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  • ROBERT ROSS et al VS. C.C. MOORE & CO. ENGINEERS ASBESTOS document preview
  • ROBERT ROSS et al VS. C.C. MOORE & CO. ENGINEERS ASBESTOS document preview
  • ROBERT ROSS et al VS. C.C. MOORE & CO. ENGINEERS ASBESTOS document preview
  • ROBERT ROSS et al VS. C.C. MOORE & CO. ENGINEERS ASBESTOS document preview
  • ROBERT ROSS et al VS. C.C. MOORE & CO. ENGINEERS ASBESTOS document preview
  • ROBERT ROSS et al VS. C.C. MOORE & CO. ENGINEERS ASBESTOS document preview
  • ROBERT ROSS et al VS. C.C. MOORE & CO. ENGINEERS ASBESTOS document preview
  • ROBERT ROSS et al VS. C.C. MOORE & CO. ENGINEERS ASBESTOS document preview
						
                                

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oyu Dd WILLIAM M. HAKE, ESQ. (SBN 110956) Bill. Hake@wilsonelser.com ELECTRONICALLY JEREMY C. BERLA, ESQ. (SBN 267331) FILED Jeremy.Berla@wilsonelser.com Palplardat lebceleh od coda ROCKFORD M. HEARN, ESQ. (SBN 269074) County of oie Frevicteco Rockford. Hearn@wilsonelser.com WILSON, ELSER, MOSKOWITZ, 08/13/2015 EDELMAN & DICKER LLP BY:RONNIE OTERO 525 Market Street, 17th Floor Deputy Clerk San Francisco, CA 94105-2725 Telephone: (415) 433-0990 Facsimile: (415) 434-1370 Attorneys for Defendants ADVANCE MECHANICAL CONTRACTORS, INC. ANDERSON, ROWE & BUCKLEY, INC. BELL PRODUCTS, INC. COLLINS ELECTRICAL COMPANY, INC. EMIL J. WEBER ELECTRICAL COMPANY, INC. IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF SAN FRANCISCO ROBERT ROSS AND JEAN ROSS, Case No.: CGC-10-275731 Plaintiffs, EXHIBIT A TO DECLARATION OF JEREMY C. BERLA IN SUPPORT OF vs. JOINT DEFENSE MOTION IN LIMINE TO EXCLUDE EXPECTED TRIAL C.C. MOORE & CO., ENGINEERS, et al., TESTIMONY AND DEPOSITION TESTIMONY OF DR. DAVID Defendants. SCHWARTZ, OR IN THE ALTERNATIVE, REQUEST FOR AN EVIDENCE CODE SECTION 402 HEARING Complaint: December 17, 2010 Trial Date: August 10, 2015 1 EXHIBIT A TO DECLARATION OF JEREMY C. BERLA IN SUPPORT OF JOINT DEFENSE MOTION IN LIMINE TO EXCLUDE EXPECTED TRIAL TESTIMONY AND DEPOSITION TESTIMONY OF DR. DAVID SCHWARTZ, OR IN THE ALTERNATIVE, REQUEST FOR AN EVIDENCE CODE SECTION 402 HEARING 1425652v.1EXHIBIT Aoc GC MD NN OD Oo RF Ww NY = = IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF SAN FRANCISCO ---000--- ROBERT ROSS and JEAN ROSS, Plaintiffs, vs. No. 275731 C.C. MOORE & CO. ENGINEERS, et al., Defendants. TELEPHONIC DEPOSITION OF DAVID SCHWARTZ, M.D. Taken before JANET M. MCCLEARY CSR No. 3008 May 9, 2013 Aiken Welch Court Reporters One Kaiser Plaza, Suite 505 Oakland, California 94612 (510) 451-1580 (877) 451-1580 Fax: (510) 451-3797 www.aikenwelch.comoclUcOOUlUODWUNCUCUCUCOOUOUOUCUCUMR UBOUND DEPOSITION OF DAVID SCHWARTZ, M.D. BE IT REMEMBERED, that pursuant to Notice, and on the 9th day of May 2013, commencing at the hour of 5:14 p.m. before me, JANET M. MCCLEARY, a Certified Shorthand Reporter, telephonically appeared DAVID SCHWARTZ, M.D., produced as a witness in said action, and being by me first duly sworn, was thereupon examined as a witness in said cause. ---000--- APPEARANCES: (All appeared by phone) For the Plaintiffs: CHRISTOPHER HERSOM Brayton Purcell 222 Rush Landing Road Novato, California 94948-6169 For the Defendant Pribuss Engineering, Inc.: GEORGE HADDAD Adams Nye Becht 222 Kearny Street, 7th Floor San Francisco, California 94108-4521 Aiken Welch Court Reporters Dr. Schwartz 05/09/2013= oO MOD N DOD HO BF WN DAVID SCHWARTZ, M.D. sworn as a witness, testified as follows: EXAMINATION BY MR. YUEN: Do we have a stipulation that the Court Reporter may swear the witness in remotely? MR. HERSOM: Yes. BY MR. YUEN: Q. Good afternoon, Dr. Schwartz. My name is Roger Yuen. I will be taking your deposition today. Can you please state your name for the record and spell your last name? A. David Albert SCHWART Z. Q. Because I know you have been deposed many times in the past, may I dispense with the usual admonitions? A. Yes. Q. Doctor, what is your current rate for