Latest / Pharmacy Podcast Network / Healing the Sick Care System; Why People Matter | TWIRx
Transcript
- 0:05Speaker 1: You are listening to the global network of podcasters dedicated
- 0:09Speaker 1: to the pharmacy profession. Welcome to the Pharmacy Podcast Network.
- 0:26Speaker 2: Hey, welcome to this Week in Pharmacy. I'm your host Todd.
- 0:31Speaker 2: You're a founder of the Pharmacy Podcast Network. Big news
- 0:35Speaker 2: from Drug Topics. FDA set to review peptide access for
- 0:40Speaker 2: compounding pharmacies. It goes on to saying that following the
- 0:44Speaker 2: recent comments from the US Department of Health and Human Services,
- 0:49Speaker 2: the Secretary Robert F. Kennedy Junior, FDA announced its plans
- 0:53Speaker 2: to explore easing compounding restrictions for seven seven separate sptide molecules,
- 1:01Speaker 2: and it goes on to say that the move comes
- 1:04Speaker 2: as RFK Junior advocates for expanding access, arguing that this
- 1:08Speaker 2: regulation will shift demand away from the black market. And
- 1:13Speaker 2: he said that he's a described big fan of these
- 1:18Speaker 2: substances and voiced his support for loosening regulations on compounding
- 1:26Speaker 2: often pitched for healing injuries, building muscle, or anti aging benefits.
- 1:33Speaker 2: So on one hand, very excited that compounding pharmacies will have
- 1:38Speaker 2: much more to say about this. Great to see this,
- 1:42Speaker 2: Just want to know what pharmacists think about loosening guidelines
- 1:46Speaker 2: around FDA and consistency of the FDA with our current administration.
- 1:53Speaker 2: When I say consistency, I mean from one regulation to
- 1:57Speaker 2: another point to another point. So as long as it's
- 2:00Speaker 2: evidence based, as long as we're following the proven standards
- 2:03Speaker 2: to keep the public safety safe, I'm great with that.
- 2:07Speaker 2: Although I am very much in favor of compounding. Pharmacist
- 2:12Speaker 2: making specific decisions for their patients, and regulations around compounding
- 2:18Speaker 2: specifically are so high I'd like to hear from the
- 2:22Speaker 2: APC on this. They're a member of the Pharmacy Podcast
- 2:28Speaker 2: Network and we're very proud to have them on the network. Hey,
- 2:32Speaker 2: next up, Early detection changes everything in Alzheimer's disease care
- 2:39Speaker 2: and pharmacists are uniquely positioned to help. This comes from
- 2:44Speaker 2: Pharmacy Times just today and this is a recent interview
- 2:49Speaker 2: on the Pharmacy Times. The twenty twenty sixth American Academy
- 2:54Speaker 2: of Neurology the AAN Annual Meeting. They went into doctor
- 2:59Speaker 2: Childrey Cognitive neurologists overview of Alzheimer's disease and how pharmacists
- 3:08Speaker 2: have an extremely interesting advantage of being drug medication experts
- 3:17Speaker 2: and the impact on Alzheimer's Look this up, Read into it.
- 3:20Speaker 2: This always goes back to what we say on this
- 3:23Speaker 2: Week in Pharmacy and Pharmacy Podcast Network that there's a
- 3:26Speaker 2: huge opportunity for pharmacists to become experts in mental health
- 3:30Speaker 2: and more specifically in Alzheimer's Look this up once again
- 3:34Speaker 2: from Pharmacy Times today, Hey, coming from Routers. The title
- 3:39Speaker 2: is Bristol Myers Pfizer to offer blockbuster blood thinner through
- 3:45Speaker 2: Mark Cuban's online pharmacy. I think this is great news.
- 3:50Speaker 2: I think that Mark Cuban Costless Drugs has rocked the
- 3:55Speaker 2: industry and it couldn't have come at a better time
- 3:58Speaker 2: with PBM reform happening. It says cost plus Drugs founded
- 4:02Speaker 2: in twenty twenty two, an online pharmacy that lets patients
- 4:05Speaker 2: by medicines directly with clearly listed prices and home delivery
- 4:10Speaker 2: through a model design to reduce added costs in supply chain,
- 4:15Speaker 2: and there's a pharmacist oversight and getting access to this. Obviously,
- 4:18Speaker 2: you need a prescription for these medications. However, I'm just
- 4:22Speaker 2: saying that if you have multi billion dollar drug manufacturers
- 4:28Speaker 2: paying attention and doing business with Mark Cuban, cost plus
- 4:32Speaker 2: drugs and really getting around the cost plus model. I
- 4:36Speaker 2: think this is going to farewell for the American issue,
- 4:41Speaker 2: United States issue with drug prices, and I think that
- 4:46Speaker 2: this will also help once again with PBM reform, showing
- 4:49Speaker 2: that in the current state, the PBMs that are in
- 4:53Speaker 2: place in the current model is absolute crap and we
- 4:58Speaker 2: need to change the three biggest PBMs and taking the
- 5:03Speaker 2: majority of that revenue in the form of profits. And
- 5:07Speaker 2: so I like seeing this. A shout out to Mark
- 5:10Speaker 2: Cuban Cost Plus Drugs in all the work that they're doing.
- 5:15Speaker 2: We are huge fans. Stay tuned. We have four amazing
- 5:20Speaker 2: interviews today. Kicking things off to start is Gil Bash
- 5:25Speaker 2: and we're going to be talking about a brand new
- 5:27Speaker 2: book that if you are in healthcare you have got
- 5:30Speaker 2: to read. Stay tuned for this Week in Pharmacy. Hey,
- 5:51Speaker 2: welcome back to this Week in Pharmacy. I have a
- 5:53Speaker 2: special friend in the studio with me, Gilbash, who I
- 5:57Speaker 2: was so fortunate not only to meet you through a
- 6:00Speaker 2: fellow friend, John Nosta, who was here just last week,
- 6:05Speaker 2: but it was your mentorship of me in elevating the
- 6:10Speaker 2: Pharmacy podcast network into client accounts and finn Partners and
- 6:15Speaker 2: the Health Division and conference, your.
- 6:18Speaker 3: Opportunity will rekind Todd you're over the First of all,
- 6:21Speaker 3: you're hanging out with really amazing people like John Nosta,
- 6:25Speaker 3: whose book The Borrowed Mind is I think a must read,
- 6:29Speaker 3: a must read, and I know you just had him
- 6:32Speaker 3: on a few days ago. I think that that's true.
- 6:35Speaker 3: I've even written about John Nosta.
- 6:37Speaker 2: I love it.
- 6:38Speaker 3: I wrote a review of the book and it's a
- 6:40Speaker 3: must read book. And I'm glad you had John on.
- 6:43Speaker 3: It really speaks to the importance of your platform and
- 6:46Speaker 3: the importance of his words that the sense of mentorship
- 6:51Speaker 3: has been mutual.
- 6:52Speaker 4: First of all, it's a thrill.
- 6:53Speaker 3: To be on Pharmacy Podcast Network and to be in
- 6:58Speaker 3: conversation with our nation's pharmacists, who are the backbone of
- 7:02Speaker 3: the health system and feature prominently in my own book
- 7:06Speaker 3: as the superheroes of the system. And also we can
- 7:09Speaker 3: talk more about it. Why that unique culture of community
- 7:14Speaker 3: pharmacy or or you know, the neighborhood pharmacy is so
- 7:19Speaker 3: essential to the well being of our nation's health. Almost
- 7:24Speaker 3: everybody touches a pharmacy regularly, and I have a very
- 7:28Speaker 3: special relationship with our community pharmacy a call out to
- 7:32Speaker 3: Boyd's Pharmacy on Main Street.
- 7:34Speaker 4: My touching.
- 7:35Speaker 3: They deserve lots of applause, Todd, certainly my family that
- 7:40Speaker 3: relies on them for not only great service but good advice.
- 7:45Speaker 3: And they're in the book by the way, as a
- 7:47Speaker 3: shout out because they deserve it. So it's a thrill
- 7:50Speaker 3: to be here. And I've learned a lot from you
- 7:54Speaker 3: and met a lot of really amazing people through you
- 7:56Speaker 3: in the network.
- 7:58Speaker 2: Well, thank you, Gil. This book is very special and
- 8:02Speaker 2: it's gone global. It's reached different countries, different people in healthcare,
- 8:08Speaker 2: in the healthcare space. You said something before we started
- 8:11Speaker 2: recording that really meant that was powerful, and you said
- 8:14Speaker 2: that through that universal connection, these people are experiencing the
- 8:18Speaker 2: same thing in everywhere as healthcare providers, as people in
- 8:24Speaker 2: the system that are frustrated who are getting burnout. Expand
- 8:27Speaker 2: upon that for the listeners about what's happening to this book.
- 8:30Speaker 2: This has just been incredible.
- 8:31Speaker 3: Yeah, I look, thank you for that. I'm I'm gratified.
- 8:36Speaker 3: I'm overwhelmed that the book has gone global. I know
- 8:39Speaker 3: I see people I've signed copies of the book. You know,
- 8:42Speaker 3: obviously in New York or there were other cities, And
- 8:46Speaker 3: I was in Las Vegas at the HYMNS meetings signing
- 8:48Speaker 3: copies of the book that people brought for me to sign.
- 8:52Speaker 3: But I've been in India signing copies of the book.
- 8:54Speaker 3: I see copies being presented by people in the health
- 9:00Speaker 3: industry in France, in the United Kingdom. It's really quite
- 9:05Speaker 3: an experience when you see people connecting to something like this,
- 9:09Speaker 3: and there's a very good reason. Actually, actually here's a
- 9:13Speaker 3: copy of the hardcover copy of the book for people
- 9:17Speaker 3: want to see. Oh, you've got a copy too, Well,
- 9:21Speaker 3: I haven't signed that copy. No, I can't wait to
- 9:24Speaker 3: Pittsburgh now.
- 9:25Speaker 2: I know I'm going to make a We're going to
- 9:27Speaker 2: meet up probably maybe at hlt H or something, but
- 9:29Speaker 2: we're going to meet up on bringing this with me.
- 9:31Speaker 4: I would love that now. I think part of it
- 9:34Speaker 4: is that.
- 9:36Speaker 3: Health is a very human experience, a very intimate human experience,
- 9:41Speaker 3: both the needing of of support of health expertise and
- 9:45Speaker 3: the providing of health expertise. When you look at that
- 9:48Speaker 3: human connection, whether it's through a physician's office, whether it's
- 9:53Speaker 3: in contact with a nurse practitioner, whether it's it's it's
- 9:57Speaker 3: asking the pharmacists a question across the counter when they're
- 10:00Speaker 3: up there behind the secondary counter and they come around
- 10:03Speaker 3: to speak to you or give you an inoculation, a
- 10:06Speaker 3: vaccine for flu. It's a very personal experience, and we
- 10:10Speaker 3: tend to forget that no matter what the economic system is,
- 10:14Speaker 3: whether it's government provided health or private insurance, or you
- 10:19Speaker 3: have a special insurance plan like Medicare and Medicaid, the
- 10:22Speaker 3: actual interaction between the provider, the healer, and the consumer
- 10:28Speaker 3: the patient is incredibly intimate and personal, and I think
- 10:32Speaker 3: people really connected to the saga the stories in the book.
- 10:37Speaker 3: The book also became popular. A lot of people from
- 10:40Speaker 3: around the world have written to me and said, I've
- 10:43Speaker 3: experienced these things before, but reading them made me realize
- 10:48Speaker 3: how universal my experience was. My disappointment or my struggle,
- 10:53Speaker 3: or my hope or the wonderful care I received. The
- 10:57Speaker 3: book covers all of those experiences and brings it down
- 11:02Speaker 3: to a core nugget. You know, a lot of times
- 11:05Speaker 3: we have an experience in a doctor's office that stays
- 11:11Speaker 3: with us for years, for decades. It can be an
- 11:16Speaker 3: amazingly positive experience or a sad to say, disappointing experience,
- 11:25Speaker 3: but they're both memorable, and so the book brings forward
- 11:28Speaker 3: also memorable experiences that are very very powerful and touch
- 11:33Speaker 3: people's hearts and souls and make them think about what
- 11:37Speaker 3: they really want. And the essence of the book for
- 11:40Speaker 3: those listening in is we have the ability to rebuild
- 11:46Speaker 3: a hell system that remembers our humanity that is less
- 11:50Speaker 3: transactional in nature and more about the connection that we
- 11:54Speaker 3: have between healer and those seeking to be healed, and
- 11:58Speaker 3: calls upon us to actually rally, rally to that moment
- 12:02Speaker 3: that possibility and make it happen. So thank you for
- 12:07Speaker 3: having a copy of the book. I so appreciate it.
- 12:10Speaker 3: It really is amazing that you have that.
- 12:12Speaker 2: So the book is Healing the sick care system, Why
- 12:17Speaker 2: people matter. It's a Amazon bestseller. I want to point
- 12:23Speaker 2: something out and bring this to the listener's attention. If
- 12:25Speaker 2: you're listening, if you're in your car, you're jogging or something,
- 12:28Speaker 2: definitely take an opportunity to look this up. I'll have
- 12:32Speaker 2: a link in the show notes to get access to
- 12:35Speaker 2: the book. Get your copy. But something that stood out
- 12:39Speaker 2: to me that zoomed out of healthcare and it was
- 12:42Speaker 2: my favorite section or the story, and you were right
- 12:46Speaker 2: about the stories, because the stories is what always touched me,
- 12:49Speaker 2: is I start empathizing from the perspective of you, but
- 12:52Speaker 2: then also the perspective of the person that you were
- 12:55Speaker 2: interacting with. So there was a beggar that you came across.
- 12:59Speaker 2: You were with an ather, their colleague. He was a
- 13:00Speaker 2: younger person, and you recognize this person as a human being,
- 13:06Speaker 2: and you didn't. It wasn't the transaction that the beggar
- 13:09Speaker 2: was asking for some money. You gave the beggar a
- 13:11Speaker 2: little bit of money, and then you looked at them
- 13:13Speaker 2: and you asked, how are you doing? You took time
- 13:16Speaker 2: to talk with them. You made that the eyes to
- 13:19Speaker 2: eyes connection, and you taught your colleague. You taught me
- 13:24Speaker 2: just from that passage. This isn't if we zoomed out
- 13:27Speaker 2: of healthcare. This is about being human human. It reminds
- 13:32Speaker 2: me of the story of things that Jesus did in
- 13:35Speaker 2: his representation to his growth of his movement. But it's
- 13:40Speaker 2: absolutely that it's that human to human pause and connection
- 13:44Speaker 2: to make somebody feel seen. And you've always done that.
