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th<strong>in</strong>g on their m<strong>in</strong>d when they are go<strong>in</strong>g <strong>in</strong>to the biopsy is<br />

about research. And weigh<strong>in</strong>g the -- let me call it<br />

autonomy rights of the <strong>in</strong>dividual which we give very<br />

robustly and fully when they are <strong>in</strong> the calm atmosphere of<br />

a research context versus when they come <strong>in</strong>to the cl<strong>in</strong>ic<br />

and weigh<strong>in</strong>g that aga<strong>in</strong>st the potential for those samples<br />

just not be<strong>in</strong>g available whatsoever.<br />

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I th<strong>in</strong>k that is what we struggled with here<br />

about whether or not to collapse.<br />

DR. MURRAY: Thank you, Steve. That was very<br />

helpful.<br />

DR. COX: So to go one step further that was<br />

the reason<strong>in</strong>g. So <strong>in</strong> my simple m<strong>in</strong>ded way what is the<br />

punch l<strong>in</strong>e? Zeke has filled <strong>in</strong> the boxes so what is the<br />

punch l<strong>in</strong>e, big picture punch l<strong>in</strong>e if we look at those<br />

boxes. First we have a ton of samples that were previously<br />

collected. Can we use them or not? Can we say -- okay,<br />

even though those were not -- and that is both from the<br />

po<strong>in</strong>t of view of research and from the po<strong>in</strong>t of view of the<br />

cl<strong>in</strong>ic, the -- if we are go<strong>in</strong>g to use them with identifiers<br />

we have got to go back and get consent, full consent. If<br />

we are not go<strong>in</strong>g to use them with identifiers, okay, it is<br />

okay to use them even though we do not have the consent

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