0001 COURT OF COMMON PLEAS 2 HAMILTON COUNTY, OHIO 3 - - - 4 TIMOTHY AND ANITA ARTHUR, : 5 ET AL., : 6 PLAINTIFFS, : 7 -VS- : CASE NO. A0307157 8 INTERNATIONAL FLAVORS & : 9 FRAGRANCES, INC., ET AL., : 10 DEFENDANTS. : 11 AND 12 IN THE CIRCUIT COURT OF 13 JASPER COUNTY, MISSOURI 14 - - - 15 RAFAELA AND CARLOS : 16 BENAVIDES, ET AL., : 17 PLAINTIFFS, : 18 -VS- : CASE NO. 01CV683025 19 INTERNATIONAL FLAVORS & : (1 - 30) 20 FRAGRANCES, INC., ET AL., : 21 DEFENDANTS. : 22 - - - 23 Deposition of JAMES EDWARD LOCKE, MD, a 24 witness herein, taken by the plaintiffs as upon 0002 1 direct examination pursuant to the Ohio Rules of 2 Civil Procedure and pursuant to Notice to Take 3 Deposition and stipulations hereinafter set forth 4 by teleconference with Steven Ward being present 5 in Springfield, Missouri, and all other parties 6 being present at the offices of Spangler Reporting 7 Services, Inc., 120 East Fourth Street, Suite 390, 8 Cincinnati, Ohio, at 10:46 a.m. EST, on Tuesday, 9 November 16, 2004, before Lisa Conley, RMR, CRR, 10 CCP, a notary public within and for the State of 11 Ohio, and by audio/visual means by Marlene Dori, 12 CLVS. 13 - - - 14 15 16 17 18 19 20 21 22 23 24 0003 1 APPEARANCES: 2 On behalf of the Plaintiffs: 3 Kenneth B. McClain, Esq. 4 and 5 Steven Crick, Esq. 6 of 7 Humphrey, Farrington, McClain & Edgar 8 221 West Lexinigton 9 Suite 400 10 Independence, Missouri 64050 11 and 12 Mark Wintering, Esq. 13 of 14 Robert E. Sweeney Company, LPA 15 Suite 1500 Illumination Building 16 55 Public Square 17 Cleveland, Ohio 44113 18 On behalf of the Defendant, Bush Boake Allen, 19 Inc.: 20 Frank C. Woodside, III, Esq. 21 of 22 Dinsmore & Shohl, LLP 23 1900 Chemed Center 24 255 East Fifth Street 0004 1 Cincinnati, Ohio 45202 2 On behalf of the Defendant, Givaudan Flavors 3 Corporation: 4 Damond Mace, Esq. 5 of 6 Squire, Sanders & Dempsey, LLP 7 4900 Key Tower 8 127 Public Square 9 Cleveland, Ohio 44115 10 On behalf of the Defendant, International Flavors 11 & Fragrances, Inc.: 12 Steven E. Ward, Esq. (By phone) 13 of 14 Turner, Reid, Duncan, Loomer & Patton, PC 15 PO Box 4043 16 Springfield, Missouri 65808 17 also present: 18 Dave Eagleman 19 - - - 20 S T I P U L A T I O N S 21 It is stipulated by and among counsel for 22 the respective parties that the deposition of 23 JAMES EDWARD LOCKE, MD, a witness herein, may be 24 taken as upon direct examination pursuant to the 0005 1 Ohio Rules of Civil Procedure, and pursuant to 2 Notice to Take Deposition; that the deposition may 3 be taken in stenotypy by the notary public-court 4 reporter and transcribed by her out of the 5 presence of the witness; and that the submission 6 of the transcribed deposition to the witness for 7 his examination and signature is expressly waived. 8 - - - 9 I N D E X 10 WITNESS DIRECT CROSS REDIRECT 11 James Edward Locke, MD 12 156 224 12 182 13 209 14 RECROSS FURTHER DIRECT 15 243 256 16 256 17 FURTHER CROSS 18 258 19 VOIRE DIRE 20 181 21 - - - 22 E X H I B I T S 23 DEPOSITION EXHIBITS MARKED 24 No. 1, a copy of a multi-page "Curriculum 13 0006 1 Vitae." 2 No. 2, a copy of a 1-page letter dated 20 3 June 19, 2003, to Gregory Mitchell from 4 James Lockey. 5 No. 3, a copy of a multi-page letter dated 25 6 June 13, 2002, to Susan Borchers from 7 James Lockey, with attachments. 8 No. 4, a copy of a multi-page article, 27 9 "Clinical Bronchiolitis Obliterans in 10 workers at a Microwave Popcorn Plant, 11 August 1, 2002. 12 No. 5, a copy of a multi-page article, 36 13 "Necrosis of Nasal and Airway Epithelium 14 in Rats Inhaling Vapors of Artificial 15 Butter Flavoring." 16 No. 6, a copy of a 4-page "The 37 17 Toxicologist," March 2004. 18 No. 7, a copy of a 1-page letter dated 39 19 October 15, 2001, to Anne Apl from 20 Frosch, with attachments. 21 No. 8, a copy of a multi-page "Respiratory 41 22 Safety in the Flavor & Fragrance 23 Workplace," FEMA 01244 through 1440. 24 No. 9, a copy of a multi-page "Respiratory 50 0007 1 Safety in the Flavor and Fragrance 2 Workplace," FEMA 01604 through 1731. 3 No. 10, a copy of a 1-page "2002 Abstract 55 4 Form." 5 No. 11, a copy of a 4-page "Fax Cover 60 6 Sheet," dated August 3, 1995, to Janice 7 Dees from Roy McKay. 8 No. 12, a copy of a 4-page letter dated 63 9 July 10, 1995, to James Lockey from Karen 10 Duros. 11 No. 13, a copy of a multi-page, handwritten 66 12 document dated 7/26/95. 13 No. 14, a copy of a multi-page document 69 14 entitled "Tastemaker Site Visit: 15 August 4, 1995." 16 No. 15, a copy of a 1-page "Chemicals 72 17 Purchased Per Year (Pounds)." 18 No. 16, a copy of a 3-page, handwritten 73 19 document dated 7/6/95. 20 No. 17, a copy of a multi-page "Project 77 21 Team Meeting 14 September 95." 22 No. 18, a copy of a 5-page "Raw Material 82 23 Sensitivity List." 24 No. 19, a copy of a multi-page, 84 0008 1 handwritten document dated 12/13/95. 2 No. 20, a copy of a multi-page "EHS 87 3 Project Specific Action Items 4 Confidential." 5 No. 21, a copy of a multi-page, 96 6 handwritten document, "Draft 7 Presentation Safety Meeting, 8 Feb. 96." 8 No. 22, a copy of a multi-page "Respirator 101 9 Fit Testing & Training Observations." 10 No. 23, a copy of a 3-page document, with a 102 11 1-page "Facsimile Cover Sheet," dated 12 September 26, 1996, to James Lockey from 13 Karen Duros. 14 No. 24, a copy of a 4-page, handwritten 102 15 document reflecting "FEMA." 16 No. 25, a copy of a 4-page, handwritten 119 17 document reflecting "John + Dan." 18 No. 26, a copy of a multi-page memo dated 131 19 March 18, 1993, to Safety Committee from 20 Jack Gillen, Jr. 21 No. 27, a copy of a 1-page letter dated 140 22 July 16, 2001, to James Lockey from 23 Kathleen Kreiss. 24 No. 28, a copy of a 2-page "Workshop 141 0009 1 Agenda." 2 No. 29, a copy of a 1-page document 148 3 beginning "On 5/17/02." 4 No. 30, a copy of a 2-page letter dated 150 5 June 24, 2002, to James Lockey from 6 Frederick King. 7 No. 31, a copy of 1 page of 3 e-mails, the 152 8 first being dated May 22, 2002, to Connie 9 Thrasher from Celia Vimont. 10 No. 32, a copy of 2 pages of e-mails, the 152 11 first being dated May 23, 2002, to Connie 12 Thrasher from Jim. 13 No. 33, a copy of a 1-page memo dated 155 14 February 10, 2003, from James Lockey. 15 No. 34, a copy of a 1-page "ATS Daily 157 16 Bulletin," FEMA 01440. 17 No. 35, a copy of a 1-page, 2-sided document 172 18 beginning "This is to present a method 19 Tastemaker." 20 No. 36, a copy of a multi-page, 2-sided 176 21 NIOSH "Health Hazard Evaluation Report." 22 No. 37, a copy of a 1-page "Exercise 200 23 Myocardial Perfusion Imaging Report," 24 dated 3-25-02. 0010 1 No. 38, a copy of a 1-page "CT Scan," dated 201 2 7/18/2002. 3 No. 39, a copy of a 1-page memo dated 206 4 9/14/01 to Dr. Lockey from Brad Mutchler. 5 No. 40, a copy of a 1-page "Privilege Log 238 6 of Givaudan." 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 0011 1 THE VIDEOGRAPHER: Today is 2 November the 16th, 2004. The time is now 11:47 -- 3 10:46, my bad. This is in the matter of Timothy 4 and Anita Arthur, et al., versus International 5 Flavors & Fragrances, Inc., et al. This is in the 6 Court of Common Pleas, Hamilton County, Ohio, Case 7 No. A 0307157. This is also cross-noticed in 8 the -- 9 MR. CRICK: Benavides. 10 THE VIDEOGRAPHER: -- Benavides 11 versus International Flavors & Fragrance, Inc., et 12 al., and that's in Jasper County, Missouri, 13 01CV683025, 130. We're in Cincinnati, Ohio. I am 14 Marlene Dori, Certified Legal Videographer. The 15 court reporter is Lisa Conley, Registered Court 16 Reporter, CMR. 17 At this time I will have counsel 18 introduce themselves, and after that we will have 19 the witness sworn in by the court reporter. You 20 may begin. 21 MR. MCCLAIN: On behalf of the 22 Plaintiff, Kenneth McClain, Steven Crick, and Mark 23 Wintering. 24 MR. WOODSIDE: In the Arthur case, 0012 1 this is Frank Woodside of Dinsmore & Shohl in 2 Cincinnati on behalf of International Flavors & 3 Fragrances and on behalf of Bush Boake Allen. In 4 the Benavides case, Frank Woodside appearing on 5 behalf of Bush Boake Allen. And Steve Ward of 6 Turner Reid in Springfield, Missouri, appearing on 7 behalf -- on the phone appearing on behalf of 8 International Flavors & Fragrances. 9 MR. MACE: In the Arthur case 10 Damond Mace on behalf of Givaudan Flavors. 11 (Witness sworn.) 12 JAMES EDWARD LOCKE, MD 13 of lawful age, a witness herein, being first duly 14 sworn as hereinafter certified, was examined and 15 deposed as follows: 16 DIRECT EXAMINATION 17 BY MR. MCCLAIN: 18 Q. Dr. Lockey, would you please 19 introduce yourself. 20 A. Dr. James Edward Lockey, University 21 of Cincinnati Medical Center. 22 Q. And, Dr. Lockey, could you describe 23 your medical specialitization for the jury, 24 please. 0013 1 A. I specialize in occupational 2 pulmonary disorders. 3 Q. Dr. Lockey, I have a copy of a 4 curriculum vitae that we've obtained, and I don't 5 know whether it's your most current one or not, 6 but let's mark that as Exhibit 1, if we could. 7 Could you give it to the reporter, and that's a 8 copy for you to review, Doctor. 9 (Deposition Exhibit No. 1 was marked for 10 identification.) 11 Q. Is this a fairly current version of 12 your CV? 13 A. Yes. 14 Q. Dr. Lockey, we're here to discuss 15 some of your work in regard to the disease 16 bronchiolitis obliterans particularly as it 17 relates to the flavor industry. Have you done 18 such work? 19 A. Yes. 20 Q. In this CV that we have marked as 21 Exhibit 1, it indicates that you are board 22 certified in internal medicine; is that right? 23 A. That's correct. 24 Q. And you have a subspecialty in 0014 1 pulmonary disease, and you've taken the board 2 subspecialty exam for that subspecialty? 3 A. That's correct. 4 Q. And also for occupational medicine? 5 A. Yes. 6 Q. You're also what is called a "B" 7 reader, and you've been certified on two 8 occasions; is that right? 9 A. Yes, perhaps more than two 10 occasions, but yes. 11 Q. Now, Doctor, there's a number of 12 publications that are listed on your CV, and I've 13 just noted some of them. 14 You've written on the subject of 15 occupational asthma; is that right? 16 A. Yes. 17 Q. And, Doctor, you have written on 18 bronchiolitis obliterans? 19 A. Yes. 20 Q. And presented papers on both of 21 those subjects as well? 22 A. That's correct. 23 Q. Doctor, you have been invited to 24 speak on the issue of bronchiolitis obliterans by 0015 1 NIOSH; is that correct? 2 A. Yes. 3 Q. What is NIOSH? 4 A. National Institute of Occupational 5 Safety and Health. 6 Q. And at NIOSH you presented findings 7 regarding bronchiolitis obliterans in the 8 flavoring industry; is that correct? 9 A. That's correct. 10 Q. And, Doctor, you presented an 11 abstract of a paper to the American Thoracic 12 Society as well regarding your findings of 13 bronchiolitis obliterans in the flavoring 14 industry; is that correct? 15 A. Yes. 16 Q. And that was in 2002 -- 17 A. Yes. 18 Q. -- is that right? 19 And the plant that you studied was a 20 plant that is -- was originally called the Taste 21 Masters plant? 22 A. Yes. 23 Q. And they are now owned by Givaudan 24 Flavors, Inc.? 0016 1 A. Yes. 2 Q. And at that plant you found five 3 cases of bronchiolitis obliterans that you 4 attributed to being caused by working with 5 flavoring chemicals; is that correct? 6 A. That's correct. 7 MR. WOODSIDE: Object to the form 8 of the question. Move to strike. The reason I 9 object, Mr. McClain, is because it's overly broad, 10 vague, and ambiguous, in that you've indicated and 11 asked the question whether it was posed to 12 chemicals in general, so object. 13 Q. Just to clarify, Doctor, we're going 14 to get into your specific findings, and what you 15 examined, and how you came to your conclusions, 16 but my question -- my question as phrased was 17 correct; am I right? 18 A. Yes. 19 MR. MACE: Let me also get an 20 objection on the record to the leading nature of 21 all of Counsel's questions. Covered some 22 preliminary matters, we don't object to that, but 23 as we get into the specifics, he should take the 24 witness on direct. 0017 1 MR. MCCLAIN: Well, my 2 understanding was, is that you were claiming 3 privilege in regard to this witness, that he was a 4 consultant to your company; is that not true? 5 MR. MACE: That's not true. We 6 withheld one document because of attorney-client 7 privilege, but he's here to testify as a fact 8 witness with respect to his investigation. 9 MR. MCCLAIN: Well, how in the 10 world, if he's not your witness, do you get to 11 claim privilege on anything in his files? 12 MR. MACE: Well, we can cover that 13 off the record, but he had several different 14 tasks, one was to work on occupational health, and 15 another was to do some specific consultation. 16 MR. MCCLAIN: Just for the record, 17 you get to pick and choose when he's your witness 18 and when he's not? 19 MR. MACE: Well, Counsel, you know 20 that we can resolve this with the Court. We're 21 not going to debate it here. 22 MR. MCCLAIN: Well, I'm not going 23 to debate it because I want to know whether I get 24 to lead the witness or not, and I'm not going to 0018 1 be in jeopardy in regard to your position. If 2 he's not your witness, I want the document now. 3 MR. MACE: You're not allowed to 4 lead the witness. You have to take the witness on 5 direct. 6 MR. MCCLAIN: No, I don't, not if 7 he's your witness and you claim privilege 8 regarding his materials. 9 MR. MACE: He's not my witness, and 10 I haven't claimed privilege with respect to his 11 materials. 12 MR. MCCLAIN: Then I want the 13 document now. 14 MR. MACE: All right. We can 15 resolve that. We assert an objection as to one 16 document. 17 MR. MCCLAIN: Yes, sir. 18 MR. WOODSIDE: I don't think 19 there's ever been any claim by me or you that Dr. 20 Lockey in any form, shape or manner is my witness; 21 therefore, I'm going to object to the leading 22 nature of the question. 23 In addition, it would be 24 satisfactory if we generally don't clutter up the 0019 1 record, and so if one defendant objects, it would 2 be good for most defendants, unless there are 3 specific reasons why each one should separately 4 object. 5 MR. MCCLAIN: Yes, that's fine. 6 BY MR. MCCLAIN: 7 Q. All right, Dr. Lockey, I'm sorry to 8 involve you in all of that. 9 MR. WARD: Just while we're kind of 10 interrupting things here for a second, I think I 11 heard Ken -- or Frank just indicate that it would 12 be okay for one objection by one defendant is good 13 for all; is that what the objection was? 14 MR. WOODSIDE: We agreed to that, 15 Steve. 16 MR. WARD: That's what I want to 17 make sure of, thank you. 18 MR. MCCLAIN: So now you can go 19 back to sleep. 20 MR. WARD: Yes, thank you. 21 MR. MCCLAIN: All right. Dr. 22 Lockey, let's come back. Let me remember where we 23 were with the last question. Was the last 24 question relating to his findings in the flavor 0020 1 industry? 2 (Record read back by the court reporter.) 3 BY MR. MCCLAIN: 4 Q. Dr. Lockey, I represent a man by the 5 name of Keith Campbell; have you seen him, Doctor, 6 in a medical capacity? 7 A. Yes. 8 Q. And he works at the ConAgra plant or 9 did work at the ConAgra plant in Marion, Ohio; are 10 you aware of that? 11 A. Yes. 12 Q. Let me show you what we'll mark as 13 Exhibit 2. 14 (Deposition Exhibit No. 2 was marked for 15 identification.) 16 A. Yes. 17 Q. Are you familiar with that -- Is 18 this -- Are these -- Let's explain what's in 19 Exhibit 2. These are two reports that you 20 generated regarding an independent medical exam of 21 Keith Campbell; is that correct, Doctor? 22 A. That's correct. 23 Q. Would you describe for the jury what 24 an independent medical exam is. 0021 1 A. I was asked to see the patient to 2 determine whether there was a potential 3 occupational disease or not. That involves 4 history, physical examination, review of outside 5 medical records, and putting together a 6 cause/effect relationship, if in fact one exists. 7 Q. And, Doctor, you evaluated his case 8 on more than one occasion; is that correct? 9 A. Yes. I guess I generated two 10 letters, one of June 13th and one of -- June 13th 11 of 2002 and one of June 19th of 2003. 12 Q. And he had been seen by other 13 doctors both before you saw him and subsequently; 14 is that correct -- 15 A. Yes. 16 Q. -- based upon your review of your 17 letters? 18 A. That's correct. 19 Q. And the doctors that had seen him 20 had diagnosed him with this disease, bronchiolitis 21 obliterans; is that right? 22 MR. WOODSIDE: Object to the 23 leading nature. 24 A. That was my diagnosis. 0022 1 Q. Doctor, let me just ask you, what 2 was your diagnosis of Mr. Campbell? 3 A. It was bronchiolitis obliterans. 4 Q. Can you tell the jury what 5 bronchiolitis obliterans is? 6 A. Bronchiolitis obliterans is a 7 disease that affects the very small airways to the 8 lung. When an individual has some type of 9 inflammatory response involving the small airways, 10 in certain susceptible individuals, there's a 11 proliferation of fibrous tissue that closes off 12 the small airways. We call that constricted 13 bronchiolitis or bronchiolitis obliterans. 14 Q. And it's your medical opinion to a 15 reasonable degree of medical certainty that 16 Mr. Campbell has this disease? 17 A. Yes. 18 Q. And, Doctor, in your letters you 19 ascribe a cause to his disease; is that correct? 20 A. Yes, I do. 21 Q. And what was his job classification? 22 A. He worked in the microwave popcorn 23 production industry. 24 Q. And was he a mixer? 0023 1 A. I have to go back and look to see. 2 Hold on a second. Yes, he was a mixer. 3 Q. And, Doctor, was it your 4 understanding that one of the things that he mixed 5 was butter flavor for this microwave popcorn? 6 MR. WOODSIDE: Objection, leading. 7 MR. WARD: Same objection. 8 MR. MACE: Objection. 9 A. Yes. He said in the mixing room 10 they used a number of different ingredients, 11 including liquid butter -- 12 Q. Now, Doctor -- 13 A. -- and butter powder, whatever that 14 is. 15 Q. And, Doctor, based upon your 16 previous investigations, are you familiar that 17 butter flavor contains a chemical called diacetyl, 18 among other chemicals? 19 A. Yes. 20 Q. And, Doctor, has that chemical now 21 been studied by scientists such as yourself to 22 determine whether or not it can cause lung damage? 23 MR. MACE: Objection, compound. 24 MR. WOODSIDE: Objection, leading. 0024 1 A. In particularly, the NIOSH 2 scientists have looked at this chemical in detail 3 and felt that it's related to the occurrence of 4 bronchiolitis obliterans in this particular 5 industry. 6 Q. In the microwave popcorn industry? 7 A. That's correct. 8 Q. And, Doctor, based upon your 9 consultation with the Flavor Master Company, which 10 is now owned by Givaudan Roure, are you aware that 11 they make butter flavor? 12 A. Yes, they do make butter flavor. 13 Q. And does their butter flavor contain 14 diacetyl? 15 A. My assumption is it does. I don't 16 recall specifically, but my assumption would be 17 that it does. 18 Q. We're going to look back at some 19 documents that you generated back when you were 20 consulting for Givaudan, TasteMasters, and see if 21 that refreshes your recollection specifically, but 22 your general recollection is fine at this point. 23 And is it your general recollection 24 that they do utilize diacetyl in their own plants? 0025 1 A. Yes. 2 MR. WOODSIDE: Can I make a 3 suggestion. This is just technical. It really 4 has two reports. Just label -- The first one has 5 been labeled Exhibit 2, the June 19th. Could we 6 label the June 13th one 3? 7 MR. MCCLAIN: That would be fine. 8 We could do it that way if you'd like. 9 MR. WARD: Are you marking them 10 different? 11 MR. MCCLAIN: We're simply marking 12 the two separate reports, one is 2 and the other 13 is 3. 14 MR. WARD: Okay. Thank you. 15 (Deposition Exhibit No. 3 was marked for 16 identification.) 17 BY MR. MCCLAIN: 18 Q. Now, Doctor, you make reference in 19 your second letter, Exhibit 2, to a report in the 20 medical literature. Were you referring to the 21 "New England Journal of Medicine" publications 22 that were published in 2001 by the scientists from 23 NIOSH? 24 A. Yes. 0026 1 Q. All right. We're going to come to 2 those in a minute. But those reports indicated 3 that a group of workers in Jasper, Missouri, were 4 diagnosed with bronchiolitis obliterans that the 5 scientists from NIOSH attributed to exposure to 6 butter flavor; is that correct? 7 MR. MACE: Objection, hearsay. 8 Objection, leading. 9 MR. WOODSIDE: Same objection. 10 MR. WARD: Same objection. 11 A. Yes. 12 Q. Doctor, let me ask it a different 13 way. Doctor, what publications were you referring 14 to, and what findings in those publications did 15 you find supportive of your diagnosis of Keith 16 Campbell's bronchiolitis obliterans disease? 17 MR. MACE: Objection, calls for 18 hearsay. 19 MR. WOODSIDE: Same. 20 A. The publications mainly by Kay 21 Kreiss in relation to the epidemic of 22 bronchiolitis obliterans in the popcorn industry. 23 Q. Doctor, let me show you what we'll 24 mark as Exhibit 4. 0027 1 A. I thought it was 2002. 2 Q. August 1st, 2002, you're right. 3 (Deposition Exhibit No. 4 was marked for 4 identification.) 5 Q. Doctor, first of all, is this the 6 article that you were referring to in Exhibit 2 7 and that you referred to in testimony? 8 A. That's correct. 9 Q. Would you please read its title into 10 the record. 11 A. "Clinical Bronchiolitis Obliterans 12 in Workers at a Microwave Popcorn Plant." 13 Q. And who is the lead author on this 14 paper? 15 A. Kathleen Kreiss. 16 Q. Do you know Dr. Kreiss? 17 A. Yes, I do. 18 Q. Do you consider her an expert in the 19 field? 20 A. Yes. 21 Q. And someone -- Have you consulted 22 with her on this very issue? 23 A. Yes. 24 Q. And, in fact, does she cite your 0028 1 previous findings in regard to the workers at the 2 TasteMaster/Givaudan plant in support of her 3 conclusions? 4 MR. MACE: Objection to the slash 5 Givaudan. 6 A. Yes, she does. 7 Q. And did she do that with your 8 approval? 9 A. Yes. 10 Q. Doctor, let me ask you, how did she 11 become aware of your work from the Givaudan, 12 TasteMaster plant? 13 A. We're an academic institution. We 14 have residents, we have medical students, we have 15 graduate students who work on various projects. 16 We have NIOSH Fellows who rotate through our 17 centers. So when we discuss situations, we 18 present case conferences and review of the 19 research that's ongoing, so, most likely, NIOSH 20 became aware through that avenue. 21 Q. So it wasn't a formal communication 22 that you had with NIOSH about your work; it was 23 more of it was through the grapevine, if we were 24 describing the process as a layman? 0029 1 A. Probably. 2 Q. Let's look at the conclusions of 3 this paper just for a moment, Doctor. From the 4 first page, the abstract, it says: "In May of 5 2000, eight persons who had formerly worked in a 6 microwave popcorn production plant were reported 7 to have severe bronchiolitis obliterans. No 8 recognized cause was identified in the plant; 9 therefore, we medically evaluated current 10 employees and assessed their occupational 11 exposures." Did I read that accurately? 12 A. Yes, you did. 13 Q. Now, Doctor, you described 14 previously an epidemic of bronchiolitis obliterans 15 in the microwave popcorn industry. What did you 16 mean by that; what is an epidemic? 17 A. I'm sorry. Oh, you mean when I was 18 answering one of your questions? 19 Q. Yes. 20 A. A much higher prevalence or much 21 higher instance of abnormalities than anyone would 22 expect based on a normal background population. 23 In this case, a higher, much higher, instance of 24 bronchiolitis obliterans than you would expect in 0030 1 a similar facility based on background rates. 2 Q. And was that the situation in the 3 Jasper popcorn plant? 4 A. Apparently. 5 MR. MACE: Objection, calls for 6 hearsay. 7 MR. WOODSIDE: Objection, hearsay, 8 no foundation. 9 MR. WARD: Object on same basis. 10 Q. Well, let me rephrase it. Doctor, 11 based upon Dr. Kreiss' study and your medical 12 opinion, was there an epidemic at the Jasper 13 popcorn plant? 14 MR. MACE: Objection, calls for 15 hearsay. 16 MR. WOODSIDE: Same objection. 17 MR. WARD: Objection, speculation. 18 A. There was a clustering of cases in 19 that facility which needed attention. 20 Q. Read down at the conclusions, 21 Doctor, it says: "The excess rates of lung 22 disease" -- 23 MR. MACE: Objection to form, 24 reading from document, hearsay. 0031 1 MR. WOODSIDE: Same objection. 2 Q. "The excess rates of lung disease 3 and lung function abnormalities and the relation 4 between exposures and outcomes in this working 5 population indicate that they probably had 6 occupational bronchiolitis obliterans caused by 7 the inhalation of volatile butter flavoring 8 ingredients." Did I read that accurately? 9 MR. MACE: Objection, hearsay. 10 Move to strike. 11 MR. WOODSIDE: Same. 12 MR. WARD: Same objection. 13 A. Yes, you did. 14 Q. Go ahead and answer. Doctor, did I 15 read that accurately? 16 A. Yes, you did. 17 Q. And, Doctor, is it your medical 18 opinion that that conclusion is supported by the 19 data presented in this paper and in the seminars 20 you have participated in? 21 MR. MACE: Objection, lack of 22 foundation. 23 MR. WARD: Objection, lack of 24 foundation. 0032 1 A. Yes. 2 Q. Doctor, let's make sure that we have 3 the foundation in the record. Have you reviewed 4 the paper that's in front of us? 5 A. Yes, I have. 6 Q. On more than one occasion? 7 A. Yes. 8 Q. Doctor, on occasion you have served 9 as a reviewer of papers submitted to the "New 10 England Journal of Medicine"; is that correct? 11 A. That's correct. 12 Q. Doctor, is there a more prestigious 13 medical journal in the United States than the "New 14 England Journal of Medicine"? 15 A. No. 16 Q. Doctor, is the quality of their work 17 generally very good? 18 A. The quality of the work that the 19 "New England Journal" publishes is excellent, yes. 20 Q. And, Doctor, is it reviewed by 21 experts in the field before it is published? 22 A. Yes. 23 Q. Is that a process called peer 24 review? 0033 1 A. It is. 2 Q. And do you know whether or not this 3 article was peer reviewed? 4 A. I don't know of any article that's 5 published in the "New England Journal" that's not 6 peer reviewed. 7 Q. And, Doctor, were you involved in 8 the initial review of the work that NIOSH prepared 9 in preparation for the presentation of this 10 article to the "New England Journal of Medicine"? 11 MR. MACE: Objection, assumes. 12 MR. WOODSIDE: Object to the form 13 of the question because I don't understand it. 14 Q. Well, let me rephrase it. Doctor, 15 were you aware of NIOSH's findings before this 16 article was published? 17 A. Yes, I was. 18 Q. How were you aware? 19 A. Through the NIOSH conference that 20 was put on in Morgantown, West Virginia. 21 Q. And, Doctor, describe for us the 22 NIOSH conference in Morgantown. 23 A. Dr. Kreiss -- 24 MR. WOODSIDE: Excuse me. Is this 0034 1 the August 25, 2001 conference? 2 Q. Well, Doctor, was it? 3 A. I think that was the date, August 4 2001. 5 Q. Doctor, would you please describe 6 what happened on August 8th of 2001? 7 A. NIOSH had organized -- 8 MR. MACE: Objection to the date. 9 Q. Strike that. Doctor, would you 10 please describe what happened at the August 25th, 11 2001, conference that NIOSH convened regarding 12 bronchiolitis obliterans in the flavoring 13 industry. 14 A. Dr. Kreiss had organized a 15 conference revolving around this issue. She had 16 presented her data at that conference as we 17 presented our data, and based on that conference, 18 there appeared to be a cause/effect relationship 19 between at least in the popcorn manufacturing 20 industry this particular disease state and the 21 exposures that occurred within that industry. 22 Q. And, Doctor, at the conference did 23 more than one scientist present? 24 A. Yes. 0035 1 Q. Can you describe the types of 2 scientists that presented the findings that NIOSH 3 had reached at the Jasper popcorn plant? 4 A. There were some case reports that 5 were presented, I think, from Missouri. There was 6 a pathology review of bronchiolitis obliterans. I 7 presented the findings based on the flavoring 8 manufacturing company that we looked at. And Dr. 9 Kreiss, I think, presented the findings that she 10 had in relationship to popcorn manufacturing. 11 Q. Doctor, at that conference did Dr. 12 Hubbs present her findings? 13 A. Yes, Dr. Hubbs, who did the case 14 report. 15 Q. She did the rat study, I believe. 16 A. Oh, I think she did, yes. 17 Q. And could you describe for the jury 18 what that -- what those findings were? 19 MR. MACE: Objection, calls for 20 hearsay. 