Latest / Pharmacy Podcast Network / PRISM Enters the Chat & LTC Insurance in Pharmacy | TWIRx RxRated

Transcript

PRISM Enters the Chat & LTC Insurance in Pharmacy | TWIRx RxRated · Pharmacy Podcast Network

• 0:33
  Speaker 1: Hey, there, today's episode. One of our sponsors and a
• 0:39
  Speaker 1: pretty interesting group which we're going to be doing a
• 0:41
  Speaker 1: three part series on is the team at prism and
• 0:45
  Speaker 1: I want you to take a look at this. Go
• 0:47
  Speaker 1: to get prism rx dot com. Once again, that's get
• 0:51
  Speaker 1: prism rx dot com. I'd like to welcome the founder
• 0:55
  Speaker 1: and creator of this amazing system, Mary Cusick, who is
• 1:01
  Speaker 1: a new friend and somebody that I really look up to.
• 1:04
  Speaker 1: You're inspiring, Mary, I want to welcome it. Welcome you
• 1:07
  Speaker 1: to twerks.
• 1:08
  Speaker 2: Thank you so much for having me.
• 1:11
  Speaker 1: All right, So, by the way, before we get into
• 1:14
  Speaker 1: the three part series, I wanted to share something with
• 1:17
  Speaker 1: our listeners that really inspired me this week in pharmacy.
• 1:21
  Speaker 1: So let's jump right in. One second.
• 1:24
  Speaker 2: I'm traveling around rural America to ensure that women have
• 1:27
  Speaker 2: access to contraception and women's health services.
• 1:31
  Speaker 3: And here's a couple of.
• 1:32
  Speaker 4: Things that I find.
• 1:33
  Speaker 1: One they don't.
• 1:35
  Speaker 2: Two, domestic violence is on the rise again. Three there's
• 1:40
  Speaker 2: a lot of drug use going on right now, which
• 1:43
  Speaker 2: I also think is driving up a domestic violence rate.
• 1:46
  Speaker 2: So I wanted to make this video for women and
• 1:50
  Speaker 2: also view users. So ladies, I am trying to reach
• 1:56
  Speaker 2: different locations. I will be in rural California next in.
• 2:01
  Speaker 3: A couple of weeks, So see you out there.
• 2:05
  Speaker 2: To the abusers, I'm coming after you, not like subtly,
• 2:11
  Speaker 2: not just I'm getting her access to birth control and
• 2:14
  Speaker 2: to control her life. I'm going to find a way
• 2:17
  Speaker 2: to come after you.
• 2:19
  Speaker 4: That is a threat.
• 2:20
  Speaker 2: Okay.
• 2:24
  Speaker 1: Like I said, I have four daughters. I want them
• 2:27
  Speaker 1: to be They're powerful already in their own way, especially
• 2:30
  Speaker 1: by my youngest Lola, who is extremely gen x like
• 2:34
  Speaker 1: she it's like she's born from the past to the future.
• 2:39
  Speaker 1: And when I heard that, I'm like, you know, we
• 2:41
  Speaker 1: need more intelligent creators, technologists, physicians, pharmacists, nurses to be
• 2:50
  Speaker 1: coming to the defense of our public through technology and
• 2:54
  Speaker 1: through standing up for you know, individual healthcare rights. And
• 3:00
  Speaker 1: so I'm excited to be working with you guys. You
• 3:02
  Speaker 1: guys are dynamic. Talk to us about this three part
• 3:05
  Speaker 1: series and why you're so passionate about this.
• 3:08
  Speaker 2: Well, sorry to anybody that offends anyone about me my
• 3:14
  Speaker 2: casual threat online, but no, our three part series is
• 3:19
  Speaker 2: really showcasing PRISM, which is an integrated electronic health record
• 3:24
  Speaker 2: system designed for pharmacists and this design has really culminated
• 3:32
  Speaker 2: hundreds of different pharmacy professionals, opinions, feedback, and is backed
• 3:38
  Speaker 2: by an NIH funded research. So we have been pedaled
• 3:44
  Speaker 2: to the metal three sixty five trying to get this released,
• 3:49
  Speaker 2: and we're starting with contraception as the first module or
• 3:58
  Speaker 2: type of service to be provided within the EHR. Women
• 4:02
  Speaker 2: have been forgotten and much of the healthcare space for
• 4:06
  Speaker 2: a really long time, so we thought it was time
• 4:08
  Speaker 2: that they actually came first on this one.
• 4:12
  Speaker 1: Give our listeners a quick overview of the system. Listeners,
• 4:17
  Speaker 1: don't worry. The three part series is going to be
• 4:19
  Speaker 1: starting soon. Will also be putting this three part series
• 4:23
  Speaker 1: out on several sites blogs, obviously, through LinkedIn, and through
• 4:28
  Speaker 1: social media. But Mary talk to us about the platform overall,
• 4:32
  Speaker 1: just as some highlights.
• 4:34
  Speaker 3: Yeah.
• 4:34
  Speaker 2: So, unlike traditional EHRs that were designed realistically for either
• 4:39
  Speaker 2: physicians or only billing, PRISM kind of combines workflow automation
• 4:46
  Speaker 2: with clinical guard rails and compliance tools to make it
• 4:50
  Speaker 2: one seamless platform rather than you having to buy five
• 4:54
  Speaker 2: or six different Frankenstein solutions and try to put them together.
• 4:59
  Speaker 3: So it includes the.
• 5:00
  Speaker 2: Clinical decisions support based on your state laws and the
• 5:04
  Speaker 2: CDC guidelines and it automates your medical note, your soap note,
• 5:09
  Speaker 2: and the documentation and it's all hipocompliant, both on your
• 5:14
  Speaker 2: side as well as the patient portal side to make
• 5:17
  Speaker 2: sure that you're staying in compliance the whole way through.
• 5:20
  Speaker 2: It also allows for e prescribing, so just like you
• 5:23
  Speaker 2: get the E prescriptions through your PMS today, you would
• 5:28
  Speaker 2: actually prescribe in our system, and then in your PMS
• 5:32
  Speaker 2: it would come through and you'd see your name as
• 5:34
  Speaker 2: a prescriber, which is always a lot of fun for
• 5:36
  Speaker 2: the first time for pharmacists to be able to see.
• 5:38
  Speaker 2: So prescriptions are automated, you're not having to do duplicate
• 5:41
  Speaker 2: data entry and multiple different systems that are all communicating individually.
• 5:47
  Speaker 2: This is interoperability at its finest, built for pharmacists.
• 5:52
  Speaker 5: Love it.
• 5:52
  Speaker 1: I love it. Hey listeners, go to get prismarx dot com.
• 5:57
  Speaker 1: Once again. Let's get prismrx dot com. Mary cannot wait
• 6:01
  Speaker 1: to start this series. Kickoff the series. Thank you so
• 6:04
  Speaker 1: much for doing this. Shout out to Devin as well.
• 6:07
  Speaker 1: Doctor Buston is is their husband wife team, which that
• 6:12
  Speaker 1: and of itself is so freaking cool and we love
• 6:15
  Speaker 1: this and we can't get wait to get started.
• 6:17
  Speaker 3: Thank you so much for having me all.
• 6:19
  Speaker 1: Right, we'll see us soon soon.
• 6:30
  Speaker 6: This episode is sponsored by Independent Pharmacy Cooperative, widely known
• 6:34
  Speaker 6: as IPC. Established in nineteen eighty three, IPC is the
• 6:37
  Speaker 6: nation's largest group purchasing organization owned by independent pharmacy with
• 6:42
  Speaker 6: a mission of maximizing the success of community pharmacists. IPC
• 6:46
  Speaker 6: works to provide members with access to effective programs and
• 6:49
  Speaker 6: services designed to enhance profitability for independent pharmacy. Read more
• 6:54
  Speaker 6: about our mission by checking out our website at ipcrx
• 6:58
  Speaker 6: dot com. That's IPC RX dot com.
• 7:15
  Speaker 1: Hey, and on this weekend pharmacy, we're talking about lots
• 7:19
  Speaker 1: of different things. Technology, of course, is always a leading
• 7:23
  Speaker 1: subject that I love talking about. A shout out to
• 7:27
  Speaker 1: IPC and their whole system around managing treatment plans for
• 7:35
  Speaker 1: their patients that go far beyond the dispensing fee. I
• 7:41
  Speaker 1: want to give a shout out to Clover Health once again,
• 7:44
  Speaker 1: who has partnered with IPC, the Independent Pharmacy Cooperative. They
• 7:49
  Speaker 1: made the news this week in Pharmacy and it says
• 7:51
  Speaker 1: Clover Health c l o V their ticker symbol, launches
• 7:57
  Speaker 1: a twenty twenty six Medicare Advantage play and it goes
• 8:01
  Speaker 1: through some of the new features of this plan, and
• 8:04
  Speaker 1: they're unveiling its Medicare Advantage plan for twenty twenty six
• 8:08
  Speaker 1: that's going to be emphasizing its commitment to providing affordable
• 8:11
  Speaker 1: and diverse ppo options for seniors and healthcare providers as
• 8:16
  Speaker 1: the annual enrollment period begins. And the reason why we're
• 8:19
  Speaker 1: mentioning Clover Health is because Clover Health has partnered with
• 8:24
  Speaker 1: the Independent Pharmacy Cooperative, specifically with the I Care Plus
• 8:30
  Speaker 1: plan system, which is so exciting and I want you
• 8:33
  Speaker 1: to know about that. I want our pharmacists, our pharmacy owners,
• 8:37
  Speaker 1: our technicians to know that there are health plans out
• 8:40
  Speaker 1: there that are very interested in the evolution of how
• 8:44
  Speaker 1: insurance is going to be managed and the systems inside
• 8:48
  Speaker 1: pharmacy to really not only track but also make that
• 8:52
  Speaker 1: information more accessible. I have a special guest today that's
• 8:56
  Speaker 1: from the world of get coverage in some way life insurance,
• 9:04
  Speaker 1: long term care insurance. What that means we're all living longer.
• 9:08
  Speaker 1: We know that these issues for many of your patients
• 9:12
  Speaker 1: that are out there. So if you're listening and you've
• 9:14
  Speaker 1: ever wondered how do I dial into more services for
• 9:19
  Speaker 1: my clients in the realm of long term care insurance
• 9:22
  Speaker 1: and what does that mean for them in their livelihood
• 9:25
  Speaker 1: in living longer. I want to invite my friend onto
• 9:28
  Speaker 1: this week in pharmacy, Michael Banner. I'm so excited to
• 9:31
  Speaker 1: have you on twerks.
• 9:33
  Speaker 4: Thank you so much for having me Todd. I'm so
• 9:35
  Speaker 4: excited to be here.
• 9:37
  Speaker 1: I'm not going to make you twerks, but if you
• 9:38
  Speaker 1: want it to twerks, you could. I can't do it,
• 9:41
  Speaker 1: like my butt's not jiggly enough to get any twerkxing
• 9:45
  Speaker 1: donees and I wouldn't imagine yours would be either.
• 9:48
  Speaker 7: Well mine's jiggly enough, but at my age you might
• 9:50
  Speaker 7: have to down nine one one and have an ambulance
• 9:53
  Speaker 7: come when I'm done tworking to take me to hospital.
• 9:58
  Speaker 1: So any big plans for this weekend coming up?
• 10:01
  Speaker 7: You know, my weekends may sound boring, but they're the
• 10:04
  Speaker 7: best in the world for a sixty seven year old grandfather.
• 10:08
  Speaker 7: My three children are old within minutes of me. My
• 10:11
  Speaker 7: grandchildren obviously same thing. Two of them.
• 10:15
  Speaker 4: Are in Little League, one is in a travel league.
• 10:17
  Speaker 7: So my weekends are having Mickey Mouse pancakes and watching
• 10:21
  Speaker 7: baseball games and probably making videos for sixty two who Knew?
• 10:26
  Speaker 7: But my weekends are a sixty seven year old poppy.
• 10:30
  Speaker 7: That's what they call me poppy, because that's what my
• 10:33
  Speaker 7: children called my father. They're a sixty seven year old
• 10:36
  Speaker 7: grandfather's dream.
• 10:38
  Speaker 8: I love it.
• 10:38
  Speaker 1: I love family and what that means. And let's get
• 10:41
  Speaker 1: back to the subject today, because I was really interested
• 10:45
  Speaker 1: in meeting with you and understanding the element of long
• 10:49
  Speaker 1: term care insurance. I don't know much about it, but
• 10:51
  Speaker 1: this is something that our independent community pharmacists and pharmacy
• 10:55
  Speaker 1: owners should know more about and be able to reference
• 11:00
  Speaker 1: options to their clients in their community, their patients who
• 11:05
  Speaker 1: know that, hey, I'm at a certain age in life,
• 11:08
  Speaker 1: I'm going to be needing some kind of assistance or
• 11:12
  Speaker 1: coverage or whatever. But talk to us a little bit
• 11:14
  Speaker 1: about what is sixty two Who Knew? And by the way, listeners,
• 11:18
  Speaker 1: you can go to sixty two the number sixty two
• 11:21
  Speaker 1: who who Knew? And Knew dot com. It's going to
• 11:26
  Speaker 1: be in the show notes too. But Michael, give us
• 11:29
  Speaker 1: an overview of this.
• 11:31
  Speaker 7: You know, years ago I started a television show on
• 11:33
  Speaker 7: a small independent internet station because about a year and
• 11:38
  Speaker 7: a half before COVID, and yeah, I won't say it
• 11:42
  Speaker 7: was a fluke. I thought about it for a long time,
• 11:44
  Speaker 7: but I kept reading these articles. It's not like I
• 11:46
  Speaker 7: created any new and original thing on my own time.
• 11:50
  Speaker 7: But you know, we're just living walker. I remember, I'm
• 11:54
  Speaker 7: old enough and I was blessed enough to have my
• 11:56
  Speaker 7: grandparents in my life, and I remember them, you know,
• 12:01
  Speaker 7: and they none of them were wealthy, but they did okay,
• 12:04
  Speaker 7: but you know, they planned on living to be their seventies,
• 12:07
  Speaker 7: you know. And then of course we had our parents
• 12:09
  Speaker 7: who most certainly planned for the upper seventies or or
• 12:13
  Speaker 7: low eighties.
• 12:14
  Speaker 4: And today, even.
• 12:16
  Speaker 7: Though if you look up average lifespan it's approximately seventy
• 12:21
  Speaker 7: six for a man, seventy eight or seventy nine for
• 12:24
  Speaker 7: a woman, I don't know why it's like that. That's
• 12:27
  Speaker 7: another episode that we can laugh about why women live longer.
• 12:30
  Speaker 7: But that is a true statement that that's your average lifespan.
• 12:35
  Speaker 7: But if you dig a little deeper, if you live
• 12:39
  Speaker 7: to be sixty two in this country, you have almost
• 12:43
  Speaker 7: a fifty to fifty shot of making it to ninety.
• 12:47
  Speaker 7: Now that's when you just think about that, that's thirty years.
• 12:51
  Speaker 7: That's half the time you've been on this planet. And
• 12:56
  Speaker 7: the truth is, unless you're in the top five percent
• 13:00
  Speaker 7: of this country financially and you don't have at least
• 13:04
  Speaker 7: four or five million in the bank, let alone ten million,
• 13:07
  Speaker 7: twenty million, this could be a very rough thirty years.
