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Steven Beste's avatar

During my career as a clinical scientist at a local hospital, we had mandatory quarterly department meetings to inform staff and clear the air on current laboratory issues. As you mentioned in the column of 10/6/21, not much happened and that was generally all right.

The only really notable meeting that I attended happened around the fall of 2010. It was the time the hospital administration and board of directors had bought into Elizabeth Holmes’ fantasy of Theranos. The lab group meeting was with the corporation’s director of laboratories. She wasn’t a medical director, only a corporate director. Her attention is costs and revenue in the laboratory department.

The Theranos analyzing system seemed like a huge windfall to her. The multimillion costs of running a clinical laboratory for a hospital system were a huge expense. To replace the testing equipment and the professional staff to run and maintain this would be a huge saving to the hospital and to medical expenses in general.

The director's first statement at this meeting to the lab staff was “Think about a second career.” “In a very short time, your positions will be eliminated” There was no mincing of words or any support. We all stared at each other. I think someone said, “What?” What a callous way to declare that all your study and dedication to your science was all for not. Being replaced by a box the size of a bread-making machine. The director had gone through the same schooling and training that we all had to be competent and service the community as laboratory professionals. She had gone back to school to obtain a master's in science to qualify as a director. She had just discounted all our efforts in a couple of short sentences. It was quite a slap.

Ahh, but the worm turns in this tale. The hospital’s chief officers started to have plans to affiliate with local pharmacies and retailers to establish a web of local accessible “Health centers” run by trained medical assistants to procure patient specimens and perform lab tests for a whole lot less cost. The people in the hospital laboratory would just have to find jobs in real estate or lawn care and snow removal business. So we waited for our layoff slips to arrive.

Then came the crack in the dam in 2015 where stories and federal investigations into problems were reported by insiders about the authenticity and accuracy of this miracle of technology and cost-saving device. By June 2018, Elizabeth Holmes with her Chief Operating Officer had been indicted by a federal grand jury and her corporation and machine had been seized from their control.

It was the walk back of statements by the corporate directors that would have been most appreciated but that never happened. The woman who declared our professional demise was reassigned to a subordinate position and she only appeared at a few meetings not to really have much to say. She retired soon after. I wasn’t invited to her retirement party.

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glen grady's avatar

Garrison- to me- this is you at your best- and that is pretty damn good!

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