21 MR. WOODSIDE: Same. 22 MR. WARD: Same objection. 23 A. I mean, I don't remember the 24 findings in that. I remember, I think she looked 0036 1 at diacetyl and found abnormalities in the animals 2 she looked at, but I'd have to go back and review 3 that. 4 Q. Well, we'll come to that in a 5 second. But, Doctor, based upon your review of 6 the process by which the scientists that published 7 in the "New England Journal of Medicine" reached 8 their conclusions, do you believe to a reasonable 9 medical certainty that their conclusions are 10 correct? 11 A. Yes, I do. 12 Q. I was mentioning Dr. Hubbs. This 13 we'll mark as Exhibit 5. 14 (Deposition Exhibit No. 5 was marked for 15 identification.) 16 Q. Doctor, this is "Necrosis of Nasal 17 and Airway Epithelium in Rats Inhaling Vapors of 18 Artificial Butter Flavoring," toxicology and 19 applied pharmacology, published in 2002 by Dr. Ann 20 F. Hubbs and others. Are you familiar with this 21 article? 22 A. I haven't seen this article before. 23 Q. Do you recall Dr. Hubbs' oral 24 presentation at the conference? 0037 1 A. Yes, I do. 2 Q. And are you generally familiar with 3 her conclusions? 4 A. I think based on the conference that 5 she thought that this -- 6 MR. MACE: Objection, hearsay. 7 A. -- this very well may be the 8 offending agent, but I haven't seen the article 9 published. 10 Q. Doctor, have you seen Dr. Hubbs' 11 second abstract regarding a further study that was 12 done by her group to further test this hypothesis 13 that butter flavor and/or diacetyl was the cause 14 of this process? 15 A. No, I have not. 16 Q. I'll show you what we've marked as 17 Exhibit 6. 18 (Deposition Exhibit No. 6 was marked for 19 identification.) 20 Q. Doctor, just to be clear, I'm going 21 to show you, to be certain that you have read this 22 abstract, this is a 2127 at the bottom of the 23 second page, "Inhalation Toxicity of the" -- 24 MR. MACE: Can we get a copy? 0038 1 MR. MCCLAIN: Yes, I'm sorry. 2 MR. MACE: Objection to the 3 hearsay. 4 BY MR. MCCLAIN: 5 Q. This is 2127 by Dr. Hubbs, 6 "Inhalation Toxicity of the Flavoring Agent 7 Diacetyl in the Upper Respiratory Tract of Rats," 8 and you haven't had a chance to review this yet? 9 A. No, I haven't seen this. 10 Q. All right. Now, Doctor, let me ask 11 you, did you at anytime when you were conducting 12 your studies at the Flavor Master/Givaudan plant 13 have specific animal testing available to you 14 regarding the effect of diacetyl on the human lung 15 or epithelium? 16 MR. MACE: Objection to form. 17 A. Not that I'm aware of. 18 Q. And, Doctor, were you asked -- And, 19 Doctor, did you -- Were you provided with the 20 opportunity to do specific testing regarding the 21 chemicals found in butter flavor by 22 TasteMaker/Givaudan? 23 MR. MACE: Continuing objection to 24 the slash Givaudan. 0039 1 A. I'm not sure I understand the 2 question. 3 Q. Did they -- When you were consulting 4 for TasteMaker, did you -- did they offer to do 5 tests regarding diacetyl and its effects on the 6 lung? 7 A. Not that I recall. 8 Q. Doctor, let me ask you if you've 9 ever seen Exhibit 7. 10 (Deposition Exhibit No. 7 was marked for 11 identification.) 12 A. No, I have never seen this. 13 Q. Doctor, this is a study. If you'll 14 look at the second page, you'll see it's from 1993 15 from the BASF company based in Germany, who are a 16 manufacturer of diacetyl. Are you familiar with 17 that company? 18 A. I've heard of the company. I don't 19 have any direct knowledge about the company one 20 way or the other. 21 Q. Were you aware at the time that you 22 were consulting for TasteMaker that, in fact, BASF 23 study had conducted a rat study on the chemical 24 diacetyl that showed that damage to the lung was 0040 1 caused by inhalation of this chemical? 2 A. No. 3 MR. MACE: Objection, hearsay. 4 MR. WOODSIDE: Same objection. 5 MR. WARD: Same objection. 6 Q. Doctor, is this information that 7 would have been helpful to you when you were 8 consulting with TasteMaker regarding bronchiolitis 9 obliterans in their plant? 10 MR. MACE: Objection. 11 A. Yes. 12 MR. WARD: Objection. 13 Q. All right. Doctor, I want to get 14 into your study this morning. And you're aware of 15 an organization called FEMA? 16 A. Yes. 17 Q. The Flavoring and Extract 18 Manufacturers' Association? 19 A. Yes. 20 Q. What is that organization; can you 21 describe it for the jury? 22 A. As far as I know, it's a trade 23 organization made up of flavor manufacturers. 24 Q. And did TasteMaker -- were they the 0041 1 first group to alert you to the existence of FEMA? 2 A. Yes. 3 Q. Was it through TasteMaker that you 4 learned about FEMA? 5 A. Yes. 6 Q. And did TasteMaker put you in 7 contact with representatives of FEMA during the 8 course of your work? 9 A. Yes. 10 Q. Let's mark this as Exhibit 8, 11 please. 12 (Deposition Exhibit No. 8 was marked for 13 identification.) 14 Q. Doctor, this is a document that's 15 entitled "Respiratory Safety in the Flavor & 16 Fragrance Workplace, Thursday, June 13th, 2002, 17 Newark Airport Marriott." 18 Doctor, are you aware of a 19 conference that FEMA sponsored regarding 20 respiratory safety? 21 A. No. 22 Q. Look over with me, would you, 23 Doctor, because there's a description regarding 24 the outbreak of bronchiolitis obliterans, look at 0042 1 page 2, if you would. It's 2 at the top. At the 2 top of the page, there's a narrative section. 3 Does your copy not have -- Let me see, hang on. 4 A. Okay. 5 Q. Doctor, there's -- There are two 6 paragraphs here, and I just want to read this 7 first three portions of paragraphs into the record 8 so that we have some reference to your work and 9 try to place it in the context of the overall work 10 that's been done on bronchiolitis obliterans in 11 the flavoring industry. 12 MR. MACE: Objection, hearsay. 13 Q. It says: "The possibility that 14 exposure to flavors in the workplace may result in 15 respiratory injury was noted in a 1986 health 16 hazard evaluation published by the National 17 Institute of Occupational Safety and Health, 18 NIOSH, on two workers at a facility that mixed 19 liquid and powdered flavorings for use in the 20 baking industry. The report concluded that it is 21 probable that some agent in the mixing room 22 produced severe mixed obstructive lung disease. 23 Lung tissue samples, lung biopsy information, from 24 the two workers were not available, but the report 0043 1 concluded that the clinical picture was more 2 compatible with bronchiolitis obliterans than with 3 emphysema." 4 Doctor, were you aware of this 1986 5 report at the time that you were consulting for 6 Taste Makers? 7 A. I think we found that report when we 8 did our work in '95, '96. We did extensive review 9 of the literature, and actually, we found that 10 report, and actually, we made that report -- made 11 Kathleen Kreiss aware of that report. 12 Q. So you were the ones that made Dr. 13 Kreiss, who published in the "New England Journal 14 of Medicine," that there had been previous reports 15 going back to 1986 of bronchiolitis obliterans in 16 the flavoring industry; is that correct? 17 A. That's correct. If I recall 18 correctly, the NIOSH report did not focus on it. 19 It was sort of buried in the discussion part. 20 They weren't sure what was going on. 21 Q. And, Doctor, just so that I'm clear, 22 it was out of your involvement with TasteMaker 23 that you discovered the report and made them aware 24 of it; is that correct? 0044 1 A. If I recall correctly, yes, that's 2 correct. 3 Q. And it says: "In late 1996, a 4 member company," a member of FEMA, "reported to 5 FEMA on a confidential basis that a worker 6 developed a severe respiratory illness identified 7 as bronchiolitis obliterans while working in the 8 manufacture of flavors. Due to patient 9 confidentiality issues, very little information 10 was available at that time and the cause of the 11 illness could not be determined. Because of this 12 initial report, FEMA and FMA sponsored a workshop 13 in March of 1997 to focus its members on 14 respiratory safety practices." 15 Doctor, in 1996 did you report to 16 FEMA bronchiolitis obliterans at the TasteMaker 17 plant? 18 A. Yes. 19 Q. And, Doctor, were you aware that in 20 1997 they had a program at FEMA based upon your 21 report of bronchiolitis obliterans at the 22 TasteMaker plant? 23 A. No, I was not. 24 Q. Doctor, did FEMA ask you to present 0045 1 any of your findings at its conference in 1997 2 regarding bronchiolitis obliterans in the 3 TasteMaker plant? 4 A. No. 5 Q. Doctor, did FEMA ask you to follow 6 up on your findings at the TasteMaker plant so as 7 to protect other workers in the flavor industry 8 and/or their customers? 9 MR. MACE: Objection, form. 10 A. No. 11 Q. Doctor, let me ask you, at the 12 University of Cincinnati where you practice 13 medicine and teach, do you have other 14 professionals in the occupational safety and 15 health area to assist you in your work? 16 A. Yes. 17 Q. Do you have industrial hygienists? 18 A. Yes. 19 Q. And toxicologists? 20 A. Yes. 21 Q. Do you have chemists? 22 A. Yes. 23 Q. And, Doctor, do all of those assist 24 the occupational physicians, such as yourself, in 0046 1 trying to identify the agents in workplaces that 2 are hazardous or potentially hazardous and attempt 3 to determine how to protect workers from those 4 hazards? 5 A. Under certain circumstances, yes, 6 they do. 7 Q. And, Doctor, did anyone from FEMA 8 ever ask you to assist it in helping their members 9 keep workers safe? 10 A. No. 11 Q. Doctor, did TasteMaker outside of 12 your consultation, which we're going to discuss in 13 detail, ever ask you to go further and help them 14 determine whether any of their products were 15 hazardous to their customers or the workers who 16 worked for their customers? 17 MR. MACE: Object to form. 18 A. No, they did not. 19 Q. And, Doctor, was your institution, 20 the University of Cincinnati, capable of doing 21 such work? 22 A. Yes. 23 Q. And is that the type of work that 24 you do both for academic interest as well as part 0047 1 of your occupational health responsibilities? 2 A. Yes. 3 Q. Doctor, tell me, do you consider 4 yourself to be a public health professional? 5 A. Yes. 6 Q. What is the goal of public health? 7 A. The overall well-being of the public 8 as a whole in relationship to public health 9 issues. 10 Q. If anyone had asked you to carry out 11 further studies regarding your findings at the 12 TasteMaker facility to protect other workers, 13 would you have attempted to do so, if at all 14 possible? 15 A. Yes. 16 Q. And no one ever asked you to do 17 that? 18 A. No. 19 Q. Now, the paragraph that I read to 20 you goes on and it says: "Additional information 21 related to this incident was obtained in 22 subsequent years and was reported publicly for the 23 first time in 2001 at a symposium on bronchiolitis 24 obliterans sponsored by NIOSH. At that symposium 0048 1 a physician reported that five workers at a flavor 2 manufacturing facility developed severe 3 respiratory illness that may be associated with 4 exposure to flavors." Do you see that? 5 A. Yes, I do. 6 Q. That was you; wasn't it? 7 A. That's correct. 8 Q. Now, Doctor, they say that that was 9 the first time it was reported publicly in 2001, 10 but you had reported it to FEMA in 1996; isn't 11 that true? 12 MR. MACE: Object. 13 MR. WOODSIDE: Object to the form 14 of the question. Let me tell you why I object, 15 okay. You haven't laid the foundation that all of 16 the information you just talked about was even 17 available in 1996. 18 Q. Doctor, it's correct, isn't it, that 19 in 1996 you alerted FEMA to your findings at 20 TasteMaker? 21 A. That's correct. 22 Q. Doctor, if you'll look back at the 23 last page of this "ATS Daily Bulletin." 24 A. Yes. 0049 1 MR. WOODSIDE: Just so we're clear, 2 I don't believe that's part of the exhibit that he 3 already has; that would be a separate document. I 4 don't care how you refer to it, but that's not 5 part of -- 6 MR. MCCLAIN: Well, if you'll look 7 at the bates number, it's how FEMA produced them 8 to us. 9 MR. WOODSIDE: That's okay. I'm 10 not quibbling with you using the document. It's 11 just not part of that FEMA document. 12 MR. MCCLAIN: Well, it was as they 13 produced it to us. So I don't know whether or not 14 that's the way that they distributed it to their 15 members or not, but that is the way that they 16 presented it to us. 17 MR. WOODSIDE: I understand. I'm 18 not objecting to your using it. 19 MR. MACE: You're saying that the 20 copy that you got was stapled that way or what? 21 MR. MCCLAIN: If you'll look at the 22 bates numbers, they're sequential, and this is 23 page 1440 at the back. His abstract is 1439, and 24 1438 is -- All of these pages are sequential in 0050 1 the bates numbering, and they presented them to us 2 all as one package. 3 MR. MACE: I'm not arguing that. 4 I'm saying, was it clipped together; are you 5 saying it was stapled together? 6 MR. MCCLAIN: Yes, it was, as it 7 was produced to us. 8 BY MR. MCCLAIN: 9 Q. All right. Dr. Lockey, do you see a 10 picture of you at the back of this document? 11 A. Yes. That's why I'm on a diet. 12 Q. And I can tell it's working. 13 But, nonetheless, they are 14 referencing their, within FEMA's document, in 2002 15 your work, the work that you did for TasteMaker in 16 1996; isn't that clear? 17 A. That's correct. 18 MR. WOODSIDE: Can I -- Never mind, 19 I'll straighten it out later. 20 Q. Doctor, let me show you what we'll 21 mark as Exhibit 9. 22 (Deposition Exhibit No. 9 was marked for 23 identification.) 24 Q. Doctor, this is a document which is 0051 1 entitled "Respiratory Safety in the Flavor and 2 Fragrance Workplace" by FEMA, March 27th of 1997. 3 Do you recall, Doctor, in Exhibit 8 it refers to 4 the existence of this conference that they say was 5 sparked by your report to them in 1996? 6 A. Yes, I recall that. 7 Q. Doctor, do you know Cecile Rose? 8 A. Yes, I do. 9 Q. Do you know that Cecile Rose made a 10 presentation to FEMA in 1997? 11 A. No, I did not. 12 Q. Did they disclose, did FEMA disclose 13 to you -- Look over with me, would you, at page 14 1613. 15 A. Page 1613? 16 Q. Yeah, at the bottom of the page. 17 A. Okay. 18 Q. Health issues in workplace, 19 respiratory health, Cecile Rose, MD, MPH, National 20 Jewish Medical Center. 21 A. Yes. 22 Q. Did you know that Dr. Rose was on 23 retainer to FEMA at this time in 1997? 24 A. No, not in 1997. I knew 0052 1 subsequently she was, but not I think in 1997. 2 Q. What do you understand the 3 relationship between Dr. Rose and FEMA is? 4 A. I don't know. I just know that she 5 was doing some work for them. 6 Q. Do you know the nature of her work? 7 A. No, I do not. 8 Q. Do you know whether or not she is 9 under a confidentiality agreement and cannot 10 disclose the nature of her work for FEMA? 11 A. I have no knowledge one way or the 12 other. 13 Q. Do you know that she saw one of the 14 Jasper popcorn workers as early as 1994? 15 A. No. 16 Q. Doctor, did anyone from FEMA ever 17 invite you to present at this conference? 18 A. No. 19 Q. Doctor, if you'll look back at the 20 back of this document from NIOSH -- There is at 21 the back of this FEMA document, there is the NIOSH 22 case report from 1986 that you referenced -- or 23 I'm sorry, 1985, that you found in reference to -- 24 A. Do you have a page number? 0053 1 MR. MACE: I think it is '86, by 2 the way, Ken. 3 Q. We'll start again. 1732, Doctor, 4 it's at the back as an attachment. 5 A. Okay. 6 Q. Okay. Doctor, is this the NIOSH 7 report -- 8 A. Yes, it is. 9 Q. -- from 1986 that you found when you 10 were consulting for TasteMakers? 11 A. That's correct. 12 Q. Do you know whether TasteMakers made 13 FEMA aware of this report or whether FEMA was 14 already aware of this report when you consulted 15 with them in 1997? 16 A. I'd have to go back and look at my 17 notes. I don't recall one way or the other. 18 Q. But in any case, at this conference 19 which occurred in 1997, apparently FEMA was aware 20 of this previous outbreak of bronchiolitis 21 obliterans in the flavoring industry; is that 22 correct? 23 A. Apparently so, if it was included in 24 this information. 0054 1 MR. WOODSIDE: Object, speculation. 2 MR. WARD: Join that objection. 3 Move to strike. 4 Q. Doctor, I'm not sure, did I ask you 5 did FEMA ask you to present at this conference? 6 A. I was not aware of the conference, 7 so I wasn't asked to present. 8 Q. Had you made a presentation to FEMA 9 before this time in 1997? 10 A. Yes. 11 Q. And, in fact, had you done a 12 so-called show and tell for them about the disease 13 bronchiolitis obliterans? 14 A. Yes, I did. 15 Q. And did you explain to them the 16 mechanism of bronchiolitis obliterans as you did 17 to the jury today? 18 A. I did. 19 Q. And did you indicate to them that 20 you had found bronchiolitis obliterans at the 21 TasteMaker plant? 22 A. Yes. 23 Q. Do you know why they didn't ask you 24 to present? 0055 1 MR. MACE: Objection. 2 A. I do not. 3 Q. Dr. Lockey, we have been talking 4 about your abstract. Let's mark it so that we 5 have it in the record. This is Exhibit 10. 6 MR. WOODSIDE: I don't think so. 7 What was 9? Oh, okay, I'm sorry. 8 (Deposition Exhibit No. 10 was marked for 9 identification.) 10 BY MR. MCCLAIN: 11 Q. Doctor, is this -- Can you identify 12 Exhibit 10 for us, please. 13 A. It's an abstract that was submitted 14 to the American Thoracic Society for their 2002 15 conference. 16 Q. And, Doctor, was this the first 17 published report of your findings? 18 A. Yes. 19 Q. Doctor, you report a finding of five 20 workers from the TasteMaker plant with 21 bronchiolitis obliterans; is that right? 22 A. That's correct. 23 Q. And you say: "This case series 24 indicates that the manufacturing of food flavors 0056 1 in relatively large amounts and at high 2 concentrations and the use of aerosolized 3 manufacturing processes may represent a 4 respiratory hazard in susceptible workers"; is 5 that correct? 6 A. That's correct. 7 Q. Now, Doctor, did -- There were a 8 number of chemicals that were present in the 9 workplace where these five workers worked; is that 10 correct? 11 A. Yes. 12 Q. We're going to look at your specific 13 documents on those findings in a second, but do 14 you recall that acetaldehyde was one chemical that 15 was found? 16 A. Yes. 17 Q. And acetoin? 18 A. I think that's correct, yes. 19 Q. And also diacetyl? 20 MR. MACE: Objection, overbroad. 21 A. There was diacetyl in the 22 manufacturing plant site. 23 Q. Did TasteMaker ever ask you to 24 follow up and perform specific tests to determine 0057 1 the toxicity or the ability of any of these 2 chemicals individually to cause bronchiolitis 3 obliterans? 4 A. No, they did not. 5 Q. Did your facility at the University 6 of Cincinnati have the ability to perform such 7 tests? 8 A. There are inhalational chambers at 9 the University of Cincinnati and they could be 10 performed there, yes. 11 Q. And had they asked you to do it, 12 would you have been interested in doing such work? 13 A. We would have considered it. 14 Whether we would have in fact done it or not would 15 be determined on the magnitude of the work load 16 and what we were doing at the time. 17 Q. But, Doctor, in general has it been 18 your practice to attempt to follow your research 19 to its end point? 20 A. Yes. 21 Q. And, Doctor, in light of your 22 findings -- Strike that. 23 Doctor, let me ask you this. Had 24 you been made aware that as of 1993 rat studies 0058 1 had been done that showed that diacetyl caused 2 lung damage, would that have been important to you 3 in knowing how to pursue further work in regard to 4 the workers at the TasteMaker plant? 5 A. It would have been helpful, yes. 6 Q. And did anyone from TasteMaker make 7 you aware of such study? 8 MR. MACE: Objection, assumes they 9 knew about it. 10 A. Not that I'm aware of, no. 11 Q. Or anyone from FEMA, did FEMA make 12 you aware of that work? 13 A. No. 14 Q. All right. Let's talk -- Then we've 15 kind of talked around your work for TasteMaker. 16 Let's talk about it specifically, if we can. 17 Doctor, what was your first contact 18 from TasteMakers regarding consulting for them? 19 A. When was it? I think probably in 20 1995. 21 Q. Can you describe the circumstances 22 under which they contacted you and what they asked 23 you to do? 24 A. I don't recall specifically who 0059 1 contacted us. I do recall that there was another 2 university that was involved before we got 3 involved. 4 Q. Who was that? 5 A. The University of South Florida. 6 And it's not clear to me why they were turning 7 from one university to the other, other than I 8 think that the first investigative team were 9 having trouble, perhaps, identifying what was 10 going on at the plant site. 11 Q. Doctor, I don't need to mark this as 12 an exhibit, unless Counsel wants me to, it's our 13 only copy, but maybe this will refresh your 14 recollection about the timing of some of these 15 contacts. 16 Who is Dr. Roy McKay? 17 A. Dr. McKay is one of my faculty 18 members. 19 MR. MACE: Can we see it, Counsel? 20 MR. MCCLAIN: Yes. 21 THE WITNESS: Okay. 22 MR. MCCLAIN: Let me show it to 23 Counsel. 24 MR. MACE: Thank you. 0060 1 THE WITNESS: Okay. 2 BY MR. MCCLAIN: 3 Q. Doctor, does that refresh your 4 recollection about the timing of the contacts with 5 your university and TasteMakers? 6 A. Beginning 19 -- the latter part of 7 1994 . 8 Q. And, Doctor, if you'll look, there 9 is a Dr. Brooks referenced within this document 10 from the University of South Florida. 11 A. Yes. 12 Q. Who is Dr. Brooks? 13 A. He's an occupational pulmonary 14 physician at the University of South Florida. 15 Q. And is he well-known in this field? 16 A. Yes. 17 Q. And was he consulted initially about 18 the problems that TasteMaker was having regarding 19 sickness among their workers? 20 A. Yes. 21 Q. Now, let's go ahead, then, and mark 22 this as Exhibit 11. 23 (Deposition Exhibit No. 11 was marked for 24 identification.) 0061 1 Q. Did you ever review any of Dr. 2 Brooks' work that he did? 3 A. I don't recall ever seeing any work 4 that Dr. Brooks did. 5 Q. TasteMaker never shared with you 6 what he found or what he reported to them? 7 MR. MACE: Objection, assumes. 8 A. I think they might have shared what 9 was going on, but I don't recall seeing any 10 specific documents that Dr. Brooks wrote. 11 Q. What do you recall them sharing with 12 you about Dr. Brooks' consultation or the 13 circumstances that brought him into contact with 14 TasteMaker? 15 A. I wasn't sure how Dr. Brooks got 16 involved, other than I recall John Hochstrasser I 17 think knew Dr. Brooks, and that's probably what 18 the initial contact was. 19 Q. Who's John Hochstrasser? 20 A. John was an industrial hygienist, I 21 think, at the company at that time. 22 Q. He was an industrial hygienist at 23 TasteMaker? 24 A. Yes. I think John and Dr. Brooks 0062 1 knew each other. 2 Q. Okay. Now, where was the facility 3 that Dr. Brooks was consulting about? 4 A. In Cincinnati. 5 Q. In Cincinnati? 6 A. (Nodding head.) 7 Q. Did TasteMaker also have a facility 8 in Lakeland, Florida? 9 A. I don't know. 10 Q. Okay. You weren't asked to consult 11 about that facility, if it exists? 12 A. No. 13 Q. What were you told that he found in 14 regard to the Cincinnati facility; can you tell 15 me? 16 MR. MACE: Objection, assumes. 17 A. Again, I'm going back in my time, 18 but I think Dr. Brooks felt that the plant site 19 was having issues with asthma or small airway 20 disease, and it wasn't clear why that was 21 occurring. I think Dr. Brooks, if I recall 22 correctly, felt that in some of the laboratory 23 areas there were perhaps exposures that may be 24 accounting for airway disease, but he wasn't sure. 0063 1 Essentially, he wasn't sure what was going on. 2 Q. Were you told, Doctor, by TasteMaker 3 why they were coming to the University of 4 Cincinnati for consultation on this matter? 5 A. Probably locally located, able to 6 bring more power to bear to try to solve the 7 problem. 8 Q. All right. Now, Doctor, I'm going 9 to show you what we'll mark as Exhibit 12. 10 A. That's speculation on my part, but 11 that's most likely the reason. 12 Q. Doctor, as an expert, you're allowed 13 to speculate. That's your stock in trade. 14 MR. WOODSIDE: Maybe they taught 15 you that at the University of Michigan, but I 16 don't believe that's the law. 17 MR. WOODSIDE: Off the record. 18 (Off the record.) 19 (Deposition Exhibit No. 12 was marked for 20 identification.) 21 BY MR. MCCLAIN: 22 Q. Doctor, back on the record. Exhibit 23 11. 24 A. Yes. 0064 1 MR. WOODSIDE: Twelve . 2 Q. Twelve, I'm sorry. Doctor, I'm 3 handing you what's been marked as Exhibit 12. Is 4 this a copy of your agreement with TasteMaker? 5 A. Yes, it is, attaching an agreement 6 fee of the Health Alliance of Greater Cincinnati 7 on behalf of me. 8 Q. What is the Health Alliance of 9 Greater Cincinnati? 10 A. The Center for Occupational Health, 11 which is the clinical unit of our program, was 12 based in the Health Alliance of Greater 13 Cincinnati, which is -- owns the hospital. 14 Q. And, Doctor, there are several 15 provisions in here, one of them is that you will 16 keep your findings confidential; is that correct? 17 A. That's correct. 18 Q. And, Doctor, there is -- there are 19 other requirements, such as designating your 20 written reports as Privileged and Confidential 21 Prepared at the Request of Counsel; do you see 22 that? 23 MR. MACE: Objection, incomplete. 24 Q. At page 5. 0065 1 A. Yes. 2 MR. WOODSIDE: I don't have a page 3 5. 4 Q. Item 5. 5 MR. WOODSIDE: Oh, okay, thank you, 6 sorry. 7 Q. And there was a requirement in this 8 document to return all documents back to 9 TasteMaker after you were completed with your 10 assignment? 11 A. Yes. 12 Q. And, Doctor, we're going to come to 13 a discussion about that, but this came up later as 14 you were disclosing your results to the American 15 Thoracic Society and also to NIOSH; isn't that 16 true? 17 A. Yes, it did. 18 Q. So, Doctor, going into this project, 19 you had an understanding from TasteMaker that your 20 findings were considered confidential by them; is 21 that correct? 22 A. That's correct. 23 Q. And not for dissemination to the 24 general public; is that correct? 0066 1 A. That was my impression, yes. 2 Q. Doctor, that document is marked July 3 10th, 1995. I'm going to show you some 4 handwritten notes that we'll mark as Exhibit 13 5 from July 26th of 1995. 6 (Deposition Exhibit No. 13 was marked for 7 identification.) 8 Q. Now, Doctor, we received these in 9 response to a subpoena that we served upon you 10 through the University. Do you recognize these 11 notes? 12 A. That's my handwriting. 13 Q. And it's from 1995? 14 A. Yes. 15 Q. And, Doctor, was this at the 16 beginning of your consultation with TasteMakers? 17 A. Yes. 18 Q. And can you tell us what they refer 19 to? 20 A. It was a meeting with Nancy Higley, 21 who if I recall correctly is a flavor 22 toxicologist. 23 Q. And was this in the nature of an 24 orientation meeting for you about what the 0067 1 chemicals were and what were the processes that 2 were being utilized at the plant? 3 A. Yes. 4 MR. WOODSIDE: Object to the use of 5 the term "the plant" unless you're referring to 6 TasteMaker. 7 Q. That's what I'm referring to. To 8 the TasteMaker plant? 9 A. Yes. 10 Q. And if you'll look back to the page 11 that's marked "Mill Room" at the top. 12 A. Yes. 13 Q. Down where you have a star on the 14 page, "Diacetyl." 15 A. Yes. 16 Q. Would you read that for us, please. 17 A. Diacetyl vapor off gassing from 18 tank. They use respirators, flashes at 40 degrees 19 Fahrenheit. Donny, which I assume was one of the 20 workers, had burning eyes from this. 21 Q. Okay. And why did you note that? 22 A. We were going through a list of 23 potential places at the plant site or ingredients 24 at the plant site where people were reporting 0068 1 symptoms. 2 Q. Now, this document is marked 3 "Redacted." Did you direct someone to redact this 4 document, Doctor? 5 A. What does redacted mean? 6 Q. It means they cut some stuff out 7 they didn't want me to see, apparently. 8 A. No. 9 Q. I don't know what it is that's not 10 included in this document. Can you tell by 11 looking at it -- 12 A. No. 13 Q. -- what they covered up? 14 Who had the authority to cover up 15 your written notes, Doctor; do you know who did 16 this? 17 A. I don't know who marked it redacted. 18 These documents went to the University attorneys 19 and to TasteMaker or Givaudan attorneys. 