- 13:48Speaker 2: Even when I worked with you in projects and I
- 13:50Speaker 2: was working on something, you were able to zoom out
- 13:54Speaker 2: and say what what's the real focus of this project.
- 13:57Speaker 2: What are we doing as a team to bring attention
- 13:59Speaker 2: to this?
- 14:00Speaker 3: Now you know that that story. First of all, thank
- 14:02Speaker 3: you for remembering that from the book. There's there's a
- 14:07Speaker 3: few stories like that in the book where and I
- 14:11Speaker 3: have to admit, it's not always in the moment that
- 14:13Speaker 3: I that I recognize what I'm doing. It's sometimes after
- 14:18Speaker 3: it's passed and I'm walking away and I'm thinking about
- 14:21Speaker 3: the exchange I've had with someone that I realized that
- 14:26Speaker 3: that it's been a special moment, a special encounter, and
- 14:29Speaker 3: I've learned something from it. And I think that in medicine,
- 14:33Speaker 3: bringing it back to the core aspect that doctors, particularly
- 14:38Speaker 3: in the system, are are directed how much time they
- 14:41Speaker 3: can spend with a person. Yep, No, twelve minutes if
- 14:45Speaker 3: it's this, sixteen minutes if it's that, and and so
- 14:48Speaker 3: when you're you're you're channeling and saying doctor, this is
- 14:53Speaker 3: primary care visit. Twelve minutes is the expected time you
- 14:56Speaker 3: should spend with them. It doesn't allow the connection to
- 15:01Speaker 3: unfold where you see that person who's the health professional,
- 15:07Speaker 3: nurse practitioner, physician's assistant, physician. You don't get a chance
- 15:13Speaker 3: to see them as your trusted counselor in your health
- 15:16Speaker 3: and well being. It becomes also a discussion moment, and
- 15:20Speaker 3: that's the breakdown of American primary care. It's one of
- 15:23Speaker 3: the reasons why we go to walking clinics. I have
- 15:27Speaker 3: a cough. We don't think of calling a primary care
- 15:30Speaker 3: physician any longer. We look at a walking clinic and
- 15:34Speaker 3: it's transactional. I've got a cough, Fix my cough. I've
- 15:38Speaker 3: got a rash, Fix my rash. There's no even conversation
- 15:41Speaker 3: on the underlying cause of the cough or the rash
- 15:45Speaker 3: or the bruise. It's oh, here's an antibiotic. Oh, here's
- 15:51Speaker 3: an ointment. No, no, oh, you know here, here's a
- 15:56Speaker 3: band aid. And so it becomes very fix it oriented
- 16:01Speaker 3: rather than us and you moment. No, we call it
- 16:05Speaker 3: in philosophy the ivow moment is suddenly the I it.
- 16:09Speaker 4: We're the it.
- 16:10Speaker 3: And I think that people are disillusioned, not because of
- 16:14Speaker 3: the quality of the actual care or the access to
- 16:19Speaker 3: innovation or the training of the physician. Actually, in this country,
- 16:24Speaker 3: we spend two to three times more than most developed nations.
- 16:28Speaker 3: We spend twenty percent of our GDP on health most
- 16:31Speaker 3: developed nations spend anywhere between six and ten percent of
- 16:35Speaker 3: the GDP on health. We have the best trained physicians
- 16:39Speaker 3: in the world. Other countries as well, but we have
- 16:42Speaker 3: among the best trained physicians. And how many nations, How
- 16:46Speaker 3: many people in different nations want to come to the
- 16:48Speaker 3: United States to do their residencies at US based American
- 16:52Speaker 3: teachings centers. Many So we have great academic centers of learning.
- 16:59Speaker 3: So we've got great we've got great training, we spend
- 17:02Speaker 3: a ton of money, yet we're dying five to ten
- 17:06Speaker 3: years earlier than most developed nations. I think we're thirty
- 17:09Speaker 3: third on the chain of life expectancy of developed nations.
- 17:13Speaker 3: That's not a great ranking. So we have to say
- 17:16Speaker 3: to ourselves, g we're doing all these things operationally right,
- 17:20Speaker 3: Why are we dying off? Why is the quality of
- 17:23Speaker 3: our care not delivering to our expectation? And the book
- 17:27Speaker 3: explores not the policy or economics of that, but the
- 17:32Speaker 3: behavioral psychological element of what's going on and why is
- 17:37Speaker 3: it that between doctors and nurses. Pharmacists a different category,
- 17:42Speaker 3: but doctors and nurses more the greater than fifty percent
- 17:45Speaker 3: of them feel burnt out of the profession. That's not
- 17:49Speaker 3: a great sign when the people in the who came
- 17:52Speaker 3: in with all this excitement inspiration to do good work,
- 17:58Speaker 3: so to say, I don't want to do this. And
- 18:01Speaker 3: I talk about some of those doctors who opted out,
- 18:05Speaker 3: quit medicine because they couldn't stand the system. They like
- 18:09Speaker 3: patient care, couldn't stand the system. So obviously it's not
- 18:13Speaker 3: working well or optimally for us. One of the shining
- 18:17Speaker 3: moments in the book is for all those pharmacists listening
- 18:21Speaker 3: as they're driving along, is pharmacy. Pharmacists have a high
- 18:26Speaker 3: degree of professional satisfaction. They like interacting with the consumer,
- 18:32Speaker 3: the patient. They see the patient the consumer as a customer,
- 18:39Speaker 3: which is unique to the system. The system doesn't see
- 18:42Speaker 3: us as customers that we pay. We pay into our
- 18:46Speaker 3: healthcare in this nation dearly. They're called beneficiaries, which means
- 18:51Speaker 3: they're benefiting from the services offered. Pharmacists really like their
- 18:56Speaker 3: consultative role. They enjoy it. Flip side, they're not compensated
- 19:03Speaker 3: for that value. They do it in many cases from
- 19:07Speaker 3: the desire to care, good heart, and professional satisfaction. But
- 19:13Speaker 3: everybody else is getting a piece of the action and
- 19:17Speaker 3: they're not. We have to be careful that the trickle
- 19:20Speaker 3: down effect of despair doesn't hit the pharmacy community, then
- 19:24Speaker 3: that backbone of our health system will break and I
- 19:28Speaker 3: think all of us will.
- 19:29Speaker 4: Be in trouble.
- 19:31Speaker 2: Gil, you brought up a really good point. So the
- 19:34Speaker 2: plate tectonic shift under the ground of the pharmacy profession
- 19:39Speaker 2: is a foot, and it's because PBM reform has finally
- 19:45Speaker 2: come to really happening. It's not being talked about anymore,
- 19:49Speaker 2: it's actually taking place. So the preparation and I'm not
- 19:54Speaker 2: naive the preparation of this next level of how pharmace
- 20:00Speaker 2: to start going to interact with patients is going to
- 20:03Speaker 2: be less about the prescription and much more about the outcome,
- 20:06Speaker 2: and much more about the speciesivity and the specialty, especially
- 20:10Speaker 2: like an oncology or women's health specifics or specialty pharmacy.
- 20:17Speaker 2: But in the community setting, in the retail setting, in
- 20:20Speaker 2: the chain setting, and you have to follow that community
- 20:23Speaker 2: retail chain, there's been a massive burnout of the pharmacist
- 20:30Speaker 2: because the model became perverted and it was more about
- 20:34Speaker 2: the transaction and the revenue than it was about the care.
- 20:38Speaker 2: So when I'm reading sections of your book, it's standing
- 20:41Speaker 2: out to me, including the testimony from your own community.
- 20:44Speaker 2: Pharmacists that treat you with respect. Just like the beggar
- 20:48Speaker 2: looks you in the eye, you know what's going on
- 20:51Speaker 2: with you, starts making comments, maybe about something else that
- 20:54Speaker 2: you didn't think about, but then knows bigger context about
- 20:59Speaker 2: you your life. They may know about your wife, or
- 21:02Speaker 2: they may know about your your son or your daughter
- 21:05Speaker 2: or a friend, or they might say, hey, Gil, Nancy
- 21:09Speaker 2: told me to ask for prayer or something because she's
- 21:13Speaker 2: going through something something. So it's more of not only
- 21:17Speaker 2: the care that they're getting. It's the community about health
- 21:21Speaker 2: care that then you plug into these passionate physicians who
- 21:25Speaker 2: want to practice medicine. You plug into these pharmacists who
- 21:28Speaker 2: desperately want to be pharmacists and dig down into issues
- 21:32Speaker 2: and give these providers a chance to practice at the
- 21:35Speaker 2: top of their license rather than it being about the
- 21:38Speaker 2: money in the system that sucks out the joy.
- 21:42Speaker 3: And this is sectionally my book. I'll read in a
- 21:45Speaker 3: second little paragraph. Look, I in the book, I talk
- 21:49Speaker 3: about the fact that money is important to the system.
- 21:52Speaker 3: Now we have we have a free economy, free enterprise here,
- 21:56Speaker 3: so it's not like money isn't part of the conversation.
- 22:01Speaker 3: But when you really analyze the supply chain of care
- 22:05Speaker 3: and you re emphasize the human connection, what you find
- 22:11Speaker 3: is you get better return on investment for the health dollar.
- 22:15Speaker 3: So a physician who's able to have time to assess
- 22:22Speaker 3: why is it that this person has so many asthma attacks,
- 22:26Speaker 3: or why is this person struggling with their weight, or
- 22:29Speaker 3: why is this person getting sort of like these rashes.
- 22:35Speaker 3: Often what happens is care becomes symptomatic, and symptomatic means
- 22:40Speaker 3: chronic in a way. When we're treating chronic conditions, it's
- 22:44Speaker 3: much more expensive because we're treating them over the life
- 22:47Speaker 3: of the patient, which we hope is a long life.
- 22:50Speaker 3: When we can get to the root cause of the condition,
- 22:53Speaker 3: we have the possibility of actually being curative or preventive
- 22:59Speaker 3: in a way that doesn't allow a condition to progress.
- 23:03Speaker 3: So the more transactional care becomes, actually the more we
- 23:07Speaker 3: add to the complexity and cost of that care. For pharmacists,
- 23:12Speaker 3: pharmacists are treasured and underutilized in terms of their professional ability.
- 23:19Speaker 3: No one knows more about real world evidence and actualization
- 23:23Speaker 3: than the pharmacists the comments they get. Nobody knows more
- 23:27Speaker 3: of the patient has actually picked up the refill of
- 23:30Speaker 3: their prescription than the pharmacist. Nobody knows more about what
- 23:36Speaker 3: other medications that the patient is saying than the pharmacist.
- 23:41Speaker 3: Our system of information relies on interconnectivity, which is happening.
- 23:46Speaker 3: By the way, now that you know what you tell
- 23:50Speaker 3: one doctor you're taking now is sort of in your
- 23:53Speaker 3: electronic medical records and is accessible. That's an important sort
- 23:58Speaker 3: of like core foundational informa tool. But where's the genesis
- 24:02Speaker 3: of a lot of information the pharmacy. Let me stay
- 24:06Speaker 3: with the pharmacy for a moment. Once upon a time
- 24:08Speaker 3: people became pharmacists and they worked in an owned pharmacist.
- 24:13Speaker 3: A pharmacists would own in many cases would figure out
- 24:16Speaker 3: how to own three to five pharmacies, not unusual. They
- 24:20Speaker 3: didn't just own one, they owned a few, and so
- 24:25Speaker 3: your satisfaction of coming in, whether it was like you
- 24:28Speaker 3: needed a shampoo for your dand drift or a greeting card,
- 24:32Speaker 3: was all part of that mutual experience. It was holistic.
- 24:38Speaker 3: Now what happens is some pharmacists sell their pharmacies to
- 24:42Speaker 3: chains because the real estate is worth more than the pharmacy,
- 24:47Speaker 3: and they have to protect themselves economically. But what happens
- 24:51Speaker 3: once that happens, the chain then looks at the supply
- 24:56Speaker 3: chain of pharmacists and they say, oh, we have x
- 25:02Speaker 3: amount of pharmacists in our employee today or this week,
- 25:06Speaker 3: you're working in this town, next week you're working in
- 25:09Speaker 3: that town. And then I see you're taking vacation, so
- 25:13Speaker 3: so and so will plug in. And what they do
- 25:16Speaker 3: is they look at pharmacists like they look at the
- 25:18Speaker 3: supply chain of moving the talent around. But as a
- 25:22Speaker 3: result of that, that pharmacist in that chain, they don't
- 25:27Speaker 3: have any relationship per se with the people who are
- 25:30Speaker 3: coming in with questions. It's a transactional nature of information. Now,
- 25:35Speaker 3: we're not going to stop chain pharmacy and forbid. They
- 25:38Speaker 3: actually allow us to have access in places we might
- 25:41Speaker 3: not have had access. They're taking over the hospital pharmacy.
- 25:45Speaker 3: In many cases, you go to the pharmacy hospital pharmacy,
- 25:48Speaker 3: you see it's a Walgreen's, a CVS pharmacy inside the
- 25:53Speaker 3: hospital because they're taking a hospital pharmacist and they're supporting
- 25:57Speaker 3: that through the chain, through the supply chain deliver. Okay,
- 26:01Speaker 3: so we're stuck there. But what happens is we have
- 26:04Speaker 3: to sort of center around why does it all exist
- 26:07Speaker 3: in the first place. I mean, what does a hospital exist,
- 26:10Speaker 3: Why does a doctor's office exist, Why does a pharmacy exist?
- 26:15Speaker 3: I mean, what's their core purpose? Oh, to help people
- 26:20Speaker 3: who have health needs. But those needs aren't an abstract.
- 26:26Speaker 3: The system centers around people. And what's happening is, or
- 26:32Speaker 3: we can call them patients if you'd like, for the
- 26:34Speaker 3: purpose of our exchange, what happens is it's not that
- 26:38Speaker 3: patients or people have a seat at the decision making table.
- 26:43Speaker 4: They don't.
- 26:44Speaker 3: That's okay, that's okay, but at least they should be
- 26:48Speaker 3: represented by the ambassadors of care, the people at the table,
- 26:53Speaker 3: the health insurance companies, the hospital systems, and physician groups
- 26:58Speaker 3: and health professional groups, the product innovators, the policy makers.