• 13:11
  Speaker 7: But if you plan it in your forties and fifties,
• 13:16
  Speaker 7: you can live just like your rich brother in law
• 13:20
  Speaker 7: or your cousin the high paid attorney, because there are
• 13:23
  Speaker 7: products out there that'll allow you to plan for this.
• 13:26
  Speaker 7: And I knew nothing about long term care insurance until
• 13:30
  Speaker 7: about twenty one years ago. You know, like most people
• 13:34
  Speaker 7: will get into this industry, it's usually something personal, something personal,
• 13:39
  Speaker 7: something from the heart.
• 13:40
  Speaker 4: I had.
• 13:42
  Speaker 7: Just an unbelievable relationship with my father. I wrote a
• 13:45
  Speaker 7: book about him, a gift from my father. We were
• 13:48
  Speaker 7: inseparable from the time I was little till the day
• 13:51
  Speaker 7: he passed away in the master bedroom. We had a
• 13:54
  Speaker 7: home together so he could be with his grandchildren, with
• 13:57
  Speaker 7: two master bedrooms.
• 13:58
  Speaker 4: Down here in Florida, we call it. The mother in
• 14:00
  Speaker 4: law was sweet and like a lot of good sons
• 14:06
  Speaker 4: and daughters. When we discussed who's going to take care
• 14:09
  Speaker 4: of dad, we lost my way too early to cancer.
• 14:12
  Speaker 4: You know, Dad looked much longer. I said, well, I'm
• 14:16
  Speaker 4: the son and we're inseparable. I'm going to take care
• 14:18
  Speaker 4: of dad.
• 14:19
  Speaker 7: And I can't tell you how many homes I've been
• 14:21
  Speaker 7: in or people I've talked to where the daughter goes, no,
• 14:24
  Speaker 7: I'm taking care of mom and dad or the son
• 14:26
  Speaker 7: says that, and it's such a warm thought, it really is.
• 14:30
  Speaker 7: And then as Dad's health started to fail, you know,
• 14:35
  Speaker 7: around his eightieth birthday, and you know, and I was
• 14:39
  Speaker 7: just not happy that his health was failing, but so
• 14:42
  Speaker 7: happy to be there for him. I quickly realized that
• 14:47
  Speaker 7: being a caretaker to an eighty year old man, you know,
• 14:52
  Speaker 7: with issues, you know, medical issues, was a lot harder
• 14:56
  Speaker 7: than I thought. The first time he quite frankly, he
• 15:00
  Speaker 7: fell down in the shower and he was six foot one,
• 15:02
  Speaker 7: two hundred and ten pounds. I'm a big guy, but
• 15:05
  Speaker 7: I had trouble living with me. My son was that
• 15:08
  Speaker 7: ol the first time, quite frankly, that he had an
• 15:13
  Speaker 7: accident in bed and I helped him get to his
• 15:16
  Speaker 7: chair and I was cleaning up, and he looked at
• 15:20
  Speaker 7: me and I, you know, pardon me if I tear up,
• 15:24
  Speaker 7: because it's twenty one years ago, but I still remember
• 15:26
  Speaker 7: this and him looking at me, going, this is not
• 15:29
  Speaker 7: what I wanted. When we talked about you taking care
• 15:32
  Speaker 7: of me. I thought we were going to go to
• 15:35
  Speaker 7: baseball games or go to watch you know, Joshua. That's
• 15:38
  Speaker 7: his grandson in karate tournament. So Stacy my daughter, his granddaughter.
• 15:44
  Speaker 7: She was a competitive cheerleader. I didn't think could be.
• 15:48
  Speaker 7: I'm just going to say it. If you have to
• 15:49
  Speaker 7: bleep it out, that's fine. Wiping my asss at three
• 15:52
  Speaker 7: in the morning, this is not what I want at all.
• 15:57
  Speaker 7: And so that next day we got so I could
• 16:02
  Speaker 7: be his son in his last portion of life, not
• 16:07
  Speaker 7: his nurse, and it kind.
• 16:08
  Speaker 4: Of broke my heart.
• 16:09
  Speaker 7: I said, are you sure I don't mind doing this
• 16:11
  Speaker 7: any when I know you don't mind, but I do,
• 16:15
  Speaker 7: so get help. So we ended up getting help, both
• 16:18
  Speaker 7: skilled help and unskilled help. And we're going back twenty
• 16:21
  Speaker 7: one years. Todd and Dad had fantastic insurance. Of course,
• 16:27
  Speaker 7: he had Medicare. He had an incredible Medicare supplemental policy.
• 16:31
  Speaker 7: Dad was also a highly decorated war hero from World
• 16:36
  Speaker 7: War II XPOW, so the VA was giving him staggering
• 16:41
  Speaker 7: benefits and still to keep my dad safe and healthy.
• 16:46
  Speaker 7: We were spending about seven thousand a month out of
• 16:49
  Speaker 7: pocket to keep him happy and healthy at home, which
• 16:55
  Speaker 7: is the key, not in a facility. And one day
• 16:58
  Speaker 7: and I we weren't millionaires, but we were in the
• 17:02
  Speaker 7: mortgage business together and we did well. One day I
• 17:05
  Speaker 7: said to one of the caretakers, I know I'm not naive.
• 17:08
  Speaker 7: I mean, I'm sixty seven now, so I was six.
• 17:11
  Speaker 7: I was forty six back then. What do people do?
• 17:16
  Speaker 7: They can't afford this? And she looked at me and went, Michael,
• 17:23
  Speaker 7: your father would use his VA benefits and he would
• 17:26
  Speaker 7: be in a netic Kaid facility and you wouldn't like
• 17:32
  Speaker 7: it at all.
• 17:35
  Speaker 4: And I went wow. And that's when I started learning
• 17:39
  Speaker 4: about long term care insurance, which is something our financial
• 17:43
  Speaker 4: planner told.
• 17:44
  Speaker 7: Me to buy him in his fifties, and I ignored,
• 17:47
  Speaker 7: what if he never needs it, I'm going.
• 17:49
  Speaker 4: To take care of him. Oh my god.
• 17:51
  Speaker 7: All the excuses, but it changed my life, and it
• 17:55
  Speaker 7: thrust me. Once we lost him May fifth, two five,
• 18:01
  Speaker 7: I thrust myself from my then mortgage career into long
• 18:05
  Speaker 7: term care insurance as well, and an helpful.
• 18:08
  Speaker 4: Lot of people. But it's very misunderstood by so many times.
• 18:13
  Speaker 1: That's why I'm glad you're here, Michael, because the community
• 18:17
  Speaker 1: pharmacies which are are now pressed and now we're losing
• 18:24
  Speaker 1: thousands of community pharmacies because of the shutdowns of rite
• 18:29
  Speaker 1: Aid is now gone. There's Walgreens that are closing, there's
• 18:33
  Speaker 1: CBS's that are closing. Sometimes the only pharmacy left is
• 18:37
  Speaker 1: our independent community pharmacy within their community. They've grown up
• 18:41
  Speaker 1: in those communities, they've invested in those communities.
• 18:44
  Speaker 9: So what I and.
• 18:46
  Speaker 1: These these are hubs. These are hubs of healthcare. They're
• 18:49
  Speaker 1: people are coming there. They're coming to their independent community pharmacy,
• 18:53
  Speaker 1: not only for prescription medications, but they're coming from medication
• 18:56
  Speaker 1: management reviews, durable medical equipment so that they can walk
• 19:01
  Speaker 1: around or use a one of those high commode contraption
• 19:06
  Speaker 1: things that fit on your and just over and over
• 19:09
  Speaker 1: and over again. So what I want to shout out
• 19:12
  Speaker 1: to our pharmacy owners right now is do you have
• 19:17
  Speaker 1: a suggestion for people who are coming into your store weekly, monthly.
• 19:24
  Speaker 1: They see you, they're talking to you. They may be talking.
• 19:27
  Speaker 1: They may be caring for a parent, they may be
• 19:29
  Speaker 1: caring for.
• 19:29
  Speaker 8: A loved one.
• 19:30
  Speaker 9: At home.
• 19:31
  Speaker 1: And my question to you pharmacy owners and listeners, do
• 19:36
  Speaker 1: you understand long term care insurance? Do you understand how
• 19:41
  Speaker 1: it works? Do you understand where it's best applied. So, Michael,
• 19:45
  Speaker 1: give our pharmacy owners who are listening right now, what
• 19:48
  Speaker 1: is long term care insurance and how's it work.
• 19:51
  Speaker 4: I'm glad to do that.
• 19:52
  Speaker 7: And also just kudos to your independent pharmacy owners. I
• 19:57
  Speaker 7: mean again, you know our pharmacies growing up. It was
• 20:02
  Speaker 7: almost part of the family. He knew my allergies, he
• 20:05
  Speaker 7: knew my sister's allergies. We walked in and you know,
• 20:08
  Speaker 7: and just kudos for being an independent pharmacy. Long term
• 20:14
  Speaker 7: care insurance is exactly what that is and what it says.
• 20:18
  Speaker 7: It's the ability to have services and this is the
• 20:21
  Speaker 7: important part come into your home to help take care
• 20:26
  Speaker 7: of you. So many people think long term care insurance
• 20:29
  Speaker 7: is nursing home insurance, and that's what most people think,
• 20:33
  Speaker 7: even professionals, and in reality, it's anti nursing home insurance.
• 20:39
  Speaker 7: Not that there's anything full with nursing homes, but every statistic,
• 20:43
  Speaker 7: every medical study, every survey says people live longer at home.
• 20:49
  Speaker 4: They don't want to go into the home. They want
• 20:52
  Speaker 4: to stay home.
• 20:53
  Speaker 7: And unfortunately, the best example, said as it may be,
• 20:57
  Speaker 7: and I think that's why the world suddenly has long
• 21:00
  Speaker 7: term care insurance on the tip of their tongue was COVID.
• 21:04
  Speaker 4: Because the truth of.
• 21:05
  Speaker 7: The matter is, as as the country went through COVID
• 21:10
  Speaker 7: together the senior citizens, which were the most demographic, by
• 21:17
  Speaker 7: losing them by death, you know, the facilities in the
• 21:22
  Speaker 7: country did what they thought that was right. They closed
• 21:25
  Speaker 7: the doors, they didn't let anyone in because they didn't
• 21:28
  Speaker 7: want COVID to come in from the outside. But really,
• 21:31
  Speaker 7: what they created, and the hindsight is always twenty twenty.
• 21:36
  Speaker 7: This is not a disrespectful comment. I'm not hurling, you know,
• 21:39
  Speaker 7: stones from a glass house. But what they did was
• 21:42
  Speaker 7: they created a Petri dish, and you had mom and
• 21:46
  Speaker 7: dad and grandma and grandpa dying there and they were
• 21:50
  Speaker 7: saying goodbye to their children and grandchildren through a glass wall.
• 21:55
  Speaker 7: And yet the senior citizens, the same age that were
• 21:59
  Speaker 7: living at home and getting their care at.
• 22:02
  Speaker 4: Home, they are still with us today.
• 22:05
  Speaker 7: So COVID kind of proved that you don't want to
• 22:09
  Speaker 7: go to the home, you want to live in your home. Now,
• 22:12
  Speaker 7: of course, there's always an exception safety. If you're not
• 22:15
  Speaker 7: capable of being home, you have to be somewhere with care.
• 22:19
  Speaker 7: But most people go to the home because that's what
• 22:22
  Speaker 7: their medicare is going to cover. That's what they're in
• 22:26
  Speaker 7: limited insurance policy is going to cover. Long term care
• 22:30
  Speaker 7: insurance brings all those services to your house and allows
• 22:35
  Speaker 7: you to live at home with your children, with your grandchildren,
• 22:39
  Speaker 7: close to your children, use your favorite pharmacy, use your
• 22:43
  Speaker 7: favorite butcher in the supermarket, and all those things make
• 22:47
  Speaker 7: you live longer. So, in a nutshell, that's what long
• 22:51
  Speaker 7: term care insurance is. It's the ability to have all
• 22:55
  Speaker 7: the services you need at home. But it goes a
• 22:59
  Speaker 7: step further because people think, oh, you know, I'm going
• 23:01
  Speaker 7: to replace my hip, which everybody does I have yet,
• 23:05
  Speaker 7: but I will both of them probably, and I'm going
• 23:08
  Speaker 7: to be home for a few weeks. I'll need long
• 23:11
  Speaker 7: term care. I can live with that for a few weeks.
• 23:15
  Speaker 7: But in today's world was scientific and medical breakthroughs, long
• 23:20
  Speaker 7: term care events can now be for months or years,
• 23:23
  Speaker 7: and you're living a high quality of life while you're
• 23:26
  Speaker 7: in this long term care event. And if you're going
• 23:31
  Speaker 7: to spend your money you're harder in savings. You're going
• 23:35
  Speaker 7: to be broke very quick even if you're wealthy, let
• 23:38
  Speaker 7: alone if you're not wealthy. So long term care insurance,
• 23:41
  Speaker 7: like all insurance, is to protect your wealth or whatever
• 23:45
  Speaker 7: you have, is to ensure against risk.
• 23:51
  Speaker 1: Yes, I want to perfect once again, give a shout
• 23:53
  Speaker 1: out to Happier at Home, which is a DEBI DeBie
• 23:59
  Speaker 1: Marcella has Marcelo has committed her entire career as a
• 24:04
  Speaker 1: nurse who came from helping people live longer and be
• 24:09
  Speaker 1: happier at their homes. Now she formed a franchise that
• 24:12
  Speaker 1: bolts onto a community pharmacy so that they can make
• 24:17
  Speaker 1: money in support of people that are at home. There's
• 24:20
  Speaker 1: a big term in our industry right now, Michael, known
• 24:24
  Speaker 1: as long term care pharmacy at home, which is continuing
• 24:28
  Speaker 1: services in the form of remote patient monitoring. It's constant touch,
• 24:34
  Speaker 1: sometimes daily. And then when you combine that with Happier
• 24:37
  Speaker 1: at Home, that means that someone's showing up at the
• 24:39
  Speaker 1: house to do like cleaning, maybe some bathing, checking up
• 24:43
  Speaker 1: on the individual in person. And when I start cultivating
• 24:48
  Speaker 1: the perfect mixture of ingredients to prepare our community pharmacies
• 24:54
  Speaker 1: to build business. Long term care at home or I'm sorry,
• 24:59
  Speaker 1: long term care insurance is all part of this. This
• 25:01
  Speaker 1: covers things like facility based care, might be nursing, home
• 25:05
  Speaker 1: might be assisted living, home based care, skilled nursing coming
• 25:09
  Speaker 1: into the home, if there needs to be therapy, physical, occupational,
• 25:14
  Speaker 1: even speech, personal care services, homemaker service is meal prep cleaning.