20 Q. And, Doctor, did -- Do you have an 21 understanding today that Givaudan, TasteMaker, is 22 still claiming that this work is confidential, 23 even though we're in a lawsuit and you are willing 24 to talk about your involvement here? 0069 1 MR. MACE: Objection, 2 mischaracterizes. 3 Q. You're understanding that they're 4 still claiming that your work is confidential to 5 some degree? 6 MR. MACE: Objection. 7 A. I have no knowledge one way or the 8 other. 9 Q. Do you know on what authority they 10 have to edit things in your file before they're 11 produced to me? 12 MR. MACE: Objection, assumes. 13 A. No, I don't one way or the other. 14 Q. You personally don't have an 15 objection to me seeing your entire file; is that 16 correct? 17 A. No. 18 Q. Doctor, I believe these are at least 19 some typewritten recitation of your original 20 visit. Would you mark that as Exhibit 14. 21 (Deposition Exhibit No. 14 was marked for 22 identification.) 23 A. Redacted. 24 Q. Yes, Doctor, it too is redacted. 0070 1 MR. WARD: Ken, I'm sorry to 2 interrupt. The notes of July '95, are those 3 marked as 13? 4 MR. MCCLAIN: Yes. 5 THE WITNESS: Okay. 6 BY MR. MCCLAIN: 7 Q. Doctor, this is Exhibit 14, it's 8 dated August 4th, 1995. Is this a subsequent 9 visit that you or members of your staff had to the 10 plant? 11 A. I assume so. 12 Q. Page 8, if you'll refer to it, the 13 reason I reference it is that it has the same 14 information that we just read into the record from 15 your handwritten notes: "The material called 16 diacetyl when added to tank apparently flashes at 17 40 degrees. Donny, one of the workers, reported 18 burning of eyes from this material. Again, it was 19 reported that respirators should be utilized when 20 this was done." 21 A. Correct. This might have been a 22 summary of -- a dictation summary of all of the 23 notes. 24 Q. That you had -- 0071 1 A. Right. 2 Q. -- from the summary? Yes, all 3 right, that makes sense to me, but I wanted to 4 confirm that with you. 5 If you'll look over at page 3, 6 Doctor, do you see it references Stuart Brooks, 7 Donny worked in the small orders department; do 8 you see that from your notes? 9 A. Right. 10 Q. And that's -- 11 A. That was the area I was talking 12 about that Stu was concerned about. 13 Q. "Stu Brooks had a concern about the 14 Small Orders Department. Again, this could be a 15 microcosm of the company as a whole." 16 A. Yes. 17 Q. And was this one of the reasons why 18 you were studying this area? 19 A. Well, we looked at the whole plant 20 site, but we were trying to figure out why people 21 were getting this disease process. 22 MR. MCCLAIN: All right. Why don't 23 we take a quick break. 24 THE VIDEOGRAPHER: One second, 0072 1 please, going off the record, one second. We're 2 off. 3 (Brief recess.) 4 THE VIDEOGRAPHER: We're back on 5 the record. You may begin. 6 BY MR. MCCLAIN: 7 Q. Doctor, let's mark this as Exhibit 8 15. 9 (Deposition Exhibit No. 15 was marked for 10 identification.) 11 THE VIDEOGRAPHER: I'm sorry, is 12 your mike on, sir? 13 (Off the record.) 14 THE VIDEOGRAPHER: You may begin, 15 go ahead. 16 BY MR. MCCLAIN: 17 Q. Doctor, I'm handing another document 18 that was produced out of your records. Is this a 19 document that you received during the course of 20 your consultancy? 21 A. Was this in the packet? 22 Q. Yes. 23 A. Yes, it is. 24 Q. And, Doctor, this lists the 0073 1 chemicals purchased per year per pound; is that 2 correct? 3 A. Yes. 4 Q. And diacetyl, lists 15,000 pounds of 5 diacetyl that was purchased? 6 A. Yes. 7 Q. As well as other chemicals that you 8 were examining as part of this process. Why did 9 you want to know how many pounds of this -- of 10 various materials were purchased, Doctor; what was 11 the relevance of that? 12 A. It gives you an idea of the amount 13 of material coming into the plant site. 14 Q. Doctor, I'm going hand you an 15 exhibit marked as Exhibit 16, which are again from 16 your record and files. 17 (Deposition Exhibit No. 16 was marked for 18 identification.) 19 MR. WOODSIDE: Hold on one second. 20 Q. Are these your notes, Doctor, also? 21 A. Yes, they are. 22 Q. And is the date 7/6/95; is that how 23 you read that? 24 A. July 6th, 1995. 0074 1 Q. So in the same time period at the 2 beginning of your consultancy? 3 A. Yes. 4 Q. Okay. There's a reference here to 5 Tom Colby, MD, can share information with him. 6 Who is Tom Colby? 7 A. Tom Colby is a pathologist at the 8 University of -- at the Mayo Clinic, Scottsdale, 9 Arizona. 10 Q. And did you have some understanding 11 that TasteMaker was working with Dr. Colby? 12 A. I think Dr. Colby had reviewed some 13 of the slides on pathology tissue. 14 Q. From which plant? 15 A. From the Cincinnati plant. 16 Q. There's a reference in the second 17 paragraph to England, organic compounds, 18 TasteMaker plant, four people with problem. 19 Did TasteMaker have an English plant 20 where there were problems? 21 A. I'd have to go by my notes. That's 22 what my notes say. I don't recall whether they 23 had a plant in England or not. 24 Q. Let's go on because it may refresh 0075 1 your recollection. There are six people in spray 2 dry of which four are currently required to use 3 respirators, total -- I don't know, I can't read. 4 A. Total number of employees, 50. 5 Q. Is -- 6 A. By telegraph adequate, that's a 7 spirometer. 8 Q. England is more rigid about 9 protection? 10 A. Protection, correct. 11 Q. So this was referring to a problem 12 that had apparently arisen that you were told 13 about in the TasteMaker plant in England where 14 they had four people with respiratory problems 15 there; is that correct? 16 A. That apparently is correct, yes. 17 Q. Look over, would you, at the second 18 page. You're listing chemicals. Now, who are you 19 talking to at this time? 20 A. Whoever I was meeting with. I was 21 taking notes. 22 Q. This is something that some 23 representative of TasteMaker was telling you? 24 A. Most likely, correct. 0076 1 Q. All right. Look over at diacetyl, 2 the description, it says -- Would you read your 3 notes. 4 A. "Artificial butter flavor, no US 5 exposure limits. This material is very 6 irritating. Use of respirators with this 7 material." 8 Q. So were they already using 9 respirators with this material? 10 A. Based on my notes, that's correct. 11 Q. And, Doctor, at this time when you 12 were examining it, did you know anything about 13 diacetyl? 14 A. No. 15 Q. So this was your first, no pun 16 intended, exposure to this material? 17 A. That's correct. 18 Q. Let me hand you another exhibit, 19 we'll mark as Exhibit 16. 20 MR. WOODSIDE: Seventeen . 21 Q. Seventeen. Doctor, before we move 22 off this document, would you go to the last page. 23 A. Um-hmm. 24 Q. I can't read your writing on the 0077 1 last -- I think respirator use in 1990 required or 2 something? 3 A. Required for respirator use, the 4 allyl isothiocyanates, methylmercaptan, 5 acetaldehyde, and diacetyl. So respiratory use in 6 1993 required for those four chemical agents. 7 Q. So your reading is, from 1993 on 8 those chemical agents were being protected against 9 by respirators in the plant? 10 A. Based on my notes, that's correct. 11 Q. Do you recall that that BASF study 12 on diacetyl was dated in 1993? 13 MR. WOODSIDE: Object. He's 14 indicated no familiarity with that. 15 MR. WARD: Same objection. 16 Q. Do you recall that that was the 17 date? 18 A. It was 1993. 19 Q. Let's mark this document as Exhibit 20 16 -- 17, I'm sorry. Let's mark this as exhibit 21 17. 22 (Deposition Exhibit No. 17 was marked for 23 identification.) 24 Q. This is September of '95, Doctor. 0078 1 What is this document; can you identify it? 2 A. This was a project team meeting that 3 we had on September 14th, 1995. 4 Q. And, Doctor, can you tell us what 5 this is all about; what's the purpose of a team 6 meeting, who's on the team? 7 A. The plan was, what we did was, put 8 together a project team made up of individuals 9 from the University as well as internal people 10 within the company to try to get a handle on 11 what's going on at this particular plant site and 12 how to solve the problem. 13 Q. And you have industrial hygienists 14 on your team? 15 A. That was internal. John 16 Hochstrasser, H O C H S T R A S S E R, was the 17 internal industrial hygienist. Janet Dees was 18 their nurse. Nancy Higley was their flavor 19 toxicologist. 20 Q. And she was at TasteMaker? 21 A. Yes. Don Ball was from engineering, 22 TasteMaker; and Mike Conner was human resources 23 for TasteMaker. Stephanie Thompson was legal, and 24 Ed Steiger was really the chair of the management 0079 1 team. 2 Q. Now, was Don Ball with TasteMaker? 3 A. Yes, or everyone was from TasteMaker 4 at this initial meeting except me. 5 Q. Okay, all right. Now, there are 6 some -- There's on the second page, the draft, 7 there's an indication that what you were trying to 8 do at this first meeting in part was to try to 9 determine which chemicals in the plant 10 were -- Start again. 11 Doctor, from looking at this 12 document, it appears from reading your notes or 13 reading the notes of this meeting that the goal of 14 this meeting at least in part was to identify 15 which chemicals in the plant were potentially 16 hazardous and could be the cause of these 17 respiratory problems in these wokers; is that 18 correct? 19 A. That's correct. 20 Q. If you'll look over at the Raw 21 Materials Sensitivity List. 22 A. Okay. 23 Q. What is this document intended to 24 track? 0080 1 A. I don't recall what Baker's List is. 2 Employee Sensitivity and Derma Health and Safety 3 Concern List, I don't recall as to how this was 4 put together, but this is a listing of the various 5 chemical agents that were used at the plant site. 6 Q. Now, Doctor, I'm -- I am guessing 7 here, but does the fact that these are darker for 8 acetaldehyde, benzaldehyde, and diacetyl indicate 9 that you highlighted those chemicals among these 10 hundreds of chemicals that were being examined 11 within the plant? 12 MR. MACE: Objection, assumes, 13 calls for speculation. 14 MR. WOODSIDE: Object, calls for 15 speculation. 16 MR. WARD: Join in that objection. 17 MR. WOODSIDE: And there's been no 18 foundation that he would know. 19 MR. MACE: Also no foundation he 20 did it. 21 A. Very well could have been I 22 highlighted it, yes. I don't know one way or the 23 other, though. 24 MR. WOODSIDE: Objection. 0081 1 Q. We'll have to have the originals 2 produced to us. They just sent us the copies. 3 But my experience, when you highlight a document, 4 it generally is gray; is that your experience, 5 Doctor? 6 A. Yes, it is. 7 Q. And it does appear there is gray 8 highlighting on acetaldehyde, and benzaldehyde, 9 and diacetyl; is that correct? 10 A. That's correct. 11 Q. And does that appear to you to be 12 three chemicals that you were concerned about to 13 look further at within the plant? 14 MR. MACE: Objection. 15 MR. WOODSIDE: Objection, 16 speculation, foundation. 17 A. Yes, I would assume that. All three 18 of these had all three stars across three columns. 19 Q. Which means what? 20 A. I don't recall what the Baker's List 21 was anymore, but in relationship to Employee 22 Sensitivity as well as Derma Health and Safety 23 Concern, so I might have highlighted the ones that 24 had three stars. 0082 1 Q. And those are the only two with 2 three stars? 3 MR. MACE: Objection. 4 A. I was just looking through it, 5 that's correct. It appears that's the case, yeah. 6 Q. Do you recall, Doctor, focusing 7 attention on all three chemicals during your work? 8 A. We looked at every job position we 9 could at the plant site in relationship to 10 potential exposures. 11 Q. And do you recall specifically 12 addressing those three chemicals? 13 A. Yes. 14 Q. Doctor, let me show you what we'll 15 mark as Exhibit 18, which again appears to be a 16 "Raw Material Sensitivity List." 17 (Deposition Exhibit No. 18 was marked for 18 identification.) 19 A. Yes. 20 Q. Again, the same three chemicals 21 appear to be highlighted? 22 A. Yes. 23 Q. Doctor, this appears to be a 24 sense -- Raw Chemical Sensitivity List with a 0083 1 different classification, the number of employees; 2 do you recall what that refers to? 3 A. Most likely, it reflects the number 4 of employees with potential exposures to those 5 materials. 6 Q. All right. And is it true that 7 those three chemicals, acetaldehyde, benzaldehyde, 8 and diacetyl, are the three chemicals which had 9 the highest exposure in terms of numbers of 10 employees within the plant? 11 MR. MACE: Objection, 12 mischaracterizes. 13 A. They certainly were the highest. 14 There were a few people that had mustard seed oil 15 with 16, but they were generally the highest, 16 that's correct. 17 Q. Again, Doctor, what you were 18 attempting to do in this initial work was trying 19 to identify through deductive reasoning which 20 chemicals to look at more closely; is that 21 correct, or that could be the cause of the problem 22 in the plant? 23 MR. MACE: Objection, compound. 24 A. That's correct, look for clustering 0084 1 of cases around particular job tasks, around 2 particular exposure situations. 3 Q. All right. Let's look at your 4 notes, Doctor. This is Exhibit 19. 5 (Deposition Exhibit No. 19 was marked for 6 identification.) 7 Q. And these are dated December 13th, 8 1995; is that correct? 9 A. That's correct. 10 Q. Doctor, would you look this over and 11 see if you can refresh your recollection about -- 12 A. It appears to be a follow-up. These 13 are probably my notes from one of the team 14 meetings that runs through the various areas, 15 industrial hygiene, medical, legal, engineering, 16 et cetera. 17 Q. Now, the first thing was -- at the 18 IH meeting, as I read your note, was sampling for 19 diacetyl; is that correct? 20 A. That's correct, diacetyl, mustard -- 21 Q. Seed? 22 A. -- mustard seed, the DMS, 23 acetaldehyde, coordinate this with the worker. 24 I'm not sure what that means. 0085 1 Q. Was this actually given to the 2 hygienist, Mr. Hochstrasser? Is that what his 3 name was, Hochstrasser? 4 A. More than likely, yes. 5 Q. Did he, in fact, sample for 6 diacetyl? 7 A. I think, I think he did. I don't 8 recall specifically, but I think most likely, if 9 it was asked to be done, it was done. 10 Q. And you were also given 11 pre-employment medical records; is that correct, 12 for these employees? 13 A. That's correct. We were setting up 14 a preliminary surveillance program to identify who 15 may be developing early changes in pulmonary 16 function parameters. So we wanted to enter any 17 available pulmonary function tests into that 18 database. 19 Q. Now, Doctor, your sampling for 20 diacetyl is associated here under Item A with the 21 respiratory training by Dr. McKay from your group; 22 is that correct? 23 A. That's correct. 24 Q. And he's an industrial hygienist? 0086 1 A. He's a toxicologist. 2 Q. He's a toxicologist, but he does 3 respirator training? 4 A. Yes. 5 Q. And does he try to match the 6 respirator with the chemical involved? 7 A. Absolutely. 8 Q. And is that one of the reasons why 9 you were sampling for diacetyl and these other 10 chemicals? 11 A. Looking for exposure levels, what 12 are the exposure levels for these chemical agents 13 in the work site. 14 Q. Okay. And then over at Item G on 15 the next page, "Management," would you read your 16 writing into the record. 17 A. "Flavor company meeting of human 18 resources. At next meeting have a show and tell. 19 Need a full-time person at all sites. In United 20 Kingdom only want to deal with one person rather 21 than six people." 22 Q. So, Doctor, tell me what this refers 23 to, if you can recall. 24 A. Most likely, management was looking 0087 1 at the other plant sites and how to bring the 2 other plant sites into the fold in relationship to 3 is something else going on at other plant sites. 4 Q. So when this references "a show and 5 tell," what is it talking about, "at next meeting 6 have a show and tell"; was this internal to your 7 team? Did you have -- Let me ask you this way. 8 A. I'm not sure. 9 Q. Doctor, did you have a show and tell 10 for the work group at the TasteMaker plant? 11 A. In relationship to bronchiolitis 12 obliterans? 13 Q. Yes. 14 A. Most likely did at one point, but 15 I'm not sure that refers to that. I'm not sure 16 what that refers to anymore. And these notes 17 don't necessarily reflect my thought process; 18 somebody at the meeting might have been saying 19 these bullet points. 20 Q. All right. Let's mark this as 21 Exhibit 20. 22 (Deposition Exhibit No. 20 was marked for 23 identification.) 24 A. I can tell you what redacted means 0088 1 on this. The person's name was removed from the 2 top. 3 Q. I understand that, I understand 4 that, and that we don't object to. 5 Doctor, this is "EHS Project 6 Specific Action Items, Confidential," dated 7 12/13/95, and if I don't miss my guess, that's 8 your dating on the top of that page; is that 9 right, that's your handwriting? 10 A. That's right. 11 Q. This is your copy. And "EHS 12 Project" refers to Environmental Health and 13 Safety? 14 A. Yes. 15 Q. On the "Categorization of Raw 16 Materials," September 21, review current raw 17 material inventory versus base list, you think 18 that those other documents we looked at were part 19 of that process? 20 A. Most likely, that's correct. 21 MR. WOODSIDE: Excuse me, I just 22 didn't catch your question. 23 Q. Previously we looked at some lists 24 that -- I think Exhibits 18 and 17 were lists and 0089 1 this refers to reviewing lists, and I'm just 2 wondering do they relate one to the other. 3 MR. WOODSIDE: Thank you. 4 Q. Doctor, if you'll look over on the 5 October 24th entry under "Toxicology," it says, 6 "Develop block instructions for formula sheets 7 respirator use, acetaldehyde, diacetyl, mustard 8 seed oil, dimethyl sulfide, regardless of exposure 9 level." 10 A. Yes. 11 Q. Was it your recommendation that 12 those chemicals required a respirator regardless 13 of exposure level? 14 MR. WOODSIDE: Object to the form 15 of the question. 16 MR. MACE: Objection. 17 MR. WARD: Join that objection. 18 A. It most likely came from Nancy 19 Higley and John Hochstrasser more than me. I'm 20 not a toxicologist. My concern was we need to get 21 a classification as to the potential toxicity of 22 the chemical agents, stratify that list, and then 23 start controlling. 24 Q. Okay. And is that part of this 0090 1 process? 2 A. Yes. 3 Q. And diacetyl was included in that 4 group that you were concerned about, even at this 5 early date? 6 A. The team together was concerned 7 about it, that's correct. 8 Q. When we say "concerned about it," 9 the team involved, the employees that we 10 previously identified from TasteMaker; is that 11 correct? 12 A. I meant the team that was on this 13 team project. 14 Q. Including yourself and the 15 TasteMaker individuals that we previously 16 identified? 17 A. That's correct. 18 Q. As well as Dr. McKay from your own 19 institution? 20 A. That's correct. 21 Q. Okay. And then if you'll look over 22 at the October 13th "Exposure Assessment." 23 A. Okay. 24 Q. And it says "identify exposure 0091 1 opportunities for acetaldehyde, get list of 2 products by work area by process." And then 3 there's handwritten notes that appear to be your 4 writing, "diacetyl, mustard seed, DMS, 5 acetaldehyde, will be looking at" this -- 6 A. "At these flavors." 7 Q. "At these flavors." 8 A. Yes. 9 Q. So that is your handwriting? 10 A. That is my handwriting. 11 Q. So you by handwriting added 12 diacetyl, mustard seed, DMS, and acetaldehyde. 13 What's DMS, dimethyl sulfide? 14 A. Yeah, I think that's correct. 15 Q. Yeah, okay, all right. Now, Doctor, 16 did anyone ask your team at the University of 17 Cincinnati, anyone from TasteMaker, that is, to 18 follow up to find out the specific toxicities of 19 these chemicals in their plant? 20 A. No, we weren't asked to do that. 21 Q. Could you have done that? 22 A. We could have. It would have been a 23 very work-intensive process for us. The list was 24 quite long. 0092 1 Q. But let me ask you, Doctor, you have 2 told us previously that your group is pretty 3 effective at finding literature in various places 4 when you're doing this kind of work. You found 5 that '85 NIOSH report; is that right? 6 A. That's correct. 7 Q. Would you have searched the world's 8 literature for other reports regarding these 9 chemicals if you had been asked to further specify 10 which chemicals were causing this disease at this 11 plant? 12 MR. MACE: Objection. 13 A. Yes, we could have done that, yes. 14 Q. And did anyone ask you to do that? 15 A. No, that was not one of our job 16 tasks. 17 Q. Were you even provided material 18 safety data sheets for these products? 19 A. I recall that, when we looked 20 through all of the various different chemical 21 agents that the plant site was using, the vast 22 majority of the agents did not have any material 23 safety data sheets. They weren't looked at from 24 an inhalation perspective. They were mainly from 0093 1 an ingestion perspective. 2 Q. Let's talk about that for a minute. 3 It's going to come up in these documents 4 ultimately, but since you brought it up, Doctor, 5 what is the so-called FEMA GRAS list? 6 A. Generally Regarded As Safe in 7 relationship to ingestion. 8 Q. And, Doctor, is there some confusion 9 that you've commented about that in the general 10 public, that something generally regarded as safe 11 is not necessarily safe to breathe? 12 MR. WOODSIDE: Objection, 13 foundation, speculation. 14 Q. Let me strike that. Let me rephrase 15 it. 16 Doctor, have you commented on the 17 FEMA GRAS list in terms of what it is and what it 18 isn't -- 19 MR. WOODSIDE: Objection. 20 Q. -- in your public speaking and 21 writing previously? 22 A. Yes. 23 Q. Tell the jury about that; would you? 24 A. What is considered safe from an 0094 1 ingestion perspective doesn't necessarily mean 2 it's safe from an inhalational perspective. 3 They're two different organ systems. 4 Q. And, Doctor, had these chemicals 5 based upon your consultation with TasteMaker been 6 evaluated for their respirational hazard? 7 A. The vast majority of them had not, 8 as far as I'm aware. 9 Q. And did anyone from TasteMaker ask 10 you to evaluate these chemicals either for their 11 own employees or for their customers' employees to 12 determine whether or not they were hazardous? 13 A. No. 14 Q. Did you have an understanding, 15 Doctor, that TasteMaker was preparing flavors for 16 use by other companies; was that the nature of 17 their business? 18 A. Yes. 19 Q. And so you did have an understanding 20 that they did have customers who would be 21 utilizing these flavors in their businesses as 22 well; didn't you? 23 A. Yes. 24 Q. And did you in your tours of the 0095 1 plant see that these products were being shipped 2 to other users of these products? 3 A. I don't recall that specifically, 4 but my assumption is that they were a food 5 manufacturing -- food flavor manufacturing company 6 that would ship the flavoring agents to other food 7 producers. 8 Q. Did you ever see the labels that 9 tell their users that they're generally regarded 10 as safe? 11 A. No, I haven't. 12 Q. Okay. Doctor, now, there was no 13 MSDS documents in your file. Did your group have 14 to return those to TasteMaker -- 15 MR. MACE: Objection, assumes. 16 Q. -- at the end of your consultancy? 17 A. You know, I don't recall ever seeing 18 material safety data sheets; we might have. I 19 don't have them in my possession right now, so if 20 I had them, I don't know what happened to them. I 21 might have returned them or we might not have 22 received them. 23 Q. Do you recall returning documents in 24 general? 0096 1 A. No. 2 Q. Let me hand you what we'll mark as 3 "Draft Presentation Safety Meeting," February 8th, 4 1995, and ask if this is the safety presentation 5 that's referred to in your 10/13th/1995 note where 6 you say at next meeting have show and tell? 7 A. It very well could be, yes. 8 (Deposition Exhibit No. 21 was marked for 9 identification.) 10 A. Yes, it is. 11 Q. What was the purpose of 12 this -- Review it for a moment and -- 13 MR. MACE: I don't know if you 14 noted for the record, that's Exhibit 21. 15 Q. I'm sorry, it is. Doctor, we'll 16 mark this as Exhibit 21. And just so we have it 17 in sequence, then, Doctor, is this the safety 18 presentation that was noted in a previous exhibit 19 as the show and tell that would be presented at a 20 future safety meeting? 21 A. Yes. 22 Q. Describe for us, would you, please, 23 what the show and tell was. 24 A. It was management's approach to 0097 1 inform the employees as to what was going on and 2 what corrective measures were going to be taken or 3 are being taken. 4 Q. And was this something that your 5 group prepared? 6 A. No, we did not prepare this. This 7 was prepared internally. 8 Q. All right. Did you have any input 9 in regard to the items that were presented? 10 A. We most likely reviewed them, but I 11 don't think I made any input in relationship to 12 changes. 13 Q. Okay. Look over at Item 9, if you 14 would. "Why a Safety CFT"; do you see that? 15 A. Yes. 16 Q. What is that, what is a safety CFT? 17 A. I don't know what CFT stands for 18 anymore. 19 MR. WOODSIDE: Could we take a 20 2-minute break. 21 MR. MCCLAIN: Yes. We're off the 22 record. 23 THE VIDEOGRAPHER: I'm off. 24 (Brief recess.) 0098 1 (Mr. Eagleman not present.) 2 THE VIDEOGRAPHER: You're back on 3 the record now. 4 BY MR. MCCLAIN: 5 Q. Doctor, looking at Item 9, "Why a 6 Safety CFT," if you look up at Item 8, it says 7 "Safety Cross Functional Team"; do you see that? 8 A. I do see that. 9 Q. And it says recognize "we are a 10 chemical company, one area of risk is exposure to 11 materials"; do you see that? 12 A. That's correct. 13 Q. Doctor, we're going to come to this 14 note in a minute, but you too made that 15 observation to FEMA; is that right? 16 A. That's correct. 17 Q. And does this relate back to your 18 GRAS point, that these really are chemicals, not 19 food? 20 A. That's correct. 21 MR. WOODSIDE: Object to the form 22 of the question. 23 Q. Doctor, is it your view that 24 essentially in these production processes we're 0099 1 dealing with chemicals, not food? 2 A. That's correct. The production 3 process is complex. Multiple materials are coming 4 together, they're being heated, they're being 5 steamed, they're being sprayed, they're being 6 dried; and, therefore, it really is a chemical 7 company rather than a food manufacturing company. 8 Q. Look over "Review Raw Material 9 Safety," Item 14. 10 A. Okay. 11 Q. "Review Raw Material Safety. Added 12 toxicology review, raw materials, intermediates. 13 Reduced usage of certain chemicals where possible 14 or higher degree of control over use of chemicals 15 such as: Acetaldehyde, dimethyl sulfide, 16 diacetyl, mustard seed oil"; do you see that? 17 A. Yes. 18 Q. Doctor, do you know who selected 19 those four chemicals to highlight in regard to 20 reviewing the toxicology of these materials and 21 reducing their -- reducing the exposure to them in 22 the plant? 23 A. Most likely, it was a team 24 consensus, but more likely than not, it was coming 0100 1 from the flavor toxicologist. 2 Q. So this was somebody within 3 TasteMaker; is that correct? 4 A. That's correct. 5 Q. Dr. Higley; was it? 6 A. More likely than not. 7 Q. And this is as early as February of 8 1996, correct -- 9 A. That's correct. 10 Q. -- that these were being identified? 11 Did Dr. Higley ever express any 12 doubt that diacetyl was a hazardous material in 13 use in their plant? 14 MR. MACE: Objection. 15 A. Apparently, it kept coming up on the 16 list. I don't recall specific comments she would 17 have made about diacetyl. 18 Q. Doctor, did she -- As the 19 toxicologist, did she ever present to you the 20 toxicological data that she was basing her opinion 21 on that this was a hazardous material? 22 A. I don't recall that one way or the 23 other. 24 (Mr. Eagleman returned to the room.) 0101 1 Q. Let's mark this as Exhibit 22. 2 (Deposition Exhibit No. 22 was marked for 3 identification.) 4 Q. This is the "Respirator Fit Testing 5 & Training Observations at TasteMaker." 6 Previously we had identified that Dr. McKay from 7 your organization was going to do that. Is this 8 the -- Does this, in fact, reflect that he did do 9 it? 10 A. Yes. 11 Q. And if you'll look back here, 12 attached to it is a document that we've previously 13 seen, "EHS Project Specific Action Items, 14 Confidential," on the back. 15 A. Yes. 16 Q. Under "Toxicology," "Develop block 17 instructions for formula sheets, respirator use, 18 acetaldehyde, diacetyl, mustard seed oil, dimethyl 19 sulfide, regardless of exposure levels." 