<!-- BaNnErBlUrFlE-BoDy-start -->
<!-- Preheader Text : BEGIN -->
<div style="display:none !important;display:none;visibility:hidden;mso-hide:all;font-size:1px;color:#ffffff;line-height:1px;height:0px;max-height:0px;opacity:0;overflow:hidden;">
I misspoke and the article was a bit misleading. The article is only reporting on the proposed, not final rulemaking. Matt Wait, MS, DABR, DABSNM, MRSE Senior Diagnostic Physicist Assistant Radiation Safety Officer Assistant Residency Director</div>
<!-- Preheader Text : END -->
<!-- Email Banner : BEGIN -->
<div style="display:none !important;display:none;visibility:hidden;mso-hide:all;font-size:1px;color:#ffffff;line-height:1px;max-height:0px;opacity:0;overflow:hidden;">ZjQcmQRYFpfptBannerStart</div>
<!--[if ((ie)|(mso))]>
<table border="0" cellspacing="0" cellpadding="0" width="100%" style="padding: 16px 0px 16px 0px; direction: ltr" lang="en"><tr><td>
<table border="0" cellspacing="0" cellpadding="0" style="padding: 0px 10px 5px 6px; width: 100%; border-radius:4px; border-top:4px solid #8c8e91;background-color:#CFD3D7;"><tr><td valign="top">
<table align="left" border="0" cellspacing="0" cellpadding="0" style="padding: 4px 8px 4px 8px">
<tr><td style="color:#000000; font-family: 'Arial', sans-serif; font-weight:bold; font-size:14px; direction: ltr">
This Message Is From an External Sender
</td></tr>
<tr><td style="color:#000000; font-weight:normal; font-family: 'Arial', sans-serif; font-size:12px; direction: ltr">
This message came from outside your organization.
</td></tr>
</table>
<![if ie]><br clear="all"><![endif]>
<table align="right" border="0" cellspacing="0" cellpadding="0" style="padding: 4px 0px 4px 0px"><tr>
<td style="direction: ltr"> <a target="_blank" href="https://us-phishalarm-ewt.proofpoint.com/EWT/v1/KGKeukY!vOQf0sZNA8YBRRdxHy4EN8-VrOJYOUnRkulMXgPG9cnE79ASUqn_zKk9eJLDQTosHm0ZQVIxGJRgTzG50HygdaBqusYLeChMnvY0wN4c2vM_eB27ICoOpgLy7lrZN9PJzl0JS3jj3MZZr2_HTJqh5YHI1Y-QIjBE$" style="mso-padding-alt: 7.5px; padding: 7.5px; border-radius: 2px; border: 1.5px solid #666666; "><strong style="font-weight: normal; color: #000000; text-decoration: none; font-family: 'Arial', sans-serif; font-size:14px; line-height: 40px; "> Report Suspicious </strong></a> </td>
</tr></table>
</td></tr></table>
</td></tr></table>
<![endif]-->
<![if !((ie)|(mso))]>
<div dir="ltr" lang="en" id="pfptBannern0ct6hl" style="all: revert !important; display:block !important; text-align: left !important; margin:16px 0px 16px 0px !important; padding:8px 16px 8px 16px !important; border-radius: 4px !important; min-width: 200px !important; background-color: #CFD3D7 !important; background-color: #CFD3D7; border-top: 4px solid #8c8e91 !important; border-top: 4px solid #8c8e91;">
<div id="pfptBannern0ct6hl" style="all: unset !important; float:left !important; display:block !important; margin: 0px 0px 1px 0px !important; max-width: 600px !important;">
<div id="pfptBannern0ct6hl" style="all: unset !important; display:block !important; visibility: visible !important; background-color: #CFD3D7 !important; color:#000000 !important; color:#000000; font-family: 'Arial', sans-serif !important; font-family: 'Arial', sans-serif; font-weight:bold !important; font-weight:bold; font-size:14px !important; line-height:18px !important; line-height:18px">
This Message Is From an External Sender
</div>
<div id="pfptBannern0ct6hl" style="all: unset !important; display:block !important; visibility: visible !important; background-color: #CFD3D7 !important; color:#000000 !important; color:#000000; font-weight:normal; font-family: 'Arial', sans-serif !important; font-family: 'Arial', sans-serif; font-size:12px !important; line-height:18px !important; line-height:18px; margin-top:2px !important;">
This message came from outside your organization.
</div>
</div>
<div id="pfptBannern0ct6hl" style="all: unset !important; float: right !important; display: block !important; display: block; margin: 0px 0px 0px 16px !important; text-align: right !important; width: fit-content !important;">
<a id="pfptBannern0ct6hl" href="https://us-phishalarm-ewt.proofpoint.com/EWT/v1/KGKeukY!vOQf0sZNA8YBRRdxHy4EN8-VrOJYOUnRkulMXgPG9cnE79ASUqn_zKk9eJLDQTosHm0ZQVIxGJRgTzG50HygdaBqusYLeChMnvY0wN4c2vM_eB27ICoOpgLy7lrZN9PJzl0JS3jj3MZZr2_HTJqh5YHI1Y-QIjBE$"
style="all: unset !important; display: inline-block !important; text-decoration: none">
<div class="pfptPrimaryButtonn0ct6hl" style="display: inline-block !important; display: inline-block; visibility: visible !important; opacity: 1 !important; color: #000000 !important; color: #000000; font-family: 'Arial', sans-serif !important; font-family: 'Arial', sans-serif; font-size: 14px !important; font-weight: normal !important; text-decoration: none !important; border-radius: 2px !important; padding: 7.5px 16px !important; margin: 3px 0 3px 16px !important; white-space: nowrap !important; width: fit-content !important;
border: 1px solid #666666">
Report Suspicious
</div>
</a>
</div>
<div style="clear: both !important; display: block !important; visibility: hidden !important; line-height: 0 !important; font-size: 0.01px !important; height: 0px"> </div>
</div>
<![endif]>
<div style="display:none !important;display:none;visibility:hidden;mso-hide:all;font-size:1px;color:#ffffff;line-height:1px;max-height:0px;opacity:0;overflow:hidden;">ZjQcmQRYFpfptBannerEnd</div>
<!-- Email Banner : END -->
<!-- BaNnErBlUrFlE-BoDy-end -->
<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40">
<head><!-- BaNnErBlUrFlE-HeAdEr-start -->
<style>
#pfptBannern0ct6hl { all: revert !important; display: block !important;
visibility: visible !important; opacity: 1 !important;
background-color: #CFD3D7 !important;
max-width: none !important; max-height: none !important }
.pfptPrimaryButtonn0ct6hl:hover, .pfptPrimaryButtonn0ct6hl:focus {
background-color: #adb0b4 !important; }
.pfptPrimaryButtonn0ct6hl:active {
background-color: #8c8e91 !important; }
html:root, html:root>body { all: revert !important; display: block !important;
visibility: visible !important; opacity: 1 !important; }
</style>
<!-- BaNnErBlUrFlE-HeAdEr-end -->
<meta http-equiv="Content-Type" content="text/html; charset=utf-8">
<meta name="Generator" content="Microsoft Word 15 (filtered medium)">
<!--[if !mso]><style>v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style><![endif]--><style><!--
/* Font Definitions */
@font-face
{font-family:Helvetica;
panose-1:2 11 6 4 2 2 2 2 2 4;}
@font-face
{font-family:"Cambria Math";
panose-1:2 4 5 3 5 4 6 3 2 4;}
