Since this is our pathology group website, the following pages (as links from this page) are obviously the opinion of our group and its decision makers and not the same as an official publication in an official medical or scientific journal or an official opinion of a medical specialty organization. It is our "why so?" to our clients who may be aware that there is controversy in things medical. Our clients are: predominantly our hospital, the 100 or so physicians of the hospital's MSO (and additionally also the nurse practitioners and midwives of the MSO), some non-MSO physician practices, and the patients of all of these professionals. And this fits with our over-all approach to Pathology & Laboratory Medicine.

There is controversy in the medical arena between schools of professional thought on practically every topic. There are heated marketing campaigns between competing product vendors (often with positive and negative "pointing" to the FDA and to professional society opinions). Those of us "on the front lines" are often caused to make choices prior to any unanimity of professional opinion as to any given issue (such unanimity turns out to be very rare, indeed). So, we do the best that we can; and we have had to make many 100s of various controversial choices in behalf of clients in a 30 year career! 

Beginning in 2000, we found that commercial marketing techniques had  made it more difficult to assure clinical physicians of our choice rational by means of simple professional conversations. Having become acquainted with website construction, we began to express ourselves to our own busy pathology group within our own website (as sort of a forerunner of the "web log" or "blog"). As controversy arose and swirled on one particular issue several years ago, we saw the need to hold forth reasoned written real-time opinion to our clients. America being a free nation with citizens guaranteed the right to free speech, and in order to have the information readily available to any of our clients (24/7/365), we could not change our website to a subscription-only or password-protected website.

 So, for our clients only, here are just a few examples of the controversial decisions (just in anatomical pathology) we've made.  None of  this website is for the use of non-clients trying to make their own independent decisions because (1) they don't know anything about us (by what authority are "we"?), and (2) this is not a website for unbiased comparisons. We are extremely biased toward the needs of our particular clients (as well as we have been able to determine and/or foresee those needs) under our medical community's particular set of circumstances at any given point in time.