20 A. Yes. 21 Q. Was that, in fact, the 22 recommendation that the team made to TasteMaker 23 regarding how respirator protection should be 24 handled at the TasteMaker plant? 0102 1 MR. MACE: Objection. 2 A. That's my assumption, yes. 3 Q. Now, Doctor, at some point during 4 your consultancy with TasteMaker, you previously 5 told us that you were informed about FEMA; is that 6 correct? 7 A. Yes, I was. 8 Q. Let me show you what we've marked as 9 Exhibit 23. 10 (Deposition Exhibit No. 23 was marked for 11 identification.) 12 Q. That's all the copies I have. 13 MR. WOODSIDE: I'm sorry, I've got 14 it. 15 Q. Let's back up. Let's mark this as 16 Exhibit 24, and then we'll come back to 23. You 17 can just keep it right there because we'll come 18 right back to it. 19 (Deposition Exhibit No. 24 was marked for 20 identification.) 21 Q. Looking at Exhibit 24, Doctor, are 22 these your handwritten notes? 23 A. They are my handwritten notes. 24 Q. And they reference "FEMA" at the 0103 1 top; is that correct? 2 A. Yes. 3 Q. Does this appear to be the first 4 briefing that you had regarding FEMA and its 5 function? 6 A. Yes. 7 Q. It says "Daniel Thompson," attorney, 8 Flavors Manufacturers' Association there; do you 9 see that reference? 10 A. Yes, I do. 11 Q. Who was that? 12 A. I assume that was an attorney 13 representing the FEMA. 14 Q. Did you ever meet with an attorney 15 that represented FEMA? 16 A. We had a meeting with FEMA. I don't 17 recall the city, I think Washington. And I think 18 there was an attorney at the meeting. I don't 19 recall the names. 20 Q. Was the purpose of your meeting to 21 inform them about the results of your finding at 22 the TasteMaker plant? 23 A. Yes. 24 Q. And was part of that your suggestion 0104 1 that this was a broader problem than just one 2 plant in this industry in light of the fact that 3 other flavor manufacturers were using these same 4 chemicals? 5 MR. MACE: Objection to "was" in 6 place of "could be." 7 A. It was my impression that this very 8 well may not be isolated to this one particular 9 plant site, that the other flavoring companies 10 should be looking at their plant site to see if 11 they have a similar problem. 12 Q. Okay. And just so that we're clear, 13 what you had determined was that that 14 bronchiolitis obliterans was being caused -- was 15 being seen in this population that was 16 manufacturing flavors for TasteMaker; is that 17 correct? 18 A. That's correct. 19 Q. And you believed that other 20 manufacturers of flavors either could or would see 21 this same disease process if they were using the 22 same chemicals? 23 MR. MACE: Objection, compound. 24 A. Same chemicals or additional 0105 1 chemicals. The question always would come up, is 2 this a problem that's unique to this particular 3 manufacturing site or is it an issue that may 4 exist in other flavor manufacturing areas. And so 5 we wanted to raise the issue that this may not be 6 related to just this one plant site. The other 7 manufacturers need to look to see if they have a 8 similar issue. 9 Q. And, Doctor, was that based upon 10 your many years of experience with other 11 industries, that if the same chemicals are used in 12 similar ways, that disease process appear in plant 13 after plant? 14 MR. MACE: Objection. 15 MR. WOODSIDE: Objection. 16 A. If the same chemicals are used in 17 the same manner, same concentration, same 18 quantity, the likelihood is that there will be 19 problems at other plant sites, that's correct. 20 Q. And, Doctor, can you just give us 21 some examples through history of chemicals or 22 minerals or other things where this phenomenon has 23 been observed by public health physicians such as 24 yourself? 0106 1 MR. MACE: Objection. 2 A. A risk to any exposure is related to 3 the inherent toxicity of the material times the 4 amount the person is exposed to it. So you have 5 an inherent toxic material, say asbestos, for 6 example, and you're an insulator, it doesn't 7 matter whether you're an insulator in San 8 Francisco or Manhattan, if the job task is done 9 the same way, the risk factor is the same. 10 Q. And, Doctor, that's a good example. 11 If, in fact, the material is toxic to workers in 12 manufacturing materials, it can also be toxic to 13 consumers, assuming exposures are at the same 14 levels; is that correct? 15 MR. WOODSIDE: Objection. 16 MR. MACE: Objection. 17 MR. WARD: Object to the form of 18 the question. 19 A. If they're working with the same 20 material in the same concentration, the same 21 manner, the answer is yes. 22 Q. And so were you trying to raise this 23 host of issues in your meeting with FEMA, that if 24 these materials are toxic to the materials at 0107 1 TasteMaker, they could potentially be toxic in a 2 wide variety of settings? 3 MR. MACE: Objection. 4 MR. WARD: Objection to form of the 5 question. 6 A. I was really directing that to the 7 other plant sites where other people were involved 8 in the manufacturing process. 9 Q. All right. You point out that 10 Flavor & Extract Manufacturers Association, at the 11 time, has over a hundred members; is that right? 12 A. Yes. 13 Q. Do you see that? 14 A. Yes. 15 Q. And do you see that the main 16 competitors on fragrance and flavors, IFF, 17 International Flavors & Fragrances are the largest 18 global, you were told; do you see that down here, 19 "main competitors on fragrance and flavors"? 20 A. I see, yes, that's correct. 21 Q. And that you were told by the lawyer 22 for the Flavor & Extract Manufacturers' 23 Association? 24 A. Either I was told that by TasteMaker 0108 1 or in my meeting with FEMA. 2 Q. And was it your understanding that 3 IFF was a member of the Flavor & Extract 4 Manufacturers Association? 5 MR. WOODSIDE: Object, foundation. 6 A. My assumption is that's the case. 7 MR. WOODSIDE: Move to strike. 8 Speculative, no foundation. 9 MR. WARD: Join. 10 Q. Do you see -- Would you please read 11 that John Hallagan, attorney; do you see that note 12 that you have written there? 13 A. Yes. "Attorney, FEMA staff at both 14 committees, employed by the law firm. 15 Q. Well, let's get the context. Let's 16 back up. Safety evaluation central committees; do 17 you see that note? 18 MR. MACE: Objection. You may have 19 misread it. 20 A. Yes, I see that. 21 Q. "Safety evaluation control 22 committee"; did I read that correctly, your note? 23 A. It's "control committee," I think. 24 Q. "Control committee"? 0109 1 A. Yes. 2 Q. Okay. And would you read the rest 3 of the note. 4 A. "Coke, Procter & Gamble, IFF, Pepsi, 5 TasteMaker, focuses on ingestion, FEMA expert 6 panel started in the '50's and '60's, GRAS as 7 recognized by FDA." 8 Q. "Six members sit on this committee"? 9 A. "Six members sit on this committee, 10 SECC." 11 Q. Which is Safety Evaluation Control 12 Committee? 13 A. Yes. 14 Q. And the six members are listed at 15 the top? 16 MR. MACE: Five. 17 A. I see five members listed. I don't 18 know who the sixth was. 19 MR. WOODSIDE: Object. I don't 20 think that is what that says. 21 MR. MACE: Object, too. 22 Q. Okay. Well, is that the way you 23 read your own note? 24 A. That's how I would read this note. 0110 1 Q. And then it says Attorney John 2 Hallagan, attorney, FEMA staff at both committees 3 employed by the law firm? 4 A. Yes. 5 Q. So do you read your note to say that 6 the staff members of the FEMA committee were 7 employed by a law firm? 8 A. That's what my written note would 9 say. 10 Q. Did that seem kind of strange to 11 you? 12 A. The legal profession has its hands 13 in a lot of things these days, so why there was 14 legal representation at these committees, I don't 15 know one way or the other, other than for 16 confidentiality issues probably. 17 Q. Yeah. You specifically for your 18 work were made to sign a confidentiality statement 19 that said you had to give everything back and you 20 had to have pre-approval before you published. So 21 you've had some experience with these lawyers and 22 these committees; haven't you, Doctor? 23 A. I have. 24 Q. "Board of Governors" -- 0111 1 MR. WOODSIDE: Wait. Just object 2 to that question because you said "these lawyers," 3 and so I don't know who you're talking about, 4 "these lawyers." 5 MR. MCCLAIN: I'm talking about 6 lawyers in general that inhabit these committees. 7 MR. MACE: Objection. Move to 8 strike. 9 MR. WOODSIDE: Same objection. 10 MR. WARD: I join in that 11 objection. 12 MR. MCCLAIN: You resemble that 13 objection; is that what you said, Steve? We 14 couldn't hear that quite. 15 MR. WARD: I said I join in that 16 objection. 17 MR. MCCLAIN: Oh, I'm sorry, it 18 wasn't as clear. 19 MR. WARD: As clear as some of your 20 questions, Ken. 21 MR. MCCLAIN: No, I'm sure that 22 that's true. 23 BY MR. MCCLAIN: 24 Q. Okay. Doctor, let's turn our 0112 1 attention to the "Board of Governors" reference. 2 A. Okay. 3 Q. These people can commit money for 4 projects. The company -- Would you read the rest 5 of that. 6 A. The companies that are the most 7 active are members. The balance is made up 8 usually of scientists, usually a scientist is a 9 member of this, usually one or two people. And 10 next page, Dick Hall was a scientific consultant, 11 and he was a liaison between the safety committee 12 and the board of governors. I guess Dick was, 13 Dick Hall or Dr. Hall was, a toxicologist. 14 Q. It says TasteMaker -- Would you read 15 the purpose of the meeting. 16 A. The purpose was TasteMaker was 17 obligated to notify the industry in relatioship to 18 public health issues, legal issues, and business 19 risk issues. 20 Q. And was that the purpose of why you 21 were there, as far as you understood? 22 A. I was there in relationship to 23 public health issues. 24 Q. And so TasteMaker saw it as their 0113 1 obligation to inform the rest of the industry, as 2 you understood it; was the purpose for you being 3 there at FEMA? 4 A. That's correct. 5 Q. And Daniel Thompson and John 6 Hallagan, the attorneys for FEMA, are listed here, 7 and then what's Nancy and Mike? 8 A. Nancy Higley and Mike -- I'm not 9 sure of Mike's last name, most likely were from 10 TasteMaker. 11 Q. Okay. And they informed Thompson 12 and Hallagan of three cases of BO initially and 13 now five cases of BO, right? 14 A. That's correct. 15 Q. Bronchiolitis obliterans? 16 A. That's right. 17 Q. And it says educate on bigger 18 issues, education -- 19 A. And surveillance. 20 Q. And then objective, needs reason to 21 take to industry board. Why is this an industry 22 issue. Do you see that? 23 A. Yes. 24 Q. Now, Doctor, did you see in the 1997 0114 1 report that it said that it had been reported on a 2 confidential basis that this was occurring, that 3 bronchiolitis obliterans was occurring in the 4 flavoring industry? 5 A. Yes. 6 MR. WARD: Objection. That's not 7 the 1997 report. 8 Q. Doctor, do you recall in the 19 -- 9 in the 2002 report they indicate that the 1997 10 report was initiated based upon your contact with 11 FEMA? 12 A. That's my understanding, yes. 13 MR. MCCLAIN: Okay. Let's break 14 here, Doctor. They need to change the tape. 15 THE VIDEOGRAPHER: One second, 16 please. We're going off the record. One second, 17 please. 18 (Brief recess.) 19 THE VIDEOGRAPHER: Tape 2, you're 20 back on the record. 21 BY MR. MCCLAIN: 22 Q. So, Doctor, is it fair to say that, 23 when you reported these matters to FEMA, that you 24 now know that the '97 conference was their attempt 0115 1 to notify their members about the hazards of 2 bronchiolitis obliterans that you had found? 3 MR. WOODSIDE: Objection. 4 MR. MACE: Objection, foundation. 5 A. I know that now. 6 Q. And, Doctor, do you know whether or 7 not FEMA or any of their member companies 8 attempted to notify their customers who used these 9 same chemicals in the same way in industrial 10 processes in their own plants about these hazards 11 that you had alerted FEMA to? 12 MR. MACE: Objection, misstates the 13 evidence, mischaracterization, assumes facts not 14 in evidence. 15 MR. WOODSIDE: Same objection. 16 A. I have no knowledge one way or the 17 other what FEMA did with that information. 18 Q. Do you know whether TasteMaker ever 19 notified any of their customers about the hazards 20 that you had identified existed in their own 21 plant? 22 A. No, I do not. 23 Q. Do you know whether IFF ever 24 notified their customers of any hazards that were 0116 1 identified in the TasteMaker plant? 2 MR. WOODSIDE: Object. How would 3 he -- There's been no foundation that he has any 4 idea what IFF did or ever did. 5 Q. Do you note from your record that 6 IFF was identified in your meeting with FEMA? 7 A. Yes. 8 Q. And did anyone ever tell you from 9 FEMA that IFF was notifying their customers about 10 the hazards of bronchiolitis obliterans in the 11 food industry? 12 A. No. 13 Q. Now, if you'll look back at Exhibit 14 23, Doctor, and, Doctor, it indicates maybe 15 this -- I think that these documents go hand in 16 hand, but I'm not sure. 17 Perhaps, this was the outline of 18 your discussion and these were your notes from the 19 discussion, but how do you put them together? 20 A. Most likely, that's the case. 21 Q. Okay. And it says: "Briefing with 22 FEMA, September 27th, 1996. Objective: Request 23 FEMA to take steps to investigate whether 24 bronchiolitis obliterans is a flavor industry 0117 1 issue on grounds that TasteMaker experience 2 indicates that a workplace exposure, probably a 3 chemical, has caused a rare disease in certain 4 workers and the exposure most likely is not unique 5 to TasteMaker, but is something that could be more 6 generally present in workplaces of other flavor 7 manufacturers." 8 A. That's correct. 9 Q. Did I read that accurately? 10 A. You did. 11 Q. And is that the purpose of the 12 meeting that we've been discussing? 13 A. Yes. 14 Q. Going down to "Discussion Points," 15 they identified you and your qualifications and 16 experience; do you recall that they did that? 17 A. No, but if that's what it says, 18 that's what they did. 19 Q. Okay. It says that you had a 20 conclusion with a reasonable degree of medical 21 probability that the disease is work-related; is 22 that correct? 23 A. Yes, that's correct. 24 Q. And that was the bronchiolitis 0118 1 obliterans at the TasteMaker plant? 2 A. Yes. 3 Q. And based on your understanding of 4 information from the company, that you believed 5 that the workplace exposure was not unique to 6 TasteMaker; is that correct? 7 A. Yes. 8 Q. And Nancy is Nancy Hickby -- Or how 9 do you say her name? 10 A. Higley. 11 Q. Higley, I'm sorry. Nancy Higley to 12 support what knowledge of chemicals used, products 13 manufactured, and processes utilized? 14 A. That's correct. 15 Q. And so, do you think that that -- 16 Strike that. 17 What was this about? 18 A. Nancy was, Dr. Higley was, along at 19 this meeting, and she was supporting my opinion 20 based on her knowledge of the chemicals that were 21 being used and the products manufactured and the 22 processes utilized. 23 Q. And what was that opinion, Doctor? 24 A. That some of these chemical agents 0119 1 did represent potential hazard in relationship to 2 inhalational exposures. 3 MR. MCCLAIN: Steve, we're back on 4 the record. 5 MR. WARD: Okay, I'm ready. 6 BY MR. MCCLAIN: 7 A. And that the chemical agents that 8 are being utilized are not necessarily unique to 9 TasteMakers. 10 Q. Doctor, was it your expectation that 11 when you were talking to FEMA and to TasteMaker 12 that they would utilize the information that you 13 were providing to protect their own workers? 14 A. It was my opinion that additional 15 studies should be done to determine whether this 16 is a problem that's unique to Cincinnati 17 TasteMaker or representative of a problem that may 18 be at other flavor manufacturing facilities. That 19 was my real purpose. 20 Q. Look with me over at Exhibit 25, 21 Doctor. We're going to mark that. 22 (Deposition Exhibit No. 25 was marked for 23 identification.) 24 Q. Doctor, this appears to be your 0120 1 writing. 2 A. It is my writing. 3 Q. And it refers to John and Dan, the 4 two lawyers that we saw in the previous documents; 5 do you see that? 6 A. Yes. 7 Q. And in your previous notes you refer 8 to Daniel Thompson and John Hallagan, the two 9 lawyers? 10 A. Yes. 11 Q. Are these further notes from your 12 meeting with FEMA? 13 A. Yes, yes, they appear to be my notes 14 from the meeting, yes. 15 Q. And it says, "Survey the industry to 16 look for disease." 17 A. Yes. 18 Q. What's that next reference, word 19 out? 20 A. Should be work out in an organized 21 manner or organized way, worker comp. reports in 22 relationship to duty to warn. 23 Q. What does that mean? 24 A. If you look at the workers' 0121 1 compensation reports and you have plant sites that 2 have respiratory disease and it's related to 3 bronchiolitis obliterans, then there's a duty to 4 let people know about it. 5 Q. And were these steps -- All of these 6 were steps that you were suggesting needed to be 7 taken or you were suggesting should be taken? 8 A. These are the various processes that 9 you could go through to look at other plant sites 10 to see if there's a problem that's going on. 11 Q. Okay. Then go on to the next one, 12 "FEMA." 13 A. FEMA, if you collect the 14 information, they'll have to act on this 15 information. 16 Q. Okay. Why did you note that? 17 A. Well, if you identify a health 18 hazard, you have to act on it. 19 Q. And you told FEMA that? 20 A. Yes. 21 Q. You told FEMA that, if you collect 22 this information, you're going to have to act on 23 it; is that right? 24 A. That's right. 0122 1 Q. Do you have any evidence that FEMA 2 ever went out and collected the information? 3 A. I did not hear from FEMA after this 4 meeting, no. 5 Q. So, Doctor, just so that I'm clear, 6 you told FEMA, look, you ought to survey the 7 industry to look for disease; is that right? 8 A. Yes. 9 Q. And you said, you need -- 10 A. Work it out in an organized manner. 11 Q. Do it in an organized fashion, and 12 look at the workers' compensation reports from all 13 of your plants and see whether there's any other 14 cases of this, but if you do that, you're going to 15 have to warn everybody about it; that's what you 16 told them? 17 A. That's what my notes say, that's 18 correct. 19 Q. And after that, as far as you know, 20 they did nothing; is that correct? 21 A. I have had no further contact with 22 FEMA after that meeting. 23 Q. So they never asked you to do any of 24 these things? 0123 1 A. No. 2 Q. Now, we do know that they did have a 3 meeting about respiratory protection for their own 4 workers; is that right? 5 A. Was that the 1997 meeting? 6 Q. Yes. 7 A. Yes. 8 Q. All right. But as far as you know, 9 based upon anything that you've seen or been told 10 about, did FEMA or any of its members ever warn 11 any of their customers about the hazards of 12 working around these chemicals? 13 MR. MACE: Objection. Read it back 14 to me, Lisa. 15 MR. WARD: Objection to the form of 16 the question. 17 A. I have no knowledge of -- 18 MR. MACE: I've asked her to read 19 it back, Doctor, if you could wait a minute. 20 (Record read back by the court reporter.) 21 MR. WOODSIDE: Objection. 22 MR. MACE: Objection. 23 MR. WARD: Objection to form of the 24 question, lack of foundation, speculation. 0124 1 A. I have no knowledge that FEMA or 2 TasteMaker notified their customers. 3 Q. Look at, "Accept these are chemical 4 companies and there are no PEL's set"; what did 5 you mean by that, Doctor? 6 A. That rather than looking at these 7 materials from a GRAS perspective, they need to 8 look at them from a chemical exposure perspective 9 in relation to the lungs, and there were no 10 permissible exposure limits set for the majority 11 of the materials they were using. 12 Q. Did you tell FEMA that; is that who 13 you're telling? 14 A. Yes. 15 Q. And then you say, read your next 16 entry, please. 17 A. Start with the current committee, 18 and that would be Nancy Higley. I think Nancy 19 Higley was a member of that committee. "And then 20 potentially expand to additional committees." 21 Q. Okay. And Nancy Higley was at 22 TasteMaker and she was a member of the current 23 committee at FEMA; is that right? 24 A. My assumption is that's correct. 0125 1 Q. Notification by FEMA that there 2 is -- 3 A. That there is an issue and is 4 assigned to the Nancy Higley committee. 5 Q. Okay. And then it says use John 6 Doyle at University of Kentucky as consultant? 7 A. United Kingdom. 8 Q. Oh, United Kingdom. 9 A. He's an MD, Ph.D. 10 Q. Why use him? 11 A. I don't know the gentleman. 12 Somebody must have raised his name at this 13 meeting. Was he the toxicologist? I don't know 14 who the gentleman is. I don't know who John Doyle 15 is. Perhaps that name came up through somebody 16 from the team. 17 Q. If you go back over to the next, go 18 over to the next page under "TasteMaker, NIOSH 19 case report," is that that 1996 case report from 20 NIOSH? 21 A. That's correct. 22 Q. So you made FEMA aware of the NIOSH 23 case report in this meeting? 24 A. Yes. 0126 1 Q. "Process and content" and then you 2 have "healthy worker effect." Would you read the 3 rest of your note and tell us what that is about? 4 A. Healthy worker effect is something 5 we can see when we do studies in industrial 6 settings. Healthy worker effect is in regard to 7 the healthy worker stays at the job task and the 8 unhealthy worker leaves for health reasons. So 9 sometimes when you review a site situation, you 10 have to allow for the only survivors at the plant 11 site are the healthy workers. 12 So how that could be impacted, could 13 have a loss of job because of asthma. In 14 Cincinnati the cases that we were seeing were 15 being misdiagnosed as asthma, and that was one of 16 the problems in the community. 17 Q. Let me just stop you just for a 18 minute, Doctor. The cases at the TasteMaker plant 19 were misdiagnosed as asthma? 20 A. With some of the community 21 physicians, they were being diagnosed as asthma. 22 Q. Is that something that needs to be 23 guarded against in your view when examining people 24 with bronchiolitis obliterans, that someone who 0127 1 perhaps is not as experienced as you are or not an 2 occupational physician might misdiagnose a case as 3 asthma? 4 MR. WOODSIDE: Object to the form, 5 objection. 6 MR. MACE: Objection. 7 A. I think that even happened with 8 Mr. Campbell. I think he went to Cleveland Clinic 9 and they put him on steroids to see if he had 10 reverse airway obstruction. 11 Q. And what -- 12 A. He did not. 13 Q. He did not? 14 A. (Shaking head.) 15 Q. And you put down misdiagnosis of 16 asthma common, what -- 17 A. That means young people that have a 18 significant degree of airway obstruction, most 19 physicians would diagnose it as asthma rather than 20 bronchiolitis obliterans. 21 Q. And that's a mistake? 22 A. That's a mistake. 23 Q. And then you say -- 24 MR. WOODSIDE: Object. Move to 0128 1 strike, unless you were referring to people who 2 worked at the plant. I don't think you meant that 3 to be as totally global as you asked it. 4 Q. Go ahead and clarify your answer, 5 Doctor, then. 6 A. Bronchiolitis obliterans is a rare 7 disease, but it can be misdiagnosed by asthma -- 8 as asthma. And so if you have a young person who 9 has significant airway obstruction but you can't 10 demonstrate reversal airway obstruction, then you 11 look for another cause besides asthma. Asthma is 12 defined as significant airway obstruction that's 13 reversible with the administration of 14 bronchodilators. 15 The next one is IFF has 4,000 16 employees worldwide. 17 Q. And why did you note that? 18 A. The size of the potential work 19 force. 20 Q. And was that -- 21 A. And surveillance program, this will 22 help pick out those with fixed airway obstruction. 23 Q. So was it your thought that with the 24 population the size of IFF's that this might be an 0129 1 appropriate group to study to see whether or not 2 this problem was industry-wide? 3 MR. WOODSIDE: Objection. 4 A. That's correct. 5 Q. Did anyone from IFF ever contact you 6 to say we'd like you to study our population? 7 A. No. 8 Q. Look at the last page, Doctor. You 9 have a note, "Put forth that it is our belief that 10 the worker can be protected." 11 A. Where are you reading? 12 Q. "Put forth," do you see that? 13 A. Yes. 14 MR. WOODSIDE: Could you show me? 15 A. Last page. 16 Q. Last page, "Put forth"; do you see 17 that? 18 A. Yes. 19 Q. And was that your belief, that the 20 workers could be protected? 21 A. Yes. 22 Q. And should be protected? 23 A. From this disease, yes. 24 Q. Workers in their own plant at 0130 1 TasteMaker? 2 A. In the flavoring manufacturing 3 industry, if they're developing this disease, they 4 should be protected. 5 Q. And does that apply to a worker like 6 Keith Campbell, too? 7 MR. MACE: Objection. 8 Q. He should be protected from these 9 chemicals in your view? 10 MR. MACE: Objection. 11 A. Based on the information that Kay 12 Kreiss has published, yes. 13 Q. Now, Doctor, let me show you 14 something and ask you -- Let me just give you some 15 background. 16 MR. WOODSIDE: Here we go. 17 Q. IFF, who you referenced, purchased a 18 company called Bush Boake Allen or BBA. Were you 19 ever made aware of BBA, another chemical 20 manufacturer that label themselves as a flavor 21 manufacturer? 22 A. No. 23 Q. Let me show you a document from 1993 24 from the files of Bush Boake Allen. This is 0131 1 Exhibit 26. 2 (Deposition Exhibit No. 26 was marked for 3 identification.) 4 Q. Doctor, I know that you have -- 5 MR. WOODSIDE: Since it's my 6 document, would someone let me see a copy of it, 7 please. 8 Q. (Indicating.) 9 A. Okay. 10 Q. Doctor, this is a safety report from 11 Bush Boake Allen in 1993. I want you to assume 12 that with me for a moment, if you would; all 13 right? 14 A. Okay. 15 Q. And then Bush Boake Allen -- You can 16 have it, Frank. I have got the questions in mind. 17 Bush Boake Allen manufactured butter 18 flavors at this plant in Chicago; would you also 19 assume that with me? 20 A. Okay. 21 Q. All right. Look over on the second 22 page, if you would, at the bottom; do you see 23 that? And they have a reference there to a 24 pulmonary function test report when they 0132 1 instituted a respiratory protection program; do 2 you see that, Doctor? 3 A. No. 12, yes. 4 Q. And do you see that they reported 5 that a number of their individuals had pulmonary 6 function abnormalities? 7 A. Yes. 8 Q. Doctor, is this the kind of 9 population that you were interested in examining 10 when you were suggesting to FEMA that it would be 11 appropriate to examine other flavor manufacturing 12 companies to see whether they were having similar 13 problems as you were experiencing in your 14 consultation with TasteMaker? 15 A. Yes. 16 Q. And did anyone from FEMA notify you 17 about the experience of their member company BBA? 18 A. No. 19 Q. Did anyone from BBA ever contact you 20 to do a study such as the one done at TasteMaker? 21 MR. WOODSIDE: Object. 22 A. No. 23 Q. Would you have been willing to 24 engage in such a study if someone had contacted 0133 1 you? 2 A. Yes. 3 MR. WARD: Object to the form of 4 the question. "Someone" who? 5 MR. WOODSIDE: That's all right, 6 Steve. 7 Q. All right. Now, after you had the 8 contact and the meeting with FEMA, did they ever 9 ask you to consult with them further about this 10 issue? 11 MR. WOODSIDE: Object. Who is 12 "they"? 13 Q. FEMA. 14 MR. WOODSIDE: Okay. 15 A. No. 16 Q. Did you ever hear from anyone from 17 TasteMaker about further follow-up after your 18 consultancy with them in 1994, '5, and '6? 19 A. We continued with the surveillance 20 program at TasteMaker. You mean in relationship 21 to TasteMaker follow-up? 22 Q. Yes. 23 A. We continued with the surveillance 24 program at TasteMaker I think up through 1997, 0134 1 maybe '98, and then it was given to Bethesda 2 Tri-Health, and I think they're running the 3 program or they had run the program there. 4 Q. Okay. But you weren't asked to 5 do -- After you followed up with this group, you 6 weren't asked to do further testing in other 7 plants that they had even? 8 A. No. I think Dr. McKay, if I recall 9 correctly, might have gone to some other plant 10 sites to set up the preliminary function testing 11 protocols, but I was not involved in any of the 12 plant sites. 13 Q. So as an example, you weren't asked 14 to go to this England site where they had four 15 workers, according to your notes, that had a 16 respiratory problem; is that correct? 17 A. No, that's correct. 