Not sure if this has been posted yet since I haven't kept up on all posts here...
But a simple theory:
First draft sent and printed/forwarded by JB. Plans made of how to label things: A, B, C.
Second (finalized?) draft sent later. JB misses it (doesn't forward on or maybe doesn't read close enough that it is now A, C, B). Really falls on her no matter what since she should have made sure the people actually labeling knew what was correct.
In between the trial has started...maybe during a meeting it hits her that she should be using A, C, B but she was basing every decision off that first copy A, B, C. She notices she made a mistake and rather than owning up to it right away (scared of losing job, looking incompetent) fixes the mistake she made and starts from this point forward using the corrected method.
No envelops left under the park bench. No cash purchases of super glue to switch labels without being noticed. Just a simple, stupid mistake caused by multiple drafts of a work order and a person's desire not to lose their job over a silly mistake.
Blah blah blah - time passes and the results are being discussed maybe internally at CSM or maybe with Peregrine. Someone who was involved initially know for certain they were labeling A, B, C in the early deals and refers to an old email. It's pointed out that is old, but they are still certain JB had them labeling the first way then sees it is trying to be passed off as A, C, B the whole time. It was early in the trial so only 25% of patients had the wrong dose and only for part of the time. It's pointed out and JB is fired for trying to cover her mistake.
Speculation? Yes. But Occam's Razor here...it's a simple mistake. Anyone who has worked over email knows that 10 versions getting updated and catching every detail is difficult. I could retype this post 10x and change a few things and ask you to read it over and over. Eventually you'll notice I'm changing one letter here and there and stop reading every sentence's meaning and fill in the words in your mind. I could slip in a completely different meaning and many won't notice I changed anything. It's normal...
Maybe someone pointed it out to Peregrine when they noticed the 1, 2, 3 should be 1, 3, 2 - and once again someone didn't read close enough to notice the difference and said "hey no big deal, I don't care what you call them" and that was considered "sign off" to the error.
Peregrine is probably arguing that the official document is what matters, CSM is saying "your email says you approved" and now the remaining judgement from the court is dealing with the fact that CSM switched mid-trial and what does that mean exactly?
Now, your turn--tear that theory apart, please. If it's not possible, I'd like to know why...and I'd prefer not to read someone's adaptation to "Who's on First" in the process but if you can make it interesting, let's hear it.