deposition testimony? A. $600 an hour. Q. Doctor, I represent that my office has sent a check to your attention. I believe it was delivered today, but if that's not the case, please feel free to let Plaintiffs’ counsel know or me know, okay? A. Okay. Q. Where are you physically located right now? Aiken Welch Court Reporters Dr. Schwartz 05/09/2013I am in my home in Denver, Colorado. Doctor, what is your primary area of expertise? Pulmonary and occupational medicine. Doctor, I understand you have been retained by Plaintiffs in the Robert Ross matter; is that correct? Yes, I have. Do you recall when you were first retained? I think that it was in December of 2010. I understand that there are two Robert Ross matters, a prior asbestosis action and a current colon cancer- only action; is that your understanding, doctor? A. I was not aware of the different legal actions that are ongoing. Q. I also understand, doctor, you were deposed in the Robert Ross case, the prior asbestosis action, sometime in February of 2012. Do you recall that? A. Yes, I do. Q. Is there any way you can differentiate any opinions or any materials that you have reviewed in preparation for your deposition here today that was in addition to what was reviewed in the prior deposition taken in February 2012? Is there any way? A. I am not sure what you mean by that. Q. I will rephrase. With respect to the materials Aiken Welch Court Reporters Dr. Schwartz 05/09/2013provided to you by the Brayton Purcell firm, do you recall receiving any additional material other than what you have received in preparation for your February 2012 deposition in the Robert Ross matter? A. No. Q. Doctor, how much time have you spent with respect to your work in the Robert Ross action? A. I think about three hours so far. Q. What did that preparation consist of? A. I didn't hear that you asked me about preparation. I thought you asked me how much time I have spent on the case. Q. With respect to the time spent, what did that time entail? A. It involved reviewing records and writing reports in December 2010 and in April 2011. And then giving the deposition in February of 2012. Q. Since your deposition in February of 2012, have you spoken to anyone from the Brayton Purcell firm with respect to this case? A. No. Q. I am going to refer you to a list of material which was entitled “your file" that was provided to defense in preparation of your deposition. I am going to attach that as Exhibit A to this deposition. Aiken Welch Court Reporters Dr. Schwartz 05/09/2013oO ON OD Oo BF WY = bh MM DY NY NH B@B B@ Bw ew Be ew aw aw en a FB © NY = 0D © ON OD HD F WH = 11 And basically, the file that was provided to us has a few caption sheets. The first one being medical binder for David Schwartz, M.D. dated 12-20-2010 which consists of a report by Daniel Raybin -- Dr. Raybin, a report from Dr. Schonfeld and answers to standard case interrogatories. Are those documents accurate as far as being a part of your file in this case? A. I believe they are, yes. Q. And second caption I see is a supplemental medical binder for David A. Schwartz, M.D. dated 4-14-2011. It consists of ten items. They are pathology reports, radiology reports, a report prepared by you dated 12-28-2010, Arizona Oncology Associates. I believe that should be medical records. Medical records from Bend Memorial Clinic; medical records from El Dorado Medical Association; from Gastro -- I think it is Gastroenterology Associates in Tucson, Arizona; a Dr. Hollander in Tucson, Arizona; and St. Joseph Hospital, Tucson, Arizona; and answers to standard case interrogatories. Do those documents that I just referenced seem accurate as far as documents that were contained in your file? A. Yes. Q. With that, I will coordinate with Plaintiffs Aiken Welch Court Reporters Dr. Schwartz 05/09/2013oO ODN OD HO BF WY = mw mM MY DY HY NY B&B Ba a aw a an a a a a F&F © NY = GCG o© ODN D2 TO BF Ww ND = MR. HERSOM: Vague and ambiguous. THE WITNESS: It depends on