Robinson Memorial Hospital Ravenna, Ohio ##.266 HORE & July 27, 1981 Dr. D. E. Paglia, Professor Division of Surgical Pathology University of California, Los Angeles Los Angeles, CA 90024 Dear Dr. Paglia; Thank you very much for your material on the Marshallese Islanders. I confess that I did not think that such a review committee would serve any particularly useful purpose; nor did I think that such agreement could be achieved. There was, indeed, some arm-twisting, but this was minor and, all in all, I admit I was wrong. (I have been wrong before.) May I congratulate you on the succinct presentation you have prepared. My own version having been subjected to multiple emendations te satisfy various reviewers, I do not propose to inflict the same on you. Indeed, there is nothing much that I would quarrel with, in any event. (1 am interested that you, as well as Dr. Woolner, I think it was, know what a "true neoplasm" really is; I remain with Virchow, ignorant of this.) While the findings of the Review Committee should satisfy the need for a united front, and while, indeed, I think they represent an honest concensus of opinion, the fact remains that in the course of the past ten years, multiple diagnoses, apparently different, were offered by these same géntlemen, and I am still exploring the reasons why. I think they are mainly conceptual and interpretive, rather than objective and observational. I was a little disappointed that your own comments on the very first discussion did not get further aired. If I understood your drift correctly, you were proposing that factual descriptions should first be written; and that diagnostic terminology, which includes opinions on probable behavior, should be considered later. Even if I am mistaken in your meaning, this would have seemed to me an interesting exercise with so many experts assembled. I think your finished product is much superior to the previous effort and you deserve thanks all around. Kind regards. Yours sincerely, a-y a . f é John D. Reid, Pathologist JDR/drts XC: Dr. wer mn Conard : - oft M.D.