• 25:19
  Speaker 1: So a shout out to our pharmacists and pharmacy owners
• 25:23
  Speaker 1: out there. This is not the same pharmacy business model
• 25:27
  Speaker 1: that your grandfather or great grandfather or even your dad
• 25:33
  Speaker 1: or mom has been running. This is evolving, and Michael,
• 25:37
  Speaker 1: we're getting away from the revenue stream where it's just
• 25:42
  Speaker 1: a dispensing fee because right now, in our broken system,
• 25:46
  Speaker 1: based on the greed of the three largest PBMs, the
• 25:49
  Speaker 1: only way that our community pharmacies are generating revenue is
• 25:53
  Speaker 1: a flat fee or an adjusted fee onto the prescription,
• 25:57
  Speaker 1: where you'll say, hey, the ingredients cost is fifty dollars,
• 26:01
  Speaker 1: and we're going to give you a one dollar dispensing fee,
• 26:05
  Speaker 1: and then when that goes through the system, sometimes it's negative.
• 26:10
  Speaker 1: There are prescriptions that go out of a community pharmacy
• 26:14
  Speaker 1: that if they dispense that and they give it to
• 26:16
  Speaker 1: the patient put it in their bag and they leave.
• 26:19
  Speaker 1: They just lost three dollars, they just lost twenty dollars,
• 26:22
  Speaker 1: They just lost sometimes sixty dollars to fill that prescription
• 26:26
  Speaker 1: knowing that it's in the best interest of their client
• 26:29
  Speaker 1: and their patient to stay on those medications, to stay
• 26:32
  Speaker 1: in that regimen. When I combine this with long term
• 26:35
  Speaker 1: care pharmacy or long term care insurance, long term care
• 26:40
  Speaker 1: at home services, remote patient monitoring, Happier at home comes in,
• 26:45
  Speaker 1: it really gives me options to speak with that individual
• 26:50
  Speaker 1: and their family to say, what's the best avenue for you,
• 26:54
  Speaker 1: what's the best system. But the reason why I was
• 26:57
  Speaker 1: excited that you were coming on the show today was
• 27:00
  Speaker 1: the shot out to these people that are their forties
• 27:03
  Speaker 1: and their fifties maybe sixties, that they haven't started a program.
• 27:07
  Speaker 1: Talk to us about starting as soon as possible, and
• 27:10
  Speaker 1: the advantage to.
• 27:11
  Speaker 4: That, yeah, twenties.
• 27:13
  Speaker 7: And Third, I've actually had people who watched the show
• 27:16
  Speaker 7: sixty two and you'll go, I'm twenty eight, maybe I
• 27:18
  Speaker 7: should do it now. No, I didn't mean to scare
• 27:20
  Speaker 7: you that much. If you have good medical insurance, you
• 27:23
  Speaker 7: don't need long term care insurance yet. But in your forties, fifties,
• 27:26
  Speaker 7: and I'm so glad you said sixties because I have friends.
• 27:29
  Speaker 7: You know, I've said, oh my god, I guess I
• 27:31
  Speaker 7: missed that boat. And no, we know each other. We
• 27:35
  Speaker 7: played tennis. You're a non smoker, you don't drink a lot,
• 27:38
  Speaker 7: you don't have that health issues. Yet you can still
• 27:42
  Speaker 7: get long term care insurance. I think that's important to
• 27:45
  Speaker 7: people in their sixties that are listening. Don't go, oh
• 27:48
  Speaker 7: my god, I missed that boat. He's talking about doing
• 27:51
  Speaker 7: it fifteen twenty years ago. No, let's talk. There are
• 27:55
  Speaker 7: products for you. But yes, in your forties and fifties
• 27:58
  Speaker 7: is when you're healthiest. And guess what, when you buy
• 28:01
  Speaker 7: any insurance when you're healthy, it's much cheaper and what
• 28:07
  Speaker 7: a time to lock in a price. And there are
• 28:11
  Speaker 7: five year pays, ten year pays, fifteen year pays where
• 28:14
  Speaker 7: you can make hope, you know, you can make payments
• 28:17
  Speaker 7: on these products, and by the time you get to
• 28:19
  Speaker 7: your sixties and seventies, it's a paid up policy. Now,
• 28:24
  Speaker 7: for many, many years, the number one obstacle was, well,
• 28:29
  Speaker 7: what if I don't need it? I mean, I'm just
• 28:31
  Speaker 7: going to pick a number. I'm paying three hundred dollars
• 28:34
  Speaker 7: a month for fifteen years. That's tens of thousands of dollars.
• 28:40
  Speaker 7: And then I just get hit by a car or
• 28:42
  Speaker 7: I have a heart attack and I die. Oh my god,
• 28:45
  Speaker 7: what a waste of tens of thousands of dollars. Well,
• 28:48
  Speaker 7: the long term care insurance industry heard those reasons, and
• 28:51
  Speaker 7: now are products, which are called hybrid products, allow people
• 28:57
  Speaker 7: to buy life insurance with a long term care insurance writer,
• 29:04
  Speaker 7: or an annuity that pays them a monthly interest check
• 29:09
  Speaker 7: with a long term care insurance writer.
• 29:11
  Speaker 4: So it's no longer just if I get sick I
• 29:15
  Speaker 4: need it.
• 29:16
  Speaker 7: Now let's just say somebody you know buys a half
• 29:21
  Speaker 7: a million dollar life insurance policy, which in their forties
• 29:24
  Speaker 7: you know, is not that expensive, but there is a
• 29:27
  Speaker 7: multiple of that life insurance that goes towards long term
• 29:32
  Speaker 7: care in their.
• 29:32
  Speaker 4: Seventies and eighties.
• 29:34
  Speaker 7: But oh my god, I never needed it and I died.
• 29:37
  Speaker 7: What happened to that money? Your children got a half
• 29:40
  Speaker 7: a million dollars in depth benefit, by the way, tax free,
• 29:44
  Speaker 7: because all life insurance is tax rate. So these hybrid
• 29:48
  Speaker 7: products where you can buy life insurance or an annuity.
• 29:52
  Speaker 7: If you have an annuity sitting somewhere making acts, and
• 29:55
  Speaker 7: let's face it, it's finally paying some money, you know, Todd.
• 29:59
  Speaker 7: Finally the markets have come back and people are complaining
• 30:02
  Speaker 7: about high grates for mortgages.
• 30:04
  Speaker 4: I do many mortgages for my senior clients.
• 30:06
  Speaker 7: Well, when they were really low, you weren't making any
• 30:10
  Speaker 7: money on your CDs and your annuities.
• 30:12
  Speaker 4: Again, you can't have it both ways.
• 30:14
  Speaker 7: But if you have one hundred thousand dollars annuity and
• 30:18
  Speaker 7: it's making you act when it comes time to renew that,
• 30:23
  Speaker 7: it's time to look at the renewing that annuity with
• 30:26
  Speaker 7: a long term care insurance option. It's literally not costing
• 30:30
  Speaker 7: you anything. But when you're eighty two years old and
• 30:35
  Speaker 7: you need six thousand dollars a month in long term care,
• 30:40
  Speaker 7: boy does it mean something.
• 30:41
  Speaker 5: Then.
• 30:41
  Speaker 7: So again, the younger you do it, the better. But
• 30:46
  Speaker 7: I guess my record right now is sixty eight. I
• 30:49
  Speaker 7: did do a great long term care insurance policy several
• 30:52
  Speaker 7: months ago for somebody sixty eight. But oh my god,
• 30:56
  Speaker 7: he was a year older than me, and he looked
• 30:58
  Speaker 7: like my younger brother. I mean, I was, you know,
• 31:00
  Speaker 7: I was embarrassed. He ran every day, he did everything
• 31:04
  Speaker 7: I run to dinner. You know.
• 31:05
  Speaker 1: That's that's how I run the dinner.
• 31:07
  Speaker 4: It's just you know.
• 31:09
  Speaker 7: And the only thing I'll add is the longer life
• 31:12
  Speaker 7: spans have come from the staggering and it's nothing short
• 31:18
  Speaker 7: of staggering medical and scientific breakthroughs of the last generation.
• 31:24
  Speaker 7: I mean, I got shots when I was a kid
• 31:26
  Speaker 7: for certain diseases that my children never got and that
• 31:30
  Speaker 7: my grandchildren have never heard of. But when I'm hearing
• 31:34
  Speaker 7: from the scientific community, and I'd like you to know,
• 31:37
  Speaker 7: opine on this, is that the improvements that are coming
• 31:41
  Speaker 7: in the next ten or twenty years make the last
• 31:45
  Speaker 7: ten or twenty years look like Fred Flynn's stuff. That
• 31:49
  Speaker 7: we're going to be that I had a medical expert
• 31:52
  Speaker 7: from the from an institute in Israel, one of the
• 31:57
  Speaker 7: number one medical institute is Israel, in Israel in the planet,
• 32:02
  Speaker 7: and who said, Michael, how old are your grandchildren? And
• 32:05
  Speaker 7: when I told them, he said, Michael, your children, your
• 32:08
  Speaker 7: grandchildren will be playing tennis or pickleball in the heat
• 32:14
  Speaker 7: of summer in Florida when they are one hundred years old.
• 32:19
  Speaker 7: That's what's just years away in medical advancements. So long
• 32:24
  Speaker 7: term care insurance is going to become an absolute key
• 32:29
  Speaker 7: part of us living longer and having quality of life.
• 32:34
  Speaker 1: Hey, we'll be right back for some questions and answers
• 32:38
  Speaker 1: with Michael and also connections with him here on twerks,
• 32:42
  Speaker 1: one second.
• 32:52
  Speaker 10: To marketplace for independent pharmacies since twenty ten. Our network
• 32:57
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• 32:59
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• 33:03
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• 33:06
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• 33:39
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• 33:42
  Speaker 10: your pharmacy first.
• 33:50
  Speaker 1: Medicare open enrollment begins today unless here.
• 33:53
  Speaker 2: There are a lot of changes that applicants need to
• 33:56
  Speaker 2: know about our Saquon is live in Saint Paul talking
• 33:59
  Speaker 2: about these Medicare advantage plans bringing down what people need
• 34:02
  Speaker 2: to know good morning.
• 34:03
  Speaker 3: To say, hey, good morning to you.
• 34:05
  Speaker 11: Well, we know over one hundred and fifty thousand people
• 34:08
  Speaker 11: here in Minnesota are now going to need to look
• 34:11
  Speaker 11: at some new coverage options due to some of those
• 34:13
  Speaker 11: big changes coming, which I'll break down here in just
• 34:15
  Speaker 11: a second. But we also know actually in just less
• 34:18
  Speaker 11: than two hours here, a Senate committee is going to
• 34:20
  Speaker 11: be hearing directly from consumers along with insurance and health
• 34:23
  Speaker 11: experts on how those changes coming to the insurance market
• 34:26
  Speaker 11: are going to be affecting Minnesotans.
• 34:28
  Speaker 8: So as you look.
• 34:29
  Speaker 11: Around at some of those options during this enrollment period,
• 34:31
  Speaker 11: it's also important that you know exactly what you're looking for.
• 34:35
  Speaker 11: Let's start with some of those big changes. Though, we
• 34:37
  Speaker 11: know several major health insurance companies are getting ready to
• 34:40
  Speaker 11: scale back on their Medicare coverage by limiting it to
• 34:43
  Speaker 11: select counties or canceling those plans altogether. Now that is
• 34:47
  Speaker 11: the case for Minneapolis based you Care, which announced recently
• 34:50
  Speaker 11: that it is dropping Medicare advantage next year. Now, there
• 34:54
  Speaker 11: are two parts that can be included in what's known
• 34:56
  Speaker 11: as original Medicare. Part A covers things like hospital or
• 35:00
  Speaker 11: in patient care, and you also don't have to be
• 35:02
  Speaker 11: a network. You don't have to pay any premiums for this.
• 35:05
  Speaker 1: But there are deductibles and copays.
• 35:07
  Speaker 11: Part B, on the other hand, covers doctor services and
• 35:10
  Speaker 11: medical supplies. This one does require you to pay a
• 35:13
  Speaker 11: monthly premium. Neither part, however, covers prescription drugs, but those
• 35:17
  Speaker 11: costs are covered through the Medicare Advantage plan, which is
• 35:21
  Speaker 11: entirely different from original Medicare. Stick with me here. With
• 35:24
  Speaker 11: Medicare Advantage, you must already be enrolled in original Medicare
• 35:28
  Speaker 11: or Parts A and B, and you need to be
• 35:30
  Speaker 11: in network unless it is an emergency. This plan also
• 35:33
  Speaker 11: has limits on out of pocket costs on like A
• 35:35
  Speaker 11: and B. This open enrollment period runs through December seventh.
• 35:39
  Speaker 11: If you are looking to change your plan, and for
• 35:41
  Speaker 11: those of you who are losing your plan, you have
• 35:43
  Speaker 11: until December thirty. First, I know this is very complex,
• 35:47
  Speaker 11: so if you are looking for some extra guidance here,
• 35:48
  Speaker 11: you can always call one eight hundred Medicare, or you
• 35:51
  Speaker 11: can contact Minnesota Aging Pathways formerly and better known as
• 35:55
  Speaker 11: Senior Linkage. We also have a bunch of information on
• 35:58
  Speaker 11: our website right now, including the answer to some of
• 36:00
  Speaker 11: your most frequently asked questions regarding all things medicare. You
• 36:04
  Speaker 11: can check that out on our website right now. Foxnine
• 36:06
  Speaker 11: dot com guys back to you.
• 36:08
  Speaker 1: So that's a good example, Michael, of just the basics.
• 36:12
  Speaker 1: And I didn't hear anyone mention the need to invest
• 36:16
  Speaker 1: in a long term care policy. That would fill in
• 36:20
  Speaker 1: the blanks, and sometimes those blanks can be astronomical depending
• 36:24
  Speaker 1: on the situation. So let's give some guidance to our listeners,
• 36:29
  Speaker 1: our pharmacy owners, what steps can they take to engage
• 36:33
  Speaker 1: with you to have references. I know you're in the
• 36:37
  Speaker 1: Tampa area, shout out to one of my favorite pharmacies
• 36:41
  Speaker 1: down there called Palm's Pharmacy. We're gonna have to get
• 36:44
  Speaker 1: you connected with Shahida. But give us, give our our listeners,
• 36:49
  Speaker 1: give our pharmacy owners some guidance as to what steps
• 36:52
  Speaker 1: they can take to informing and educating their their community
• 36:56
  Speaker 1: about long term care insurance.
• 37:00
  Speaker 7: You say that, well, the easiest way, of course, would
• 37:02
  Speaker 7: be a go to our website www. Dot sixty two
• 37:05
  Speaker 7: new dot com and just click on the long term
• 37:08
  Speaker 7: care insurance link. Not only will you get a free
• 37:11
  Speaker 7: guide about long term care insurance. But you know, we
• 37:15
  Speaker 7: will have literally it might be me, but it might not,
• 37:19
  Speaker 7: but a national expert in your area. That was just Minnesota.
• 37:25
  Speaker 7: You know, Medicare and Medicaid rules are different on different states.
• 37:29
  Speaker 7: It's not going to be Mike Banner in Tampa calling
• 37:31
  Speaker 7: a Minnesota client of one of your pharmacies, but it
• 37:35
  Speaker 7: will be a Minnesotan long term care insurance expert. So
• 37:40
  Speaker 7: go to our website, click on long term care insurance
• 37:45
  Speaker 7: and we we'll and we'll contact you as quickly as possible.