- 27:04Speaker 3: What's happened is they don't have a common goal. They
- 27:08Speaker 3: share nothing in common. What does the health insurance company
- 27:11Speaker 3: share with the company that makes new medicines. What does
- 27:15Speaker 3: the company that makes new medicines share with physician community?
- 27:20Speaker 3: What does the physician community share with another piece of
- 27:24Speaker 3: the community. They all have different business goals and as
- 27:29Speaker 3: a result of that, there's no harmonization of shared purpose.
- 27:34Speaker 3: Now they shared purpose in a system of connectivity health
- 27:37Speaker 3: system kinetics is we exist for the sake of the patient,
- 27:43Speaker 3: and we have to put the patient to the center
- 27:45Speaker 3: of our goal and ask how are we benefiting that connection.
- 27:50Speaker 3: For pharmacists, it's super clear. If you say, pharmacy, why
- 27:55Speaker 3: do you exist, they say, well, for the health of
- 27:58Speaker 3: my community, for the people come in here, my customers, right,
- 28:02Speaker 3: my customers, That's why I exist.
- 28:05Speaker 4: Super clear.
- 28:05Speaker 3: For pharmacy. If you were to say to a hospital,
- 28:08Speaker 3: why do you exist, they would say, oh, for the
- 28:10Speaker 3: patients who walk in and need our care. But operationally
- 28:13Speaker 3: they're looking at margins that are tight. It's transactional. I
- 28:19Speaker 3: just want to read a paragraph on the book that
- 28:21Speaker 3: I think parifies what I'm saying. Tell us what page,
- 28:25Speaker 3: and it is from page thirty three.
- 28:28Speaker 2: You can follow along, fall along right now.
- 28:32Speaker 3: Okay, health is both a business and a mission. Let's
- 28:37Speaker 3: flip that notion for a moment. When you see the
- 28:40Speaker 3: health system first as a mission, it still demands structure
- 28:44Speaker 3: and resources. It requires equipment to medicines, investment and innovation,
- 28:49Speaker 3: training and educating people, and making smart, sometimes difficult choices
- 28:55Speaker 3: where need is greatest. The mission and the business are inseparable.
- 29:00Speaker 3: So why is the mission so often sidelined? I'll go
- 29:07Speaker 3: into the next one. The answer becomes clear when you
- 29:09Speaker 3: look at communities themselves. A mission without business discipline is
- 29:13Speaker 3: only an aspiration. If you serve neighborhoods near factories or foundriies,
- 29:18Speaker 3: respiratory disease or diabetes may be disproportionately common.
- 29:22Speaker 4: And I go into this.
- 29:23Speaker 3: So look, when we take a look at business and mission,
- 29:28Speaker 3: they're inseparable.
- 29:30Speaker 4: In health.
- 29:31Speaker 3: The challenge is is that we tend to hyper focus
- 29:34Speaker 3: on the business and we don't bring the mission into
- 29:40Speaker 3: the conversation side by side. People and profit, purpose and
- 29:46Speaker 3: profit in people can live in harmony. It's not one
- 29:51Speaker 3: or the other. We have to have leadership that embraces
- 29:56Speaker 3: the three. And that's what I talk about in the
- 29:58Speaker 3: book That's Hopeful, talk about actually preparing another generation of
- 30:03Speaker 3: leadership to take hold of the fact that without clarity
- 30:07Speaker 3: of purpose centering around people, we will not get to
- 30:12Speaker 3: a sustainable profit. So the book is not, by any
- 30:17Speaker 3: means a counterway to business. It embraces business and its purpose.
- 30:24Speaker 3: It is saying, let us collectively get hyper focused on
- 30:28Speaker 3: why we all exist to serve people's best health interests.
- 30:35Speaker 2: Hey, there's a practice what you preach in walking the
- 30:40Speaker 2: talk that has always exuded from you, and what you
- 30:44Speaker 2: expect of your teams, what you expect of colleagues that
- 30:48Speaker 2: you've trusted. And I've even experienced that myself, where you've
- 30:52Speaker 2: held me accountable to something that I've promised that I
- 30:56Speaker 2: would do. Because we owe this to our clients who
- 30:59Speaker 2: are paying us money, need to do things through their
- 31:01Speaker 2: messaging and their positioning. There's a culture at finn Partner's
- 31:07Speaker 2: Health and finn Partner's the seventeen office. Throughout the Globe
- 31:12Speaker 2: public Relations organization, many different sectors, but the health sector
- 31:16Speaker 2: is very, very special. It's the one that I was
- 31:19Speaker 2: part of for about three and a half years and
- 31:21Speaker 2: still a part of it. It's just a different type
- 31:24Speaker 2: of partnership, which I'm proud of. But talk to us
- 31:27Speaker 2: about that culture because that is pouring and that's kind
- 31:31Speaker 2: of between the lines throughout the book.
- 31:34Speaker 3: Yeah, and I mentioned I say that this is a
- 31:37Speaker 3: book I think I could have only written through my
- 31:42Speaker 3: my experiences are cultural touch points with Finn Partners, and
- 31:48Speaker 3: it is not that I couldn't have written the book
- 31:50Speaker 3: at another time or another place. Another location, another employer.
- 31:54Speaker 3: It's that Finn Partners was created on purpose for purpose
- 32:00Speaker 3: has become a very successful, sustainable global business with thirty
- 32:03Speaker 3: seven offices and thirteen hundred people around the world. Peter Finn,
- 32:09Speaker 3: who's the founder of Finn Partners, actually created a test
- 32:12Speaker 3: model for Finn that I mentioned in the book called
- 32:16Speaker 3: the Catskill Mountain Foundation, where he lived in a rural
- 32:20Speaker 3: community in upstate New York that was deteriorating. In fact,
- 32:26Speaker 3: it gotten to a point where there was one week
- 32:27Speaker 3: two murders in the town, and he decided that he
- 32:32Speaker 3: and his wife would engage and turn around the community.
- 32:39Speaker 3: They have successfully, very successfully. It's a model, I think
- 32:42Speaker 3: for our nation of what leadership can do. And what
- 32:48Speaker 3: he did was he this was a resort town that
- 32:51Speaker 3: had stopped getting visitors. Quite bluntly, it was a place
- 32:55Speaker 3: Hunter Mountain where people go to ski Hunter New York, Tannersville.
- 33:01Speaker 3: They'd gone to ski Obviously, our weather has changed somewhat.
- 33:05Speaker 3: We don't realize that all those people work on the
- 33:07Speaker 3: ski slopes and these communities are day workers. If there's work,
- 33:11Speaker 3: they get paid, no work, they don't get paid, and
- 33:14Speaker 3: desperation despair can lead to deadly acts as well as
- 33:20Speaker 3: disease and death. And so he decided with the abandoned
- 33:25Speaker 3: stores and so forth, to bring the arts, performing and
- 33:30Speaker 3: creative arts to the town and create an all year
- 33:33Speaker 3: round economy. He succeeded exponentially. It's amazing. I've been there
- 33:37Speaker 3: many times. As matter of fact, just to let people know,
- 33:40Speaker 3: if you burow the book, all of my author royalties
- 33:43Speaker 3: are going to charities. The Catscom Mountain Foundation one of
- 33:46Speaker 3: the three charities receiving my royalties, and I'm privileged to
- 33:51Speaker 3: say in a few weeks they'll get a very sizable
- 33:53Speaker 3: check thanks to the success of the book. And that
- 33:57Speaker 3: was my goal. It was never to make a profit
- 34:00Speaker 3: from this book or profit from my ideas, but to
- 34:04Speaker 3: use them to inspire people and to help people.
- 34:06Speaker 4: It's doing both.
- 34:08Speaker 3: I will say that the experience of watching an organization
- 34:13Speaker 3: think long term, be reflective, look at the weight of
- 34:18Speaker 3: its decisions on its impact on people's lives is impressive.
- 34:24Speaker 3: Is a strong, sustainable, profitable business has the highest staff
- 34:31Speaker 3: retention rate in the business, highest client retention rate in
- 34:34Speaker 3: the business. I'm not saying that to self in partners.
- 34:37Speaker 3: I'm saying that to reinforce the fact that a purpose
- 34:40Speaker 3: centered for profit business can be successful, and that our
- 34:45Speaker 3: hospital systems should not eke out two percent margins. They
- 34:51Speaker 3: should make fair margins. People, nurses, technicians, administrative staff, support
- 34:59Speaker 3: staff should earn fair salaries. There's a way to do this.
- 35:03Speaker 3: People are making a lot of money in the health system. Great,
- 35:07Speaker 3: that's great. Health is an important part of our nation's economy,
- 35:12Speaker 3: and the people in the system obviously are important to
- 35:15Speaker 3: the success of the system.
- 35:17Speaker 4: We have to figure this out. How do we do that?
- 35:19Speaker 3: Again, let's focus on people, and if we focus our
- 35:23Speaker 3: decisions around people, I'm confident that we'll get to profit.
- 35:28Speaker 3: But if we focus this on profit or transaction, what
- 35:33Speaker 3: happens is we have a weight problem in this country
- 35:37Speaker 3: that is at epidemic levels that leads to pre diabetes
- 35:41Speaker 3: and type two diabetes. It costs us money. That costs
- 35:44Speaker 3: us money. What happens is we have a kick the
- 35:47Speaker 3: can down the road problem solving approach. So, for instance,
- 35:52Speaker 3: on Medicaid, these are the people probably need the most
- 35:56Speaker 3: amount of TLC and care and they need the most
- 35:59Speaker 3: amount of in terms of access.
- 36:01Speaker 4: To nutritious food.
- 36:03Speaker 3: Yet it's the opposite, so they get sick and they
- 36:07Speaker 3: appear at ers that have to care for them and
- 36:10Speaker 3: can't get the reimbursement for the care, and so it
- 36:14Speaker 3: cuts the hospital margin. So we see rural hospitals clothes
- 36:18Speaker 3: because they can't afford to stay open, and so we
- 36:21Speaker 3: see less access to care. Someone has to really start
- 36:25Speaker 3: to connect all the dots here and understand that it's
- 36:30Speaker 3: not really working well for us considering how much we invest.
- 36:34Speaker 3: I do want to give a vignette from the book.
- 36:37Speaker 3: My father owned a gas station and was a mechanic,
- 36:42Speaker 3: and I worked, actually after school in summers, I worked
- 36:45Speaker 3: and helped my father. I also got up at about
- 36:49Speaker 3: four o'clock in the morning and put together the New
- 36:51Speaker 3: York Times. By the way, I had many jobs to
- 36:53Speaker 3: earn a living. People look at me today and they assume, like, oh,
- 36:57Speaker 3: this guy's had the easy life. I spent six years
- 36:59Speaker 3: in the military. I was putting together New York Times mechanically,
- 37:04Speaker 3: sort of like physically. Those sections don't miraculously come together.
- 37:09Speaker 3: It's laborers. It's labor. And the gas station was not
- 37:14Speaker 3: in a great neighborhood. It's an a poor neighborhood, and
- 37:19Speaker 3: it was robbed many times. My father was robbed it's
- 37:22Speaker 3: quite a story in itself. But I would watch young
- 37:25Speaker 3: children cross the street to my father's gas station. He
- 37:28Speaker 3: had a soda machine and a candy machine, and they
- 37:32Speaker 3: would put a coin in and get a soda. They
- 37:34Speaker 3: put a coin in and get a candy bar, and
- 37:36Speaker 3: off the school they would go.
- 37:37Speaker 4: That was breakfast. That was breakfast.
- 37:40Speaker 3: And I realized, that's that's like every day breakfast for
- 37:44Speaker 3: a lot of kids, not just that one kid. And
- 37:47Speaker 3: I'm saying to myself, we're peeling back on nutritious school
- 37:51Speaker 3: lunches in places that they really need that that is,
- 37:56Speaker 3: that's maybe the only place that they get a nutritious
- 38:01Speaker 3: lunch or food in the course of a day. We're
- 38:04Speaker 3: peeling back on physical education at a time where people
- 38:08Speaker 3: are attached to their screens unless they're occupied doing something else.
- 38:14Speaker 3: And so we have to understand that we're breeding unintentionally
- 38:18Speaker 3: some of the health problems that are going to cost
- 38:21Speaker 3: us a ton of money in the future. So we
- 38:24Speaker 3: have different pots of money. Education is a pot of money.
- 38:28Speaker 3: Health is a pot of money. Technology is a pot
- 38:31Speaker 3: of money. We have to figure out, to some extent
- 38:33Speaker 3: how we get on top of this in a way
- 38:36Speaker 3: that actually creates a nation that prioritizes the well being
- 38:43Speaker 3: of its citizens because we don't put people at the center,
- 38:47Speaker 3: and we budget differently. We actually wait till things become
- 38:52Speaker 3: really hot flash problems, and then we say, oh, my goodness,
- 38:55Speaker 3: we've got to solve that. The book addresses that from
- 38:58Speaker 3: an aspirational, operational standpoint. What I love what I've heard
- 39:02Speaker 3: about it from people who read the book. The last
- 39:05Speaker 3: few chapters are hopeful, but they're not hopeful like, let
- 39:10Speaker 3: me be aspirational and philosophical. They're operational hopeful, and that's
- 39:15Speaker 3: what people really loved about it. I talk about people
- 39:17Speaker 3: who are actually changing the tide. They're actually making a difference.
- 39:23Speaker 3: They're tackling obesity in communities. They're bringing hope to communities
- 39:29Speaker 3: that really have some of the highest sort of mortality
- 39:32Speaker 3: rates in terms of health inequities. They're tackling that we
- 39:36Speaker 3: can do this. This is an amazing nation. We can
- 39:40Speaker 3: tackle some of these problems. We've got to engage.
- 39:43Speaker 2: You know, the people that you're talking about, some of
- 39:45Speaker 2: the people that you've referenced are showing up on a
- 39:49Speaker 2: very special publication that our listeners might not know about.
- 39:52Speaker 2: But I've referenced it over the years, and that is
- 39:55Speaker 2: Medica Life. And the people that you've brought there as
- 39:58Speaker 2: writers released are getting into the menu sha they start
- 40:01Speaker 2: going into the into the deep details of specific things
- 40:05Speaker 2: and diabetes or oncology or even pharmacy and.