@font-face
{font-family:Calibri;
panose-1:2 15 5 2 2 2 4 3 2 4;}
@font-face
{font-family:Aptos;}
@font-face
{font-family:"Segoe UI Emoji";
panose-1:2 11 5 2 4 2 4 2 2 3;}
@font-face
{font-family:Tahoma;
panose-1:2 11 6 4 3 5 4 4 2 4;}
@font-face
{font-family:3D;
panose-1:0 0 0 0 0 0 0 0 0 0;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
font-size:12.0pt;
font-family:"Aptos",sans-serif;}
a:link, span.MsoHyperlink
{mso-style-priority:99;
color:blue;
text-decoration:underline;}
span.apple-converted-space
{mso-style-name:apple-converted-space;}
span.EmailStyle23
{mso-style-type:personal-reply;
font-family:"Aptos",sans-serif;
color:windowtext;}
.MsoChpDefault
{mso-style-type:export-only;
font-size:10.0pt;
mso-ligatures:none;}
@page WordSection1
{size:8.5in 11.0in;
margin:1.0in 1.0in 1.0in 1.0in;}
div.WordSection1
{page:WordSection1;}
--></style><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]-->
</head>
<body lang="EN-US" link="blue" vlink="purple" style="word-wrap:break-word">
<div class="WordSection1">
<p class="MsoNormal">I misspoke and the article was a bit misleading. The article is only reporting on the proposed, not final rulemaking.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<p class="MsoNormal" style="background:white"><b><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#0078B3">Matt Wait, MS, DABR, DABSNM, MRSE</span></b><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black"><br>
Senior Diagnostic Physicist</span><span style="mso-ligatures:standardcontextual"><o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">Assistant Radiation Safety Officer</span><span style="mso-ligatures:standardcontextual"><o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">Assistant Residency Director</span><span style="mso-ligatures:standardcontextual"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:12.0pt;background:white"><b><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#0084B9">Kaiser Permanente</span></b><span style="mso-ligatures:standardcontextual"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:12.0pt;background:white"><b><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#0084B9">Southern Permanente Medical Group<o:p></o:p></span></b></p>
<p class="MsoNormal" style="line-height:12.0pt;background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">Medical Imaging Technology and Informatics<br>
4867 Sunset Blvd</span><span style="mso-ligatures:standardcontextual"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:12.0pt;background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">Los Angeles, CA 90027</span><span style="mso-ligatures:standardcontextual"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:12.0pt;background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">x5347 (office)</span><span style="mso-ligatures:standardcontextual"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:12.0pt;background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">(818) 232-2427 (mobile phone)</span><span style="mso-ligatures:standardcontextual"><o:p></o:p></span></p>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">From:</span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> Douglas Pfeiffer <xraydoug@me.com>
<br>
<b>Sent:</b> Friday, September 12, 2025 8:53 AM<br>
<b>To:</b> Matt Wait <Matt.Wait@kp.org><br>
<b>Cc:</b> Ryan Fisher <rfisher1@metrohealth.org>; Medich, Tara <TMEDICH@mgh.harvard.edu>; intl_dxmedphys_wd_osu_list@lists.osu.edu<br>
<b>Subject:</b> Re: [Intl_DxMedPhys] [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals<o:p></o:p></span></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">I’m confused. If the comment period is open until 9/15, why is a decision being announced now? I’m all in favor of the decision, it just seems odd to make it before the comment period closes.<o:p></o:p></p>
<div>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<div id="signature">
<div>
<div>
<div>
<div>
<p class="MsoNormal"><span style="color:black">Best regards,<o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="color:black">Doug<o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="color:black"><o:p> </o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="color:black"><o:p> </o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="color:black"><o:p> </o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="color:black">Douglas Pfeiffer, MS, DABR FACR, FAAPM<o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="color:black">Medical Physicist, Radiation Safety Officer<o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="color:black">Boulder Community Health<o:p></o:p></span></p>
</div>
<div>
<div>
<div>
<p class="MsoNormal"><span style="color:black"><a href="mailto:xraydoug@me.com">xraydoug@me.com</a><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="color:black">303.415.7515<o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="color:black"><o:p> </o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="color:black">+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-<o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="color:black"><o:p> </o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="color:black">The opinions expressed in this message are the product of the gray and white matter loitering in my cranium. I speak for myself and no one else, unless I say otherwise.<o:p></o:p></span></p>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div>
<p class="MsoNormal"><br>
<br>
<o:p></o:p></p>
<blockquote style="margin-top:5.0pt;margin-bottom:5.0pt">
<div>
<p class="MsoNormal">On Sep 12, 2025, at 9:25<span style="font-family:"Arial",sans-serif"> </span>AM, Matt Wait via Intl_dxmedphys_wd_osu_list <<a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu">intl_dxmedphys_wd_osu_list@lists.osu.edu</a>> wrote:<o:p></o:p></p>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<div>
<p class="MsoNormal">Update: We won this round.<span class="apple-converted-space"> </span><a href="https://urldefense.com/v3/__https:/radiologybusiness.com/topics/healthcare-management/healthcare-quality/medicare-opts-not-make-ct-radiation-related-quality-measure-mandatory-2027__;!!KGKeukY!zbvcNBWICiqelbbDuVBifdMkK0izAe2_3PPi6zDgK3DTHfqD_uRMutA7O6deXrH6Q9SM0oaDRKXj6GcNmHi4J6aoxbzNj1OSfoeEOoA$">https://radiologybusiness.com/topics/healthcare-management/healthcare-quality/medicare-opts-not-make-ct-radiation-related-quality-measure-mandatory-2027</a><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal" style="background:white"><b><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#0078B3">Matt Wait, MS, DABR, DABSNM, MRSE</span></b><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black"><br>
