; CORRECT?
ADAM ROSENDORFF: I BELIEVE SO.
ADAM ROSENDORFF: I HAVE IT.
MR. WADE: AND THIS IS AN EMAIL FOLLOWING UP ON THAT CLIA LAB MEETING ON OCTOBER 15TH, 2014. DO YOU SEE THAT?
ADAM ROSENDORFF: YES, YES.
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED, AND IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 12839 WAS RECEIVED IN EVIDENCE.)
MR. WADE: ON THE BOTTOM MR. BALWANI SAYS, "WE HAVE A MEETING ON OUR CALENDARS PER YOUR REQUEST." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THERE WAS ACTUALLY ANOTHER MEETING SCHEDULED FOLLOWING THAT OTHER BIG MEETING; RIGHT?
ADAM ROSENDORFF: I DO NOT RECALL.
ADAM ROSENDORFF: I'M NOT SURE WHAT WAS GOING ON HERE.
MR. WADE: HE SAYS HERE, "I THINK WE DISCUSSED THE POINTS YOU WANTED TO DISCUSS YESTERDAY OR ARE THERE OTHER POINTS YOU WANTED TO DISCUSS? IF NOT THEN CAN I REMOVE THIS FROM THE CALENDARS." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND SO WHAT HE'S SAYING IS THAT YOU'VE HAD A CHANCE TO RAISE ALL OF YOUR ISSUES; IS THAT RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: "WE HAVE ANOTHER MEETING ON THE CALENDAR AND DO YOU WANT TO HAVE THAT MEETING AND RAISE SOME MORE ISSUES?" RIGHT? AND WHAT IS YOUR RESPONSE? DO YOU NEED TO HAVE THAT NEXT MEETING?
ADAM ROSENDORFF: I SAID, "YES AGREED. THANK YOU."
ADAM ROSENDORFF: RIGHT.
ADAM ROSENDORFF: I HAVE IT.
MR. WADE: AND DO YOU SEE THAT? AND DO YOU SEE THIS IS AN EMAIL BETWEEN YOU, MR. ARINGTON, AND DR. YOUNG ON OCTOBER 16TH, 2014?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED, AND IT MAY BE PUBLISHED.
(GOVERNMENT'S EXHIBIT 2099 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
MR. WADE: NOW, THIS IS THE DAY AFTER THE MEETING WITH THE MR. ARINGTON AND THE SENIOR LEADERSHIP; CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND YOU SAY IN HERE AND YOU GIVE SOME DIRECTION ON WHAT NEEDS TO BE DONE WITH CMS AND YOU, YOU SET FORTH -- IT SAYS AT THE TOP, "I WOULD LIKE TO DE-ENROLL IN CMS REPORTING FOR THE FOLLOWING ANALYTES BASED ON THE FACT THAT THEY ARE NO LONGER RUN ON METHODS FOR WHICH THERE IS A PEER-GROUP." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND SO THE DECISION THAT YOU'RE MAKING HERE IS TO SWITCH FROM THE OLD BIG MACHINE TEST FOR PURPOSES OF PROFICIENCY TESTING TO AAP FOR THE EDISON DEVICES; CORRECT?
ADAM ROSENDORFF: I BELIEVE WHAT I SAID WAS THAT WE SHOULD STILL RUN PROFICIENCY ON THE LARGER INSTRUMENTS BUT NOT REPORT IT BECAUSE IT'S NO LONGER OUR PRIMARY METHOD.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. BUT YOU'RE STILL GOING TO DO THE PROFICIENCY TESTING ON THE OTHER METHOD EVEN THOUGH YOU'RE NOT REQUIRED TO DO IT; RIGHT?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: YES.
MR. WADE: AND NOW LET ME GO BACK TO 12846. LET'S BLOW THIS UP. IT'S AT THE BOTTOM. IT'S UP ON THE SCREEN. THIS IS THE ONLY THING I'M GOING TO ASK IF YOU WANT TO READ IT THERE. DO YOU SEE IT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND THIS IS WHERE YOU TALK ABOUT THE AAP THAT WAS PERFORMED ON APRIL 18TH, 2014; CORRECT?
ADAM ROSENDORFF: YES.
JUDGE DAVILA: ALL RIGHT. LET'S TAKE OUR MORNING RECESS, LADIES AND GENTLEMEN. LET'S TAKE 20 MINUTES, PLEASE, 20 MINUTES, AND WE'LL BE BACK TO FINISH OUR SESSION. THANK YOU.
(RECESS FROM 11:08 A.M. UNTIL 11:37 A.M.)
JUDGE DAVILA: WE'RE BACK ON THE RECORD. ALL PARTIES PREVIOUSLY PRESENT ARE PRESENT ONCE AGAIN. WOULD YOU LIKE TO CONTINUE?
JUDGE DAVILA: PLEASE.
BY MR. WADE:
ADAM ROSENDORFF: SURE.
MR. WADE: OKAY. IF WE COULD START BY PULLING UP EXHIBIT 4836. AND IF WE CAN GO TO THE THIRD PAGE AND FOCUS ON THE EMAIL AT THE TOP THERE. OKAY. DO YOU RECALL YOU WERE ASKED SOME QUESTIONS ABOUT THIS IN YOUR DIRECT EXAMINATION?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND THE GOVERNMENT ASKED YOU ABOUT HOW THE HCG PROCESS -- WHAT HCG IS AND ITS IMPORTANCE IN PREGNANCY. DO YOU RECALL THAT?
ADAM ROSENDORFF: YES, YES.
MR. WADE: AND IN PARTICULAR THEY FOCUSSED ON THIS PIECE OF THE EVIDENCE. DO YOU SEE THAT? THIS EMAIL WHERE IT TALKS ABOUT TOTAL ALLOWABLE ERROR. DO YOU SEE THAT?
ADAM ROSENDORFF: YES, YES.
MR. WADE: AND THE PRECISION EFFECTS THAT WERE RELEVANT IN THE DATA THAT WAS COMING BACK. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THEY ASKED YOU A NUMBER OF QUESTIONS ABOUT HOW IF YOU RELAXED THE PERCENTAGE OF TOTAL ALLOWABLE ERROR, THAT THAT WOULD MAKE THE TEST LESS ACCURATE; RIGHT? DO YOU RECALL THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THAT THAT -- MAYBE THEY ASKED IF IT'S A GOOD THING OR A BAD THING. AND IT'S A BAD THING; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THEY NEXT BROUGHT YOU TO -- IF WE CAN GO TO THE EMAIL ON THE SECOND PAGE IN THE MIDDLE. THEY BROUGHT YOU TO THIS EMAIL. DO YOU UNDERSTAND THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
MR. WADE: OKAY. AND THEY THEN ASKED YOU WHETHER YOU GENERALLY RECALL HCG ISSUES AT THE COMPANY WITH RESPECT TO ACCURACY; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND THEN I DON'T KNOW IF YOU RECALL, BUT THEY JUMPED FROM OCTOBER 30TH TO AN EMAIL LATER IN 2014; RIGHT?
ADAM ROSENDORFF: I DON'T RECALL.
ADAM ROSENDORFF: UH-HUH.
ADAM ROSENDORFF: YES.
MR. WADE: THIS IS AN EMAIL -- LET'S START WITH SOME DATES THAT ARE RELEVANT HERE. THIS IS AN EMAIL ON OCTOBER 30TH, 2013; CORRECT?
ADAM ROSENDORFF: YES.
MR. WADE: AND DO YOU RECALL FROM OUR EXERCISE YESTERDAY THE DATE ON WHICH HCG WAS VALIDATED FOR USE IN THE CLIA LAB?
ADAM ROSENDORFF: I DON'T RECALL THE DATE.
ADAM ROSENDORFF: YES.
MR. WADE: AND DO YOU SEE THAT? AND DR. SIVARAMAN WAS IN CHARGE IN THIS PERIOD OF THE RESEARCH AND DEVELOPMENT, RIGHT, FOR ELISA ASSAYS?
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND SHE IS COMING TO YOU, ALONG WITH DR. YOUNG, TO SEEK YOUR GUIDANCE ON THE STANDARDS THAT SHOULD BE USED FOR VALIDATION; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THEY'RE SAYING TO YOU, BECAUSE YOU'RE THE EXPERT ON THESE ISSUES, RIGHT, THEY'RE ASKING YOU WHAT IS PERMISSIBLE HERE; RIGHT?
ADAM ROSENDORFF: YES, YES.
ADAM ROSENDORFF: YES, YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND LET'S LOOK AT THE VALIDATION REPORT. WE'LL JUST BRING IT UP. WE ONLY NEED THE DATE. IT'S EXHIBIT 9196. LET'S JUST BLOW UP THE DATE. DO YOU SEE THE HCG VALIDATION REPORT THAT YOU SIGNED FOR USE OF THIS ASSAY IN THE CLIA LAB WAS MARCH 19TH, 2014; CORRECT?
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. LET'S BRING UP THAT CALENDAR DEMONSTRATIVE IF WE CAN. SO THE CIRCLE THAT I JUST PUT ON THE SCREEN WAS THE CONCERN THAT WAS EXPRESSED; RIGHT? THAT WAS THIS ISSUE THAT THE GOVERNMENT ASKED YOU ABOUT OR 4836; RIGHT?
ADAM ROSENDORFF: ARE YOU TALKING ABOUT KARTHIK ASKING ME TO RELAX THE TOTAL ALLOWABLE ERROR?
ADAM ROSENDORFF: YEAH.
