LabMind

Few guests on LabMind have been as attuned to broad technologic trends in pathology as Dr. Joseph Anderson. He has worked in multiple settings, including private practice, academia, and industry, and is currently engaged in with several early-stage pathology companies. Anderson also hosts a podcast in which he interviews leaders in the domain of digital pathology. In this interview, we discuss his insights into what’s required for successful innovation, and why he’s optimistic about pathology’s future.

Patients’ needs and preferences don’t always match the preconceived notions of laboratory and medical professionals. In this interview, Heidi Wallis, president of the Association for Creatine Deficiencies, shares her family’s diagnostic odyssey. She also provides insights about how the biomedical establishment could better serve families like hers. Ms. Wallis has two children with GAMT deficiency, an inherited disorder that prevents the body from producing creatine. Her children were diagnosed in very different ways, with very different consequences.

Transfusion medicine has arguably led other pathology subspecialties in improving patient safety through industrial quality management and standardization methods. However, standardization practices, such as the use of transfusion triggers, are in some respects a one-size-fits-all approach. And as we undoubtedly know, real patients aren't standardized. In this discussion, Ryan Metcalf, section chief for transfusion medicine in the University of Utah Department of Pathology, describes the development of data visualization tools to help surgeons and anesthesiologists optimize their transfusion decisions based on individual patient needs.

When Dr. Nicola Longo, professor of Pediatrics at the University of Utah, encounters a child with an undiagnosed syndrome, he has a unique resource: Dr. Marzia Pasquali, professor of pathology and section chief of Biochemical Genetics at ARUP Laboratories. Their connection extends back to high school in Parma, Italy, and grew through years of medical and scientific training, marriage, and clinical practice. In our discussion, they describe their combined life’s work to solve diagnostic mysteries and develop diagnostic tools to enable long, healthy, and productive lives in children who might otherwise face neurologic decline and early death.

Paul Epner’s more than four-decade career started at Abbott Diagnostics and has involved collaboration with the CDC and a tenure as president of the Clinical Laboratory Management Association (CLMA). He now serves as CEO of the Society to Improve Diagnosis in Medicine (SIDM). Throughout his career, Epner has been a powerful advocate for the role of laboratory professionals. In our special Lab Week interview, we discuss why diagnosis is a team sport, how cross-disciplinary collaboration is fundamental to the critical impact of laboratory medicine, and the overall quality of medical care.

As an infectious disease physician and medical microbiologist, Dr. Kim Hanson has had a busy year. In this interview, she reflects on some of the successes during the COVID-19 era, such as the collaboration among rival regional health systems to provide testing for our communities. She discusses how COVID-19 testing needs are evolving, pointing to the pressing need for a national variant surveillance system in which academic medical center laboratories could play a large role. Finally, she offers some predictions for the coming year.

Nadine Fydryszewski is program director for the world’s first Doctor of Clinical Laboratory Science (DCLS) program at Rutgers University. Modeled after other health professional degree programs, including those for pharmacy and physical therapy, this doctorate-level role for clinical laboratorians was developed to complement interdisciplinary patient care teams. Brandy Gunsolus, the program’s first graduate, currently practices at Augusta University Medical Center in Georgia. In this conversation, the two explain what it took to get the DCLS program off the ground and why clinicians are so enthusiastic about including DCLSs on their care teams and hospital committees.

A restaurant delivery or car ride can be ordered easily from your smartphone. Why not phlebotomy services when you need your blood drawn? This is the question Mike Eller asked a colleague back in 2018. Then, with some tech and marketing collaboration, they made it happen. In this discussion, Jim Crawford, Eller, and Chris Zavala explain the origin of their LabFly mobile phlebotomy service, its critical role in supporting telemedicine during the COVID-19 pandemic, and how it positions Northwell Health Laboratories for the patient-centric care of the future.

Health systems wishing to reduce overall healthcare costs would do well to focus less on direct laboratory costs and more on the meaningful ways laboratories can impact clinical efficiency. In this interview, Rick Panning, who served as Senior Administrative Director for Laboratory Services at HealthPartners in Minnesota, describes his work to reduce the total cost of care through improved testing service levels, saving money while improving the patient experience.

Clinical laboratory science might just be the most invisible of all the healthcare professions. Maddie Josephs, president of the American Society for Clinical Laboratory Science, is trying to change that. In this interview she explains why many Millennials and Gen Z individuals feel drawn to this field, and describes some of the barriers to expanding the ranks of clinical laboratory scientists to meet this country’s growing healthcare needs.