Wednesday, June 28, 2023

MSK Pavilion 2023 Comments

Sloan does very important work. We want them to be our hero.  We just want their moral compass to be calibrated correctly, their facilities (safety) anomalies to be held to a minimum, and addressed when appropriate. 

The default mindset for places like Sloan when they seek to expand, or ask for something, ought to be to find out how much or what they want and then give them twice as much.  Sadly,  cancer is big business and the Translational (lab to clinic) facet results in places like Sloan acting like a Big Pharma or Biotech Company where one is apt to write penalties for transgressions off as a cost of doing business.  As to the Facilities and Environmental Health and Safety issues, Sloan couldn't acknowledge problems as being systemic, as that would stand to impeach not only the credibility of reaction conditions of experiments, but stands to affect their IP intellectual property portfolio.

January 09, 2024, The Grift that Keeps on Giving! ... Cancer Care is Big Business ... Sloan received ~ 500 million cumulative pandemic relief and purchased ~ 500 million worth of high end NY real estate.  weren't people prosecuted for buying real estate with covid relief monies? Sloan recently dispatched (laid off) ~ 300 employees.  Weren't covid relief initiatives supposed to be used to retain employees? 

A Chief Financial Officer [Gutnick, 2019 salary (available along with other MSKCC top earners on line at https://www.crainsnewyork.com/html-page/767716 ], 1.5 million] of MSKCC has stated (paraphrased): Sloan is … pursuing a systemic approach to reducing expenses and increasing revenues. … this effort involves … policy decisions that seek to strike a … balance between providing service and squandering resources. One example of this is discouraging terminally ill patients from seeking initial treatment or second opinions from the cancer center … the admission of such patients is counterproductive for a facility like Sloan-Kettering. https://onstealinghope.blogspot.com/ 

Sloan Kettering cancer patients sick over threat of losing medical coverage under insurer Cigna: 'My heart just stopped' ... https://nypost.com/2024/01/07/metro/sloan-kettering-cancer-patients-sick-over-threat-of-losing-medical-coverage-under-insurer-cigna/  

Sloan does very important work. We want them to be our hero.  We just want their moral compass to be calibrated correctly and their facilities (safety) anomalies to be held to a minimum


The default mindset for places like Sloan when they seek to expand, or ask for something, ought to be to find out how much or what they want and then give them twice as much.  Sadly,  cancer is big business and the Translational (lab to clinic) facet results in places like Sloan acting like a Big Pharma or Biotech Company where one is apt to write penalties for transgressions off as a cost of doing business.  As to the Facilities and Environmental Health and Safety issues, Sloan couldn't acknowledge problems as being systemic, as that would stand to impeach not only the credibility of reaction conditions of experiments, but stands to affect their IP intellectual property portfolio.

We feel that with the new leadership (Professor Vickers) Sloan should be granted a fresh start and wish them well with their building initiative. the caveat is that Sloan has not been an honest player relative to environmental health and safety and bioethics / conflict of interest issues.  when concerns are rightfully brought forth Sloan has a history of merely conjuring and synchronizing their cover stories.  note that Sloan received almost $500 million in covid relief funds (cumulative 2020, 2021, 2022) and spent almost $500 million on prime NYC real estate purchases in 2022.  They dispatched ~ 300 employees recently.  Covid aid was supposed to allow organizations to avoid layoffs.  Weren't people prosecuted for using Covid aid to purchase real estate? It is hoped that with Sloan's expansions that members of demographics who previously would only difficultly access high tiered cancer care might be able to do so more easily, and that Sloan's moral compass be calibrated correctly.  Everyone wants Sloan to be our hero.  We just don't want Sloan to cheat


cb8m.org

MSK Pavilion Task Force

Chairs, MSK Task Force

Anthony Cohn (Voting Reform Task Force Co-Chair, Zoning and Development Committee Co-Chair)

and Felice Farber (Budget Committee Co-Chair, Parks and Waterfront Committee Co-Chair), Co-Chairs

Marco Tamayo (Vendor Committee Co-Chair) [Tamayo Architects, P.C.]