ADAM ROSENDORFF: YEAH.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND IN ALL OF THOSE INTERVENING MONTHS IN BETWEEN THERE, THERE WERE NO HCG EDISON ASSAYS THAT WERE USED IN CLIA LAB; CORRECT?
MR. WADE: OKAY. AND IF THEY WERE WORKING IN R&D TO GET THAT ASSAY IN A PLACE WHERE IT WAS APPROPRIATE FOR USE IN THE CLIA LAB, WAS IT APPROPRIATE FOR THEM TO COME TO YOU AND SEEK GUIDANCE ON TOTAL ALLOWABLE ERROR ISSUES?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. NOW, WE CAN TAKE THAT DOWN, MR. BENNETT. THANK YOU. COULD YOU WIPE THIS SCREEN, MS. KRATZMANN.
COURT CLERK: YES.
MR. WADE: NOW, I WANT TO GO TO SOME OF THE, I WANT TO GO TO SOME OF THE ISSUES WITH HCG THAT CAME UP IN 2014. OKAY?
ADAM ROSENDORFF: OKAY.
MR. WADE: AND DO YOU RECALL THERE WAS SOME TESTIMONY THAT YOU HAD ABOUT A DISCUSSION THAT YOU HAD WITH MS. HOLMES WHERE YOU WERE FREAKING OUT; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I DID NOT USE THE WORD "INDIFFERENT." SHE SEEMED PRETTY CALM ABOUT THE WHOLE THING. SHE DIDN'T SEEM TO SHARE MY LEVEL OF ALARM.
ADAM ROSENDORFF: CORRECT.
MR. WADE: OKAY. LET'S LOOK BRIEFLY AT EXHIBIT 4222, WHICH IS IN EVIDENCE. THIS IS A DOCUMENT THAT YOU'RE NOT ON, BUT YOU WERE SHOWED THIS DOCUMENT THE OTHER DAY. IF WE CAN LOOK AT -- DO YOU SEE IN THE EMAIL DOWN THERE IT MENTIONS AN HCG ISSUE THAT COMES UP? DO YOU SEE THAT? IT JUST IDENTIFIES THAT THERE'S AN HCG --
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. LET'S GO UP THE CHAIN AND BLOW UP THE THREE EMAILS AT THE TOP. AND DO YOU SEE THAT THAT HCG ISSUE IS COMMUNICATED FROM MR. BALWANI TO MS. HOLMES AT 4:45 P.M. DO YOU SEE THAT?
ADAM ROSENDORFF: YES, YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES, YES.
MR. WADE: OKAY. I'M DONE WITH THAT EXHIBIT. IF WE CAN BRING UP EXHIBIT 4145, WHICH IS IN EVIDENCE. AND IF WE CAN FOCUS UP AT THE TOP. DO YOU RECALL -- YOU'RE WELCOME TO LOOK AT THE WHOLE DOCUMENT, TOO. BUT DO YOU RECALL THAT THIS WAS AN EMAIL THAT WAS FORWARDED FROM MR. BALWANI TO MS. HOLMES AND SHE RESPONDED THAT, "I'VE DONE MANY MEETINGS ON THIS TODAY"? DO YOU RECALL THIS?
ADAM ROSENDORFF: YES.
MR. WADE: AND DO YOU RECALL THAT YOU WERE ASKED WHETHER THE GOVERNMENT -- BY THE GOVERNMENT WHETHER YOU WERE IN ANY OF THOSE MEETINGS AND YOU SAID YOU WERE NOT? DO YOU RECALL THAT?
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. I'D LIKE TO GO THROUGH THE TIMELINE HERE AND PUT THE FACTS OUT. OKAY? AND I HAVE A DEMONSTRATIVE THAT I'M GOING TO USE TO DO THAT. OKAY? THIS IS SOMETHING THAT I WOULD NORMALLY DO ON LIKE A PIECE OF PAPER OR FLIP CHART, BUT WITH OUR CURRENT LOGISTICAL SITUATION IT'S A LITTLE DIFFICULT SO I'M GOING TO TRY TO DO IT ELECTRONICALLY. OKAY?
ADAM ROSENDORFF: SURE.
MR. WADE: LET'S GO BACK TO 4145. LET'S BRING UP 4145 AND GO TO THE LAST EMAIL IN 4145. LET'S START THERE. DO YOU SEE THAT AT 1:56 P.M. ON MAY 29TH, 2014 THERE WAS AN ISSUE THAT WAS RAISED WITH RESPECT TO HCG?
ADAM ROSENDORFF: YES.
MR. WADE: AND DO YOU SEE THE INDICATION THAT THE RESULTS ARE BEING HELD UNTIL FURTHER NOTICE RIGHT THERE. DO YOU SEE THAT?
ADAM ROSENDORFF: YES, YES.
MR. WADE: IF WE CAN DO A SPLIT SCREEN WHERE WE PULL UP THE GRAPHIC AND JUST PUT THAT DATE UP. ANY OBJECTION TO THE FIRST ENTRY THERE?
MR. BOSTIC: NO OBJECTION.
BY MR. WADE:
MR. WADE: SO THIS IS THURSDAY, MAY 29TH, 2014, IN THE FIRST ENTRY. AND LET'S GO NEXT. ON THE TIMELINE LET'S PUT UP WHAT WE JUST TALKED ABOUT WITH DR. ROSENDORFF, THE CUSTOMER SERVICE EMAILS. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND LET'S WORK UP THE CHAIN AND LET'S WORK UP TO 2:56 P.M. YOU'RE NOT ON THIS EMAIL, BUT THIS IS AN EMAIL FROM DR. YOUNG TO MR. BALWANI. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND IT SAYS, "I ASKED ADAM TO CALL THE DOCTOR TO ASK ABOUT THE CLINICAL SITUATION." AND IT SAYS, "AND THEN WE WILL BE ABLE TO DECIDE IF WE WANT TO RELEASE THE RESULTS." RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND ONE OF YOUR DOTTED LINE BOSSES, DR. YOUNG, IS REPORTING TO ANOTHER BOSS ABOUT WHAT IS HAPPENING ON THAT. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND THEN THE NEXT ENTRY, THE NEXT EMAIL UP THE CHAIN MR. BALWANI SAYS TO KEEP HIM IN THE LOOP. OKAY?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND THEN LET'S WORK OUR WAY UP THE CHAIN THERE TO OUR NEXT EMAIL. AND THIS IS A REPORT FROM DR. YOUNG WHERE IT SAYS, "WE SPOKE WITH THE ORDERING PHYSICIAN, AND MADE THE DECISION TO COLLECT ANOTHER SAMPLE. WE ARE NOT REPORTING OUT THE VERY LOW RESULT." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I DO NOT RECALL.
MR. WADE: OKAY. BUT YOU SAW THE EMAIL BELOW WHERE YOU WERE THE ONE WHO WAS GOING TO BE CALLING THE PHYSICIAN? DO YOU RECALL THAT?
ADAM ROSENDORFF: DANIEL SAYING THAT HE ASKED ME TO CALL, YES.
MR. WADE: OKAY. AND THEN AT THIS TIME AT 5:37 IT'S BEING REPORTED THAT THAT COMMUNICATION HAD HAPPENED, THAT THE RESULTS ARE BEING HELD AND A NEW RESULT IS HAPPENING. DO YOU SEE THAT?
ADAM ROSENDORFF: THE DECISION WAS MADE TO COLLECT ANOTHER SAMPLE, RIGHT.
ADAM ROSENDORFF: NOT JUST A NEW RESULT.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
MR. WADE: OKAY. LET'S PUT THAT ITEM UP ON THE TIMELINE, THE DEMONSTRATIVE. OKAY. NOW LET'S GO UP TO THE TOP EMAILS. OKAY. AND THIS IS THE ONE WHERE MS. HOLMES SAYS SHE'S BEEN IN MANY MEETINGS ON THIS. BUT YOU WEREN'T IN ANY OF THE MEETINGS WITH HER; IS THAT RIGHT?
ADAM ROSENDORFF: I DON'T RECALL BEING IN ANY MEETINGS WITH HER.
ADAM ROSENDORFF: I DON'T BELIEVE I WAS IN ANY MEETINGS WITH HER.
MR. WADE: OKAY. WELL, LET'S TAKE A LOOK. LET'S ADD THAT ITEM TO THE CHRONOLOGY. IF I DID A TIMELINE CALCULATION, THE INTERNET HAS IT -- AND IF THAT IS GREENWICH MEAN TIME THAT WOULD PUT THAT AT 6:20 P.M. OKAY?
ADAM ROSENDORFF: OKAY.
ADAM ROSENDORFF: YES.
MR. WADE: NOW, LET'S GO TO EXHIBIT 13862. OR ACTUALLY, IT MIGHT BE EASIER TO SEE IT EASIER, I'M GOING TO GO TO 13862, 13863, 64, AND -- 62, 63, AND 64. OKAY. THEY'RE RIGHT NEXT TO EACH OTHER. GO AHEAD AND GRAB THOSE, DOCTOR. OKAY. LET ME DRAW YOUR ATTENTION FIRST TO 13863.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. BOSTIC: OBJECTION TO FOUNDATION AND AUTHENTICITY.
JUDGE DAVILA: MAYBE YOU SHOULD LAY A FOUNDATION.
MR. WADE: I ASKED THAT THIS CONDITIONALLY BE SUBMITTED. I BELIEVE WE STIPULATED TO THE AUTHENTICITY OF THE UNDERLYING DATA.
JUDGE DAVILA: MR. BOSTIC --
MR. BOSTIC: YOUR HONOR, ESPECIALLY ON FOUNDATION, ONE NEEDS TO BE LAID.
