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Valentine’s Day Special 2026 | TWIRx · Pharmacy Podcast Network

• 0:45
  Speaker 1: Quickly before we get the show started. You have to
• 0:51
  Speaker 1: listen to this. This is from the Energy and Commerce
• 0:54
  Speaker 1: Health Subcommittee hearing that just happened this week.
• 0:59
  Speaker 2: In pharmacy, Mister Howie, I want to thank you for
• 1:03
  Speaker 2: the work that pharmacists do. When I think about my father,
• 1:07
  Speaker 2: who died when I was twenty three, it was always
• 1:09
  Speaker 2: going into our local pharmacy, pharmacist and who knew our
• 1:13
  Speaker 2: family by name, who dispensed the drug temporarily if the
• 1:17
  Speaker 2: insurance company hadn't filled it. And so I want to
• 1:20
  Speaker 2: thank you for the work. You have also mentioned some
• 1:25
  Speaker 2: of the problems and some of the concerns. One of
• 1:29
  Speaker 2: them you talked about was horizontal and vertical consolidation.
• 1:33
  Speaker 3: Most people watching today don't know what that means.
• 1:37
  Speaker 2: I have a chart and if you can see it
• 1:41
  Speaker 2: from there, this is a chart if we can pan
• 1:44
  Speaker 2: out here where those at the top own both. They're
• 1:50
  Speaker 2: then the insurance company, the PBM, the pharmacy and the provider.
• 1:55
  Speaker 2: So can you explain to the American public what this
• 2:00
  Speaker 2: means for them in pricing?
• 2:03
  Speaker 4: Yes, In congressman, I'm sorry for your loss, and our
• 2:06
  Speaker 4: members are That is the type of work our members
• 2:09
  Speaker 4: do is have those relationships with patients. To your question
• 2:12
  Speaker 4: about the vertical vertical integration and consolidation, what it means
• 2:16
  Speaker 4: to patients is that that patient, frankly is controlled their
• 2:21
  Speaker 4: healthcare journey from the time they get they see the doctor,
• 2:25
  Speaker 4: get a prescription, get that prescription filled, maybe have to
• 2:29
  Speaker 4: go to decide which health system, which hospital. There are
• 2:33
  Speaker 4: three entities that control that journey because they're all the same.
• 2:38
  Speaker 4: So for example, CVS ETNA. CVS people think about the
• 2:42
  Speaker 4: brick and mortar pharmacies. That's probably the smallest part of
• 2:44
  Speaker 4: their business. They own Etna, which is the health insurer,
• 2:47
  Speaker 4: and they own care Mark, which is the PBM. So
• 2:50
  Speaker 4: if a patient is prescribed a prescription, the doctor or
• 2:55
  Speaker 4: the pharmacist is sometimes overruled by the PBM because the
• 3:00
  Speaker 4: PBUM makes more money off of a different drug. So
• 3:02
  Speaker 4: the PBMs are actually practicing medicine. That's one stage. Then
• 3:05
  Speaker 4: the patient is trying to get their drug and the
• 3:11
  Speaker 4: PBM can either block it or require a prior authorization,
• 3:14
  Speaker 4: or they can say, patient, you cannot go to that pharmacy.
• 3:17
  Speaker 4: You can only go to my specialty pharmacy. So every
• 3:20
  Speaker 4: step of the way through the vertical integration, the patient
• 3:23
  Speaker 4: choices are compromised, and when those patient choices are compromisers,
• 3:27
  Speaker 4: less competition and higher prices.
• 3:29
  Speaker 5: Thank you, are you back?
• 3:32
  Speaker 3: Jilty?
• 3:37
  Speaker 1: Incredible, incredible, incredible. This is going to be part of
• 3:43
  Speaker 1: twerks Today, Twarks News. Steven Beckman, CEO of a or
• 3:47
  Speaker 1: Ral Pharma. We're going to be getting into Twerks News.
• 3:51
  Speaker 1: Can't wait to get started.
• 4:11
  Speaker 5: And now here's our host and founder of the Pharmacy
• 4:14
  Speaker 5: Podcast Network, tood Eurie.
• 4:17
  Speaker 3: Hey there, hey there, welcome to this.
• 4:19
  Speaker 5: Week in Pharmacy. Works is the number one weekly talk
• 4:22
  Speaker 5: show about the profession of pharmacy. And now here's our
• 4:26
  Speaker 5: post and founder.
• 4:27
  Speaker 1: I am here Todd Uri, founder of the Pharmacy Podcast Network.
• 4:30
  Speaker 1: It's so good to be here with you. This is
• 4:33
  Speaker 1: Tworks for February thirteenth, twenty twenty six. It's the day
• 4:40
  Speaker 1: before Valenceine Valentine's Day. I hope you're thinking about that
• 4:45
  Speaker 1: regardless if you are in a relationship, it's a time
• 4:48
  Speaker 1: to just show your love for somebody. Just reach out
• 4:52
  Speaker 1: to something you haven't talked to in a while, or
• 4:53
  Speaker 1: send them a text, or say you just want to
• 4:55
  Speaker 1: get together with them and get a slice of cheesecake,
• 4:58
  Speaker 1: referably vanilla bean cheesecake with the strawberries and strawberry drizzle,
• 5:07
  Speaker 1: and that would be what I want. I got my
• 5:09
  Speaker 1: roses here in the studio on the studio. These are fake,
• 5:14
  Speaker 1: Thank goodness. I have to put the water in them.
• 5:16
  Speaker 1: And we are twerk saying for Valentine's Day. This is
• 5:21
  Speaker 1: a good time to celebrate what's happening in our profession.
• 5:24
  Speaker 1: But we do always start out with twerks News first,
• 5:28
  Speaker 1: and today we have a co host again that is
• 5:31
  Speaker 1: not a stranger to twerks. Welcome back to the studio,
• 5:35
  Speaker 1: mister Stephen Beckman.
• 5:39
  Speaker 6: Hey Todd, how are you? Good morning? Happy day? Before
• 5:43
  Speaker 6: we have Outside's Day. And I have to say that
• 5:46
  Speaker 6: intro has got me hungry, given that I didn't have
• 5:49
  Speaker 6: breakfast yet.
• 5:52
  Speaker 1: You got to make sure you stay fueled up, and
• 5:56
  Speaker 1: we are. We're in the same area. Steven and I
• 6:00
  Speaker 1: live pretty close to each other, and you've been in
• 6:03
  Speaker 1: the studio before. And it's going to jettison up to
• 6:08
  Speaker 1: fifties and sixties coming up this week, and I'm welcoming it,
• 6:12
  Speaker 1: but I'm not trusting it. I have trust issues with
• 6:14
  Speaker 1: Southwestern Pennsylvania weather at this time of year.
• 6:18
  Speaker 6: I agree, but we'll take all the good positive vibes
• 6:22
  Speaker 6: because hopefully we'll start staying above freezing here now, which
• 6:27
  Speaker 6: will be great for everybody.
• 6:29
  Speaker 1: Absolutely all right, Today's Twerks is the Valentine's Day feature special.
• 6:35
  Speaker 1: In this we're titling this pharmacy love story in celebration
• 6:39
  Speaker 1: of Valentine's Day. We're welcoming too very special guests. We're
• 6:43
  Speaker 1: going to have doctor Mark and doctor Gretchen Gara Foley,
• 6:48
  Speaker 1: both farm dees whose story has been very powerful.
• 6:53
  Speaker 3: I think these are two extremely special people.
• 6:55
  Speaker 1: They raised two children, their leadership network in this Pharmacy
• 6:58
  Speaker 1: Associations podcast hosting professional advocacy academic leadership at WVU School
• 7:05
  Speaker 1: of Pharmacy.
• 7:07
  Speaker 3: They both went to PITT.
• 7:08
  Speaker 1: I mean, you know this guy, Steven and I can't
• 7:12
  Speaker 1: wait to hear this interview coming up.
• 7:15
  Speaker 6: Yeah, Mark's a great guy. I haven't had the opportunity
• 7:17
  Speaker 6: to meet her his better half, but I have to
• 7:21
  Speaker 6: think if he's a good guy, she's even better.
• 7:24
  Speaker 3: Yep, two good people. All right.
• 7:26
  Speaker 1: We're also going to be shifting gears over to doctor
• 7:29
  Speaker 1: Mark Fulton. Later up in the show, we're going to
• 7:31
  Speaker 1: be doing love Potion a historical report from a pharmacist
• 7:37
  Speaker 1: that digs into love potions. You ever use any love potions, Steven.
• 7:42
  Speaker 6: Now, maybe a good cologne, but no specific love potion.
• 7:45
  Speaker 6: But maybe I need to think about that a little
• 7:48
  Speaker 6: bit more. I'll take all the help I can get.
• 7:50
  Speaker 1: Listen your background in the pharmaceutical industry. Let's go find
• 7:54
  Speaker 1: some researchers to refine the pheromone just for men's colone,
• 7:59
  Speaker 1: because as women don't need to be any more attractive
• 8:02
  Speaker 1: than they are, but men need help, and we could
• 8:05
  Speaker 1: come up with a pheromone or something like that in our.
• 8:07
  Speaker 6: Well, you're definitely correct. Men need all the help we
• 8:10
  Speaker 6: can get, So that's something we might have to go talk.
• 8:12
  Speaker 6: I'll go talk to our R and D guys and
• 8:14
  Speaker 6: see if we could build off a separate area of
• 8:18
  Speaker 6: development for the future of all mankind.
• 8:20
  Speaker 1: Or men exactly. We need it all right. Our last
• 8:24
  Speaker 1: segment is Innovation Spotlight. We love innovating technology and kind
• 8:28
  Speaker 1: of drilling down into what's happening our ex transfer in
• 8:32
  Speaker 1: the future of interoperability. We're going to welcome back doctor
• 8:36
  Speaker 1: Lawrence King, who was one of our Pharmacy Fifty Award
• 8:39
  Speaker 1: winners this year. Steven he's the vice president of product
• 8:42
  Speaker 1: Innovation at sure Scripts and that's yeah.
• 8:45
  Speaker 6: I remember that what a great program that was and
• 8:48
  Speaker 6: it was great to be a part of that as
• 8:49
  Speaker 6: your co host. But I'll tell you in the three
• 8:51
  Speaker 6: years they've done it, the growth of it, and I've
• 8:54
  Speaker 6: had the opportunity to speak to some of the winners
• 8:56
  Speaker 6: post that podcast, and it was they were excited, they
• 9:02
  Speaker 6: were and appreciative. I think it is resonating through this
• 9:09
  Speaker 6: community the importance of that acknowledgment and awards. So keep
• 9:13
  Speaker 6: up the great work with that because it's only going
• 9:18
  Speaker 6: to get bigger and bigger, bigger and better as we
• 9:21
  Speaker 6: go forward. I can't wait hopefully be hosted next year
• 9:24
  Speaker 6: when you double the numbers of entries and we see
• 9:26
  Speaker 6: that program just take on a holy life.
• 9:29
  Speaker 1: Thank you so much for being part of it, and
• 9:31
  Speaker 1: thank you. Shout out to your Ralph Pharma for being
• 9:34
  Speaker 1: our prime premium sponsor and what you guys did and
• 9:38
  Speaker 1: the attention that you took was a big deal.
• 9:41
  Speaker 3: So we into your social team.
• 9:43
  Speaker 1: Your social team shared it and really helped us reach
• 9:46
  Speaker 1: a segment of the pharmaceutical industry that we weren't getting
• 9:50
  Speaker 1: and we got more votes because of that that we're
• 9:53
  Speaker 1: pulling in our msls and our pharma people, and I
• 9:56
  Speaker 1: think that's a big deal.
• 9:59
  Speaker 6: Well, I think I agree with you. I think you know,
• 10:01
  Speaker 6: it's all interdependent. At the end of the day, if
• 10:02
  Speaker 6: we're all working across all the different teams and organizations
• 10:06
  Speaker 6: that actually influence the supply train, the supply chain from
• 10:12
  Speaker 6: manufacturer to patient, Uh, it can only be a good win.
• 10:15
  Speaker 6: And you know, I believe if you're going to talk it,
• 10:17
  Speaker 6: you got to walk it. So you know, we've made
• 10:19
  Speaker 6: a commitment to Pharmacy Channel as a whole, as an
• 10:21
  Speaker 6: organization and in particular independent pharmacy. So this was an
• 10:27
  Speaker 6: easy decision to make the sponsor an event that is
• 10:30
  Speaker 6: raising the profile and the discussion and discord. Well, we
• 10:37
  Speaker 6: have all the important people within the pharmacy delivery channel.