Senior Diagnostic Physicist</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal" style="background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">Assistant Radiation Safety Officer</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal" style="background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">Assistant Residency Director</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal" style="line-height:12.0pt;background:white"><b><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#0084B9">Kaiser Permanente</span></b><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal" style="line-height:12.0pt;background:white"><b><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#0084B9">Southern Permanente Medical Group</span></b><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal" style="line-height:12.0pt;background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">Medical Imaging Technology and Informatics<br>
4867 Sunset Blvd</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal" style="line-height:12.0pt;background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">Los Angeles, CA 90027</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal" style="line-height:12.0pt;background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">x5347 (office)</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal" style="line-height:12.0pt;background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">(818) 232-2427 (mobile phone)</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div style="border:none;border-top:solid windowtext 1.0pt;padding:3.0pt 0in 0in 0in;border-color:currentcolor currentcolor;border-image: none">
<div>
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">From:</span></b><span class="apple-converted-space"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> </span></span><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">Intl_dxmedphys_wd_osu_list
<<a href="mailto:intl_dxmedphys_wd_osu_list-bounces@lists.osu.edu">intl_dxmedphys_wd_osu_list-bounces@lists.osu.edu</a>><span class="apple-converted-space"> </span><b>On Behalf Of<span class="apple-converted-space"> </span></b>Ryan Fisher via Intl_dxmedphys_wd_osu_list<br>
<b>Sent:</b><span class="apple-converted-space"> </span>Friday, September 12, 2025 8:03 AM<br>
<b>To:</b><span class="apple-converted-space"> </span>Medich, Tara <<a href="mailto:TMEDICH@mgh.harvard.edu">TMEDICH@mgh.harvard.edu</a>>;<span class="apple-converted-space"> </span><a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu">intl_dxmedphys_wd_osu_list@lists.osu.edu</a><br>
<b>Subject:</b><span class="apple-converted-space"> </span>Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt"> <o:p></o:p></span></p>
</div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:1.0pt;color:white">Another nudge to please submit comments in favor of making this metric optional vs mandatory before 9/15. Adam’s email has sample language you can cut/paste. It sounds like CMS weighs all submissions
equally, so one comment from an organization</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<p><strong><span style="font-size:13.5pt;font-family:"Aptos",sans-serif;color:red">Caution:</span></strong><span class="apple-converted-space"><b><span style="font-size:13.5pt;color:red"> </span></b></span><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:red">This
email came from outside Kaiser Permanente. Do not open attachments or click on links if you do not recognize the sender.</span><span style="font-size:9.0pt;font-family:"Helvetica",sans-serif"><o:p></o:p></span></p>
<div class="MsoNormal" align="center" style="text-align:center">
<hr size="1" width="100%" align="center">
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt">Another nudge to please submit comments in favor of making this metric optional vs mandatory before 9/15. Adam’s email has sample language you can cut/paste.</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt">It sounds like CMS weighs all submissions equally, so one comment from an organization like ACR or AAPM holds the same weight in their eyes as one comment from a UCSF co-worker responding to a Smith-Bindman
email request.</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt">Ryan<span class="apple-converted-space"> </span></span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<div style="border:none;border-top:solid windowtext 1.0pt;padding:3.0pt 0in 0in 0in;border-color:currentcolor currentcolor;border-image: none">
<div>
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">From:</span></b><span class="apple-converted-space"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> </span></span><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">Intl_dxmedphys_wd_osu_list
<<a href="mailto:intl_dxmedphys_wd_osu_list-bounces+rfisher1=metrohealth.org@lists.osu.edu">intl_dxmedphys_wd_osu_list-bounces+rfisher1=metrohealth.org@lists.osu.edu</a>><span class="apple-converted-space"> </span><b>On Behalf Of<span class="apple-converted-space"> </span></b>Medich,
Tara via Intl_dxmedphys_wd_osu_list<br>
<b>Sent:</b><span class="apple-converted-space"> </span>Friday, September 12, 2025 10:55 AM<br>
<b>To:</b><span class="apple-converted-space"> </span><a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu">intl_dxmedphys_wd_osu_list@lists.osu.edu</a><br>
<b>Subject:</b><span class="apple-converted-space"> </span>Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt"> <o:p></o:p></span></p>
</div>
<div>
<div align="center">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" style="max-width:6.25in;background:#EE2738">
<tbody>
<tr>
<td width="20%" style="width:20.0%;border:none;border-right:solid windowtext 2.25pt;padding:7.5pt 0in 0in 0in;border-color:currentcolor white currentcolor currentcolor;border-image: none">
<div align="center">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td style="padding:0in 0in 0in 0in">
<p class="MsoNormal" align="center" style="text-align:center;line-height:23.25pt">
<b><span style="font-size:22.5pt;font-family:"Arial",sans-serif;color:white">STOP!</span></b><span style="font-size:10.0pt"><o:p></o:p></span></p>
</td>
</tr>
</tbody>
</table>
</div>
</td>
