Exhibit 1 to Dkt. 78 — United States v. Weaver (E.D. Mo.)

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Exhibit 1 to Dkt. 78 in United States v. Weaver in the U.S. District Court for the Eastern District of Missouri, filed June 23, 2023 as Document 78-1. The one-page exhibit is a letter from the Department of Radiation Oncology of the Washington University School of Medicine in St. Louis answering defense counsel's questions. It lists a diagnosis of prostate cancer at Stage IVA and a treatment plan of radiation therapy with 2 years of androgen deprivation therapy. It explains that switching treatment teams could cause further delays and that NCCN guidelines recommend treatment for patients with projected survival of more than 5 years.

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;                                                                                 No. 07         P,
ee ose bbo98-SRC Doc. #: 78-1 Filed: 06/23/23 Page: 1 of 1 Bagelb #: 348

        Washington University in St.Louis

         SCHOOL OF MEDICINE

         Department of Radiation Oncology

  Clinical Division             Mr. Smith,

  Dena ji Talnne wp <tiddienoea tm Apologies for the delay in answering your questions, but here they are.
   Distingulghed Professor and Chair
 Jeff M. Mithalski, MD, MBA     1, Diagnosis: Prostate cancer
   es Fai eal                   2. What stage: Stage IVA
                                3. How quickly is it spreading: Unable to say,
 Christopher D. Abraham, MD    4, Treatment plan: Radiation therapy with 2 years of androgen deprivation therapy.
 aneie ‘ ee                    5. Why it is better to get treatment with my staff vs. Bureau of Prisons: Mainly that we
 Brian Baumann, MD             are in the process of working up the patient and switching treatment teams could result in
 Carmen Bergom, MD, PRD        further treatment delays.
 Aadel Chaudhuri, MD, PhD      6. Prognosis with vs. without treatment: NCCN guidelines recommend treatment for
 Jessika Contratas, MD         patients that have a projected survival outside of their prostate cancer of greater than 5
 Carl DaSalm, MD, PRD          years. If the patient was not treated, then his disease would continue to progress and
 Hiram A. Gay, MD              eventually metastasize, which would make it terminal.
 Lannis Holl, MD, MPH          7. Treatment duration: Daily radiation treatments for up to 9 weeks. Androgen
 Heyl Huang, MD                deprivation therapy for 2 years.

 ei Susan Leduzinsky, i   MD   8. When should Mr. Weaver’s sentence start: He should be able to start after the
Juson Lae, MD, PhD             conclusion of his radiation treatments.
Stephanie Markovina, MD, PhD
Micheal I. Moravan, MD, PAD   I hope that is helpful. Please let me know if you require any additional information.
Stephanie Perkins, MD
Cliffurd G. Robinson, MD      Best,
Pamela Samson, MO

Julie. Schwarz, MD, PhD       Michael J. Moravan, MD, PhD
Maria A. Thomas, MD, PAD
                              Assistant Professor
Wade L. Thorstad, MD
Gregory Viacich, MD           Department of Radiation Oncology
Joanna C. Yang, MD, MPH       Washington University in St. Louis
Imran Zabari, MD

                                      SITEMAN CANCER CENTER’
                                      BARNES-JEWISM MOSPITAL * WABHINOTON UNIVERSITY SCHOOL GF MEDIGINE
                                      A National Cancer Instinere Comprehensive Concer Center
                                                                                                                    EXHIBIT
                   Washington University School of Medicine at Washington University Medical Center,
             MSC: 8224-35-LL, 4921 Parkview Place, Lower Level, St. Louis, Missouri 63110, www.wustl. edy
                                                                                                             tabbies”   A

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