Adam Wald, [MAI Member’s Executive Vice President at Appraisers and Planners, Inc.]

Sarah Chu – (Social Justice Committee Co-Chair) 

Thursday, May 4th - Zoning and Pavilion Architectural and Programmatic Needs
Thursday, May 18th – Environmental Impacts, City Environmental Quality Review Act (CEQR), and all transportation-related issues; Thursday, June 15th – Construction plans and schedule (cancelled, deferred to 06/29); Thursday, June 29th – Final Discussions

info@cb8m.com; (212) 758-4340 

 

Re: MSK Pavilion

 

Dear MSK Pavilion Task Force, c/o Chairs Anthony Cohn and Felice Farber, Task Force Members Marco Tamayo, Adam Wald, cb8M member Sarah Chu,

 

The author of this note worked at Sloan Kettering for ~ 13 years firstly as a contingent (temporary) employee, and then as an Editorial and Graphics Specialist.   He was also a C-14 Chemistry Laboratory Certificate of Fitness Holder.  He never missed a day of work and acquitted himself with distinction.  His position as an Editorial and Graphics Specialist working with a high-profile researcher, and certification as a C-14 Chemistry Laboratory Certificate of Fitness holder afforded him knowledge of the machinations of the research institute and its infrastructure.  As the proposed MSK Pavilion is adjacent to the RRL where he worked, and the initiative is resurrected from the timeframe that he was affiliated with Sloan, he feels comfortable commenting relative to the MSK Pavilion initiative, and feels that it is appropriate to do so.

 

The author of this note first wrote to cb8m relative to a Sloan expansion initiative in the early y2K_naughts at the request of the then incumbent President (Varmus) who reached out to MSK staff, attempting to rally support for a lab building initiative, given that there was much known opposition to MSK’s endeavor.  At the time he gave his candid assessment of Sloan’s disingenuousness, and dishonesty, relative to Environmental Health and Safety (EHS) concerns that he viewed first hand and that were reported to him by colleagues who he trusted.  At the time he had requested that his comments be held in confidence, yet he was apprised by a cb8m member via a phone call to his office at Sloan (who thanked him for his candor) that his comments were seen by others.

 

Sloan does very important work.  The author of this note's parents' first child succumbed to complications from childhood leukemia following treatment at Sloan, a disease that is often moderated (and survived) due to research and treatment at places such as Sloan and other likeminded institutions.

 

Given Sloan's nonpareil raison d'etre, the author of this note would not object to the expansion of Sloan. The caveat is sadly that Sloan has not been an honest player relative to addressment of Environmental Health and Safety and Conflict of Interest (COI) / Bioethics issues, and that the amount of "care" (both figuratively and literally) Sloan provides is correlated with incumbent and potential revenue streams. When bioethics / COI and EHS issues are rightfully brought forth, Sloan has a history of merely conjuring and synchronizing its thinly veiled cover stories, conducting its own investigation(s) and dismissing legitimate concerns as being venial.  Be w(e)ary and proceed carefully.

 

Sloan’s recently re-kindled MSK Pavilion Initiative seeks to repurpose a space currently used for faculty housing as operating room space.

 

That building is adjacent to the Rockefeller Research Laboratories (RRL)


Is Turner, who presented at the 06/29 meeting, and who will lead the MSK Pavilion demolition and construction project the same organization that built the flawed RRL?  Will vibration sensitive NMRs in RRL be secured appropriately to stave off quenching? Quenching NMRs, Accidentally and On Purpose | Science | AAAS, https://www.science.org/content/blog-post/quenching-nmrs-accidentally-and-purpose


