L a u r e l Wa t e r s M D F C A P FA S C P 5 Dolores Court Moraga, CA 94556 Phone (925) 457-3664 Fax (925) 377-0543 lwatersmd@yahoo.com Board Certification American Board of Pathology–Pediatric Pathology, August 1999 American Board of Nuclear Medicine, September 1986 American Board of Pathology–Anatomic and Clinical Pathology, June 1984 Licensure California License G46277 Post Graduate Medical Training Pediatric Pathology Fellowship. State University of New York, Downstate-Brooklyn. 1999 Nuclear Medicine. University of California at Davis/Martinez Veterans Administration Medical Center. Martinez, CA. 1984–1986 Anatomic & Clinical Pathology. University of California at Davis/Martinez Veterans Administration Medical Center. Martinez, CA 1980–1984 Pediatric Internship. University of California. San Francisco, CA. 1979–1980 Pediatric Gastroenterology Research Fellowship. University of California. San Francisco, CA. 1978–1979 Education MD. University of California at Davis. 1978 BS. University of California at Berkeley, 1974. Double Major: Nutrition and Food Science; Biochemistry Experience Founder, PerinatalPath, Moraga, CA. 2000–Present: Medical Legal Consultant and Expert Witness (plaintiff and defendant) issues including: uterine rupture; abruption; intrapartum demise; cerebral palsy; birth asphyxia; chronic hypoxia; infection; birth injury; stillbirth; prematurity; hypoxic ischemic encephalopathy; pediatric poisoning, injuries, wrongful death, meconium aspiration syndrome; adult pathology including pulmonary embolism and subdural hematoma Analysis of poor perinatal outcome (Help parents understand the process) Autopsies, placental pathology; re-examination of placenta and autopsy slides Lectures: eg. Perinatal Grand Rounds on Stillbirth Etiologies Berkeley Public Health, Maternity & Child Health Consultant; Substance Abuse Task force and Low Birth Weight Prevention Team Fetal and Infant Mortality Review teams Contra Costa, Alameda, Sonoma, Kern Counties. Hold locums 2000-Present Positions in Anatomic (Surgical & Cytopathology) and Clinical Pathology including: Pathlab, Tauranga, New Zealand MendocinoCoastHospital,Fort Bragg, CA Contra Costa Medical Center, Martinez, CA SW Washington MC, Vancouver, WA Pathology Services, Sebastapol, CA Doctors Hospital, San Pablo, CA. Kaiser Santa Teresa, San Jose, CA Premier Pathology; Porterville, CA Sutter Santa Rosa Medical Center, CA Laboratory Director: California Medical Facility, Vacaville, CA 1997-2001: Oversaw quality control in clinical laboratory. Conducted quality assurance on surgical pathology specimens sent out. Performed and read bone marrows. Provided in-service training on quality control procedures and other topics for laboratory technologists. Assistant Laboratory Director: Pediatric, Anatomic and Clinical Pathology, Children’s Hospital. Oakland, Oakland, CA 1995–2000: Supervised clinical and anatomic laboratory. Handled children’s tumor specimens giving primary diagnoses and preparing specimens for multiple special studies including cytogenetics. Read flow cytometry. Read unusual hematology smears of malignancies and infectious diseases. Interfaced with clinical physicians regarding laboratory tests, results, and specimens. Lectured to hematology oncology fellows and staff physicians. Resolved blood bank problems including transfusion reaction work-ups and antibody identification. Served as member of Quality Assurance Committee that ensured appropriate procedures following deaths. Associate Pathology and Nuclear Medicine Physician: St. Luke’s Hospital, San Francisco, CA 1992–1994: Served as assistant director of medium-sized hospital clinical laboratory also performing anatomic pathology: frozen sections, surgicals, autopsy, and cytology. Directed blood bank. Developed Concurrent Blood Usage Program with immediate physician feedback and education, which received praise from Joint Commission for the Accreditation of Hospitals (JCAHO). Oversaw quality control processes for the lab: hematology, microbiology, chemistry. Interfaced with physicians. Read Nuclear Medicine scans. Honored with invitation to serve on overall hospital Quality Assurance Committee. Laboratory Director: Joint Venture between Damon Clinical Laboratories and Mt. Zion Medical Center/University of California, San Francisco, San Francisco, CA 1991–1992 Co-directed several laboratories including Damon satellite facility in Stockton, East Bay Hospital in Richmond and multi physician group laboratories in the Central Valley. Chaired Blood Utilization Committee and sat on