the individual. BY MR. YUEN: Q. But those factors that I have listed, those are primary factors in colon cancer, would that be accurate? MR. HERSOM: Vague and ambiguous. THE WITNESS: General population, yes. BY MR. YUEN: Q. Is smoking also a factor towards the development of colon cancer in your opinion? A. I don't believe it is, no. Q. What about obesity? Is obesity a factor in the development of colon cancer? A. Yes. Q. What about alcohol consumption? Is that a factor in one's development of colon cancer? A. I don't know the answer to that. Q. You just testified that you don't believe cigarette smoking is a factor for colon cancer. Do you have any medical literature or studies that support that opinion? A. No, not at this point in time. I just don't know of it as a clear risk factor. That's the point that I was trying to make. Aiken Welch Court Reporters Dr. Schwartz 05/09/2013= Q. Understood. A. I don't have studies that suggest to me that it is a definite risk factor. That's what I am saying. Q. Sir, is it accurate that according to medical records and interrogatories, Mr. Ross had an oO an fF WOW DN approximate 31-pack-year smoking history? Does that 7 sound accurate? I will refer -- A. Yes. Q. Okay. Do you know if Mr. Ross had a family history of colon cancer? A. I don't know. Q. Do you know if Mr. Ross ever suffered or suffers from ulcerative colitis? A. I don't know. Q. Do you know if Mr. Ross suffered or currently suffers from any polyps? A. I don't know. Q. Do you know what factors, if any, with respect to Mr. Ross's diet may have contributed to any colon cancer that he suffered? MR. HERSOM: Assumes facts. THE WITNESS: Again, I don't know. BY MR. YUEN: Q Doctor, with respect to colon cancers generally, do they normally occur through the Aiken Welch Court Reporters Dr. Schwartz 05/09/2013oOo ON OO FF WO NY development of polyps? MR. HERSOM: Vague and ambiguous. BY MR. YUEN: Q. I will rephrase that if you need to, doctor. A. Yes, that would be helpful. Q. Is there an occasion where one would suffer from colon cancer without suffering from any polyps? A. Yes. Q. And what is the likelihood of that occurring? Basically, my question is, is it more likely than not a person with colon cancer is suffering from polyps? MR. HERSOM: Vague and ambiguous THE WITNESS: Yes. It is common for individuals with colon cancer to have polyps. And it is common for colon cancer to develop from polyps, but I imagine colon cancer can develop on its own as well. BY MR. YUEN: Q. With respect to someone who develops polyps, what are the contributing factors, in your opinion, that would lead to a person suffering from polyps? A. There is a syndrome called familial polyposis where you develop a number of polyps throughout your colon that are mostly benign but sometimes become malignant. So it really is completely dependant on the age Aiken Welch Court Reporters Dr. Schwartz 05/09/2013oc 0 ODN OD ODO RB WHY = ea oa a a ae a oO n FF WON & 17 18 19 20 24 22 23 24 25 that would cause that according to any studies or research that you have reviewed? A. I don't know. I would assume that it has to do with what polyp gets exposed to in the colon. Sometimes it gets exposed to carcinogens in the colon like asbestos and sometimes it get exposed to carcinogens in meat that people eat. Sometimes it gets -- sometimes it is just a more malignant variety of a polyp. I honestly don't know why some polyps become malignant if that's what your question is. Q. Just trying to search your memory as to what studies you have encountered that address that question. Going back to my question about cigarette smoking, is it accurate that you don't recall ever seeing a study that listed cigarette smoking as one of the carcinogens that may be a factor in causing polyps to be colon cancer? A. That's correct. Q. I am going to turn your attention to what was marked as Exhibit 4 to your declaration, marked as Exhibit B to this deposition. That is your bibliography of colon cancer