• 10:40
  Speaker 1: We got we got Twerk's news coming up, So we
• 10:45
  Speaker 1: are gonna shift to some stories. Steve, and I'm glad
• 10:48
  Speaker 1: you're here because I really want to hear what you
• 10:50
  Speaker 1: have to say about this. It's time for Tork's news,
• 11:00
  Speaker 1: all right, Stephen, First up, the one that you know
• 11:03
  Speaker 1: really got me going this week, and it's just my
• 11:06
  Speaker 1: background when I entered pharmacy to two thousand and four.
• 11:10
  Speaker 3: I'm getting old.
• 11:13
  Speaker 1: It was in pharmacy technology. It was in selling framework
• 11:18
  Speaker 1: LTC to long term care pharmacies throughout the country. And
• 11:22
  Speaker 1: what an exciting time it was where you were moving
• 11:25
  Speaker 1: from a character based system that had no interconnection to
• 11:29
  Speaker 1: anything else other than the data that was in that software.
• 11:34
  Speaker 1: And the character based system and framework was the first
• 11:38
  Speaker 1: pharmacy system in the history of our pharmacy profession to
• 11:43
  Speaker 1: concentrate on long term care with the sequel based background,
• 11:47
  Speaker 1: which means now you could plug other stuff into it. So,
• 11:51
  Speaker 1: being part of the technology realm in pharmacy, I always
• 11:55
  Speaker 1: place very close attention to what's happening with our pharmacy managements,
• 12:00
  Speaker 1: what's happening with their integration and APIs to collecting more
• 12:05
  Speaker 1: data from the EHR systems. So TA, which is the
• 12:10
  Speaker 1: funding company for red Cell Technologies. The TA and associates
• 12:15
  Speaker 1: just made an announcement this week in Pharmacy that they
• 12:18
  Speaker 1: completed the cell of PRIMARX to red Cell Technologies. And
• 12:23
  Speaker 1: just for the listener's background, if you don't know red
• 12:25
  Speaker 1: Cell Technologies, they've gobbled up four or five pharmacy management
• 12:30
  Speaker 1: systems over the last ten years, and it's all rolling
• 12:35
  Speaker 1: up now into red sale as well as logistics programs,
• 12:40
  Speaker 1: logistics and transportation software like RX mile, which is covering
• 12:46
  Speaker 1: I think half the nation now, Steven, But what do
• 12:49
  Speaker 1: you think of you get all these systems rolling up
• 12:53
  Speaker 1: and there's and in my opinion, there's just too many
• 12:56
  Speaker 1: that are now being rolled up into one entity.
• 13:00
  Speaker 6: Well, you know, it is interesting because on the good side,
• 13:02
  Speaker 6: we always want more data and more technology working favorably,
• 13:06
  Speaker 6: especially for pharmacy. I think one of the things that's
• 13:10
  Speaker 6: always held some pharmacy back is they really haven't had
• 13:12
  Speaker 6: the tools to analyze their business or manage their business
• 13:17
  Speaker 6: more effectively. So when we see the integration of data
• 13:21
  Speaker 6: and availability, that to me is a good thing. But
• 13:24
  Speaker 6: with every good thing, there's also the potent potential for
• 13:28
  Speaker 6: some challenges. And the challenges is it being all consumed
• 13:31
  Speaker 6: into one entity or organization. And I don't think anybody
• 13:35
  Speaker 6: would argue that that's not always a good thing for
• 13:37
  Speaker 6: many reasons. So I think we have to be very
• 13:39
  Speaker 6: cautious about this and make sure it is creating the
• 13:43
  Speaker 6: value that it really needs to deliver, right, and I
• 13:48
  Speaker 6: think what it really needs to deliver is to create
• 13:50
  Speaker 6: pharmacies to be more effective across the board and everything
• 13:54
  Speaker 6: that they do, and ultimately that has to translate to
• 13:57
  Speaker 6: the patient. So I think it's time will tell I
• 14:02
  Speaker 6: do see and hear your reservations a little bit, and
• 14:06
  Speaker 6: I think ultimately what we have to do is we
• 14:09
  Speaker 6: have to enter this in an idea to make sure
• 14:11
  Speaker 6: that the pharmacies is pushing back to make sure that
• 14:15
  Speaker 6: this was working for them, not against them, because otherwise,
• 14:19
  Speaker 6: and there's other examples that we don't have to deliberate,
• 14:22
  Speaker 6: but yeah, we know that when there's a few suppliers
• 14:27
  Speaker 6: that causes certain channels as challenges or influences that they
• 14:31
  Speaker 6: have over their customers, and in this particular case, that
• 14:34
  Speaker 6: would be the pharmacy, and we have to make sure
• 14:36
  Speaker 6: that the pharmacy is working better and in spirit this
• 14:40
  Speaker 6: concept of integrating data should but it also depending on
• 14:43
  Speaker 6: how it's delivered, manage and so forth, could take away
• 14:47
  Speaker 6: some of that benefit if it's not done well.
• 14:50
  Speaker 1: Yeah, and understanding primar X, I know their team. I've
• 14:55
  Speaker 1: worked with their team definitely in their marketing department. I've
• 14:58
  Speaker 1: interviewed Caden Meta. He's the chief executive officer the CEO
• 15:03
  Speaker 1: of primar X, If Tha Associates, if Red Sale Technologies
• 15:10
  Speaker 1: leaves Cayden and his team in place, I could see
• 15:16
  Speaker 1: a lot of good coming from this, in my opinion,
• 15:19
  Speaker 1: because of the spirit of primary X led by Caden
• 15:25
  Speaker 1: and his team and how he empowers his team, because
• 15:28
  Speaker 1: I know, based on watching him talk with pharmacy owners,
• 15:32
  Speaker 1: engage with pharmacies and owners, listen and learn from pharmacy
• 15:35
  Speaker 1: owners and operators that not only do the customers trust him,
• 15:39
  Speaker 1: but he in turn looks to the customer base to
• 15:43
  Speaker 1: fuel what is the future of pharmacy management systems and
• 15:47
  Speaker 1: technology and where do we need to be to be competitive.
• 15:50
  Speaker 1: So if that happens, if they leave that in place,
• 15:54
  Speaker 1: and that's what I'm saying, I always see in these
• 15:56
  Speaker 1: mergers they take out some of the most key people,
• 16:00
  Speaker 1: you know, and an example of that is mister Jeff Key.
• 16:04
  Speaker 1: Jeff Key was the CEO of.
• 16:10
  Speaker 3: Of Goodness Gracious.
• 16:14
  Speaker 6: Well, while you're thinking about that, I think your point
• 16:16
  Speaker 6: is well taken. So look at you know the good
• 16:19
  Speaker 6: thing is is the integration.
• 16:20
  Speaker 1: Of information, so that you got it.
• 16:24
  Speaker 6: But I think the point that you're making is an
• 16:26
  Speaker 6: important one. I mean, look at integration of data and
• 16:29
  Speaker 6: being able to see it in an aggregate, you know,
• 16:32
  Speaker 6: uh is important because then we can get a more
• 16:35
  Speaker 6: clear or deeper picture or broader picture. But even within
• 16:39
  Speaker 6: that content, there's specialty expertise in those different areas you're integrating.
• 16:44
  Speaker 6: So your point while taking if you take that expertise
• 16:47
  Speaker 6: out and assume that it can just be universal across
• 16:49
  Speaker 6: manage that universally across the board, that's where you're going
• 16:52
  Speaker 6: to lose a lot of that value that you're speaking about.
• 16:54
  Speaker 1: It's the sweet sauce exactly. It is in organizations, the big, big,
• 17:00
  Speaker 1: big organizations, you know, billions, trillions of dollars accessible TA
• 17:04
  Speaker 1: and associates, huge organization. They are very very good at
• 17:09
  Speaker 1: getting the most profit out of their entities because that's
• 17:15
  Speaker 1: their jobs.
• 17:15
  Speaker 3: They're they're too extract and they.
• 17:18
  Speaker 1: Want to do it in a way that that is
• 17:20
  Speaker 1: long term as long as possible, so they can get
• 17:22
  Speaker 1: the most out of their investment as they can. And
• 17:26
  Speaker 1: they those kinds of organizations, they squeeze the sauce. They
• 17:32
  Speaker 1: squeeze the sweetness of why you know what, there's an organization, Steven,
• 17:36
  Speaker 1: I'm not sure if you know this. PDS Pharmacy Development Services.
• 17:41
  Speaker 1: Dan Benemos, this guy invented the first marketing organization that
• 17:45
  Speaker 1: helped independent community pharmacies as well as extension of long
• 17:50
  Speaker 1: term care and other things to market their services. And
• 17:53
  Speaker 1: for twelve years, this organization thrived and had the biggest
• 17:59
  Speaker 1: conference in all of pharmacy marketing ever with the amount
• 18:03
  Speaker 1: of attendees and Dan Benemos when he took stage, it
• 18:07
  Speaker 1: was kind of like an industry star. He was just
• 18:09
  Speaker 1: a star, but he was very sincere and that's why people,
• 18:12
  Speaker 1: you know, really loved him. Organization came in big, big
• 18:17
  Speaker 1: investment because of how much money that this organization was
• 18:20
  Speaker 1: pumping out through this conference, and they bought the company
• 18:24
  Speaker 1: and within eighteen months it was over. It shut down
• 18:29
  Speaker 1: because the sweet sauce was extracted and pulled out. And
• 18:32
  Speaker 1: that's what I'm talking about.
• 18:34
  Speaker 6: Yeah, well, look at I mean, business doesn't have to
• 18:36
  Speaker 6: be that hard. Right in this particular case, objectives have
• 18:39
  Speaker 6: toligne and you know, internal business objectives of the organization.
• 18:44
  Speaker 6: Achieving the value proposition that they delivered down to their
• 18:48
  Speaker 6: customer has to have alignment. When that doesn't happen, as
• 18:52
  Speaker 6: the example you just highlighted, things will happen. So look
• 18:56
  Speaker 6: at I think it's great that you're raising this particular event.
• 19:00
  Speaker 6: I think it's potentially it could be exciting, but ultimately
• 19:04
  Speaker 6: comes down on execution. Like most things in life, if
• 19:06
  Speaker 6: you execute it right and objectives are lined and they
• 19:10
  Speaker 6: don't lose the value proposition or the essence of what
• 19:14
  Speaker 6: each of those components are bringing into something that could
• 19:17
  Speaker 6: be more valuable presented right, then let's keep our fingers crossed.
• 19:23
  Speaker 7: That's what happens exactly.
• 19:25
  Speaker 1: Hey, good news. So we mentioned this on twerks last week.
• 19:30
  Speaker 1: This news came out at the end of January and
• 19:34
  Speaker 1: it was nationally known that now Walmart is going to
• 19:37
  Speaker 1: be boosting pay for pharmacy technicians and they're also going
• 19:41
  Speaker 1: to elevate their roles and responsibilities. This could be inventory specialists,
• 19:46
  Speaker 1: or this could be marketing specialist, or account management or
• 19:52
  Speaker 1: patient organization. Logistics is becoming a big role in pharmacy
• 19:56
  Speaker 1: technicians where they're laying out delivery pathways with soft where
• 20:00
  Speaker 1: But Steven, the reason why I'm bringing this back up
• 20:03
  Speaker 1: for the second torques in a row is because I
• 20:06
  Speaker 1: see this as a ripple effect and a domino effect
• 20:10
  Speaker 1: to the entire industry that will raise the opportunities for
• 20:16
  Speaker 1: career pharmacy technicians, not technicians that are like I just
• 20:20
  Speaker 1: need a job and I used to work at Wendy's
• 20:22
  Speaker 1: and now I want to work as a technician because
• 20:25
  Speaker 1: it's a more professional environment. Although texts in community pharmacies
• 20:31
  Speaker 1: get beat up by the consumers. But anyway, I see
• 20:35
  Speaker 1: this as a ripple effect for the entire profession to
• 20:38
  Speaker 1: really center more attention and more investment in what techts
• 20:43
  Speaker 1: can do.