18 Q. And were you ever asked to consult 19 with TasteMaker regarding what precautions ought 20 to be taken by their customers when utilizing 21 these products in the manufacture of popcorn or 22 other food products? 23 MR. MACE: Objection, assumes. 24 A. Not that I recall. 0135 1 Q. Doctor, if someone from TasteMaker 2 had asked you, could you have performed tests -- 3 could your group have performed tests to determine 4 what exposure levels were possible when utilizing 5 these flavoring products after they had been 6 formulated at the TasteMaker plant? 7 MR. MACE: Objection. 8 A. You mean within the manufacturing 9 facility? Yes. 10 Q. Or another manufacturing facility. 11 I mean, as an example, if TasteMaker made a butter 12 flavor and TasteMaker asked you, Dr. Lockey, are 13 exposures possible when people use this butter 14 flavor outside our plant, you could have figured 15 that out; isn't that true? 16 A. That's correct. 17 Q. Did they ever ask you that? 18 A. No. 19 Q. And just so that I'm clear, if you 20 look back at Exhibit -- I can't remember which one 21 this is. That one, it's 25; is it? 22 A. Twenty-five . 23 Q. You look back at 25, after you told 24 them, FEMA, if you collect the information, you 0136 1 will have to act on that information, they never 2 asked you to collect any more information; is that 3 true? 4 A. That's correct. 5 Q. Okay. Now, then, if your 6 consultancy ended with TasteMaker in 1997, did you 7 do any follow-up work on your own regarding 8 bronchiolitis obliterans and the flavoring 9 industry until you were contacted by Dr. Kreiss in 10 about 2001? 11 A. No. 12 Q. And can you describe for us in 13 general how it is that you became aware that she 14 was examining an outbreak of bronchiolitis 15 obliterans in the food industry in Jasper, 16 Missouri? 17 A. She had called me on the phone, and 18 I recalled the cases that we had seen at the 19 University of Cincinnati, and we talked on the 20 phone for a long period of time about potential 21 exposure situations. And my recollection to her 22 was that the food flavoring manufacturing industry 23 based on the TasteMaker model was very complex, 24 and we had recommended in that industry that they 0137 1 should go to a different model or go to a chemical 2 manufacturing model rather than a food 3 manufacturing model. And as far as I was aware, 4 there hadn't been any other cases at this plant, 5 but we weren't involved in the surveillance 6 program, so I couldn't say that for sure. 7 And then she described the cases 8 that they were seeing with the buttering flavoring 9 or with the popcorn manufacturing production 10 tasks. I don't think she knew at that time what 11 may be the offending agent, but I said it sounds 12 like the same type of thing we were seeing at 13 TasteMaker. 14 Q. Now, Doctor, just expand on that. 15 We've kind of touched on it. That you were 16 suggesting to TasteMaker that they operate as a 17 chemical manufacturer, not as a food manufacturer 18 model; what did you mean by that? 19 What is it that differs between a 20 chemical manufacturer as opposed to a food 21 manufacturer in your view? 22 A. When you think about things being 23 safe to eat, there may be a presumption that 24 they're safe from an inhalational perspective. My 0138 1 view was that the majority of these agents, be it 2 natural-occurring agents or manmade agents, have 3 not been looked at from an inhalational 4 perspective. Even natural-occurring agents have a 5 chemical make-up, so they all have a chemical 6 structure. 7 In the food flavoring manufacturing 8 industry, it's a complex industry. Hundreds of 9 different materials are brought into the plant 10 site. They're mixed, they have different 11 concentrations, they're mixed in different 12 manners. They're boiled, they're heated, they're 13 steamed, they're spray dried, they're pulverized. 14 And to come up with a toxicological profile for 15 all of the potential exposures would be extremely 16 difficult. 17 So the bottom line in relationship 18 to what we recommended for TasteMaker was, get all 19 of your exposures down, control the exposures like 20 you would in a chemical company rather than a food 21 processing company. 22 Q. All right. I understand now what 23 you mean. And was that one of the reasons why in 24 regard to diacetyl and acetaldehyde and these 0139 1 other things, you said wear respirators regardless 2 of what the exposures are? 3 A. Well, you could, you could stratify 4 some of the chemical agents, but a chemical agent 5 that's used in its raw form may be different after 6 you heat it or combine it with something else, so 7 under the circumstances and because of the 8 severity of this particular disease process, we 9 said you need to control all of the exposures. 10 Q. Just we haven't talked about that 11 very much either. Bronchiolitis obliterans, is it 12 a severe disease? 13 A. It is a severe disease. 14 Q. And is it reversible? 15 A. It's not reversible. 16 Q. And, Doctor, is that one of the 17 goals of preventative medicine, to -- because so 18 many of them cannot be cured, to stop them from 19 ever happening, prevent them from ever happening; 20 is that the goal? 21 A. That's correct. 22 Q. And did you share that with FEMA 23 when you met with them, that that was the goal? 24 A. I think recalling from my notes, I 0140 1 said that it was a serious disease and it's a 2 disease you want to prevent. 3 Q. All right. Now, let's mark, then, 4 as the next exhibit, Exhibit 27. 5 (Deposition Exhibit No. 27 was marked for 6 identification.) 7 Q. Now, we had previously before we got 8 off on this chemical company versus food 9 manufacturing model, I had asked you whether 10 anyone contacted you about your study from 11 TasteMaker or anywhere else after 1997 until Dr. 12 Kreiss did, and I'm framing the issue on Exhibit 13 29, then. Is this Dr. Kreiss -- 14 MR. WOODSIDE: Exhibit 27. 15 Q. Twenty-seven, I'm sorry. Is Exhibit 16 27 Dr. Kreiss' -- one of the first contacts you 17 had with her about speaking about bronchiolitis 18 obliterans? 19 A. We had spoken on the phone prior to 20 this, but this is the letter she sent me notifying 21 me of the time of the conference in Morgantown, 22 West Virginia. 23 Q. And did you go to that conference? 24 A. I did. 0141 1 Q. And did you speak about your 2 experience? 3 A. I did. 4 Q. Now, this is Exhibit 28. 5 (Deposition Exhibit No. 28 was marked for 6 identification.) 7 A. Okay. 8 Q. Doctor, what -- Is this a copy of 9 the "Workshop Agenda"? 10 A. It is. 11 Q. And you're listed as offering, A 12 previous outbreak of bronchiolitis obliterans in 13 the food flavoring -- in a food flavoring plant? 14 A. Yes. 15 Q. Doctor, you pointed to something on 16 the second page; what was it that you were 17 reminded of? 18 A. Ann Hubbs, you had talked about Dr. 19 Hubbs. 20 Q. She did present her results? 21 A. Yes. 22 Q. Now, Doctor, was this presentation 23 open to the general public? 24 A. As far as I'm aware, yes. 0142 1 Q. And was this the first public 2 presentation that you had made of your data? 3 A. No. 4 Q. Where had you made one previous to 5 this? 6 A. Do you have my resume? 7 Q. It's there in front of you. 8 MR. MACE: I think it's Exhibit 1. 9 Should be at the bottom of the stack of exhibits. 10 A. Can we go off the record for a 11 second? 12 Q. Sure. Off the record. 13 THE VIDEOGRAPHER: We're off. 14 (Off the record.) 15 THE VIDEOGRAPHER: You're back on 16 the record. 17 BY MR. MCCLAIN: 18 Q. Dr. Lockey, you mentioned -- or I 19 asked you had you ever made any presentation 20 publicly regarding your data, and you pointed me 21 on your resume to two general discussions 22 regarding bronchiolitis obliterans where it was 23 mentioned as part of the presentation; is that 24 correct? 0143 1 A. That's correct. 2 Q. But this conference on Saturday, 3 August 25th, 2001, was the first time you had 4 devoted an entire presentation to your findings; 5 is that correct? 6 A. That's correct. 7 Q. So perhaps one of the ways that Dr. 8 Kreiss had learned was through this -- those 9 previous presentations you had made as well as 10 your students potentially telling her about them; 11 but the first time you had ever made a formal 12 presentation of your data was in 2001? 13 MR. MACE: Objection to the 14 characterization. 15 Q. To the outside public. 16 MR. MACE: Object to the 17 characterization. 18 A. That was where the lecture was 19 totally devoted to the flavoring industry, that's 20 correct. 21 Q. Now, had FEMA or TasteMaker asked 22 you to make this presentation before 2001, you 23 were certainly prepared to do it? 24 A. Yes. 0144 1 MR. WOODSIDE: Objection. 2 Q. And did they ever ask you to do it? 3 A. No. 4 Q. And you would have been happy to 5 publish your data if they would have allowed it; 6 isn't that true? 7 MR. MACE: Objection. 8 A. I was always guarded in relationship 9 to publication because of the confidentiality 10 agreement. 11 Q. Which means that, because of the 12 confidentiality agreement, you didn't publish it, 13 right? 14 A. That's correct. 15 Q. But you thought that these results 16 were important enough to publish; isn't that true? 17 A. After I heard that there may be 18 other cases out there, after Kay had called me and 19 talked to me about that, I thought this is not an 20 issue that's isolated to this one plant site and 21 it appears to be an issue that's more broad than 22 an isolated cluster of cases. 23 Q. Well, Doctor, as an occupational 24 physician, you suspected that back in 1996 when 0145 1 you went to meet with FEMA; isn't that true? 2 A. That's correct. 3 Q. You worried as a public health 4 official that what you were seeing was actually 5 happening in other places, and you as a public 6 health official charged with preventing such 7 disease wanted to try to do that to get ahead of 8 the curve; isn't that right? 9 A. That's correct, but I was told I 10 think back by FEMA that this was really an 11 isolated issue for Cincinnati. 12 Q. They were wrong about that; weren't 13 they? 14 A. They were. 15 Q. But they were the ones that told you 16 not to go any further; you wanted to and you 17 felt -- 18 MR. MACE: Objection. 19 Q. -- that that was prudent; isn't that 20 true? 21 MR. WOODSIDE: Objection. 22 MR. MACE: Objection, misleading. 23 A. I felt that the other flavoring 24 manufacturing sites should be looked at. My 0146 1 impression when I left the meeting was that FEMA 2 felt that it was an isolated cluster of cases in 3 the Cincinnati site. 4 Q. But they as far as you know did no 5 inquiry of their own, no study of their own, no 6 investigation to rule out what you were suggesting 7 was a possibility; am I right? 8 A. That's correct. 9 Q. Now, after your presentation at the 10 NIOSH workshop, you also decided that it was 11 important that you bring your results to the 12 attention of the American Thoracic Society; isn't 13 that true? 14 A. That's correct. 15 Q. And when you did that and it got 16 back to TasteMaker, now Givaudan -- 17 THE VIDEOGRAPHER: Excuse me, I 18 have to go off the record for a minute. 19 (Off the record.) 20 THE VIDEOGRAPHER: Back on the 21 record. You may begin. 22 BY MR. MCCLAIN: 23 Q. Doctor, if there were cases in 1986 24 as we've seen and cases -- potential cases in 1993 0147 1 that we've seen of respiratory problems in these 2 plants, then FEMA's suggestion to you that it was 3 an isolated event was incorrect; isn't that true? 4 MR. WOODSIDE: Objection, 5 foundation. 6 MR. MACE: Objection. 7 MR. WARD: Objection, same. 8 A. Yes. 9 Q. And you were misled by that? 10 MR. MACE: Objection. 11 MR. WOODSIDE: Objection. 12 MR. WARD: Objection. 13 A. The data from NIOSH we dug out 14 ourselves. The name of the company in Chicago? 15 Q. Bush Boake Allen, BBA. 16 A. I was not aware that they were 17 having issues at that plant site. 18 Q. And as far as you know, did FEMA 19 make any inquiries of BBA or other members about 20 such incidents? 21 A. I remember leaving a meeting 22 thinking that FEMA felt this was an isolated 23 problem for the TasteMaker facility, and they had 24 not heard of any other cases at any other 0148 1 facilities or similar-type problems. That was the 2 impression I was left with. 3 Q. Doctor, do you remember our 4 discussion about you telling FEMA, if you collect 5 the information, you'll have to distribute it? 6 A. Yes. 7 Q. If you don't ask the question, it's 8 pretty hard to have an answer to it; isn't it? 9 A. That's correct. 10 Q. All right. Now, then let's go to 11 the ATS. You felt like it was important enough, 12 that your data was important enough, that you 13 needed to publish it, and you took it to the 14 American Thoracic Society; isn't that right? 15 A. That's correct. 16 Q. What is the American Thoracic 17 Society? 18 A. It's a professional organization 19 made up of pulmonary physicians. 20 Q. Let's show you Exhibit 30 -- 29. 21 (Deposition Exhibit No. 29 was marked for 22 identification.) 23 Q. Dr. Lockey, I think that this 24 document is your note summarizing this whole 0149 1 ordeal you went through to get your information 2 published by the ATS; is that a fair 3 characterization? 4 A. That's correct. 5 Q. You decided after Dr. Kreiss' 6 meeting that it was important for you to tell the 7 other chest physicians about what you found at the 8 TasteMaker plant over six years ago at this point, 9 right? 10 A. That's correct. 11 Q. 2002, back in 1996? 12 A. That's correct. 13 Q. And at that point a Mr. Fred King, 14 the legal representative of Givaudan, contacted 15 you; is that right? 16 A. That's correct. 17 Q. And told you essentially you didn't 18 have any right to publish that information; is 19 that correct? 20 A. He raised the issue with me, yes, 21 that's correct. 22 Q. And you wanted to publish it? 23 A. I thought from a public health 24 perspective, it would be correct to do that. 0150 1 Q. And ultimately, he -- You offered, 2 in fact, to withdraw the publication because of 3 the confidentiality arrangement that you 4 previously had; is that right? 5 A. That's correct. 6 Q. Let me show you a document in which 7 Mr. King writes to you. That's Exhibit 30. 8 (Deposition Exhibit No. 30 was marked for 9 identification.) 10 Q. In this Exhibit 30, Dr. Lockey, this 11 same Mr. King, Vice President of Legal Affairs for 12 Givaudan -- And Givaudan at this point had bought 13 TasteMaker; is that correct? 14 A. That's correct. 15 Q. He outlines everything that's in 16 your confidentiality agreement about how you have 17 to keep it secret and you can't tell anybody about 18 anything that you learned. And then he says: "As 19 you can see, Givaudan has a right to request that 20 you return all information in your possession 21 relating in any way to the services you provided 22 to TasteMaker." 23 And then he goes on, and it says: 24 "In addition, Givaudan hereby requests that you do 0151 1 not disseminate any TasteMaker confidential 2 information by way of public lecture, seminar, 3 speaking engagement, or written publication unless 4 you have received prior written permission from 5 Givaudan to do so"; do you see that? 6 A. Yes. 7 Q. And, Doctor, throughout this entire 8 time period, you have already expressed to us you 9 felt constrained by this confidentiality agreement 10 not to disclose this information? 11 A. That's correct. 12 Q. And the only reason why you were 13 disclosing it was you felt compelled based on Dr. 14 Kreiss' findings at the Jasper plant that you 15 could no longer keep it secret; am I right? 16 MR. MACE: Objection. 17 A. I thought that, seeing that there 18 were other cases in other food manufacturing 19 companies, that my information was substantial and 20 should be added to the medical literature, that's 21 correct. 22 Q. And Mr. King even went so far even 23 after this correspondence and after you told him 24 you were going to present it to the ATS anyway 0152 1 that he asked you not to allow a press release to 2 go out about it, right; he didn't want it to get 3 into the newspaper? 4 A. That's correct. 5 Q. And, in fact, let's mark this as 6 Exhibit 31. 7 (Deposition Exhibit No. 31 was marked for 8 identification.) 9 MR. MACE: Copy? 10 Q. And we'll mark it as Exhibit 32, 31 11 and 32. 12 (Deposition Exhibit No. 32 was marked for 13 identification.) 14 Q. There's a series of -- 15 MR. WOODSIDE: Do you have any more 16 copies? I don't have either one. 17 Q. There's a series of e-mails about 18 this press release in which apparently they were 19 badgering you about whether did it go to any 20 newspapers or not; do you remember that? 21 MR. MACE: Objection, 22 characterization. 23 A. Yes. They asked me in an e-mail 24 about where did this information go to. 0153 1 Q. So did you interpret that that they 2 were very concerned that this was getting out into 3 the press? 4 MR. MACE: Objection. 5 A. Yes. 6 Q. And, in fact, you kind of tracked it 7 down and assured them that nobody showed up at the 8 press conference, right? 9 A. There were about ten people in the 10 room, yeah. 11 Q. And it didn't get into the 12 newspapers, right? 13 A. As far as I'm aware from what ATS 14 said, that's correct. 15 Q. And Givaudan was happy about that? 16 MR. MACE: Objection. 17 A. That I don't know. 18 Q. Just so that we have the two 19 exhibits, would you just tell us what those are. 20 A. Thirty-one is an e-mail from C E L I 21 A, V I M O N T, to Connie Thrasher, my 22 administrative assistant, regarding the draft of 23 the ATS press item. And the second one, no. 32, 24 is a similar e-mail about the ATS press item. 0154 1 Q. Now, Doctor, even after presenting 2 this at the ATS conference, which you did over 3 Givaudan's objection -- 4 MR. MACE: Objection, 5 mischaracterization. 6 Q. Well, let's be fair about it, 7 Doctor. Doctor, it's true, isn't it, that 8 Givaudan was not thrilled with your presentation 9 at ATS? 10 MR. MACE: Objection. 11 A. My impression is that -- based on 12 the letter I got after the presentation, was that 13 they didn't want me doing it anymore. 14 Q. And, Doctor, do you recall that an 15 employee of my law firm in an attempt to 16 understand your studies in order to prepare the 17 lawsuits in Jasper, Missouri, contacted your 18 office to ask you about your study? 19 A. Yes. 20 Q. And that was Mr. Messbarger? 21 A. Yes. 22 Q. And let me hand you Exhibit 32 -- 23 33, and you made a note about that contact? 24 (Deposition Exhibit No. 33 was marked for 0155 1 identification.) 2 A. Yes, I did. 3 Q. And he was trying to find 4 information about your study? 5 A. Yes. 6 Q. And you told Mr. Messbarger, and I'm 7 reading, "that we signed a confidentiality 8 agreement in order to gain access to the facility 9 to help in the workplace evaluation and therefore 10 that information could not be released"? 11 A. That's correct. 12 Q. So even as late as 2003, you felt 13 constrained by the confidentiality that you had 14 signed with Givaudan and TasteMaker not to 15 disclose this information; is that right? 16 MR. MACE: Objection to form. 17 A. I felt there were restraints put on 18 how I would disclose this information, 19 particularly editorial rights, which I have 20 difficulty giving up. 21 Q. And so, Doctor, it's fair to say 22 that the only way for us to get this information 23 was to subpoena you here with a power of the Court 24 so you could speak out publicly about these 0156 1 issues; is that fair? 2 MR. MACE: Objection, 3 mischaracterization, assumes. Objection to form. 4 A. Yes. 5 MR. MCCLAIN: Thank you, Doctor. I 6 have no further questions. 7 MR. MACE: Let's go off the record. 8 THE VIDEOGRAPHER: One second, 9 please. 10 (Lunch recess.) 11 THE VIDEOGRAPHER: You're back on 12 the record. You may begin. 13 MR. MACE: Good afternoon, Doctor. 14 THE WITNESS: Good afternoon. 15 CROSS-EXAMINATION 16 BY MR. MACE: 17 Q. Doctor, TasteMaker contacted you as 18 an independent consultant to help determine what 19 was going on and what to do about it, right? 20 MR. MCCLAIN: Objection to the form 21 of the question. 22 A. That's correct. 23 Q. And you believe that the causative 24 agent was acetaldehyde and possibly capsaicin, 0157 1 correct? 2 A. That's correct. 3 Q. Let me show you what we've marked 4 for identification as an article that Plaintiff's 5 counsel referenced but I don't think he marked. 6 It is going to be Exhibit 34. 7 (Deposition Exhibit No. 34 was marked for 8 identification.) 9 Q. Exhibit 34 is the article that you 10 referenced, has your picture in it, but it's an 11 article from May 21st of '02 in the "American 12 Thoracic Society Daily Bulletin," correct? 13 A. That's correct. 14 Q. And the article summarizes your 15 presentation that you gave at the ATS, some of the 16 key points from it? 17 A. That's correct. 18 Q. And at the end, bottom of the first 19 column there, you talked about workers coming into 20 contact with large amounts of flavoring agents, 21 sometimes in high concentrations, during the 22 manufacturing of the flavors, correct? 23 A. That's correct. 24 Q. And then at the end you said that 0158 1 your study identified a number of substances that 2 might potentially be harmful if inhaled in high 3 concentrations, most notably acetaldehyde and 4 capsaicin, correct? 5 A. Yes. 6 Q. No one thought that butter flavoring 7 was the cause of any of the bronchiolitis 8 obliterans that you saw at TasteMaker, right? 9 MR. MCCLAIN: Object to the form of 10 the question. 11 A. Within the people that we saw, we 12 did identify that we thought acetaldehyde 13 particularly was responsible for some of the 14 cases. The other cases of bronchiolitis 15 obliterans, the etiology was not as clear. 16 Q. You did not think that diacetyl was 17 the cause of the BO, bronchiolitis obliterans, 18 problems at TasteMaker? 19 MR. MCCLAIN: Object to the form of 20 the question. 21 A. All I can say is that I thought 22 acetaldehyde was responsible for some of the 23 cases. It was not clear to me what was 24 responsible for the others. 0159 1 Q. You had never targeted diacetyl as 2 being the cause of any of the BO problems? 3 MR. MCCLAIN: Object to the form of 4 the question. 5 A. That's correct. 6 Q. Are you aware of the fact there's no 7 acetaldehyde in butter flavoring? 8 MR. MCCLAIN: Object to the form of 9 the question. 10 A. Is there no acetaldehyde in butter 11 flavoring? 12 Q. Yes. Are you aware of that? 13 A. No. 14 Q. You did not suggest -- 15 MR. MCCLAIN: No, you're not aware 16 of that? 17 THE WITNESS: No, I'm not aware of 18 that. 19 BY MR. MACE: 20 Q. You did not suggest any tests be run 21 on diacetyl to TasteMaker? 22 A. No. 23 Q. No, you did not? 24 A. No, I did not. 0160 1 Q. And isn't it a fact that none of the 2 five workers you tested had been exposed to 3 diacetyl? 4 MR. MCCLAIN: Object to the form of 5 the question. 6 A. I think that's correct, yes. 7 Q. As part of your investigation, you 8 did find that there were people working in 9 identical jobs that did not have any health 10 problems? 11 MR. MCCLAIN: Object to the form of 12 the question. This is all leading. He's your 13 witness. You've claimed that he's your witness. 14 You're claiming attorney-client privilege on him. 15 You're not allowed to lead a witness who is your 16 consultant. Here's a document where you have 17 Attorney Anthony -- Stephanie Thompson to James 18 Lockey that you're claiming privilege, 19 attorney/client, work product. I object to all of 20 these questions on their leading nature. You 21 can't lead this witness. He's not adverse to you 22 in any way. He was your consultant. 23 MR. MACE: Your objection is noted. 24 Can you answer the question? 0161 1 MR. MCCLAIN: I object. Am I going 2 to have to object to every single question as 3 being leading? 4 MR. MACE: You can have a 5 continuing objection. 6 THE WITNESS: Can you ask the 7 question again? 8 MR. MACE: Sure. 9 BY MR. MACE: 10 Q. As part of the investigation, didn't 11 you find that there were people working in 12 identical jobs that did not have any health 13 problems? 14 A. In relation to acetaldehyde, there 15 were what I call old-time workers there who had 16 worked with that material for a number of years 17 who did not have any health problems. Other 18 workers who were relatively new to the facility 19 did have health problems with that particular 20 chemical agent. Under the circumstances I thought 21 there most likely was some type of individual 22 susceptibility in relationship to acetaldehyde. 23 Q. The persons that you followed, 24 looked into, at TasteMaker generally stabilized? 0162 1 A. That's correct. One of the -- One 2 of our findings had been that, even though the 3 lung functions were markedly reduced, once we 4 removed them from exposure to another place, they 5 tended to remain stable for a relatively long 6 period of time. 7 Q. You did not see what has been 8 referred to as the relentless decline that had 9 typically been seen in classic bronchiolitis 10 obliterans cases? 11 A. No, not in these cases. I think 12 that type of relentless decline usually is 13 associated with other disease processes that may 14 be going on, such as an immune disease that can be 15 associated with bronchiolitis obliterans. 16 Q. Based on your expertise, it appeared 17 to be a situation that involved people working 18 with high concentrations of substances in a unique 19 setting? 20 A. That was my opinion based on the 21 information I gathered at the time, that's 22 correct. 23 Q. Let me refer you back to Exhibit 10. 24 Exhibit 10 is a copy of the abstract from 2002, 0163 1 correct? 2 A. Yes. 3 Q. And about the middle of the 4 paragraph you're talking about causes of BO, 5 bronchiolitis obliterans, that they range from 6 infectious agents, toxic gasses, fumes, mists or 7 dusts, connective tissue disorders, complications 8 from bone or heart, lung transplantation as well 9 as idiopathic; is that correct? 10 A. That's correct. 11 Q. Lot of potential different causes, 12 right? 13 A. That's correct. 14 Q. What does idiopathic mean, for the 15 jury? 16 A. Unknown cause. 17 Q. And you note down toward the bottom 18 that, after removal from exposure, the patients 19 have no further loss in their lung function, 20 correct? 21 A. That's correct. 22 Q. And then again, at the end you say 23 that the case series indicates that manufacturing 24 of food flavors in relatively large amounts and at 0164 1 high concentrations and used at aerosolized 2 manufacturing processes may represent a respitory 3 hazard in susceptible workers; is that correct? 4 A. That's correct. 5 Q. That was your summary that you put 6 out with regard to what your study had been, 7 correct? 8 A. Yes. 9 Q. You did not think that the situation 10 at TasteMaker represented a public health 11 epidemic? 12 MR. MCCLAIN: Object to the form of 13 the question in terms of time. At what point in 14 time? 15 Q. Let's talk about before 2002. 16 A. At that point in time, I thought 17 there might be problems at other manufacturing 18 facilities, and that's why it was suggested that 19 other facilities be addressed. At the TasteMaker 20 facility based on the corrective measures that 21 were taken, as far as I'm aware, there were no 22 further cases of this disease process in workers. 23 Q. And even going to Mr. McClain's 24 point, even today you don't see any evidence that 0165 1 there's a public health epidemic; do you? 2 A. I don't know what's going on with 3 the end users in relationship to this particular 4 product. 5 Q. You really haven't investigated 6 that; have you? 7 A. No, I have not. 8 Q. All right. Now, you mentioned that 9 you thought it could be more than a TasteMaker 10 issue, correct? 11 A. Yes. 12 Q. And you recognized back at the time 13 that there were other flavor manufacturing 14 companies who worked with, or you suspected worked 15 with, the same raw materials that TasteMaker did? 16 A. Yes. 17 Q. And you recommended that TasteMaker 18 notify the flavor manufacturing industry? 19 A. Yes. 20 Q. And TasteMaker did that, correct? 21 A. Yes. 22 Q. And, in fact, you went with 23 TasteMaker to FEMA, correct? 24 A. I did. 0166 1 Q. And the issues at TasteMaker were 2 with people who were using concentrated raw 3 materials, like pure acetaldehyde, correct? 4 A. They were using acetaldehyde in high 5 concentrations, such as 35, 40 percent. 6 Q. And isn't it a fact that there were 7 more than 2,000 different chemicals and substances 8 being used at TasteMaker? 9 A. That's correct. 10 Q. Several of the people that you 11 looked at tied their respiratory issues to acute 12 exposure to acetaldehyde, correct? 13 A. We had a few index cases which 14 really for us at least identified acetaldehyde in 15 high concentrations as the offending agent, as one 16 of the offending agents. 