articles. There is a slew of articles here. And my first question is, do all these articles Aiken Welch Court Reporters Dr. Schwartz 05/09/2013oO Mm N OD HO BRB Ww HY = = 0a Nn = listed in this bibliography support your opinion that asbestos may cause colon cancer? A. By and large, yes. Q. And are you aware of any studies out that have been published that suggest the opposite, that asbestos has no correlation to colon cancer? Have you ever come across any articles with respect to that conclusion? A. I am aware that there are studies that are out, but I am not specifically aware of those studies that you are referring to. I am aware that this is a controversial subject. Q. You are not an epidemiologist; is that correct? That's correct. That's correct. A Q. You are not a pathologist, correct? A Q Sir, other than testifying at trial, do you anticipate any further work on the Robert Ross matter? A. No. Q. Other than the opinions presented in your declaration, which we marked as Exhibit B, and the clinical notes dated December 28, 2010 and April 23, 2011, do you have any other further opinions related to the Robert Ross action? MR. HERSOM: Overbroad. Aiken Welch Court Reporters Dr. Schwartz 05/09/2013a oO ON OO FF WO NY 24 THE WITNESS: None more than -- I mean I don't know how to answer that question because it is clear that I may be asked things that may address opinions. I don't know what you mean. BY MR. YUEN: Q. Let me put a caveat on that. Barring any hypotheticals or any questions at trial at this point, do your declaration and the two clinical notes cover the opinions that you are prepared to give here today with respect to the Robert Ross case? A. Yes. Q. Are there any other materials that you would like to have reviewed which you believe would help you formulate any further opinions in this case? MR. HERSOM: Objection. The doctor is being offered to testify regarding the reasonableness of past and future medical expenses and has provided some medical special information MR. YUEN: Thank you, Chris. BY MR. YUEN: Q. Are you aware of reviewing any past medical bills in the Robert Ross case? A. I am not aware of reviewing any bills in this particular case, no. Q. As we sit here today, are you prepared to give Aiken Welch Court Reporters Dr. Schwartz 05/09/2013co © ee NO HO BF WHY = yw MY DY HY NY @& B= 2 2B Ba Be a an Ba a a fF © NN = SG O© ODN OD TD BF WHY S| 25 any opinions with respect to the reasonableness of past medical expenses related to any medical treatment provided to Mr. Robert Ross? A. Not until I review those records. Q. Sure. And as we sit here today, are you prepared to provide any opinions as to any future medical costs related to any future care for Mr. Ross? A. I would have to review the care that he has received thus far. Q. Just so the record is clear, you have not had an opportunity to review the past medical bills in order to formulate the opinions that I have just asked you; is that correct? A. That's correct. MR. YUEN: Doctor, I appreciate your time. I am going to turn the stand over to one of my colleagues. Her name is Lucy Hoff. EXAMINATION BY MS. HOFF: Q. Can you hear me all right? A. I can. Q. Doctor, you gave a deposition in the Nicholson versus Asbestos Defendants matter in Los Angeles Superior Court, case number BC 413220 in April of 2011, correct? A. I don't recall, but I assume that that's Aiken Welch Court Reporters Dr. Schwartz 05/09/2013oO ODN DO HO RB Ww MY = Nm SB ae ae a a ae a Bw aw iS Oo ODN OD OD BF WH = correct. Q. The testimony in this deposition was under oath, correct? A. Yes. MR. HERSOM: Lacks foundation, calls for speculation. He can't recall the testimony. BY MS. HOFF: Q. Assuming you gave a deposition in the Nicholson matter, that deposition testimony would have been under oath, correct? A. Yes. Q. And you gave testimony during an evidence code section 402 hearing on defense motions in limine in the same matter, the Nicholson matter, in Los Angeles in June of 2011, correct? A. Again, I