Patient Care Committee with all other chairs. Oversaw quality control and quality assurance, managed physician questions, and set up new Damon College of American Pathologists (CAP) certified stand-alone laboratory in Pleasanton, CA. Associate Pathologist. NorthBay Medical Center, Fairfield, CA 1989–1991 Directed mid-size medical laboratory. Established quality control system for blood glucose testing. Worked with nurse managers to ensure their understanding of system. Introduced state-of-the-art breast tumor marker testing. Medical Director: Meris Laboratories, San Jose, CA 1988–1989 Directed operations of regional reference laboratory. Prepared lab for first CAP inspection, working with supervisors of five lab sections to meet CAP standards. Supervised upgrade of procedure manuals. Associate Pathology and Nuclear Medicine Physician: Marshal Hale Memorial Hospital., San Francisco, CA 1986–1988 Chaired Infection Control Committee as it introduced Universal Pathogen Precautions and when it merged with Children’s Hospital. Chaired Tissue Committee. Served on Utilization Review Committee. Medical Organization Affiliations Fellow, College of American Pathologists American Medical Women’s Association National Treasurer 2010-2012 National Board of Directors 2008-2010 Fellow, American Society of Clinical Pathology Society for Pediatric Pathology Bylaws Committee California Society of Pathology South Bay Pathology Society Oregon Pathology Association Presentations and Publications include: Workup of Stillbirths. Washington Hospital. Fremont, CA 2010 Consultation with a Pediatric Pathologist in Cases of Poor Perinatal Outcome: Stillbirth Perinatal Grand Rounds. Good Samaritan Hospital. San Jose, CA. 2009 ASCO-CAP Guidelines on Breast Cancer: the Effects of Fixation Times on Prognostic Markers. Multi-hospital Breast Tumor Board. Santa Rosa, CA. 2007 Placental Infections and Inflammation. Presentation. El Camino Hospital. Mountain View, CA. 2006 Placental Pathology. Presentation. Washington Hospital. Fremont, CA. 2005 Placenta Previa. Presentation. Valley Medical Center. Pleasanton, CA 2005 Placental Pathology. Presentation. CA Association of Midwives. Occidental, CA 2005 Placental Pathology: Beyond Apgars. Paper presentation. Medical Women’s International Association (MWIA). Tokyo. Japan. 2004 Placental Pathology: Beyond Apgars. Poster presentation. National American Medical Women’s Association (AMWA) Annual Meeting. San Diego, CA. 2004 Substance Abuse Effects on Placentas and Fetuses. Lecture. Berkeley Low Birthweight Prevention Team. Berkeley Public Health Department. Berkeley, CA. 2003 Hemolytic Disease of the Newborn. Lecture. San Jose SU, Med Tech Program. San Jose, CA. 2003 Pediatric Renal Tumors other than Wilms. Lecture. Children’s Hospital Oakland Hematology Oncology Department, Oakland, CA. 2002 Placental Pathology. Lecture. Ob-Gyn/Pediatric combined department meeting at Doctors Hospital, San Pablo, CA. 2002 Clear Cell Sarcoma, Kidney. Case presentation and discussion, South Bay Pathology Society, Palo Alto, CA. 2002 Malignant Metanephric Stromal Tumor, Kidney. Case presentation and discussion, South Bay Pathology Society, Palo Alto, CA. 2001 Perinatal Loss. National AMWA Meeting. Organized half-day workshop: presentations by medical geneticist, pediatric pathologist, and social worker. San Francisco, CA. 1999 Hydrops: Pathogenetic Mechanisms and Differential Diagnosis. Lecture. SUNY Downstate, Pathology Department, Brooklyn, NY. 1999 Parvovirus and Fetal Infection. Case presentation and hour lecture. SUNY Downstate, Pathology Department, Brooklyn, NY. 1999 Mesenchymal Hamartoma Balanced Translocation t(5,19) Implies Pathophysiology as Neoplasm of Uncertain Malignant Potential, L Waters, P Cotter, R Williams. Poster and Presentation at Society for Pediatric Pathology, Fall Meeting, Providence, RI. 1999 Massive Hemolysis due to Clostridium perfringens Sepsis: Contaminated Blood Versus Line or Endogenous Infection, L Waters, C Evans, R Williams. Abstract, poster and presentation at Society for Pediatric Pathology, Fall Meeting, Providence, RI. 1999 Perinatal & Pediatric Pathology Continuing Medical Education includes: Society for Pediatric Pathology: Washington DC 2010 MedicoLegal Pediatric Issues: USCAP Washington DC 2010 The Fragmented Fetus: USCAP Washington DC 2010 Obstetric Malpractice Issues: 2009 Chicago, IL Fetal Death: Principles and Pathology: Harvard 2009 Boston, MA Society for Pediatric Pathology 2008 Denver, CO Endocrine; Transfusion & Coagulation Perinatal Course 2007 Phoenix, AZ Society for Pediatric Pathology 2007 Phoenix, AZ College of American Pathologists 2007 Pediatric Autopsy and Placental Pathology. Chicago, IL Pediatric Forensic Pathology (IPME) 2006 Orlando, FL Perinatal Pathology Course:. Society for Pediatric Pathology. Boston, MA. 2005 Soft Tissue Tumors and Placental Pathology Courses. Pediatric Lung Development Symposium. Society for Pediatric Pathology, Spring Meeting. Vancouver, BC. 2004 Placental Pathology Video Microscopy by Dr Geoffrey Machin. California Society of Pathologists. San Francisco, CA. 2003 Lysosomal Storage Disease: Therapeutics Symposium. Pediatric Pathology Courses. Society for Pediatric Pathology, Fall Meeting. Cincinnati, OH. 2003 Pre-eclampsia. Society for Pediatric Pathology–Perinatal Symposium. Cincinnati, OH. 2003 Pediatric Tumors. Institute of Pediatric Medical Education. Aspen, CO. 2003 Pediatric Forensic Pathology. Institute of Pediatric Medical Education. Orlando, FL. 2002 Biochemical & Molecular Basis of Pediatric Disease Symposium. Society for Pediatric Pathology, Fall Meeting. Dallas, TX. 2002 Developmental Biology of the Placenta. SPP Perinatal Symposium. Dallas, TX. 2002 Perinatal Pathology. Institute of Pediatric Medical Education. Snowmass, CO. 2002 Placental Pathology course given by Robert Redline. American Society Clinical Pathology Weekend of Pathology. Santa Monica, CA. 2002 Congenital Heart Disease. Society for Pediatric Pathology, Spring Meeting. Chicago, IL. 2002 Pediatric Pathology Symposium. Society for Pediatric Pathology Meeting. Providence, RI. 1999 Prenatal Screening, Diagnosis and Fetal Therapy. Society for Pediatric Pathology–Perinatal Symposium. Providence, RI. 1999 Cystic Renal Disease Symposium. Society for Pediatric Pathology, Spring Meeting. SF 1999 Pediatric GI Pathology course. US College of American Pathologists. San Francisco, CA. 1999 Pediatric Tumors, Pediatric Hepatology, and Liver Transplantation, Institute of Pediatric Medical Education. Aspen, CO. 1998 Pediatric Pathology, Pediatric Gastroenterology, and Nutrition, Institute of Pediatric Medical Education. Aspen, CO 1997 General Pathology Continuing Medical Education includes: South Bay Pathology Society: monthly CME Palo Alto, CA Oregon Pathology Association: quarterly CME Portland, OR Borderline Tumors. South Bay Pathology Society Monterey, CA 2011 Immunohistochemistry. South Bay Pathology Society Monterey, CA 2009 USCAP Practical Pathology 2009 San Francisco, CA USCAP 2008 Denver, CO. Molecular Pathology, GI Pathology, Inflammatory Dermatoses. CTTR Dec 2007 San Francisco, CA ASCP 2007 Conference in New Orleans, LA CAP 2007 Chicago, IL OPA 2007 Endometrial Carcinoma & Molecular Studies. Portland, OR CAP 2006 Conference. Courses attended included breast pathology, state of the art breast pathology, and cytology. San Diego, CA. 2006 Current Issues in Anatomic Pathology. Stanford/UC San Francisco. San Francisco, CA.2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 1999 Pathology Business Retreat. Pathology Services Associates. San Antonio, TX 2005 Bone and Soft Tissue Tumors. South Bay Pathology Society. Monterey, CA. 2005 Genitourinary Tumors. South Bay Pathology Society. Monterey, CA. 2004 Molecular, Anatomic and General Lab Inspector Training. College of American Pathology. San Jose, CA. 2004 Rational Use of Molecular Studies in Leukemias and Lymphomas, Stem Cell Research and various courses and lectures. US & Canadian Academy of Pathology. Vancouver BC. 2004 American Pathology Foundation. Las Vegas, NV. 2004 Breast Pathology, Liver Pathology VideoMicroscopy and various courses and lectures. California Society of Pathologists. San Francisco, CA. 2003 Coagulation Disorders, New Clinical Laboratory Tests, the Pathology of Infectious Diseases and various courses and lectures. CAP ’03. College of American Pathologists. San Diego, CA. 2003 American Pathology Foundation. Orlando, FL. 2003 Malignant Lymphoid Tumors: Hodgkin’s Disease and non-Hodgkin’s Lymphomas WHO Classification, and Pattern Diagnosis, American Society of Clinical Pathology. Las Vegas, NV. 2003 Head and Neck Pathology. South Bay Pathology Society. San Francisco, CA. 2003 American Medical Women’s Association Meetings include: Annual, Washington DC 2011 Annual with Women’s Health, Washington DC 2010 Interim, Philadelphia PA 2009 Annual with Women’s Health, Williamsburg VA 2009 Women’s Health Williamsburg VA 2008 Interim, Philadelphia, PA 2008 Annual, Anaheim , CA 2008 Annual, Orlando FL 2007 Interim, Chicago, IL 2007 Leadership Retreat, CO 2007 Annual, Tucson AZ 2006