Ginde: So, we usually see about twenty, well from eighteen on a light day but up
to twenty five patients in a day. Obviously, not in the gestational age that you’re
interested in. You say you want over fourteen weeks?
Buyer: Yes. It’s possible depending on, two factors. Number one, their are some
good scientific reasons why researchers are requesting later gestations. Some of
it is artificial though, depending on how easily or tech or our new tech, however
that’s going to work out can just find what’s being requested.
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Buyer: If you can kind of play around with that lower range I think, if the
specimens are coming out more intact. So that, I guess, we will kind of get a first
hand look at that today, later on. How many procedures are scheduled- When
we’re talking about intact specimen’s, how many of those do you see?
Ginde: Intact specimens?
Buyer: Yes, within- what’s your volume on an average Tuesday?
Ginde: With second tris? Anywhere as low as three up to seven.
Buyer: Ok, and so intact?
Ginde: Intact. So we do basically D&Es. Intact is less than ten percent.
Buyer: Ok. Less than ten percent.
Ginde: So, they’re going to come out in part and pieces but you don’t want- I was
thinking in terms of fetal parts that we would take all of it and send it and you
guys would take out what you wanted, but you guys want to take out what you
want before send out all of it.
Buyer: Right. Yea. So we, for the kind of requests that we are catering to, it’s
very specific organs and tissues that are being requested. So, for example a
paired liver-thymus from the same donor, would be used in SCID mouse
research and things like that. And that’s stuff that has to be isolated within
minutes after the procedure is done, packaged up and and shipped off, you
know, over night to whoever the researcher is.
Ginde: So, technically we wouldn’t be sending it to you, we would be sending it
to-
Buyer: Exactly. Yea. Either, at least initially, we would have one of our
technicians we would send out to kind of walk everybody through it and start
getting used to the process. And then, I think we floated the idea of training J.R, if
that’s still on the table-
Ginde: You guys would have to have someone fly out-
Buyer: Yea, I wanted to talk to you about that.
Ginde: The logistics are so variable that- or if you had someone here, on the
ground who was trained-
Buyer: I do know someone who isn’t that reliable, so I think J.R. would be more
reliable, and it’s just-
Ginde: Because there are some other practices around, I don’t know if you
talked to Warren Hern, he obviously has much later gestations, but if you had
someone on the ground that could kind of work the area-
Buyer: Mhmm. So, I’m just wondering, you have one doctor here a day, is that
what I heard?
Ginde: Mhmm. We do Tuesday through Saturday.
Buyer: Ok. So, if they know that what we’re looking for is intact, and gestational
age later, are they able to- I’m ignorant of this, so I’m relying on you. Are they
able to adjust the technique to provide that?
Ginde: No. Because we’re not- it’s not like we do inductions or anything where
we would have an intact delivery of any type. So, it’s really hit or miss on how
everything comes out in the cannula.
Buyer: Ok, and you can’t control that at all? It’s just what presents.
Ginde: Sometimes, we get- if someone delivers before we get to see them for a
procedure, then they are intact, but that’s not what we go for.
Buyer: So, specimen quality- I was just thinking about the logistics with the tech.
What I was going to say was, the data you sent me on the gestations over
January and February was really helpful, and that made it a lot clearer to me
what we were dealing with. Because it’s interesting, because on the one hand,
you do procedures five days a week, Tuesday through Saturday so you guys are
processing very high volume, which is excellent. On the other hand, because it is
all the gestations, literally just spread out the whole time. So, if we want to take
advantage of that higher number of second tri cases that are available, we’ve got
to have someone stationed here the whole week. Otherwise you’re going to miss
out because it’s so spread out in that time period.
Ginde: It’s variable.
Buyer: Yea, so we, I think, the idea you suggested, you know, a while back, is
the right way to go. To have two pieces, the first would be to have one of our
techs which might- I guess we need to talk about that a little bit more, I don’t want
to throw anybody into something.
Ginde: We can hire somebody?
J.R.: Yea, we can hire someone whose background or whatever it is-
Buyer: Do you have someone in mind for that? No. Ok.
J.R.: It’s a possibility. We can always float someone by-
Buyer: How are you with- are you open to that?
J.R.: Yea.
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Ginde: It’s easy for him, if he’s already
Buyer: Right.
J.R.: Because my office is based downstairs, so I’m walking distance.
Buyer: Mhmm. And you’re right here, you know what’s available. So, that’s one
piece, the other piece would be our relationship, so we could keep those
separate.