don't recall. Q. Do you recall giving deposition testimony in the Edward Shorthall matter in January and February of this year, 2013? Doctor, you are not an expert on colon cancer, correct? A. Q. That's correct. And you have never treated anyone with colon cancer, correct? Aiken Welch Court Reporters Dr. Schwartz 05/09/2013CO ON OD OD RB WwW DY AB yw NM YH MH BSB Ba Ba Ba ae a Ba aw aw oN += CG © © NN OD HO BF Ww ND B= A. That's correct. Excuse me, that is not correct. I have treated a lot of patients with colon cancer. I have not been the oncologist treating those patients. Q. What does your treatment of them entail? A. Sometimes I have been involved in the diagnosis of those individuals, performing a sigmoidoscopy and a biopsy. Sometimes I have been involved as a consultant taking care of pulmonary lung problems of those individuals. And sometimes I have just been involved with the general medical care of those individuals. Q. But you are not a pathologist, correct? MR. HERSOM: Asked and answered. THE WITNESS: That's correct. BY MS. HOFF: Q. Can you tell me how you were involved in the diagnosis? A. I am an internist, ma'am. And I oftentimes see patients in the hospital with general medical problems. And colon cancer is considered a general medical problem. Pathologists usually don't take care of patients; they just look at things under the microscope. Q. You have never done any research regarding the colon, correct? Aiken Welch Court Reporters Dr. Schwartz 05/09/2013A. That's correct. Q. And you have not received any specialized training specific to the GI tract, correct? A. Correct. Q. You have not conducted or participated in any epidemiological studies to determine whether or not asbestos exposure causes colon cancer, correct? A. Correct. Q. You have not conducted or participated in any animal studies exposing animals to asbestos in a way that would cause any gastrointestinal abnormalities, correct? A. That's correct. Q. You have not conducted or participated in any animal studies for purposes of determining whether or not asbestos exposure causes colon cancer, correct? A. Correct. Q. You have not received a research grant to study whether or not asbestos causes colon cancer, correct? A. That is correct. Q. And you have not published any peer-reviewed literature regarding asbestos exposure as a cause of colon cancer, correct? A. That is correct. Q. And you have not published any peer-reviewed Aiken Welch Court Reporters Dr. Schwartz 05/09/2013a oO Oo ON OO RF WN paper on the disease colon cancer itself, correct? A. Yes, that is correct. Q. And you have not published any peer-reviewed paper on any malignancies within the gastrointestinal tract, correct? A. Yes. Q. You have not written any textbook or book chapters on asbestos exposure as a cause of colon cancer, correct? A. Yes, that's correct. Q. You have not participated in any editorials or reviews relating to the investigation of whether or not asbestos causes colon cancer, correct? A. Yes. Q. You have never performed any meta-analysis of data regarding asbestos as a cause for colorectal cancer, correct? A. That's correct. Q. And you have not submitted any written criticism of written publications which suggest asbestos is not a cause of colorectal cancer, correct? A. Yes, that is correct. Q. And you have never conducted a survey of the majority of available medical literature regarding whether asbestos exposure is or is not a cause of colon Aiken Welch Court Reporters Dr. Schwartz 05/09/2013oO 0 ODN OD ODO BF WIN cancer, correct? A. Yes. You are familiar with the Institute of Medicine, correct? A. Yes. Q. And you would agree that it is a prestigious organization of experts in medicine and science who get together to discuss issues that are important and come to conclusions, correct? A. Yes. Q. You agree that is part of the National Academy of Sciences? A. Excuse me? Q. Do you agree that it is part of the National Academy of Sciences? A. What is "it"? Q. I am