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and how hav<strong>in</strong>g the option to participate <strong>in</strong> research gives<br />

a sense of control and be beneficial. Could you also talk<br />

a little bit about what are the concerns that women with<br />

breast cancer have about these sorts of archival projects?<br />

The second question has to do with the consent<br />

process. To amplify some themes that Alex raised, are<br />

there barriers to a layered consent process from the po<strong>in</strong>t<br />

of view of the woman at different stages of breast cancer<br />

so that we had heard some anecdotal <strong>in</strong>formation that, you<br />

know, you have so much on your m<strong>in</strong>d at the time of<br />

diagnosis, def<strong>in</strong>itive treatment, that really is not the<br />

optimal time from the woman's po<strong>in</strong>t of view to enter <strong>in</strong>to<br />

the k<strong>in</strong>d of nuance layered discussion that Dr. Old was<br />

talk<strong>in</strong>g about. So aga<strong>in</strong> most of the barriers you were<br />

talk<strong>in</strong>g about were barriers from the cl<strong>in</strong>ician side or from<br />

the cost side. Are there also barriers to a layered<br />

approach to consent from a woman's po<strong>in</strong>t of view?<br />

F<strong>in</strong>ally, if you could --<br />

MS. BARR: Okay.<br />

DR. LO: We all try and get three questions<br />

under the guise of one.<br />

So part 2B or part 3 is could you address the<br />

issue of be<strong>in</strong>g recontacted?<br />

MS. BARR: Yes.

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