<td width="60%" valign="top" style="width:60.0%;padding:7.5pt 0in 0in 0in">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td valign="top" style="padding:0in 0in 0in 0in">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td style="padding:0in 0in 0in 11.25pt">
<div>
<p class="MsoNormal"><b><span style="font-size:11.5pt;font-family:"Arial",sans-serif;color:white">THIS IS AN EXTERNAL EMAIL</span></b><b><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:white"><br>
</span></b><b><span style="font-size:8.5pt;font-family:"Arial",sans-serif;color:white">This email was originated outside of the MetroHealth System</span></b><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td valign="top" style="padding:0in 0in 0in 11.25pt">
<div>
<p class="MsoNormal" style="line-height:12.0pt"><strong><span style="font-size:7.5pt;font-family:"Arial",sans-serif;color:white">Take a 3-second pause and ask yourself the following questions:</span></strong><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</td>
</tr>
<tr>
<td valign="top" style="padding:0in 0in 0in 11.25pt">
<p class="MsoNormal" style="margin-bottom:12.0pt;line-height:9.0pt"><b><span style="font-size:7.5pt;font-family:"Arial",sans-serif;color:white">1. Who is sending me this email? Do I know who this is?</span></b><span style="font-size:7.5pt;font-family:"Arial",sans-serif;color:white"><br>
<b>2. Am I expecting this email? Is this out of the ordinary?</b><br>
<b>3. Why is there a link in the email? Do I trust this link?</b></span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</td>
</tr>
</tbody>
</table>
</td>
<td width="20%" style="width:20.0%;border:none;border-left:solid windowtext 2.25pt;padding:7.5pt 0in 0in 0in;border-color:currentcolor currentcolor currentcolor white;border-image: none">
<div align="center">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td style="padding:0in 0in 0in 0in">
<p class="MsoNormal" align="center" style="text-align:center;line-height:15.0pt">
<b><span style="font-size:14.5pt;font-family:"Arial",sans-serif;color:white">THINK<br>
Before You<span class="apple-converted-space"> </span><br>
Click the Link</span></b><span style="font-size:10.0pt"><o:p></o:p></span></p>
</td>
</tr>
</tbody>
</table>
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:1.0pt;color:white">All – Jerry rightly pointed out that my email gave the appearance of my supporting the UCSF initiative to change the proposed rule and require mandatory reporting of CT dose and image quality. I
absolutely do not condone the UCSF efforts at</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt">All – Jerry rightly pointed out that my email gave the appearance of my supporting the UCSF initiative to change the proposed rule and require mandatory reporting of CT dose and image quality. I absolutely
do not condone the UCSF efforts at all. <span class="apple-converted-space"> </span></span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt">The information sent from Adam Springer is what I am in favor of. Comments supporting the proposed rule for voluntary reporting need to be submitted by those who are technically qualified to provide solid
reasoning as to why mandatory reporting of these CT metrics is flawed. <span class="apple-converted-space"> </span></span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt">Adam’s email gave the link to the comment field on regulations.gov:<span class="apple-converted-space"> </span></span><u><span style="font-size:10.0pt"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1crCs9FpIMKFPwVDSZRg_9xlR4aBruAi26SoIqqlSw2VPUFDnjCgkL0lEsnB7ml8Bu5NYKf5xTjimFZkBPkN-Ec9auI6_jfnfJKXqnTO9ucx6HqriS5Nys8Hp3-znpBPeQNJW1avDz6n4ABUFvmwmdul4MPnA04UozE9yF6Cpk0yLlIP8kPYuvAUkMRKsqtJh_gTf1piZDI_BJNqeBAvwmiJsESxybJGcHi__iAYJ0-WHHt7p6G1gLCw2WiXJpguCWNt4o3PdfQXYnaT21DMBhywA6NwBwWryu_I5zY0dFpMaI3eanzOPQFYmWMFEmLwS/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1hSy6k9zrdAPTLR1oDl61VKQAtYRsfpmkl8u3zplpojnwSylMTEZWltisG-bHkqXATG1Y22TIvf645q8MDOnHBkMtXKMLgYNQzONvZfs3RWf300cPRjCR7TG2ad239owN7g_dknEYs9Dl6u2SFTfX0ZKWfiTr3-zTZksKVCn88xjXB5BlD-h1q7sqKJR657BxP1gEQn9QQkvXQNDAcxVryCVCjSvdcTEG8V90xH46-LZQ2PeaD-S6oKV4jgDehEnL_xea1R2CXrms2WYzKRpMZl4bFkRwRtYbEW9sQ8MkPICVh78GwOkL6K2P9rq3xMIU*2Fhttps*2A3A*2A2F*2A2Fwww.regulations.gov*2A2Fcommenton*2A2FCMS-2025-0306-0002__*3BJSUlJSU*21*21KGKeukY*210hWFh0hvSnArkmV9Q9QAzzhqk1PsEnPjbi74o_jzwcOuvkiordlZ2_jsAWqsffwN3RV8G_K-_WB6aw3sxwCNPf5eUCvMrfq-6OagYw*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFQ-Gcnp4A$">https://www.regulations.</a></span></u><span style="font-size:10.0pt"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1crCs9FpIMKFPwVDSZRg_9xlR4aBruAi26SoIqqlSw2VPUFDnjCgkL0lEsnB7ml8Bu5NYKf5xTjimFZkBPkN-Ec9auI6_jfnfJKXqnTO9ucx6HqriS5Nys8Hp3-znpBPeQNJW1avDz6n4ABUFvmwmdul4MPnA04UozE9yF6Cpk0yLlIP8kPYuvAUkMRKsqtJh_gTf1piZDI_BJNqeBAvwmiJsESxybJGcHi__iAYJ0-WHHt7p6G1gLCw2WiXJpguCWNt4o3PdfQXYnaT21DMBhywA6NwBwWryu_I5zY0dFpMaI3eanzOPQFYmWMFEmLwS/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1hSy6k9zrdAPTLR1oDl61VKQAtYRsfpmkl8u3zplpojnwSylMTEZWltisG-bHkqXATG1Y22TIvf645q8MDOnHBkMtXKMLgYNQzONvZfs3RWf300cPRjCR7TG2ad239owN7g_dknEYs9Dl6u2SFTfX0ZKWfiTr3-zTZksKVCn88xjXB5BlD-h1q7sqKJR657BxP1gEQn9QQkvXQNDAcxVryCVCjSvdcTEG8V90xH46-LZQ2PeaD-S6oKV4jgDehEnL_xea1R2CXrms2WYzKRpMZl4bFkRwRtYbEW9sQ8MkPICVh78GwOkL6K2P9rq3xMIU*2Fhttps*2A3A*2A2F*2A2Fwww.regulations.gov*2A2Fcommenton*2A2FCMS-2025-0306-0002__*3BJSUlJSU*21*21KGKeukY*210hWFh0hvSnArkmV9Q9QAzzhqk1PsEnPjbi74o_jzwcOuvkiordlZ2_jsAWqsffwN3RV8G_K-_WB6aw3sxwCNPf5eUCvMrfq-6OagYw*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFQ-Gcnp4A$">g</a><u><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1crCs9FpIMKFPwVDSZRg_9xlR4aBruAi26SoIqqlSw2VPUFDnjCgkL0lEsnB7ml8Bu5NYKf5xTjimFZkBPkN-Ec9auI6_jfnfJKXqnTO9ucx6HqriS5Nys8Hp3-znpBPeQNJW1avDz6n4ABUFvmwmdul4MPnA04UozE9yF6Cpk0yLlIP8kPYuvAUkMRKsqtJh_gTf1piZDI_BJNqeBAvwmiJsESxybJGcHi__iAYJ0-WHHt7p6G1gLCw2WiXJpguCWNt4o3PdfQXYnaT21DMBhywA6NwBwWryu_I5zY0dFpMaI3eanzOPQFYmWMFEmLwS/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1hSy6k9zrdAPTLR1oDl61VKQAtYRsfpmkl8u3zplpojnwSylMTEZWltisG-bHkqXATG1Y22TIvf645q8MDOnHBkMtXKMLgYNQzONvZfs3RWf300cPRjCR7TG2ad239owN7g_dknEYs9Dl6u2SFTfX0ZKWfiTr3-zTZksKVCn88xjXB5BlD-h1q7sqKJR657BxP1gEQn9QQkvXQNDAcxVryCVCjSvdcTEG8V90xH46-LZQ2PeaD-S6oKV4jgDehEnL_xea1R2CXrms2WYzKRpMZl4bFkRwRtYbEW9sQ8MkPICVh78GwOkL6K2P9rq3xMIU*2Fhttps*2A3A*2A2F*2A2Fwww.regulations.gov*2A2Fcommenton*2A2FCMS-2025-0306-0002__*3BJSUlJSU*21*21KGKeukY*210hWFh0hvSnArkmV9Q9QAzzhqk1PsEnPjbi74o_jzwcOuvkiordlZ2_jsAWqsffwN3RV8G_K-_WB6aw3sxwCNPf5eUCvMrfq-6OagYw*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFQ-Gcnp4A$">ov/commenton/CMS-2025-0306-0002</a></u>. <o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt">The volume of comments opposing the proposed rule are growing. We need to match those numbers expressing support for the rule to change the CT metric reporting from mandatory to voluntary.</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt">Mea culpa,</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt">-Tara</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div style="border:none;border-top:solid windowtext 1.0pt;padding:3.0pt 0in 0in 0in;border-color:currentcolor currentcolor;border-image: none">