JUDGE DAVILA: CAN YOU LAY A FOUNDATION?
JUDGE DAVILA: YES.
JUDGE DAVILA: CAN YOU LAY A FOUNDATION WITH THIS WITNESS OR YOU THINK NOT?
MR. WADE: I DON'T THINK I CAN LAY A FOUNDATION WITH THIS WITNESS. SO I WOULD ASK UNDER 104 THAT THIS BE CONDITIONALLY SUBMITTED. I WILL REPRESENT TO THE COURT THAT I CAN EASILY LAY A FOUNDATION FOR THIS DOCUMENT.
JUDGE DAVILA: ALL RIGHT. THIS IS 13863?
JUDGE DAVILA: ALL RIGHT. THIS WILL BE CONDITIONALLY ADMITTED SUBJECT TO MOTION TO STRIKE FOR LACK OF A FOUNDATION.
JUDGE DAVILA: IT WILL BE ADMITTED CONDITIONALLY.
JUDGE DAVILA: YES, YES.
(DEFENDANT'S EXHIBIT 13863 WAS CONDITIONALLY RECEIVED IN EVIDENCE.)
BY MR. WADE:
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: A NUMBER OF THOSE ARE OVERLAPPING MEETINGS. I DON'T RECALL MEETING WITH MS. YOUNG ON THIS ISSUE. I'M SORRY, I DON'T RECALL MEETING WITH MS. HOLMES ON THIS ISSUE.
ADAM ROSENDORFF: OKAY.
ADAM ROSENDORFF: I BELIEVE SO.
MR. WADE: OKAY. LET'S GO TO 13862, WHICH I WOULD ASK TO BE CONDITIONALLY ADMITTED UNDER THE SAME REPRESENTATION AND THE SAME CONDITIONS, YOUR HONOR. IT'S JUST A DIFFERENT FORMAT OF THE SAME DATA.
JUDGE DAVILA: RIGHT. ARE YOU ASKING -- THERE'S SOME WRITING ON THIS DATA. ARE YOU ASKING THAT THAT BE ADMITTED ALSO?
MR. WADE: I AM. I ONLY INTEND TO DRAW THE WITNESS'S ATTENTION TO ONE SMALL PIECE OF IT, BUT IF THE GOVERNMENT WOULD LIKE IT REDACTED, I'M HAPPY TO.
MR. BOSTIC: SAME OBJECTIONS AS BEFORE, YOUR HONOR. THERE ARE ALSO HEARSAY ISSUES WITH THIS DOCUMENT.
JUDGE DAVILA: WHAT -- CAN YOU REDACT THAT PORTION OR LET THE GOVERNMENT KNOW WHAT PORTION THAT YOU'RE GOING TO SPEAK TO?
MR. BOSTIC: SAME OBJECTIONS, YOUR HONOR, FOUNDATION, AUTHENTICITY, AND HEARSAY.
JUDGE DAVILA: ALL RIGHT. AS TO THE HEARSAY OBJECTION, THAT IS WHY I AM CURIOUS AS TO WHICH PORTION --
JUDGE DAVILA: OKAY. SO I SHOULD KNOW WHAT IT IS THAT YOU'RE SEEKING.
MR. WADE: IT IS ONLY THE PORTION UNDER 4:00 O'CLOCK, THE TWO ITEMS, ONE AT 4:00 O'CLOCK TO 4:20 AND ONE FROM 4:25 TO 4:30 ON PAGE 415.
JUDGE DAVILA: AND THOSE ARE -- I SEE THOSE ITEMS ON THE CALENDAR. THOSE ARE REFERENCING IN THE WRITTEN MATERIALS AS WELL?
MR. WADE: THESE ARE THE OTHER ITEMS I'M GOING TO REFERENCE, YOUR HONOR, OTHER THAN THE DATE ITSELF.
(PAUSE IN PROCEEDINGS.)
JUDGE DAVILA: I'M SORRY. ARE YOU SEEKING TO INTRODUCE ANY OF THE WRITINGS?
JUDGE DAVILA: JUST WHAT YOU HAVE HIGHLIGHTED?
JUDGE DAVILA: CORRECT. GOTCHA. OKAY. THOSE WILL BE CONDITIONALLY ADMITTED SUBJECT TO A MOTION TO STRIKE FOR LACK OF FOUNDATION. NONE OF THE WRITTEN MATERIAL IS GOING TO BE OFFERED.
JUDGE DAVILA: YES.
(DEFENDANT'S EXHIBIT 13862 WAS CONDITIONALLY RECEIVED IN EVIDENCE.)
BY MR. WADE:
MR. WADE: DO YOU SEE THERE AN ENTRY ON THE CALENDAR FOR A MEETING WITH YOU FOLLOWED IMMEDIATELY BY A MEETING WITH DR. YOUNG?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: WITH DR. YOUNG, YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. LET'S GO BACK TO THE DEMONSTRATIVE, AND LET'S ADD THOSE ITEMS. LET'S GO TO DOCUMENT 13864. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THAT'S AN EMAIL MEETING, EMAIL YOU RECEIVED FROM MS. HOLMES'S ASSISTANT ON MAY 30TH, 2014? DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED. IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 13864 WAS RECEIVED IN EVIDENCE.)
ADAM ROSENDORFF: YES.
MR. WADE: AND DO YOU SEE THAT MS. HOLMES'S ASSISTANT FOLLOWS UP THE NEXT DAY AND ASKED YOU TO COORDINATE ANOTHER CLIA MEETING THAT AFTERNOON AT 4:00 P.M. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND UP AT THE TOP IT SAYS 10:34 P.M. THAT IS GREENWICH MEAN TIME, 3:30 P.M. PACIFIC, WHICH GIVEN THAT THEY'RE SUGGESTING A 4:00 P.M. MEETING. WOULD THAT SEEM LIKE THAT WAS THE ONLY REASONABLE TIMING INFERENCE?
ADAM ROSENDORFF: YEAH, THAT'S PRETTY SHORT NOTICE TO BE SETTING UP A MEETING.
ADAM ROSENDORFF: I DON'T KNOW WHAT MS. HOLMES INTENDED TO DISCUSS IN THAT MEETING.
ADAM ROSENDORFF: I HAVE IT.
ADAM ROSENDORFF: YES.
MR. WADE: AND THIS IS THE EMAIL WHERE YOU STOPPED THE HCG TESTING AND DIRECTED THAT THAT NOT OCCUR; RIGHT?
ADAM ROSENDORFF: I DIRECTED FOR THE TESTING TO BE RUN ON THE IMMULITE.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: IS THIS STILL GREENWICH MEAN TIME? I DON'T KNOW. IS THIS PACIFIC OR?
MR. WADE: I DON'T KNOW. USUALLY IT'S THE TOP EMAIL THAT ADJUSTS, BUT DO YOU RECALL WHEN YOU SENT THIS EMAIL?
ADAM ROSENDORFF: DO I HAVE AN INDEPENDENT RECOLLECTION IF I SENT THIS EMAIL FROM SEVEN YEARS AGO?
ADAM ROSENDORFF: NO, I DO NOT.
MR. WADE: I WOULD BE SURPRISED IF YOU DID. IN FACT, YOU DON'T EVEN REMEMBER HAVING A MEETING OR INTERACTING WITH MS. HOLMES ON THIS HCG DURING THIS TIME PERIOD, DO YOU?
ADAM ROSENDORFF: I CAN'T ANSWER YES OR NO.
MR. WADE: OKAY. LET'S GO TO THE NEXT. WELL, YOU DON'T RECALL THE MEETING; RIGHT? THAT WAS YOUR TESTIMONY ON DIRECT?
ADAM ROSENDORFF: RIGHT.
ADAM ROSENDORFF: YEAH.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: IT LOOKS LIKE IT WAS THE NEXT DAY, YEAH. THIS IS SATURDAY NOW THAT MR. BALWANI IS EMAILING MS. HOLMES ABOUT THIS ISSUE.
MR. WADE: RIGHT. BUT IT WAS PULLED -- THE TEST WAS PULLED, IF WE GO BACK TO THE OTHER EMAIL, JUST A FEW HOURS AFTER THAT 4:00 O'CLOCK MEETING?
ADAM ROSENDORFF: IT LOOKS LIKE IT, CORRECT.
MR. WADE: LET'S GO BACK TO THE DEMONSTRATIVE. LET'S ADD THAT. I HAVE TO ASK YOU, SIR, DO YOU STAND BY YOUR TESTIMONY THAT YOU DID NOT MEET WITH MS. HOLMES ON THESE HCG ISSUES DURING THIS TIME PERIOD?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I RECALL -- I'M SORRY.
MR. WADE: I'D LIKE TO TALK MORE ABOUT 4147. DO YOU SEE THAT? THIS IS THE EMAIL WHERE YOU STOPPED THE TESTING. DO YOU RECALL THAT?
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND DO YOU RECALL THAT THE GOVERNMENT ASKED YOU ABOUT A COUPLE OF OTHER EXHIBITS WHERE THEY SHOWED TESTING THAT HAPPENED LATER IN TIME?
ADAM ROSENDORFF: YES.
MR. WADE: AND THEY ASKED YOU, THEY ASKED YOU IF YOU WERE AWARE THAT TESTING HAD, ON THE EDISON DEVICE FOR HCG, HAD BEEN RE-IMPLEMENTED?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I WAS NOT AWARE.
MR. WADE: YOU WERE NOT AWARE OF THAT. AND YOU SAID -- THE SUGGESTION WAS THAT YOU WERE BEING COUNTERMANDED; RIGHT?