At RRL one lab was situated above an animal facility. MSKCC Facilities Management knowingly did not install ductwork controls in the building and there were chronic safety lapses relative to a cross contamination situation (including, but not limited to putrid smells that were not local to the floor, and circumspect, high caliber researchers complaining of odors in fume hoods of chemicals not being experimented with). Employees were chronically exposed to airborne exudates from the animal facility in addition to the putrid odors emanating from the floor below. When complaints were lodged, Facilities would send an engineer who would smirk at complainants while fidgeting with controls. Subsequently, it was learned (from an outside contractor) that ductwork controls were knowingly never installed properly in RRL and after that revelation (and querying MSK Safety relative to it) the smirks from Facilities employees segued to sneers when safety concerns were lodged, while evaluations of those who rightfully reported EHS issues segued from being a “very capable employee” to “not being a team player” or worse. The then incumbent head of MSK Facilities “retired” soon after MSK Safety was asked to check the efficacy of ductwork controls in RRL by C-14 Chemistry Laboratory Certificiate of Fitness Holder(s) and reported to Safety that an outside contractor had told us that the ductwork controls were never installed properly.  Multiple people on the floor experienced chronic breathing problems. There was a known cross-contamination phenomena minimally via fume hoods where researchers would smell chemicals that were not being worked on locally (possibly due to recirculation of previously expunged gases), on the floor, or in the lab. During a chemical spill and gas permeation event caused by MSK Facilities that warranted a building evacuation and FDNY response, MSK Safety accusingly stated “you didn’t call the fire department, did you”? [the FDNY response was due to an automatically triggered alarm] (they were more concerned with non addressment, than employee and community safety). An inaccurate assuagement statement understating the severity of the incident, signed by the head of Safety, but possibly ghost written by others was issued after the event. When the veracity of the inaccurate statement was rightfully challenged, a senior manager from MSKCC Facilities, warned that first hand witnesses to the event “upset a lot of people” when mentioning that OSHA would be contacted, and after continued leverage by MSK Facilities to not address safety concerns in RRL, safety concerns were eventually reported to and substantiated by OSHA … https://www.osha.gov/ords/i.... Between the first and second visits by  OSHA, OSHA was notified specifically where our concerns were, but we were told OSHA had to check randomly upon its follow up visit.  Curiously one of the labs where the cross contamination event occurred was inaccessible when OSHA returned. If not for the above the citations would have been more severe than they were. Researchers (e.g. postdoctorals) reported to the C-14 Laboratory Certificate of Fitness Holder many concerns, but could (and would) not make on the record complaints themselves because that might call into question the efficacy of their research results (the efficacy of the reaction conditions) and also jeopardize a hoped for otherwise earned mentor’s reference letter so that they may move on to the next stage in their career be it big pharma, academia, etc. There were intermittent, yet chronic water leaks through live electrical light fixtures [apparently through live fluorescent light ballasts] in drop ceilings. C-14 Chemistry laboratory Certificate of Fitness holder(s) were concerned about a spark, fire, or explosion hazard, yet when apprised by other researchers that this leak phenomena also occurred on other floors, given that, based on experience we could not trust the MSK Facilities team, it was realized that the leaks may have been coming from conduits that dispersed filtered water used somewhat ubiquitously for aqueous experiments. If that was true the credibility of filtered / purified water/aqueous reaction conditions, notwithstanding Bernoulli’s principle, would be compromised and possibly impeached, standing to affect Sloan’s Intellectual Property portfolio.

 

When intrepid cancer patients or their proxies contacted the lab following the publication in the lay press (the WSJ or similar) information relative to research conducted at Sloan on a then promising new drug possibility, the author of this note (a junior but not direct report) was instructed by a non-clinician Administrative Manager (AM) to withhold/embargo known information relative to the availability of a clinical trial candidate created by a (Big Pharma) competitor and being tested at Sloan. The clinical trial on the in-house candidate had at that point not yet started at Sloan. When the non-clinician was asked to clarify her bioethically challenged tack, the non-clinician stated “ours are better than theirs”, a decision that was not hers to make. When this was reported to a research colleague, the author of this note was told that although the tack was morally wrong [reprehensible] it was technically not illegal. However, because Sloan could lose its license to conduct clinical trials the event would be swept under the rug (and that is what Sloan did). Subsequently, the author of this note was told by another research colleague that the PI (Principal Investigator, a non-clinician) attempted to leverage a clinician overseeing the clinical trial for the by then commenced in-house drug candidate clinical trial to continue enrolling patients, in variance with the clinician’s intuition relative to drug candidate efficacy. Large milestone dependent (upon completion vs cessation of a clinical trial phase) royalty payments were in play at the time. The clinical trial overseeing physician has since moved to another position, in another city. https://www.massgeneral.org....