- 40:09Speaker 3: Real's health, environmental health, all of this. First of all,
- 40:14Speaker 3: thank you for a mention of this, No Todd and
- 40:17Speaker 3: also you know pharmacy podcast News has been featured there
- 40:20Speaker 3: you are feature. There's a link right to your channel.
- 40:23Speaker 3: Very important. The This is a non promotional health and
- 40:30Speaker 3: opinion panel platform. No advertisement, no advertisement in the copy,
- 40:37Speaker 3: no advertisement on the platform. I'm privileged that you know
- 40:41Speaker 3: people that you know like John Nosta, John White, who's
- 40:44Speaker 3: the new CEO of the American Medical Association, also is
- 40:47Speaker 3: endorsed Healing the Secure System, Why People Matter. Many people
- 40:52Speaker 3: write and provide opinion pieces on the platform. It's simply
- 40:57Speaker 3: Medica M E D I K A Dot Life to
- 41:01Speaker 3: visit and we enjoy readership, we enjoy comment. It's appreciated.
- 41:07Speaker 3: You know, I really believe that leaders have to encourage
- 41:12Speaker 3: or invite in external comment. And that's some of the
- 41:15Speaker 3: most exciting thing about the book is that it's really
- 41:19Speaker 3: invited a wealth of comment people are posting on LinkedIn
- 41:22Speaker 3: their feelings their reactions to the book, and I'm appreciative
- 41:29Speaker 3: and overwhelmed. One doctor, doctor Derrek Klogman from Maryland, wrote
- 41:35Speaker 3: an extensive review on LinkedIn and he said this should
- 41:38Speaker 3: be required reading of everybody in the health profession. Many
- 41:42Speaker 3: of those comments like that, and I'm so appreciative to
- 41:45Speaker 3: people who do that and have posted also their positive
- 41:50Speaker 3: thoughts on Amazon Amazon reviews. It is unexpected, it is appreciated,
- 41:58Speaker 3: and it is inspiring other people to raise their game.
- 42:02Speaker 3: It's letting them know that individually. That's where it's going
- 42:06Speaker 3: to take a lot of individuals weighing in. And like
- 42:09Speaker 3: that story you told of of interacting with the person
- 42:13Speaker 3: on the street with their handout and stopping not just
- 42:17Speaker 3: to give them the dollar, but to speak with them
- 42:20Speaker 3: about what's going on for a few moments, as a
- 42:22Speaker 3: human being to a human being. It changes people's perspectives.
- 42:28Speaker 2: How when I read I can't I can't get off LinkedIn.
- 42:31Speaker 2: I'm probably on LinkedIn too much. Go if you ever
- 42:34Speaker 2: want a great review of the book.
- 42:35Speaker 3: And I'm appreciative it is.
- 42:40Speaker 2: She's amazing. She takes things very personal She writes a
- 42:44Speaker 2: little bit about her mother and her experience and ties
- 42:48Speaker 2: that back to which kind of extracts from the book.
- 42:50Speaker 2: That's I mean, that's that's what's happening. It's it's in
- 42:55Speaker 2: now that pours over into her work, and it kind
- 42:58Speaker 2: of double checks her. The book is a wonderful double
- 43:01Speaker 2: check for anyone in healthcare. And when I say that,
- 43:04Speaker 2: I don't mean just the provider side or the clinical side.
- 43:07Speaker 2: I'm talking about people like me, the media side, the
- 43:10Speaker 2: communication side, the marketing side. I mean, you're absolutely right, everybody.
- 43:15Speaker 2: I agree with the other comment that I think everybody
- 43:18Speaker 2: should read this in the healthcare I.
- 43:20Speaker 3: Don't know if everybody will read it, but I hope
- 43:23Speaker 3: many people will. And again I just want to say
- 43:25Speaker 3: that all author royalties are going to charity. So if
- 43:29Speaker 3: you do buy the book on Amazon's paperback and hardcover
- 43:33Speaker 3: and kindle soon.
- 43:34Speaker 4: By the way, there is an audiobook.
- 43:37Speaker 3: I'm Brad Pitts was not available to do the audio,
- 43:41Speaker 3: so the publisher has said that I have actually a
- 43:45Speaker 3: very soothing, pleasing voice. They've said, no, you need to
- 43:48Speaker 3: write the book, read the book. So I will be
- 43:52Speaker 3: the voice of the book. I guess the way the
- 43:55Speaker 3: forward of the book is right, Tom Lowry. Tom is
- 43:58Speaker 3: really one of the really one of the pioneers of
- 44:02Speaker 3: AI in the health system. His book Hacking Healthcare and
- 44:07Speaker 3: also Healthcare Nation, and also AI and Health have all
- 44:11Speaker 3: been best sellers. Todd and I will be on the
- 44:14Speaker 3: stage together on June ninth in Boston at the Digital Health,
- 44:19Speaker 3: AI and Innovation Summit.
- 44:22Speaker 4: We'll be there in the morning and we're.
- 44:26Speaker 3: Having a free for all, much like John Nassa and
- 44:30Speaker 3: I have had on your show a few times, sort of.
- 44:34Speaker 3: I think you did a Nosta versus Bash show at
- 44:38Speaker 3: one point, but it was really a love fest. I
- 44:41Speaker 3: think Tom Lowry and I will also have a love
- 44:43Speaker 3: fest on stage.
- 44:45Speaker 2: That's awesome. Yeah, we got to get you back on
- 44:47Speaker 2: with John.
- 44:49Speaker 3: Just for a great book, everybody, I would I would say,
- 44:52Speaker 3: if you have one book to buy, buy the Borrowed Mind.
- 44:56Speaker 3: But if you have two books you're willing to buy,
- 44:59Speaker 3: add The Sick Care System to that reading list.
- 45:03Speaker 2: There will be a link in the show notes to
- 45:06Speaker 2: Healing the Sick Care System. Why People Matter by Gilbash.
- 45:10Speaker 2: Gil thank you so much for spending time with us
- 45:13Speaker 2: on this Week in Pharmacy.
- 45:15Speaker 4: Honored thank you, Thank you so much, Tom.
- 45:19Speaker 5: Independent pharmacy is the heart of community care.
- 45:24Speaker 4: At Independent Pharmacy Cooperative, we.
- 45:26Speaker 5: Believe your success strengthens the health and well being of
- 45:29Speaker 5: the communities you serve. As the nation's largest member owned GPO,
- 45:33Speaker 5: IPC helps pharmacies thrive with competitive pricing, profit sharing, and
- 45:37Speaker 5: the support of a team who shares your vision. Let's
- 45:40Speaker 5: build the future of independent pharmacy together and gain the
- 45:43Speaker 5: freedom to farm. Visit ipcrx dot com to start the
- 45:46Speaker 5: conversation with an IPC representative today.
- 45:56Speaker 2: Hey, welcome back to this weekend. Pharmacy on the and
- 46:00Speaker 2: delivery industry is exploding and will continue to rapidly transform jobs.
- 46:08Speaker 2: I remember my first job. I was picking up sticks.
- 46:11Speaker 2: I think I was eleven or twelve. I would go
- 46:16Speaker 2: to my neighbor's yard and I would get his extremely
- 46:20Speaker 2: large two acre lawn prepared for him to mow because
- 46:25Speaker 2: he was an older man and he didn't want to
- 46:27Speaker 2: get off his tractor. And I think he gave me
- 46:30Speaker 2: five dollars for the project. I loved it because I
- 46:33Speaker 2: just wanted money.
- 46:34Speaker 4: Well.
- 46:35Speaker 2: The future for a lot of our teams and a
- 46:38Speaker 2: lot of people for side hustles is going to be
- 46:41Speaker 2: continuing to get into the delivery business and this is
- 46:46Speaker 2: huge sixteen point five billion dollar industry by twenty twenty nine.
- 46:52Speaker 2: Independent community pharmacies cannot stop thinking about the evolution of
- 46:57Speaker 2: delivery integration logistics. My guest today is Maya with RX
- 47:05Speaker 2: to Go. You can find more information about them at
- 47:08Speaker 2: RX to go dot Ai. Maya, introduce yourself to our listeners,
- 47:13Speaker 2: and I have lots of questions for you because I
- 47:17Speaker 2: want to see our independent community pharmacies thrive and I
- 47:21Speaker 2: have different sectors of pharmacy that I'd like to talk
- 47:24Speaker 2: to you about. So once again, introduce yourself your company
- 47:27Speaker 2: and share with our listeners.
- 47:30Speaker 6: Thank you so much that nic seeing you again. I
- 47:33Speaker 6: am Maya Ajizara and I have been THEREX to Go
- 47:39Speaker 6: since twenty eighteen, a few years after it has been
- 47:43Speaker 6: actually launched. I oversee sales and the growth of the
- 47:48Speaker 6: company and my passion, and we provide the little service
- 47:57Speaker 6: for hospitals of all sizes and of all kinds and
- 48:01Speaker 6: healthcare systems like hospitals, and so I oversee not only
- 48:09Speaker 6: the delivery portion boths also launching our service to any
- 48:17Speaker 6: new areas or states.
- 48:19Speaker 7: Where you know clients or leads might be need.
- 48:22Speaker 2: Of Yeah, hey, let's go back for just a second.
- 48:27Speaker 2: I'm getting old, my goodness, gracious, Like I remember zero Internet,
- 48:34Speaker 2: I remember dial up. I remember my first home computer
- 48:37Speaker 2: was a Commodore sixty four. Technology, artificial intelligence, things are gonna,
- 48:42Speaker 2: We're gonna. We keep having these leaps in technology. We
- 48:47Speaker 2: keep having these leaps on how technology is impacting the
- 48:51Speaker 2: general person in life. Our mobile phone had no such
- 48:55Speaker 2: thing when I was growing up as a teenager teenag
- 48:59Speaker 2: Our children today from what age twenty five down have
- 49:04Speaker 2: no recollection of a time without technology. So part of
- 49:11Speaker 2: that is in two thousand and nine, uber Cab made
- 49:15Speaker 2: its entrance into the general public, and people didn't trust it,
- 49:19Speaker 2: and it was still weird. And when I go to
- 49:23Speaker 2: a conference these days, if you back up, once again,
- 49:27Speaker 2: sounding old, every time I went to a conference, I
- 49:30Speaker 2: was renting a car to go to from the airport
- 49:33Speaker 2: to the maybe some appointments. Sometimes I take a taxi,
- 49:36Speaker 2: but most of the time not so much because it
- 49:38Speaker 2: was sometimes hard to get especially the busy airports. Now
- 49:43Speaker 2: got my I got my uber, I got my lift
- 49:47Speaker 2: picking me up quickly, maybe fifteen minute wait maybe so
- 49:52Speaker 2: the psychology of our of our world is all about convenience.
- 49:57Speaker 2: It's all about getting things. It's all about but it's
- 50:00Speaker 2: also turning into becoming more service oriented. That's that's and
- 50:05Speaker 2: we have to turn these ideas and we have to
- 50:07Speaker 2: turn what's happening with delivery into the minds of the
- 50:11Speaker 2: pharmacy operator and get them to slow down a little
- 50:14Speaker 2: bit and understand the impact on their business to really
- 50:19Speaker 2: start promoting not only maybe delivery of medication, but delivery
- 50:24Speaker 2: of durable medical equipment, delivery of special foods that are
- 50:28Speaker 2: associated with a condition, delivery of you know, maybe supply
- 50:34Speaker 2: like nutritions. So open up about what did your your
- 50:39Speaker 2: organization as you guys are developing this out, what were
- 50:42Speaker 2: you smelling and picking up in the industry in order
- 50:45Speaker 2: to really put a massive investment into this and and
- 50:48Speaker 2: where can we where can this take independent community pharmacies.
- 50:52Speaker 6: So the idea actually came as the founder used to
- 50:59Speaker 6: be the department delivery driver manager in one of the
- 51:03Speaker 6: compounding pharmacies. He was doing like over thousand deliveries itself,
- 51:09Speaker 6: and then he faced the challenge of getting phone calls
- 51:15Speaker 6: with the package or with the driver who's the driver, or.
- 51:21Speaker 7: Tracking the driver in order for him.
- 51:23Speaker 6: To see if he if he's coming back to bring
- 51:27Speaker 6: the let's say, undeliverable packages. Right. So and one day
- 51:33Speaker 6: he was sol over it and then he said he just,
- 51:37Speaker 6: you know, put all the puzzles together, of the problems
- 51:40Speaker 6: and what will solve it. He said, all I want
- 51:43Speaker 6: is one system, maybe a dashboard that I can build
- 51:48Speaker 6: myself that can show me.
- 51:52Speaker 7: An ETA.
- 51:54Speaker 6: Maybe I will connect the third party company that can
- 51:57Speaker 6: route it for me and give me an approximate time of.
- 52:01Speaker 7: The total delivery.
- 52:03Speaker 6: So the idea was simple, and he built a simple
- 52:07Speaker 6: dashboard that will enter all the deliver information patients first name,
- 52:12Speaker 6: last name, phone numbers, address and the special instruction. Then
- 52:18Speaker 6: the idea turned into bigger right as the like you
- 52:23Speaker 6: mentioned right, technology is growing, AI is you know, all
- 52:28Speaker 6: over and so the people are changing, the market is
- 52:33Speaker 6: the need is changing right now, I see it as
- 52:38Speaker 6: we are getting more busier and we want things to
- 52:43Speaker 6: be as fast and also organized. And so that's why
- 52:51Speaker 6: we always listen to the ideas of the clients, right
- 52:56Speaker 6: of the pharmacy people and what they what they're looking for,
- 53:00Speaker 6: what would make their lives easier. By opening our ears
- 53:05Speaker 6: and listening to their problems. We came out with the
- 53:10Speaker 6: solutions of building in delivery methods. So it used to
- 53:14Speaker 6: be just simple right the special instruction for the driver,
- 53:18Speaker 6: but now ended up us having a delivery method that
- 53:24Speaker 6: pharmacies can choose for example, if you if you okay,
- 53:29Speaker 6: I can share my screen and show you like the
- 53:32Speaker 6: delivery methods that we have, which actually came in by
- 53:36Speaker 6: different clients who utilize our services or will hesitate to
- 53:40Speaker 6: utilize because they were missing they would want to have
- 53:43Speaker 6: some options that we ended up building in and let
- 53:48Speaker 6: me share my screen. So over here now, the very
- 53:55Speaker 6: first idea came from was the delivery methods, right, so
- 53:58Speaker 6: they wanted to have face face I d they actually
- 54:02Speaker 6: they wanted to have face space signature required.