• 37:48
  Speaker 7: The other thing I'm going to say, also, you know
• 37:50
  Speaker 7: again because we are in open enrollment season starting today.
• 37:55
  Speaker 7: And I take this quote from Tom Hegner, who was
• 37:58
  Speaker 7: just on our podcast. It was the number one speaker
• 38:01
  Speaker 7: on annuities, number one annuity authority in North America, Tom
• 38:06
  Speaker 7: Hegner agg NA. And one of the things he always says,
• 38:10
  Speaker 7: and it's so true, retirement is not to do it yourself.
• 38:13
  Speaker 4: Think.
• 38:14
  Speaker 7: I have so many friends that go, oh yeah, I know,
• 38:16
  Speaker 7: there's about twenty five or thirty different Medicare plans. I
• 38:20
  Speaker 7: went online last night and I researched them all, and
• 38:23
  Speaker 7: I go, what I'm doing this twenty years and I
• 38:26
  Speaker 7: don't even know a quarter of them. You research them all, Yeah,
• 38:30
  Speaker 7: and I picked one. Use an expert. Like all insurance,
• 38:37
  Speaker 7: it doesn't cost you anything. And again I'll repay you.
• 38:40
  Speaker 7: Right back to www. Sixty two in new dot com,
• 38:44
  Speaker 7: click on the link Medicare Nation and you will be
• 38:48
  Speaker 7: able to speak directly to Miss Diane Daniels, the founder
• 38:52
  Speaker 7: of Medicare Nation and a nationally well known speaker on
• 38:57
  Speaker 7: all things medicare. And if she helps you get your Medicare,
• 39:02
  Speaker 7: the carrier pays her, not you. She knows all twenty
• 39:07
  Speaker 7: five policies you don't like. Tom Hegner always says retirement
• 39:13
  Speaker 7: is not a do it yourself project. Use experts. So
• 39:18
  Speaker 7: to all your pharmacies out there, please you know, direct people.
• 39:22
  Speaker 4: If not to sixty two anew somewhere this is.
• 39:26
  Speaker 7: This would be like them coming in with a prescription
• 39:28
  Speaker 7: to your pharmacy and having the pharmacist go, you know what,
• 39:32
  Speaker 7: I'm gonna take a lunch.
• 39:32
  Speaker 4: Come back here, make your own medicine.
• 39:35
  Speaker 7: No, don't do that, right and again, think about that
• 39:38
  Speaker 7: long term care insurance in your forties and fifties. If
• 39:41
  Speaker 7: you're in your thirties, let's start thinking about it for
• 39:44
  Speaker 7: mom and dad, and if you're in your sixties, even seventies,
• 39:47
  Speaker 7: maybe it's not too late.
• 39:50
  Speaker 1: Awesome, Michael, this has been great. Appreciate you being on
• 39:54
  Speaker 1: twerks today. We want to ask that you come back
• 39:57
  Speaker 1: sometime and let's get a panel discussion going with some
• 40:00
  Speaker 1: pharmacy owners who have on both sides that have patients
• 40:04
  Speaker 1: and have clients that use a long term care insurance
• 40:08
  Speaker 1: benefit and the benefits that that provided them. And then
• 40:12
  Speaker 1: the other side is the pharmacy owners who really don't
• 40:16
  Speaker 1: have a program set up that they should to really
• 40:18
  Speaker 1: help to fill in these big gaps sometimes for people
• 40:22
  Speaker 1: that want to stay in their home or they want
• 40:25
  Speaker 1: to have care, and there's ways to do this, and
• 40:28
  Speaker 1: like I said, I mentioned all the puzzle pieces that
• 40:30
  Speaker 1: we can build together and customize for these people. But Michael,
• 40:34
  Speaker 1: this has been special. Thanks for being on twerks.
• 40:37
  Speaker 4: Thank you so much for the opportunity.
• 41:01
  Speaker 1: Hey, welcome back to twerk's exciting day here as we're
• 41:04
  Speaker 1: preparing for the NCPA in New Orleans. If you're going
• 41:08
  Speaker 1: to the National Community Pharmacist Association, it's the super Bowl
• 41:13
  Speaker 1: the independent Community Pharmacy. I always think of things in
• 41:17
  Speaker 1: football right now. I'm excited about this season. Not a
• 41:21
  Speaker 1: good day here on Friday, October seventeenth for the Pittsburgh
• 41:25
  Speaker 1: Steelers and their loss to the Bengals. Not cool, guys.
• 41:29
  Speaker 1: If you could lose to teams outside of our division,
• 41:32
  Speaker 1: that's kind of the better loss if you have to
• 41:35
  Speaker 1: have a loss. Hey, we have a lot going on,
• 41:37
  Speaker 1: But before we get into our next segment, I want
• 41:40
  Speaker 1: to welcome a friend of mine, someone who's taught me
• 41:42
  Speaker 1: a lot about the business of pharmacy, and an entrepreneur
• 41:47
  Speaker 1: who has built an incredible organization tied into the independent
• 41:53
  Speaker 1: community pharmacy sector and the success of pharmacy owners, the
• 41:57
  Speaker 1: original the Og Farm see Badass Doctor Lisa Fast. Welcome
• 42:02
  Speaker 1: to Twerks.
• 42:04
  Speaker 3: Thank you, Todd. And I gotta say I don't have
• 42:07
  Speaker 3: any skin in the game between the Steelers and the Bengals,
• 42:09
  Speaker 3: but since my best friend and right hand woman, Heather
• 42:12
  Speaker 3: Harrow is a diehard Bengals team, I'm gonna have to
• 42:15
  Speaker 3: kind of go with her on this one. And it
• 42:17
  Speaker 3: was a good week for the Bengals.
• 42:19
  Speaker 1: It really was. They pulled it out. I was watching
• 42:21
  Speaker 1: the beginning of the game and thought, oh yeah, we
• 42:23
  Speaker 1: got this and then no we don't come. Yeah, I'm
• 42:29
  Speaker 1: excited to have you here. You haven't been on twerksin sometime.
• 42:32
  Speaker 1: That's definitely both of our faults with the lives that
• 42:36
  Speaker 1: we that we lead. Between now and March twenty eighth,
• 42:41
  Speaker 1: you and I and a bunch of different people that
• 42:44
  Speaker 1: are part of the super Bowl of charging your pharmacy
• 42:49
  Speaker 1: up through profits, the Pharmacy Profits Summit. I'm excited about
• 42:52
  Speaker 1: this one. This is going to be the biggest one ever.
• 42:55
  Speaker 1: You shared some news with me about, you know, the
• 42:58
  Speaker 1: size of the opportunity of not having the constraints, and
• 43:02
  Speaker 1: I'm excitedly so talk to us about pharmacy profits some
• 43:06
  Speaker 1: at twenty twenty six.
• 43:08
  Speaker 3: You know, I just I love putting together this show.
• 43:12
  Speaker 3: I will, I will say selfishly, I put it together
• 43:15
  Speaker 3: for like what I want. I mean, I'm still a
• 43:17
  Speaker 3: pharmacy owner. I own two pharmacies. Not only do I
• 43:20
  Speaker 3: work with hundreds of pharmacies in pharmacy Badass University, you know.
• 43:23
  Speaker 3: But this is still the life that I live daily,
• 43:25
  Speaker 3: and so I spend a lot of time and effort
• 43:28
  Speaker 3: also going to other industry events. So I tend a
• 43:30
  Speaker 3: lot of marketing events and a lot of other healthcare
• 43:32
  Speaker 3: professional events, and that's where I just I gather. It's
• 43:36
  Speaker 3: almost like I feel like I'm a little gatherer of people,
• 43:38
  Speaker 3: and I find people that are outside of our world
• 43:41
  Speaker 3: that are just doing amazing things and transforming lives in
• 43:44
  Speaker 3: their own space and bring them back to pharmacy along
• 43:48
  Speaker 3: with just One of my favorite things is to get
• 43:51
  Speaker 3: pharmacy owners on stage for the very first time. And
• 43:54
  Speaker 3: so I have a long record of doing that with
• 43:57
  Speaker 3: pharmacy owners that just become amazing people like Adam Robinson
• 44:01
  Speaker 3: for example, and you know, and and so anyways, yes,
• 44:05
  Speaker 3: we moved properties. We were at the Wonderful Omni for
• 44:07
  Speaker 3: the last several years, but we just we were outgrowing it.
• 44:10
  Speaker 3: We sold out every year, We couldn't fit in any
• 44:12
  Speaker 3: more exhibitors, couldn't fit in more attendees, and so we
• 44:15
  Speaker 3: have moved over to the Hilton Anatole, which means we
• 44:19
  Speaker 3: have wide open spaces and we have a great Western
• 44:23
  Speaker 3: theme this year, even though we're in Dallas, it's actually
• 44:26
  Speaker 3: the first time we're having a little fun with cowboys
• 44:29
  Speaker 3: and you know western, So it's definitely gonna be fun.
• 44:33
  Speaker 3: But for me, a summit, you know, if you're a
• 44:36
  Speaker 3: pharmacy owner, a pharmacy employee, taking time away from your
• 44:40
  Speaker 3: pharmacy is just one of the most costly things you
• 44:44
  Speaker 3: can do. And it's not necessarily monetary costs, but the energy,
• 44:48
  Speaker 3: the time, the the worry, right, you know, it's like,
• 44:51
  Speaker 3: is everything going to be okay when I'm gone? Plus
• 44:53
  Speaker 3: the money, right, plus you know, the hotel and the
• 44:55
  Speaker 3: airfare and whatnot. And so for me putting together a
• 44:59
  Speaker 3: game buster show for pharmacy owners that makes it not
• 45:03
  Speaker 3: only worth their while just a little bit, but like
• 45:06
  Speaker 3: over an abundance worth their while, And so our content
• 45:09
  Speaker 3: this year is just I mean, I get goose books
• 45:11
  Speaker 3: right now, just even talking about it like it is
• 45:13
  Speaker 3: going to be life changing, business changing, you know, That's
• 45:18
  Speaker 3: what I'm all about. I'm you know, I'm on a
• 45:20
  Speaker 3: mission to save independent pharmacy, and I think one of
• 45:22
  Speaker 3: the best ways to do that and help pharmacy owners
• 45:24
  Speaker 3: love owning their pharmacy again is helping them create a
• 45:27
  Speaker 3: pharmacy that's continuously profitable, right, not just profitable for what's
• 45:31
  Speaker 3: going on this month, because we all know, you know,
• 45:34
  Speaker 3: no two days stay the same in pharmacy, so you
• 45:36
  Speaker 3: need systems and structures that are going to keep you
• 45:38
  Speaker 3: profitable now, next month, next year, in the next decade.
• 45:42
  Speaker 3: And so that's really what we're all about. And so
• 45:44
  Speaker 3: I don't think there's any show of that's put together
• 45:48
  Speaker 3: the types of things both from inside pharmacy and outside
• 45:50
  Speaker 3: pharmacy that's going to have that kind of impact. And
• 45:53
  Speaker 3: so I'm super excited about this. I get to talk
• 45:56
  Speaker 3: with these speakers and work with them for almost a
• 45:58
  Speaker 3: year before, like I now and whatnot, and they're just
• 46:01
  Speaker 3: they've changed my life already and I know they're going
• 46:05
  Speaker 3: to change be life changing for you. I think one
• 46:08
  Speaker 3: of the biggest impact. And also he's the most like
• 46:11
  Speaker 3: under the radar. He's right there on your screen that
• 46:14
  Speaker 3: you're showing Bradley James Davies. He calls himself a professional listener,
• 46:20
  Speaker 3: and you would think, oh listening, like, hey, I'm a
• 46:22
  Speaker 3: healthcare professional, Like I do that pretty good. And man,
• 46:27
  Speaker 3: just having this new friendship with him and talking with him,
• 46:32
  Speaker 3: he has already changed my life, just as making me
• 46:36
  Speaker 3: aware of how poor I was listening before and how
• 46:41
  Speaker 3: critical it is not just for improving your business and
• 46:44
  Speaker 3: improving your bottom line, but improving all the relationships in
• 46:48
  Speaker 3: your life, and I think that's the one that's subtly.
• 46:50
  Speaker 3: I think there's a lot more sexy sounding speakers, you know,
• 46:54
  Speaker 3: AI AI bots, delegation and you know that kind of stuff.
• 46:57
  Speaker 3: But I think when people leave the two at the summit,
• 47:01
  Speaker 3: they're going to be They're going to point back to
• 47:03
  Speaker 3: to Bradley's and be like that was the one that
• 47:06
  Speaker 3: was like mind blowing because the skills that he's going
• 47:09
  Speaker 3: to give you can literally apply to any aspect of
• 47:12
  Speaker 3: your life. And I thought I was a good listener,
• 47:15
  Speaker 3: you know, like it was one of those things. But
• 47:17
  Speaker 3: it's like you didn't know the measuring stick. And so
• 47:19
  Speaker 3: once once I learned what that measuring stick was, I
• 47:22
  Speaker 3: was like, wow, I can get better. So life has
• 47:26
  Speaker 3: definitely changed since becoming friends with Bradley.
• 47:29
  Speaker 1: It's incredible. This conference has come such a long way.
• 47:33
  Speaker 1: It'll be the eighth of Pharmacy Profit's Summit for twenty
• 47:37
  Speaker 1: twenty six. This is just an incredible time of coming together.
• 47:41
  Speaker 1: The energy at this conference is so high that it's
• 47:45
  Speaker 1: exhausting afterwards. I need kind of a couple of days,
• 47:48
  Speaker 1: as I'm sure that you do, to recover from it.
• 47:51
  Speaker 1: But I'm a shout out to our pharmacy owners, pharmacy operators,
• 47:54
  Speaker 1: people that want to expand build other pharmacies, build other models,
• 47:59
  Speaker 1: come to this. It's a workshop, it's it's an inclusive
• 48:04
  Speaker 1: eni environment as well as when we take the breaks
• 48:06
  Speaker 1: we go out to the exhibitors. It's a fusion of ideas.
• 48:10
  Speaker 1: It's people taking what's happening on stage and then coming
• 48:13
  Speaker 1: into the networking through the exhibits and coming together and
• 48:16
  Speaker 1: speaking about it. But then going to an exhibitor or
• 48:20
  Speaker 1: a technology provider or someone's going to be there that's
• 48:23
  Speaker 1: going to help you actually build that and then talk
• 48:26
  Speaker 1: about what the next steps are. So when you get
• 48:28
  Speaker 1: back to your pharmacy on March thirtieth, you are ready
• 48:32
  Speaker 1: to implement something that's not only going to change your business,
• 48:35
  Speaker 1: but like Lisa said, it's going to change help to
• 48:37
  Speaker 1: change your community and strengthen your community. And this is
• 48:41
  Speaker 1: during a time where pharmacists start collapsing everywhere, including some
• 48:45
  Speaker 1: of the news that's coming out of you know, the
• 48:47
  Speaker 1: ending of the very last remnants of write aid. So
• 48:51
  Speaker 1: this is this is the time.