 

The lab [whose non clinician AM attempted to instruct a junior but not direct report coworker to embargo information of an external competitor’s clinical trial conducted at Sloan] applied for and received a special translational grant to help facilitate bringing the in-house candidate forward to the level of palatability of a biotech or big pharma partner. The NIH conduit for that grant was subsequently rewarded with Scientific Advisory Board (SAB) status [a position, that may have been compensated financially] with the biotech that picked up the in-house candidate. https://dtp.cancer.gov/time...

 

We are not stating and have not stated that there is or has been a systemic initiative at Sloan to enroll patients in clinical trials of compounds whose efficacy is known to be suspect. We are and have stated that there have been piecemeal instances where people who clearly know better drop their guard and act in a cravenly self-serving manner.

 

Pat Skarulis and Ed Mahoney were involved in the non addressment of appropriately reported bioethics and environmental health and safety concerns at Sloan.

 

Claus Jensen [2019 salary 552,000], chief digital officer and head of technology, had a curiously short tenure at Sloan before absconding. https://www.fiercehealthcare.com/tech/memorial-sloan-kettering-s-claus-jensen-moves-over-to-teladoc-to-lead-innovation-strategy Atti Razi, also had a curiously short tenure as CIO at Sloan https://www.beckershospitalreview.com/healthcare-information-technology/memorial-sloan-kettering-cio-leaves-for-hearst.html 

 

It is noted that Jensen and Razi had curiously short tenures as ctos (or whatever appellation the position was granted) post Skarulis.  Any attempts to expunge forensically available incriminating digital evidence of EHS, or COI/Bioethics anomalies and/or infractions would likely have been accomplished with the knowledge of the cto.

 

Members of Sloan’s leadership have continued to exhibit poor judgment relative to conflict of interest / bioethics issues (e.g. Baselga, 2018 conflict of interest expose).

Memorial Sloan Kettering Gave Top Doctor $1.5 Million After He Was Forced to Resign Over Conflicts of Interest — ProPublica https://www.propublica.org/article/memorial-sloan-kettering-jose-baselga-severance-package

 

The Pathology chief … https://www.mskcc.org/cance... ... seemingly attempted to leverage the entire cumulative pathology intellectual property of Sloan in an ai company without input relative to sharing the earning potential with incumbent or past Member (the institute’s equivalent of tenured faculty) pathologists. https://www.nytimes.com/201...

 

In fy 2021 MSKCC received ~ 235 million in covid relief from the US govt [Coronavirus Aid, Relief, and Economic Security Act funding] (169,246,000 in fy 2020 and 74.3 million in fy 2022). ... https://www.fitchratings.com/research/us-public-finance/fitch-affirms-memorial-sloan-kettering-cancer-center-ny-revenue-bonds-at-aa-outlook-stable-15-04-2022 https://us-east-1.storage.lumen.com/dac-prod-bucket-dacbond-dynamic/0000bbc7/80/23/96/eb.pdf P21693620-P21303232-.pdf (msrb.org)  https://emma.msrb.org/P21693620-P21303232-.pdf [~ 478 million total in Covid relief] in fy2022 MSKCC purchased ~ $500 million in NYC prime real estate, including in a building that formerly housed Madoff’s iniquities. https://www.crainsnewyork.com/health-care/memorial-sloan-kettering-drops-nearly-500m-office-acquisitions https://nypost.com/2022/09/06/memorial-sloan-kettering-scoops-up-piece-of-lipstick-building/ https://therealdeal.com/new-york/2022/09/13/sloan-kettering-pays-185m-for-ues-medical-center/ https://therealdeal.com/new-york/2022/09/06/memorial-sloan-kettering-leases-430k-sf-at-lipstick-building/ 