- 54:04Speaker 7: But then.
- 54:06Speaker 6: And also second wanted to have a signature optional like
- 54:09Speaker 6: safe to leave.
- 54:10Speaker 7: And then we made this two available.
- 54:14Speaker 6: But then came another one as face face signature not required.
- 54:20Speaker 6: So this idea came from we had senior patients where
- 54:25Speaker 6: they don't feel safe signing for the packages on the phone.
- 54:32Speaker 6: They said, he look, I don't know what I'm signing for.
- 54:35Speaker 6: I don't feel safe, and so then we said why
- 54:38Speaker 6: don't we come out with the other delivery method and
- 54:41Speaker 6: not give a hard time to the delivery recipient. Right
- 54:45Speaker 6: if they say I don't feel safe signing, we said,
- 54:48Speaker 6: no problem and.
- 54:49Speaker 7: Take a picture of the door of the delivery.
- 54:51Speaker 6: Then came another idea as face face idea and signature required.
- 54:56Speaker 6: Some patients are they wanted to be deliveries, want to
- 55:00Speaker 6: be a confidential and they don't want anybody else to
- 55:03Speaker 6: sign or to receive their package because they don't want
- 55:06Speaker 6: their family members to receive to know what they received.
- 55:09Speaker 7: And then idea came as let's make.
- 55:11Speaker 6: Another delivery method as face, face ID and signature required
- 55:15Speaker 6: way bigan it delivered the.
- 55:17Speaker 7: Package to the assigned patient only.
- 55:19Speaker 6: So if the package says Maya hajizada and we had
- 55:22Speaker 6: the patient's door or at the door, and whoever opens
- 55:26Speaker 6: the door, we say, can you please have an ID
- 55:28Speaker 6: and the driver will make sure the names are matching.
- 55:31Speaker 7: Take a picture of the idea just to give a piece.
- 55:34Speaker 6: Of mind to the pharmacy and that it was delivered
- 55:36Speaker 6: to the right hands. And then we came out with
- 55:38Speaker 6: that face face, face ID and signature required. And then
- 55:43Speaker 6: other idea came after COVID hit and not everybody was safe.
- 55:52Speaker 6: Even opening the door. They would say, oh, just leave it,
- 55:55Speaker 6: send me a link I can sign. Then we came
- 55:59Speaker 6: out with signature and so if the patient signs online
- 56:03Speaker 6: prior to the delivery or at the delivery, then it
- 56:07Speaker 6: will be safely be delivered. And then also we had
- 56:13Speaker 6: no contact delivery with some people, especially during COVID, A
- 56:18Speaker 6: lot of us work from home and we have meetings
- 56:21Speaker 6: all day going on. And as a patient, if I
- 56:24Speaker 6: don't want anyone to bring my doorbell or knock my
- 56:27Speaker 6: door while I'm in the meetings, I would prefer having
- 56:30Speaker 6: it as no contact delivery where.
- 56:32Speaker 7: The delivery driver but just leave it between.
- 56:34Speaker 6: Two of my doors right and move on. So then
- 56:38Speaker 6: we had no contact delivery. And so every patient, every
- 56:43Speaker 6: person is unique and they have their unique requests depending
- 56:48Speaker 6: on the day, right on the time, and so that's
- 56:52Speaker 6: why we have these delivery methods.
- 56:55Speaker 2: So you have integration with organizations that we've worked with
- 57:01Speaker 2: for years, Primary X for example, Nimble RX. You're working
- 57:07Speaker 2: with sweet RX, which is also one of our focal
- 57:11Speaker 2: pharmacy management systems. So talk to us about integration, talk
- 57:15Speaker 2: to us about how this becomes a very easy to
- 57:20Speaker 2: use system.
- 57:21Speaker 6: Based on integration, and so the integration we had it
- 57:28Speaker 6: from I would say year two, and so we have
- 57:32Speaker 6: an open API and the connect two ways, meaning we
- 57:38Speaker 6: get the delivery information sent to us, which is only
- 57:41Speaker 6: the patient information which has first and last name, phone numbers,
- 57:47Speaker 6: and address. And then once the delivery is completed, we
- 57:51Speaker 6: shout back the signature data and time of the delivery
- 57:54Speaker 6: and complete it in the pharmacy and for example, in
- 57:56Speaker 6: Primary X, we are able to send back the pictures
- 58:03Speaker 6: of the delivery as well. Rather it's a building, so
- 58:06Speaker 6: there will be a building picture as well as the
- 58:08Speaker 6: apartment pictures and even the fans we capture.
- 58:14Speaker 7: We communicated that.
- 58:16Speaker 2: That's terrific. All right, So let's start splicing the differences
- 58:23Speaker 2: of these sectors of pharmacy. Obviously, our retail, our community retail,
- 58:30Speaker 2: that's the central really, that's where you've grown from. Talk
- 58:34Speaker 2: to me about long term care pharmacy. Talk to me
- 58:36Speaker 2: about me about starting to kind of focus on from
- 58:41Speaker 2: your developer's perspective or some of the things that you're
- 58:45Speaker 2: you're eyeing up and is there is there a network difference?
- 58:51Speaker 2: Is there anything that's kind of catching because all of
- 58:55Speaker 2: those options you gave for signature capture was freaking awesome, Like,
- 58:58Speaker 2: you have so many options of what you can do,
- 59:00Speaker 2: but is there any differences from arcs to gooes. So
- 59:05Speaker 2: I know in my long term care, my background and
- 59:08Speaker 2: long term care, there was certain systems that the pharmacy
- 59:15Speaker 2: was supposed to be talking with and I see one
- 59:18Speaker 2: of them as Epic, which is really really good. So
- 59:23Speaker 2: what I'm saying is is it's almost like there's a
- 59:26Speaker 2: little bit more handholding in some ways with the technology
- 59:30Speaker 2: for long term care than the transaction between the patient
- 59:37Speaker 2: or the consumer and the independent community pharmacy. That's really
- 59:40Speaker 2: like one connection. That's like independent pharmacy communicating with the patient,
- 59:46Speaker 2: with the patient at their home or at their office whatever.
- 59:49Speaker 2: Whereas we're talking about long term care, we're talking about
- 59:52Speaker 2: the pharmacy, we're talking about the facility. Sometimes we're talking
- 59:55Speaker 2: about the nursing station. Sometimes we're talking about different buildings
- 1:00:00Speaker 2: on a campus. So I see a little bit more
- 1:00:04Speaker 2: kind of complexity in that space. And you're continuing development
- 1:00:10Speaker 2: into pharmacy management systems, Where are you guys going to
- 1:00:14Speaker 2: go with this? Like what other what other development ideas
- 1:00:17Speaker 2: do you guys have in in long term care?
- 1:00:22Speaker 6: So one second, with long term care, a lot of
- 1:00:30Speaker 6: them are they're more of a same day right and
- 1:00:36Speaker 6: the delivered we pick up from the pharmacy team. You
- 1:00:41Speaker 6: go straight and delivered to patient homes or facilities. And
- 1:00:46Speaker 6: one thing I've actually noticed lately is with long term case,
- 1:00:50Speaker 6: it's more of a more like long term care at home,
- 1:00:54Speaker 6: and a lot of I've seen the changes from back
- 1:00:58Speaker 6: when we started to now back then it used to
- 1:01:03Speaker 6: be multiple patients be delivering to facilities to nursing homes
- 1:01:10Speaker 6: are getting less, but now more we are going straight
- 1:01:14Speaker 6: to patient homes. And I'm thinking that a lot of
- 1:01:19Speaker 6: the change that I've seen on long term case that
- 1:01:22Speaker 6: people now want to retire in their own homes and
- 1:01:29Speaker 6: we going straight and delivering to the nurse okay giver.
- 1:01:33Speaker 6: And I was thinking we would look more of a
- 1:01:38Speaker 6: like what was it, mets to bes to facilities and
- 1:01:44Speaker 6: going straight room to room.
- 1:01:46Speaker 8: But.
- 1:01:47Speaker 6: We now see more of not only the nursing station,
- 1:01:52Speaker 6: but more like directed patients homes.
- 1:01:56Speaker 2: Ye all right, talk to me about the expansion and
- 1:01:59Speaker 2: covering of RX to go in your systems in your reach.
- 1:02:04Speaker 2: You have a very heavy concentration in the northeast it's growing.
- 1:02:10Speaker 2: I see New York, New Jersey, Pennsylvania, Connecticut, Massachusetts, and
- 1:02:16Speaker 2: then now you're also in California, Florida, Ohio and Texas.
- 1:02:21Speaker 2: So what has to happen for expansion. Is it more
- 1:02:26Speaker 2: about having a pharmacy in that area? Is it the
- 1:02:29Speaker 2: coordination of mapping, like what's the what's the business model growth?
- 1:02:36Speaker 2: How do you guys continue to expand?
- 1:02:40Speaker 6: And it's all about the need of the pharmacy. Of course,
- 1:02:43Speaker 6: the size meaning the volume, the number of the loveies.
- 1:02:46Speaker 6: It might be one pharmacy that makes us open in
- 1:02:49Speaker 6: that area or it might be multiple. And we always
- 1:02:54Speaker 6: look at the volume. Why because we don't want to
- 1:02:58Speaker 6: We don't want to always charge the pharmacy is right,
- 1:03:00Speaker 6: because the the payback that they get is not high,
- 1:03:06Speaker 6: and we don't we don't want to give that high
- 1:03:10Speaker 6: cost to the pharmacy and then open that state. So
- 1:03:15Speaker 6: to answer to your question shorter is we look at
- 1:03:17Speaker 6: the volume meaning the amount of the lowries and the areas.
- 1:03:23Speaker 7: What's the driving distance.
- 1:03:28Speaker 6: And we have expand to Dallas and to the df
- 1:03:33Speaker 6: WU and to Florida and Ohio that we had about
- 1:03:40Speaker 6: two to three clients separate companies but they have locations
- 1:03:45Speaker 6: in those states, and then one was asking at this
- 1:03:49Speaker 6: time of the year. Another one mentioned their locations, and
- 1:03:53Speaker 6: then we also found about the third one, and then
- 1:03:58Speaker 6: we just calculated, not calculated the numbers because they are
- 1:04:03Speaker 6: all of our clients are very happy and satisfied with
- 1:04:06Speaker 6: the LEVELSS service that we provide. That's what they call
- 1:04:09Speaker 6: us to the other state where they are they have
- 1:04:12Speaker 6: locations or operating deliveries, and so we have calculated, made
- 1:04:17Speaker 6: the deal and.
- 1:04:18Speaker 7: Then we gave them about you know, we.
- 1:04:21Speaker 6: Said forty five to sixty days just to have up
- 1:04:23Speaker 6: and running because we need facility, meaning we need to
- 1:04:26Speaker 6: look up a nice location that can take us to it,
- 1:04:30Speaker 6: like near the highway. They can go around the area
- 1:04:34Speaker 6: that we're going to be delivering, and we find the location,
- 1:04:38Speaker 6: we train drivers, and.
- 1:04:40Speaker 7: Then we set the day. On that day we go life.
- 1:04:45Speaker 2: The expansion is happening. I see the rise of your
- 1:04:50Speaker 2: service areas. Just a shout out to independent community pharmacy
- 1:04:55Speaker 2: owners to long term care pharmacy operation as well as
- 1:05:01Speaker 2: if you want to expand into long term care at home,
- 1:05:05Speaker 2: you need a delivery solution, you need a logistics solution.
- 1:05:09Speaker 2: I want you to take a look. There will be
- 1:05:10Speaker 2: a link in our show notes. I want you to
- 1:05:12Speaker 2: take a look at our X two Go dot Ai
- 1:05:15Speaker 2: once again, RX the number two Go dot Ai.
- 1:05:21Speaker 7: Maya.
- 1:05:21Speaker 2: What's the next conference that you guys will be attending.
- 1:05:28Speaker 6: The next conference we have on calendar is May eighteenth
- 1:05:32Speaker 6: to the twenties for the.
- 1:05:33Speaker 7: Health Connect.
- 1:05:35Speaker 6: Hospital Pharmacy Conference, and after that, I think it will
- 1:05:42Speaker 6: be the Pioneer Conference, the Redtail.
- 1:05:47Speaker 2: And then you're also going to Idea Share I think,
- 1:05:50Speaker 2: which is mckesson's conference.
- 1:05:51Speaker 6: I think that's in June eighteenth, so the I think
- 1:05:55Speaker 6: twenty first.
- 1:05:56Speaker 2: Yeah, that's where I'll see you next. We'll have to meet.
- 1:05:59Speaker 7: It will be my birthday in nineteenth. I can I
- 1:06:02Speaker 7: send it?
- 1:06:02Speaker 2: Unfortunately, Oh, come on, we're gonna do you were going
- 1:06:07Speaker 2: to buy us off shots?
- 1:06:10Speaker 6: Maybe maybe I'll do it this year.
- 1:06:13Speaker 2: You know what I'll do, I'll get if you're not there,
- 1:06:16Speaker 2: we're gonna FaceTime you and Donnie and I and the
- 1:06:20Speaker 2: whole team will do a shot for your birthday. As
- 1:06:23Speaker 2: long as they don't light it on fire, I'll do it.
- 1:06:27Speaker 7: Okay. It sounds good, sounds exciting.
- 1:06:30Speaker 2: H It was so good to see you, really appreciate
- 1:06:33Speaker 2: you being on twerks. Thank you, Do not leave works listeners,
- 1:06:38Speaker 2: We're going to be right back.
- 1:06:41Speaker 8: Curify Labs is helping redefine what modern pharmacy compounding can
- 1:06:45Speaker 8: look like.
- 1:06:46Speaker 9: Out of time, when pharmacies are being asked to do
- 1:06:49Speaker 9: more with greater precision, compliance and scalability, Purify Labs is
- 1:06:53Speaker 9: bringing pharmaceutical grade automation into everyday practice. Their end to
- 1:06:58Speaker 9: end compounding system connects hardware, software, quality controls, validated formulations,
- 1:07:04Speaker 9: and GMP manufactured eccipient bases into one integrated workflow designed
- 1:07:09Speaker 9: to support personalized medicine.
- 1:07:10Speaker 8: What stands out is how practical the Curifi Labs model
- 1:07:13Speaker 8: is for pharmacies.