sorry. The Institute of Medicine. A. Yes. Hold on one minute, please. (Discussion off the record.) Q. Doctor, you agree that the National Academy of Sciences is an advisor to the US Congress on scientific matters, correct? A. Yes. Q. And you are aware that the Institute of Medicine prepared a report in 2006 regarding the Aiken Welch Court Reporters Dr. Schwartz 05/09/2013relationship between asbestos exposure and several cancers including colorectal cancer, correct? A. I am not aware of that, no. Q. If you are not aware of that, I assume you have not read this report; is that correct? A. That's correct. Q. Are you aware that the committee concluded that the evidence is suggested but not -- THE REPORTER: Can you please slow down and start that question over? BY MS. HOFF: Q. Are you aware that the committee concluded that the evidence is suggestive but not sufficient to infer a causal relationship between asbestos exposure and colorectal cancer? MR. HERSOM: Lacks foundation, calls for speculation. THE WITNESS: I am not sure because I haven't read the report. 20 BY MS. HOFF: 21 Q. Sir, in reference to your annotated 22 bibliography of colon cancer articles which is attached 23 as Exhibit 4 to your declaration, this is a complete list of the literature that you rely on for your correct? opinions in this case, Aiken Welch Court Reporters Dr. Schwartz 05/09/2013A. Yes. Q. And you have nothing else to add to this list at this time? A. That's correct. Q. Doctor, you did not personally examine Mr. Ross in this case, correct? A. That's correct. Q. And you did not speak to Mr. Ross, correct? A. That's correct. Q. And you did not personally review any of Mr. Ross's -- A. I didn't hear what you said. You said it too fast. Q. You did not personally review any of Mr. Ross's X-rays, correct? A. That's correct. Q. You did not personally review any of Mr. Ross's CT scans, correct? A. That's correct. Q. You did not personally review any of Mr. Ross's pulmonary function tests, correct? A. That's correct. Q. And you did not personally review Ross's pathology specimens, correct? A. That's correct. Aiken Welch Court Reporters Dr. Schwartz 05/09/2013oc O© ON OD Oo BF WN A= wy MW NH NY NY NY BB Ba Ba se oa aw a a oa a fF WNH + 09 © 8B N DOD HO F&F Ww NY = 33 Q. I know you stated that you haven't spoken with anyone from the Brayton firm since your 2012 deposition. Have you received any written communication from the Brayton firm since that deposition? A. I received an e-mail with the attachment of the May 7, 2013 declaration and a copy of my deposition notice that I gave in February of 2012. And I received that about a week and a half ago. Q. Have you received any other written communication? A. No. Q. I would like to attach a copy of that e-mail. A. I don't have it. Q. Is there any way you could get it for us? A. I don't know. The Brayton Purcell firm generated that e-mail. They should have a copy of it. MS. HOFF: Chris, is there any way you could send that e-mail to the Court Reporter to attach it to the deposition? MR. HERSOM: I will see if I can locate it. We will do it if we can find it. MS. HOFF: I'd like to attach it as Exhibit C. Sir, I am going to reserve my right if you undertake any further review or look at any documents to this Aiken Welch Court Reporters Dr. Schwartz 05/09/201334 case after this deposition, and I would move to strike any opinions derived therefrom. And with that I will pass to other counsel. Thank you for your time. MR. HERSOM: Anybody else have questions? EXAMINATION BY MR. BUDDELL: Q. I have got some questions for you. What do you know about Mr. Ross's diet? MR. HERSOM: Overbroad, vague and ambiguous. THE WITNESS: I don't know anything about his diet. BY MR. BUDDELL: Q. What do you know about his alcohol intake? MR. HERSOM: Same objections. THE WITNESS: I don't know anything about his alcohol intake. BY MR. BUDDELL: Q. Do you know whether he has ever suffered a history of colorectal polyps? A. No, I don't. Q. Do you know whether