17 Q. You did not recommend that 18 TasteMaker make any warnings to its customers 19 using its butter flavorings? 20 A. No. 21 Q. You did not recommend that 22 TasteMaker make any warnings to any of its 23 customers using any of its products? 24 A. No. 0167 1 Q. To the best of your knowledge, no 2 one recommended to TasteMaker that it make any 3 warnings to its customers using its butter 4 flavorings or any of its products? 5 A. As far as I'm aware, that's correct. 6 Q. Mr. McClain showed you an exhibit 7 that was marked as Exhibit 24. You said those 8 were some handwritten notes with regard to your 9 trip to FEMA back in 1997; is that correct? 10 A. Yes. 11 Q. And when you were reading the note 12 at the top of the second page under "Purpose," you 13 read your handwriting to be that TasteMaker felt 14 an obligation to notify the industry; do you see 15 that? 16 A. Yes. 17 Q. And TasteMaker did that, correct; 18 they went to FEMA? 19 MR. MCCLAIN: Object to the form of 20 the question. It's been asked and answered. 21 A. Yes. 22 Q. TasteMaker was proactive about that, 23 correct? 24 A. Yes. 0168 1 Q. You said that Exhibit 23 went with 2 that one, kind of an outline of an agenda. And in 3 Exhibit 23, which you said was the outline for the 4 briefing with FEMA, at the end of the objective 5 there, it states that "could be more generally 6 present in workplaces of other flavor 7 manufacturers"; those are the words that were 8 used? 9 A. Yes. 10 Q. And several times in your testimony 11 you used the phrase that your concern would be 12 with other people using the same substances in 13 similar concentrations in similar situations, 14 correct? 15 A. That's correct. 16 Q. Now, have you ever made an analysis 17 of how the raw materials are transformed during 18 the processes at TasteMaker, how they went from 19 the raw materials to their final products? 20 A. No, I have not. 21 Q. Is it fair to say, Doctor, that you 22 believe that TasteMaker was proactive in handling 23 the situation? 24 A. In relationship to identifying the 0169 1 problem and the work force, yes. 2 Q. And, in fact, TasteMaker followed 3 every recommendation that you made? 4 A. As far as I'm aware, that's correct. 5 Q. And you believe TasteMaker did 6 everything appropriately in investigating the 7 situation? 8 A. We did everything appropriate in 9 relationship to controlling the exposure 10 situations and preventing further disease, that's 11 correct. 12 Q. You believe TasteMaker took 13 aggressive and appropriate action? 14 MR. MCCLAIN: Object to the form of 15 the question. This is beyond the scope of his 16 expertise, and you haven't established a 17 foundation that he knows what TasteMaker did, 18 particularly after he was no longer a consultant. 19 A. In relationship to helping solving 20 the issue at that particular plant site, the 21 answer is yes. 22 Q. In fact, you believe that TasteMaker 23 has a good story to tell as to how they handled 24 the situation? 0170 1 A. In relationship to work force, 2 that's correct. 3 Q. Mr. McClain showed you some of your 4 handwritten notes that have been marked as Exhibit 5 16. Let me find those for you. Exhibit 16, you 6 said those were some handwritten notes of yours 7 from back in July of '95? 8 A. Yes. 9 Q. And over on page 2, Mr. McClain 10 pointed out that, in addition to dimethyl sulfide 11 and several other chemicals and compounds, there 12 was a reference to diacetyl; do you see that? 13 A. Yes. 14 Q. You have a note, "This material is 15 very irritating," correct? 16 A. Yes. 17 Q. And there certainly can be a 18 difference between a substance being irritating 19 and being the cause of bronchiolitis obliterans, 20 correct? 21 A. Yes. 22 Q. You made a mention that a man named 23 Donny -- Let me give you the document you were 24 referring to. You had some handwritten notes 0171 1 marked as Exhibit 13; Counsel showed you those. 2 And over on the page that was titled at the top 3 "Mill Room," four or five pages back from the 4 back. 5 A. "Mill Room," yes. 6 Q. Okay. And Counsel pointed out you 7 have the reference todiacetyl in that document, 8 and you made mention that somebody named Donny had 9 burning eyes from this; do you see that reference? 10 A. Yes. 11 Q. And you have that reference under 12 the "Mill Room," correct? 13 A. It's just a listing of different 14 areas that people were probably telling me where 15 there may be potential problems. 16 Q. Okay. But in Counsel's questioning, 17 I think among his questions to you, he said and 18 Donny worked at the Small Order Department, and I 19 think you had agreed to that. 20 Do you have any, do you have any 21 knowledge as to where Donny worked, what 22 department he worked in? 23 A. I don't know where Donny worked. 24 Q. Okay. Let me show you a document 0172 1 that was in the records you produced. 2 (Deposition Exhibit No. 35 was marked for 3 identification.) 4 Q. Marked this as Exhibit 35. 5 MR. MCCLAIN: This is already an 6 exhibit; isn't it? 7 MR. MACE: It may be within one of 8 your exhibits; I don't know. 9 MR. MCCLAIN: Yeah. I hate to take 10 these documents apart and use them as separate 11 documents because outside the context of the 12 document, you know, you can't utilize the rule of 13 completeness or a variety of things, so I object 14 to using it in this fashion. 15 MR. MACE: Well, I believe you had 16 miscollated some of the documents so that -- 17 MR. MCCLAIN: Well, I would be 18 happy to examine all of the documents in their 19 original form, and particularly the ones that you 20 have held back or redacted inappropriately, I 21 believe. 22 MR. WOODSIDE: Time out. It's the 23 second page of Exhibit 17. 24 MR. MACE: And I have not redacted 0173 1 anything, Counsel. 2 BY MR. MACE: 3 Q. Exhibit 35, which I guess is the 4 second page of Exhibit 17 -- Let's go to that one, 5 too, Exhibit 17. Mr. Woodside has pointed out 6 Exhibit 35 is a copy of the second page of Exhibit 7 17. 8 A. That's correct. 9 Q. Is it your memory that Exhibit 35 10 does go with the cover page? 11 A. Yes. 12 Q. Okay, all right. Well, feel free to 13 look at either one of the documents, then. It's 14 titled, this document is titled at the top 15 "Present a method TasteMaker will use to evaluate 16 materials for their hazard potential"; do you see 17 that? 18 A. Yes. 19 Q. And on the back -- It talks about 20 looking at chemicals according to their chemical 21 family; do you see that under the "Background"? 22 A. Yes. 23 Q. And on the back, on the next page, 24 there's a listing of 31 different chemical 0174 1 families? 2 A. Yes. 3 Q. Now, when you were informed that 4 TasteMaker was planning on looking at the 5 chemicals in terms of their chemical groupings or 6 chemical families, did you have any comments about 7 that? 8 A. Stratifying the known chemicals 9 within the plant site that may be potentially 10 hazardous based on their chemical structure. 11 Q. That seemed like an appropriate 12 approach to you, correct? 13 A. It is. 14 Q. Let me have you refer to Exhibit 20. 15 Exhibit 20, you were asked about the second page 16 under "Categorization of Raw Materials," you've 17 got a reference, "Review current RM," that's raw 18 material inventory? 19 A. Yes. 20 Q. And there's a reference to 2500; 21 that's an approximation of the number of raw 22 materials? 23 A. That's my assumption, yes. 24 Q. But the second one I wanted to ask 0175 1 you about, "divide into generic functional 2 chemical classes, choose chemical classification 3 system," and it says under "Accountable," "Dr. 4 Higley, Dr. Lockey, status completed." 5 Do you recall being involved with 6 Nancy Higley in terms of dividing the chemicals up 7 into their chemical classes? 8 A. I think I looked at the list. I 9 think Dr. Higley was probably the most responsible 10 for that. 11 Q. Okay. But in conjunction with you, 12 she did submit for your expertise what her 13 determinations were in terms of where chemicals 14 fit? 15 A. That's correct. 16 Q. And you had no disagreements? 17 A. No. 18 Q. Counsel showed you Exhibit 18, which 19 was a listing of "Raw Materials Sensitivity List." 20 A. Correct. 21 Q. And it's a five-page document 22 listing more than 200 different chemicals and 23 compounds; isn't that right? 24 A. Yes. 0176 1 Q. And there's some sensitivity listed 2 for 69 of those different chemicals and compounds; 3 isn't there? 4 A. Yes. 5 Q. One of the documents that you said 6 that you looked at as part of your investigation 7 back in the mid '90's was the NIOSH report from 8 International Baker Services? 9 A. Yes. 10 Q. Go ahead and mark that. 11 MR. MCCLAIN: It's already an 12 exhibit. 13 MR. MACE: I don't believe it is. 14 MR. MCCLAIN: Part of the FEMA 15 materials. 16 MR. MACE: Well, that's good 17 because I don't have extra copies. I want to 18 separately mark it a stand-alone exhibit. 19 (Deposition Exhibit No. 36 was marked for 20 identification.) 21 BY MR. MACE: 22 Q. Looking at Exhibit 36, is that a 23 true and accurate copy of the study that you were 24 referencing? 0177 1 A. Yes, it is. 2 Q. And I'll represent to you that it's 3 a copy that came out of your files. 4 MR. MCCLAIN: Counsel, are you 5 representing that this was in his file? 6 MR. MACE: I may be mistaking on 7 that. I'll withdraw that representation. 8 BY MR. MACE: 9 Q. What is diffusing capacity in a 10 lung, before we get into some specifics on this, 11 what is the diffusing capacity; how would you 12 explain that? 13 A. That's a measure of gas exchange 14 across the alveolar capillary membrane. 15 Q. In general terms, is it, a broad 16 characterization, one of the lung's primary 17 functions is to exchange carbon dioxide for 18 oxygen? 19 A. That's correct. 20 Q. And that the diffusing capacity has 21 to do with that gas exchange? 22 A. Yes. 23 Q. And with respect to the people that 24 you looked into at TasteMaker, they're diffusing 0178 1 capacity was typically normal? 2 A. We did -- In the surveillance 3 program, we were doing pulmonary function testing. 4 We were doing spirometry testing. 5 Q. And is it your memory on that that 6 the diffusing capacity was typically in the normal 7 range? 8 A. In the workers that we had, we had 9 evidence of bronchiolitis obliterans, if I recall 10 correctly, the diffusing capacity was normal. 11 Q. Now, in the Baker study, if you look 12 over at page 4, at the very bottom of it, there's 13 a reference to a hyperinflated chest x-ray in Case 14 1 and subsequent fall and the exchange capacity 15 suggesting emphysema; do you see that reference? 16 A. Yes. 17 Q. You did not see any findings like 18 that in the five persons you referenced that you 19 looked into at TasteMaker? 20 A. I'd have to go back and look at each 21 of the cases to answer that question. 22 Q. But sitting here today, you don't 23 recall seeing such a finding in any of the five -- 24 MR. MCCLAIN: Objection to the form 0179 1 of the question. 2 A. Again, I would have to go back, I'd 3 really have to go back and look at the cases on a 4 case-by-case basis. 5 Q. And in terms of the substances that 6 were at issue in the Baker study, there's some 7 references on specific substances over on page 7; 8 do you see that? 9 A. Okay. 10 Q. There's a reference says Item 1, 11 "Nuisance Particulates"; do you see that? 12 A. Yes. 13 Q. "Grain Dust"? 14 A. Yes. 15 Q. Under "Grain Dust" it says 16 recognized to cause chronic bronchitis; do you see 17 that? 18 A. Yes. 19 Q. Do you accept that as being a 20 medical fact? 21 A. Yes. 22 Q. There's a reference on the next page 23 to "Amorphous Silica"? 24 A. Yes. 0180 1 Q. And silica is a known cause of 2 certain respiratory problems, correct? 3 A. Crystal silica is. 4 Q. On the next page there's a reference 5 to "Proteolytic Enzymes"; do you see that? 6 A. Yes. 7 Q. And then there's a reference to 8 "Bacterial Endotoxin"; do you see that? 9 A. Yes. 10 Q. And also a reference to "Bakery 11 Flours," correct? 12 A. Yes. 13 Q. Did you feel when you looked at the 14 Baker Services NIOSH report back in the mid '90's 15 when you were doing the consulting work for 16 TasteMaker that it gave you any helpful 17 information with regard to trying to determine the 18 causative agent at TasteMaker? 19 A. No, only in that this disease 20 process was identified by NIOSH in another food 21 producing facility. 22 Q. You were shown an Exhibit 26 by 23 Counsel, and that was a copy of a Bush Boake Allen 24 memo from March 18, '93. And you said you had 0181 1 never seen that before today, correct? 2 A. No, I have not. 3 Q. And to the best of your knowledge, 4 TasteMaker has never seen that document before, 5 correct? 6 MR. MCCLAIN: Object to the form of 7 the question. How would he know? 8 Q. I asked him to the best of his 9 knowledge. He can answer. 10 MR. MCCLAIN: Well, you haven't 11 established that he could ever have any knowledge 12 of that. Let me voire dire the witness just real 13 briefly on this point. 14 VOIRE DIRE EXAMINATION 15 BY MR. MCCLAIN: 16 Q. Doctor, have you -- Did the company 17 make you aware of what's in their records and 18 files in terms of company documents? 19 A. No. 20 Q. Did they allow you to interview 21 people to talk about their other contacts with 22 other industry members? 23 A. No. 24 Q. So you would have no basis to answer 0182 1 this question; is that correct? 2 A. That's correct. 3 Q. The one that he's posed to you. 4 A. That's correct. 5 MR. MCCLAIN: I object to it. 6 CROSS-EXAMINATION (Continued) 7 BY MR. MACE: 8 Q. Doctor, was it your impression that 9 TasteMaker was freely sharing with you all of the 10 information that it had as part of your 11 investigation? 12 A. As far as I'm aware, that's correct. 13 Q. I mean, you thought that it was a 14 cooperative process and you were getting 15 cooperation and there was a team working together 16 to try to figure this out? 17 A. That's correct. 18 Q. And at least to your knowledge, you 19 don't know of TasteMaker ever having a copy of 20 that document? 21 A. I have no knowledge one way or the 22 other. 23 Q. You have no knowledge that 24 TasteMaker had any knowledge about any issues at 0183 1 any BBA plant? 2 A. Again, I don't have any knowledge 3 one way or the other about what TasteMaker knew or 4 did not know about any BBA plant. 5 Q. But Counsel asked you some 6 questions, and you're not implying that you have 7 any knowledge or information that TasteMaker had a 8 copy of that memo or knew of it? 9 A. I'm not implying that TasteMaker 10 knew of this. 11 Q. Okay. Let me also show you on a 12 similar score Exhibit 7, which was a copy Counsel 13 showed you of this BASF paper, marked on the front 14 as October 19, '01, second page marked in '93. 15 Again, you said that you had never seen this paper 16 before today? 17 A. That's correct. 18 Q. And to your knowledge, you don't 19 know of TasteMaker ever having seen this paper, 20 correct? 21 A. Again, I have no knowledge one way 22 or the other. 23 Q. As part of your work for TasteMaker, 24 the University of Cincinnati did do some 0184 1 literature searches, correct? 2 A. That's how we came up with the NIOSH 3 document. 4 Q. And you tried to be -- You and the 5 others doing it tried to be as thorough as you 6 could doing the literature searches? 7 A. Yes. 8 Q. And you did not come up with this 9 study, correct? 10 A. No, we did not. Again, when we do 11 literature searches, it has to do with 12 peer-reviewed journals mostly; so if it's not in a 13 peer-reviewed publication, we may not see it. 14 Q. And you make that comment because 15 Exhibit 7, this BASF, is not a peer-reviewed 16 publication? 17 A. That's correct. 18 Q. I believe you said that, in addition 19 to making the presentation at FEMA back in the 20 1996 time frame, you spoke publicly about your 21 work for TasteMaker on at least four other 22 occasions prior to today? 23 A. Yes. 24 Q. There was the presentation at the 0185 1 American Occupational Health Conference in 2 Orlando, Florida, in May of '97? 3 A. Yes. 4 Q. There was the presentation at the 5 Occupational and Environmental Medicine Grand 6 Rounds at the University of Rochester in 7 Rochester, New York, in December '97? 8 A. Yes. 9 Q. In August '01, you made a 10 presentation for NIOSH down in Morgantown, West 11 Virginia? 12 A. Correct. 13 Q. Then an abstract went out about 14 that? 15 A. To the ATS, American Thoracic 16 Society, that's correct. 17 Q. Well, the article went out with ATS, 18 but an abstract went out with regard to your 19 presentation at NIOSH; wasn't there some publicity 20 about that? 21 A. We made the presentation in 22 Morgantown, and then I submitted an abstract for 23 presentation to the American Thoracic Society. 24 Q. And you said you also had some 0186 1 discussions with Kay Kreiss? 2 A. Yes. 3 Q. Prior to the presentation in August 4 '01? 5 A. That's correct. 6 Q. And then, as you referenced, in May 7 '02, you made the American Thoracic Society 8 presentation? 9 A. Yes. 10 Q. Counsel marked and discussed with 11 you Exhibit 29, which were some notes from a phone 12 call you had with a Mr. Fred King at Givaudan. 13 A. Yes. 14 Q. And this was in regard to your 15 upcoming presentation to ATS, correct? 16 A. That's correct. 17 Q. And you noted that in the first 18 paragraph you felt it would be best to present the 19 findings because of public health indications, and 20 you explained that you thought Givaudan Roure had 21 done everything correctly in relationship to 22 investigating the outbreak at their facility and 23 had taken aggressive and appropriate action, 24 correct? 0187 1 A. That's correct. 2 Q. And then later you say that you 3 thought Givaudan Roure had a good story to tell, 4 correct? 5 A. That's correct. 6 Q. And although, as Counsel pointed 7 out, you told Mr. King that you'd be willing to 8 withdraw your presentation, Mr. King got back to 9 you and said that he felt your approach was 10 totally correct and that you should proceed with 11 the presentation, correct? 12 A. That's correct. 13 Q. He did not ask you to withdraw your 14 presentation, correct? 15 A. No, he did not. 16 Q. In fact, he agreed that you should 17 present, correct? 18 A. He agreed that I should go ahead and 19 make the presentation. 20 Q. You were asked some questions about 21 Exhibit 12, which was your confidentiality 22 agreement back with TasteMaker in 1995. And 23 Counsel asked you about a specific paragraph, no. 24 5 on page 3, and he read part of the paragraph 0188 1 that says that, "Some aspects of the project may 2 be initiated at the direction of the undersigned 3 as general counsel for TasteMaker," and in such 4 instances you were to label the documents as 5 Privileged and Confidential Prepared at the 6 Request of Counsel, correct? 7 A. Yes. 8 Q. That did not apply to all of your 9 work on the project, correct? 10 A. My assumption is no. I certainly 11 did not stamp everything with that title on it. 12 Q. And you noted, I think with respect 13 to another exhibit, that Givaudan reminded you 14 that it had the right to request the return of 15 documents; but in fact, it never did request the 16 return of all of your documents, correct? 17 A. No. 18 Q. No, it did not, correct? 19 A. That's correct, it did not. 20 Q. And as reflected in Exhibit 12, 21 TasteMaker expressed its concern with proprietary 22 business information; do you recall that? 23 A. It did do that, yes. 24 Q. And you understand the legitimate 0189 1 need to protect trade secrets and proprietary 2 information, correct? 3 A. I do. 4 Q. Counsel used the phrase "badgered 5 you." TasteMaker -- Neither TasteMaker nor 6 Givaudan ever badgered you about any 7 confidentiality provisions; did they? 8 MR. MCCLAIN: Object to the form of 9 the question. I talked about the -- I asked that 10 question in relation to the press release, not the 11 confidentiality provisions. 12 Q. Well, in any event, let's take it as 13 represented by Counsel. Even with respect to the 14 press release, Givaudan did not badger you about 15 that; did they? 16 A. I will say that, when I got the 17 second letter from Attorney King, I considered it 18 a warning about making presentations, et cetera. 19 Q. And what he asked for was that you 20 give them advanced notice, correct? 21 A. That's correct. 22 Q. And you never did request to make 23 any public presentation that Givaudan refused 24 permission, correct? 0190 1 A. No, I had not asked them about 2 making public presentations, that's correct. 3 Q. You were asked some questions about 4 Jasper, Missouri, and the Jasper, Missouri, 5 popcorn plant. Is it accurate that you have not 6 studied any of the individuals or the plant 7 conditions at the Jasper popcorn plant? 8 A. That's correct. 9 Q. You've never been to that plant? 10 A. No, I have not. 11 Q. You've never seen any of the 12 employees from that plant? 13 A. No, I have not. 14 Q. You never reviewed any employee's 15 records from that plant? 16 A. No, I have not. 17 Q. You have not made any analysis about 18 the differences between anything that happened at 19 Jasper, Missouri, and anything that happened at 20 TasteMaker? 21 A. No, I have not. 22 Q. You've not made any analysis of the 23 differences between anything that happened at 24 Jasper and anything that happened at the ConAgra 0191 1 plant in Marion? 2 A. No, I have not. 3 Q. You were shown Exhibit 4, which was 4 a copy of an article by Kathleen Kreiss and others 5 in the "New England Journal of Medicine." You 6 were not involved in coming up with that study or 7 this presentation; were you? 8 A. No, I was not. 9 Q. Go through my notes here, excuse me. 10 Counsel was going through some of 11 the qualifications that you have in your extensive 12 CV, and you mentioned you had others working with 13 you at the University of Cincinnati on this 14 project, correct? 15 A. Yes. 16 Q. And, in fact, University of 17 Cincinnati is noted as having one of the country's 18 leading programs on occupational health, correct? 19 A. Yes. 20 Q. And all that expertise that was 21 available was brought to bear with regard to the 22 work that you were doing for TasteMaker, correct? 23 MR. MCCLAIN: Object to the form of 24 the question. 0192 1 A. In relationship to the medical 2 aspect of the program, that's correct. 3 Q. You never formed an opinion as part 4 of your work for TasteMaker that there was any 5 harm that was being caused to any customers of 6 TasteMaker? 7 MR. MCCLAIN: Object to the form of 8 the question, and it assumes he was asked to do 9 work in that regard. 10 A. Would you ask the question again? 11 Q. Yeah. You never formed an opinion 12 during any of your work on behalf of TasteMaker 13 that there was any harm being caused to any 14 customers of TasteMaker? 15 A. No, I did not form any opinion. 16 Q. You talked about the fact that one 17 of the issues is whether this is a local problem 18 only at the Cincinnati plant of TasteMaker or 19 whether it went beyond that, correct? 20 A. That's correct. 21 Q. But in terms of going beyond it, 22 what you thought was important to look at was 23 other flavoring manufacturers, other people making 24 flavorings, correct? 0193 1 MR. MCCLAIN: Object to the form of 2 the question. 3 A. That's correct. My thrust would 4 have been, or was, is this isolated to the 5 TasteMaker facility or is it a problem universally 6 common to the manufacturing of flavoring agents; 7 that would have been the extent. 8 Q. You talked about the fact that you 9 learned that TasteMaker was using respirators for 10 various compounds and substances, correct? 11 A. Yes. 12 Q. Isn't it a fact that TasteMaker was 13 not using respirators with its employees who were 14 working with butter flavoring products? 15 A. I don't recall that one way or the 16 other. 17 Q. You talked about, I think you may 18 not have used the phrase "dose response," but you 19 talked about the fact that concentrations are very 20 important in trying to decide whether an agent is 21 going to cause harm? 22 A. Yes. 23 Q. And there certainly can be a 24 difference between the concentrations that workers 0194 1 are exposed to when they're working with the raw 2 materials to create a flavor as opposed to when 3 somebody is working with the flavor that's already 4 been created? 5 MR. MCCLAIN: Object to the form of 6 the question, assumes facts not in evidence. 7 A. The concentrations can be different 8 depending on the production process. 9 Q. You mentioned that at several places 10 in the documents, and I think we've gone through a 11 couple of them, there were some references to 12 diacetyl in some of your investigation, correct? 13 A. Yes. 14 Q. And that was over the back of being 15 a potential irritant, correct? 16 A. Yes. I think Dr. Higley was, as the 17 flavor toxicologist, was looking at materials that 18 we all felt may be potentially hazardous, and that 19 was one of the materials that was listed. 20 Q. But in terms of your analysis and 21 your expertise that you brought to bear, it's fair 22 to say diacetyl was not even on your radar screen 23 in terms of being a cause of bronchiolitis 24 obliterans? 0195 1 A. Of the agents that I thought were 2 most hazardous in the people that had 3 bronchiolitis obliterans at this plant site, there 4 were two index cases where there was acetaldehyde 5 directly linked to the disease process, so that 6 was on my radar screen. 7 As a cautionary measure because of 8 the complexity of the production process, it was 9 felt that all exposures in the plant site should 10 be brought under control. 11 Q. Counsel talked to you a few minutes 12 about Mr. Campbell, Keith Campbell. Let me ask 13 you a few questions about that. 14 Did Mr. Campbell relate to you that 15 he never experienced any skin, eye, throat or 16 nasal irritation when working around butter 17 flavoring? 18 A. You would have to give me his 19 history and physical examination summary. 20 Q. Okay. There was a group exhibit 21 that had marked a number of your documents about 22 Mr. Campbell, I think that was Exhibit 2. I would 23 like to -- 24 MR. WOODSIDE: Actually, I think we 0196 1 made it 2 and 3. 2 Q. All right. 3 A. If you give me one second to look at 4 Mr. Campbell. 5 Q. Doctor, let me save you some time 6 and direct you to Exhibit 3, if you could. 7 A. Okay. 8 Q. Exhibit 3 is a copy of your June 13, 9 2003 report -- 10 A. Okay. 11 Q. -- is that accurate? 12 A. That's correct. 13 Q. And that's your report on 14 Mr. Campbell to Susan Borchers, correct? 15 A. Yes. 16 Q. And the chief complaints you have 17 down as shortness of breath, correct? 18 A. Yes. 19 Q. You say in your bottom paragraph -- 20 Well, let me be sure I've got the same thing. 21 Your bottom paragraph on the first page, you note 22 that, "when he was working in January," and that's 23 2002, "his cough markedly decreased in comparison 24 to December. His exercise tolerance was 0197 1 increasing, but had not returned to the 2 preexisting baseline." Do you see that? 3 A. Yes. 4 Q. Then you note that on February 2nd, 5 '02, there was a salt spill and he noted 6 increasing shortness of breath with some chest 7 pressure, correct? 8 A. That's correct. 9 Q. And it took about an hour for that 10 relieve once he left the area? 11 A. Yes. 12 Q. On the second page in your third 13 paragraph, you noted that Mr. Campbell had hay 14 fever until age 12? 15 A. Where are you now? 16 Q. (Indicating.) About a third of the 17 way down in your third paragraph. 18 A. Yes. 19 Q. And down a few lines, you note that 20 he smoked from age 19 to 33 at 1.5 packs per day 21 for 21 pack-year history? 22 A. 1.5 packs per day for 21 pack-year 23 history, correct. 24 Q. And you note that he's living in his 0198 1 parents' home, there's dampness with water leakage 2 in the basement, correct? 3 A. Yes. 4 Q. And you note that there were indoor 5 cats and dogs, correct? 6 A. Yes. 7 Q. And your review of symptoms, you 8 have essentially negative, correct? 9 A. Yes. 10 Q. Your physical examination on the 11 next page, the second line, you refer to 12 Mr. Campbell as being an alert male in no acute 13 distress, correct? 14 A. Yes. 15 Q. And down in your third-to-last line 16 in that section, you say that no wheezing was 17 noted? 18 A. He had prolonged expiretory phase 19 but no wheezing, that's correct. 20 Q. Then over on page 4, you're going 21 through some of the test results that you had seen 22 in the file, and you reference a May 12, '02, high 23 resolution CT scan? 24 A. Yes. 0199 1 Q. With no evidence of significant air 2 trapping? 3 A. That's correct. 4 Q. You note on the last page, page 6, 5 down about four lines, that in your experience 6 with removal from exposure, the patients you have 7 followed have stabilized and -- I'm sorry. 