- 1:07:14Speaker 9: Their technology supports USP seven nine five line non sterile
- 1:07:18Speaker 9: compounding procedures, integrated quality control steps, digital batch records, and
- 1:07:23Speaker 9: documentation designed to strengthen audit readiness. Pharmacies can choose validated
- 1:07:28Speaker 9: formulations from the Curifi Labs formulation library or create their own,
- 1:07:32Speaker 9: all while improving consistency, efficiency, and traceability.
- 1:07:36Speaker 8: Curifi Labs also emphasizes scalability in the workspace.
- 1:07:40Speaker 9: Their modular system allows pharmacies to start with the setup
- 1:07:43Speaker 9: that fits today's operation and expand as demand grows, with
- 1:07:46Speaker 9: modeled ROI suggesting automation can pay back even at lower
- 1:07:50Speaker 9: prescription volumes. For pharmacy leaders focused on safety, workflow efficiency
- 1:07:55Speaker 9: in the future of personalized therapeutics, Curifi Labs is presenting
- 1:07:59Speaker 9: a compelling for what compounding innovation can become.
- 1:08:07Speaker 2: Hey, welcome back to this week in Pharmacy. I have
- 1:08:10Speaker 2: a Pharmacy fifty Most Influential Award winner with me today.
- 1:08:15Speaker 2: This is so exciting for me to watch our profession
- 1:08:19Speaker 2: choose people that they have such high respect for. I
- 1:08:22Speaker 2: want to welcome doctor Daniel Mullins. He is with the
- 1:08:26Speaker 2: University of Maryland School of Pharmacy. Daniel is so good
- 1:08:30Speaker 2: to see you.
- 1:08:31Speaker 1: Great to see you again. Really excited about being one
- 1:08:34Speaker 1: of the top fifty this year.
- 1:08:36Speaker 2: That was exciting for me because I want academia to
- 1:08:41Speaker 2: show up on that list and it has. Because that
- 1:08:44Speaker 2: means that people in your circles, people that watch you
- 1:08:48Speaker 2: on LinkedIn, you know your students, They're reaching out and
- 1:08:53Speaker 2: they're saying, hey, this is a person that has been
- 1:08:56Speaker 2: influential to my life. This has been influential to our
- 1:08:59Speaker 2: system for different reasons. So that is very special academia
- 1:09:04Speaker 2: is showing up on an influential list. What do you
- 1:09:07Speaker 2: think about that? What do you think about academia being
- 1:09:09Speaker 2: part of that ecosystem that's so important to build influence.
- 1:09:13Speaker 1: Well, I would say most of us who go into
- 1:09:16Speaker 1: academics go into it for that reason. We want to
- 1:09:19Speaker 1: influence the next generation and hopefully, through that generation, influence
- 1:09:24Speaker 1: patients and actually everybody in our country and the world.
- 1:09:28Speaker 1: So to me, it's not surprising that academics would have
- 1:09:32Speaker 1: a big impact. Every year, there's about one hundred new
- 1:09:35Speaker 1: pharmacy students and many graduate students who come into University
- 1:09:40Speaker 1: of Maryland School of Pharmacy, and I take very seriously
- 1:09:44Speaker 1: that they've got about four years with us, and you
- 1:09:48Speaker 1: really want to not only teach them what they need
- 1:09:51Speaker 1: to know to pass the boards, but you want to
- 1:09:53Speaker 1: teach them what they need to know tavorell impact in society.
- 1:09:57Speaker 2: I also want to make a point since you and
- 1:10:00Speaker 2: I talked about you getting on this Week in Pharmacy
- 1:10:03Speaker 2: and sharing a little bit about your story and in
- 1:10:07Speaker 2: the professional pharmacy in academia, you received a leadership award
- 1:10:11Speaker 2: and have been recognized as a leadership and I want
- 1:10:15Speaker 2: to pause for just a second and just say to you,
- 1:10:18Speaker 2: you know, Bravo, that people continuously are showing gratitude and
- 1:10:25Speaker 2: are honoring you for different things, and that that's really
- 1:10:30Speaker 2: If I'm one of your students or I'm someone that's
- 1:10:33Speaker 2: working with you and I want to improve what I'm doing,
- 1:10:36Speaker 2: I'm going to look back at some of the stuff
- 1:10:38Speaker 2: that you've tracked and maybe how you've staged yourself and
- 1:10:41Speaker 2: how you've helped others, because that's very special to be
- 1:10:44Speaker 2: recognized as a leader.
- 1:10:46Speaker 1: Absolutely, I mean, and I learned from really great leaders.
- 1:10:49Speaker 1: I think great leaders always lead from the middle of
- 1:10:52Speaker 1: the table, not the head of table, right that I
- 1:10:55Speaker 1: do think there's something about helping a person to figure
- 1:10:59Speaker 1: out their journey, not directing them to do what you've done,
- 1:11:03Speaker 1: and then also to do it better than you could
- 1:11:07Speaker 1: do it, right that I think is what great leaders
- 1:11:10Speaker 1: do is you find people who are going to go
- 1:11:12Speaker 1: and do greater things than you can do. And many
- 1:11:15Speaker 1: of us in academics get satisfaction from that.
- 1:11:18Speaker 2: So just earlier on this week in Pharmacy, we featured Gilbash,
- 1:11:24Speaker 2: who just wrote a book called Healing This Sick Care System,
- 1:11:30Speaker 2: Why People Matter and the Reason why I'm bringing this up, Daniel,
- 1:11:34Speaker 2: is you have a very special place in your heart
- 1:11:37Speaker 2: for communities and how pharmacists are impacting communities, and you're
- 1:11:42Speaker 2: seeing it from a different perspective. You're not a pharmacist,
- 1:11:45Speaker 2: but you are someone who's so integrated into staging in
- 1:11:50Speaker 2: helping the future of pharmacy, understand different facets of the
- 1:11:56Speaker 2: challenges of accessibility, of pharmacy, deserts, and of care that's
- 1:12:01Speaker 2: not getting enough attention. Talk to us about your heart
- 1:12:04Speaker 2: and how you feel about the community and how pharmacists
- 1:12:08Speaker 2: are impacting.
- 1:12:10Speaker 1: I sit here in West Baltimore, and I would say
- 1:12:15Speaker 1: that for people who aren't from the Baltimore area, mainly
- 1:12:19Speaker 1: what people know about us is this series called The
- 1:12:22Speaker 1: Wire that ran for many years, and there is some.
- 1:12:26Speaker 4: Truth to that.
- 1:12:27Speaker 1: Some of that reflects the challenges that our city has.
- 1:12:31Speaker 1: But when you're in a city, you see all the
- 1:12:34Speaker 1: great things in the city, you see people who want
- 1:12:37Speaker 1: to thrive, and many of the ones who want to
- 1:12:40Speaker 1: thrive in some of the neighborhoods that I work in,
- 1:12:42Speaker 1: they're thriving against the odds. And that's the spirit of pharmacy,
- 1:12:47Speaker 1: right helping somebody to be healthy in every way possible.
- 1:12:51Speaker 1: So yes, I love going out into the community. I
- 1:12:54Speaker 1: love bringing students out into the community. I love the
- 1:12:57Speaker 1: fact that every day I walk into work. Because I
- 1:13:00Speaker 1: do walk into work, I'm reminded that there are people
- 1:13:03Speaker 1: with physical and mental health conditions that need that need pharmacy.
- 1:13:08Speaker 1: But they also need universities that care about the communities
- 1:13:13Speaker 1: around their university. And I specifically chose University Maryland Baltimore
- 1:13:19Speaker 1: because our campus has this commitment to the West Baltimore
- 1:13:22Speaker 1: community that we understand. You can't just be located near
- 1:13:25Speaker 1: a community, You've got to become a part of that community.
- 1:13:29Speaker 1: And so I work with a variety of community organizations.
- 1:13:33Speaker 1: You know, some of them are religious organizations that share
- 1:13:39Speaker 1: this common purpose of going out into the community and
- 1:13:42Speaker 1: helping people. Some of them are health related, and some
- 1:13:46Speaker 1: of them are just you know, community based organizations that
- 1:13:50Speaker 1: happen to be in a neighborhood. But all of them
- 1:13:54Speaker 1: appreciate when, you know, my students and I go out
- 1:13:58Speaker 1: there and try to help them with whatever their needs are.
- 1:14:03Speaker 2: I'd love that because now the students I think of
- 1:14:08Speaker 2: our poor p threees. If my evaluation of pharma, I've
- 1:14:12Speaker 2: to spend a lot of time at WVU School of Pharmacy,
- 1:14:15Speaker 2: Ducane Pitt obviously because it's so close to me. I'm
- 1:14:18Speaker 2: within an hour of each of those campuses. And when
- 1:14:22Speaker 2: I've observed P onees the bright eyed, you know, nivativity
- 1:14:27Speaker 2: of the whole thing, and then you know, P two
- 1:14:29Speaker 2: it's starting to really start, the water is really starting
- 1:14:32Speaker 2: to kind of get, you know, warmer, and then but
- 1:14:34Speaker 2: P three it's like that's the boil time where it's
- 1:14:38Speaker 2: like there's some major decisions in these people's lives that
- 1:14:42Speaker 2: they're thinking. They're starting to think what sector of pharmacy, what,
- 1:14:46Speaker 2: what's beastissivity?
- 1:14:48Speaker 4: What?
- 1:14:48Speaker 5: You know?
- 1:14:49Speaker 2: Am I was my network finally growing to start getting
- 1:14:52Speaker 2: me ready for that P four stage and for going
- 1:14:55Speaker 2: into hospital system or going into community. So you being
- 1:14:58Speaker 2: able to provide a really intimate view of the community
- 1:15:04Speaker 2: space can reinvigorate the excitement of being a community pharmacy.
- 1:15:09Speaker 2: And we need more with the burnout that that's taken
- 1:15:13Speaker 2: place and with what PBMs have done to our industry,
- 1:15:16Speaker 2: and we're kind of resurrecting and we're kind of we're
- 1:15:19Speaker 2: rebuilding the community of pharmacy that can be less about
- 1:15:23Speaker 2: the prescription and more about the value care. So talk
- 1:15:27Speaker 2: to us about you see, you've seen things for how
- 1:15:31Speaker 2: long and now we're at that inflection point. What's the
- 1:15:35Speaker 2: next gen pharmacist in community look like?
- 1:15:39Speaker 1: I think a lot of our students they go out there,
- 1:15:43Speaker 1: you know, and as you said, a P three is
- 1:15:46Speaker 1: starting to think about what they want in their career,
- 1:15:47Speaker 1: but they're also sometimes second guessing, like is this really
- 1:15:50Speaker 1: what I want to do? And I've kind of feel like, well,
- 1:15:55Speaker 1: you do want to help people, right, That hasn't changed
- 1:16:00Speaker 1: when you look at some of the individuals and the
- 1:16:03Speaker 1: challenges they have with just managing day to day. If
- 1:16:08Speaker 1: you're going to make a therapeutic recommendation, you better get
- 1:16:10Speaker 1: it right, right. I mean some of these people, you
- 1:16:14Speaker 1: make the wrong recommendation, it has a pretty serious impact.
- 1:16:17Speaker 1: And so I'd like to think that that renews they're
- 1:16:21Speaker 1: feeling when they wrote that application to get admitted to
- 1:16:24Speaker 1: the University of Around School of Pharmacy, right that that
- 1:16:27Speaker 1: that moment they remember that yes, I do want to
- 1:16:29Speaker 1: help patients. But I would say that when we're out there,
- 1:16:33Speaker 1: then they start thinking, well, I've got some additional options,
- 1:16:37Speaker 1: because sometimes they're out there and we're doing research. I've
- 1:16:40Speaker 1: had the good fortune of doing research funded by a
- 1:16:42Speaker 1: lot of different agencies, including the US Food and Drug Administration,
- 1:16:47Speaker 1: and so not surprisingly, some of my former students work
- 1:16:51Speaker 1: at the FDA because after doing research, you know, in
- 1:16:57Speaker 1: collaboration with people at the FDA, they thought, wow, wow,
- 1:17:00Speaker 1: like those individuals seem like they enjoy their job too, right, So,
- 1:17:03Speaker 1: same as when you shadow a pharmacist in retail or
- 1:17:07Speaker 1: a hospital, when you collaborate with somebody who is a
- 1:17:11Speaker 1: pharmacist at the FDA or at another state or federal agency,
- 1:17:17Speaker 1: it does make you think, maybe I'd like that. And
- 1:17:20Speaker 1: you know, every career path is unique and not all
- 1:17:23Speaker 1: career paths are for everybody. But I feel it's our
- 1:17:26Speaker 1: job to expose all of our students, you know, not
- 1:17:30Speaker 1: just at P three, but at P one and P
- 1:17:31Speaker 1: two to You've got a lot of options, and the
- 1:17:35Speaker 1: important thing is that some of the jobs are going
- 1:17:38Speaker 1: to go after You might not even need that farm
- 1:17:41Speaker 1: D degree, but when you get into that interview, you
- 1:17:44Speaker 1: better be able to explain how your farm D degree
- 1:17:47Speaker 1: makes you the best applicant for that position.
- 1:17:51Speaker 2: Yes, and make sure that you're passionate about that position.
- 1:17:54Speaker 2: And about that work because I get exacts what I do,
- 1:18:01Speaker 2: and you know there anybody can get burnout on anything.
- 1:18:04Speaker 2: So you always come back to the basis of why
- 1:18:06Speaker 2: are you doing this in the first place, and practicing
- 1:18:09Speaker 2: what you preach, and practicing the culture of what of
- 1:18:14Speaker 2: what people you decide to join forces with, and in
- 1:18:19Speaker 2: choosing a position is more than just about you and
- 1:18:22Speaker 2: your career and getting a paycheck. It's about it's about
- 1:18:26Speaker 2: the impact that you're making and your The University of Maryland,
- 1:18:32Speaker 2: a school of pharmacy, practices what they preach. You have
- 1:18:35Speaker 2: a something called the Patient Program and it says that
- 1:18:38Speaker 2: in envisions a world in which patients, care partners, and
- 1:18:42Speaker 2: communities are heard, inspired and equipped to co develop health research.
- 1:18:47Speaker 2: This is an incredible program. I do want you to
- 1:18:50Speaker 2: talk to our listeners a little bit about this, right.