ADAM ROSENDORFF: I DON'T KNOW WHAT THE SUGGESTION WAS. I'M JUST TESTIFYING THAT I WAS NOT AWARE.
MR. WADE: YOU WERE NOT AWARE THAT THE HCG TEST WAS GOING -- EVER WENT BACK ON THE EDISON DEVICE?
ADAM ROSENDORFF: CORRECT.
MR. WADE: OKAY. LET'S LOOK AT SOME DOCUMENTS. LET'S GO TO 12656. THIS IS AN EMAIL BETWEEN YOU AND AT DIFFERENT TIMES MR. BALWANI AND DR. YOUNG AND DR. PANGARKAR; CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED. IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 12656 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
MR. WADE: LET'S START WITH THE BOTTOM EMAIL. DO YOU SEE THIS IS AN EMAIL FROM DR. BALWANI -- OR MR. BALWANI TO DR. YOUNG AND DR. PANGARKAR?
ADAM ROSENDORFF: YES.
MR. WADE: AND IT SAYS THAT YOU CAME BACK EXTREMELY FRUSTRATED THAT AS LAB DIRECTOR THAT YOU'RE NOT BEING KEPT IN THE LOOP WITH RESPECT TO CERTAIN CLIA R&D EXPERIMENTS. DO YOU RECALL THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND THEN IT SAYS, YOU CITED THE EXAMPLE OF AN HCG SAMPLE THAT WAS DILUTED AND RAN AND ADAM DIDN'T KNOW WHAT IT WAS. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND THEN HE EXPLAINS DOWN BELOW THAT HIS UNDERSTANDING IS THAT THAT WAS EXPERIMENTAL; RIGHT?
ADAM ROSENDORFF: OKAY.
ADAM ROSENDORFF: THAT'S WHAT HE'S SAYING.
ADAM ROSENDORFF: WHERE ARE YOU READING THAT?
ADAM ROSENDORFF: OH, I SEE. I'VE GOT IT. YEAH.
MR. WADE: OKAY. AND IT SAYS YOU HAD ALSO SENT AN EMAIL TO THE CLIA LAB ABOUT NOT RUNNING ANY HCG EXAMPLES ON EDISONS, AND HE DOESN'T KNOW IF THAT WAS CARRIED THROUGH ON OR IF WE LATER DETERMINED THAT THE DATA WAS CORRECT AND GOOD TO GO. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I'M NOT FOLLOWING YOU AT ALL, I'M SORRY.
MR. WADE: WELL, DO YOU SEE ON THE PRIOR PAGE HE HAD TALKED ABOUT THERE WAS SOME KIND OF EXPERIMENTAL RUN THAT WAS HAPPENING?
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND THE SUGGESTION WAS THAT MAYBE THAT CREATED SOME KIND OF CONFUSION BECAUSE YOU THOUGHT THAT YOU PUT A HALT TO ALL HCG TESTING?
ADAM ROSENDORFF: YEAH, I DIDN'T -- I DON'T HAVE AN INDEPENDENT RECOLLECTION OF THIS, BUT IT LOOKS LIKE I'M FRUSTRATED BECAUSE I DON'T KNOW IF THAT'S AN EXPERIMENTAL RUN OR THAT'S A PATIENT RUN, AND I'VE ALREADY TOLD FOLKS TO STOP RUNNING HCG ON THE EDISONS.
MR. WADE: RIGHT. AND MR. BALWANI SAYS TO THOSE GENTLEMEN, THIS INFORMATION HAS TO GO THROUGH HIM; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: AND IN THE NEXT PARAGRAPH HE SAYS, "WE NEED TO HONOR SOP'S AND PROCESSES IN CLIA AND IF THERE ARE R&D EXPERIMENTS WE WANT TO RUN THEN THEY SHOULD BE CLEARLY LABELED AS SUCH." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND THEN HE ASKS, "CAN YOU GUYS PLEASE TOUCH BASE WITH ADAM SO HE IS IN THE LOOP ON ALL HCG DECISIONS ON EDISONS." DO YOU SEE THAT?
ADAM ROSENDORFF: I SEE THAT.
MR. WADE: OKAY. LET'S GO TO THE NEXT EMAIL UP THE CHAIN. DO YOU SEE THERE DANIEL SAYS THAT HE UPDATED YOU OVER THE WEEKEND? DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: REGARDING THE REVIEW OF THE PAST HCG DATA AND WHAT THEY'RE LOOKING AT MOVING FORWARD. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND THERE WAS WORK BEING DONE OVER THE WEEKEND TO ASSESS WHETHER IT WAS OKAY TO DO THE HCG TEST; RIGHT?
ADAM ROSENDORFF: I DON'T KNOW WHAT THE WORK WAS CONDUCTED OR WHAT THE INTENTION WAS.
ADAM ROSENDORFF: IT'S PRETTY VAGUE. I DON'T REALLY KNOW WHAT DANIEL MEANS IN THIS EMAIL TO BE HONEST.
MR. WADE: OKAY. DO YOU SEE THE PART WHERE IT SAYS, "I UPDATED ADAM OVER THE WEEKEND REGARDING OUR REVIEW OF THE PAST DATA FOR HCG DATA AND WHAT WE WERE LOOKING AT MOVING FORWARDS." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: IT LOOKS LIKE THEY'RE TRYING TO DO TROUBLESHOOTING AND LOOKING AT PREVIOUS DATA AND WHATNOT?
ADAM ROSENDORFF: CORRECT.
MR. WADE: YEAH. AND SO THEY WERE TRYING TO FIGURE OUT WHAT WAS GOING ON WITH THE ASSAYS; CORRECT?
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND ISN'T THAT WHAT YOU WOULD EXPECT EVERYONE IN THE COMPANY TO DO AT THAT POINT FOR AN IMPORTANT TEST LIKE HCG?
ADAM ROSENDORFF: FOR ME THE URGENCY WAS TO HAVE AN HCG TEST THAT WAS ACCURATE. THE URGENCY WAS NOT TO PUT IT STRAIGHT BACK ON THE EDISON.
ADAM ROSENDORFF: OF COURSE.
MR. WADE: OKAY. LET'S GO UP THE CHAIN. DO YOU SEE THERE MR. BALWANI ACTUALLY FORWARDS THIS TO YOU; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: AND HE TELLS YOU THAT HE'S GOING TO CONTINUE TO MONITOR THIS AND MAKE SURE THAT THIS IS PART OF THE CULTURE; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: THAT CALLS FOR SPECULATION.
ADAM ROSENDORFF: OKAY.
MR. WADE: YOU ACKNOWLEDGE IT AND SAY IT MAKES SENSE. SO WERE YOU SPECULATING AT THAT TIME? LET'S GO UP THE CHAIN. DOES THIS HELP INFORM YOUR VIEW AS TO WHETHER MR. BALWANI'S VIEW MADE SENSE?
ADAM ROSENDORFF: I'M AGREEING WITH THE SENTIMENT THAT HE'S EXPRESSING AT THAT TIME, YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED. IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 13875 WAS RECEIVED IN EVIDENCE.)
ADAM ROSENDORFF: YES.
MR. WADE: AND YOU KNOW FROM MR. BALWANI THAT THE THREE OF YOU HAD DISCUSSED THE PLAN FOR HCG. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND THEY TALK ABOUT THE WORK THAT IS BEING DONE TO TRY TO FIGURE OUT THAT ASSAY?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND YOU SAY DOWN ON THE BOTTOM THAT YOU'RE GOING TO CHANGE HCG TO A VACUTAINER AND RUN IT ON THE IMMULITE; RIGHT?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
MR. WADE: RIGHT? AND THEN YOU'RE GOING TO HOLD THE EDISON ORDERS AND CALL FOR A REDRAW AS NEEDED; RIGHT?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
MR. WADE: OKAY. LET'S GO UP THE CHAIN. AND THEN DR. YOUNG NOTES WE'RE GOING TO ALSO REPEAT THE IQP STUDY TODAY?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES, YES.
ADAM ROSENDORFF: OKAY.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
ADAM ROSENDORFF: I'M NOT ON THE EMAIL BY THE WAY.
JUDGE DAVILA: IT'S ADMITTED. IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 12660 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
MR. WADE: LET'S GO TO THE BOTTOM. DO YOU SEE THE LAST EMAIL ACTUALLY ON THE BOTTOM OF THE SECOND PAGE?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND SHE'S WONDERING IF THEY CAN BE RELEASED OR IF THEY NEED TO BE SWITCHED. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. LET'S GO UP THE CHAIN. THIS IS THEN FORWARDED TO -- MR. BALWANI IS ON THE CHAIN. I THINK MAYBE HE GETS THE CLS EMAILS?
ADAM ROSENDORFF: I HAVE NO IDEA.
MR. WADE: OKAY. LET'S GO TO THE EMAIL ABOVE THAT FROM DR. YOUNG. OKAY. AND HE REPORTS TO MR. BALWANI AND MR. PANGARKAR THAT HE WAS JUST SPEAKING WITH YOU ABOUT THIS AND THAT YOU'RE GOING TO HOLD THE RESULT UNTIL THE STUDY WE ARE RUNNING ON THE EDISON ASSAY IS DONE. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THAT THE DATA SHOULD BE READY TONIGHT. EVERYONE WAS WORKING HARD TO GET THAT STUDY DONE; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND LET'S -- AND THAT'S -- IF YOU GO UP TO THE TOP, YOU CAN SEE WITH MR. PANGARKAR'S EMAIL THAT THAT'S THAT IQP AAP LIKE STUDY FOR A HCG?