• 20:45
  Speaker 6: Well, I could agree with you more. I mean, this
• 20:47
  Speaker 6: is really really good news, and I think there's a
• 20:50
  Speaker 6: number of things that we can layer into this. First
• 20:52
  Speaker 6: of all, if you create a position that has value
• 20:56
  Speaker 6: not only in terms of compensation, but sense of that
• 21:00
  Speaker 6: they get in terms of helping people becoming more important
• 21:04
  Speaker 6: within the ecostructure of that pharmacy, all those things are
• 21:07
  Speaker 6: great things. Now, if a tech can now start doing
• 21:11
  Speaker 6: some of the roles that have been maybe traditionally put
• 21:14
  Speaker 6: on the pressure on a pharmacist, then well what could
• 21:16
  Speaker 6: that be. Well, maybe the pharmacist now has a little
• 21:19
  Speaker 6: bit more time, and the pharmacists can now get back
• 21:21
  Speaker 6: to engaging with patients a little bit more equitably. Between
• 21:25
  Speaker 6: texts and pharmacists and the delivery of that care to
• 21:28
  Speaker 6: the patient at the pharmacy is going to improve, and
• 21:31
  Speaker 6: I think ultimately everybody would want that. Patients obviously would
• 21:36
  Speaker 6: benefit from that and be excited for that. Pharmacist, I
• 21:39
  Speaker 6: think would love to be back into having the ability
• 21:43
  Speaker 6: to have a greater level of engagement with the patients.
• 21:47
  Speaker 6: You're making the pharmacy pharmacy text, which you know, over
• 21:51
  Speaker 6: the last couple podcasts we've done, we've talked a lot
• 21:53
  Speaker 6: about pharmacy texts and how important they are. So the
• 21:57
  Speaker 6: fact that they're getting that spotlight on them, are getting
• 22:00
  Speaker 6: what ultimately will be an opportunity to build value and
• 22:04
  Speaker 6: credibility and output to what they do in their job
• 22:07
  Speaker 6: is a win win for everybody. So and when that does,
• 22:10
  Speaker 6: it's to your point, it's gonna it's gonna trickle back up.
• 22:13
  Speaker 6: It's going to give us ability to interact with pharmacy.
• 22:16
  Speaker 6: It's going to continue to make pharmacy stronger. And look
• 22:19
  Speaker 6: at I think there's no doubt anybody that is around
• 22:22
  Speaker 6: pharmacy knows that pharmacy has to continue to make its
• 22:26
  Speaker 6: way back and be stronger, especially independent pharmacy. We've got
• 22:30
  Speaker 6: a lot of changes just in the last year on
• 22:33
  Speaker 6: the national level, on the independent level, and patients need pharmacy,
• 22:38
  Speaker 6: the healthcare system needs pharmacy. And what a great example,
• 22:44
  Speaker 6: and obviously Walmart being as the organization they are and
• 22:48
  Speaker 6: the influence that they have, if a leader takes a
• 22:50
  Speaker 6: step in something like this, hopefully it'll be a lot
• 22:53
  Speaker 6: of fast followers and that we'll see that benefit and
• 22:57
  Speaker 6: ripple across all of pharmacy, and that would be a great,
• 23:00
  Speaker 6: great outcome.
• 23:02
  Speaker 1: I agree, And I've learned a lot more about about
• 23:09
  Speaker 1: the technician as well as the the pathway for the
• 23:16
  Speaker 1: technicians from Mike Johnston, who is the founder of the
• 23:20
  Speaker 1: National Pharmacy Technician Association. Mike, at no surprise has been
• 23:26
  Speaker 1: on the Pharmacy fifty List twice and his influence as
• 23:31
  Speaker 1: a pharmacy technician himself, and how seriously he took the
• 23:35
  Speaker 1: role of investing in texts and helping to refine the certification.
• 23:41
  Speaker 1: Now that texts can get a technician can now get
• 23:44
  Speaker 1: the cph T the Certified Pharmacy Technician as you know degree,
• 23:48
  Speaker 1: I mean degree or certificate, and you have to go
• 23:51
  Speaker 1: through so much schooling and you have to understand different components.
• 23:56
  Speaker 1: What you are now creating is texts who be come
• 24:00
  Speaker 1: supportive to MSLS, texts that are supportive to specialty disease states,
• 24:06
  Speaker 1: and understanding workflow texts that are now tied into prior authorization,
• 24:11
  Speaker 1: sales and marketing, inventory management working at a generics company
• 24:18
  Speaker 1: because they have so much business acumen understanding of what's
• 24:21
  Speaker 1: going on, you know. So there the point is in
• 24:24
  Speaker 1: the excitement for me just looking at so many technicians
• 24:28
  Speaker 1: that take their careers so seriously, is pharmacies that invest
• 24:34
  Speaker 1: in their techs are going to make more money, and
• 24:37
  Speaker 1: it's an opportunity to make more money for your business
• 24:41
  Speaker 1: while while empowering your tech to take this career and
• 24:45
  Speaker 1: let them know they have every ability to whatever they
• 24:48
  Speaker 1: want to build business and build connection and build delivery
• 24:53
  Speaker 1: systems of of healthcare to their communities.
• 24:58
  Speaker 6: Well, I think your point is insightful from the standpoint
• 25:01
  Speaker 6: there's a couple things that are going to happen. Right
• 25:02
  Speaker 6: if we go back to even to the Pharmacy fifty
• 25:04
  Speaker 6: or some of the other podcasts we've done, one of
• 25:07
  Speaker 6: the resounding messages that continues to come through is that
• 25:10
  Speaker 6: pharmacy is going to continue to expand when we say expand,
• 25:14
  Speaker 6: expand services, and the pharmacy tech is going to be
• 25:16
  Speaker 6: a big part of those services that any individual pharmacy
• 25:20
  Speaker 6: min or might not deploy within their community. So that's one.
• 25:23
  Speaker 6: But the second thing that I think is exciting is
• 25:25
  Speaker 6: that if you probably ask most pharmacy techs five years ago,
• 25:28
  Speaker 6: ten years ago, there wasn't a career path for pharmacy techs.
• 25:32
  Speaker 6: You had a job, you fell right within the same
• 25:35
  Speaker 6: bucket of what you did every day. But now within
• 25:38
  Speaker 6: the pharmacy it's going to grow or even potentially grow outside.
• 25:41
  Speaker 6: And I think one of the points you made is
• 25:42
  Speaker 6: pretty interesting. How we recruit msls in the pharmaceutical industry
• 25:47
  Speaker 6: has been fairly consistent, but now all of a sudden,
• 25:50
  Speaker 6: when you think about building an MSL team for an
• 25:53
  Speaker 6: organization and bringing somebody out through a pharmacy pathway versus
• 25:56
  Speaker 6: maybe the traditional pathway, it's fantastic. So you really have
• 26:00
  Speaker 6: the ability to see this as a great stepping stone
• 26:04
  Speaker 6: to build within pharmacy or even to build outside of pharmacy.
• 26:08
  Speaker 6: And well, I mean, what kind of power enthusiasm did well?
• 26:11
  Speaker 6: That great for those those high achievers that can see
• 26:14
  Speaker 6: the possibility to your point, and I think that's what's
• 26:17
  Speaker 6: going to be really.
• 26:17
  Speaker 1: Exciting practicing what you preach. It's it's my it's what
• 26:23
  Speaker 1: I do. I can't stand talking about something or saying
• 26:27
  Speaker 1: that I'm going to do something and not being able
• 26:30
  Speaker 1: to execute it. And because of how hyperactive I am,
• 26:33
  Speaker 1: that's been a struggle because I want to do more
• 26:36
  Speaker 1: and sometimes you can only run so fast. But the
• 26:38
  Speaker 1: NPTA has made investments into continuing education for pharmacy technicians.
• 26:46
  Speaker 1: They're having a new continuing education webinar and I really
• 26:49
  Speaker 1: like this subject preventing medication errors at discharge. My goodness, gracious,
• 26:55
  Speaker 1: think of this. You have your pharmacist in your hospitals.
• 26:58
  Speaker 1: They go, they know the patients discharging, they make all
• 27:02
  Speaker 1: the decisions as they should. Now the products are handed over,
• 27:07
  Speaker 1: packaging happens. Now you have technician training, one more layer
• 27:13
  Speaker 1: of everything that the pharmacist assured. You have another layer
• 27:17
  Speaker 1: of assurance by having our technicians helped to prevent medication
• 27:23
  Speaker 1: errors at discharge and the communication between the text.
• 27:27
  Speaker 8: Yeah.
• 27:27
  Speaker 6: And the akin to this is that in many states
• 27:29
  Speaker 6: now and for the last ten years, pharmaceutical sales representatives
• 27:35
  Speaker 6: had to be certified now, and we're starting to see
• 27:38
  Speaker 6: a lot lot more of that. It's not national yet,
• 27:41
  Speaker 6: but it's something that's going to happen. So, you know,
• 27:44
  Speaker 6: certifying any individual that is delivering insight and management of
• 27:49
  Speaker 6: healthcare to patients to make sure that they're qualified and
• 27:53
  Speaker 6: we're eliminating any kind of errors or miscommunication or misinformation
• 27:58
  Speaker 6: is a great thing.
• 28:00
  Speaker 1: Yep, you know, sticking to the hospital system.
• 28:04
  Speaker 6: So Todd, just a friendly reminder, my friend, I've got
• 28:07
  Speaker 6: about ten minutes left before I have to jump. I
• 28:10
  Speaker 6: got my day job knocking at the door. So yeah,
• 28:13
  Speaker 6: I surely want to address any of the other topics
• 28:16
  Speaker 6: on twerks. Otherwise you're going to have to You're going
• 28:18
  Speaker 6: to have to bring home the news on your own.
• 28:22
  Speaker 3: I have to tworks without you. No, just quickly.
• 28:24
  Speaker 1: I just want to shout out to the aph ASHP
• 28:28
  Speaker 1: and their Foresight Highlights in Financial, Technological and Climate Changes
• 28:35
  Speaker 1: is a great report. We're going to have a link
• 28:37
  Speaker 1: in the show notes to it. Take a look over
• 28:39
  Speaker 1: at the importance of this information and research. And then
• 28:43
  Speaker 1: this week in pharmacy, we know that the Health Subcommittee
• 28:47
  Speaker 1: lowering healthcare costs for all Americans and examination of the
• 28:50
  Speaker 1: prescription drug supply chain. This is pretty exciting that we're
• 28:54
  Speaker 1: getting major attention.
• 28:56
  Speaker 6: Well, this is this is big news. This is big news. Know,
• 29:00
  Speaker 6: we've been talking about our system in the US and
• 29:04
  Speaker 6: drug supply chain in the US for decades. You know,
• 29:08
  Speaker 6: it started in back rooms or convention halls, on the
• 29:12
  Speaker 6: in the hallway or at dinners. And I think you know,
• 29:16
  Speaker 6: everybody knows that there's need for improvement, need for some change,
• 29:24
  Speaker 6: and that change is really important because ultimately it's to
• 29:28
  Speaker 6: do what everybody talks about. I don't care what your
• 29:30
  Speaker 6: political background is, who you are, uh, the goal is
• 29:34
  Speaker 6: to make health care accessible to patients in the US.
• 29:41
  Speaker 6: And to do that better, we've got to continue to
• 29:44
  Speaker 6: examine the value chain of health care, not only prescription
• 29:50
  Speaker 6: drugs and things like that, but the delivery of health
• 29:52
  Speaker 6: care as a whole. And we've got to make sure
• 29:54
  Speaker 6: that it's working well throughout the system. That means from
• 29:58
  Speaker 6: the from A to Z. That means from the front
• 30:01
  Speaker 6: end of it to the back end, and the back
• 30:03
  Speaker 6: end of it ultimately is the goal because that's the patient.
• 30:06
  Speaker 6: So we need to make sure it's working a way
• 30:08
  Speaker 6: that all components, you know, from manufacturer to provider to
• 30:14
  Speaker 6: distribute or wholesale or PBM insurance, pharmacy and patient. It's
• 30:20
  Speaker 6: working in a way that ensures that there's balance and
• 30:24
  Speaker 6: we alleviate a lot of the pressure points that is
• 30:28
  Speaker 6: causing stress. And pharmacy is a great one. There's many
• 30:30
  Speaker 6: pharmacies that are struggling to keep their doors open because
• 30:33
  Speaker 6: of how this system impacts their ability to deliver based
• 30:38
  Speaker 6: on reimbursement, and that is influenced by all those other
• 30:40
  Speaker 6: factors that we talk about, and then ultimately the patient
• 30:47
  Speaker 6: suffers a little bit, the pharmacy can suffer a lot
• 30:50
  Speaker 6: as well. And that's what we want to take away.
• 30:52
  Speaker 6: We've got to find a supply chain or supplies of
• 30:57
  Speaker 6: healthcare that is going to be balanced in a way.
