That sounds like a valid concern, Richard. Thank you for being an advocate for 
good utilization of patient testing. What is behind their concern? Do they 
think there has been a mistake with patient identification in your lab? Or are 
they trying to reconcile low PSA or other discordant screening test results 
with a diagnosis of prostate CA?

I would offer to send whatever they need from the lab (paraffin section curls, 
unstained slides, etc) back to their office, so long as they provide patient 
consent. The urologist's office can then package that material with the buccal 
swabs they get from the patient. The onus can be on them to manage the cost of 
the testing, and they can then try to justify it with the patient when 
insurance will not reimburse for it.

Is this option feasible?

Teri

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