<div>
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">From:</span></b><span class="apple-converted-space"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> </span></span><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">Intl_dxmedphys_wd_osu_list
<<a href="mailto:intl_dxmedphys_wd_osu_list-bounces+tmedich=mgh.harvard.edu@lists.osu.edu">intl_dxmedphys_wd_osu_list-bounces+tmedich=mgh.harvard.edu@lists.osu.edu</a>><span class="apple-converted-space"> </span><b>On Behalf Of<span class="apple-converted-space"> </span></b>Medich,
Tara via Intl_dxmedphys_wd_osu_list<br>
<b>Sent:</b><span class="apple-converted-space"> </span>Thursday, September 11, 2025 3:09 PM<br>
<b>To:</b><span class="apple-converted-space"> </span><a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu">intl_dxmedphys_wd_osu_list@lists.osu.edu</a><br>
<b>Subject:</b><span class="apple-converted-space"> </span>Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt"> <o:p></o:p></span></p>
</div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:1.0pt;color:white">Thank you for posting, Jerry. This is related to Adam Springer’s email from last night. The Smith-Bindman campaign is blazing through social media. There are hundreds of comments from her “supporters”
on the regulations.</span><span style="font-size:1.0pt;font-family:"Arial",sans-serif;color:white"> </span><span style="font-size:1.0pt;color:white">gov site. Please see</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<p><b><span style="font-size:9.0pt;font-family:"Helvetica",sans-serif;color:white;background:red"> External Email - Use Caution </span></b><span style="font-size:9.0pt;font-family:"Helvetica",sans-serif"><o:p></o:p></span></p>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt">Thank you for posting, Jerry. This is related to Adam Springer’s email from last night.</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt">The Smith-Bindman campaign is blazing through social media. There are hundreds of comments from her “supporters” on the regulations.gov site. Please see her exact comment near the bottom of the first email:</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="color:#C82613">My contacts at CMS have assured me if we get enough letters opposing the change, the proposed rule could be reversed.</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt">The goal is to overwhelm with volume. There are four days remaining in the comment period. <span class="apple-converted-space"> </span><b>Please submit a statment!!</b></span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><b><span style="font-size:11.0pt"> </span></b><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt">-Tara</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><b><span style="color:#009CA6">______________________________</span></b><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:16.0pt">Tara M. Medich, MS, CHP</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal">Director, Radiation Safety<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal">Radiation Safety Officer, MGH & BWH<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><b>Massachusetts General Hospital</b><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><b>Brigham and Women’s Hospital</b><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal">125 Nashua St, Suite 641, Boston MA 02114<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal">MGH 617 724 4577 | BWH 617 525 6612<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1xVDt0AUWOQ0u_U_hb32pPS5v2NNhaF4kKrCYAXjGvXY9G5EtRrBxXeMKeDhSOxkly7MvqGLhA6o8gnKd6ABV2r6A58j2KFzbhOlI27ThHmeRDT5Hz6_n7UpoUEk27DURzKWyn2DlBKt6cq-bg830JeKK25unZTRmusVLTHDlPjjNopkKDIPs9c_rilBQ8nyVx0TgUmZPr16lzWNqax0KpSoqbqwagXTv5NhcbwsXglmLPjIJFDGfnvW3GN-b0_pmWm-SoTXFNtDUE22-czD4axcn7A8QmbvtBpaFoJ6hE_DjAIctSjuKuyiHLk3UQdMMSiApNiSdOx5nSZdfuXjELQ/https*3A*2F*2Furldefense.com*2Fv3*2F__http*3A*2F*2Fwww.massgeneral.org*2F__*3B*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDQwYgMVhQ*24__;JSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFROvkV21A$"><span style="font-size:12.0pt;color:#0563C1">massgeneral.org</span></a><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt"><a href="x-msg://29/brighamandwomens.org"><span style="font-size:12.0pt;color:#0563C1">brighamandwomens.org</span></a><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><image001.png><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div style="border:none;border-top:solid windowtext 1.0pt;padding:3.0pt 0in 0in 0in;border-color:currentcolor currentcolor;border-image: none">
<div>
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">From:</span></b><span class="apple-converted-space"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> </span></span><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">Intl_dxmedphys_wd_osu_list
<<a href="mailto:intl_dxmedphys_wd_osu_list-bounces@lists.osu.edu">intl_dxmedphys_wd_osu_list-bounces@lists.osu.edu</a>><span class="apple-converted-space"> </span><b>On Behalf Of<span class="apple-converted-space"> </span></b>Jerry Thomas via Intl_dxmedphys_wd_osu_list<br>
<b>Sent:</b><span class="apple-converted-space"> </span>Thursday, September 11, 2025 12:00 PM<br>
<b>To:</b><span class="apple-converted-space"> </span>International Diagnostic Medical Physics List <<a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu">intl_dxmedphys_wd_osu_list@lists.osu.edu</a>><br>
<b>Subject:</b><span class="apple-converted-space"> </span>[Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt"> <o:p></o:p></span></p>
</div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:1.0pt;color:white">I thought this email thread might be of interest to some members of the list. Dr. Smith-Bindman is a substantial part of the driving force behind the CMS requirement for CT effective dose reporting.