• 31:01
  Speaker 6: And I think ultimately what you're seeing in this is
• 31:04
  Speaker 6: that it's not going to be given a closer look,
• 31:07
  Speaker 6: which I think is a good thing. It's not a
• 31:10
  Speaker 6: bad thing. It's a good thing because a good thing
• 31:12
  Speaker 6: is is that will find some area. It's not everything
• 31:14
  Speaker 6: is going to be fixed, and it might not. It's
• 31:16
  Speaker 6: surely not going to happen tomorrow. But now the discussion
• 31:20
  Speaker 6: is getting broader and people are finally understanding. They might
• 31:24
  Speaker 6: not understand all the elements to it and where the
• 31:28
  Speaker 6: real pain points are, but they know that there are
• 31:31
  Speaker 6: pain points and there is the opportunity for improvement. And
• 31:35
  Speaker 6: I think that's ultimately what we're going to see. Whether
• 31:37
  Speaker 6: it takes, you know, one year or ten years, but
• 31:40
  Speaker 6: if we're finally really starting to get momentum, then everybody's
• 31:45
  Speaker 6: going to have to play a part. It doesn't make
• 31:46
  Speaker 6: it who you are. Everybody's going to have to make
• 31:49
  Speaker 6: a play apart, and there's going to have to be
• 31:50
  Speaker 6: some changes from manufacturers of drugs to the PBMs that
• 31:55
  Speaker 6: set you know, basically drive how the pricing and with
• 31:57
  Speaker 6: the pairs, to how the wholesalers distribute product, and then
• 32:01
  Speaker 6: how pharmacists can deliver and so forth. So I believe that,
• 32:05
  Speaker 6: you know, evaluating what you're doing with the goal of
• 32:08
  Speaker 6: making it better is never a bad thing, even if
• 32:11
  Speaker 6: it causes some pain along the way, And that's what
• 32:14
  Speaker 6: we should be doing.
• 32:15
  Speaker 3: Absolutely.
• 32:16
  Speaker 1: Yeah, and I really appreciate that insight, Stephen. If you
• 32:20
  Speaker 1: haven't watched this in urine healthcare, you're a pharmacist, a technician,
• 32:25
  Speaker 1: someone in business, go to YouTube. I'll have a link
• 32:28
  Speaker 1: in the show notes and just go scan through it
• 32:30
  Speaker 1: and listen to Buddy Carter, listen to Doug Hooey, pharmacist
• 32:37
  Speaker 1: who runs the NCPA, the National Community Pharmacist Association. He's
• 32:42
  Speaker 1: brilliant because now he can take all of the information
• 32:45
  Speaker 1: that has been publicly put out there. Everybody knows what
• 32:48
  Speaker 1: the truth is. It's black and white. And he helped
• 32:51
  Speaker 1: kind of craft this in this subcommittee meeting, and this
• 32:55
  Speaker 1: is going to really help to accelerate the way that
• 32:58
  Speaker 1: pharmacist and pharmacy gets paid. Yeah.
• 33:02
  Speaker 6: Yeah, Look at it doesn't matter whether you're going to
• 33:05
  Speaker 6: school or you're working for a living, or any industry
• 33:09
  Speaker 6: that we look at, we always want to try to
• 33:11
  Speaker 6: find a way to make it better. Better is a
• 33:14
  Speaker 6: good thing. Better is a great thing when we're talking
• 33:17
  Speaker 6: about patients. You know, when I got into this industry,
• 33:20
  Speaker 6: I had opportunities to work in flooring and beverage and
• 33:25
  Speaker 6: other industries, and I picked this industry because my ultimate
• 33:28
  Speaker 6: goal was to be involved in the industry that I
• 33:33
  Speaker 6: could contribute something good to the world in some way,
• 33:37
  Speaker 6: and in this particular case is I've been in the
• 33:40
  Speaker 6: industry for over thirty years trying to help the outcome
• 33:43
  Speaker 6: for patients, and whether you're a pharmacist, physician, manufacturer, ensure
• 33:48
  Speaker 6: whoever you are, hopefully ultimately than we don't lose sight
• 33:51
  Speaker 6: of that that our industry is predicated on making sure
• 33:56
  Speaker 6: that we improve the quality of life of patients. And
• 33:58
  Speaker 6: you know that's that's that's a good thing. And if
• 34:00
  Speaker 6: we can do it better then we're doing today, then
• 34:03
  Speaker 6: let's find those solutions.
• 34:06
  Speaker 3: All right.
• 34:06
  Speaker 1: Steven Beckmann, you'r ral the CEO of your Ralph Pharma.
• 34:10
  Speaker 1: Thanks for being with me and going through Twerk's news today.
• 34:15
  Speaker 3: We really appreciate you.
• 34:17
  Speaker 6: Okay, Todd, we appreciate you. What you're doing is special
• 34:21
  Speaker 6: and important and don't ever lose sight of that. Keep
• 34:23
  Speaker 6: it going. The community understands and seeing this platform as
• 34:27
  Speaker 6: a way to educate, motivate and move things forward. And
• 34:34
  Speaker 6: for that you're doing a great job. So happy Valentine's
• 34:37
  Speaker 6: do you. I know you have some people and you're
• 34:38
  Speaker 6: like that will be special though, get some attention and
• 34:40
  Speaker 6: well mine and I agree with you. Everybody out there,
• 34:43
  Speaker 6: please call an old friend. Don't forget your parents. Spend
• 34:50
  Speaker 6: a little extra time with your kids if they'll let you,
• 34:53
  Speaker 6: But just push out a little bit love tomorrow and
• 34:56
  Speaker 6: all weekend long. I think will be a good thing.
• 34:59
  Speaker 3: Hey, we'll be right back with more torques.
• 35:07
  Speaker 9: As frontline healthcare providers, pharmacists like you understand the importance
• 35:11
  Speaker 9: of personalized care, especially in acute pain management. Euryal Pharma
• 35:15
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  Speaker 9: the ranks of pharmacists leading away in personalized care. To
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• 35:56
  Speaker 9: with them on LinkedIn.
• 36:05
  Speaker 7: Hi.
• 36:05
  Speaker 10: This is doctor Mark from arx Tales. Valentine's Day is
• 36:09
  Speaker 10: almost here, and it has more to do with pharmacy
• 36:11
  Speaker 10: than you might think. Romance and drugs go hand in hand.
• 36:17
  Speaker 10: I mean, we even call those feelings of attraction chemistry.
• 36:22
  Speaker 10: But did you know that love potions are a real thing?
• 36:26
  Speaker 10: Well sorta. Drugs aren't magic. They can't literally make someone
• 36:32
  Speaker 10: fall in love. That part is a fairy tale, but
• 36:37
  Speaker 10: they do play a big role in fueling the fires
• 36:40
  Speaker 10: of passion and all that starts in our brain. When
• 36:43
  Speaker 10: we experience an emotional connection to another person or a
• 36:48
  Speaker 10: physical connection, our brains are releasing powerful chemicals that make
• 36:53
  Speaker 10: us feel good serotonin, dopamine, ripenephyrin, oxytocin. Whether it's the
• 37:00
  Speaker 10: natural release from a pleasurable stimulus like a hug we're
• 37:05
  Speaker 10: keeping this Pg. Thirteen, or an artificial surge from rolling
• 37:10
  Speaker 10: on ecstasy at burning Man. These homegrown love drugs enable
• 37:15
  Speaker 10: us to catch all the fields a lot of love
• 37:19
  Speaker 10: potions from ancient times, or actually various preparations of one
• 37:24
  Speaker 10: or more species of plant from the night shape family,
• 37:28
  Speaker 10: things like belladonna, henbane, mandrake, and gaytura. These plants all
• 37:35
  Speaker 10: contain atropine, a drug that causes some of the same
• 37:39
  Speaker 10: effects that we get when we have a crush on someone.
• 37:43
  Speaker 10: Starry eyes, faster heartbeat, delirious hallucinations. But just like a
• 37:49
  Speaker 10: bad romance, too much atropine can be toxic or even fatal.
• 37:54
  Speaker 10: Another drug that's been popularized over the years is something
• 37:58
  Speaker 10: called Spanish fly. Now, you may have seen this at
• 38:02
  Speaker 10: your local truck stop restroom vending machine, but I'm talking
• 38:07
  Speaker 10: about the real thing here. The Spanish fly or blister beetle,
• 38:12
  Speaker 10: is a real insect Lita vesigatoria. Now, these little guys
• 38:16
  Speaker 10: developed a reputation as an aphrodisiac due to a rather
• 38:21
  Speaker 10: toxic chemical called cantherradin.
• 38:24
  Speaker 7: Okay, quick, insect lesson.
• 38:26
  Speaker 10: During copulation, the male blister beetle secretes cantherradin and offers
• 38:32
  Speaker 10: it to the female blister beetle as a sort of gift,
• 38:36
  Speaker 10: which she then uses to cover her eggs as kind
• 38:40
  Speaker 10: of a poisonous deterrent against predators. Cantherradin is what we
• 38:45
  Speaker 10: call a topical blistering agent. Once absorbed, it causes skin
• 38:50
  Speaker 10: cells to self destruct by triggering the release of protein
• 38:55
  Speaker 10: dissolving enzymes.
• 38:57
  Speaker 7: Gross.
• 38:59
  Speaker 10: Now, the love connection to this insect comes from a
• 39:02
  Speaker 10: side effect of ingesting Spanish fly. In addition to liver toxicity,
• 39:09
  Speaker 10: can theradin also causes a side effect called priapism.
• 39:13
  Speaker 7: Don't google that.
• 39:15
  Speaker 10: Do you ever see those biagra or Cialis commercials. In
• 39:18
  Speaker 10: the part where they talk about side effects that may
• 39:21
  Speaker 10: include an erection lasting more than four hours. Yeah, well
• 39:25
  Speaker 10: that's called priapism. Chuckle all you want, but priapism is
• 39:29
  Speaker 10: no joke. It's excruciatingly painful and requires a trip to
• 39:34
  Speaker 10: the er.
• 39:35
  Speaker 7: No fun.
• 39:36
  Speaker 10: Interestingly, can Theradin is actually FDA approved under the brand
• 39:41
  Speaker 10: name Hycanth for treating a viral skin infection called Moluscum contagiosum. So,
• 39:49
  Speaker 10: speaking of FDA approved drugs, what's the closest thing we
• 39:53
  Speaker 10: have to a modern day love potion? Probably flibanserine and
• 40:00
  Speaker 10: brema lanotide adie and Valisi. Now, both of these drugs
• 40:05
  Speaker 10: are used to increase libido in premenopausal women with hypoactive
• 40:11
  Speaker 10: sexual desire disorder or HSDD. Sorry, fellas, these drugs are
• 40:18
  Speaker 10: just for the ladies. So adi is a ones daily
• 40:22
  Speaker 10: tablet and vy Lasi is a preactivity subcutaneous injection. Chocolates
• 40:29
  Speaker 10: and flowers are nice too. Well, my time's about up.
• 40:33
  Speaker 10: Just remember love is the most powerful drug of all.
• 40:37
  Speaker 10: Hope you get to spend this Valentine's Day with someone special.
• 40:40
  Speaker 10: For lots more pharmacy history content, head on over to
• 40:43
  Speaker 10: rxtails dot com or subscribe to rx tails on YouTube,
• 40:47
  Speaker 10: Spotify or Apple Podcasts.
• 40:49
  Speaker 7: Back to UTAHD.
• 40:59
  Speaker 9: This episode is sponsored by Independent Pharmacy Cooperative widely known
• 41:03
  Speaker 9: as IPC. Established in nineteen eighty three, IPC is the
• 41:06
  Speaker 9: nation's largest group purchasing organization owned by independent Pharmacy with
• 41:11
  Speaker 9: a mission of maximizing the success of community pharmacists. IPC
• 41:15
  Speaker 9: works to provide members with access to effective programs and
• 41:19
  Speaker 9: services designed to enhance profitability for independent pharmacy.
• 41:23
  Speaker 7: Read more about our mission.
• 41:24
  Speaker 9: By checking out our website at ipcurx dot com. That's
• 41:28
  Speaker 9: ipcrx dot com.
• 41:41
  Speaker 1: Hey, hey, we are back. We are here at twerks
• 41:45
  Speaker 1: and we're back in the studio. What a special opportunity
• 41:51
  Speaker 1: to broadcast out of Maria's lovers as where the home
• 41:56
  Speaker 1: of where that movie took place? And how we kind
• 41:59
  Speaker 1: of preface it with Steve Steven You know what's really funny.
• 42:05
  Speaker 1: I met Steven's from Brownsville. He lives very close to
• 42:09
  Speaker 1: our studio in Fayette County, Pennsylvania, and he contacts me
• 42:16
  Speaker 1: on LinkedIn. We connect missus Steve Beckman, He's the CEO
• 42:20
  Speaker 1: of you.
• 42:21
  Speaker 3: Ralph far.