 

New York City-based Memorial Sloan Kettering Cancer Center saw a swing from a $235.1 million operating gain in 2021 [Sloan received ~ 235 million in covid aid in 2021] to a 2022 operating loss of $248.1 million [Sloan purchased $500 million in prime NYC real estate in 2022].

 

Memorial Sloan Kettering reports $483M slide in operating income (beckershospitalreview.com)

https://www.beckershospitalreview.com/finance/memorial-sloan-kettering-reports-483m-slide-in-operating-income.html

https://emma.msrb.org/P21693620-P21303232-.pdf

 

Sloan recently laid off ~ 300 employees.  Wasn’t Covid relief meant to bolster organizations so they could retain employees?

Memorial Sloan Kettering lays off 337 employees (beckershospitalreview.com)

https://www.beckershospitalreview.com/workforce/memorial-sloan-kettering-lays-off-337-employees.html

 

Was the Covid relief a grant or loan? If a loan was it forgiven? Did the US gov’t and our taxes help pay for Sloan’s NYC prime real estate purchases? Weren't Covid aid abusers prosecuted for using Covid relief for luxury (and real estate) purchases?  https://www.justice.gov/opa... https://www.justice.gov/opa...

 

Sloan affiliates have been privileged biotech / pharma insiders: https://ariadwindfall.blogspot.com 

 

Ed Mahoney [2019 salary greater than 1 million] is the Senior VP, Facilities Management. It is members of the Facilities Team that had attempted to leverage (threaten) employees who rightfully bring forth Facilities and EHS shortcomings that stand to effect and are likely effecting employee and community safety, and stand to impeach the credibility of reaction conditions of experiments conducted at Sloan.

 

A Chief Financial Officer [Gutnick, 2019 salary (available along with other MSKCC top earners on line at https://www.crainsnewyork.com/html-page/767716 ], 1.5 million] of MSKCC has stated (paraphrased): Sloan is … pursuing a systemic approach to reducing expenses and increasing revenues. … this effort involves … policy decisions that seek to strike a … balance between providing service and squandering resources. One example of this is discouraging terminally ill patients from seeking initial treatment or second opinions from the cancer center … the admission of such patients is counterproductive for a facility like Sloan-Kettering. https://onstealinghope.blogspot.com/ 

 

Memorial Sloan Kettering paid $1.4 million in severance to three former execs in 2020. The largest payment went to Patricia Skarulis [2019 salary, greater than 1 million], MSK's longtime chief information officer, who the tax form says left in 2019. Avice Meehan [2019 salary 595,000], the system's former chief communication officer, also got a payout. https://www.modernhealthcare.com/finance/memorial-sloan-kettering-paid-14-million-severance-three-former-execs-2020

 

One supervisor at Sloan stole over one million dollars via a toner cartridge purchase scheme.  That person’s post prison job field is listed as being relative to fire safety. Worker Admits To Stealing Millions From Cancer Hospital - Gothamisthttps://gothamist.com/news/worker-admits-to-stealing-millions-from-cancer-hospital ; Toner Thief Got $1.5M in Potato Chip Bags - ABC News ; https://abcnews.go.com/blogs/business/2013/05/toner-thief-got-1-5m-in-potato-chip-bags

 

Employees have been caught dealing pain medication “in the basement” of Sloan.  MSKCC’s General Stores where many hospital supplies including medicines are stored are “in the basement”.  Were the “General Stores” or patient safety compromised? Hospital insiders said custodial staff and security guards who work in the basement ran the scheme. Sloan-Kettering says it did an internal investigation. A spokeswoman acknowledged that the hospital did not contact the NYPD.