- 1:18:53Speaker 1: I mean, And that vision statement was co developed with
- 1:18:56Speaker 1: patients and our care partner. So going back by twenty
- 1:19:00Speaker 1: years ago, I started doing this workout in the community
- 1:19:03Speaker 1: and have the good fortune that some of the federal
- 1:19:07Speaker 1: agencies were understanding that we needed centers of excellence to
- 1:19:13Speaker 1: do community academic partnerships for research. And so one of them,
- 1:19:19Speaker 1: which is a United States Health and Human Services agency
- 1:19:23Speaker 1: gave us a large rant to build the infrastructure to
- 1:19:28Speaker 1: do this type of research, and we specifically have our
- 1:19:32Speaker 1: steering committee have the majority of them from the community,
- 1:19:36Speaker 1: so these are community leaders. The traditional chair of this
- 1:19:42Speaker 1: was senior Pastor Frank Lance from one of the churches
- 1:19:47Speaker 1: in West Baltimore, and those leaders actually did stare the program, right,
- 1:19:55Speaker 1: That's why we call them a steering committee. And so
- 1:19:58Speaker 1: if we're thinking about doing a rec search project and
- 1:20:01Speaker 1: the community wonders whether that's going to have any real
- 1:20:04Speaker 1: benefit to the community, they can call a vote. And
- 1:20:08Speaker 1: if the majority of the staring committee don't think we
- 1:20:11Speaker 1: should do something, we promise them we won't do it.
- 1:20:14Speaker 1: And most of the time we don't need to take
- 1:20:17Speaker 1: a vote because its clear what we're going to do.
- 1:20:19Speaker 1: But we have taken votes a couple times, and in
- 1:20:22Speaker 1: the majority of cases it's a unanimous vote to proceed.
- 1:20:25Speaker 1: But we have had one or two instances in which
- 1:20:29Speaker 1: the community really felt that it wasn't the right opportunity
- 1:20:34Speaker 1: and it wasn't appropriately supported financially so that the community
- 1:20:39Speaker 1: would get the resources they need to participate, and so
- 1:20:42Speaker 1: we decided not to pursue those opportunities. And that's a
- 1:20:46Speaker 1: real commitment, right not just to go out and to
- 1:20:49Speaker 1: try to improve health, but if you're telling us that
- 1:20:52Speaker 1: the way that we think we might improve health doesn't
- 1:20:55Speaker 1: align with the values of your.
- 1:20:57Speaker 7: Community, well then we won't do that.
- 1:21:00Speaker 1: And I'm really proud that my university supports the Patient's
- 1:21:03Speaker 1: Program in that way. And yes, so Patient's Program is
- 1:21:07Speaker 1: a partnership between community leaders and patients and the University
- 1:21:14Speaker 1: Marion Baltimore doing research together. At every step we decide
- 1:21:18Speaker 1: whether or not we're going to do it. If we're
- 1:21:20Speaker 1: going to do our research project, they help us to
- 1:21:22Speaker 1: frame what is that question, why is it important to
- 1:21:25Speaker 1: patients and their community based providers, How are we going
- 1:21:29Speaker 1: to do this, what parts of data collection might be
- 1:21:33Speaker 1: too burdensome, And then how do we have a workaround
- 1:21:36Speaker 1: so that people who have the medical condition that we're
- 1:21:43Speaker 1: performing research on are able to participate? And then how
- 1:21:48Speaker 1: do we make sure that when we learn something that
- 1:21:50Speaker 1: that information gets back so that a patient with their pharmacists,
- 1:21:53Speaker 1: with their physician, with their nurse can make the best
- 1:21:56Speaker 1: decision to improve their health.
- 1:22:00Speaker 2: That's special, and I'm always biased because I love my
- 1:22:04Speaker 2: favorite providers the pharmacist. And having pharmacists understand that in
- 1:22:09Speaker 2: their student lives and understand that of what impact they
- 1:22:14Speaker 2: could truly have. It could create creativity in their minds
- 1:22:18Speaker 2: of saying, hey, maybe I'm moving to Austin, Texas, or Denver, Colorado,
- 1:22:24Speaker 2: or Butler, Pennsylvania, which is a tiny more a smaller town.
- 1:22:29Speaker 2: What impact could I take knowing what the University of
- 1:22:34Speaker 2: Maryland School of Pharmacy has done and replicate something like
- 1:22:37Speaker 2: that in my own community. And so public health and
- 1:22:42Speaker 2: public health leadership is an enormous part of an opportunity
- 1:22:47Speaker 2: for pharmacists because, in my opinion, we need more pharmacist
- 1:22:52Speaker 2: in legislation, we need more pharmacists in community leadership. We
- 1:22:57Speaker 2: need more pharmacists connected to hope you haid use disorder
- 1:23:01Speaker 2: and programs that understand so a pharmacist your farm d
- 1:23:07Speaker 2: could in your pharmacist, registered pharmacist, a practice could lead
- 1:23:13Speaker 2: to something you've never even thought about. At your P
- 1:23:15Speaker 2: three stage or P four stage where you're saying, I'm
- 1:23:18Speaker 2: not quite because we're so busy understanding the science and
- 1:23:23Speaker 2: the chemistry and memorization and different formulas, your brain is
- 1:23:27Speaker 2: under attack with so much, you know, you're so much
- 1:23:30Speaker 2: stress that sometimes the verticals are the only thing that
- 1:23:35Speaker 2: you can see a hospital system, community retail, you know, specialty,
- 1:23:40Speaker 2: maybe medical science, liaison. But let your imagination leads you
- 1:23:45Speaker 2: to something that you're passionate about, and learn more from
- 1:23:49Speaker 2: your university, like you know, the School of Pharmacy at
- 1:23:53Speaker 2: Maryland to be able to say, here's some other things
- 1:23:56Speaker 2: that we've staged that have caught fire that are making
- 1:24:00Speaker 2: impacts to the community.
- 1:24:01Speaker 1: I love this, right well, I mean public health. You know,
- 1:24:06Speaker 1: it really does seem like when one public health crisis ends,
- 1:24:09Speaker 1: it's about a year and then another one starts. Right, So,
- 1:24:12Speaker 1: there's unfortunately always going to be a need for pharmacists
- 1:24:16Speaker 1: in public health because whether it's the classic public health
- 1:24:20Speaker 1: of chronic conditions, you know that we you know, we've
- 1:24:24Speaker 1: made improvements, but people still have hypertension, people still have diabetes,
- 1:24:27Speaker 1: people but still have asthma, you know, or it's the
- 1:24:30Speaker 1: big things like COVID or substance use disorder. Yeah, we
- 1:24:36Speaker 1: need pharmacists who are going to get out there into
- 1:24:39Speaker 1: the community and really help to make an impact because
- 1:24:42Speaker 1: you can't do everything from inside. Well, some of it
- 1:24:45Speaker 1: needs to be out there in the community.
- 1:24:49Speaker 2: Danielle, this has been so much fun talking to on
- 1:24:52Speaker 2: this week in pharmacy. I want to say once again,
- 1:24:54Speaker 2: congratulations and being recognized by your peers. Congratulations being recognized leadership.
- 1:25:01Speaker 2: A shout out to the students that are in the program.
- 1:25:05Speaker 2: If you come out of this program, if something happens
- 1:25:08Speaker 2: to you in the future that you want more attention
- 1:25:11Speaker 2: around discussion around it, come back with Daniel and let's
- 1:25:14Speaker 2: get you on the show and let's talk about it,
- 1:25:17Speaker 2: because that's how we've pushed. What you're doing in Maryland
- 1:25:20Speaker 2: is going to have an impact at some other point,
- 1:25:23Speaker 2: at somewhere in the rest of the country. And who knows,
- 1:25:26Speaker 2: there's now traveling pharmacists that travel the globe to serve
- 1:25:30Speaker 2: and they could be a graduate of the University of
- 1:25:33Speaker 2: Maryland School of Pharmacy. So daniel this has been very special,
- 1:25:38Speaker 2: Thanks very much for the invitation. Thank you.
- 1:25:45Speaker 10: At the twenty twenty six Pharmacy Profits Summit, TJM Labs
- 1:25:49Speaker 10: showed pharmacy leaders how to scale operations without scaling headcount.
- 1:25:53Speaker 10: Built for pharmacy buy pharmacists, TJM Labs uses aipowered automation
- 1:25:57Speaker 10: to handle time consuming workflows like description, intake, data entry,
- 1:26:01Speaker 10: fax processing, refill management, and more. What makes TJM labs
- 1:26:06Speaker 10: different is how quickly it works. There's no need for
- 1:26:08Speaker 10: APIs or system replacement. The platform operates directly within existing
- 1:26:13Speaker 10: pharmacy systems, allowing teams to go live in under four
- 1:26:16Speaker 10: weeks with no IT lift required. Today, TJM Labs supports
- 1:26:21Speaker 10: over two hundred pharmacy groups and helps automate more than
- 1:26:24Speaker 10: three hundred thousand prescriptions every day. Pharmacy partners typically see
- 1:26:28Speaker 10: a four hundred to five hundred percent return on investment,
- 1:26:31Speaker 10: with significant increases in throughput and reduced manual workload. The
- 1:26:35Speaker 10: result is more capacity, fewer bottlenecks, and more time focused
- 1:26:39Speaker 10: on patient care. For pharmacies looking to grow without adding headcount,
- 1:26:43Speaker 10: TJM Labs is helping teams automate smarter and scale with confidence.
- 1:26:53Speaker 11: You've been prescribed to GLP one medication.
- 1:26:56Speaker 12: You might be wondering how does this work and what
- 1:26:59Speaker 12: should you expect.
- 1:27:00Speaker 11: This video will walk you through the basics.
- 1:27:03Speaker 12: These medicines help your body release insulin, reduce appetite, and
- 1:27:07Speaker 12: slow how quickly food leaves your stomach. Effects happen gradually,
- 1:27:11Speaker 12: and results vary from person to person. Common types include semaglutide, liraglutide, doulaglutide,
- 1:27:18Speaker 12: and trezepetide. Some are injected weekly, others daily, and certain
- 1:27:22Speaker 12: semaglutide products are taken orally. One oral semaglutide product is
- 1:27:27Speaker 12: approved for type two diabetes and another has received FDA
- 1:27:31Speaker 12: approval for chronic weight management in specific patient populations. Your
- 1:27:35Speaker 12: doctor determines the right product and dose for you. To
- 1:27:39Speaker 12: reduce injection sting, let your pen reach room temperature for
- 1:27:42Speaker 12: fifteen minutes before use.
- 1:27:44Speaker 11: Rotating your injection site between.
- 1:27:46Speaker 12: Your abdomen, thigh, and upper arm can also help with
- 1:27:50Speaker 12: comfort over time. Common side effects include nausea, vomiting, diarrhea, constipation,
- 1:27:56Speaker 12: and abdominal discomfort.
- 1:27:58Speaker 11: Some people may also notice dizzy, ziness, fatigue, or low energy.
- 1:28:02Speaker 12: Smaller, slower meals may help ease nausea, but talk to
- 1:28:06Speaker 12: your healthcare professional for advice that fits your situation. If
- 1:28:10Speaker 12: side effects become severe or don't improve, contact your doctor
- 1:28:14Speaker 12: or pharmacist. Don't stop this medication on your own. To
- 1:28:17Speaker 12: help with digestive side effects, stay well hydrated and gradually
- 1:28:21Speaker 12: add fiber rich foods like leafy greens and whole grains.
- 1:28:25Speaker 12: Stopping when you feel about eighty percent full may help
- 1:28:28Speaker 12: reduce nausea, though responses vary because weight loss can include
- 1:28:33Speaker 12: muscle loss.
- 1:28:34Speaker 11: Prioritize protein from sources.
- 1:28:36Speaker 12: Like eggs, fish, chicken, or yogurt, and consider light resistance training.
- 1:28:41Speaker 11: Talk to your care team about a plan that works
- 1:28:43Speaker 11: for you.
- 1:28:44Speaker 12: These medicines slow digestion, which can affect how some oral
- 1:28:47Speaker 12: medications are absorbed. If you use insulin, sulfonal ureas, or
- 1:28:52Speaker 12: hormonal contraceptives, talk to your care team about any dose
- 1:28:56Speaker 12: or method adjustments. Make sure your care team knows every
- 1:29:00Speaker 12: thing you're taking. This medication works best alongside healthy habits
- 1:29:04Speaker 12: and regular follow up. If you have any questions, talk
- 1:29:07Speaker 12: to your doctor or pharmacist. You don't have to figure
- 1:29:10Speaker 12: this out alone.
- 1:29:15Speaker 13: This was incredible.
- 1:29:17Speaker 2: I would like to introduce to our listeners the founder
- 1:29:22Speaker 2: of Quick Productions and just how absolutely incredible and in
- 1:29:29Speaker 2: depth that this video was. Mina introduce yourself to our
- 1:29:33Speaker 2: listeners here on twerks.
- 1:29:36Speaker 4: Yeah.
- 1:29:36Speaker 14: Hi, my name is Mina. I'm the founder and seals
- 1:29:39Speaker 14: Quick Productions and been a pharmacist for fourteen years now.
- 1:29:43Speaker 14: Worked in the retail setting. I worked in the hospital setting,
- 1:29:47Speaker 14: been a pediatric pharmacist for six years now, Yeah, and
- 1:29:51Speaker 14: been working on Quick Productions. It has been a very
- 1:29:54Speaker 14: exciting journey so far.
- 1:29:56Speaker 2: Mina, we want to say thank you to Quick Productions
- 1:29:59Speaker 2: for doing our new intro video to splice up some
- 1:30:02Speaker 2: of our coverage and things that we're doing, because our
- 1:30:07Speaker 2: intro video was generic before. When Twerk started, we really
- 1:30:11Speaker 2: didn't have any interviews to show, so very much appreciate
- 1:30:15Speaker 2: the creativity. But creativity is one thing. Use of video
- 1:30:20Speaker 2: editing is another thing. But then when you combine that
- 1:30:23Speaker 2: with someone who is evidence based driven and if the listeners,
- 1:30:28Speaker 2: if you heard that video instead of seeing that video,
- 1:30:33Speaker 2: I encourage you to go look at the video and
- 1:30:36Speaker 2: see the transitions and see the visuals that were being
- 1:30:39Speaker 2: used to support what was being talked about. Extremely clinical,
- 1:30:44Speaker 2: but also very easy to understand. Hard that's not easy
- 1:30:48Speaker 2: to do at all. Talk to us about how unique
- 1:30:52Speaker 2: it is that there's a farm d who has a
- 1:30:54Speaker 2: passion for this stuff to be able to create content
- 1:30:57Speaker 2: for the consumer.