ADAM ROSENDORFF: I'M NOT SURE REALLY WHAT WAS ENTAILED IN THE IQP.
MR. WADE: OKAY. DO YOU SEE THERE IT SAYS THAT THE LAST IQP WAS PERFORMED ON 5-6 AND DEMONSTRATED GOOD CONCORDANCE? DO YOU SEE THAT?
ADAM ROSENDORFF: YES, ACCORDING TO CHINMAY.
ADAM ROSENDORFF: NO. CHINMAY IS MAKING AN ASSERTION ABOUT THE RESULTS BEING GOOD.
MR. WADE: I UNDERSTAND. DO YOU RECALL THE RESULTS FROM THE IQP THAT WAS DONE IN THIS TIME PERIOD ON HCG?
ADAM ROSENDORFF: NO, I DO NOT.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED, AND IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 13876 WAS RECEIVED IN EVIDENCE.)
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND THAT CARRIES OVER TO THE SECOND PAGE. LET'S LOOK AT THE SUBSTANCE OF THE EMAIL. YOU ASK FOR A STATUS UPDATE ON THE HCG ON THE EDISON; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: BECAUSE THERE WERE EFFORTS BEING MADE TO FIGURE OUT GETTING IT BACK ON LINE. DO YOU RECALL THAT, THE STUDIES?
ADAM ROSENDORFF: YES.
MR. WADE: AND LET'S GO UP THE CHAIN. IT THEN SAYS, "BASED ON REPORTS SINCE FRIDAY, WE HAVE BEEN CONSISTENTLY PASSING QC -- SO WE DON'T HAVE A PROBLEM WITH THE CURRENT BUILD." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I DON'T RECALL.
ADAM ROSENDORFF: I DON'T KNOW ACTUALLY. HE'S SAYING THAT IT'S CONSISTENTLY PASSING QC. I DON'T KNOW IF HE'S RUNNING QC ON EDISONS, WHERE THOSE EDISONS ARE, IF THEY'RE IN THE CLIA LAB, IF THEY'VE BEEN QUALIFIED IN THE CLIA LAB. I HAVE NO IDEA WHAT EDISONS HE'S RUNNING THIS QC ON.
ADAM ROSENDORFF: YES.
MR. WADE: AND LET'S GRAB THE REST OF THE EMAILS FROM THE TOP. IT SAYS, "IN PARALLEL, A NEW BUILD HAS ALSO BEEN PLANNED AND IS ON HIGH PRIORITY." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THEY'RE WORKING ON ANOTHER ONE. AND YOU ASK "SO HCG IS BACK ON VACUTAINERS." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND IF IT WAS BACK ON VACUTAINERS, THAT WOULD MEAN IT WOULD HAVE TO GO OFF OF THE EDISON AND BACK ON THE VACUTAINERS; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I DON'T KNOW.
MR. WADE: WELL, LET'S LOOK AT THE TOP EMAIL. MR. BALWANI MAKES CLEAR IT WAS ACTUALLY ON THE NANOTAINERS WHICH WERE BEING USED ON THE EDISON DEVICE DURING THIS TIME PERIOD, DOES IT NOT?
ADAM ROSENDORFF: WELL, THAT'S HIS ASSERTION.
ADAM ROSENDORFF: NO, I WASN'T POLICE -- I MADE A DECISION THAT HCG SHOULD BE ON VACUTAINERS. I ASSUMED THAT WAS BEING FOLLOWED ON. I DIDN'T DO ANY POLICING ON MY OWN OF THIS.
MR. WADE: SIR, YOU WERE ACTIVELY INVOLVED IN THE RESEARCH AND DEVELOPMENT WORK THAT WAS BEING DONE ON THAT AND THE INVESTIGATION THAT WAS BEING DONE TO WORK TO GET THE EDISON ASSAY BACK ONLINE; RIGHT?
ADAM ROSENDORFF: I WAS INFORMED OF THE INVESTIGATION EFFORTS, YES.
MR. WADE: YEAH. AND YOU'RE ASKING QUESTIONS AND THEY'RE TELLING YOU IN THIS EMAIL THAT IT'S BACK ON THE EDISON DEVICE, ARE THEY NOT, SIR?
ADAM ROSENDORFF: THAT'S WHAT SUNNY IS SAYING, YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: 13877?
ADAM ROSENDORFF: I HAVE THAT.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED. IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 13877 WAS RECEIVED IN EVIDENCE.)
MR. WADE: THIS IS AN EMAIL FROM MAX FOSQUE TO A GROUP OF PEOPLE WITHIN THE CLIA LAB. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED AND MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 13878 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
MR. WADE: SIR, THIS EMAIL REFLECTS DISCUSSION ABOUT THE USE OF THE EDISON DEVICE IN THE CLIA LAB IN JULY OF 2014?
ADAM ROSENDORFF: YES.
MR. WADE: I DON'T HAVE ANY OTHER QUESTIONS ON THIS ONE. I HAVE ANOTHER LINE OF HCG QUESTIONING THAT I'D LIKE TO ASK YOU ABOUT SOME OF YOUR TESTIMONY RELATING TO EXHIBIT 4840. IF WE CAN BRING THAT UP. IF WE CAN BLOW UP THE EMAIL IN THE MIDDLE. DO YOU RECALL BEING ASKED QUESTIONS ABOUT THESE EMAILS?
ADAM ROSENDORFF: YES.
MR. WADE: AND IN PARTICULAR I THINK THE GOVERNMENT FOCUSSED YOU -- IF YOU LOOK AT THAT BOTTOM EMAIL IT SAYS, "HCG RIGHT NOW IS CAUSING SOME SERIOUS ISSUES AND PATIENT COMPLAINTS." DO YOU SEE THAT?
ADAM ROSENDORFF: YES, YES.
ADAM ROSENDORFF: I SEE THAT.
MR. WADE: AND YOU WERE ASKED WHETHER YOU WERE PART OF THE CONVERSATIONS WITH DOCTORS IN THIS TIME PERIOD ON HCG?
ADAM ROSENDORFF: I DON'T RECALL.
MR. WADE: AND DO YOU RECALL BEING QUESTIONED THAT THERE WAS A SUGGESTION THAT THIS WAS A MEDICAL ISSUE AND YOU SHOULD BE, YOU SHOULD BE INVOLVED IN MEDICAL ISSUES; RIGHT? DO YOU RECALL THAT?
ADAM ROSENDORFF: I DON'T KNOW IF YOU'RE REFERRING TO AN EMAIL OR TO THE GOVERNMENT'S LINE OF QUESTIONING OR WHAT YOU'RE REALLY REFERRING TO RIGHT NOW.
ADAM ROSENDORFF: UH-HUH.
MR. WADE: AND THEY WERE TRYING TO SUGGEST THAT YOU SHOULD BE INVOLVED IN MEDICAL ISSUES; CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. LET'S -- LET ME FOCUS ON THE -- LET ME FOCUS PARTICULARLY ON THAT LAST LINE THERE. YOU SEE, "IT'S A SENSITIVE ONE OBVIOUSLY B/C OF PEOPLE FINDING OUT IF PREGNANT." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THAT'S WHAT -- LET ME START OVER. AN HCG TEST WILL HELP INFORM PEOPLE, A WOMAN IF SHE'S PREGNANT; CORRECT?
ADAM ROSENDORFF: YES.
MR. WADE: LET'S LOOK UP THIS CHAIN. DO YOU RECALL WHAT THE ISSUE WAS THAT MR. HOLMES WAS ADDRESSING HERE WHEN YOU LOOK AT THIS NEXT EMAIL UP HERE? LET'S HIGHLIGHT IT. THERE WERE CAPACITY ISSUES; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES. THAT'S WHAT CHRISTIAN IS SAYING, YES.
ADAM ROSENDORFF: I CAN EXPLAIN WHY.
ADAM ROSENDORFF: I DON'T RECALL IF THERE WERE CAPACITY ISSUES. I DON'T RECALL IF THERE WERE CAPACITY ISSUES AT THAT TIME.
ADAM ROSENDORFF: 12:35.
ADAM ROSENDORFF: YES.
MR. WADE: THANK YOU. AND DO YOU SEE MS. HOLMES RESPONDS THAT SHE WILL RESPOND WITHIN A HALF HOUR AND SAY SHE'LL CONNECT AS SOON AS SHE'S OUT; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. LET'S JUST GO UP TO THE TOP AGAIN BECAUSE I THINK MAYBE YOU WERE ASKING ABOUT THIS PIECE OF AN EMAIL. SAME DOCUMENT. LET'S BLOW UP THAT TOP EMAIL. AND IT TALKS ABOUT HOW MR. HOLMES HAD JUST SPOKE WITH ONE OF THE PATIENT'S HUSBANDS AND THE DOCTOR. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES, YES.
MR. WADE: AND ORIGINALLY HE SAID HE WON'T SEND US ANY MORE PATIENTS BECAUSE WE'VE HAD ISSUES WITH ALL THREE; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I DON'T KNOW IF THE ISSUES WERE ACCURACY OR TURNAROUND TIME.
MR. WADE: OKAY. WELL, LET'S TAKE A LOOK AT THE LAST CHAIN IN THE EMAIL, THE LAST TWO EMAILS ON THE BOTTOM OF PAGE 3. AND I DON'T THINK THE GOVERNMENT SHOWED YOU THESE. OKAY. NOW, THESE ARE EMAILS FROM THE CUSTOMER SERVICE FOLKS; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: YES, THAT'S WHAT IT LOOKS LIKE.
