[Histonet] GI, Uro, or Derm Path Lab Set Up

[Thomas Jasper]

I am in total agreement with both Richard and Felton here.  Sorry
Timothy if you are reading this but to me the bottom line is patient
care.  And in the end set-ups like this hurt patients.  These "labs" and
I'm using the term loosely are put in place to line the pockets of a
small number of people at the top of a pyramid.

I guess someone will always work to put things like this together if
there is a demand.  But please realize, if this is what you're involved
in, the reality is...

~ Questionable facilities - Cramming professional, OSHA legal and
ergonomically correct lab operations into small office spaces is a poor
idea at best.  Proper plumbing, ventilation and lab space are serious
considerations and fall by the wayside when these operations are put
together.

~ Qualified personnel - All of us posting on this list understand the
fact that qualified, competent Histology Lab personnel are in demand and
difficult to find.  The wage for qualified, competent technical
expertise does not fit into the plans of the originators of these
operations.

~ Proper equipment and instruments - While the aim of these operations
is limited in scope, basic functional equipment and instruments are
required.  In the overall scheme of things, pathology is still a
bargain.  However, money must be spent to properly equip a competent
working lab with modern instruments.

I could go on but that makes the basic point.  And Timothy, lest you
think that I'm shooting from the hip I assure I am not.  Like most
people on this list, I am a serious, diligent professional.  I have
interviewed people from "pod" labs that have worked under horrible
conditions.  I am also aware of a "pod" lab trying to get off the ground
that shouldn't have an ice cube's chance in hell.  The plans for this
lab do not have proper plumbing, ventilation or space and there is no
equipment.  While a position has been advertised I cannot think of a
single tech, worth his or her salt, that would consider associating
themselves with such an ill-conceived venture.

One last point - don't forget Timothy, that one day you may be that
patient.  Or it may be your mother, sister, daughter, wife, son,
friend...I'll stop there.  Every block, every slide, every piece of
tissue that I or any of my staff encounter is a precious patient...a
human life.  So trying to dumb everything down, cut corners and make a
small number of people wealthy in the process is an irresponsible and
utterly ridiculous risk.  The professionals in our field have worked
hard for a good number of years to come out of the basement spaces and
after-thought little nooks and crannies and other poor facilities to do
the highly skilled work this profession demands.  I for one will never
abide going backwards and I don't believe people of good conscience and
humanity will either.

Sincerely yours,
Tom Jasper

Thomas Jasper HT (ASCP) BAS
Histology Supervisor
Central Oregon Regional Pathology Services
Bend, Oregon 97701
541/693-2677
tjasper <@t> copc.net 

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Nails,
Felton
Sent: Thursday, February 04, 2010 12:57 PM
To: 'Richard Cartun'; histonet <@t> lists.utsouthwestern.edu; Timothy Jay
Subject: RE: [Histonet] GI, Uro, or Derm Path Lab Set Up

Especially when these physician hire unqualified people to run these
labs and flood the histonet with their uneducated questions.  

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Richard
Cartun
Sent: Thursday, February 04, 2010 2:29 PM
To: histonet <@t> lists.utsouthwestern.edu; Timothy Jay
Subject: Re: [Histonet] GI, Uro, or Derm Path Lab Set Up

We don't need anymore pathology laboratories.  What we need is support
of existing laboratories, especially hospital-based labs.  GI and GU
physicians are "Cherry-picking" the technical revenue that should be
going to hospital labs.  Let's reform health care; make it more
efficient and less expensive.  We don't need to be putting more money in
clinicians' pockets.

Richard

Richard W. Cartun, Ph.D.
Director, Histology & Immunopathology
Director, Biospecimen Collection Programs Assistant Director, Anatomic
Pathology Hartford Hospital 80 Seymour Street Hartford, CT  06102
(860) 545-1596 Office
(860) 545-2204 Fax

>>> Timothy Jay <tjay30 <@t> yahoo.com> 2/4/2010 1:28 PM >>>
For those needing help putting an in-office path lab together whether
you are GI, Urology, or Derm please send me an email at tjay30 <@t> yahoo.com
or call me at 775-830-1591. I have a consulting business that
specializes in putting these labs together. References provided upon
request. 
 
Timothy Garcia-Jay, MHA



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