• 42:23
  Speaker 1: I cover the NACDS Total Store Expo twenty twenty two
• 42:28
  Speaker 1: or might have been twenty twenty one or twenty two,
• 42:30
  Speaker 1: one of those years, and up up walks this enormous
• 42:36
  Speaker 1: six foot four, blonde haired business looking man and he's
• 42:41
  Speaker 1: towering over me. I'm sitting down and he's like, Hey,
• 42:44
  Speaker 1: do you know who I am? And I'm like, no,
• 42:46
  Speaker 1: I don't. You're enormous though, and so he's like Steve
• 42:50
  Speaker 1: Beckman from Urralp Pharma and I'm like, that's fantastic. I
• 42:54
  Speaker 1: still didn't understand who that was. And he's like, I'm
• 42:57
  Speaker 1: from Fayett County, Like I know where you brought podcast
• 43:00
  Speaker 1: out of, from Brownsville and I own Maria Lovers And
• 43:04
  Speaker 1: it was just like that was wild. And then he's
• 43:06
  Speaker 1: been he's just been a part of the network and
• 43:09
  Speaker 1: growing with the network ever since. There's another person that
• 43:12
  Speaker 1: I'm bringing on special to this Twerks episode. It's also
• 43:16
  Speaker 1: tied into the network, the one and only the Pain
• 43:19
  Speaker 1: Guy trademark Pain Guy Mark, You're a fully welcome to Twerks.
• 43:24
  Speaker 7: Thank you, Todd Caster. Love the vibe with all the red.
• 43:27
  Speaker 1: Heck, yeah, look at us, we're vibing. I got the
• 43:30
  Speaker 1: Roses ready to go like we have to we gota,
• 43:34
  Speaker 1: we got to play. We got to play the game
• 43:36
  Speaker 1: out there. You can never stop romancing and being romantic
• 43:41
  Speaker 1: and being valentine' z and I get that. So it
• 43:46
  Speaker 1: is what it is, and it's it's part of I
• 43:48
  Speaker 1: think it's it's a good practice. And and with that
• 43:52
  Speaker 1: Mark as a as a member of the Pharmacy Podcast Network,
• 43:56
  Speaker 1: it's been awesome to work with you. I've seen so
• 43:59
  Speaker 1: much come from the connections that you've made with the
• 44:03
  Speaker 1: paying Guy and if you want to learn more about
• 44:06
  Speaker 1: this gopainingguy dot us and the Pain Pod and I've
• 44:10
  Speaker 1: just really appreciated a lot of the connections that you made.
• 44:13
  Speaker 1: You kind of like get it of how important networking
• 44:16
  Speaker 1: is to someone's career, and it means more than just
• 44:19
  Speaker 1: the individual. It means the kind of connection and resource
• 44:23
  Speaker 1: you become to other networks. And I'm thinking of you
• 44:27
  Speaker 1: and in Pain week. So before we get into the
• 44:31
  Speaker 1: into the future today, just give us a quick update
• 44:33
  Speaker 1: of what's going on for the rest of the year for.
• 44:36
  Speaker 7: You who well lo and behold of course a decent
• 44:41
  Speaker 7: amount of conferences as far as presentations, attending and all that.
• 44:44
  Speaker 7: This year, lots of episodes of the Pain Cut Pod
• 44:48
  Speaker 7: coming out towards all of you. A couple other adventure
• 44:53
  Speaker 7: career adventures that are out there as well too, as
• 44:55
  Speaker 7: you keep folks updated on that website Paying Guy dot us, which,
• 44:59
  Speaker 7: by the way, you could actually message me directly. It'll
• 45:01
  Speaker 7: vibrate my phone if you do it right now. You know,
• 45:06
  Speaker 7: it's moon and all that, but it's kind of cooler
• 45:09
  Speaker 7: than email because it literally comes to my phone. It
• 45:11
  Speaker 7: doesn't make it a reply in three seconds either, but
• 45:13
  Speaker 7: you know, But to your bigger point there, Todd, Yes,
• 45:16
  Speaker 7: it is all about the networking, the relationships. I mean,
• 45:20
  Speaker 7: it's another word for networking per se. So perhaps that
• 45:24
  Speaker 7: fits into what we're talking about here today.
• 45:27
  Speaker 1: It does fit into it because I think that the
• 45:33
  Speaker 1: specialness of our profession and what you're going through as
• 45:37
  Speaker 1: a student in pharmacy and that kind of that stage
• 45:41
  Speaker 1: of your life. It's all in today's episode is baked
• 45:44
  Speaker 1: into what this is all about. Valentine's Day, the celebration
• 45:47
  Speaker 1: of couples in pharmacy, and I want to bring in
• 45:52
  Speaker 1: a very special person in your life to twerques And
• 45:55
  Speaker 1: I don't know if this is Gretchen Garifulees doctor Garifullies,
• 45:59
  Speaker 1: first time on works are not Gretchen welcome.
• 46:02
  Speaker 7: It is.
• 46:02
  Speaker 11: Thank you so much for having me today.
• 46:04
  Speaker 1: Absolutely, it's about time. You know, I needed to come
• 46:07
  Speaker 1: a day that she would be here. Mark, I kind
• 46:10
  Speaker 1: of I should have said something to you long ago
• 46:13
  Speaker 1: and you'd have been like, no, you're crazy.
• 46:15
  Speaker 3: She's not going to come and be like, yes, it's
• 46:18
  Speaker 3: all okay.
• 46:19
  Speaker 7: Officially my favorite podcast guests now. I actually got to
• 46:23
  Speaker 7: ask that earlier a week or two for being interviewed
• 46:26
  Speaker 7: on another podcast and said, oh, like, who's your favorite
• 46:28
  Speaker 7: guests or episodes or whatever? Well those are outdated. Sorry hosts.
• 46:35
  Speaker 1: Gretchen, I've known you for a while now, and it's
• 46:41
  Speaker 1: been through obviously knowing Mark first, but we connected because
• 46:45
  Speaker 1: of Ppa in Harrisburg and there's been some other connections.
• 46:50
  Speaker 1: But just in case the listeners don't know, you're married
• 46:56
  Speaker 1: to mister Mark or GARYL.
• 46:57
  Speaker 3: Foley, aren't you?
• 46:58
  Speaker 11: Yes, I am fifteen years this year.
• 47:03
  Speaker 1: Congratulations, gratulations and Happy Valentine's Day tomorrow.
• 47:08
  Speaker 7: Yeah.
• 47:09
  Speaker 1: I hope you guys have some wonderful plans and we're
• 47:13
  Speaker 1: gonna have to talk about that later because I want
• 47:15
  Speaker 1: to jump into this and that's couples in pharmacy.
• 47:18
  Speaker 3: I mean, you're kind of a.
• 47:22
  Speaker 1: Real deal story of what this time in your life,
• 47:26
  Speaker 1: extremely stressful time in your life in a whole different
• 47:31
  Speaker 1: universe of time. But talk to our listeners about this mark.
• 47:34
  Speaker 1: How did you meet How did you meet your wife?
• 47:38
  Speaker 3: Gretchen?
• 47:39
  Speaker 7: Oh, it's like my favorite story. And as I tell
• 47:41
  Speaker 7: our students each year, unless she beats me to it
• 47:45
  Speaker 7: ends up getting the pe ones. But I used to
• 47:47
  Speaker 7: get them first. But anyways, in my eyes, it was
• 47:52
  Speaker 7: like straight out of Hollywood. You mentioned the filming in
• 47:55
  Speaker 7: the building earlier, when not back in the eighties. But
• 48:00
  Speaker 7: so we're both in Capasi Professional Pharmaceutical fraternity, co ed
• 48:05
  Speaker 7: with many many other brothers, ninety nine hands everywhere. I
• 48:09
  Speaker 7: guess we're technically we're in some of the colors today,
• 48:12
  Speaker 7: but it's really more so for the Valentine's thing, I'm sure.
• 48:15
  Speaker 7: But anyways, and being in Capasi, if you're want to
• 48:18
  Speaker 7: be an active brother, you go to things and that
• 48:21
  Speaker 7: was something that was individually instilled in both of us
• 48:25
  Speaker 7: throughout our alma mater for our times at Pitton. So
• 48:31
  Speaker 7: basically we both ended up at the every two year
• 48:35
  Speaker 7: national technically international. They got the Bahamas too, so you
• 48:37
  Speaker 7: could say international. But anyways, the every two year big
• 48:41
  Speaker 7: meeting I was up in Boston, Okay, lots going on
• 48:46
  Speaker 7: there heading there no idea who she was yet, and
• 48:51
  Speaker 7: then a lot of stuff goes on. You got a conference, convention,
• 48:54
  Speaker 7: whatever it is going on and who for my student pharmacists.
• 48:59
  Speaker 7: These days, we all grow, we all mature, and how
• 49:03
  Speaker 7: we go about things in life that fun back in
• 49:06
  Speaker 7: those days. So my buddies and I had a rather
• 49:11
  Speaker 7: large hotel room so that we could accommodate anyone who
• 49:14
  Speaker 7: needed some housing for an early evening and for our
• 49:18
  Speaker 7: own reception or something. Basically, whether or not the fire
• 49:22
  Speaker 7: marshal and ends up being involved not part of a
• 49:25
  Speaker 7: love story as far as I'm concerned. But anyways, once
• 49:29
  Speaker 7: I entered back to my room shared with some buddies,
• 49:34
  Speaker 7: there was just a ton of people everywhere. And I will,
• 49:37
  Speaker 7: obviously I'll never forget. I remember looking across the room,
• 49:40
  Speaker 7: heads everywhere, and it was way across the room actually,
• 49:43
  Speaker 7: and I saw her pretty face and it just it
• 49:48
  Speaker 7: just stopped me, like literally was one of those moments.
• 49:51
  Speaker 7: This is where that like feel good movie thing comes in.
• 49:54
  Speaker 7: You know, Matthew mcconaughe could play this much better, or
• 49:57
  Speaker 7: anyone would slightly more hair. But anyway, when I when
• 50:00
  Speaker 7: I looked across the room, it was literally stopped me.
• 50:04
  Speaker 1: It was.
• 50:06
  Speaker 7: I can never replicate that, the greatest feeling ever. It
• 50:09
  Speaker 7: was just like something's up here and I don't know
• 50:14
  Speaker 7: where do we take it from there?
• 50:15
  Speaker 1: Wafys, Yeah, I want to hear from Gretchen. I mean,
• 50:19
  Speaker 1: so he's coming at it from this direction. You guys
• 50:22
  Speaker 1: are like, you know, two the chances of meeting each other,
• 50:26
  Speaker 1: the chances of falling in love, the chances of being
• 50:28
  Speaker 1: together as it is today, the statistics are against you.
• 50:32
  Speaker 1: So I think of these two meteors traveling in outer
• 50:36
  Speaker 1: space and you just happen to hit at the right time.
• 50:39
  Speaker 1: But to the woman's side of this, sometimes is is
• 50:43
  Speaker 1: a completely different. Sometimes it's more of a mess or
• 50:46
  Speaker 1: But Gretchen, what at that point of the of that
• 50:49
  Speaker 1: coming into that event and he makes eye contact with you,
• 50:53
  Speaker 1: You make eye contact with him, like what's going through
• 50:55
  Speaker 1: your mind?
• 50:57
  Speaker 11: So so it's kind of amazing that we hadn't met
• 51:00
  Speaker 11: previously because we went to the same school of pharmacy.
• 51:03
  Speaker 11: We're a couple of years apart, so we weren't there
• 51:04
  Speaker 11: at the same time, so it was kind of crazy
• 51:07
  Speaker 11: that we ended up meeting for the first time in Boston. So, yeah,
• 51:11
  Speaker 11: he came to that room, and like you said, there
• 51:13
  Speaker 11: were a lot of people there. I was spending time
• 51:15
  Speaker 11: with a lot of my friends, and so that was
• 51:17
  Speaker 11: the first time I actually met him. And even just
• 51:20
  Speaker 11: how small the pharmacy world is. Mark's cousin and his
• 51:25
  Speaker 11: wife were family friends of ours for a number of years.
• 51:29
  Speaker 11: His cousin's wife was actually my dad's relief pharmacist, so
• 51:32
  Speaker 11: I knew his family members for a long time before
• 51:35
  Speaker 11: I ever met him. So we met for the first
• 51:37
  Speaker 11: time in Boston, and then he kept coming around. We
• 51:43
  Speaker 11: met at another meeting in Pittsburgh, and I was one
• 51:46
  Speaker 11: of the few people he knew. His best friend was
• 51:48
  Speaker 11: actually getting engaged that weekend, so I guess I was
• 51:52
  Speaker 11: on mark entertainment duty and introduced him to more of
• 51:55
  Speaker 11: my friends, and then it just kind of went from there.