• 48:54
  Speaker 3: Yeah, And to that point of implementation, you know, it's
• 48:57
  Speaker 3: a good thing to go to a show and have
• 48:58
  Speaker 3: some of that you know teams Barrett and Raw Raw.
• 49:02
  Speaker 3: I'm not necessarily I'm not against that in any way,
• 49:04
  Speaker 3: shape or form, but fundamentally, I'm about changing pharmacies for
• 49:08
  Speaker 3: the better, and I don't think any other pharmacy show
• 49:10
  Speaker 3: does this. But we obviously provide support for our members,
• 49:15
  Speaker 3: but we also provide support for attendees. We actually have
• 49:18
  Speaker 3: a structure for you know, you don't have to be
• 49:20
  Speaker 3: a member of Pharmacy Badast University, but we offer every
• 49:23
  Speaker 3: attendee coaching calls with with our coach Mic. We offer
• 49:26
  Speaker 3: group sessions post summit. We want to support you. That
• 49:29
  Speaker 3: stuff happens for ninety days after the summit to be
• 49:33
  Speaker 3: able to help you to implement. Now, obviously you get
• 49:35
  Speaker 3: a lot more as a Pharmacy Badist University member, but
• 49:38
  Speaker 3: we don't want you to just buy a ticket and
• 49:39
  Speaker 3: come for a fantastic two days. I mean, yes, that's great,
• 49:42
  Speaker 3: but if you don't change anything in your pharmacy after
• 49:45
  Speaker 3: coming to my show, I feel like I failed and
• 49:48
  Speaker 3: that's a crappy feeling. And so we started doing this
• 49:51
  Speaker 3: because I don't want to feel crappy. It was purely selfish.
• 49:54
  Speaker 3: I want to feel good that people come to our
• 49:56
  Speaker 3: show and then actually go out and do things and
• 49:58
  Speaker 3: change things. And so not only do we present them
• 50:01
  Speaker 3: in a way that they're easy to implement, but we
• 50:04
  Speaker 3: also provide the structure to help keep you, you know, accountable,
• 50:08
  Speaker 3: to help you do those changes.
• 50:10
  Speaker 1: Awesome, that's awesome. I'm excited, excited to be there and
• 50:14
  Speaker 1: excited to be back. And what's the location. It's the the.
• 50:20
  Speaker 3: Hilton Anatole, so still in Dallas, so still easy to
• 50:23
  Speaker 3: fly in the two airports. We've got it as a
• 50:27
  Speaker 3: Saturday Sunday this year, so you could fly in Friday
• 50:30
  Speaker 3: night or even early Saturday morning, depending on you know
• 50:32
  Speaker 3: where you're at, fly home Sunday night, and that way
• 50:36
  Speaker 3: it's minimal time away from your business, minimal time away
• 50:39
  Speaker 3: from from family. And so yeah, I'm really excited that
• 50:42
  Speaker 3: we were able to get that Saturday Sunday schedule because
• 50:45
  Speaker 3: I think it just makes it easier for pharmacy owners
• 50:47
  Speaker 3: to attend. But yeah, Hilton Anatole so new property, which
• 50:51
  Speaker 3: is going to just mean we have lots of extra
• 50:53
  Speaker 3: space and lots of extra things that we can do
• 50:56
  Speaker 3: that we've kind of just been districted in the last
• 50:58
  Speaker 3: couple of years.
• 50:59
  Speaker 1: It's good news, Lisa. It's amazing to see this thing
• 51:02
  Speaker 1: exploding like it is and growing, and it's meticulously growing.
• 51:06
  Speaker 1: It's not like you just do things, I know how.
• 51:09
  Speaker 1: It's your pharmacists brain that you're always looking back on
• 51:12
  Speaker 1: what you did to not only improve upon, but be
• 51:15
  Speaker 1: strategic about it. That spills over into the client too,
• 51:18
  Speaker 1: and it's practicing what you preach and it's practicing what
• 51:22
  Speaker 1: you're doing all the time as a pharmacy owner. Yourself.
• 51:25
  Speaker 1: So excited about this. Thank you so much for being
• 51:29
  Speaker 1: on twerks today and listen to works listeners. This week
• 51:32
  Speaker 1: in Pharmacy, we're going to have people that are part
• 51:35
  Speaker 1: of the Pharmacy Profits Summit come on the show to
• 51:38
  Speaker 1: kind of give us a progression of some of the
• 51:41
  Speaker 1: additional things that Pharmacy Profits Summit is going to cover.
• 51:45
  Speaker 1: Once again, if you haven't attended, you have a special
• 51:48
  Speaker 1: going on. But it's for sign ups or something you
• 51:51
  Speaker 1: said first time attendees, right, right, Lisa.
• 51:53
  Speaker 2: Yeah.
• 51:54
  Speaker 3: So, Well, for our Pharmacy Badass University members, they get
• 51:58
  Speaker 3: a discount on Pharmacy Profits at tickets. We actually have
• 52:01
  Speaker 3: an entire discount program of over forty partners where we
• 52:05
  Speaker 3: have discounts for Pharmacy Badass University members and you get
• 52:09
  Speaker 3: the discount even at the lowest basic level membership, which
• 52:13
  Speaker 3: is one hundred dollars a month. So we have people
• 52:15
  Speaker 3: who join basic level membership just for the discounts. You know,
• 52:19
  Speaker 3: they don't even have to pay attention to the revenue
• 52:21
  Speaker 3: generating ideas. Of course I recommend you do. But the
• 52:25
  Speaker 3: discounts for themselves pay for themselves. And so if you
• 52:27
  Speaker 3: want to come to the summit, you can instantly make
• 52:30
  Speaker 3: your money back by joining membership at the one hundred
• 52:33
  Speaker 3: dollars level, and you automatically make double that back because
• 52:36
  Speaker 3: you save at least two hundred dollars depending on when
• 52:38
  Speaker 3: you buy your ticket as a member. So if you
• 52:41
  Speaker 3: want the lowest price summit ticket along with saving money
• 52:44
  Speaker 3: in a bunch of other areas for your pharmacy, joining
• 52:47
  Speaker 3: Pharmacy Badass University at the basic level membership is an
• 52:50
  Speaker 3: absolute no brainer.
• 52:52
  Speaker 1: That's awesome, excellent, all right, you heard it here. Check
• 52:56
  Speaker 1: it out. If you're driving, if you're doing something you
• 52:59
  Speaker 1: can't use your don't worry. There's going to be a
• 53:01
  Speaker 1: link to this event in the show notes. Be on
• 53:05
  Speaker 1: the lookout for more information coming to this Week in
• 53:08
  Speaker 1: Pharmacy about the Pharmacy Profits Summit. Lisa, it's so good
• 53:11
  Speaker 1: to catch up with you. Will I be seeing you
• 53:13
  Speaker 1: in New Orleans?
• 53:14
  Speaker 3: Yep, I will be there, flying in. I'll be there
• 53:16
  Speaker 3: all day Sunday and most of day Monday. But yeah,
• 53:19
  Speaker 3: mom has water polo stuff.
• 53:21
  Speaker 1: So yeah, holy col your SONA is an Olympic staging.
• 53:28
  Speaker 3: He hopes to be. He hopes to be so, but
• 53:31
  Speaker 3: he's got him. He's got to do his duties and
• 53:33
  Speaker 3: make it up through the rinks. But yeah, he was
• 53:34
  Speaker 3: actually just got I'll brag for a moment. He got
• 53:37
  Speaker 3: best goalie in the in his district for the for
• 53:39
  Speaker 3: the year. So those awards just came out, so we're
• 53:43
  Speaker 3: proud of him.
• 53:43
  Speaker 1: That's incredible. I was a swimmer all through high school.
• 53:46
  Speaker 1: Started when I was in eighth grade competitively, but I
• 53:49
  Speaker 1: was in swim team before that point, and when we
• 53:53
  Speaker 1: used to just do pickup game polo stuff. That was
• 53:58
  Speaker 1: a great way of our coach would make us do
• 54:00
  Speaker 1: it as a way of training for being able to swim,
• 54:05
  Speaker 1: especially for the longer distances. That's a whole other level
• 54:10
  Speaker 1: of swimming in an exhaustion when you're playing water polo.
• 54:13
  Speaker 1: That's crazy, it is.
• 54:14
  Speaker 3: It is one of the most difficult sports. Of course,
• 54:17
  Speaker 3: we've become a love at arbit so.
• 54:20
  Speaker 1: Incredible. All right, we will see you in New Orleans
• 54:23
  Speaker 1: and Lisa, thanks for being on twerks.
• 54:26
  Speaker 3: Thanks for having me. See you soon.
• 54:31
  Speaker 6: Feeling lost with the complexities of pharmacy accounting.
• 54:34
  Speaker 12: In pharmacy today, there's so many different variables and issues
• 54:39
  Speaker 12: that impact the pharmacy, books, records, accounting, the profitabilities, so
• 54:43
  Speaker 12: so forth. There's different components of pharmacy that have its
• 54:46
  Speaker 12: own nuances from an accounting standpoint, and so it's tricky,
• 54:50
  Speaker 12: there's no doubt about it.
• 54:51
  Speaker 6: Ready to take your pharmacy to the next level, but
• 54:54
  Speaker 6: don't know where to start. PSYCHX and Company is here
• 54:57
  Speaker 6: to help, introducing the RX Assessment. With the RX Assessment,
• 55:01
  Speaker 6: the pharmacy CPAs and advisors at PSYKES will do a
• 55:04
  Speaker 6: deep dive into your accounting and tax situation and give
• 55:08
  Speaker 6: you the action steps you need to take to take
• 55:10
  Speaker 6: your pharmacy to the next level.
• 55:12
  Speaker 12: If you're interested in, you know, working with a team
• 55:15
  Speaker 12: who understands the industry and how the accounting and tax
• 55:19
  Speaker 12: should really be in a pharmacy. This is this is
• 55:22
  Speaker 12: your chance to get under the hood check of what's
• 55:25
  Speaker 12: going on and getting the feedback of any issues or
• 55:28
  Speaker 12: concerns or again things we think are doing really well.
• 55:30
  Speaker 6: With get the financial check up your pharmacy needs and
• 55:33
  Speaker 6: head over to Sykes HYPHENCPA dot com or call two
• 55:37
  Speaker 6: five to two four eight two seven six four four.
• 55:52
  Speaker 1: Hey, And on this week in Pharmacy, we have a
• 55:55
  Speaker 1: special segment coming out of news. We had a lot
• 55:59
  Speaker 1: going on. I don't want to talk about some of
• 56:01
  Speaker 1: the news, and I held back on some of the
• 56:04
  Speaker 1: clips that I wanted to share with you because of
• 56:07
  Speaker 1: this crew that's coming on next. Not sure if you've
• 56:10
  Speaker 1: heard of these guys, but this is the crew that's
• 56:13
  Speaker 1: running the r X rated podcast. I'm so excited to
• 56:18
  Speaker 1: be featuring them. I want you to check check them
• 56:20
  Speaker 1: out at r X rated I'm sorry Rated our X
• 56:24
  Speaker 1: podcast that's rated our X podcast, and and and follow
• 56:31
  Speaker 1: them subscribe. They have some hilarious episodes. And without further ado,
• 56:37
  Speaker 1: I'd like to bring the r X rated crew, the
• 56:41
  Speaker 1: Rated RX crew. I got to get that in line
• 56:45
  Speaker 1: because of my original Rated RX or our X Rated podcast.
• 56:50
  Speaker 1: So I'm fumbling with that, Robbie.
• 56:52
  Speaker 9: It's all right, it's tricky.
• 56:54
  Speaker 8: I get it, man, It's okay. It's it's hard to
• 56:56
  Speaker 8: READAPT so I forgive you Todd. It's okay. Well, hey guys,
• 57:02
  Speaker 8: thanks for having us. We're really excited to be tuning
• 57:05
  Speaker 8: into torks this week. I'm Robbie Bossy. I'm here with
• 57:10
  Speaker 8: Sam Lona and Xavier Hill. As part of our show,
• 57:14
  Speaker 8: we like to just sort of embrace pharmacy culture, talk
• 57:17
  Speaker 8: about big concepts, talk about funny things. But today I
• 57:21
  Speaker 8: think we're going to keep it a little serious for
• 57:23
  Speaker 8: you guys, and with one of our segments called the
• 57:25
  Speaker 8: Weekly Way In, Sam, please take it away, all.
• 57:30
  Speaker 13: Right, thank you Todd. Thanks for the intro here. So
• 57:34
  Speaker 13: we have a weekly weigh in, a little clip we
• 57:37
  Speaker 13: like to do on little questions that get sent into us.
• 57:41
  Speaker 13: People want to know pharmacy stuff. So this week looks
• 57:44
  Speaker 13: like we're talking kind of about pharmacy school and ideas
• 57:48
  Speaker 13: of pharmacy coming up. So the question is here, what
• 57:52
  Speaker 13: misconceptions did you have about pharmacy career paths, either clinical, community, industry,
• 57:57
  Speaker 13: anything along those lines when enter or during pharmacy school
• 58:03
  Speaker 13: While we started.
• 58:04
  Speaker 8: So.
• 58:06
  Speaker 9: Any initial thoughts that came to mind.
• 58:08
  Speaker 14: For you, guys, Rob, you want to lead it off, Yes,
• 58:13
  Speaker 14: as far as misconceptions go, I guess I never really
• 58:16
  Speaker 14: understood what industry meant when it came to pharmacy.
• 58:20
  Speaker 8: I had friends who you know, did fellowships and stuff
• 58:23
  Speaker 8: like that, but I still didn't really understand. Tilly were
• 58:26
  Speaker 8: in the thick of it, and I realized, oh, hey,
• 58:27
  Speaker 8: this is more research based stuff. But as far as
• 58:30
  Speaker 8: like other misconceptions, your grades, I'll start with that. It
• 58:35
  Speaker 8: is very important to get good grades while you're in
• 58:37
  Speaker 8: pharmacy school, and it's something I still obsess about. Today
• 58:40
  Speaker 8: I'm taking a Japanese course and I was actually just
• 58:42
  Speaker 8: complaining to Todd about this about you know, still like
• 58:45
  Speaker 8: wine to learn and still wind to get a's even
• 58:48
  Speaker 8: though it doesn't really matter anymore. But even after pharmacy school,
• 58:51
  Speaker 8: after you pass your residency, if it's something you want
• 58:56
  Speaker 8: to do, it doesn't really matter. And even to get
• 58:58
  Speaker 8: into a residency, that's where it's most important. But once
• 59:01
  Speaker 8: you graduate, I haven't had any employeer say what was
• 59:05
  Speaker 8: your GPA, or have it anywhere on an application that
• 59:07
  Speaker 8: says what's your GBA. So I can assure you guys,
• 59:11
  Speaker 8: after you graduate is a lot better and a lot easier.
• 59:14
  Speaker 8: So just keep your grades before you can, but know
• 59:16
  Speaker 8: that no one cares when you're done with school, thankfully.