MR. WADE: OKAY. NOW LET'S GO BACK UP TO THE TOP EMAIL. AND DO YOU RECALL THAT THAT IS WHAT MR. HOLMES WAS TALKING ABOUT IN THIS TIME PERIOD? MAYBE IF WE LOOK AT THAT SECOND PARAGRAPH IT WILL HELP. DO YOU SEE THERE IT SAYS, "AS FOR CURRENT STATUS OF HCG, WE ARE WORKING IN PARALLEL TO RUN SAMPLE ON EDISON AS WELL AS IMMULITE. BUT WE FOUND OUT THIS MORNING THAT REAGENTS FOR IMMULITE ARE ON ORDER AND BACK ORDERED." DO YOU SEE THAT?
ADAM ROSENDORFF: UH-HUH, UH-HUH.
ADAM ROSENDORFF: I DON'T RECALL. I DON'T RECALL FROM 2,000, NO, I DON'T RECALL THAT.
MR. WADE: OKAY. DO YOU RECALL THAT THERE WERE PATIENTS THAT WERE WAITING TO GET THE RESULTS AND THAT THAT WAS THE PROBLEM?
ADAM ROSENDORFF: I'M READING THAT FROM THE EMAIL THAT YOU'RE SHOWING ME, YES.
ADAM ROSENDORFF: OKAY.
MR. WADE: AND THIS IS AN EMAIL WITH VARIOUS PEOPLE IN THE CHAIN, THE SUBJECT OF WHICH IS INVENTORY; CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED, AND IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 13881 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
MR. WADE: OKAY. LET'S GO TO THE END. SO THIS IS MR. BALWANI FOLLOWING UP ON THAT IMMULITE REAGENT ISSUE THAT WAS MENTIONED BY MS. HOLMES; CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND HE'S ASKING WHO WAS RESPONSIBLE BECAUSE HE JUST DISCOVERED THAT YOU RAN OUT OF HCG REAGENT FOR THE IMMULITE; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND WHO IS RESPONSIBLE FOR ENSURING THAT THERE ARE REAGENTS WITHIN THE CLIA LAB?
ADAM ROSENDORFF: A SUPERVISOR.
ADAM ROSENDORFF: OR A CLS, SOMETHING LIKE THAT.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND IF WE JUST GO UP THE CHAIN. AND IF WE HAVE THE CHAIN -- I'M SORRY, YOU HAD THE RIGHT EMAIL, MR. BENNETT. YOU PROVIDED CLARIFICATION FOR MR. BALWANI ON WHY THERE WAS THIS HCG BACKLOG IN THE CLIA LAB ON THE IMMULITE; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. JUST SO WE'RE CLEAR, THIS HAD NOTHING TO DO WITH THE EDISON DEVICE, THIS WAS AN IMMULITE ISSUE?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND LET'S GO UP JUST TO THE TOP EMAIL. THIS IS AN EMAIL WHERE YOU'RE HAVING A DISCUSSION WITH MR. BALWANI ABOUT ONE OF YOUR SUBORDINATES; RIGHT?
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND ABOUT SOME CHALLENGES THAT YOU WERE HAVING IN MANAGEMENT OF THAT SUBORDINATE; CORRECT?
ADAM ROSENDORFF: YES.
MR. WADE: AND TALKING THROUGH WITH YOUR SUPERVISOR WAYS IN WHICH YOU MIGHT WORK TO IMPROVE THAT; IS THAT FAIR?
ADAM ROSENDORFF: YES, YES.
MR. WADE: OKAY. AND THAT'S A PERFECTLY APPROPRIATE CONVERSATION TO HAVE WITH TWO MORE SENIOR PEOPLE ABOUT A SUBORDINATE; IS IT NOT?
ADAM ROSENDORFF: IN MY -- YES, IN MY OPINION.
MR. WADE: OKAY. I DON'T HAVE ANY MORE QUESTIONS ON THAT TOPIC, SIR. I'D LIKE TO ASK YOU A FEW QUESTIONS, SIR, ABOUT WHAT I'M GOING TO REFER TO AS THE SIXTH TIP POLICY. OKAY?
ADAM ROSENDORFF: OKAY.
MR. WADE: NOW, THE EDISON DEVICES HAD SIX TIPS THAT HAD RAN IN ORDER TO PERFORM ON EACH INDIVIDUAL BLOOD SAMPLE; IS THAT CORRECT?
ADAM ROSENDORFF: NOT ORIGINALLY. THE ORIGINAL EDISON DEVICES HAD THREE TIPS.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: I BELIEVE SO.
MR. WADE: AND DO YOU RECALL THAT -- AND JUST SO THE JURY IS CLEAR, EACH OF THOSE TIPS ESSENTIALLY DELIVERS A RESULT; CORRECT? OR WHY DON'T YOU EXPLAIN TO US HOW EACH OF THOSE SIX TIPS OPERATE WITHIN THE EDISON?
ADAM ROSENDORFF: YEAH. THOSE TIPS ARE -- I DON'T WANT TO GET TOO TECHNICAL, BUT THE TIPS ARE COATED WITH ANTIBODIES. EACH TIP IS EXPOSED TO THE PATIENT SAMPLE. THE ANTIBODIES BIND TO THE ANALYTE, AND THEN A SECONDARY ANTIBODY DETECTS THE PRIMARY ANTIBODY. THE SECONDARY ANTIBODY IS CONJUGATED TO A CHLOROPHYLL, WHICH IS FLUORESCENT. EACH TIP GIVES OUT A SIGNAL. THERE ARE DIFFERENT CONFIGURATIONS. I WON'T GO INTO THAT WHETHER IT'S A COMPETITIVE ELISA OR A DIRECT OR INDIRECT. AND ESSENTIALLY EACH TIP REPORTS OUT A RESULT IN A RELATIVE LIGHT UNITS AND IN CONCENTRATION.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND UNDER THE POLICY THAT THE COMPANY ADOPTED AFTER IT MOVED TO THE SIXTH TIP POLICY OR THE SIXTH TIP FORMAT?
ADAM ROSENDORFF: YES.
MR. WADE: TWO RESULTS OF THOSE SIX TIPS COULD BE DISCARDED AND THEN THE REMAINING FOUR RESULTS FROM THE FOUR OTHER TIPS WOULD BE AVERAGE TO PRODUCE THE RESULT; CORRECT?
ADAM ROSENDORFF: CORRECT.
MR. WADE: OKAY. AND I UNDERSTAND THAT THIS PRACTICE WHERE YOU MOVED TO AN AVERAGE FOUR WAS SOMETHING THAT WAS DEVELOPED BY DR. YOUNG; IS THAT CORRECT?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: THERE WAS NO FORMAL PROCEDURE SOP REGARDING -- OR POLICY REQUIRING ASSAY DETECTION. I WAS TOLD BY DANIEL THAT THERE WAS AN ALGORITHM INSIDE THE 3.5 THAT WOULD DO THOSE AUTOMATICALLY.
ADAM ROSENDORFF: I BELIEVE SO.
MR. WADE: AND THEN THAT POLICY OF AVERAGING THE FOUR AND REMOVING THE TWO WAS AUTOMATED, YOU UNDERSTAND, WITHIN THE ALGORITHM; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: DANIEL TOLD ME THAT'S WHAT WAS GOING TO HAPPEN.
ADAM ROSENDORFF: I THOUGHT IT WAS REASONABLE, YES.
ADAM ROSENDORFF: I THOUGHT IT WAS UNUSUAL. I HADN'T REALLY HEARD OF THIS BEING DONE BEFORE.
MR. WADE: RIGHT. DO YOU RECALL THAT YOU WERE ASKED IF THAT WAS SOMETHING THAT YOU APPROVED IN YOUR DEPOSITION AND YOU SAID YES?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I DON'T KNOW.
MR. WADE: DO YOU RECALL IN YOUR DEPOSITION THAT YOU WERE ASKED THAT OTHER SCIENTISTS IN THE LAB APPROVED AS WELL, CORRECT, AND YOU SAID YES?
ADAM ROSENDORFF: I SUPPOSE SO. I DON'T RECALL EVERY WORD OF MY DEPOSITION, NO.
ADAM ROSENDORFF: I DON'T KNOW.
ADAM ROSENDORFF: I DON'T KNOW.
JUDGE DAVILA: IS THIS TO REFRESH A WITNESS'S RECOLLECTION?
MR. WADE: IT IS, YOUR HONOR. IT'S IN ONE OF THE YELLOW BINDERS. IT'S YOUR DEPOSITION TESTIMONY FROM ARIZONA.
ADAM ROSENDORFF: OH, I THOUGHT WE WERE TALKING ABOUT MY TESTIMONY YESTERDAY WITH THE GOVERNMENT. I'M SORRY. I MISUNDERSTOOD WHAT YOU WERE REFERRING TO.
BY MR. WADE:
MR. WADE: OKAY. LET ME TRY AGAIN. DO YOU RECALL TESTIFYING IN YOUR DEPOSITION IN ARIZONA UNDER OATH; CORRECT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND DO YOU RECALL BEING ASKED WHETHER DR. PANDORI APPROVED OF THIS AND YOU ANSWERED YES?
ADAM ROSENDORFF: I HONESTLY DON'T RECALL WHAT WAS DISCUSSED IN THE DEPOSITION. I CAN READ THROUGH THE TRANSCRIPT.
MR. WADE: IF YOU COULD DRAW YOUR ATTENTION TO PAGE 228, LINES 18 TO 22 AND READ THEM TO YOURSELF, AND LET ME KNOW WHEN YOU'RE DONE, DOCTOR.