Ginde: Mhmm. And, I think we’ve done a little work on how to keep that
separate?
J.R.: Yea, we still need to work out some of the logistics around that. In terms of
the CEA, but yea good question. From what we have at the university, the lawyer
is still going over it.
Buyer: Interesting. They haven’t gotten it kind of back, yet?
J.R.: Not yet, No.
Ginde: He had another court case he was mediating, I think he got side tracked.
Buyer: Ok. How long do you think before that would be in place?
J.R.: I’d have to follow up with him again.
Ginde: I thought he would have that for us by today.
J.R.: Really? He didn’t reply back to me.
Buyer: But sounds safely, within the month?
J.R./Ginde: Oh yea.
Buyer: So then, that’s our- I can assume that piece is in place. That is our
responsibility, and I want to make sure that this is productive for both of us. That,
you’re happy, I’m happy.
Ginde: Absolutely.
Buyer: I’m going to rewind, you put the figure at two-hundred, was it that um-
Yea, we want to talk about that now? I do. I’m going to fade, I can tell.
Ginde: Finances.
J.R.: Especially with travel, you have to get in so much right away.
Buyer: I do.
Ginde: So the one thing I guess I don’t know is: is it going to be based on what is
requested, or what is obtained, or just a flat fee no matter what it is?
Buyer: Our big thing is, what will make it work for the both of us. So, obviously
we want product that we can use. I think the biggest thing is paying for material
the we’re not going to be able to process and send to researchers. So, if there’s,
you know, we certainly see a difference between- it makes a difference between
a case that is so mangled that we can't even get a shred of, you know, piece of
liver out of it, versus something that we can get liver, thymus, pancreas and
neural tissue, obviously that second case is a lot more- so compensation could
be specific to the specimen?
Ginde: Ok. I think then we would just- I think for us
J.R.: Yes, clear criteria.
Ginde: -For what makes something usable. Even if you have pictures, because I
think some of it is visual, at least at this level, because we’re not looking at
anything under a microscope to see what is usable or not.
Buyer: Right.
Ginde: So, this is going to be naked eye determination,so those kinds of things
of what you’re looking for, obviously we’re getting trained. I don’t think I’ve ever
seen a thymus, maybe I have and I don’t know that I have. I know I’ve seen
livers, I’ve seen stomachs, I’ve seen plenty neural tissue, usually we can see the
whole brain.
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Buyer: Does that make it more difficult for you then, if we’re looking for specificsis
that going to be harder on your end?
Ginde: You mean for the specific parts? I mean as long as we know what we’re
looking for, and we know what it looks like.
Buyer: So, I would want you to know that up front, compensation is going to be
higher if it’s going to- specific specimen, you’re going to have to look for it- I want
you to be happy in that, I want to make sure we’re compensating you in that- so,
if that’s a higher compensation level, I want to make sure that we can provide
that.
J.R.: I think as long as there are clear expectations and proper training as to
what we’re looking at and everything, that will definitely help. And also, the
expectation that there maybe screen fails, and not everything will come through.
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Buyer: Right. So one way of maybe one way of controlling for that, the best way
may be, rather than looking at a flat fee per case, I know what some of our
competitors are doing right now is paying per actual procured specimen. So, if
there is a case where we can only get liver, and we have a set fee of fifty dollars
per specimen, maybe it’s seventy five dollars per specimen and that specimen is
what can be procured. So, if we can only get liver, then that’s one unit or one
marked seventy five dollar specimen or one fifty dollar specimen. If we can get
liver, thymus, plus neural tissue and a kidney, then that’s four specimens and
that’s a higher total. The situation with the university, though, was different. It was
a lot less intensive-
Buyer: No, the university that you were working with, I’m trying to remember the-
Ginde: Oh. They wanted just villi, and for them it was a lot easier, they had
criteria um, non-smoker, no medical problems, they had a whole list. They
wanted normal placental tissue and villi and so once people met their criteria and
were willing to donate, we just took the gestational (inaudible) they weren’t
looking for specific parts.
Buyer: Right.
Ginde: And so that way, with them, our fees were for every placenta we gave
them, they gave us a flat fee.
Buyer: Right. So, a flat fee based off placenta.
Ginde: It was so easy.
Buyer: It was easy for you, that’s what I’m imagining. Yea, so I wanna make sure
you are compensated.
Ginde: Yea so if you guys have another organization- someone you guys
already have a relationship with, who’s doing this for you already. LIke, that
would be really good for us.
Buyer: To do the training,