he has ever suffered a history of inflammatory intestinal conditions? A. No, I don't. Q. Do you know whether he has a family history of colon cancer? A. No, I don't. Aiken Welch Court Reporters Dr. Schwartz 05/09/2013Q. A. Do you know whether -- Excuse me, I do. He does not have a family history of colon cancer. Q. Do you know whether he has a family history of colon polyps? A. No. Q. Do you know anything about his lifestyle; specifically, whether he is more sedentary or active? MR. HERSOM: Vague and ambiguous. THE WITNESS: No, I don't. 11 BY MR. BUDDELL: 12 Q. Do you know whether he has ever suffered from 13 diabetes? 14 A. No. 15 Do you know what his weight is? 16 No. 17 I am sorry, I didn't understand your answer. 18 No. 19 When you opine that Mr. Ross's colon cancer was 20 caused by asbestos, are you opining that asbestos was 21 the sole cause of his colon cancer? 22 A. No, I think I say that his colon cancer was 23 caused, in part, by exposure to asbestos. 24 Q. What else caused it? 25 A. I don't know. Aiken Welch Court Reporters Dr. Schwartz 05/09/2013oO ODN OOHULULRUBOULULDN 36 Q. Are you able to apportion the causation of Mr Ross's colon cancer which you believe is attributable to asbestos in any way? A. No. Q. So you wouldn't be able to provide a percentage if asked, correct? A. I would be able to say based on what I know from the literature, on a more likely than not basis, Mr. Ross's colon cancer was caused by asbestos. Q. Right, but your opinion is that it was caused, in part, by asbestos, not solely, correct? A. That is correct. Q. So if we take into account the other potential causes of his colon cancer, how would you apportion the causation of colon cancer between asbestos and the other factors? MR. HERSOM: Misstates legal standard, calls for speculation. THE WITNESS: I didn't say that I could apportion his risk of colon cancer between asbestos and other factors. I never said that. BY MR. BUDDELL: Q. I would like to turn your attention to your declaration, page 4, specifically paragraph 9. A. Okay. Aiken Welch Court Reporters Dr. Schwartz 05/09/2013oO a FF wW DN A. It is an assumption I am making. Q. Would that be similar to -- strike that. Would his being paid to generate that opinion be similar to you being paid to generate your opinion that colon cancer is caused by asbestos? MR. HERSOM: Argumentative. THE WITNESS: Yes, it would be. MR. BUDDELL: I have no further questions, doctor. Thank you. EXAMINATION BY MR. JONES: Q. I just want to follow up talking about the declaration. You base your opinion on the breadth of scientific literature. What literature search have you conducted with respect to the causation between colon cancer and asbestos? A. I have not -- we went over this in the deposition with the female attorney. I have not generated any literature on colon cancer Q. My question was a little bit different. I am not necessarily asking whether you have generated necessarily a study. My question is -- let me lay a foundation. First off, you understand that, from what you said earlier, the idea that asbestos causes colon cancer is controversial I believe is the word you used; is that Aiken Welch Court Reporters Dr. Schwartz 05/09/2013= correct? A. Yes. Q. And you made a report ascribing to the theory that asbestos causes colon cancer, correct? A. Yes. Q. So you anticipated that you would be asked as to the foundations that are supporting your opinions, correct? A. Yes. oc 0 MW NOD OD RB WN Q. In order to make yourself current on the most recent science regarding that issue, did you undertake a literature review? Yes, I did. When did you do that? I don't recall the date. Well, give me roughly. Was it last week? Last month? Give me a rough timeframe when you conducted that literature review. A. I'd say within the past two years. Q. And what was the scope of your literature review? What did you look at? A. I don't know what you are asking, sir. Q. Well, what was your process for your review? What did you