(PAUSE IN PROCEEDINGS.)
ADAM ROSENDORFF: I'VE READ IT.
BY MR. WADE:
MR. WADE: OKAY. DOES THAT REFRESH YOUR RECOLLECTION THAT YOU TESTIFIED THAT DR. PANDORI APPROVED OF THIS PRACTICE AS WELL?
ADAM ROSENDORFF: AS I SAID, I DON'T HAVE AN INDEPENDENT RECOLLECTION OF MY DEPOSITION. I'M JUST READING THE CONTENT, AND THAT'S WHAT IT SAYS, YES.
ADAM ROSENDORFF: NO, IT DOES NOT REFRESH MY RECOLLECTION.
MR. WADE: OKAY. AND JUST SO WE'RE CLEAR, THIS WAS -- THIS WOULD NOT BE A POLICY THAT WOULD BE IMPLEMENTED BY MS. HOLMES AS THE CEO OF THE COMPANY; CORRECT?
ADAM ROSENDORFF: YEAH.
ADAM ROSENDORFF: I TRIED TO CONTROL EVERYTHING THAT I POSSIBLY COULD.
ADAM ROSENDORFF: YES.
MR. WADE: AND THIS POLICY OF THE SIXTH TIP PRACTICE IN AVERAGING FOUR OF THOSE RESULTS WAS SOMETHING THAT WAS WELL-KNOWN TO YOU; RIGHT?
ADAM ROSENDORFF: YES, YES.
ADAM ROSENDORFF: YES, YES.
ADAM ROSENDORFF: I DISCUSSED IT WITH DANIEL, AND I BELIEVE I AGREED AND APPROVED IT AND DISCUSSED IT WITH HIM, YEAH.
MR. WADE: YES. AND JUST SO YOU'RE AWARE, I BELIEVE YOU WERE ASKED A QUESTION DURING YOUR DIRECT EXAMINATION RELATING TO WHETHER ANY COMMERCIAL DEVICES AVERAGE CALCULATIONS; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: YES. LET'S TAKE A LOOK AT EXHIBIT 392, WHICH IS A BIG ONE, BUT I'M ONLY GOING TO ASK YOU ABOUT A VERY SMALL PORTION OF IT. LET ME KNOW WHEN YOU HAVE THAT.
ADAM ROSENDORFF: THIS IS THE OPERATOR'S GUIDE TO THE IMMULITE.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED. IT MAY BE PUBLISHED.
(GOVERNMENT'S EXHIBIT 392 WAS RECEIVED IN EVIDENCE.)
(LAUGHTER.)
BY MR. WADE:
MR. WADE: I'D ASK YOU TO LOOK AT PAGE 41 OF THE EXHIBIT NUMBER THAT IS. LET ME KNOW WHEN YOU'RE THERE.
ADAM ROSENDORFF: OKAY.
MR. WADE: DO YOU SEE AT THE TOP OF THAT PAGE IT TALKS ABOUT THE INSTRUMENT READINGS? DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: OKAY.
ADAM ROSENDORFF: YES.
MR. WADE: AND I JUST WANT TO MAKE SURE THE RECORD IS CLEAR, YOU WERE NOT IN THE ROOM WITH ANY VIP'S OR INVESTORS?
ADAM ROSENDORFF: NO, I WAS NOT.
MR. WADE: THE ONLY QUESTION I HAVE FOR YOU RELATING TO THAT IS YOU WEREN'T CONCERNED ABOUT THE RESOURCES ASSIGNED TO DEMOS, THAT THEY WEREN'T DISRUPTIVE IN THE LAB; RIGHT?
ADAM ROSENDORFF: NO, NOT AT ALL.
MR. WADE: WE'VE TALKED A LOT AT DIFFERENT TIMES ABOUT THE DOCTOR INQUIRIES AND THE HANDLING OF THE DOCTOR INQUIRIES. DO YOU RECALL THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND DO YOU RECALL THAT THERE WERE MULTIPLE WAYS THAT THERANOS HAD FOR DOCTORS TO RAISE QUESTIONS; RIGHT? WELL, THEY HAD A CUSTOMER SERVICE LINE; RIGHT?
ADAM ROSENDORFF: YES, YES.
ADAM ROSENDORFF: SURE.
ADAM ROSENDORFF: SURE.
ADAM ROSENDORFF: I STILL DO THAT AT MY CURRENT JOB.
ADAM ROSENDORFF: I'M A LAB DIRECTOR AT THE VALENCIA BRANCH LABORATORY. IT'S A JOINT VENTURE BETWEEN PERKIN ELMER AND THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH FOR COVID TESTING.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: BUT FOR THE MOST PART THERE ARE A LOT OF -- THERE ARE CUSTOMER SERVICE REPRESENTATIVES WHO ARE SUPPOSED TO KIND OF SEPARATE THE WHEAT FROM THE SHAFT; RIGHT?
ADAM ROSENDORFF: IDEALLY, YES.
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND THERE ARE ALSO SALES REPRESENTATIVES THAT ARE OFTEN OUT IN THE FIELD AND THEY'RE DEALING WITH DOCTORS; RIGHT?
ADAM ROSENDORFF: YES. LUCKILY FOR COVID, IT'S NOT SOMETHING THAT YOU HAVE TO GO OUT AND SELL TO PEOPLE.
ADAM ROSENDORFF: IT'S SOMETHING THAT IS REALLY NEEDED.
MR. WADE: BUT IN THERANOS, AT THERANOS THEY WERE OUT AS PART OF THEIR COMMERCIAL EFFORTS AND THEY HAD PEOPLE OUT TALKING TO DOCTORS; RIGHT?
ADAM ROSENDORFF: I WASN'T REALLY AWARE OF THE SALES, THE THERANOS SALES FORCE AND WHAT THE ACTIVITIES WERE IN THAT REGARD. I WASN'T INVOLVED.
MR. WADE: WELL, YOU TALKED ABOUT, YOU MAY RECALL, ON TUESDAY ABOUT ALL OF THE PEOPLE AT THERANOS WHO WERE CONTRIBUTING TO MAKING THE SYSTEM WORK; RIGHT? DO YOU RECALL THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THAT INVOLVED A LOT OF DIFFERENT PEOPLE WHO WOULD TAKE INPUTS FROM DIFFERENT CUSTOMERS; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES, YES.
MR. WADE: AND WHEN IT CAME TO THE INTERPRETATION OF THE TEST RESULTS, THAT IS A THING THAT YOU NEEDED TO BE INVOLVED IN; RIGHT?
ADAM ROSENDORFF: YES.
MR. WADE: BECAUSE THERE'S ACTUALLY A SPECIFIC REGULATION WITHIN THE FEDERAL CLIA LAB REGULATIONS THAT RELATE TO THE INTERPRETATION OF LAB RESULTS; CORRECT?
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: I BELIEVE THE REGULATIONS SAY THAT THE LABORATORY MUST MAKE AVAILABLE TO CLIENTS CONSULTATION REGARDING INTERPRETATION OF TEST RESULTS. SOMETHING TO THAT EFFECT. IN OTHER WORDS, IF SOMEBODY CALLS AND WANTED TO KNOW HOW YOU INTERPRET A TEST, A LAB DIRECTOR WOULD HANDLE THAT, YEAH.
MR. WADE: RIGHT. THE REGULATION REQUIRES THAT THE LAB DIRECTOR MUST ENSURE THAT CONSULTATION IS AVAILABLE TO THE LABORATORY'S CLIENTS ON MATTERS RELATING TO THE QUALITY OF THE TEST RESULTS REPORTED AND THEIR INTERPRETATION CONCERNING SPECIFIC PATIENT CONDITIONS; RIGHT?
ADAM ROSENDORFF: ARE YOU READING THE STATUTE?
ADAM ROSENDORFF: THAT'S FINE. IT SOUNDS LIKE YOU ARE, YEAH.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES, YES.
ADAM ROSENDORFF: THAT'S RIGHT.
MR. WADE: AND SOMETIMES DOCTORS WOULD RAISE ISSUES AND -- OR HAVE QUESTIONS, AND IT WOULDN'T PROMPT -- AND THEY WOULDN'T HAVE MUCH VALIDITY TO IT OR IT WOULDN'T BE OF REAL CONCERN TO YOU; CORRECT?
ADAM ROSENDORFF: BY THE TIME THAT THEY WERE ESCALATED TO ME, THE VAST MAJORITY OF THEM POINTED TO SERIOUS ISSUES.
ADAM ROSENDORFF: I'M SORRY. AGAIN, WHAT VOLUME AND WHAT BINDER?
ADAM ROSENDORFF: 7462. YES, I HAVE THAT.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. BOSTIC: NO OBJECTION.
JUDGE DAVILA: IT'S ADMITTED. IT MAY BE PUBLISHED.
(DEFENDANT'S EXHIBIT 7462 WAS RECEIVED IN EVIDENCE.)
BY MR. WADE:
MR. WADE: OKAY. AND WE'LL GO VERY QUICKLY THROUGH THIS. BUT LET'S JUST, TO MAKE SURE EVERYONE IS ON THE SAME PAGE, LET'S JUST GO TO THE LAST EMAIL. DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: AND THIS -- AGAIN, WE'VE SEEN MANY OF THESE WHERE THE CUSTOMER SERVICE REPRESENTATIVE FIELDS A CALL?
ADAM ROSENDORFF: YES.
MR. WADE: AND THIS ONE SAYS THAT THE PARTICULAR DOCTOR IS QUESTIONING THE RESULTS. DO YOU SEE THAT?
