Congratulations Tim,

It has been a long road. Interesting how we both worked at VMC at different 
times and I would have to say it was prominent in our careers. It was where I 
was first exposed to Histology. I have enjoyed your friendship and comradeship.

Take care
Victor


Sent from my iPad

> On Sep 9, 2021, at 9:26 AM, Morken, Timothy via Histonet 
> <histonet@lists.utsouthwestern.edu> wrote:
> 
> 
> After 40 years in the lab I've decided to retire this year - in a week 
> actually!
> 
> It has been an interesting 4 decades...
> 
> I started out in an EM lab after getting a degree in Physiology and then  
> competing a 2 year EM course at Delta College in Stockton, CA - the only 
> dedicated EM program at that time. I started out running a scanning EM lab 
> for an electronics company looking at microchips but after a couple years 
> moved to a hosptial lab in Fresno, CA running their EM lab. I was the only 
> one, so from day one was the "Manager" of the lab! I did about 150 EM cases a 
> year and in those days it was a mix of kidney and tumor cases - there was no 
> IHC yet so some tumor diagnostics depended on EM. I did not have quite enough 
> work to keep me busy so I started hanging out in the histology lab. As with 
> many people in this field the day I started working there was the first I had 
> heard of "histology."  At first it was helping set up grossing, coverslipping 
> slides and doing immunofluorescence for the kidney cases (and taking 
> "kodachromes" of the results! Does anyone under 30 know what a Kodachrome 
> is?!). But then our director wanted to bring in IHC and so had a tech from a 
> lab at Cedars Sinai in LA come to teach us how to do it. We did all of 10 
> stains at first. Of course it was all manual and so had to know what was 
> going on with every step. I didn't use an automated stainer for the first 12 
> years that I did IHC, and at times was doing 150 slides a day manually.
> 
> Gradually I ended up doing half time in histology and learned cutting, 
> special stains, muscle histochemistry, immunofluorescence for kidney cases. I 
> decided to work on the HT exam since I was doing all that work anyway. We had 
> a lab of four men - pretty rare, Imagine - and we started a study group to 
> all take the test. We met after work a couple times a week for 6 months 
> pretty  much memorizing the Sheehan book. We all took the HT and all but one 
> passed. Later I passed the HTL as well.
> 
> After 11 years of that I moved on to a job in Saudi Arabia - and my wife and 
> daughter went along. I managed the IHC and muscle lab at King Faisal 
> Specialist Hospital in Riyadh. My wife was lucky enough to get a teaching 
> position at the American School where our daughter was in 9th grade. That 
> made all the difference in our life there because if she had not gotten a job 
> I don't think we would have stayed there  5 years. She would have been stuck 
> doing pretty much nothing. I moved on to managing the histology lab as  
> whole. Living in another country is a great experience, even if it is a 
> totally different culture. It certainly changed our outlook on the world and 
> I would not trade that experience for anything. We also did a lot of 
> travelling during those years - being on "that" side of  world makes 
> traveling there much easier!
> 
> Once we decided to leave Saudi I looked for a job back in the States and was 
> lucky enough to land one at the Centers for Disease Control in Atlanta in 
> their Infectious Disease Pathology division. I worked with 5 infectious 
> disease pathology specialists and a dozen technologists from histotechs to EM 
> techs, to microbiologists to molecular biologists. We worked on routine cases 
> to world-wide outbreak cases. During the 5 years I was there we identified at 
> least one novel human virus every year that caused outbreaks. And that was in 
> addition to numerous cases of outbreaks of known diseases for which we 
> received samples from all over the world. Probably the most notorious case 
> was the anthrax attack after 9/11. Four of us histotechs manned the lab 24 
> hours a day, 7 days a week for 6 weeks running IHC tests on endless samples 
> while trying to get on top of that case. In the middle of it all the power 
> went out to the facility and we had to work on generator power with temporary 
> lighting set up in the lab and battery packs to keep the equipment running. 
> After 9/11 and then anthrax everyone was thinking it was a bioterror attack 
> by the same group, so things were crazy. When  I think of all the efforts we 
> made to enhance our detection and diagnostic capabilities, and all our 
> meetings about how to handle outbreaks, it was hard to see the stumbles the 
> CDC made in this current pandemic. But I can say that we had discussed, 
> studied and predicted pretty much everything that has happened in this Covid 
> 19 era. Indeed, we had the first-hand experience with SARS in the last year I 
> was there, so knew exactly how it could play out.
> 
> Finally we decided to move back to California and I was able to connect with 
> an old friend to get a position at Lab Vision in Fremont, CA. This company 
> made the Dako Autostainer and also had a large offering of antibodies. We 
> only had 25 people but were doing very well and still had a "Startup" 
> culture. That was a very interesting experience after being on the "customer" 
> side for so long. I got to see a lot of different labs, go to a lot of 
> meetings, make a lot of contacts and travel to many other countries to work 
> with distributors. I would recommend working for vendor to anyone to get a 
> real idea of the whole breadth of our field.
> 
> Once Lab Vision was taken over by Thermo Fisher it became very corporate I 
> decided to go back to the medical lab and ended up at UCSF managing the 
> histology lab. After a few years of that I moved back to the EM lab after the 
> supervisor there retired and they could not find anyone else. So, I ended up 
> back in the place I began! But it is a great place with great people so has 
> been a very good time the last 12 years.
> 
> When I think back, I started in the lab when the only automation was the 
> tissue processor. Even our specimen logs were all hand-written. Slide labels 
> were typed on a typewriter - there were no computers. We had a staining run 
> set up by a microtome so that person could move the slides along when the 
> timer went off. And there was no fume hood over it, so the histo lab always 
> smelled of  xylene, alcohol and formalin fumes. People from outside the lab 
> would come in and almost keel over. Our lab today has no smell at all - we 
> have so many hoods nothing can escape! And much of the lab is automated - 
> IHC, specials, H&E, embedding machines.
> 
> I always recommend to any new tech that they learn whatever there is to learn 
> in any lab they happen to be in and to not be limited by a job description. 
> You never know when some seemingly obscure thing you learn will come in handy 
> down the road. Take opportunities as they come up. You never know if you will 
> get that opportunity again.
> 
> Anyway, it has been a good run. I hope to do some other things in in the 
> histology world in the next few years. You never know what will come up!
> 
> Tim Morken
> Supervisor, Electron Microscopy/Neuromuscular Special Studies
> Department of Pathology
> UC San Francisco Medical Center
> 
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