Proposed study of birth defects and breast

[Guest guest]

DCC017002623

DOW CORNING

December 11, 1992

Steve Lamm, M.D.

2428 Wisconsin Avenue, N.W.

Suite 200

Washington, DC 20007

Dear Steve:

It was good to see you last week at the GWU

conference. At your convenience, I would appreciate

receiving a copy of the video you made of the

proceedings.

As we discussed at the conference, I would like to

contract with your organization for a study of birth

defects and breast implants. I envision something

involving secondary data analysis, perhaps some type

of study that capitalizes on the differences in breast

implant prevalence by geographic

area or race. Contingent upon the results of this

initial work, additional research involving primary

data collection may be necessary.

Prior to you initiating any work, I would like to

receive a proposal for review with my colleagues. In

this proposal, please give me a rough idea of the time

and money that might be involved. Given a decision is

to proceed, and possibly after you have completed your

feasibility work but before any

Specific statistical analyses, I would expect to

receive a protocol. Given we accept the protocol

(which likely may be simply a more detailed or final

version of your proposal), we will finalize a contract

and you can proceed.

This may Sound complicated, but I think it can be

accomplished fairly rapidly.

Best regards for the coming holiday season,

Ralph R. Cook, M.D.

Director of Epidemiology

cc: Myron on, M.D.

LeVier, Ph.D.