• 59:21
  Speaker 13: Yeah, I remember my last rotation having that thought of like,
• 59:25
  Speaker 13: I don't really care about what this grade is, Like
• 59:27
  Speaker 13: I'm more at this point just trying to learn as
• 59:30
  Speaker 13: much as I can, like I want this knowledge and
• 59:33
  Speaker 13: getting a little bit in trouble because like I wasn't
• 59:35
  Speaker 13: doing what the preceptor wanted because it's just like this
• 59:37
  Speaker 13: is just busy work. I don't care, like I'm trying
• 59:39
  Speaker 13: to learn this cool stuff that you guys do.
• 59:42
  Speaker 9: I don't care about this grade.
• 59:44
  Speaker 13: And so trying to hit that same kind of realization
• 59:47
  Speaker 13: that you were talking about on those grades.
• 59:51
  Speaker 8: What do you think about residencies though? Do you hear
• 59:54
  Speaker 8: that a lot at all doing residencies.
• 59:58
  Speaker 9: And grades needed for it.
• 1:00:00
  Speaker 8: I mean, just like needing to do residency after school.
• 1:00:03
  Speaker 13: So my my first thought on this question just related
• 1:00:07
  Speaker 13: to that was I'm pretty sure it was in Tilman's class,
• 1:00:10
  Speaker 13: So something that we were doing and that first year
• 1:00:14
  Speaker 13: always hearing about residencies and like this is kind of
• 1:00:17
  Speaker 13: like not necessarily what you're looking for, but they just
• 1:00:19
  Speaker 13: keep bringing it up over and over and what this
• 1:00:21
  Speaker 13: thing is and wanted to do this and you know
• 1:00:24
  Speaker 13: whatever to get into this specific resident you want, you
• 1:00:27
  Speaker 13: want Cardio, you got to do this. And I remember
• 1:00:30
  Speaker 13: writing in some response being like, okay, like I guess
• 1:00:34
  Speaker 13: I need to go into residency. Like I didn't realize
• 1:00:37
  Speaker 13: that going in here, but I guess this is how
• 1:00:41
  Speaker 13: you have to proceed to be a pharmacist. And I'm
• 1:00:43
  Speaker 13: pretty sure was Tilman, and you know, bless her Heart
• 1:00:45
  Speaker 13: was just you know, responded back to it in the
• 1:00:47
  Speaker 13: in the message, just like like I understand, like that's
• 1:00:50
  Speaker 13: what it sounds like. But believe me, there most people
• 1:00:54
  Speaker 13: are not you know, in residencies or community It's completely fine.
• 1:00:57
  Speaker 13: It's where you know most people and like there's no
• 1:01:01
  Speaker 13: issue with that. And so it felt that kind of swing,
• 1:01:05
  Speaker 13: being like I guess you have to be the top
• 1:01:07
  Speaker 13: ten percent of your class or else you're completely useless,
• 1:01:11
  Speaker 13: and then Tilman being like, no, that is not true.
• 1:01:15
  Speaker 13: That is not how this works, and going through that transition. Luckily,
• 1:01:21
  Speaker 13: I think it was our p one year, so you know,
• 1:01:22
  Speaker 13: there wasn't too much of that stress going on.
• 1:01:26
  Speaker 8: Yeah. Another thing that has a big misconception as well
• 1:01:30
  Speaker 8: is I remember going through the skills labs and they
• 1:01:33
  Speaker 8: had all these mock patient counseling sessions where you had
• 1:01:36
  Speaker 8: to say so much, make sure you hit all these points,
• 1:01:39
  Speaker 8: and why I was very grateful or it made me
• 1:01:41
  Speaker 8: comfortable talking to patients. Realistically, you don't have that much
• 1:01:45
  Speaker 8: time to talk about all that stuff. I mean, in
• 1:01:47
  Speaker 8: my sitting, I am a little luckier because I'm like
• 1:01:49
  Speaker 8: in a hospital and it's literally my job to make
• 1:01:52
  Speaker 8: sure they understand and go. But when I was in community,
• 1:01:56
  Speaker 8: people didn't care. They just wanted to know, like, hey,
• 1:01:58
  Speaker 8: do I take that with food? Do I not take
• 1:01:59
  Speaker 8: that with food? And they be on their merry way. So,
• 1:02:01
  Speaker 8: because you have like a million things, you're juggling, So
• 1:02:04
  Speaker 8: I think while you're in school, spend time learning everything,
• 1:02:07
  Speaker 8: learning the side effects, learning the main counseling points. You
• 1:02:10
  Speaker 8: should know these things. They're going to ask you these things,
• 1:02:13
  Speaker 8: but you might not have time to discuss all these things.
• 1:02:15
  Speaker 8: So it's very important to know how you know how
• 1:02:18
  Speaker 8: to manage your time and then give the patient what
• 1:02:21
  Speaker 8: they want, what they need at the time, but don't don't.
• 1:02:24
  Speaker 8: Don't beat yourself up if they don't want to hear
• 1:02:26
  Speaker 8: everything you got to say. So just that's a big
• 1:02:28
  Speaker 8: misconception I think I realized out of school pretty quickly.
• 1:02:34
  Speaker 5: Yeah. Yeah, it's a lot to like a lot of
• 1:02:38
  Speaker 5: stuff we don't know about pharmacy going in, especially as
• 1:02:41
  Speaker 5: a student. If you weren't exposed to it, you probably
• 1:02:43
  Speaker 5: didn't know a lot. I know me, I originally wanted
• 1:02:47
  Speaker 5: to do community or independent pharmacy because it's all I knew.
• 1:02:51
  Speaker 5: And I recently went home this past weekend and I
• 1:02:53
  Speaker 5: went home to look for my Pokemon car.
• 1:02:55
  Speaker 4: Well, I went home from home coming.
• 1:02:57
  Speaker 8: I heard Pokemon cards. I wear Pokemon cars.
• 1:03:00
  Speaker 5: I had some own my cards, and I was like,
• 1:03:02
  Speaker 5: I wonder myself, I'm going home from homecoming.
• 1:03:04
  Speaker 4: I wonder if I still have those.
• 1:03:05
  Speaker 5: I couldn't find them, but I did find a old
• 1:03:08
  Speaker 5: journal what I had to write essays and for English class.
• 1:03:12
  Speaker 5: So back in twenty ten, tenth grade, I found a
• 1:03:15
  Speaker 5: journal article or essay for my English class, and it
• 1:03:19
  Speaker 5: was like, where do you see yourself.
• 1:03:21
  Speaker 4: In twenty years?
• 1:03:22
  Speaker 5: And I literally wrote out my entire life right now
• 1:03:26
  Speaker 5: as it is. Money is the hospital for me. But
• 1:03:28
  Speaker 5: I was like, I'm going to be a pharmacist and
• 1:03:31
  Speaker 5: I'm going to own several pharmacies all around the world.
• 1:03:36
  Speaker 5: I just I really thought I was going to be
• 1:03:38
  Speaker 5: an independent pharmacy owner and it just have pharmacies all
• 1:03:41
  Speaker 5: over and be a billionaire by now. That didn't quite
• 1:03:44
  Speaker 5: work out, but I.
• 1:03:45
  Speaker 9: Did more years.
• 1:03:46
  Speaker 5: I did become a farm a few more years. Right,
• 1:03:48
  Speaker 5: maybe with the podcast we'll take over. But I did
• 1:03:52
  Speaker 5: actually become a pharmacist because at that time, I didn't
• 1:03:55
  Speaker 5: know that pharmacy was so diverse. I didn't know they
• 1:03:58
  Speaker 5: had industry pharmacy. You can go into the hospital, you
• 1:04:02
  Speaker 5: can be a public health pharmacist, manage care compound, and
• 1:04:05
  Speaker 5: I didn't know all that existed. I just thought it
• 1:04:07
  Speaker 5: was just regular community pharmacy. You come, get your maids,
• 1:04:10
  Speaker 5: give them to you, put it in the bag, and
• 1:04:12
  Speaker 5: give you on your way. So it was really cool
• 1:04:15
  Speaker 5: to look back and see like what I thought pharmacy
• 1:04:18
  Speaker 5: was at that time. So after going through pharmacy school,
• 1:04:21
  Speaker 5: you know, I did different rotations and tried out different things.
• 1:04:23
  Speaker 5: I really fell in love with the impatient hospital side
• 1:04:26
  Speaker 5: of pharmacy, where you could work with the doctors and
• 1:04:30
  Speaker 5: talk with the nurses and really do more high level
• 1:04:33
  Speaker 5: stuff and manage hepher drips and dose complex antibiotics. I
• 1:04:39
  Speaker 5: really enjoyed that part of it. And yeah, it was
• 1:04:44
  Speaker 5: totally different than what I expected. So it's probably a
• 1:04:49
  Speaker 5: lot of misconceptions out there and toil you really get
• 1:04:50
  Speaker 5: into it or really do your research on it and
• 1:04:52
  Speaker 5: figure out what it's all about.
• 1:04:55
  Speaker 8: That's so hilarious to say that, because I also wanted
• 1:04:58
  Speaker 8: to own a pharmacy, and I initially did my PGUY
• 1:05:01
  Speaker 8: one in community pharmacy, and I selected this pharmacy because
• 1:05:05
  Speaker 8: or this PGUY one because they were like when I interviewed,
• 1:05:09
  Speaker 8: They're like, yeah, we'll teach you had to run a pharmacy.
• 1:05:11
  Speaker 8: You'll feel good, you feel competent. And I was so excited.
• 1:05:14
  Speaker 8: And I remember like my first day actually meeting now
• 1:05:16
  Speaker 8: with the residency director, but the director of pharmacy who
• 1:05:19
  Speaker 8: was in charge of like twenty some stores. I remember him.
• 1:05:22
  Speaker 8: He looked at me and he said, do you really
• 1:05:24
  Speaker 8: think you're going to be making a lot of money
• 1:05:26
  Speaker 8: owning a store? And I was like, what do you mean? Like,
• 1:05:29
  Speaker 8: I want to own a pharmacy. I want to be
• 1:05:30
  Speaker 8: my own boss. He's like no, I think you might, Yeah,
• 1:05:34
  Speaker 8: like your mine's going to be different by the time
• 1:05:36
  Speaker 8: it's done here, And so I was like, okay, So
• 1:05:38
  Speaker 8: I clearly I had a misconception as a student here,
• 1:05:42
  Speaker 8: and while the residency was great at prepared me. But
• 1:05:45
  Speaker 8: I eventually became a manager at independent store, where now
• 1:05:48
  Speaker 8: I got to see all the bills and transactions, the
• 1:05:51
  Speaker 8: things that I couldn't see as a pharmacy resident. And
• 1:05:54
  Speaker 8: I remember hearing the owners complaining about, you know, not
• 1:05:56
  Speaker 8: getting enough money money these kickbacks, like oh, or what
• 1:06:00
  Speaker 8: are we gonna have to cut We're gonna have to
• 1:06:01
  Speaker 8: cut hours every thinking to myself like I don't want
• 1:06:04
  Speaker 8: to do this, this is a nightmare. I don't want
• 1:06:06
  Speaker 8: to be worried about like can I keep the lights
• 1:06:08
  Speaker 8: on this month? Or how much? And they sold alcohol there,
• 1:06:11
  Speaker 8: so beer, but how much beer am I going to sell?
• 1:06:13
  Speaker 8: So I could, you know, just be afford to buy
• 1:06:16
  Speaker 8: something expensive medication to keep it on the shelf when
• 1:06:19
  Speaker 8: it's needed. And that's when I learned real quick, like
• 1:06:22
  Speaker 8: you know what, I don't know if this ownership thing
• 1:06:24
  Speaker 8: is for me. I'd like to pursue it, but unfortunately
• 1:06:27
  Speaker 8: it's just you know, as we talked another episodes, it's
• 1:06:30
  Speaker 8: sort of controlled by these big corporations in PBMs that
• 1:06:34
  Speaker 8: play a little foul and dirty. So thank god I'm
• 1:06:38
  Speaker 8: somewhere else now, but definitely a lot of misconceptions. Yes, Todd,
• 1:06:42
  Speaker 8: you've got some feelings on that. I heard someone say, boom,
• 1:06:45
  Speaker 8: is that you taught?
• 1:06:46
  Speaker 1: Yeah it was, well that was actually Sam booing, But.
• 1:06:49
  Speaker 8: I oh Sam booing.
• 1:06:50
  Speaker 1: I agreed to with them the bane of the bane
• 1:06:54
  Speaker 1: of our farmers. The industry is the three biggest PBMs,
• 1:06:58
  Speaker 1: controlling a two percent of all the prescriptions. It's crazy,
• 1:07:05
  Speaker 1: it's just crazy. But hey, talking about the future. And
• 1:07:09
  Speaker 1: I have a chance to meet with WVU Pharmacy P
• 1:07:14
  Speaker 1: three shout out to the P three class, so w
• 1:07:18
  Speaker 1: but I go down there and talk with them, and
• 1:07:21
  Speaker 1: you know, it's a tough love presentation where I'm talking
• 1:07:25
  Speaker 1: about what's really happening in the trenches of specialty, community
• 1:07:29
  Speaker 1: hospital system, entrepreneurship, artificial intelligence, impact policy, politics, wokeness. Just
• 1:07:38
  Speaker 1: I kind of like roll it all up into the
• 1:07:41
  Speaker 1: real world and we have a ball. It's been my
• 1:07:44
  Speaker 1: fourth time to share with them and get a lot
• 1:07:48
  Speaker 1: of information that they might not get from someone who's
• 1:07:52
  Speaker 1: been you know, twenty two years now observing what's happening
• 1:07:57
  Speaker 1: to our profession and how pharmacists are, pharmacist roles are
• 1:08:01
  Speaker 1: are changing, and your imagination, leverage of of of of
• 1:08:07
  Speaker 1: chat EPT and the use of AI to assist you
• 1:08:11
  Speaker 1: and acceleration of data and study. I mean, it's a
• 1:08:15
  Speaker 1: it's a new age and being a pharmacist, but it's not.
• 1:08:20
  Speaker 1: It's not an I don't see it as a negative.
• 1:08:22
  Speaker 1: I see it as as reinventing what the pharmacist was
• 1:08:26
  Speaker 1: kind of always supposed to be and in driving things
• 1:08:29
  Speaker 1: without it always having to be connected to a to
• 1:08:32
  Speaker 1: a dispensing fee. I think it. I think pharmacists in
• 1:08:36
  Speaker 1: the in my living future, I got twenty five thirty
• 1:08:41
  Speaker 1: years left in work, and I think I'm going to
• 1:08:43
  Speaker 1: see it when pharmacists are primarily paid as as providers
• 1:08:48
  Speaker 1: and clinicians and in not by the dispensing fee. I
• 1:08:51
  Speaker 1: think the dispensing fee model has run its course.
• 1:08:55
  Speaker 13: Yeah, definly with the PBMs going right now, that's just squeezing.
• 1:08:59
  Speaker 9: That more and more. Sure that Robbie was talking.
• 1:09:02
  Speaker 8: About, Yeah, another misconception and I'm so glad you brought
• 1:09:06
  Speaker 8: this up is AI. You know, I hear a lot,
• 1:09:08
  Speaker 8: especially online, like is AI got to take over your job?
• 1:09:11
  Speaker 8: And I know we had this conversation about this and
• 1:09:14
  Speaker 8: the episode that you featured on our show, Todd, But
• 1:09:18
  Speaker 8: you know, speaking as someone who works in the career
• 1:09:21
  Speaker 8: actively using AI, I think we're all guilty of this.