8 A. That's correct. 9 Q. And have been able to return to the 10 work force, correct? 11 A. With limitations, that's correct. 12 Q. Limitations being not being exposed 13 to further compounds? 14 A. Irritating dust, gas, fumes or 15 mists. 16 Q. Do you recall if among the documents 17 you reviewed in looking at Mr. Campbell was the 18 treadmill exercise test he was given in March of 19 '02? 20 A. Yes. 21 Q. And he reached an estimated work 22 load of 10.2 mets during that? 23 A. I don't -- I didn't write that down, 24 so I don't have those records with me. 0200 1 Q. Okay. Go ahead and mark it, then. 2 (Deposition Exhibit No. 37 was marked for 3 identification.) 4 Q. Exhibit 37, Doctor, that's a March 5 25, '02 record on Mr. Campbell about his treadmill 6 exercise; do you see that? 7 A. Yes. 8 Q. Do you believe that's one of the 9 records you had when you were reviewing the file? 10 A. Yes, it is. 11 Q. Okay. And it says, "Findings, the 12 patient developed no symptoms during exercise"; do 13 you see that? 14 A. Yes, I see that. 15 Q. At the bottom it says his exercise 16 capacity is normal; do you see that? 17 A. Yes. 18 Q. Okay. You never did any analysis or 19 investigation on Mr. Campbell with respect to what 20 his exercise capacity was; did you? 21 A. No, we did not. 22 Q. Was a record from the Marion General 23 Hospital from July 18, '02, one of the records 24 that you reviewed with respect to Mr. Campbell? 0201 1 A. If I don't have it on my list, 2 either I didn't have it or I didn't include it in 3 the medical record summary. 4 Q. Let me just ask you a general -- I 5 can just read the phrase. Let me go ahead and 6 mark it. This will be 38. 7 (Deposition Exhibit No. 38 was marked for 8 identification.) 9 Q. Exhibit 38, Doctor, it's a record, 10 at the bottom it's dated as least as being 11 dictated on July 18th, '02, with regard to 12 Mr. Campbell, Marion General Hospital. And I 13 wanted to ask you about this middle paragraph that 14 talked about "Conventional as well as high 15 resolution lung window images reveals pulmonary 16 hyperinflation but without any evidence for 17 central bronchiectasis or diffuse reticular 18 nodular pattern that one would expect in a patient 19 with bronchiolitis obliterans." 20 Do you have an understanding of what 21 that's referring to? 22 A. This was done on 9/17/02, okay. 23 Q. I think it's 7/18/02. Do you see 24 9/17 on here somewhere? 0202 1 A. Correction, 7/18/02. This would 2 have been a conventional HR CT scan. It did 3 indicate hyperinflation. There was no 4 interstitial fibrosis. There was no nodular 5 pattern, no bronchiectasis. What was your 6 question, I'm sorry? 7 Q. It makes a comment that you weren't 8 seeing things that you would expect to see in a 9 patient with bronchiolitis obliterans? 10 MR. MCCLAIN: Where does it say 11 that? 12 Q. Do you see those phrases, "without 13 any evidence for central bronchiectasis or diffuse 14 reticular nodular pattern that one would expect in 15 a patient with bronchiolitis obliterans"? 16 A. Normally what we see now with 17 bronchiolitis obliterans is, when you do an HR CT 18 scan, you have to do a full inspiration and full 19 expiration, and on expiratory views you see what 20 we call heterogenous air trapping, and that's an 21 indication of small airway disease consistent with 22 bronchiolitis obliterans. 23 One of the problems we've had with 24 bronchiolitis obliterans is that there was no easy 0203 1 to make the diagnosis unless you went to open lung 2 biopsy. The advent of the HR CT scan using 3 inspiratory/expiratory views helps establish the 4 clinical diagnosis with other supporting evidence. 5 Q. Did you look at -- Were you given 6 any of Mr. Campbell's records with regard to the 7 improvement he saw in his FEV 1 with 8 bronchodilators? 9 A. I think that he was seen by a 10 physician at The Cleveland Clinic who gave him 11 steroids. I think after that was done, the 12 physician in Cleveland Clinic also concurred that 13 the diagnosis was bronchiolitis obliterans. 14 Q. Were you given Dr. Borchers' July 15 21, '03 report? 16 A. July 21? 17 Q. Yes, sir. 18 A. No. I saw -- No, I don't have a 19 list of them in my record review, so I must not 20 have seen them. 21 Q. Were you aware that Mr. Campbell had 22 shown improvement with his FEV 1 after 23 bronchodilator use? 24 A. When we saw him, he went from 1.22 0204 1 to 1.31 in his FEV 1 following bronchodilators, 2 and if I recall correctly -- I don't have the 3 correspondence from the physician in The Cleveland 4 Clinic. If I recall correctly, that physician 5 gave the person a short course of Prednisone, but 6 I don't know what degree of reversibility he saw. 7 Q. Were you aware that he also saw 8 improvement with Advair? 9 A. I don't have those records in front 10 of me. 11 Q. Okay. Sir, have you ever made any 12 investigation with respect to what the 13 concentrations were of any chemicals or compounds 14 at the Marion ConAgra plant? 15 A. No. 16 Q. In terms of making any evaluation 17 with respect to Mr. Campbell's ability to return 18 to medium work, light work or other work, you've 19 never made such an evaluation? 20 A. I thought he could return to work. 21 I think I stated in my letter that I thought he 22 could return to work -- One second. No, I don't 23 think I made a determination about his ability to 24 return to work. I thought he should have no 0205 1 further exposure to irritating dust, gas, fumes or 2 mist, should go on a weight reduction program, be 3 in a preliminary rehab program. And then I said 4 he should be able to return to work force with the 5 above limitations. 6 Q. You certainly never made a prognosis 7 that Mr. Campbell was going to need a double lung 8 transplant or even a single lung transplant? 9 A. No, but he would have to be followed 10 closely. 11 Q. Were you aware that one of the dusts 12 that Mr. Campbell was complaining about was 13 irritation from cleaning out his cat's litter box? 14 MR. MCCLAIN: Now we've cracked the 15 case. 16 A. I'm not aware of that. 17 Q. Okay. Now, in your letter that we 18 referenced, I think it was Exhibit 3, your June 19 13, '02 detailed letter on Mr. Campbell, you note 20 as we had mentioned earlier that you noticed some 21 acute symptoms after a salt spill at work in 22 February '02, correct? 23 A. Yes. 24 Q. And in terms of trying to make any 0206 1 determination about particularly what specifically 2 Mr. Campbell was exposed to at the Marion plant at 3 ConAgra and the specific agents that may have 4 caused or did cause any illnesses he had, you did 5 not make any determination on that? 6 A. No. 7 Q. And I think you said you were given 8 certain medical records, but you've not been 9 provided all of Mr. Campbell's medical records; is 10 that accurate? 11 A. My assumption is that's correct 12 based on the questions you're asking me. 13 Q. Go ahead and mark as our next 14 exhibit, 39, an e-mail that you produced. 15 (Deposition Exhibit No. 39 was marked for 16 identification.) 17 Q. Exhibit 39 is a September 14, '01 18 e-mail from your files; do you see that? 19 A. Yes. 20 Q. Is that a true and accurate copy of 21 a document in your files? 22 A. Yes. 23 Q. This handwriting on the bottom, is 24 that yours? 0207 1 A. Yes. 2 Q. Up in the typewritten portion, 3 there's some discussion about the Gilster Mary Lee 4 plant, and there's a statement that says Dr. 5 Horvath -- it says "he wanted you to know," is 6 that referring to Dr. Horvath or Brad Mutchler; 7 what's your understanding? 8 A. He was referred by Dr. Horvath. 9 Q. "He wanted you to know" -- 10 MR. WOODSIDE: Excuse me, I didn't 11 hear the first part of your answer. 12 THE WITNESS: He was referred by 13 Dr. Horvath. 14 MR. WOODSIDE: Thank you. 15 BY MR. MACE: 16 Q. The statement is: "He wanted you to 17 know that Gilster Mary Lee Popcorn plants in both 18 western and eastern Missouri use the same 19 ingredients and no problems exist there with" 20 bronchiolitis obliterans. Did you do anything to 21 investigate that issue? 22 A. No. 23 Q. Do you recall getting any other 24 further information on that issue? 0208 1 A. No. I think I got a phone call, but 2 I don't have a lot of recollection of the 3 conversation other than what's on my notes. 4 Q. Do you know if you have any 5 other -- It indicates that Mr. Mutchler was going 6 to call you on Tuesday. Do you know if you have 7 any other files anywhere that would have any other 8 records of having discussions with Brad Mutchler? 9 A. No, I wouldn't have any files. 10 MR. MACE: Okay. I have nothing 11 further for you at this time. 12 MR. WOODSIDE: Can we take a a 13 2-minute break to go to the facilities? I will 14 not take very long. 15 THE VIDEOGRAPHER: We're off. 16 (Brief recess.) 17 THE VIDEOGRAPHER: Tape 3, you're 18 back on the record. 19 MR. WOODSIDE: Dr. Lockey, my name 20 is Frank Woodside. I'll be relatively brief. I 21 have a number of questions to ask you, and to some 22 extent I'm going to skip around because I'm going 23 to follow up on a number of matters that were 24 asked of you by either Mr. McClain or Mr. Mace, 0209 1 and if I lose you, just so indicate and I'll start 2 back. 3 CROSS-EXAMINATION 4 BY MR. WOODSIDE: 5 Q. There has been some brief discussion 6 about Exhibit 38, which is I believe a portion of 7 Exhibit 8, which is the NIOSH publication dealing 8 with the study at International Baker Services, 9 Inc., in South Bend, Indiana. Do you have that in 10 front of you, sir? 11 A. Exhibit 36? 12 Q. That's the one, yes, sir. 13 A. Okay. 14 Q. Would you look at, there is a 15 summary of that study, which I believe is in the 16 beginning, okay, and if you look on the right 17 hand -- Look on the next page. Now, what I want 18 to do is just ask you a brief question about the 19 information there at the end of the summary which 20 is in the black box. Do you have that in front of 21 you? 22 A. I do. 23 Q. Okay. And if you would just take a 24 second to read that, I will just have one question 0210 1 to you about it. 2 A. Okay. 3 Q. As a result of the work that NIOSH 4 did at the International Baker's study, they 5 determined that employees had some severe fixed 6 obstructive lung disease, but the specific 7 etiology was not identified by NIOSH, correct? 8 A. That's correct. 9 Q. And that means that NIOSH did not 10 identify the agent or substance that was actually 11 causing illness in the individuals who were 12 studied, correct? 13 A. That's correct. 14 Q. Thank you very much. 15 Sir, what is the diagnostic criteria 16 for bronchiolitis obliterans? 17 A. A history of exposure to a material 18 that is insoluble enough to be deposited in lower 19 airways, small airways. If you follow the classic 20 Scott O-Vista disease definition, at times there 21 can be acute injurious exposure where somebody 22 develops an acute shortness of breath, cough, 23 chest tightness, and wheezing, sometimes will be 24 diagnosed with pneumonia. Subsequently, these 0211 1 individuals tend to get better and then 2 approximately five to six weeks later develop an 3 increasing shortness of breath on exertion. 4 That's the classical clinical presentation. 5 Q. Are there any classical findings on 6 spirometry? 7 A. On spirometry you usually will have 8 fixed airway obstruction. Sometimes there can be 9 an obstructive as well as a restrictive component. 10 Q. And would you please tell us what 11 you mean by fixed obstruction. 12 A. That means that the FEV 1 13 parameters, or Forced Expiretory Volume in 1 14 second parameters, fail to significantly increase 15 following bronchodilators, and usually the 16 American Thoracic Society recommends 12 percent 17 increase or greater. You can have partial airway 18 obstruction that's partially reversible; that 19 doesn't necessarily exclude the diagnosis of 20 bronchiolitis obliterans. But if we're putting 21 diseases into boxes, asthma is defined as 22 reversible airway obstruction; bronchiolitis 23 obliterans is described as fixed airway 24 obstruction, but there can be some overlap. 0212 1 Q. And the standard for determining 2 whether it is fixed or not is whether there is a 3 12 percent or more increase in the FEV 1 following 4 the administration of bronchodilators? 5 A. That's correct. You could go 6 from -- An FVE 1 could go from 1.5 liters to 1.7 7 liters, 1.8 liters, and that would represent a 8 12-percent increase, but it may remain fixed at 9 1.7 liters and never change after that, so that 10 would be in the category of where there's an 11 overlap. 12 Q. Now, I may have missed something 13 before, but I'm not certain, so let me approach it 14 this way. With regard to the first public 15 presentation that you made with regard to your 16 findings as a result of your work at the 17 TasteMaker plant in Cincinnati, when was that? 18 A. It would have been 1997 at a 19 scientific meeting. 20 Q. Okay. And at that meeting, was that 21 open to the public? 22 A. Yes. 23 Q. Was it advertised as being open to 24 the public? 0213 1 A. Well, let me back off that. The 2 people who can attend a meeting are members of the 3 American College of Occupational Environmental 4 Medicine, so if you're not a member of that 5 organization, you wouldn't be able to get into the 6 meeting. 7 Q. Okay. And at what time or on what 8 occasion did you first disseminate or distribute 9 to the public written materials that described the 10 findings and conclusions that you had as a result 11 of the work that you did at TasteMaker pursuant to 12 the contract you had with TasteMaker that you 13 discussed today? 14 A. You mean, the nonscientific meetings 15 but to the public as a whole? 16 Q. Yes. What I think I asked, when you 17 would have distributed any written materials? 18 A. I'm sorry. Does that include 19 colleagues in the medical profession? That's what 20 I'm asking. 21 Q. You can define it however you would 22 like, because the next question I'm going to ask 23 you is what did you distribute, and I will tell 24 you that I don't know of anything that you 0214 1 distributed other than abstract. 2 A. At the presentations at Rochester 3 and ACOEM, I very well may have handed out a 4 continuing education packet, which you have to do 5 to get continuing education credit, so most 6 likely, I did hand something out in 1997. But the 7 question is do I still have a copy of that; and I 8 most likely do not. 9 Q. So in 1997 there would have been the 10 presentation at the professional society, which 11 would have been an organization to which one could 12 gain admittance only if one were a member of that 13 society, correct? 14 A. That's correct. 15 Q. And I believe the second session was 16 a grand rounds at an academic institution? 17 A. That's correct. 18 Q. And that would generally have been a 19 meeting that only individuals who were in a 20 training program at that institution or faculty 21 members at that institution would attend, correct? 22 A. That's correct. 23 Q. And just so we're clear, grand 24 rounds sessions are held at all medical academic 0215 1 institutions? 2 A. They are. 3 Q. Okay. Now, with regard to the 4 presentation that you made at the NIOSH meeting on 5 October 25, 2001, you personally did not single 6 out -- 7 A. It was August. 8 Q. I'm sorry. August 25, 2001? 9 A. Yes. 10 Q. Let me back up and rephrase my 11 question. With regard to the presentation that 12 you made on August 25, 2001, at the NIOSH interim 13 meeting in Morgantown, West Virginia, you yourself 14 did not specifically identify diacetyl or butter 15 flavoring as a cause of the bronchiolitis 16 obliterans that you diagnosed and detected in the 17 TasteMaker workers, correct? 18 A. That's correct. 19 Q. Okay. In addition, at the American 20 Thoracic Society meeting in May 2002, you did not 21 identify diacetyl or the butter flavoring as a 22 causative agent of the bronchiolitis obliterans 23 that you detected in the workers that you 24 evaluated at TasteMaker, correct? 0216 1 A. That's correct. 2 Q. And, indeed, the only two substances 3 that you specifically identified that might be 4 potentially harmful were acetaldehyde and 5 capsaicin, correct? 6 A. That's correct. 7 Q. And capsaicin is basically pepper 8 flavoring? 9 A. It's the peppers, the hot peppers 10 that we eat, that's correct. 11 Q. Okay. I'm going to ask you a series 12 of questions about two different companies, and 13 I'll try and go through basically the same 14 questions about each of the companies. I'm going 15 to do them serially. 16 First of all, have you ever had 17 occasion to consult with or communicate with Bush 18 Boake Allen? 19 A. No. 20 Q. Prior to today did you even know 21 that there was such a company? 22 A. No. 23 Q. You've never received any money from 24 Bush Boake Allen that you know of? 0217 1 A. Not that I'm aware of. 2 Q. And just so you're clear, I don't 3 know that you've ever had any dealings with them, 4 either. I mean, I don't believe you have, but I 5 just want to make sure. 6 (Mr. Crick left the room.) 7 Q. To the extent that you reached 8 conclusions and generated reports as a result of 9 the work that you did at the request of 10 TasteMaker, you did not pass those conclusions or 11 thoughts on to Bush Boake Allen; did you? 12 A. No, I did not. 13 Q. And, in fact, you do not know of or 14 have any information suggesting that your thoughts 15 or conclusions in any form, shape or manner were 16 passed on to Bush Boake Allen, correct? 17 A. That's correct. 18 Q. Okay. To the best of your 19 knowledge, you don't have any information 20 suggesting that the information that you passed on 21 to FEMA with regard to the findings of your 22 studies were ever passed on by FEMA to Bush Boake 23 Allen; do you? 24 A. I have no knowledge of that one way 0218 1 or the other. 2 Q. Okay. Now, have you ever consulted 3 with International Flavors & Fragrances, which is 4 frequently abbreviated IFF? 5 A. No. 6 Q. Okay. Have you ever been paid any 7 money by International Flavors & Fragrances? 8 A. No. 9 Q. Have you ever had any communications 10 with International Flavors & Fragrances? 11 A. Not that I'm aware of. 12 Q. Okay. To the best of your 13 knowledge, your conclusions and thoughts that were 14 developed as a result of your work that you did 15 for TasteMaker was not passed on by anyone to 16 International Flavors & Fragrances, correct; you 17 just don't know either way? 18 A. I don't know either way. 19 Q. All right. 20 A. I mean, I did present to the results 21 to FEMA, but I don't know whether they passed that 22 on or not. 23 Q. Okay. And at the meetings -- Strike 24 that. I was going to make an incorrect statement. 0219 1 Did you just have one meeting with 2 FEMA? 3 A. Yes. 4 Q. Okay. And I assume that was in 5 person in Washington or wherever? 6 A. Yes. 7 Q. Okay. Did you have any other 8 communications with FEMA about the work that you 9 did for or at the request of TasteMaker? 10 A. No. 11 Q. Okay. Do you know with whom you 12 actually met at FEMA? 13 A. Other than the names on my list, 14 that's all I can tell you. 15 Q. Okay. And you do not believe that 16 at that meeting there were any employees of 17 International Flavors & Fragrances or any 18 employees of Bush Boake Allen, correct? 19 (Mr. Crick returned to the room.) 20 A. I don't think so, but again, I don't 21 have any knowledge one way or the other. 22 Q. Okay. Now, would you get out 23 Exhibit No. 24. I think it's somewhere -- That 24 is, it's a set of your notes from your -- I think 0220 1 it's from your meeting at FEMA, but quite frankly, 2 I'm not positive. 3 A. All right. 4 Q. Is that this one? (Indicating.) 5 A. Yes. 6 Q. Okay. Now, I recall that during -- 7 Strike that. 8 Is the information that you have 9 recorded in handwritten fashion on this exhibit 10 information that you learned prior to going to 11 your meeting with FEMA or at your meeting with 12 FEMA or something else, if you know? 13 A. This is probably, when I look at it, 14 it probably is a work sheet developed with meeting 15 with TasteMaker prior to the meeting with FEMA, 16 but I can't absolutely be sure of that. 17 Q. Now, let me just be real straight 18 about one specific issue on here. You note on 19 this page that there are, I think, two references 20 to IFF; do you see that? 21 A. Yes. 22 Q. And there are also a number of 23 references starting in the upper right-hand corner 24 with companies such as Kraft, Coke, Pepsi, 0221 1 Campbell, P&G; do you see those? 2 A. Yes. 3 Q. Okay. You did not mean to indicate 4 by this piece of paper that representatives for 5 any of those companies were actually present at 6 the meeting you personally had with FEMA, correct? 7 A. No, that's correct. 8 Q. Would you please look at Exhibit 33. 9 Thirty-three is your notarized statement dealing 10 with your discussion with Mr. Messbarger or 11 perhaps your lack of discussion with 12 Mr. Messbarger, however you characterize it. 13 Well, I can ask the question without reviewing the 14 document. 15 A. Okay. 16 Q. You recall that you were asked some 17 questions by Mr. McClain about your telephone 18 conversation with Mr. Messbarger? 19 A. Yes. 20 Q. Okay. And you advised 21 Mr. Messbarger that you had signed a 22 confidentiality agreement in order to gain access 23 to the facility to help in the workplace 24 evaluation and information could not be released, 0222 1 correct? 2 A. That's correct. 3 Q. And that same confidentiality 4 agreement would have prevented you from releasing 5 information to competitors of TasteMaker, such as 6 BBA and IFF, correct? 7 A. I assume so, yes. 8 Q. Okay. I expect that the answer to 9 this question is you don't have any information 10 either way, but I have to ask it out of the need 11 to be compulsive. 12 I assume that you have no knowledge 13 whether TasteMaker did or did not ever pass on to 14 or communicate with IFF and BBA the results of the 15 work that you did? 16 A. I have no information one way or the 17 other. 18 Q. For the purpose of this next 19 question, let's assume that the word "published" 20 means disseminated in a peer-reviewed journal, 21 disseminated in a nonpeer-reviewed journal, put on 22 a poster session, or distributed in an abstract or 23 anything closely akin thereto, okay; you 24 understand? 0223 1 A. I understand. 2 Q. Okay. With regard to the 3 presentations that you would have made at the 4 grand rounds session at Rochester and the 5 professional organization session in Florida, you 6 do not believe that any of your materials were 7 published and made generally available as a 8 result, correct? 9 A. That's correct. 10 MR. WOODSIDE: Okay. I have no 11 further questions, but when we get done, I have 12 two things to put on the record. 13 MR. WARD: Ken? 14 MR. MCCLAIN: Yes. 15 MR. WARD: I just have one 16 question, well, probably more than that, but with 17 regard to the use of -- assuming that any portion 18 of this deposition gets read at or in our cases, 19 do you have any objection to me utilizing 20 questions asked by Givaudan's attorney or do I 21 need to go through and ask those questions, some 22 of those questions anyway, again to ensure that 23 they get used or they can be used if we get to it 24 in our cases? 0224 1 MR. MCCLAIN: It was cross-noticed 2 in your case, so I would think that the rules 3 permit you to use those questions subject to our 4 objections. 5 MR. WOODSIDE: That would my 6 understanding. 7 MR. WARD: I thought so. I just 8 wanted to make that clear, and then with that, 9 then I don't have any questions. 10 REDIRECT EXAMINATION 11 BY MR. MCCLAIN: 12 Q. Dr. Lockey, let me follow up on 13 several of these issues that have been brought up 14 by Mr. Mace and Mr. Woodside. 15 First of all, it would not be 16 correct to say that acetaldehyde was the only 17 chemical that you were concerned about at the 18 TasteMaster facility? 19 A. That's correct. 20 Q. Isn't that right? 21 A. That's correct. 22 Q. You were concerned about the 23 chemical diacetyl; isn't that true? 24 A. That was one -- 0225 1 MR. WOODSIDE: Objection, leading. 2 A. It was one of the chemicals that was 3 brought out in this project team meetings based on 4 the case series that we had. For two or three of 5 the cases we did identify the acetaldehyde was 6 most likely the offending agent because of the 7 circumstances. But because there were so many 8 other agents used at the facility, including 9 diacetyl, our recommendations were as stated 10 previously, go to a chemical model in relationship 11 to exposure controls. 12 Q. Now, just so that we're clear, your 13 group at the University of Cincinnati did not 14 supply the toxicologist for the working group; did 15 they? 16 A. That's correct. 17 Q. It was supplied by TasteMaker, 18 correct? 19 A. That's correct. 20 Q. And it was TasteMaker who identified 21 what chemicals in the plant were hazardous and 22 what those hazards were; isn't that true? 23 MR. MACE: Continuing objection to 24 leading. 0226 1 A. Yes. Dr. Higley put together a 2 priority list which included the chemicals we had 3 previously reviewed. 4 Q. And of those you identified three, 5 and diacetyl was one of those three, correct? 6 A. That's correct. 7 Q. Now, in regard to the workers who 8 were exposed to high concentrations of 9 acetaldehyde, you did not rigorously go through 10 their other exposures to rule out significant 11 exposure to diacetyl; did you? 12 A. I'd have to go back and look at each 13 case and their occupational histories. I remember 14 the cases we had, at least three of the cases had 15 a fairly classical presentation in that one lady 16 had her head in a mixing tank with 35 percent 17 acetaldehyde, and she became acutely symptomatic 18 and then six weeks later developed dyspnea on 19 exertion or shortness of breath on exertion. And 20 so in two or three of the cases, it was clear-cut, 21 and in the other cases, it was not. 22 Q. All right. And you know that in 23 those other cases that there was diacetyl being 24 used in the plant? 0227 1 A. Yes. 2 Q. And you do now know and do believe 3 that diacetyl will cause bronchiolitis obliterans; 4 is that true? 5 MR. WOODSIDE: Objection to form. 6 MR. MACE: Objection. 7 MR. WARD: Objection to form of the 8 question. 9 A. Based upon the information that's 10 been published, yes. 11 Q. Now, there were some questions, 12 Doctor, that were asked about whether or not you 13 believed it was a unique setting at the 14 TasteMaker's plant; do you remember those 15 questions by Mr. Mace? 16 He asked you, didn't you think that 17 this was a unique setting at the TasteMaker plant, 18 that you were unaware of other plants where this 19 had occurred. 20 A. I don't recall that question. 21 Q. Well, that's important because I 22 thought that's the way you answered to him, and I 23 didn't think that's what you meant. 24 A. I don't recall that question. 0228 1 Q. In fact, you told FEMA that you were 2 concerned that this was not a unique situation; 3 isn't that true? 4 A. It was my concern that this may be 5 occurring at other food flavoring manufacturing 6 facilities and there was a need to look at the 7 other workers. 8 Q. All right. And FEMA told you that 9 they thought it was a unique situation at the 10 TasteMaker plant, correct? 11 A. That's correct. 12 Q. So it wasn't, again, your decision; 13 it was FEMA's representation that brought that to 14 the fore? 15 A. That's correct. 16 Q. Now, one of the things that I found 17 in your records was the OSHA Right to Know law. 18 Are you familiar with that standard? 19 A. Yes. 20 Q. That's one of the things that your 21 institution deals with regularly? 22 A. Yes. 23 Q. A chemical manufacturer has certain 24 obligations under that standard; don't they, 0229 1 Doctor? 2 A. Yes, they do. 3 Q. Andone of the obligations that a 4 chemical manufacturer undertakes is to know what 5 the hazards of their own product are; isn't that 6 true? 7 MR. MACE: Objection to form, calls 8 for a legal conclusion. 9 A. Yes, that's correct. 10 Q. And in this instance the chemical 11 manufacturer would be TasteMaker; isn't that 12 right, they're a chemical manufacturer by 13 definition? 14 MR. MACE: Objection, calls for 15 legal conclusion. 16 MR. WARD: Join in that objection. 17 A. My assumption is yes, they would be 18 considered a chemical manufacturer. 19 Q. And under the standard, they must 20 know the hazards of their products, correct? 21 MR. MACE: Objection. 22 MR. WARD: Join in that objection. 23 A. Yes. 24 Q. Did they ever tell you, Doctor, that 0230 1 diacetyl would cause bronchiolitis obliterans? 2 MR. MACE: Objection, assumes. 3 A. No. 4 Q. Did they supply you any tests of 5 diacetyl or butter flavor in your consultation 6 with them? 7 A. Any animal tests? 