Congratulations Tim, 
Your world travels have been interesting and for us in the field very rewarding 
because we all have benefited from your education received in your professional 
career.  I envy your experiences in different parts of the world.  All of my 59 
years have been in the Macon, GA area.  Only 3 institutions, first 2 hospitals 
and the present one in a medical school.  I too hope you will keep hanging with 
us still working, you have a wealth of knowledge from which we all can benefit. 
 I wish you the best in your retirement. But don't forget about us and keep in 
touch. 

Have fun, 
Shirley

Shirley Powell, HTL(ASCP)
Technical Director Histology Curricular Support Laboratory
Pathology Department
Mercer University School of Medicine
1550 College St, Macon, GA  31207
O: 478-301-2374/F:478-301-5489
medicine.mercer.edu




-----Original Message-----
From: Morken, Timothy via Histonet <histonet@lists.utsouthwestern.edu> 
Sent: Thursday, September 9, 2021 12:26 PM
To: Histonet <histonet@lists.utsouthwestern.edu>
Subject: [Histonet] Retirement in sight!


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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