• 51:58
  Speaker 11: So he came back and we started to officially date
• 52:01
  Speaker 11: a few months later.
• 52:04
  Speaker 1: All right, some more background to this story. Gretchen tell
• 52:10
  Speaker 1: the story the short story about your father and mother
• 52:13
  Speaker 1: and their connection to pharmacy as well.
• 52:16
  Speaker 11: So yeah, I guess I guess I was destined to
• 52:18
  Speaker 11: marry a pharmacist. My parents are both pharmacists. They met
• 52:22
  Speaker 11: in pharmacy school at the University of Pittsburgh School of Pharmacy.
• 52:26
  Speaker 11: They were lab partners, so everything was alphabetical at that
• 52:29
  Speaker 11: point in time. And my dad likes to stick say
• 52:32
  Speaker 11: my mom stole his eye dropper and then stole his heart.
• 52:35
  Speaker 11: So that's where they met, was pharmacy school. And so
• 52:39
  Speaker 11: I guess I was just destined to marry a pharmacist.
• 52:42
  Speaker 7: It's incredible.
• 52:43
  Speaker 3: Guys are a bunch of nerds. I love it.
• 52:46
  Speaker 11: Our diner conversations are super exciting, Todd.
• 52:49
  Speaker 3: But listen the nerds.
• 52:51
  Speaker 1: I was a nerd, and the nerds make the best
• 52:54
  Speaker 1: married couples because I think we appreciate more. I don't know,
• 52:57
  Speaker 1: because I didn't get my whole upbringing and how many
• 53:03
  Speaker 1: long terms, you know, insignificant relationships I had as like
• 53:07
  Speaker 1: a eighth grader, and how romantic I was of writing
• 53:10
  Speaker 1: poetry and and so you know, you see other people
• 53:13
  Speaker 1: and and you you kind of like want to hang
• 53:15
  Speaker 1: out with them because you're like you want that vibe to,
• 53:18
  Speaker 1: because you have to set a vibe in marriage. Marriage
• 53:22
  Speaker 1: is too freaking hard to not like try to set
• 53:26
  Speaker 1: that vibe to to flirt with each other and to
• 53:32
  Speaker 1: be funny and not be so serious. And but you, guys,
• 53:36
  Speaker 1: the reason why I'm bringing that up is I think
• 53:38
  Speaker 1: of your life. I think of how how many sleepless
• 53:41
  Speaker 1: nights you've had. I think of you having to get
• 53:44
  Speaker 1: up to get to school, Mark and get on time.
• 53:48
  Speaker 1: And then I think of Gretchen to get in to
• 53:51
  Speaker 1: the community pharmacy and all the responsibility on your shoulders,
• 53:55
  Speaker 1: and then freaking Mark is traveling all over who knows
• 53:58
  Speaker 1: where in Las Vegas, and now all of a sudden,
• 54:01
  Speaker 1: it's like Gretchen needs to go speak somewhere, and she's
• 54:05
  Speaker 1: going back to the school of pharmacy that she's from, And.
• 54:07
  Speaker 3: You guys are crazy busy.
• 54:10
  Speaker 1: So how do you keep the romance and how do
• 54:13
  Speaker 1: you keep this fire burning between each other?
• 54:16
  Speaker 7: Amen? I know, perhaps there's a little bit organized chaos there.
• 54:23
  Speaker 7: Our school of pharmacy, Dean actually was. It was like
• 54:26
  Speaker 7: a couple of months ago, I think started this thing
• 54:28
  Speaker 7: where we would give like a this is me introduction
• 54:33
  Speaker 7: to other faculty members, especially at different departments, you know,
• 54:36
  Speaker 7: to know what the heck people have going on. And
• 54:38
  Speaker 7: my favorite slide out of that one was here's what
• 54:40
  Speaker 7: I did last year And there was twelve conferences on there,
• 54:43
  Speaker 7: and then her beautiful face popped up on there and
• 54:45
  Speaker 7: I'm like, I don't mean this for me. We have
• 54:49
  Speaker 7: two young boys. Think about that. Oh yeah, yeah. It
• 54:56
  Speaker 7: didn't help that some of that tour included like the
• 54:58
  Speaker 7: biggest party places. It was Austin, Nashville, New Orleans, and
• 55:02
  Speaker 7: Vegas a couple of times. Like, jeez, a great story
• 55:05
  Speaker 7: for family. But I don't know, what would you say, wife,
• 55:09
  Speaker 7: We have some intentionality where we just uh, a little
• 55:12
  Speaker 7: bit too crazy with the calendar, but it works.
• 55:15
  Speaker 11: Yeah, And I would say just having your network too.
• 55:17
  Speaker 11: So my my parents help with the kids a lot,
• 55:20
  Speaker 11: so that's helpful when he's traveling. So yeah, I think
• 55:23
  Speaker 11: it's just being organized. And we always confirm Okay, where
• 55:28
  Speaker 11: are we going what conferences so that we know who's
• 55:31
  Speaker 11: going to be out of town when, so that we
• 55:33
  Speaker 11: don't double book ourselves out of town. We do we
• 55:36
  Speaker 11: do conference together sometimes, so we go to the APHA
• 55:39
  Speaker 11: annual meeting together. That's always one and we try to
• 55:42
  Speaker 11: go to the NCPA meeting together whenever schedules work out with.
• 55:45
  Speaker 1: That that makes sense. And boy, if that's in a
• 55:48
  Speaker 1: nice place, and if you could if you imagine, if
• 55:52
  Speaker 1: your planet's all aligned, where it's like Gretchen's a speaker,
• 55:57
  Speaker 1: Mark's down on the podcast land, he has a you know,
• 56:00
  Speaker 1: his sponsorship. Then all of a sudden we're getting together
• 56:03
  Speaker 1: for dinner. Then all of a sudden, it's like the
• 56:04
  Speaker 1: next day, maybe relaxing at the pool, and maybe it's
• 56:07
  Speaker 1: in Orlando or or Los Angeles or something. But if
• 56:12
  Speaker 1: you could think of like building a time together out
• 56:15
  Speaker 1: of that, that would be wild.
• 56:17
  Speaker 7: I thought, you're gonna go one more level and say, oh,
• 56:19
  Speaker 7: and then the kids are there for the rest of it,
• 56:20
  Speaker 7: and get them out of here. That was the need
• 56:25
  Speaker 7: to get some wonderful and madness all in one.
• 56:27
  Speaker 3: They were in Orlando.
• 56:29
  Speaker 11: So we have not taken the kids to another conference
• 56:32
  Speaker 11: since then.
• 56:34
  Speaker 7: Like gronhog Day, you gotta go.
• 56:37
  Speaker 1: Right well, all right. So the generations have drastically changed
• 56:43
  Speaker 1: with dating, communications, falling in love, finding love, moving to
• 56:51
  Speaker 1: the commitment level much faster than what our culture has
• 56:54
  Speaker 1: taught them. That you are you know, I think they say,
• 56:59
  Speaker 1: maybe looking at someone, then you're talking to someone, then
• 57:02
  Speaker 1: you're And I've been so confused at listening to my
• 57:06
  Speaker 1: kids and my godson with is dating nonsense to me?
• 57:12
  Speaker 1: But have I mean, people see you from a The
• 57:17
  Speaker 1: public is watching you because people like this, They like
• 57:20
  Speaker 1: these success stories. It's an ongoing success story because you've
• 57:23
  Speaker 1: got to keep committing to it over and over and
• 57:25
  Speaker 1: over again. That's what you know, marriage and love, being
• 57:28
  Speaker 1: in love is. But there's a there's a cynicism in today,
• 57:35
  Speaker 1: it seem I feel like in comparison to like I
• 57:38
  Speaker 1: knew what my intention was right away, and I didn't
• 57:41
  Speaker 1: I didn't really play a game. I'd write a hand
• 57:43
  Speaker 1: note and I think you're really.
• 57:45
  Speaker 3: Cute and would you know? I used to say, would
• 57:48
  Speaker 3: you go with me?
• 57:49
  Speaker 1: I don't even know what that meant, but it was
• 57:50
  Speaker 1: what you'd say, is you were like in fifth grade
• 57:52
  Speaker 1: or fourth grade and and nowt today it's just like, oh,
• 57:55
  Speaker 1: what stage of the relationship are you guys in?
• 57:58
  Speaker 3: Oh I don't know this and you know this? Or well,
• 58:01
  Speaker 3: what do you guys think?
• 58:02
  Speaker 1: Like what do you what do you think of today's
• 58:05
  Speaker 1: situation with love and relationships and finding love.
• 58:10
  Speaker 3: I wouldn't want to be out there. What do you think.
• 58:13
  Speaker 11: I think that there's a lot of good that comes
• 58:16
  Speaker 11: with it too, because sometimes people just maybe haven't crossed
• 58:20
  Speaker 11: paths that just because of their social circles or however
• 58:25
  Speaker 11: they're going about trying to find someone. So I think
• 58:27
  Speaker 11: there is a place for a lot of those newer ways.
• 58:31
  Speaker 11: My sister actually found the love of her life recently
• 58:34
  Speaker 11: and she's getting married this summer, so we're very excited
• 58:38
  Speaker 11: about that. So they're a success story with with one
• 58:41
  Speaker 11: of the dating apps. So I think it just it
• 58:44
  Speaker 11: can It can open your doors to new possibilities as
• 58:47
  Speaker 11: well and help you to meet that someone special.
• 58:52
  Speaker 7: Perhaps on the the younger, younger side too. I mean,
• 58:55
  Speaker 7: we've got two young boys. We haven't thankfully not entered
• 58:58
  Speaker 7: that realm yet, so we're just keeping up with the
• 59:01
  Speaker 7: six sevens of the world and stuff like that until
• 59:03
  Speaker 7: we get our hands really not he did not just
• 59:05
  Speaker 7: say that. I mean, our kids are going to watch
• 59:10
  Speaker 7: this one. I'll understand it. He'll be happy. I report
• 59:17
  Speaker 7: back on that for how the.
• 59:19
  Speaker 1: Exactly, we'll have Mark give us an update on twitchs.
• 59:23
  Speaker 1: I met Nicole, my wife, on match dot com in
• 59:28
  Speaker 1: match dot com at the time, which this is.
• 59:32
  Speaker 3: Fourteen fifteen years ago, it was much different. It was
• 59:36
  Speaker 3: and it was very linear.
• 59:38
  Speaker 1: You've thought out a couple very specific things, and then
• 59:41
  Speaker 1: you got a surround nothing of like what they're doing today.
• 59:46
  Speaker 1: They're they're taking AI and they're you're allowed to cross
• 59:49
  Speaker 1: reference your social media, you're whatever you want to give
• 59:53
  Speaker 1: it control of which that's scary and that could be
• 59:55
  Speaker 1: a whole nother podcast. And then from the analysis, these
• 59:59
  Speaker 1: these more expensive platforms are really starting to hone in
• 1:00:04
  Speaker 1: based on their analysis, who would who would pair up
• 1:00:09
  Speaker 1: or who would get together? And there's the humanity part
• 1:00:14
  Speaker 1: of AI that scares me that sometimes it's not about
• 1:00:19
  Speaker 1: the data in the way that the data lined you
• 1:00:22
  Speaker 1: up or how familiar were Sometimes it's a spark that
• 1:00:25
  Speaker 1: has nothing to do with measuring or metrics or something
• 1:00:30
  Speaker 1: that you're just connecting with and you know, that's what
• 1:00:33
  Speaker 1: I have with my wife, And what do you think
• 1:00:36
  Speaker 1: of that in this day and age of the ghost
• 1:00:39
  Speaker 1: of AI.
• 1:00:41
  Speaker 7: I'm sure it could go either way. Really, I mean,
• 1:00:43
  Speaker 7: it's you know, the data will land on some good things. Relationships,
• 1:00:48
  Speaker 7: I'm sure. I'm pretty sure there's probably still some flops,
• 1:00:52
  Speaker 7: I would think. I mean, it's not going to be
• 1:00:54
  Speaker 7: one hundred percent, but you know, it's it's got to
• 1:00:59
  Speaker 7: be a tricky uh. I think that. One of the
• 1:01:01
  Speaker 7: first things you said to that was oooh glad, I'm already hitched.
• 1:01:05
  Speaker 7: It's a jungle out there.
• 1:01:08
  Speaker 3: It's yeah, I don't I don't want to ever ever ever.