look at? A. PubMed, and I went through the colon cancer and Aiken Welch Court Reporters Dr. Schwartz 05/09/2013asbestos literature in PubMed. SO Offa N jo ao BF Ww ND wy Sa SB Ba a aw aw aw a oO 0 DN DO HO BF WD = Q. Is it true that there are about -- there are over a hundred and one studies that have looked into the relationship between asbestos exposure and colon cancer? And did you look at each one of those studies? I looked at most of them, yes. And did you take any effort to determine how many of those studies came out with a relative risk above one versus those that came out with a relative risk below one? A. Honestly, I don't recall how I did that, but I read through most of the studies. And in the annotated bibliography that I provided, I provided some literature that supported the conclusion that I came to, which is that asbestos caused his colon cancer. Q. Well, would you agree that a scientific approach to determining causation in a case like this would be to look at all of the competent scientific studies that were done? MR. HERSOM: Argumentative, vague and ambiguous. THE WITNESS: Yes, but that is the way I approached the task at hand. I reviewed all of the Aiken Welch Court Reporters Dr. Schwartz 05/09/2013o an . W IN scientific literature that I thought was relevant to this question. BY MR. JONES: Q. Again, your scope was, you looked for every case study and cohort study involving the relationship between asbestos exposure and colon cancer; is that what you were looking at? A. Yes. Q. I am trying to find -- so are you referring to -- with respect to the list of your supporting material, are you talking about something that was attached to the declaration that you signed or is that someplace else? A. There was a list of articles that I provided, annotated list of articles that I provided, that are part of the material that has been referred to throughout this deposition. Q. Where can I find that list? What does it start with? MR. CALLAHAN: It is already attached as an exhibit. THE WITNESS: And bibliography list of colon cancer articles. BY MR. JONES: Q. Is that part of your CV or part of the Aiken Welch Court Reporters Dr. Schwartz 05/09/2013study. And you evaluate the consistency of the findings. And you evaluate the weight of the evidence. So there are several features here. We have come to the end of the hour. At least, on my clock. MR. HERSOM: Let's go off the record for a (Discussion had off record) MR. HERSOM: There's indication on the phone there are further questions of Dr. Schwartz. We 1 go ahead and adjourn the deposition and schedule a in the near future. My office will send out a for Dr. Schwartz. MR. GILBERT: Can I get a copy of what we have MS. HOFF: Before we go off the record, I would just like to state that I object to the deposition being continued at a different time and reserve my right to move to exclude for not completing the deposition as scheduled. MR. BUDDELL: I would like a copy of the transcript, please. MR. GILBERT: Me too. Berry & Berry. MS. HOFF: I would like a copy, please. (The deposition was adjourned at 6:15 p.m.) Aiken Welch Court Reporters Dr. Schwartz 05/09/2013= oo Oo ON OO FF WwW DN 46 STATE OF CALIFORNIA ) COUNTY OF ALAMEDA ) I, JANET M. MCCLEARY, do hereby certify: That DAVID SCHWARTZ, M.D., in the foregoing deposition named, was present and by me sworn as a witness in the above-entitled action at the time and place therein specified; That said deposition was taken before me at said time and place, and was taken down in shorthand by me, a Certified Shorthand Reporter of the State of California, and was thereafter transcribed into typewriting, and that the foregoing transcript constitutes a full, true and correct report of said deposition and of the proceedings that took place; IN WITNESS WHEREOF, I have hereunder subscribed my hand this 15th day of May 2013. Que hn Pr Chaang ‘ JANET M. MCCLEARY, CSR Yo. 3 State of California Aiken Welch Court Reporters Dr. Schwartz 05/09/2013