Later, the spiel changed: “The physician is aware that the medication is intended for the management of breakthrough pain in cancer patients, and the physician is treating the breakthrough pain.” To the person fielding the call, no medical expert, it was a blizzard of words that sounded like a “yes.” Again, the omission of the word “cancer” in the final phrase was probably missed. The entire statement was often, in fact, technically accurate. It was also, Gurrieri later said, definitely misleading.