• 1:01:11
  Speaker 7: I mean it if you think about it. You know,
• 1:01:13
  Speaker 7: we're talking about relationships and personal relationships, but marriage or
• 1:01:17
  Speaker 7: dating originally all that stuff just in general, you know,
• 1:01:21
  Speaker 7: for with professional pharmacy. I mean, I'm old enough to
• 1:01:25
  Speaker 7: recall the times when it was like, oh, hey, nice
• 1:01:27
  Speaker 7: to meet you. We should connect on LinkedIn or whatever else.
• 1:01:30
  Speaker 7: Obviously that's one I'll pick. But now it's like, oh,
• 1:01:34
  Speaker 7: I finally got to meet you after I read all
• 1:01:37
  Speaker 7: your stuff on there. It's the flip side of that,
• 1:01:41
  Speaker 7: and it yeah, it's not good or bad, really, it's
• 1:01:44
  Speaker 7: just a different it's perspectives that we have to appreciate of,
• 1:01:48
  Speaker 7: you know, how it all works in the big picture,
• 1:01:50
  Speaker 7: on the dating scene of it all. Thank goodness.
• 1:01:55
  Speaker 1: Yeah, exactly, Yep. There's so many memes I've seen that's
• 1:02:02
  Speaker 1: that'll show. It'll show a couple of young boys being
• 1:02:07
  Speaker 1: their BMX bike over six friends and they would literally
• 1:02:12
  Speaker 1: like try to make the jump and it was the
• 1:02:14
  Speaker 1: pictures halfway in the air and it and it says,
• 1:02:18
  Speaker 1: thank god we didn't have social media, you know, growing up,
• 1:02:23
  Speaker 1: and because of all the crap craft that we would have.
• 1:02:26
  Speaker 3: Why would we? Why would we? Why would we do that?
• 1:02:29
  Speaker 3: Like what was wrong with us?
• 1:02:30
  Speaker 7: Where whatever that would be would match you with your future?
• 1:02:37
  Speaker 3: How crazy you were?
• 1:02:38
  Speaker 1: Yeah, exactly, so you're you guys are You're definitely younger
• 1:02:42
  Speaker 1: than me. But the gen X realm of dating was
• 1:02:47
  Speaker 1: so unique because it was the first to experience the
• 1:02:51
  Speaker 1: online impact of of dating and how quickly back in
• 1:02:59
  Speaker 1: the in the startup of online dating and through Internet
• 1:03:03
  Speaker 1: that it could be easily falsified and be And then
• 1:03:08
  Speaker 1: that's why, that's why online dating initially got a punchline
• 1:03:13
  Speaker 1: more of a comedic negative connotation, was because the original
• 1:03:20
  Speaker 1: dating apps were based one on what you said, So
• 1:03:26
  Speaker 1: you could literally say anything on these dating apps, and
• 1:03:30
  Speaker 1: there was no such thing as double checking any of
• 1:03:33
  Speaker 1: that information. And now today you could still be a
• 1:03:37
  Speaker 1: jerk and lie your way, lie your way through some stuff.
• 1:03:40
  Speaker 3: But based on some of the new.
• 1:03:43
  Speaker 1: Properties that are now tied into AI as well as
• 1:03:46
  Speaker 1: searching the internet for you, your pictures, your profiles, whatever
• 1:03:52
  Speaker 1: you give up to that person. What I think it's
• 1:03:55
  Speaker 1: doing in some ways and I see good and bad mark,
• 1:03:58
  Speaker 1: and is is it's bringing us to the sincerity mark
• 1:04:02
  Speaker 1: or it's bringing us to the trust level if we
• 1:04:05
  Speaker 1: can assure that the certain things that we want to
• 1:04:07
  Speaker 1: give up and whatever privacy that you click off on
• 1:04:11
  Speaker 1: that you're saying to this person, Hey, I'm not here
• 1:04:13
  Speaker 1: to play games like I am looking for a forever
• 1:04:17
  Speaker 1: person and therefore I'm not looking to hook up right away.
• 1:04:21
  Speaker 1: I'm not you know, this is not me trying to
• 1:04:23
  Speaker 1: just find somebody to bang for the weekend like this is.
• 1:04:26
  Speaker 1: I'm in search for my life partner that I want
• 1:04:30
  Speaker 1: to build a life in a future with and I
• 1:04:32
  Speaker 1: want to have kids. And if you spout that out
• 1:04:34
  Speaker 1: right away, I could see how that could be pretty awesome,
• 1:04:38
  Speaker 1: because now you are avoiding the opportunity for people to
• 1:04:43
  Speaker 1: be snake.
• 1:04:44
  Speaker 3: Snake oil sells women right back on you, Digrettion.
• 1:04:51
  Speaker 7: Hey, if your love language is time, it sounds like
• 1:04:54
  Speaker 7: it would save time then from the wasted day times
• 1:04:58
  Speaker 7: or the unsuccessful date times or whatever.
• 1:05:02
  Speaker 1: Well, I'm a big fan of you both, Who've enjoyed
• 1:05:06
  Speaker 1: working with you, Mark, but I think we need to
• 1:05:09
  Speaker 1: pick on Gretchen more often and get you giving us
• 1:05:13
  Speaker 1: some feedback.
• 1:05:14
  Speaker 7: Sure it's fun.
• 1:05:15
  Speaker 1: Yeah, well, I really thank you both once again. I
• 1:05:20
  Speaker 1: hope you both have a wonderful Valentine's Day tomorrow and
• 1:05:25
  Speaker 1: being romantic. And I got to get on the ball
• 1:05:28
  Speaker 1: because I am not ready for Valentine's Day.
• 1:05:30
  Speaker 3: To tell you the truth, I've been.
• 1:05:32
  Speaker 7: I've been pre Valentine's Day is important. As wife, he knows,
• 1:05:38
  Speaker 7: I believe in the random Tuesdays as well. Yeah, keep
• 1:05:41
  Speaker 7: them random, of course, I guess. But you know the
• 1:05:43
  Speaker 7: random other days are important too, so remember those as well.
• 1:05:46
  Speaker 7: But don't forget Valentine's Day as well.
• 1:05:49
  Speaker 1: Did Mark just give up a day of something that's
• 1:05:53
  Speaker 1: like a frequent thing that you guys are kind of like,
• 1:05:56
  Speaker 1: this is our day?
• 1:05:57
  Speaker 3: Is that it always Tuesdays?
• 1:06:00
  Speaker 11: No, he just he likes to be random with sending
• 1:06:03
  Speaker 11: a flower, bouquet of flowers or something when I when
• 1:06:07
  Speaker 11: I don't expect it, You're the best.
• 1:06:10
  Speaker 7: It's like a restaurant. I think they have the best
• 1:06:12
  Speaker 7: deals on a Tuesday because it's like the most inconsequential
• 1:06:15
  Speaker 7: day for people. I really don't know the stats on that,
• 1:06:17
  Speaker 7: so that's why I usually use Tuesday.
• 1:06:19
  Speaker 1: I think there's a new podcast in the work that
• 1:06:22
  Speaker 1: is how to Stay Happily Married with doctor Mark Errol Foley,
• 1:06:25
  Speaker 1: and you could just give like quick ten minute updates
• 1:06:28
  Speaker 1: about how not to be a jerk.
• 1:06:31
  Speaker 7: Keep the pain out.
• 1:06:34
  Speaker 3: I bet you we could charge for that one.
• 1:06:37
  Speaker 1: How much would our listeners pay per month for for
• 1:06:41
  Speaker 1: marriage advice of doctor Mark.
• 1:06:44
  Speaker 3: I'm not to how to stay what would you call it?
• 1:06:46
  Speaker 3: How to stay married? Or how not to be a jerk?
• 1:06:50
  Speaker 8: Hand in hand, I guess Hey, I've heard of people
• 1:06:53
  Speaker 8: making a lot of money doing that, giving just advice
• 1:06:56
  Speaker 8: and and charging for the advice that they've always given
• 1:06:59
  Speaker 8: their ling's, guy friends, girlfriends, whichever way it goes, and
• 1:07:05
  Speaker 8: they're making some profits on it.
• 1:07:06
  Speaker 3: So I think you're I think you're onto something, todd Yeah.
• 1:07:09
  Speaker 7: That it's like you're paralleling the profession of pharmacy. We
• 1:07:12
  Speaker 7: give our knowledge for free for centuries, and then we're like,
• 1:07:15
  Speaker 7: wait a minute, we still want to help people.
• 1:07:17
  Speaker 1: But you know, absolutely, yeah, And that's so funny, Mark,
• 1:07:21
  Speaker 1: because and Gretchen to what you just said is true.
• 1:07:24
  Speaker 1: So there are a bucket of pharmacists out there on
• 1:07:28
  Speaker 1: a global scale who are making ten thousand, fifty thousand,
• 1:07:35
  Speaker 1: two hundred and fifty thousand dollars a year and content
• 1:07:38
  Speaker 1: development that is coming from true knowledge of what they're
• 1:07:44
  Speaker 1: talking about or what they're representing, or maybe they're doing
• 1:07:47
  Speaker 1: it with comedy, or maybe they're doing it with you know,
• 1:07:50
  Speaker 1: short little snippets. But to have influence and to be
• 1:07:55
  Speaker 1: paid for that influence, to me, that's part of the
• 1:07:58
  Speaker 1: future of what's going to happen to the role of
• 1:08:00
  Speaker 1: the pharmacists, where you're going to pull away from the
• 1:08:02
  Speaker 1: dispensing because technology can take care of that, and you're
• 1:08:06
  Speaker 1: going to start concentrating on the patient's chronic issue or
• 1:08:11
  Speaker 1: preventative issue or whatever that specialty is and then dial
• 1:08:15
  Speaker 1: into it.
• 1:08:17
  Speaker 7: This just circled right back to pharmacy. I love it.
• 1:08:20
  Speaker 3: I couldn't help it. All Right, that's enough of this today.
• 1:08:24
  Speaker 3: This is the most.
• 1:08:24
  Speaker 7: Diverse episode of Twerks in the history.
• 1:08:27
  Speaker 1: It's been the garifulis Valentine's Day special and we were
• 1:08:31
  Speaker 1: happy to have you and we will be right back
• 1:08:34
  Speaker 1: with more Twerkus.
• 1:08:38
  Speaker 9: Feeling lost with the complexities of pharmacy accounting.
• 1:08:42
  Speaker 12: In pharmacy today, there's so many different variables and issues
• 1:08:47
  Speaker 12: that impact the pharmacy, books, records, accounting, the profitabilities for
• 1:08:51
  Speaker 12: so forth. There's different components of pharmacy that have its
• 1:08:54
  Speaker 12: own nuances from an accounting standpoint, and so it's it's tricky,
• 1:08:58
  Speaker 12: there's no doubt about it.
• 1:08:59
  Speaker 9: Ready to take your pharmacy to the next level, but
• 1:09:02
  Speaker 9: don't know where to start. Pikes and Company is here
• 1:09:04
  Speaker 9: to help, introducing the RX Assessment. With the RX Assessment,
• 1:09:09
  Speaker 9: the pharmacy CPAs and advisors at Psykes will do a
• 1:09:12
  Speaker 9: deep dive into your accounting and tax situation and give
• 1:09:15
  Speaker 9: you the action steps you need to take to take
• 1:09:18
  Speaker 9: your pharmacy to the next level.
• 1:09:20
  Speaker 12: If you're interested in, you know, working with a team
• 1:09:23
  Speaker 12: who understands the industry and how the accounting and tax
• 1:09:27
  Speaker 12: should really be in a pharmacy, this is this is
• 1:09:30
  Speaker 12: your chance to get under the hood check of what's
• 1:09:32
  Speaker 12: going on and getting the feedback of any issues or
• 1:09:36
  Speaker 12: concerns or again things we think you're doing really well with.
• 1:09:38
  Speaker 9: Get the financial check up your pharmacy needs and head
• 1:09:41
  Speaker 9: over to Sykes HYPHENCPA dot com or call two five
• 1:09:45
  Speaker 9: to two four eight two seven six four four.
• 1:09:59
  Speaker 1: Hey, special follow up to the Pharmacy fifty Awards. I
• 1:10:03
  Speaker 1: have one of our most influential on twerks with me today.
• 1:10:07
  Speaker 1: I'm so excited about this. We've been wanting to do
• 1:10:09
  Speaker 1: this for a while. Mister Larry King, how are you?
• 1:10:14
  Speaker 13: Wonderful?
• 1:10:14
  Speaker 3: Tod Thanks for having me introduce yourself.
• 1:10:17
  Speaker 1: Just in case people aren't watching us on LinkedIn or
• 1:10:19
  Speaker 1: watching live on YouTube streaming, but if they're just listening
• 1:10:24
  Speaker 1: to the podcast, tell them you know who you are
• 1:10:27
  Speaker 1: and where your position is within the pharmacy ecosystem, and
• 1:10:32
  Speaker 1: also what school of pharmacy, what college you went to,
• 1:10:36
  Speaker 1: what university you went to?
