Looking Offshore / Outsourced UCSF notes highlight privacy risk / How one offshore worker sent tremor through medical system: “Is Tom Spires a relative? ‘If he is, what of it?’ Does Spires even exist? ‘I’m not going to answer that.’ Did Newburn invent Spires to protect herself from charges that she was violating contracts by sending work abroad? ‘I need to get an attorney,’ she said, and hung up the phone.”