The ALARA company -- I believe run by her</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<p><b><span style="font-size:9.0pt;font-family:"Helvetica",sans-serif;color:white;background:red"> External Email - Use Caution </span></b><span style="font-size:9.0pt;font-family:"Helvetica",sans-serif"><o:p></o:p></span></p>
<div>
<div>
<div>
<div>
<p class="MsoNormal">I thought this email thread might be of interest to some members of the list. Dr. Smith-Bindman is a substantial part of the driving force behind the CMS requirement for CT effective dose reporting. The ALARA company -- I believe run
by her husband -- is the "Free solution" being pushed on many smaller hospitals. Personally, her standance in this area causes me great concern, as I feel it should be to others in our field. I have no idea what the "end goal" of her push is -- but it is
most likely not without substantial financial gain on her part, rather than a "true" concern about the potential cancer risk from CT.<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal">vR,<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal">Jerry<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<div>
<div>
<div>
<div>
<div>
<div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif">Jerry Thomas, MS, FAAPM, DABR, CHP, DABSNM</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif">Diagnostic Medical Physicist / Radiation Safety Officer</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif">Ascension Via Christi Hospitals Wichita</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif">Wichita, KS 67214</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif">Phone: 316-268-5958 (office)</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif"> 240-447-1014 (cell)</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<p class="MsoNormal" style="margin-bottom:12.0pt"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
<div>
<div>
<div>
<p class="MsoNormal">---------- Forwarded message ---------<br>
From:<span class="apple-converted-space"> </span><strong><span style="font-family:"Aptos",sans-serif">Smith-Bindman, Rebecca</span></strong><span class="apple-converted-space"> </span><<span style="font-size:10.0pt"><a href="mailto:Rebecca.Smith-Bindman@ucsf.edu" target="_blank"><span style="font-size:12.0pt">Rebecca.Smith-Bindman@ucsf.edu</span></a></span>><br>
Date: Wed, Sep 10, 2025 at 6:39<span style="font-family:"Arial",sans-serif"> </span>PM<br>
Subject: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals<br>
To: Smith-Bindman, Rebecca <<span style="font-size:10.0pt"><a href="mailto:Rebecca.Smith-Bindman@ucsf.edu" target="_blank"><span style="font-size:12.0pt">Rebecca.Smith-Bindman@ucsf.edu</span></a></span>><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<p class="MsoNormal" style="margin-bottom:12.0pt"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
<div>
<div>
<div>
<div>
<p class="MsoNormal">Dear Colleagues,<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal">I’m reaching out for your help on an incredibly important issue to me and millions of patients nationwide. We’re in the final days of a campaign to tell Washington: make CT safer. Your past support has been very meaningful and I hope you'll
once again lend your voice to protect patients.<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1WjP0oPeh2BJqJ5J9XTtH5wZsC-VAKjHx_I3wOg1I66-YBkczuklQ_OToy1wJYz-QfWHafKEXVyD5eX1nJX1geSC1hl0T7VWF-brIcKISL_gaKUPZJVJAWnJt3mnJIAr3oIwnFU3HDhebC2NUXq3KElu37w5ywwCpJmCc8Hr-3kcRfCF3__Eic1RJ_PlDY45qeYmrnv3GsfPct1wVZwlypS_Dio9nCzYaBFVkurPNMaWTS3mUNWRKp85gYmH_6sC87Ii6Fr2nU6BNCmF6LSHmH1C7MKGGyjAZLWpaiIZmtQFueimL5PZbN-Q2NExWsxAGdxBpNv-I9YupHXyMNQYh3Q/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1dOmmAQHEPqj3Ym9Cbx_aWTvuSyJpx70EIVAORHyTH4Trh58Qas80lkgPdxJqXmAvCfV5qk-3ouISnQjGxMaNW5c5JHYw5MxXDIl5iU64U-ISTbDDv5DTzQaKJ_RWZng34mEllhTbAxxmwLGI7NHJinUIxbGACvveKeaxsJJYcnEynAoGzeLLVS3BH7lCwaulaZGW8z0uuARH3l6YljCEy-uOYrg8G2g7idKhf6TyY8R8nzFewt7TI1SgYlvzNMzaby4rryHnuqoGmAOXuCfwLgiu51ri2WNVZLwJoFln0WmWn6VwN8oQu8bNFHiLFpdK*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDTsdka7OA*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFRpiqewkg$" target="_blank"><b><span style="font-size:12.0pt;color:red">A
new federal rule would make CT imaging less safe, causing 25,000 preventable cancers each year.</span></b></a><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$" target="_blank"><b><span style="font-size:12.0pt;color:red">TAKE
ACTION NOW!</span></b></a><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$" target="_blank"><span class="apple-converted-space"><b><span style="font-size:12.0pt;color:red"> </span></b></span></a><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$" target="_blank"><b><span style="font-size:12.0pt;font-family:"Segoe UI Emoji",sans-serif;color:red">▶️</span></b></a><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><b> </b><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal">The Excessive Radiation Dose quality measure is the only safeguard ensuring hospitals use safe radiation doses. To protect patients and make CT imaging safer, it must remain mandatory under the Centers for Medicare & Medicaid Services.<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><b>The time to act is short—<i>the public comment period closes<span class="apple-converted-space"> </span><u>Monday, September 15, 2025</u>.</i></b><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><b> </b><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal">It takes 30 seconds and every voice counts.<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal">Thank you,<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><b> </b><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><b>Rebecca Smith-Bindman, MD</b><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal">Professor, Epidemiology and Biostatistics<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal">Obstetrics, Gynecology, and Reproductive Sciences<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal">Director, Radiology Outcomes Research Lab<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><image002.jpg><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif"> </span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif"> </span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div class="MsoNormal" align="center" style="text-align:center">
<hr size="1" width="98%" align="center">
</div>
<div id="m_-2620907601222420840m_561313882192148983divRplyFwdMsg">
<div>
<div>
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">From:</span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> Smith-Bindman, Rebecca<br>
<b>Sent:</b> Wednesday, August 27, 2025 1:07 PM<br>
<b>To:</b> Smith-Bindman, Rebecca <</span><span style="font-size:10.0pt"><a href="mailto:Rebecca.Smith-Bindman@ucsf.edu" target="_blank"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">Rebecca.Smith-Bindman@ucsf.edu</span></a></span><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">><br>
<b>Subject:</b> URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
</div>
<div>
<div>
<p class="MsoNormal">Dear Colleagues,<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal">I hope this finds you well and having a nice summer. As participants in our Virtual Symposium on CT, I know you care deeply about patient health and safety, I’m asking if you would take action to oppose new federal rules that would make
CT imaging less safe by weakening requirements for hospitals to report their CT radiation data.<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal">Currently, a mandatory measure is in place for hospitals that monitors the amount of radiation used during CT scans, ensuring doses remain within safe limits. However, CMS announced a proposal that would make reporting CT radiation data<span class="apple-converted-space"> </span><b><i><u>optional</u></i></b> for
hospitals.<span class="apple-converted-space"> </span><b>If this change goes into effect, hospital radiation monitoring will become ineffective. Patients will be exposed to unnecessarily high radiation, and</b><span style="font-size:10.0pt"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1M64aAhw18KQadm4IZRKqsH71CxwmQnNYDRdGvLxypsavFHKLh-_186MDxgN9t4yPNSC80-eRUjugY0GMKyXXk97UClglHtV1tnuZn0HS1AwCtNNOTRgKPdnu7_Iytg2na2xBR99Jxk0-_I1CKqinrxcQ9u-IMR0q9PRxTRGAfMZ11nNaT4b2xyy_bnMfy2pzivmtMjnCp9vaEJqKi83RKNzXs9DYGB2ZpDhfOlwIE6OonriHdYIocXxV7w_C9Bqli46Aqc4M8etimCy_LnpmGvEcqvytSDdK0dTrV_Ign8HFfCXpsnbCKoIvf-6N3ddgKIlbimprbioYm_DeQKR0vQ/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1dv86z054EgSfJBXp_2sq1CXrfjZFPKwwIXLeTzjdovArt_dPLb_6FgZwTifZHjxVt47za4KuApoTeU399BI0sxPh-wY5k9rnO2ZckCUaaMqu7cc0jYiHo0sinzx72dxrGNRBpUY7ZhJVrpSD7N1YJf0W-frWHIF6BWbVD2TFug3K5jRaN6EGFQBgMAiTykEwTxY66bDgAewY3rBRFjcTgrR1JHsVm4lDDTgqKR7yWWKOJwnz__zCS2ZXX8HhDsjKdHNUHOO20nFv7CCNIpieAznqlf8P9sX2Kiw4kZmTVDqGzaB-io_oawVZXyjfOyci*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fjamanetwork.com*2A2Fjournals*2A2Fjamainternalmedicine*2A2Ffullarticle*2A2F2832778__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TAQLOl68*2A24__*3BJSUlJSUlJSUlJSUlJSUlJSU*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDQfWZ33dA*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFRX5MyBdg$" target="_blank"><b><span style="font-size:12.0pt">thousands
of preventable cancers will occur</span></b></a></span><b>.</b><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal">In response to this unfortunate news, I’m reaching out to colleagues, friends, and family to<span class="apple-converted-space"> </span><b>tell CMS to stop this dangerous rollback for patient safety.</b><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><span style="color:#C82613">We’ve created a<span class="apple-converted-space"> </span></span><span style="font-size:10.0pt"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$" target="_blank"><span style="font-size:12.0pt">campaign</span></a></span> <span style="color:#C82613">to
allow quick and easy submission – just visit the site, enter your information, and submit the letter. My contacts at CMS have assured me if we get enough letters opposing the change, the proposed rule could be reversed.</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$" target="_blank"><span style="font-size:12.0pt">Please
submit your comment before Monday, September 15!</span></a><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><b>If you can, please also share the message with your community:</b><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div style="margin-left:1.0in">
<p class="MsoNormal" style="text-indent:-.25in"><span style="font-size:10.0pt;font-family:Symbol">·</span><span style="font-size:7.0pt;font-family:"Times New Roman",serif"> <span class="apple-converted-space"> </span></span><span style="color:#C82613">You
can forward this email to everyone you know</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div style="margin-left:1.0in">
<p class="MsoNormal" style="text-indent:-.25in"><span style="font-size:10.0pt;font-family:Symbol">·</span><span style="font-size:7.0pt;font-family:"Times New Roman",serif"> <span class="apple-converted-space"> </span></span>You can like, re-post, or share
my<span class="apple-converted-space"> </span><span style="font-size:10.0pt"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1jPglFl6_tA8RR_vfEpWI1dg79D-OmuIF4yi3whuHp5zkr7Ot111bNsT63KRCDKhseEthJwbuiFASW7b2ZfzQvuI9EXozcMUOT0we7kBiM_RqkhGKBLZRWk4k2_4epr2Fn8zjiEVxIy1_zcTo9OmPentUeoa3-5jlij_zHlvfnkTI678ERPSNdqEtSmXPIv4QuIZsPPY1cxBFOB1So7msIhPohhzqsVW4UHCWzWpY3GsLDpk2ZEHVvn7e4zvzOdX8Lw8pTmo7MMUuZxEeZwwJZ6cOSQNd13kZMXN_mO8BxpWOFlZ4nFYgIohc7dBa931VVU_bHvgsk6bPMY5hD3gBxQ/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1-0nU0hA1GlPA8-I7c__5pGN6_r-R7_KKZ2Bs1ncnQLpYsYeAIjik8HCLLfcsJ5adZK6pNbVP1ZrwwIh7pzKQuMPZ59KSWmn3FgQYdi2h7RifFJ-XU6YH2t_j0gKwMlFk146rUoOGXKNyOeIizaXZg0wu7y33Kmc-tlrXBWrHeaIvFmK2cecG-fe3eiKCyB957G6oO_7o0csTiN94AnC3oVjiMK8zBfQCA8aW7j9XphCUm_IKIAF8pgMR-g2g-NjCPr_V4qAA9JRd7SaZo-eljnqpKkETDUw0kBEm6F_OWv6RFXua2OCzvQu7RU8z-KHR*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fwww.linkedin.com*2A2Fposts*2A2Frebecca-smith-bindman-md-182031376_tell-washington-protect-patients-from-dangerous-activity-7366330637290532865-UOjL*2A3Futm_source*2A3Dshare*2A26utm_medium*2A3Dmember_desktop*2A26rcm*2A3DACoAAFzomrIBjPVXL5dkrweBZdyw6J82s-BP1jU__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TI5sqSMA*2A24__*3BJSUlJSUlJSUlJSUlJSUlJSUlJSUl*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDRSx2mh3A*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUl!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFQcz76-tQ$" target="_blank"><span style="font-size:12.0pt">LinkedIn
post</span></a></span> or<span class="apple-converted-space"> </span><span style="font-size:10.0pt"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/117aRM0tV5QBYxpTnJMjhmZ9RU48l28Ltzv-lpyf3xGPack6uuvPhD6-B-n5cuzKXoIzYEh1MntrDkF__WVZvgwGhVtQ8xrVgDLH9tsjyygkh7wEtPp9LZX-4GVCszYWLVrsNR0P2TU8P4JLggTZ2Hcgy2J3WncnxgBvAoHKtEwm46YizDjvZAq5x-YKJ_G9ZPmtYq4dU3ONtM1n-yNkalL70J6C06NzQHnVpwc_WYjAVz_es5tb8tOeuzeRAO-gbJNrY_-88lyPLbqn8hyXg8aLuaM-Ugku-yK_bCOTgBUPVGCZFc6R2EQ0-g-P4W6MAmogO7sJ40fJPY0AtHArrdg/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1Z9mso2dzcbF8q69XaNEGxRL-UQTLeng3B069QjpdLmnRk3LrYsjAc3hAjCFBfqEWM_FoaujCiiRbCsU84813KzlRoqthoz1Tsy1Fp2wV-tX3n5YBe0Caw7wxzXj9pAgoMiRk8691l0sknDAcRUqen45ScF-15tiCxbH-IrrFCn995DdN0Mx-Jd8Uz0hvKqSpTCt8S4WT8Y5BSQ6tEBlN-YBwoj5Qq4EuZhGvOISzPZH6B6Epwr5cIaBAUzlzIihNFB92BacsSywV5deCxjtj57VITqYaijJOWmKIYUcC94l-yHEPn3jlP3PGrM465d6D*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fx.com*2A2FUCRadSafety*2A2Fstatus*2A2F1960565952766206114__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TJ6e3gcg*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDQYbpZr8g*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFTXz0p8kQ$" target="_blank"><span style="font-size:12.0pt">X