• 1:10:38
  Speaker 7: Yeah?
• 1:10:39
  Speaker 13: Thanks so, Larry King. I'm the vice president of Product
• 1:10:41
  Speaker 13: Innovation at Surescript, so my role entails you prescribing some
• 1:10:46
  Speaker 13: of our benefits, space and patient safety in the pharmacy ecospace.
• 1:10:50
  Speaker 13: So really I've grown up in pharmacy, so did did
• 1:10:53
  Speaker 13: a long career in retail and then transition over into
• 1:10:55
  Speaker 13: the healthcare technology space, which has been a really fun
• 1:10:58
  Speaker 13: growth there for me to learn and expand my influence.
• 1:11:01
  Speaker 13: But started college of pharmacy at Saint John's and so
• 1:11:04
  Speaker 13: Queen's guy love level. What Saint John's basketball, It's been
• 1:11:07
  Speaker 13: fun to watch. But living in Minneapolis.
• 1:11:10
  Speaker 1: Now Minneapolis, when I think of so technology is how
• 1:11:15
  Speaker 1: I entered pharmacy way back as the first the very
• 1:11:20
  Speaker 1: first software system in the market that was for long
• 1:11:23
  Speaker 1: term care that was built on the sequel was Softwriters
• 1:11:28
  Speaker 1: back in two thousand and four, for goodness sakes, and
• 1:11:31
  Speaker 1: it was so important to build out custom workflow and
• 1:11:35
  Speaker 1: custom you know, accessing specific information. And that's where I
• 1:11:41
  Speaker 1: really started from the one and only Shelley Spyro. She
• 1:11:45
  Speaker 1: taught me about the truth behind the scenes of e
• 1:11:48
  Speaker 1: prescribing and what's happened to you prescribing. You guys have
• 1:11:52
  Speaker 1: been there from the beginning. Like the emphasis or the
• 1:11:55
  Speaker 1: infrastructure of what is you know, sure scripts today.
• 1:12:00
  Speaker 3: Is is you?
• 1:12:02
  Speaker 1: I mean, you have that stories to tell and that
• 1:12:05
  Speaker 1: legacy to kind of build from. So if you could
• 1:12:08
  Speaker 1: nerd out for a second and think, if there's pharmacists
• 1:12:12
  Speaker 1: listening and they want to move into technology and be
• 1:12:16
  Speaker 1: driven more that way, what's the future of pharmacy being
• 1:12:20
  Speaker 1: a pharmacist look like in the in the realm of tech,
• 1:12:23
  Speaker 1: in the realm of technology.
• 1:12:25
  Speaker 13: Yeah, you know, I think of you know, my early
• 1:12:28
  Speaker 13: days my pharmacy career where eighty five ninety percent where
• 1:12:31
  Speaker 13: paper prescription, and now you know that coin has really
• 1:12:33
  Speaker 13: flipped to the exact opposite. And you know, technology was
• 1:12:37
  Speaker 13: an afterthought and as I think of the world where
• 1:12:39
  Speaker 13: and now it really is the core to doing our
• 1:12:42
  Speaker 13: job right, So as we think about how do we automate,
• 1:12:45
  Speaker 13: how do we actually make those really difficult workflows simple
• 1:12:49
  Speaker 13: so you're not wasting your time. And so for me,
• 1:12:52
  Speaker 13: if technology is using it is being written correctly and
• 1:12:54
  Speaker 13: used correctly, you don't even hardly know what's happening, and
• 1:12:57
  Speaker 13: it kind of it runs itself and you have a
• 1:12:59
  Speaker 13: clean prescription, You have that medication ready for your patient
• 1:13:01
  Speaker 13: without having to intervene. And that's that's table stakes hot.
• 1:13:05
  Speaker 13: As I really think about where we're heading as a profession,
• 1:13:09
  Speaker 13: it's much more about how do we have the correct
• 1:13:12
  Speaker 13: data to really inform our clinical decision making. And so,
• 1:13:15
  Speaker 13: you know, it's the world of interoperability. It's the ability
• 1:13:18
  Speaker 13: to have patient's record and understand you know, where maybe
• 1:13:21
  Speaker 13: in the past you had to guess, you know, you
• 1:13:22
  Speaker 13: were looking at a dose and a quantity. You said, well,
• 1:13:24
  Speaker 13: it's got to be this diagnosis, and what a disadvantage
• 1:13:29
  Speaker 13: you are as a clinician to have to be that
• 1:13:31
  Speaker 13: far back. And so as I kind of think of
• 1:13:33
  Speaker 13: the worlds of technologists as a pharmacist, it's that enablement
• 1:13:36
  Speaker 13: and it's a surfacing of key insights at the right time.
• 1:13:41
  Speaker 13: You know, one of the downsides of technology is they
• 1:13:44
  Speaker 13: often we just give you everything, and we give you
• 1:13:46
  Speaker 13: way too much data, and then it becomes useless and
• 1:13:48
  Speaker 13: it becomes totally ineffective. And so you know, future for
• 1:13:51
  Speaker 13: me is really that right place, right time, so you
• 1:13:55
  Speaker 13: can make the best informed decision in that moment of
• 1:13:57
  Speaker 13: clinical workflow.
• 1:13:59
  Speaker 1: I think you hit you hit it, and I think
• 1:14:02
  Speaker 1: the word here is niche. I think it's it's Hey,
• 1:14:05
  Speaker 1: I'm a pharmacist that is working in pediatrics. I'm looking
• 1:14:09
  Speaker 1: for specific data on this specific case with this specific
• 1:14:14
  Speaker 1: drug and this specific situation. Neonatal drill drill, drill down
• 1:14:19
  Speaker 1: to see what happened in so many other cases throughout
• 1:14:23
  Speaker 1: you know, the years of these these same instances and
• 1:14:26
  Speaker 1: having a power house organization kind of behind the scenes
• 1:14:31
  Speaker 1: that has access to that data. The data now we
• 1:14:35
  Speaker 1: kept saying that word. When I was in telecommunications back
• 1:14:39
  Speaker 1: in the day, when I was in before the Internet,
• 1:14:43
  Speaker 1: the data, the word data was like this overally sexy
• 1:14:46
  Speaker 1: you know term. And now it's like okay, now it's
• 1:14:50
  Speaker 1: it's well, how can we get more out of it?
• 1:14:53
  Speaker 1: And how can we make it predictive? And how can
• 1:14:55
  Speaker 1: we And there in lies where I think the technology pharma,
• 1:15:00
  Speaker 1: the technologist, pharmacist, the AI driven pharmacist, my lord, like
• 1:15:06
  Speaker 1: what they're going to be able to apply and pull
• 1:15:09
  Speaker 1: out of that data.
• 1:15:11
  Speaker 13: It's no longer optional as you think about how you
• 1:15:15
  Speaker 13: position your career and how you make yourself a pharmacist
• 1:15:17
  Speaker 13: who is going to be equipped to handle the level
• 1:15:19
  Speaker 13: of decision making? To me, is it's absolutely required.
• 1:15:24
  Speaker 1: Yeah, it really is. And it gives hope to some
• 1:15:31
  Speaker 1: of the pharmacists that are at that P two, P three,
• 1:15:33
  Speaker 1: P four stage of their pharmacy student lives, who are
• 1:15:37
  Speaker 1: who might be listening right now, and you're saying, wow,
• 1:15:40
  Speaker 1: the pharmacy industry in some ways seems to be in
• 1:15:43
  Speaker 1: a lot of disarray, and it's true, it really is.
• 1:15:47
  Speaker 1: We have pharmacy deserts, and there's layoffs and there's everything happening.
• 1:15:51
  Speaker 1: But that's because of the plate tectonics of what's happening
• 1:15:55
  Speaker 1: to our entire profession that it had to change. It
• 1:15:59
  Speaker 1: had to move in a different way of the way
• 1:16:02
  Speaker 1: that pharmacists are being paid and the way that pharmacist
• 1:16:05
  Speaker 1: are involved in the way that pharmacists dig down into
• 1:16:07
  Speaker 1: clinical trials and disease state management. And I mean, what
• 1:16:10
  Speaker 1: it should do is open the imaginations up of those
• 1:16:14
  Speaker 1: P two s and P three's and P four's and
• 1:16:16
  Speaker 1: just say, there's things that they're going to invent that
• 1:16:19
  Speaker 1: we've never thought about and that you and I are
• 1:16:22
  Speaker 1: experiencing today.
• 1:16:24
  Speaker 3: Keep prescribing.
• 1:16:25
  Speaker 1: When you first said that I'm old enough to remember,
• 1:16:27
  Speaker 1: I thought that was still I would laugh and be like, yeah,
• 1:16:31
  Speaker 1: it's nice how it was described in a way, it
• 1:16:34
  Speaker 1: was like envision, But we had to have people with
• 1:16:37
  Speaker 1: those visions twenty years ago in order to get it
• 1:16:40
  Speaker 1: as refined and prepared for what's about to happen. With
• 1:16:44
  Speaker 1: regards to once again trusting organizations to control AI meaning
• 1:16:51
  Speaker 1: AI's great Larry.
• 1:16:53
  Speaker 3: But if you don't have.
• 1:16:54
  Speaker 1: Like a sure scripts for example, if you guys, don't
• 1:16:57
  Speaker 1: you already have standards that you did things in complain
• 1:17:00
  Speaker 1: and assurance with NCPDP and everything. You guys have already
• 1:17:04
  Speaker 1: built the infrastructure that's already trusted. Now we bring in
• 1:17:10
  Speaker 1: AI and it's like, okay, organizations that know how to
• 1:17:13
  Speaker 1: use such a powerful tool and double guess it and
• 1:17:17
  Speaker 1: triple guess it, you know, to make sure that it's
• 1:17:19
  Speaker 1: not lying to us. Because I've heard about the chat
• 1:17:22
  Speaker 1: GPT statistics and things like that.
• 1:17:24
  Speaker 3: But what do you think of that?
• 1:17:25
  Speaker 6: Really?
• 1:17:26
  Speaker 13: Yeah, it's really you know, it starting up, It's real.
• 1:17:29
  Speaker 13: What I think of is taking a big step back,
• 1:17:31
  Speaker 13: you know. The electronic prescribing a controlled substance is one
• 1:17:35
  Speaker 13: of those kind of stories that I love to kind
• 1:17:36
  Speaker 13: of talk about in that you know, you would have
• 1:17:38
  Speaker 13: told me ten fifteen years ago that we would be
• 1:17:41
  Speaker 13: sending controlled substance over the Internet and it would deliver
• 1:17:44
  Speaker 13: to my pharmacy and I would trust it. I wouldn't
• 1:17:47
  Speaker 13: believe it, right, Like the Triplica in New York State
• 1:17:50
  Speaker 13: was the source of truth, and that's what we used
• 1:17:52
  Speaker 13: and to be able to build that trust where now
• 1:17:55
  Speaker 13: over eighty five percent of all prescribers send their control
• 1:17:58
  Speaker 13: subs electronically, the gold standard and if someone comes with
• 1:18:02
  Speaker 13: the control somelfings out of paper. You you almost distrust it.
• 1:18:05
  Speaker 13: And so that that paradigm shift, to me is the
• 1:18:08
  Speaker 13: same journey we're going to be on with AI in
• 1:18:10
  Speaker 13: that right now, we are skeptical, and for good reason,
• 1:18:13
  Speaker 13: you know, as you think of the loucinations and the
• 1:18:16
  Speaker 13: pieces that are there. But as we refine it and
• 1:18:19
  Speaker 13: do set up that governance model and really do that
• 1:18:21
  Speaker 13: due diligence to make sure it's it's used correctly, it
• 1:18:24
  Speaker 13: will be the only thing you trust because it's the
• 1:18:27
  Speaker 13: only way you're going to be able to ge through
• 1:18:28
  Speaker 13: your day.
• 1:18:29
  Speaker 6: Yeah, I love it.
• 1:18:31
  Speaker 1: Promise me, mister Pharmacy fifty alumni, that you'll be coming
• 1:18:35
  Speaker 1: back to Twerks at some point. We can dig into
• 1:18:38
  Speaker 1: other spooky sides of pharmacy and fun sides of pharmacy.
• 1:18:42
  Speaker 1: And I want to hear more innovation stories too, So
• 1:18:45
  Speaker 1: promise you'll come back.
• 1:18:46
  Speaker 13: I'd love to you. These are great conversations.
• 1:18:48
  Speaker 3: All right, We'll be right back for more, Twerks. Hold
• 1:18:51
  Speaker 3: on