• 1:09:24
  Speaker 8: Sometimes you're doing a CE and you're like, I don't
• 1:09:26
  Speaker 8: know the freaking answer to this, and you know, you
• 1:09:28
  Speaker 8: pop it in, just get an explanation, and I'll still
• 1:09:31
  Speaker 8: get the anthing in the gang question wrong. So I'm
• 1:09:34
  Speaker 8: just like, Okay, clearly AI isn't getting this clinical sense
• 1:09:38
  Speaker 8: that I'm not getting either, So I don't know if
• 1:09:40
  Speaker 8: that's a good thing, neither of us getting it at
• 1:09:42
  Speaker 8: the time. But but it can't. It can't do that job.
• 1:09:45
  Speaker 8: So I wish as a student though, I did have
• 1:09:48
  Speaker 8: AI available, not in a sense to like, you know,
• 1:09:51
  Speaker 8: like cheat and get answers and write my papers, but
• 1:09:54
  Speaker 8: now I use it to help me study and do ces.
• 1:09:56
  Speaker 8: Like I can't tell you how many times I just
• 1:09:58
  Speaker 8: I'll take the PowerPoint that's just like this big old
• 1:10:01
  Speaker 8: file a, pop it in and say, can you organize
• 1:10:03
  Speaker 8: this for me? This? You know, and it spits out
• 1:10:05
  Speaker 8: a study guide for me, and I wish I had
• 1:10:07
  Speaker 8: that because I can't tell you how many late nights
• 1:10:09
  Speaker 8: I spent organizing it the way that I that uh
• 1:10:13
  Speaker 8: still didn't make sense to me. So I don't have
• 1:10:16
  Speaker 8: the best handwriting. So I wish I had ACHE at
• 1:10:18
  Speaker 8: the time.
• 1:10:19
  Speaker 4: Yeah, I would have.
• 1:10:20
  Speaker 5: I would have definitely used the AI to to study.
• 1:10:23
  Speaker 9: For sure.
• 1:10:23
  Speaker 5: I would have had it like, all right, quiz me,
• 1:10:25
  Speaker 5: ask me, like, here's my here's my here's my questions.
• 1:10:28
  Speaker 5: Quiz me, and I would have been going through it
• 1:10:30
  Speaker 5: like how can I get this right? The next time
• 1:10:33
  Speaker 5: I got it wrong, let me know, And I would
• 1:10:35
  Speaker 5: I would have been running my bull up for sure.
• 1:10:39
  Speaker 8: Yeah. Yeah, Well I don't know, man, if it's quizzing
• 1:10:42
  Speaker 8: you and it's still wrong, I don't know if you
• 1:10:44
  Speaker 8: could trust it.
• 1:10:45
  Speaker 5: I use the correct information, like you know, yeah, like
• 1:10:48
  Speaker 5: give it this screenshot from the book or something.
• 1:10:50
  Speaker 2: You know.
• 1:10:51
  Speaker 8: I haven't spoon feed you information. I think that's the
• 1:10:53
  Speaker 8: best way to use it. Haven't spoon feeding organizer information.
• 1:10:57
  Speaker 13: But it's getting there. It's getting there for you. So
• 1:11:01
  Speaker 13: then for rotations or I guess in general, anything that
• 1:11:05
  Speaker 13: you guys had that an instance, moments assignments that made
• 1:11:11
  Speaker 13: a difference for you. For these students, that might have
• 1:11:15
  Speaker 13: also been a misconception versus being didactic versus your more
• 1:11:19
  Speaker 13: clinical experience as you use.
• 1:11:24
  Speaker 8: I think that one rotation that stood out to me,
• 1:11:27
  Speaker 8: and this was actually something I was considering as opposed
• 1:11:31
  Speaker 8: to doing community is what I'm actually doing now working
• 1:11:35
  Speaker 8: in mental health. So I remember doing this rotation and
• 1:11:39
  Speaker 8: everyone's saying like, Oh, it's really cool, but we have
• 1:11:41
  Speaker 8: to be very, very careful. You're working in public health,
• 1:11:43
  Speaker 8: you know, you worry about your public health, but a
• 1:11:46
  Speaker 8: psychiatry you get to worry about your safety. And there
• 1:11:49
  Speaker 8: were some times it did feel a little maybe scary,
• 1:11:52
  Speaker 8: but it was such a good, meaningful rotation because I
• 1:11:55
  Speaker 8: got to see people come in disheveled at their worst
• 1:11:59
  Speaker 8: and leave like at their baseline best self, and that
• 1:12:03
  Speaker 8: was just such a rewarding experience and that was something
• 1:12:06
  Speaker 8: I wanted to pursue. But in my head at the time,
• 1:12:09
  Speaker 8: I was like, no, I want to do community pharmacy
• 1:12:11
  Speaker 8: and I want to own my own pharmacy, and so
• 1:12:14
  Speaker 8: I was a little hell bents on that. And it's
• 1:12:15
  Speaker 8: just so funny how life works, because I got that
• 1:12:19
  Speaker 8: experience and inspired me and that's what I'm doing today.
• 1:12:22
  Speaker 8: So my little tidbit for students is really engage in
• 1:12:26
  Speaker 8: your rotations.
• 1:12:28
  Speaker 5: There.
• 1:12:28
  Speaker 8: You might have your one set goal to do one
• 1:12:31
  Speaker 8: thing and life might take you a different way. You
• 1:12:34
  Speaker 8: already have your experience doing it prior and you have
• 1:12:37
  Speaker 8: some sort of sense of what you have to do
• 1:12:39
  Speaker 8: to make that permanent. So really enjoy those experiences, do
• 1:12:42
  Speaker 8: as many as you can, and yeah, just go from
• 1:12:45
  Speaker 8: there and go grow.
• 1:12:48
  Speaker 5: Nice nice.
• 1:12:49
  Speaker 3: Yeah, I totally agree with that, Robert.
• 1:12:50
  Speaker 5: Just really need experiencing it and kind of go from there.
• 1:12:54
  Speaker 5: For me, A big mix misconception from going from the
• 1:12:59
  Speaker 5: classroom to clinical rotations or go into your job is
• 1:13:04
  Speaker 5: the communication. You think the time and communication right, So
• 1:13:07
  Speaker 5: you think you have time to sit and go over
• 1:13:11
  Speaker 5: this whole article or present this whole presentation to the
• 1:13:14
  Speaker 5: doctor or the doctor like, all right, give it to
• 1:13:15
  Speaker 5: me in ten seconds. Tell me what you want me
• 1:13:18
  Speaker 5: to know in ten seconds, Like, they don't want you
• 1:13:20
  Speaker 5: to sit there and talk to my life. So you
• 1:13:21
  Speaker 5: have to figure out how to communicate effectively and deliver
• 1:13:25
  Speaker 5: the information.
• 1:13:26
  Speaker 4: And same thing with the patience.
• 1:13:27
  Speaker 5: You have to be able to deliver all the knowledge
• 1:13:29
  Speaker 5: that you have and like, you know, break it down,
• 1:13:32
  Speaker 5: down it down for to a way that they can
• 1:13:34
  Speaker 5: absorb it so they can understand what to do with
• 1:13:37
  Speaker 5: their medications, side effects of their medications, how to take
• 1:13:39
  Speaker 5: their medications, and also do it in a decent small
• 1:13:43
  Speaker 5: amount of time.
• 1:13:44
  Speaker 4: Sometimes they don't want to sit there for counseling for
• 1:13:45
  Speaker 4: thirty minutes.
• 1:13:46
  Speaker 5: They got to go, you know, pick up the kids
• 1:13:48
  Speaker 5: from school or something, go take care of their grandmother
• 1:13:50
  Speaker 5: or something. So like, you have to be able to
• 1:13:52
  Speaker 5: communicate and deliver all your information in a small amount
• 1:13:56
  Speaker 5: of time and efficiently once you get out of the
• 1:13:59
  Speaker 5: clas into the actual practical sitting. So it's something that
• 1:14:04
  Speaker 5: can be a misconception that you have enough time to
• 1:14:06
  Speaker 5: actually just deliver a large amount of information.
• 1:14:11
  Speaker 9: Yeah, times limited for sure.
• 1:14:14
  Speaker 13: I guess mine related to that communication is maybe the
• 1:14:19
  Speaker 13: first time realizing, you know, you you can really only
• 1:14:22
  Speaker 13: control what you can control, and the patients are.
• 1:14:25
  Speaker 9: Going to do what they they want, and you know
• 1:14:28
  Speaker 9: they're not going to listen. They're not going to listen
• 1:14:30
  Speaker 9: to you on some things.
• 1:14:31
  Speaker 13: And what came to mind was being being in hospital
• 1:14:34
  Speaker 13: and essentially someone leaving against medical advice or medical care,
• 1:14:38
  Speaker 13: and you know, they were pretty serious, had a serious
• 1:14:41
  Speaker 13: bacterial infection. They didn't want to be treated. The whole
• 1:14:45
  Speaker 13: team going down to the front and like the U
• 1:14:48
  Speaker 13: turn in front of the hospital and trying to like
• 1:14:50
  Speaker 13: talk to him and you know, the resident, the the
• 1:14:53
  Speaker 13: attendee and all there, and and you know, I was
• 1:14:56
  Speaker 13: like standing further back, but they're like, you you have
• 1:14:58
  Speaker 13: to take these antibac too, have to stay here, like
• 1:15:00
  Speaker 13: you're not going to make it for you know, in
• 1:15:03
  Speaker 13: the next week or two. And him in a wheelchair
• 1:15:06
  Speaker 13: pretty much rolled down the end of the block, like wouldn't.
• 1:15:09
  Speaker 9: Listen to him.
• 1:15:10
  Speaker 13: Finally the family came over and their minivan to load
• 1:15:13
  Speaker 13: him up, but he was just adamant.
• 1:15:14
  Speaker 9: It's like, no, I am, I'm going home. I'm not
• 1:15:17
  Speaker 9: doing this.
• 1:15:18
  Speaker 13: And regardless of how good the medicine was, how well
• 1:15:22
  Speaker 13: you know, the team was able to decide what what
• 1:15:25
  Speaker 13: they needed, how to help them, at the end of
• 1:15:27
  Speaker 13: the day, patient didn't want it.
• 1:15:29
  Speaker 9: Patient wanted to go home. And that's what happened.
• 1:15:32
  Speaker 13: And I think realizing that you can only do so
• 1:15:35
  Speaker 13: much and you got to be at some point, you
• 1:15:37
  Speaker 13: got to be okay, with that that it's not it's
• 1:15:39
  Speaker 13: not on you for that for that situation.
• 1:15:42
  Speaker 8: I think guy just wanted to die in his bed, honestly,
• 1:15:45
  Speaker 8: like like that sort of thing. It's like because there
• 1:15:47
  Speaker 8: are a lot of emotions that go on when you're sick,
• 1:15:49
  Speaker 8: and you're just like, no, I will not die in
• 1:15:51
  Speaker 8: this hospital. I will die in my bed. So part
• 1:15:54
  Speaker 8: of me wonders, man, part of me does wonder or
• 1:15:58
  Speaker 8: you just want to go home the dog.
• 1:16:03
  Speaker 1: I want to die in my bed making love to
• 1:16:05
  Speaker 1: my wife.
• 1:16:10
  Speaker 9: That's all I want to You can.
• 1:16:12
  Speaker 8: Make that happen anytime, talk if you think about it.
• 1:16:16
  Speaker 1: But I'm not old enough, like I want to be
• 1:16:18
  Speaker 1: like one hundred and something like.
• 1:16:19
  Speaker 8: That doesn't have to be. It could be an accident.
• 1:16:22
  Speaker 8: An accident you gotta get.
• 1:16:28
  Speaker 1: I want to shift gears on you guys, because something's
• 1:16:30
  Speaker 1: been bothering me this week and it started with this post.
• 1:16:34
  Speaker 1: So I'm gonna bring this up from uh from Instagram.
• 1:16:38
  Speaker 8: Oh it's me.
• 1:16:40
  Speaker 1: What's up you talking about? Are horrible, absolutely horrible political
• 1:16:47
  Speaker 1: climate that has impacted healthcare way way, way, way way
• 1:16:51
  Speaker 1: too much, in my opinion, and how it's gotten like
• 1:16:55
  Speaker 1: that based on the sickness that is social media. As
• 1:17:00
  Speaker 1: wonderful as social media is, it's also you know, it's
• 1:17:04
  Speaker 1: also in some ways very horrible and it just it
• 1:17:08
  Speaker 1: and and so there was a there was a follow
• 1:17:10
  Speaker 1: up post around this subject of politics from a very
• 1:17:15
  Speaker 1: good friend of mine who is known. His name is
• 1:17:18
  Speaker 1: Matthew Zachary. He's the founder and a cancer survivor of
• 1:17:23
  Speaker 1: Cancer Sucks, and he now runs a podcast, enormous podcast
• 1:17:27
  Speaker 1: to hundreds of thousands of listeners called Out of Patience
• 1:17:31
  Speaker 1: with Matthew Zachary. And he posted on LinkedIn a really
• 1:17:36
  Speaker 1: good post that goes down into the whole element of
• 1:17:40
  Speaker 1: why in the world are we experiencing measles again at
• 1:17:45
  Speaker 1: a time when it was supposed to have been eradicated.
• 1:17:48
  Speaker 1: And when you start drilling down in through the data,
• 1:17:51
  Speaker 1: you find out that people are not you know, vaccinating
• 1:17:55
  Speaker 1: their their children for for measles, and it's it's like
• 1:17:59
  Speaker 1: it's popped its own head up again. And I think
• 1:18:01
  Speaker 1: that that and of itself in twenty twenty five is
• 1:18:06
  Speaker 1: absolutely horrific and it shouldn't even be a thing. And
• 1:18:11
  Speaker 1: it frustrates me now with that if someone's to listen
• 1:18:15
  Speaker 1: to this that section of my of my rant. They
• 1:18:18
  Speaker 1: may think, oh, yeah, this guy's you know, uh, he's woke,
• 1:18:22
  Speaker 1: and you know he's all liberal and he's.
• 1:18:24
  Speaker 9: Really why, why is good health policy woke?
• 1:18:28
  Speaker 8: That doesn't make any sense. It's such a stupid labeling.
• 1:18:31
  Speaker 8: It's so dumb. This is what I hate about politics. Sorry, Tom.
• 1:18:33
  Speaker 8: It just really grinds my gear that a good health
• 1:18:35
  Speaker 8: policy is a woke policy.
• 1:18:38
  Speaker 1: It's not. So the post is I made a comment.