 

STATE PROBES HOSP ‘DRUG-DEALING’ RING (nypost.com)https://nypost.com/2006/02/26/state-probes-hosp-drug-dealing-ring/


What specifically was being dealt? Were they opioids [e.g. oxycontin, percocet, schedule 2 drugs https://www.dea.gov/drug-information/drug-scheduling involved] taken from the General Stores? Should not the DEA have been summoned?


Sloan recently announced … https://www.mskcc.org/profi... ... that Anaeze Offodile II, MD, MPH, would assume the position of new Chief Strategy Officer (Effective 5/1/2023)

 

We welcome Dr. Offodile and wish him well. We trust Dr. Vickers to lead from the front, and wish him well. It is hoped that with Sloan's expansions that members of demographics who previously would only difficultly access high tiered cancer care might be able to do so more easily, and that Sloan's moral compass is calibrated correctly.


It was often not clear if the MSK Public Affairs and Facilities Management Departments work for Sloan or if Sloan works for them. The Public Affairs Department broadcasts an elite timbre of the Institute, but that elite timbre often teeters on arrogance.  The Facilities team too often defaults to thug while attempting to cover up their follies. 

 

Sloan’s slogan has been: MSKCC, The Best Cancer Care Anywhere … apparently, as long as it’s consistent with Sloan’s revenue stream and/or the potential stock portfolio of powerful employees.

 

With this note, the author of this note apprises Cb8 and the MSK Pavilion committee chairs of these concerns, which are also noted here ... https://onstealinghope.blog....  We are not suggesting that the MSK Pavilion not move forward, in fact we feel the new leadership [parsing the don't hold a child accountable for a father's sins/the apple doesn't fall far from the tree conundrum in favor of the former] ought to be granted a fresh start and best wishes. We are stating that you should proceed with caution, and finish by quoting a salient NYT reader comment following the 2018 MSK conflict of interest expose:

 

Sloan Kettering has non-profit tax status, but it’s not like Bellevue.  It gets to pick its patients based on their ability to pay.  The research Sloan Kettering does is heavily funded by the drug industry and creates all kind of ethical conflicts.  Do some patients really benefit from the clinical trials their doctors convinced them to join? We should call out places like Sloan Kettering when they primarily exist to line the pockets of senior doctors and administrators.  Yes, some of its doctors are experts who provide excellent care.  But most New Yorkers would view the overall Institution as a phony charity with a big PR machine.

https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgbBoe8gTV_iTo2lC_Xf0LBzyHXWpbB4AL-vbLrc-hGUo4ntrXYo3ViSb4I0lVOZUtK28BKihy_s_b6r7LpMqXk2NlpEq1Zh2OXAjtvRbEamfSseAveB37va2k46eyQuVr2_b46_hkFKyZmjhHl2X201b_Mq_jh3QDABCNSSSSRVlvmpOV3LakcCEw8p81F/s960/SloanCommentsNYTArchival_06.24.2023A.jpg

 

Sincerely,

 

 

Former

Editorial and Graphics Specialist,

Sloan-Kettering Institute

Memorial Sloan-Kettering Cancer Center

C-14 Chemistry Laboratory Certificate of Fitness Holder

 

Institutions with likeminded missions to Sloan will gladly accept donations

 

Donate to Dana-Farber and help fight cancer | Dana-Farber Cancer Institute (jimmyfund.org)

https://danafarber.jimmyfund.org/site/Donation2?df_id=2100&mfc_pref=T&2100.donation=form1&utm_source=dfh&utm_medium=button&utm_campaign=AGDFH031519&s_src=AGDFH031519&s_subsrc=AGDFH031519

 

Donate MD Anderson Cancer Center

https://gifts.mdanderson.org/Default.aspx?tsid=10503&noamt=true&chosen=100&intcmpid=mdaccorg_donate&_ga=2.71335643.919051253.1687800953-104706505.1687800952

 

https://www.stjude.org/promotion/impact-giving-pm.html

 

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