8 Q. Any tests at all, human tests, 9 animal tests, anything. 10 A. I don't think there was any animal 11 test or human tests that were made available to 12 us. I think they did look at all of the materials 13 that they were working with and tried to rank them 14 in relationship to potential toxicity, and 15 diacetyl did fall out on that list. 16 Q. Meaning that it was something that 17 people were exposed to in large amounts? 18 A. It was -- 19 MR. MACE: Objection, 20 characterization. 21 A. It was something that based on the 22 chemical profile needed to be looked at in more 23 detail. 24 Q. Doctor, there's -- there was some 0231 1 questions regarding did you recommend various 2 warnings to customers of TasteMaker's; do you 3 remember those questions? 4 A. Yes. 5 Q. Was that within the scope of the 6 work that you were hired do? 7 A. No. 8 Q. So no one asked you to answer the 9 question should we warn our customers; am I right? 10 A. That's correct. I think the next -- 11 Logically the next step for me would have been, 12 all right, is this isolated to this plant site, 13 i.e., is it something unique about this plant site 14 that's causing the problem or it may be something 15 that's nonwork related, such as a virus that went 16 through the plant site. If you look at other 17 plant sites and identify the same problem, then 18 you know it's an industry problem, not just a 19 local problem, and at that point, then you would 20 expand. 21 Q. But no one asked you to take even 22 the next to step to determine whether this was an 23 industry problem; is that correct? 24 A. We suggested it to FEMA, but we 0232 1 never got a response. 2 Q. And so no one asked you to even look 3 at other food manufacturing plants, correct? 4 A. That's correct. 5 Q. Or chemical manufacturing plants? 6 A. That's correct. 7 Q. Let me -- Let's start again so that 8 we're clear. No one asked you to look at other 9 flavor manufacturing plants that you have 10 identified as really chemical manufacturers, 11 correct? 12 A. That's correct. 13 MR. WOODSIDE: I object to the form 14 of the question. 15 Q. So you never even got to the issue 16 of what were the customers being exposed to? 17 A. That's correct. 18 Q. Because no one asked you to look at 19 that? 20 MR. MACE: Objection. 21 A. That would have been the third step 22 in a three-step process. 23 Q. So when Mr. Mace said that you 24 didn't recommend any warnings to customers, it's 0233 1 not because you had made a determination that 2 customers were safe; am I right? 3 A. No, I had not even thought about 4 customers at that point. I was thinking that, 5 well, is this isolated to this plant site or is 6 this an industry problem. 7 Q. Now, Doctor, let me just -- Let's 8 take it back to this process. If you had, Doctor, 9 if you had had the 1993 study on diacetyl and if 10 you were aware that in the microwave popcorn 11 industry concentrations were created higher than 12 those concentrations in the manufacture of the 13 butter flavor, would you have been concerned about 14 companies like the Jasper popcorn plant or the 15 Marion ConAgra plant and the exposures occurring 16 to workers? 17 MR. MACE: Objection assumes. 18 Objection to form. Objection, improper 19 hypothetical. 20 MR. WOODSIDE: All of those 21 objections, speculative also. 22 MR. WARD: Join the objection. 23 A. I would have been concerned about 24 that process within the TasteMaker facility. I 0234 1 would have looked there first to see what the 2 exposures are, if any of the workers had any 3 abnormalities, and compare the exposures in the 4 plant site in comparison to what they might have 5 been at end user plant sites. 6 Q. And, Doctor, no one asked you to 7 look at this whole range of exposure issues; did 8 they? 9 A. No. They did do industrial hygiene 10 measurements at TasteMaker trying to identify 11 where the potential exposures existed, and I'm 12 sure they looked for diacetyl, I'm sure they 13 looked for acetaldehyde, because that was on our 14 list of priority agents to look at. 15 Q. But today you don't have -- you 16 don't know whether you were supplied with any of 17 that data and you don't know what the conclusions 18 are in terms of correlation of that data with your 19 results? 20 A. I think probably we were presented 21 with that data because they had some good 22 industrial hygienists on board, but I don't recall 23 what that data was. 24 Q. Now, would it have been in your 0235 1 records if that data existed? 2 A. That data probably remained with 3 TasteMaker. 4 Q. So you don't even have that data 5 today? 6 A. That's correct. 7 Q. And would that be covered by this 8 confidentiality agreement? 9 A. I don't think I ever actually had 10 copies of that data, as far as I'm aware anyway. 11 Q. Now, in regard to this BASF rat 12 study that we showed you in this case -- 13 A. Yes. 14 Q. -- were you aware that that study 15 was in FEMA's possession? 16 A. No. 17 Q. Did they offer to you -- 18 MR. MACE: Objection, timing. 19 Q. Did they offer to you any 20 information about diacetyl or what was chemically 21 known about the product? 22 MR. MACE: Objection, vague. 23 MR. WOODSIDE: Object, speculative, 24 assumes facts not in evidence. 0236 1 A. No. 2 MR. WARD: Join. 3 Q. Now, when you, Doctor, talked to 4 Mr. Mace about public presentations of your 5 findings at the TasteMaker plant and he asked you 6 about the fact that these were made and no one 7 from TasteMaker had objected to them, no one knew 8 that you were making them until you made the ATS 9 presentation; isn't that right? 10 A. That's correct. 11 Q. As soon as they knew about them, 12 they objected to them; is that correct? 13 MR. MACE: Objection. 14 A. I was asked about the presentations, 15 and I received the letter that's one of their 16 exhibits reflecting their concern. 17 Q. And by this time, you had already 18 submitted the abstract to the American Thoracic 19 Society; isn't that right? 20 A. Yes, I had. 21 Q. And essentially, in your memo -- and 22 we can go back to the language, you told them I'll 23 withdraw it, but if I withdraw it, it will make 24 you look bad, it will make you look like you're 0237 1 trying to hide something; isn't that essentially 2 what you told them? 3 A. Essentially, that's correct. 4 Q. And under those circumstances, he 5 let you publish it, correct? 6 A. He said to go ahead and make the 7 presentation, that's correct. 8 Q. But you interpreted his second 9 letter to you to be a warning not to do it again; 10 isn't that true, Doctor? 11 MR. MACE: Objection. 12 A. Yes, that is true. 13 Q. And you heeded his warning? 14 A. Yes. 15 Q. And today they're still claiming 16 privilege over this information. We saw a 17 document here today where they haven't produced a 18 letter from a lawyer to you that was in your 19 files; did you see that? 20 MR. MACE: Objection, objection to 21 compound. 22 A. I haven't -- Is there some document 23 that reflects that? 24 Q. (Indicating.) 0238 1 A. I see that now, yes. 2 Q. And that is a letter to you from a 3 lawyer representing TasteMaker, correct? 4 A. Yes. 5 Q. And they're still claiming that it's 6 privileged, as far as you know? 7 A. That's correct. 8 Q. From your files? 9 A. Yes. 10 Q. You're not claiming that it's 11 privileged? 12 A. No. 13 Q. They are? 14 A. That's correct. 15 Q. Okay. And we'll mark this as 16 Exhibit 40. 17 (Deposition Exhibit No. 40 was marked for 18 identification.) 19 Q. Now, Doctor, let's talk about 20 Mr. Campbell. Mr. Mace asked you a series of 21 questions picking little phrases out of the 22 reports. 23 Keith Campbell has bronchiolitis 24 obliterans; isn't that true? 0239 1 A. Based on the available information, 2 that's most likely what he has, that's correct. 3 Q. To a reasonable degree of medical 4 certainty, that's your opinion? 5 MR. WOODSIDE: Objection, leading. 6 Q. Doctor, do you hold that opinion a 7 reasonable degree of -- 8 A. I hold that opinion to a reasonable 9 degree of medical certainty and probability. 10 Q. He doesn't have asthma? 11 A. No. 12 Q. And bronchiolitis obliterans is not 13 caused by salt? 14 MR. MACE: Objection. 15 A. No. 16 Q. And you not only reviewed his 17 medical records, you did an IME, an independent 18 medical exam of him? 19 A. That's correct. 20 Q. So you not only saw his medical 21 records, you also did a physical exam of -- 22 MR. MACE: Continuing objection to 23 leading. 24 A. Physical exam and did some extra 0240 1 tests on him. 2 Q. All right. And so that's the reason 3 you're able to come to those conclusions; is that 4 right? 5 A. That's correct. 6 Q. And, now, Mr. Mace gave you some 7 information where you were told something about a 8 Paducah, Kentucky, plant; do you have that 9 document here in front of us? 10 A. Paducah, Kentucky? 11 Q. There was an e-mail, there was an 12 e-mail regarding Paducah, Kentucky, and there was 13 a claim that the Gilster Mary Lee plant didn't 14 have any disease; do you see that? 15 MR. MACE: Objection, 16 mischaracterization. 17 A. Yes, I see that. 18 Q. But then you have a handwritten note 19 below about the Missouri plant? 20 A. Western Missouri five people with -- 21 awaiting lung transplant, and diacetyl compound at 22 38 parts per billion in the plant site, 150 23 employees in respirators or airline respirators. 24 Q. So your information was, is that the 0241 1 plant in Missouri had how many people on the lung 2 transplant list? 3 MR. WOODSIDE: Object, hearsay. 4 A. Based on my notes, it says five, 5 along with my doodles. 6 Q. Now, Doctor, let's -- Mr. Woodside 7 asked you some questions about you didn't directly 8 inform IFF or BBA; do you remember those 9 questions? 10 A. Yes. 11 Q. And he said that the confidentiality 12 agreement that prevented Mr. Messbarger from 13 finding out about the study would have prevented 14 him from finding out about the study; do you 15 remember those questions? 16 A. Yes. 17 MR. WOODSIDE: Object. That's not 18 quite what I said, close. 19 Q. Doctor, there's no kind of trade 20 secret for a health effect; is there? 21 A. No. 22 Q. And so you informed FEMA, the 23 organization that IFF and BBA belong to; am I 24 right? 0242 1 MR. WOODSIDE: Object. 2 A. Yes. 3 Q. And in Exhibit 8 that we looked at 4 today, they said that they informed their members 5 about what you told them; isn't that true? 6 MR. WOODSIDE: I object. 7 A. Can I see it? 8 MR. WOODSIDE: Wait a minute. I 9 object to the form of the question. It doesn't 10 identify the time. It doesn't identify the place 11 or who "they" is because as you -- Mr. McClain, if 12 you follow from your last question, that would 13 appear that IFF and BBA informed somebody because 14 that's who you were asking about. So if you 15 wouldn't mind rephrasing the question, I'd 16 appreciate it. 17 Q. Yeah. Doctor, let's just -- After 18 having reviewed that, you informed FEMA in 1996 19 about your findings; am I right? 20 A. That's correct. 21 Q. And they claim they informed their 22 members about the possibilities of bronchiolitis 23 obliterans in the flavoring industry; isn't that 24 true? 0243 1 MR. WOODSIDE: Object. 2 MR. WARD: Join in that objection. 3 A. Yes, that's correct. 4 MR. WARD: Calls for speculation. 5 Q. And so if IFF and BBA were members 6 of that organization, they should have been 7 informed about the information you passed on to 8 FEMA; isn't that true? 9 MR. WOODSIDE: Object. 10 MR. WARD: Join in that objection, 11 calls for speculation. 12 A. My assumption would be that is true. 13 MR. MCCLAIN: Thank you. I have no 14 further questions. 15 MR. MACE: Doctor, reminds me of 16 the old line, are we having fun yet. 17 RECROSS-EXAMINATION 18 BY MR. MACE: 19 Q. Sir, you made the comment that 20 acetaldehyde was not the only chemical that people 21 were concerned with, but in your view acetaldehyde 22 and possibly capsaicin was the causative agent for 23 the bronchiolitis obliterans? 24 A. In two or three of the cases we saw, 0244 1 the answer is that's correct. 2 Q. And the fact is that no one 3 thought -- start with you, you did not think that 4 butter flavoring was causing any of the problems 5 with bronchiolitis obliterans? 6 A. No. What I would say is I thought 7 acetaldehyde caused some of the cases. The other 8 cases, it wasn't clear to me what the offending 9 agents were, and that's why we went ahead and made 10 a general recommendation as to control all 11 exposures in the plant site. 12 Q. And although among those hundreds of 13 chemicals and compounds that were looked into 14 diacetyl was referenced a few times as an 15 irritant, you never determined that either butter 16 flavoring or diacetyl was the cause of any BO 17 problem, bronchiolitis obliterans problem, at 18 TasteMaker? 19 A. No. The only thing I was sure of 20 within a reasonable degree of medical probability 21 was the acetaldehyde, and that was based on the 22 clinical presentations in, I think, three of these 23 individuals. It was rather clear-cut based on 24 their presentation. 0245 1 Q. To the best of your knowledge, no 2 one thought that butter flavoring or diacetyl was 3 the cause of any of these bronchiolitis obliterans 4 problems? 5 A. For the other causes, you know, I 6 think my impression was it was an unknown, and at 7 that point because of the complexity of the 8 exposures, we went to this chemical model for 9 control. 10 Q. Which you said TasteMaker did? 11 A. Yes. 12 Q. They acted responsibly in that in 13 your opinion? 14 A. As far as -- Yes, they did. They 15 went to a very rigorous environmental control 16 program and continued the medical surveillance 17 program. I have no knowledge really of what's 18 been going on since '98, '99, but up to that 19 point, the answer is yes. 20 Q. But you first started getting 21 involved, I think you said, it was at the end of 22 '94, '95? 23 A. That's correct. 24 Q. Continuing through '98, '99? 0246 1 A. Probably '97, '98, sometime in that 2 time frame. 3 Q. So they bring you in, they want you 4 to help them figure out what's going on and what 5 they should do about it? 6 A. Yes. 7 Q. You make various recommendations 8 which, to your knowledge, they followed every one 9 of them? 10 A. They followed most of the 11 recommendations. I can't say they followed all of 12 them, but they followed most of them. 13 Q. Well, sitting here, you can't think 14 of a single one they didn't follow; can you? 15 A. Well, when we would sit around the 16 table, we were focusing on this problem intensely 17 for a six to eight-month period of time, so there 18 were various recommendations that would float 19 around the table, and we picked the ones that were 20 the most feasible and most doable and where we 21 thought we would get the best results. 22 Q. As a team working together trying to 23 solve the issue? 24 A. That's correct. 0247 1 Q. And you can't think of a specific 2 example of any recommendation that you made that 3 wasn't followed? 4 A. Not at this point, no. 5 Q. You used the reference of one of 6 these index cases, I think you called it, where a 7 woman had her head in a mixing tank that had 35 8 percent acetaldehyde. 9 Could you explain to the jury a 35 10 percent acetaldehyde, what the part per million 11 would be on that? 12 A. I'd have to go back and look at that 13 conversion. It would be high, and it was a rather 14 enclosed space that was being agitated. 15 Q. Many thousand parts per million? 16 A. I'm sure that's the case. 17 Q. Mr. McClain asked you now today 18 sitting here at the end of 2004 do you believe 19 that diacetyl can cause bronchiolitis obliterans, 20 and I think you said, based on what you've seen in 21 the literature, yes. 22 You've made no determination at what 23 concentration or under what circumstances, 24 correct? 0248 1 A. No. 2 Q. And you're not backing off of your 3 earlier testimony that it's very important in 4 terms of determining whether a compound or a 5 substance will cause any injury what the 6 concentration was and under what circumstances was 7 it being used? 8 A. It's inherent, toxicity plus 9 concentration, plus individual susceptibility. 10 Q. Mr. McClain asked you some follow-up 11 about your concern that other issues may be 12 occurring at flavor manufacturing facilities. 13 Your concern was that it might be occurring at 14 other flavor manufacturing facilities. 15 You had no concern that it was 16 occurring at any microwave popcorn facility? 17 MR. MCCLAIN: Object to the form of 18 the question. It's been asked and answered 19 extensively. 20 Q. Correct? 21 A. The answer is yes to that. What was 22 on my radar screen was, is this being duplicated 23 at other flavor manufacturing facilities -- 24 Q. I mean, to be clear -- 0249 1 A. -- and that was the next step. 2 Q. It never entered your mind as a 3 possibility that it could be a problem at a 4 microwave popcorn facility back at the time? 5 A. No. 6 Q. No, it did not, correct? 7 A. No, it did not. 8 Q. And to your knowledge, it never 9 entered the mind of any of these people at 10 TasteMakers? 11 MR. MCCLAIN: Object to the form of 12 the question. How would he know that? 13 Q. To your knowledge. 14 A. No one ever mentioned that to us, 15 that's correct. 16 Q. Several times Mr. McClain was asking 17 you questions, and you said, well, that would be 18 my assumption. You use that phrase when you don't 19 have firsthand personal knowledge of the issue? 20 MR. MCCLAIN: Object to the form of 21 the question. 22 A. It's my assumption based on my notes 23 looking back five years to six years ago. 24 Q. For example, Mr. McClain was asking 0250 1 you to classify whether TasteMaker would have been 2 classified under the regulations as a chemical 3 manufacturer under certain OSHA regulations. 4 You're not a lawyer, are you, sir? 5 A. No, I'm not. 6 Q. Do you feel that you're qualified to 7 make such a determination? 8 A. Well, when I -- My recommendations 9 were that they should treat this company as a 10 chemical company; that means that they need to 11 look at their exposures the way you would look at 12 exposures within a chemical manufacturing 13 facility. You look at transdermalexposures, 14 interrelational exposures, not necessarily 15 ingestion exposures. 16 Q. And I understand that and I 17 understand why somebody trying to be as cautious 18 as they can may do things. But in terms of there 19 being a legal requirement, Mr. McClain was asking 20 you about a legal requirement under OSHA that 21 TasteMaker do something; you made no determination 22 on that as a matter of law? 23 A. No, I did not make that 24 determination. 0251 1 Q. You mentioned the fact that diacetyl 2 was on the list among a number of other compounds 3 of things that people had some sensitivity to and 4 something that should be looked at in more detail, 5 correct? 6 A. Yes. 7 Q. And isn't it a fact that it was 8 looked at along with these other compounds, and 9 that diacetyl was never linked to bronchiolitis 10 obliterans during your work with TasteMaker? 11 MR. MCCLAIN: Object to the form of 12 the question. 13 A. Again, we linked -- I linked 14 acetaldehyde to the outcomes in three individuals, 15 I think. The other two individuals I couldn't 16 form any definite link as to what the etiologic 17 agents would have been. 18 Q. And in terms of this giving some 19 type of notice to a customer of TasteMaker, if you 20 thought that was a concern, you would have 21 suggested that to TasteMaker? 22 MR. MCCLAIN: Object to the form of 23 the question. 24 A. In relationship to acetaldehyde, I 0252 1 think that question came up or it came up 2 indirectly in that the concentrations they were 3 using in the manufacturing process were high and 4 the concentrations that were used in end user 5 products were low, and -- but that's probably as 6 far as we took it. 7 Q. But my question to you was, if you 8 felt -- if you had felt back at the time in the 9 mid '90's, that it was important that Givaudan 10 notify its customers, you would have raised that? 11 A. Yes, that's correct. 12 Q. Mr. McClain got back into this topic 13 about the ATS presentation. He tried to get you 14 to buy into the phrase that Mr. King at Givaudan 15 objected to, and you said, well, he asked about 16 it, correct? 17 MR. MCCLAIN: Object to the form of 18 the question. 19 A. Can you repeat the question, and 20 I'll answer. 21 Q. Yeah. Mr. McClain was asking you 22 about these ATS presentations and the fact that 23 Givaudan knew about that before you made the 24 presentation. And you said that it was asked 0253 1 about, but after it was asked about, you were told 2 to go ahead and give the presentation? 3 A. That's correct. 4 Q. And in terms of the comments that 5 you made to Givaudan, you told them they had 6 nothing to hide? 7 A. That's correct. 8 Q. You told them they were proactive 9 and had a good story to tell? 10 A. In relationship to how they handled 11 their manufacturing facility, yes, that's correct. 12 Q. With respect to any documents as to 13 privilege being asserted, it's only one document, 14 correct? 15 A. Yes, as far as I'm aware. That's 16 correct, it's one document. 17 Q. You made a comment that you don't 18 believe that bronchiolitis obliterans is caused by 19 salt. Have you done any investigation into that? 20 A. The only way it could be caused by 21 salt is if there was an overwhelming inhalational 22 exposure that overwhelmed the small airways, and 23 that would be a very unusual circumstance. 24 Q. Were you aware that they used 0254 1 pulverized salt in these microwave popcorn plants? 2 A. Yes. 3 Q. And being pulverized extremely fine, 4 it can get deeper into the lungs, correct? 5 A. That's correct. 6 Q. And you do note on the first page of 7 your report on Mr. Campbell that he had acute 8 symptoms after a salt spill at work, correct? 9 A. Yes. 10 Q. But other than what you've just 11 mentioned, you've made no investigation or 12 research or testing into whether or not this 13 pulverized salt can cause bronchiolitis 14 obliterans? 15 A. It would be -- Salt is a physiologic 16 make-up of the human system. It would be very 17 unlikely that it would contain the toxicity that 18 causes disease state, unless there was an 19 overwhelming exposure, so like what we call 20 maximum tolerated dose in a rat study. 21 Q. And in terms of investigating how 22 large this salt spill was at the ConAgra plant or 23 other instances when there were hazes of salt 24 clouds around, you made no investigation into 0255 1 that? 2 A. No, that's correct. 3 MR. MACE: Nothing further at this 4 time. 5 MR. WOODSIDE: I have one question. 6 MR. MACE: Wait, I guess there was 7 one, I'm sorry. 8 BY MR. MACE: 9 Q. Mr. McClain asked you about this 10 document, I think it was 39 or 40, about Padducah, 11 Kentucky. 12 A. Okay. 13 Q. Your handwritten notes at the end 14 where you talk about somebody telling you there 15 were five persons on a lung transplant list or 16 something. 17 A. Yes. 18 Q. Your information was that was all at 19 one plant in Jasper, Missouri, correct? 20 A. I don't know. I assumed it 21 was -- My assumption is it's one plant, but I 22 can't be absolutely sure about that. 23 Q. And in terms of the other plant in 24 Missouri -- 0256 1 MR. WOODSIDE: Object, speculative. 2 Q. In terms of the other plant in 3 Missouri, you made no investigation into what the 4 conditions are there? 5 A. I didn't make any investigation into 6 any of these plant sites. 7 MR. MACE: Thank you, sir. Nothing 8 further at this time. 9 RECROSS-EXAMINATION 10 BY MR. WOODSIDE: 11 Q. Irrespective of what in your opinion 12 FEMA should have told to Bush Boake Allen and 13 International Flavors & Fragrances, you don't have 14 any personal knowledge as to what FEMA did or did 15 not say to those companies or pass on to those 16 companies about the results of your work, correct? 17 A. That's correct. 18 MR. WOODSIDE: Thank you. I have 19 no further questions. I do have one thing I want 20 to put on the record. Ken, are you done? 21 FURTHER DIRECT EXAMINATION 22 bY MR. MCCLAIN: 23 Q. Just so that we're clear, take on 24 Mr. Campbell's report again. He was having 0257 1 symptoms before this salt spill; wasn't he? 2 A. Yes, he was. 3 Q. And following the salt spill, his -- 4 that acute exposure, his symptoms from the salt 5 spill resolved in about an hour; is that what it 6 says? 7 MR. MACE: Objection. 8 A. That's correct. 9 Q. And so, Doctor, is that the kind of 10 exposure that you're talking about that even 11 theoretically could be possible to cause some harm 12 from salt? 13 A. I think it's beyond the realm of 14 plausibility that salt would have biologically 15 caused this disease. 16 Q. And, Doctor, you mentioned the fact 17 that it is not biologically plausible, why? 18 A. Again, salt is a normal component of 19 our cell physiology, and it would take an 20 overwhelming exposure, essentially a dust overload 21 phenomenon, in the lower airways to cause this 22 particular disease state, and that gentleman would 23 have been acutely ill for at least 34 or 48 hours. 24 Q. Essentially enough to suffocate you? 0258 1 A. Correct. 2 Q. And so there's no evidence of 3 anybody suffocating from salt in this plant; is 4 that correct? 5 MR. WOODSIDE: Object, leading. 6 A. That's correct. 7 MR. MCCLAIN: All right, thank you, 8 Doctor. No further questions. 9 FURTHER CROSS-EXAMINATION 10 BY MR. MACE: 11 Q. With respect to that issue, Doctor, 12 Mr. Campbell's symptoms were improving prior to 13 the salt spill? 14 A. That's correct. His exercise 15 tolerance was increasing, but had not returned to 16 his preexisting baseline status of 2000. 17 Q. And in terms of these acute symptoms 18 resolving, there can be a difference between acute 19 symptoms and chronic symptoms, correct? 20 A. Yes. 21 MR. MACE: Thank you. Nothing 22 further at this time. 23 MR. WOODSIDE: I wish to put two 24 things on the record. The first is there 0259 1 apparently has been some issue with regard to the 2 redaction of the documents, and just so the record 3 is clear, with regard to IFF and BBA, the 4 documents that I will receive -- that I received 5 were previously redacted and were not redacted by 6 me, my clients or anybody in their employ. I'm 7 not suggesting that any redaction was or was not 8 appropriate or inappropriate. I'm just stating 9 that we had nothing to do with it. 10 The second is, although Counsel 11 identified themselves for the record when we 12 started, I do not believe that Dr. David Eagleman, 13 who has been in attendance and was expert for 14 Plaintiffs in these cases, identified himself, and 15 I would simply like to Dr. Eagleman to have 16 opportunity to identify himself, which he 17 apparently does not want to do. 18 THE VIDEOGRAPHER: I'd like to ask 19 you, have you the right to review this video and 20 you also have the right to read the transcript or 21 you may waive both. 22 THE WITNESS: I waive. 23 THE VIDEOGRAPHER: This concludes 24 today's video. The time is now 7 minutes after 5. 0260 1 One second and we're going off the record. We're 2 off. 3 (SIGNATURE WAIVED.) 4 JAMES EDWARD LOCKE, MD 5 - - - 6 DEPOSITION CONCLUDED AT 5:07 P.M. 7 - - - 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 0261 1 C E R T I F I C A T E 2 STATE OF OHIO : 3 : SS 4 COUNTY OF HAMILTON : 5 I, LISA CONLEY, RMR, CRR, CCP, the 6 undersigned, a duly qualified and commissioned 7 notary public within and for the State of Ohio, do 8 hereby certify that before the giving of his 9 aforesaid deposition, the said JAMES EDWARD LOCKE, 10 MD, was by me first duly sworn to tell the truth, 11 the whole truth and nothing but the truth; that 12 the foregoing is the deposition given at said time 13 and place by the said JAMES EDWARD LOCKE, MD; that 14 said deposition was taken in all respects pursuant 15 to Notice to Take Deposition; that said deposition 16 was taken by audio/visual means by the 17 videographer and by me in stenotypy and 18 transcribed by computer-aided transcription under 19 my supervision; that the submission of the 20 transcribed deposition to the witness for his 21 examination and signature was expressly waived; 22 that I am neither a relative of nor attorney for 23 any of the parties to this cause, nor relative of 24 nor employee for any of their counsel, and have no 0262 1 interest whatever in the result of the action. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 0263 1 IN WITNESS WHEREOF, I hereunto set my 2 hand and official seal of office at Cincinnati, 3 Ohio, this day of , 4 2004. 5 6 7 8 MY COMMISSION EXPIRES: LISA CONLEY, RMR, CRR, CCP 9 JULY 28, 2009. NOTARY PUBLIC-STATE OF OHIO 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24