post</span></a><o:p></o:p></span></p>
</div>
</div>
<div style="margin-left:1.0in">
<p class="MsoNormal" style="text-indent:-.25in;line-height:11.5pt"><span style="font-size:10.0pt;font-family:Symbol">·</span><span style="font-size:7.0pt;font-family:"Times New Roman",serif"> <span class="apple-converted-space"> </span></span>You can simply
email or text our campaign to friends and family:<span class="apple-converted-space"> </span><span style="font-size:10.0pt"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$" target="_blank"><span style="font-size:12.0pt">https://ucsf.quorum.us/campaign/make_CT_safer/</span></a><o:p></o:p></span></p>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal">Thank you for using your voice to protect patients. Please don’t hesitate to reach out with any questions.<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal">Sincerely,<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal">Rebecca<span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif">Rebecca Smith-Bindman, MD<br>
Professor<br>
Epidemiology and Biostatistics<br>
Obstetrics, Gynecology and Reproductive Science<br>
Director, Radiology Outcomes Research Lab<br>
University of California San Francisco</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div>
<p class="MsoNormal"><br>
<br>
<span style="font-family:"3D",serif"><br>
CONFIDENTIALITY NOTICE:<span class="apple-converted-space"> </span><br>
This email message and any accompanying data or files is confidential and may contain privileged information intended only for the named recipient(s). If you are not the intended recipient(s), you are hereby notified that the dissemination, distribution, and
or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at the email address above, delete this email from your computer, and destroy any copies in any form immediately.
Receipt by anyone other than the named recipient(s) is not a waiver of any attorney-client, work product, or other applicable privilege.</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt">The information in this e-mail is intended only for the person to whom it is addressed. If you believe this e-mail was sent to you in error and the e-mail contains patient information, please contact the
Mass General Brigham Compliance HelpLine at<span class="apple-converted-space"> </span><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1jacgxdFdtQXr7mZLNEUcCa0a-7mPvP04wvynZCkTM3rZmjpqY0iImV7CAjDe5WMHS2OcxE9qkI2MV-Fv7-KCweFRojHJpvQGOj8QiygynJzaO4dk6ss1QNODYlDnT8-WKRpbABR0-rAUG-JGnl8DlCuQ1T0xiGZEJDATnR4-bgUEkSwB5rFTHFrr0RD8wXac8kGxw1HOeqEniSL8Js9DYdYY912GfND5MseTGdiWwFosii94LmexmTlMiMyVKMpp0Na-rStRWYQ1KJ-suqo6ZVDuBoCmUIWiHYiw587-iPTmqcHOqdLEiRrJ_cJbwQG6v01Mmpw_4gN_F5jww1sFHw/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fwww.massgeneralbrigham.org*2Fcomplianceline__*3B*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDTAnjJtWg*24__;JSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFTC2G2B7g$">https://www.massgeneralbrigham.org/complianceline</a><span class="apple-converted-space"> </span>.<o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt">Please note that this e-mail is not secure (encrypted). If you do not wish to continue communication over unencrypted e-mail, please notify the sender of this message immediately. Continuing to send or respond
to e-mail after receiving this message means you understand and accept this risk and wish to continue to communicate over unencrypted e-mail. <o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt">The information in this e-mail is intended only for the person to whom it is addressed. If you believe this e-mail was sent to you in error and the e-mail contains patient information, please contact the
Mass General Brigham Compliance HelpLine at<span class="apple-converted-space"> </span><a href="https://urldefense.com/v3/__https:/www.massgeneralbrigham.org/complianceline__;!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFTdfd1klA$">https://www.massgeneralbrigham.org/complianceline</a><span class="apple-converted-space"> </span>.<o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"> <span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt">Please note that this e-mail is not secure (encrypted). If you do not wish to continue communication over unencrypted e-mail, please notify the sender of this message immediately. Continuing to send or respond
to e-mail after receiving this message means you understand and accept this risk and wish to continue to communicate over unencrypted e-mail. <o:p></o:p></span></p>
</div>
</div>
<div>
<p class="MsoNormal"><br>
<b><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:#0069AA">MetroHealth’s Mission: Leading the way to a healthier you and a healthier community through service, teaching, discovery, and teamwork.</span></b><span class="apple-converted-space"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif"> </span></span><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif">This
email and all attachments that may have been included are intended only for the use of the party to whom/which the email is addressed and may contain information that is privileged, confidential, or exempt from disclosure under applicable law. If you are not
the addressee or the employee or agent of the intended recipient, you are hereby notified that you are strictly prohibited from printing, storing, disseminating, distributing, or copying this communication.<a href="https://urldefense.com/v3/__https:/fs26.formsite.com/8dBVlg/sjvmjw2v0c/index.html__;!!KGKeukY!zPgYDvRiwaB4BjM77JPc4VoVy80U2JHAaa79xt_BVMPuv-vZpU9RuYmyKzBstXGGz3AyTVtAMNb1Z4V-z9OnfE3UpEB1rBJ6Btkp5mGMQfJ9$">Contact
us</a></span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><b><span style="font-size:8.0pt;font-family:"Arial",sans-serif;color:blue">NOTICE TO RECIPIENT:</span></b><span style="font-size:8.0pt;font-family:"Arial",sans-serif"> <span class="apple-converted-space"> </span>If you are not the intended
recipient of this e-mail, you are prohibited from sharing, copying, or otherwise using or disclosing its contents. <span class="apple-converted-space"> </span>If you have received this e-mail in error, please notify the sender immediately by reply e-mail and
permanently delete this e-mail and any attachments without reading, forwarding or saving them. v.173.295 <span class="apple-converted-space"> </span>Thank you.</span><span style="font-size:10.0pt"><o:p></o:p></span></p>
</div>
</div>
</blockquote>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
</div>
</div>
</body>
</html>