- 1:30:59Speaker 4: Well, thank you for for the question.
- 1:31:01Speaker 14: So as a pharmacist, one pattern kept showing up. You
- 1:31:04Speaker 14: explain something clearly the patient nods, everything seems fine, and
- 1:31:09Speaker 14: then once they're home, that understanding starts to feed and
- 1:31:13Speaker 14: the system doesn't really track that part as well. So
- 1:31:17Speaker 14: what we do is we measure whether counseling happened and not.
- 1:31:21Speaker 14: You know what actually stuck the gap? This gap specifically
- 1:31:26Speaker 14: kept bothering me, so I started building short visual explanations
- 1:31:29Speaker 14: that patient can revisit after the visit to support the counseling.
- 1:31:33Speaker 14: It does not replace it. Pairing. It was a simple
- 1:31:36Speaker 14: way to actually see how patients engage afterward by having
- 1:31:41Speaker 14: our quick portal as well.
- 1:31:44Speaker 2: So this one was GLP. It's very mysterious to the
- 1:31:49Speaker 2: average consumer. I'm not a pharmacist. I didn't really understand
- 1:31:52Speaker 2: what GLP even meant. The different medications that are coming out,
- 1:31:57Speaker 2: the controversy with compounding, which can develop confusion for the markets.
- 1:32:03Speaker 13: Lily's you know, push to.
- 1:32:04Speaker 2: Come out with some new compound or molecule. I mean,
- 1:32:09Speaker 2: it's so people are getting hit with a lot of
- 1:32:12Speaker 2: information and your videos are basically saying time out, Let's
- 1:32:18Speaker 2: go back to the basics, let's go back to the science.
- 1:32:21Speaker 2: Let's do something that the public can understand. And I
- 1:32:24Speaker 2: think that this is going to make it a safer environment.
- 1:32:27Speaker 13: I would like to see.
- 1:32:28Speaker 2: I mean, we don't have the money or time yet,
- 1:32:31Speaker 2: but I would like to see a mandatory video come
- 1:32:34Speaker 2: out with every You know those leaflets that are.
- 1:32:37Speaker 13: Seven pages long.
- 1:32:39Speaker 2: People never read them, but they legally have to put
- 1:32:41Speaker 2: it out. I think that we should have a video
- 1:32:44Speaker 2: that is an eighth grade, twelfth grade understanding of stuff,
- 1:32:49Speaker 2: just like Quick Production does to put out with a
- 1:32:52Speaker 2: QR code with every single prescription that gets put and say, hey,
- 1:32:56Speaker 2: take time to watch this video. It's going to help
- 1:32:58Speaker 2: answer some basic questions that you might not have even
- 1:33:01Speaker 2: known to ask the pharmacist, what do you think about that?
- 1:33:04Speaker 2: What do you think about driving the consumer to something
- 1:33:08Speaker 2: that's much more easy to understand than that leaflet.
- 1:33:11Speaker 13: You and I both know people do not read that.
- 1:33:13Speaker 14: Stuff absolutely, and you brought up a really good point.
- 1:33:17Speaker 14: I think one thing that's very important now is we
- 1:33:20Speaker 14: have to look behind who's actually even if there's videos
- 1:33:23Speaker 14: out there, who's making the videos? Are they actually checked
- 1:33:27Speaker 14: by somebody who is a pharmacist or a doctor that's
- 1:33:30Speaker 14: actually making sure that the education is actually correct. The
- 1:33:33Speaker 14: other thing is we're in a TikTok world, right now,
- 1:33:36Speaker 14: nobody has the patience to read or even watch videos
- 1:33:39Speaker 14: as a matter of fact that are long. So that's
- 1:33:42Speaker 14: actually what is our focus as well. So it has
- 1:33:45Speaker 14: to be sure. So we have a cutoff which is
- 1:33:47Speaker 14: three minutes, which includes also the disclaimer as well, to
- 1:33:50Speaker 14: make sure that it's something that's simplified enough but also
- 1:33:54Speaker 14: not very simplified that we're taking away from the information
- 1:33:57Speaker 14: that needs to be explained. But that person agree with you, So.
- 1:34:02Speaker 2: The the complexity of what you just took our listeners
- 1:34:08Speaker 2: through the video two minutes thirty two minutes and thirty seconds,
- 1:34:13Speaker 2: but you got so much packed in there.
- 1:34:15Speaker 13: I didn't think it was rushed.
- 1:34:17Speaker 2: I understood what was being you know said, I've watched
- 1:34:19Speaker 2: that video two or three times. I now understand things
- 1:34:22Speaker 2: from GOLP one perspective I never understood before.
- 1:34:26Speaker 13: This is important.
- 1:34:28Speaker 2: So who do we go to. We have the CE
- 1:34:31Speaker 2: groups that are developing continuing education. More for the provider side,
- 1:34:36Speaker 2: we have the pharma manufacturers. We have publications like drug
- 1:34:41Speaker 2: topics or Pharmacy times, like where can we go to
- 1:34:45Speaker 2: get more people to understand that video like this is paramount,
- 1:34:50Speaker 2: It's it's extremely important.
- 1:34:53Speaker 14: Yeah, I think right, now it's it's something that I
- 1:34:57Speaker 14: feel just like you said, it's something that's very important
- 1:34:59Speaker 14: that anybody that truly cares about patient education, and not
- 1:35:02Speaker 14: only patient education, but making sure that the patient's engaged after.
- 1:35:06Speaker 14: Something you mentioned that's very important is you watch it
- 1:35:09Speaker 14: two to three times, which is great. If let's say
- 1:35:11Speaker 14: you're being counseled by a pharmacist, or let's say even
- 1:35:14Speaker 14: you're in the hospital and the doctor is giving you
- 1:35:16Speaker 14: this pamphlet or talking to you about a disease, you're
- 1:35:20Speaker 14: gonna even ask one or two times max. But this
- 1:35:23Speaker 14: could be something that you have at home when you
- 1:35:25Speaker 14: are in the right state of mind and you're you're
- 1:35:29Speaker 14: able to repeat it as many times as you want.
- 1:35:31Speaker 14: Was out feeling, you know, can I just ask one
- 1:35:34Speaker 14: more question? And then you feel bad about it. So
- 1:35:37Speaker 14: it's used in so many settings. It could be used
- 1:35:39Speaker 14: to explain what a disease state is. It could be
- 1:35:42Speaker 14: used to explain even things like what we were discussing before,
- 1:35:46Speaker 14: like the vaccines, where you know, right now, there's so
- 1:35:50Speaker 14: much information out there about the vaccines and nobody knows
- 1:35:54Speaker 14: who's right and who's wrong. But when you have somebody
- 1:35:57Speaker 14: who studied this and knows this and is bringing information
- 1:36:01Speaker 14: from actual studies that tells you, hey, what's this is
- 1:36:05Speaker 14: what's real? Now you could believe it.
- 1:36:09Speaker 2: I like also that you stick to the information.
- 1:36:13Speaker 13: It's not politicized.
- 1:36:15Speaker 2: There's nothing extra in it. It's black and white, it's
- 1:36:19Speaker 2: right up the center. It's evidence based information. It's taking
- 1:36:22Speaker 2: the facts that's so important in a day and age
- 1:36:25Speaker 2: where we are just every time you get on TikTok,
- 1:36:29Speaker 2: there's something you know the vaccine development or is it
- 1:36:33Speaker 2: safe or is it blah blah blah, and then our
- 1:36:35Speaker 2: FDA confuses us, and some of our own leadership is
- 1:36:38Speaker 2: confusing us, and it's just like, come on. So I
- 1:36:41Speaker 2: always come back to the pharmacist myself. I have several
- 1:36:45Speaker 2: pharmacists that I trust with some of my own health questions,
- 1:36:47Speaker 2: in my family's health questions. Every time they describe something
- 1:36:51Speaker 2: to me, it's cut and dry. I don't hear any
- 1:36:55Speaker 2: opinion other than their empathy, other than their.
- 1:36:58Speaker 13: Passion to talk about it.
- 1:36:59Speaker 2: And I think that the public needs to understand that
- 1:37:04Speaker 2: social media, the TikTok generation, you have to be careful
- 1:37:08Speaker 2: of where you're getting your information from because there are
- 1:37:11Speaker 2: a lot of people out there. There's the ones on
- 1:37:14Speaker 2: one side of the spectrum just trying to make a
- 1:37:16Speaker 2: fast buck. You know, I throw those guys out or
- 1:37:19Speaker 2: those gals out, the health coaches.
- 1:37:21Speaker 13: That just want to make money.
- 1:37:22Speaker 2: There's even the health coaches that are passionate and they
- 1:37:25Speaker 2: mean well, but what they're saying is not evidence based.
- 1:37:29Speaker 13: They did not go to eight.
- 1:37:30Speaker 2: Years or twelve years of school and have practice and
- 1:37:33Speaker 2: understand the pharma coological impacts of what they're talking about.
- 1:37:39Speaker 2: So there's pharmacists out there who are rising in social media.
- 1:37:43Speaker 2: As a matter of fact, our Pharmacy fifty Awards honored
- 1:37:47Speaker 2: six of the fifty that we're all social media influencers.
- 1:37:51Speaker 2: That's where I'm going to start pushing your video is
- 1:37:54Speaker 2: to these influencers to say, holy cow, this video is
- 1:37:57Speaker 2: so freaking well done, and then for them to help
- 1:38:00Speaker 2: share so that we can get more of the public
- 1:38:03Speaker 2: engaged in quick productions content.
- 1:38:06Speaker 14: Absolutely, yeah, that sounds great.
- 1:38:09Speaker 2: So what are your suggestions for the pharmacists listening? If
- 1:38:14Speaker 2: by the way, listeners, if you go too quick, it's
- 1:38:17Speaker 2: qik Productions dot com. That's the website I want you
- 1:38:22Speaker 2: to reach out to.
- 1:38:23Speaker 13: Mina.
- 1:38:23Speaker 2: He's active on LinkedIn. That's how I met Mina was
- 1:38:26Speaker 2: on LinkedIn. But Mina talk to our providers out there
- 1:38:31Speaker 2: about getting access to content, sharing content and even even
- 1:38:36Speaker 2: even taking on a project, asking you to, Hey, I
- 1:38:40Speaker 2: have a medication or I have something that has been
- 1:38:43Speaker 2: very confusing to a lot of my patients and maybe
- 1:38:45Speaker 2: they can contract with you.
- 1:38:47Speaker 14: Oh yeah, absolutely so what we are able to do
- 1:38:51Speaker 14: custom videos for any specific medication or any disease state
- 1:38:57Speaker 14: that you would want to. You know that you feel
- 1:38:59Speaker 14: like it's too complex, and we make sure that everything
- 1:39:02Speaker 14: is evident space and everything is correct. Obviously, every video
- 1:39:06Speaker 14: is checked three different times by a pharmacist to ensure accuracy.
- 1:39:10Speaker 14: We have the scene writing, after the scene writing, then
- 1:39:13Speaker 14: after the storyboard, and the storyboard is basically like the
- 1:39:16Speaker 14: video but in a PDF format, and then after the
- 1:39:18Speaker 14: video's done, so three different times to ensure accuracy. So
- 1:39:22Speaker 14: you can contact me on the website or info at
- 1:39:25Speaker 14: quick Productions dot com info a quick Productions dot com. Yeah,
- 1:39:29Speaker 14: absolutely all.
- 1:39:30Speaker 2: Right, we're going to put that up on the screen
- 1:39:32Speaker 2: as well. Mana, thank you so much for being on
- 1:39:35Speaker 2: twerks with me. I want to have you back because
- 1:39:38Speaker 2: I want to dig down deeper into the vaccine specific
- 1:39:42Speaker 2: videos that you've developed.
- 1:39:43Speaker 13: Which are tremendous.
- 1:39:45Speaker 2: A matter of fact, I think it's one of the
- 1:39:46Speaker 2: best videos that I've seen in instructional breakdown of vaccines
- 1:39:51Speaker 2: demystifying it for people that just don't get it. And
- 1:39:55Speaker 2: I think that that's going to be important in the future,
- 1:39:57Speaker 2: especially for some of our independent community farm who have
- 1:40:01Speaker 2: vaccine clinics that really describe things to people. They could say, hey, listen,
- 1:40:06Speaker 2: I'm gonna go talk to this other patient while you're waiting.
- 1:40:09Speaker 2: Why don't you watch this video and blah blah blah.
- 1:40:12Speaker 2: Turn it on, be able to r QR code, watch
- 1:40:14Speaker 2: it right on your phone, or whatever it is. But
- 1:40:17Speaker 2: I think a constant drama of information is going to
- 1:40:19Speaker 2: be important to set some things straight that are have
- 1:40:23Speaker 2: gone off off path with not being evidence.
- 1:40:26Speaker 14: Based absolutely, and one thing to that, it's I think
- 1:40:30Speaker 14: the problem is is a lot of people take their
- 1:40:32Speaker 14: information from people who come and say, let me tell
- 1:40:35Speaker 14: you what's right. Don't take the vaccine because of this inneness,
- 1:40:38Speaker 14: or take the vaccine because of this and this and this.
- 1:40:40Speaker 14: I have no bias. All I'm gonna do is I'm
- 1:40:43Speaker 14: going to tell them how the vaccine works, why this
- 1:40:45Speaker 14: myth is incorrect. For example, they say, oh, there's aluminum
- 1:40:49Speaker 14: in the vaccine, or is there's formaldehyde. We address OLDO
- 1:40:52Speaker 14: Smith to ensure that you're the one making the decision.
- 1:40:55Speaker 14: It's not me telling you take the vaccine or don't
- 1:40:57Speaker 14: take it. I want to be the person that you
- 1:41:00Speaker 14: keep you enough to know about the medication or the vaccine,
- 1:41:03Speaker 14: that you are the one that decide I want to
- 1:41:05Speaker 14: do it or not. I'm not telling you what to do.
- 1:41:09Speaker 2: Doctor Minaya Cobb pharm Dy excited to have you on twerks.
- 1:41:13Speaker 13: Can't wait to get you back.
- 1:41:14Speaker 14: That sounds good.
- 1:41:15Speaker 13: All right, we'll talk to you soon.
- 1:41:17Speaker 2: Hey, thanks for listening to this Week in Pharmacy.