ADAM ROSENDORFF: AND HE WOULD LIKE TO BE CALLED ABOUT THE RESULTS, YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND YOU'RE GETTING UP TO SPEED ON THE ISSUE. IS THAT A FAIR SUMMARY OF THE COUPLE OF EMAILS?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND LET'S GO OVER TO THE EMAIL THAT CARRIES OVER TO THE NEXT PAGE, JUST THE TOP THERE. HE HAD FORWARDED ALONG SOME OF THESE COMMUNICATIONS. HE SAID, "SUNNY, I AM NOT SURE IF YOU READ THIS ALREADY. "WE ARE CONFIDENT ABOUT OUR LIPID PANEL RESULTS BASED ON THE DAILY RUNS WHERE WE COMPARE FINGERSTICK SAMPLES TO NEAT VENOUS (PREDICATE)." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: IT LOOKS THAT WAY.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
MR. WADE: AND HE SAYS, "WE NEED TO CALL THIS DOCTOR AND BE A BIT MORE FIRM ABOUT OUR PERFORMANCE. WE CAN DO A REDRAW, BUT HIS IGNORANT COMMENTS ARE NOT OK. YOU CAN EXPLAIN TO HIM WE RUN THOUSANDS OF SAMPLES AND OUR SAMPLE TRACKING IS VERY TIGHT." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
MR. WADE: BUT HE ALSO SAYS THAT, "WE CAN DO A REDRAW FOR NO CHARGE TO THE PATIENT, NO PROBLEMS." RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND YOU REPORTED BACK THAT YOU'RE EMPHATIC WITH DR. CHEN REGARDING OUR RIGOROUS VALIDATION AND QUALITY PROCESS; RIGHT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: AND THEN YOU SAID, "IN MY EXPERIENCE THERE ARE ALWAYS A HANDFUL OF M.D.'S WHO REFUSE TO ACKNOWLEDGE SCIENTIFIC DATA ABOUT THEIR PATIENTS." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: CORRECT.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: I THINK SO. I DON'T RECALL.
ADAM ROSENDORFF: YES.
ADAM ROSENDORFF: YES.
MR. WADE: CORRECT? AND SO THAT WAS THE BASIS FOR YOUR COMFORT IN DEFENDING THOSE RESULTS; IS THAT CORRECT?
ADAM ROSENDORFF: YES.
MR. WADE: OKAY. AND LET'S JUST GO TO THE EMAIL AT THE TOP. AND HE THANKS YOU FOR DOING THIS. HE SAYS HE APPRECIATES IT. AND HE SAYS, "SOME WILL ALWAYS BE DOUBTERS -- HAPPENS WITH NEW TECHNOLOGY." DO YOU SEE THAT?
ADAM ROSENDORFF: YES.
JUDGE DAVILA: LET'S DO THAT. THANK YOU. LADIES AND GENTLEMEN, WE'LL TAKE OUR NOON -- EXCUSE ME, OUR RECESS FOR THE WEEKEND. WE'LL RESUME AGAIN ON TUESDAY, TUESDAY NEXT AT 9:00 A.M. LADIES AND GENTLEMEN, PLEASE RECALL THE ADMONITION, PLEASE. YOU MUST NOT COMMUNICATE WITH ANYONE IN ANY WAY ABOUT THIS CASE, AND YOU MUST IGNORE ANY INFORMATION ABOUT THE CASE THAT YOU MIGHT SEE WHILE BROWSING THE INTERNET OR ANY OF YOUR SOCIAL MEDIA FEEDS. PLEASE ALSO DO NOT -- PLEASE IGNORE RATHER, PLEASE IGNORE ANY MEDIA THAT YOU MIGHT SEE OR COME ACROSS DURING THE WEEKEND. IF YOU SEE SOMETHING IN THE NEWSPAPER OR THE TELEVISION OR NEWSPAPER OR LISTEN TO SOMETHING, PLEASE TURN AWAY AND TURN THE DEVICE OFF. I'LL ASK YOU AGAIN TUESDAY NEXT WHETHER OR NOT YOU'VE HAD OCCASION TO SUFFER ANY ADDITIONAL INFORMATION ABOUT THE CASE, OTHER THAN WHAT YOU'VE HEARD HERE. OTHER THAN THAT, PLEASE ENJOY THE WEEKEND AND HAVE A GOOD WEEKEND, AND WE'LL SEE YOU NEXT WEEK. THANK YOU. YOU MAY STAND DOWN, DOCTOR. THANK YOU.
(JURY OUT AT 1:01 P.M.)
JUDGE DAVILA: PLEASE BE SEATED. THANK YOU. THANK YOU. THE RECORD SHOULD REFLECT OUR JURY HAS LEFT FOR THE WEEKEND AND DR. ROSENDORFF HAS LEFT THE COURTROOM. ALL COUNSEL AND THE DEFENDANT ARE PRESENT. ANYTHING FURTHER BEFORE WE BREAK?
MR. BOSTIC: VERY BRIEFLY, YOUR HONOR. JUST FOR PLANNING AND HOUSEKEEPING PURPOSES NEXT WEEK, IF WE COULD HAVE AN ESTIMATE AS TO HOW MUCH LONGER THE DEFENSE HAS WITH THIS WITNESS? WE HAVE OUT-OF-TOWN WITNESSES THAT WE'RE TRYING TO PLAN THEIR TRAVEL.
JUDGE DAVILA: SURE. MR. WADE, CAN YOU HELP US WITH THAT QUESTION?
MR. WADE: THE SHORT ANSWER IS YES. THE QUESTION IS WHEN. MR. BOSTIC RAISED THAT. I SUGGEST THAT WE CONFER OVER THE WEEKEND. I UNDERSTAND THAT NEED, AND WE WILL GIVE GUIDANCE. I WOULD EXPECT THAT WE'LL TAKE PROBABLY ALL OF THE DAY ON TUESDAY.
JUDGE DAVILA: OKAY. IS THAT HELPFUL?
MR. BOSTIC: THAT'S HELPFUL TO NOTE, YOUR HONOR. THANK YOU.
JUDGE DAVILA: THANK YOU.
MR. WADE: BUT AS I GO THROUGH I'LL STAY IN COMMUNICATION WITH THE GOVERNMENT ON THAT. I WANT TO MAKE SURE THAT THEY'RE ABLE TO GIVE THEIR WITNESSES AS MUCH NOTICE AS NECESSARY.
JUDGE DAVILA: THANK YOU. I APPRECIATE THAT COOPERATION. PLEASE COMMUNICATE WITH THE COURT THROUGH MS. KRATZMANN IF THERE'S ANY ISSUE THAT COMES UP THAT YOU FEEL YOU WOULD LIKE TO MEET IN ADVANCE OF TUESDAY OR TUESDAY MORNING OR ANY OTHER ISSUE.
MR. WADE: THE GOVERNMENT -- WE'VE BEEN IN CONTINUED COMMUNICATIONS ON THESE ISSUES AND PLEDGE TO HAVE MORE OVER THE WEEKEND. DOES THE COURT HAVE A PREFERENCE IF WE FEEL LIKE ISSUES NEED TO BE RAISED JUST IN THE IMMEDIATE SCHEDULING PERIOD ON MONDAY AND TUESDAY, WOULD THE COURT HAVE A PREFERENCE TO DO THAT ON MONDAY OR TUESDAY?
JUDGE DAVILA: WELL, I THINK OUR CAL -- MS. KRATZMANN, CAN YOU REMIND US OF OUR CALENDAR ON MONDAY? I THINK WE HAVE A MATTER IN THE MORNING.
COURT CLERK: WE HAVE A MATTER IN THE MORNING AT 10:00 AND THEN YOU HAVE THE AFTERNOON PROBABLY FROM 1:30 TO 3:00, 3:15. AFTER THAT YOU WOULD BE AVAILABLE.
MR. WADE: WOULD IT BE THE COURT'S PREFERENCE TO DO IT LATE IN THE AFTERNOON ON MONDAY IF THE GOVERNMENT WANTS TO RAISE ISSUES OR SHOULD WE DO IT IN THE MORNING? EITHER ONE IS FINE BY THE -- FROM THE DEFENSE.
MR. BOSTIC: YOUR HONOR, ON THAT POINT, WE WILL BE GUIDED BY THE COURT. UNLESS THE DEFENSE BELIEVES OTHERWISE, I DON'T THINK THESE ISSUES WILL REQUIRE MORE TIME THAN WOULD BE AVAILABLE TUESDAY MORNING. SO I WOULD SUGGEST THAT WE HANDLE IT TUESDAY MORNING UNLESS THESE ISSUES EXPAND DURING MY CONVERSATIONS WITH MR. WADE OVER THE WEEKEND.
MR. WADE: THAT SOUNDS LIKE A GOOD IDEA. IF WE THINK THERE'S ANY DANGER, WHY DON'T WE ADVISE THE COURT AND COME IN MONDAY AFTERNOON.
JUDGE DAVILA: I APPRECIATE THAT. SO THE DEFAULT WOULD BE WE COULD DO ANYTHING ON TUESDAY, AND IF NOT, YOU FOLKS WILL TALK, AND YOU'LL LET MS. KRATZMANN KNOW, AND WE'LL SCHEDULE ACCORDINGLY.
MR. BOSTIC: YES, YOUR HONOR.
JUDGE DAVILA: GREAT. ALL RIGHT.
JUDGE DAVILA: HAVE A GOOD WEEKEND.
COURT CLERK: COURT IS ADJOURNED.
(COURT ADJOURNED AT 1:04 P.M.)