• 1:18:42
  Speaker 1: I called out, and it upseted some people, but I
• 1:18:45
  Speaker 1: called out the system and whatever we call the system,
• 1:18:48
  Speaker 1: the system lost the public's trust. It wasn't the public
• 1:18:53
  Speaker 1: that's all to blame for this. It's not it's not
• 1:18:56
  Speaker 1: Joe Rogan, it's not Donald Trump. It's not it's not
• 1:19:00
  Speaker 1: it's a it's a cultivation of ranting and of cancel
• 1:19:06
  Speaker 1: culture and all this stuff that has kind of bubbled
• 1:19:10
  Speaker 1: up to the unfortunate of where we are today. And
• 1:19:14
  Speaker 1: I want healthcare providers to call the system out and say,
• 1:19:20
  Speaker 1: during the pandemic or during this time when the opioid
• 1:19:23
  Speaker 1: epidemic was having, the systems, the FDA, the CDC, these
• 1:19:29
  Speaker 1: organizations that are supposed to protect public health betrayed public
• 1:19:34
  Speaker 1: health to make money or to advance an initiative, and
• 1:19:38
  Speaker 1: sure enough, the public's trust started to disintegrate. And then
• 1:19:42
  Speaker 1: of course you pour gasoline on that with social media
• 1:19:45
  Speaker 1: and with you know, crazy HHS directors that don't have
• 1:19:50
  Speaker 1: PhDs and are an MD or you know that are
• 1:19:53
  Speaker 1: running the whole country's health and human services. And I'm
• 1:19:56
  Speaker 1: standing there kind of in the middle of it all,
• 1:19:59
  Speaker 1: like I'm not on the this crazy radical side, and
• 1:20:02
  Speaker 1: I'm not on way on this you know this, and
• 1:20:04
  Speaker 1: I'm standing where I think the majority of everybody is
• 1:20:07
  Speaker 1: standing kind of in the in the middle of it
• 1:20:09
  Speaker 1: all and saying like this is really really fed up,
• 1:20:13
  Speaker 1: like it's really jacked up.
• 1:20:16
  Speaker 4: I totally agree.
• 1:20:18
  Speaker 13: Yeah, I think people people got hurt. I mean, you know,
• 1:20:21
  Speaker 13: you can you can say or point to one thing.
• 1:20:23
  Speaker 13: It's like, you know, scientifically, yes, this is wrong, but
• 1:20:26
  Speaker 13: obviously there's a lot of people there listening and believing,
• 1:20:30
  Speaker 13: and it kind of as you're stemming, you know, it
• 1:20:32
  Speaker 13: came from someone getting hurt. Prices being higher, couldn't afford something,
• 1:20:38
  Speaker 13: didn't believe in in this whatever might have been. You know,
• 1:20:42
  Speaker 13: they they're hurting from something and they hear this voice
• 1:20:45
  Speaker 13: and that's what they end up following. So you know,
• 1:20:48
  Speaker 13: we having more science background than most people, you know,
• 1:20:51
  Speaker 13: know that there there's some serious holes, some serious problems
• 1:20:54
  Speaker 13: in what's being said, but there are so many people
• 1:20:58
  Speaker 13: that are you know, they just they're looking for that
• 1:21:00
  Speaker 13: help and this is what they see. And so you know,
• 1:21:03
  Speaker 13: as you're saying, it's it sucks from a science standpoint,
• 1:21:07
  Speaker 13: it sucks that these this measles coming back. We're not
• 1:21:10
  Speaker 13: hitting those ninety five percent you know, cut off rates
• 1:21:14
  Speaker 13: for vaccines for herd immunity. It's just continuing to cause
• 1:21:20
  Speaker 13: problems for people. And you know, we got to get
• 1:21:23
  Speaker 13: that trust back and it's not going well.
• 1:21:28
  Speaker 1: Yep, very much. So agreed, Agreed. I have a book
• 1:21:34
  Speaker 1: that I'm reading now and gives kind of like credence
• 1:21:40
  Speaker 1: to the whole trust factor. And when I think of pharmacists,
• 1:21:44
  Speaker 1: I think of trust because you're the most trusted healthcare
• 1:21:47
  Speaker 1: providers out there. More than so. This is a book
• 1:21:50
  Speaker 1: by David harsh Hard Seger. I'm sorry to mess up
• 1:21:56
  Speaker 1: his name, hor Horse Sager anyway, So he's the CEO
• 1:22:01
  Speaker 1: of Trust Edge Leadership, and I got to see him
• 1:22:04
  Speaker 1: talk at a conference of one of our clients of
• 1:22:08
  Speaker 1: Framework LTC pharmacy software system dedicated to long term care,
• 1:22:13
  Speaker 1: and during their user conference got to hear him speak
• 1:22:17
  Speaker 1: on how important today trust from our providers is more
• 1:22:22
  Speaker 1: than ever because of these fractions and because of these
• 1:22:26
  Speaker 1: cracks in the stage of healthcare in the United States
• 1:22:31
  Speaker 1: that we're in not only from the payment perspective, but
• 1:22:34
  Speaker 1: also from the delivery perspective, and how our physicians and
• 1:22:39
  Speaker 1: pharmacists and nurse practitioners they're held hostage to systems, and
• 1:22:44
  Speaker 1: they're held hostage to big insurance providers, and they're held
• 1:22:48
  Speaker 1: hostage to elements of the business of healthcare that have
• 1:22:53
  Speaker 1: no business standing between a patient and that provider. And
• 1:22:58
  Speaker 1: that's part of that trust element that we got to
• 1:23:01
  Speaker 1: get back. We have got to get that back.
• 1:23:05
  Speaker 8: Yeah, Unfortunately, I do think it's going to get worse
• 1:23:08
  Speaker 8: now that they like this political shift has now become
• 1:23:12
  Speaker 8: like hey, I loan you guys, took money from us,
• 1:23:15
  Speaker 8: we gave you grants, we want to stake in your company.
• 1:23:17
  Speaker 8: And that itself is a little scary because now you
• 1:23:21
  Speaker 8: could theoretically have the government direct a company to do
• 1:23:24
  Speaker 8: what they want them to do, and rather than a
• 1:23:27
  Speaker 8: company pursue and seek science. So I do fear the
• 1:23:32
  Speaker 8: how things are going to look in ten fifteen years
• 1:23:34
  Speaker 8: and see how you know, politics are going to play
• 1:23:37
  Speaker 8: a role in directing a company to do one thing
• 1:23:40
  Speaker 8: over another. Hopefully, you know, they will re earn the
• 1:23:45
  Speaker 8: trust of the public, not not just healthcare providers, but
• 1:23:47
  Speaker 8: you know politics. But I don't think anyone will ever.
• 1:23:51
  Speaker 8: I don't think anyone will ever trust a politician. But
• 1:23:54
  Speaker 8: that's another rent for another day. But yeah, I'm just worried,
• 1:23:58
  Speaker 8: you know, because we talked on the show before our
• 1:24:01
  Speaker 8: last episode, uh death a little my tragedy, right, like
• 1:24:05
  Speaker 8: the big crisis that was averted here in the United
• 1:24:08
  Speaker 8: States because uh, doctor Olden Kelsey basically was like, no,
• 1:24:13
  Speaker 8: I'm not approving this drug, and this company multiple times
• 1:24:16
  Speaker 8: try to get this drug approved and she kept saying no. Meanwhile,
• 1:24:20
  Speaker 8: in Europe and in Canada they started having these malformation
• 1:24:23
  Speaker 8: and babies, but that was largely prevented in the US
• 1:24:26
  Speaker 8: because they listened to experts. And now because of this
• 1:24:30
  Speaker 8: political shift and no one wanting to do it anymore. Uh,
• 1:24:33
  Speaker 8: you know, we have these raising rights and measles, and
• 1:24:36
  Speaker 8: unfortunately it's now becoming socially acceptable to be like, yeah,
• 1:24:41
  Speaker 8: measles rates ha ha ha ha. You know it's like, uh,
• 1:24:44
  Speaker 8: I think that was at the post that you pulled
• 1:24:46
  Speaker 8: up about the betting. I don't know if that's the
• 1:24:48
  Speaker 8: one you pulled up, Todd, but you know, it was
• 1:24:50
  Speaker 8: just so blown away because I, you know, I was
• 1:24:53
  Speaker 8: on this app, you know, looking at random bets, just
• 1:24:56
  Speaker 8: you know, goof off, and I saw this post. I
• 1:25:00
  Speaker 8: was like, hey, do you think there'll be more or
• 1:25:02
  Speaker 8: less than I think it was like nineteen hundred measles
• 1:25:04
  Speaker 8: cases by the end of the year. If you put
• 1:25:07
  Speaker 8: in one hundred dollars, you can make one hundred and
• 1:25:09
  Speaker 8: fifty dollars if it goes one way. And I'm thinking
• 1:25:11
  Speaker 8: to myself, like, this is really fed up, Like we're
• 1:25:14
  Speaker 8: literally betting on sick people right now. Like you know,
• 1:25:17
  Speaker 8: it's like we're so desensitized to this and it's just
• 1:25:20
  Speaker 8: screwed up, just very very screwed up. But what are
• 1:25:22
  Speaker 8: you guys' opinions on that? How are the sensitized to
• 1:25:25
  Speaker 8: these things these days? Yeah?
• 1:25:28
  Speaker 5: Well, first of all, the US is just full of
• 1:25:29
  Speaker 5: djons and gamblers for sure, So we'll bet on anything, yes, yes,
• 1:25:36
  Speaker 5: But Yeah, we're definitely desensitized to you know, it's hard
• 1:25:40
  Speaker 5: to know what's right and what's wrong. So we need
• 1:25:42
  Speaker 5: more people out there giving the research and education and
• 1:25:46
  Speaker 5: just explaining what's you know, what's important for us to
• 1:25:50
  Speaker 5: follow health wise, versus just you know, you know, all
• 1:25:54
  Speaker 5: your information from TikTok or Joe Budd from up the street, right,
• 1:25:58
  Speaker 5: So it's it's hard to you know, to really just
• 1:26:02
  Speaker 5: get good information out there. So they need podcasts like
• 1:26:05
  Speaker 5: ours and other podcasts on the Pharmacy Podcast Network and
• 1:26:09
  Speaker 5: you know, reparable people out there just giving out the
• 1:26:12
  Speaker 5: good information, you know, so that everyone who kind of
• 1:26:15
  Speaker 5: know what to do and know what's right for our
• 1:26:17
  Speaker 5: health and build on that and go from there and
• 1:26:20
  Speaker 5: regain the trust.
• 1:26:22
  Speaker 1: Yeah.
• 1:26:24
  Speaker 8: I do think there's some pages that you could follow, though.
• 1:26:27
  Speaker 8: You know, there's one particular page on TikTok I like
• 1:26:29
  Speaker 8: called I think it's doctor anti Hero, and he literally
• 1:26:32
  Speaker 8: calls that other healthcare professions too, specifically chiropractice. This guy
• 1:26:36
  Speaker 8: has ave indet against chiropractice, let me tell you. But
• 1:26:39
  Speaker 8: but you know, he'll like pull up a paper that
• 1:26:41
  Speaker 8: they think they're referencing and just just like it's just like,
• 1:26:45
  Speaker 8: you know, while it's entertaining, it's sort of like, yeah,
• 1:26:48
  Speaker 8: we should correct them, but I think you should focus
• 1:26:50
  Speaker 8: your efforts on the politicians here because they're the ones
• 1:26:53
  Speaker 8: who are the ones with power and actually impacting our
• 1:26:56
  Speaker 8: health as a country.
• 1:26:58
  Speaker 4: Yeah.
• 1:26:59
  Speaker 5: There he is there.
• 1:27:00
  Speaker 1: Yeah, that's the Yeah, that's the guy.
• 1:27:02
  Speaker 8: Yeah, he's he's a he's a good one to follow.
• 1:27:06
  Speaker 5: Yeah, I think I've seen him before. Yeah.
• 1:27:07
  Speaker 13: Yeah, But like when last time we were talking with
• 1:27:11
  Speaker 13: with Todd uh going over this online stuff, it's fortunately
• 1:27:16
  Speaker 13: or unfortunately, goes down to the user and what's what
• 1:27:21
  Speaker 13: they want to look at, what they want to believe. So, yes,
• 1:27:24
  Speaker 13: trying to get all that out there, but but it's
• 1:27:26
  Speaker 13: tough when it doesn't really matter what you say if
• 1:27:30
  Speaker 13: they're if they're not.
• 1:27:31
  Speaker 9: Karen, Yeah, that.
• 1:27:32
  Speaker 5: Makes that makes me think of something else too, Like,
• 1:27:35
  Speaker 5: you know a lot of AI videos are out there,
• 1:27:38
  Speaker 5: and people who don't know any better are believe in
• 1:27:41
  Speaker 5: you know, certain AI videos and there getting they got
• 1:27:43
  Speaker 5: some good ones out there that you can't really tell
• 1:27:45
  Speaker 5: that well usually, I mean because they use the same
• 1:27:47
  Speaker 5: front or sound right now, so you can kind of
• 1:27:50
  Speaker 5: pick up a lot of it.
• 1:27:51
  Speaker 4: But AI is out there just.
• 1:27:52
  Speaker 5: Making up anything just to get likes and views, right,
• 1:27:56
  Speaker 5: so they can make up a fake story about spider
• 1:27:59
  Speaker 5: bikes that give you some power and train your spider
• 1:28:01
  Speaker 5: man in the.
• 1:28:03
  Speaker 1: Right.
• 1:28:05
  Speaker 13: That's when Todd's going to be a millionaire with this
• 1:28:06
  Speaker 13: little token of human content.
• 1:28:10
  Speaker 1: A certification, There must, must must be a certification out there.
• 1:28:15
  Speaker 1: This I've driven like, there needs to be a law
• 1:28:20
  Speaker 1: that says, if you develop content it's it's purely AI.
• 1:28:24
  Speaker 1: You have to tell the public this is AI as
• 1:28:27
  Speaker 1: well as news organizations. I've said this for years, Ash
• 1:28:32
  Speaker 1: like the old guy, if CNN or Fox has a
• 1:28:39
  Speaker 1: commentary show, it needs to say like commentary opinion or
• 1:28:45
  Speaker 1: editorial opinion, like as a as a post instead of
• 1:28:49
  Speaker 1: calling it news. Because news was Walter Cronkite back in
• 1:28:53
  Speaker 1: the seventies, and you know, back when news was black
• 1:28:57
  Speaker 1: and white, it was news. There was no opinion. We
• 1:29:00
  Speaker 1: need to educate the public that there's a difference between
• 1:29:03
  Speaker 1: a talking head and that's not news from Fox or
• 1:29:08
  Speaker 1: from CNN or from any of these you know the view,
• 1:29:12
  Speaker 1: for god's sakes, if you're calling it news, or if
• 1:29:16
  Speaker 1: you're calling it you know, evidence based medicine, or if
• 1:29:19
  Speaker 1: you're calling it content that's AI driven. We have to
• 1:29:23
  Speaker 1: label that stuff, just like you label a medication and
• 1:29:26
  Speaker 1: the safety of medication labeling.
• 1:29:29
  Speaker 8: Well, I got a question for you, Todd. So let's
• 1:29:32
  Speaker 8: say this does exist and there is a label AI
• 1:29:35
  Speaker 8: versus human made going back to us distrusting, you know, politics,
• 1:29:42
  Speaker 8: and how it's so politicized and left right, whatever the
• 1:29:46
  Speaker 8: heck you, whatever the heck you want to complain about.
• 1:29:49
  Speaker 8: We won't get into that either. But with a labeling
• 1:29:52
  Speaker 8: like this, I personally think it's going to be abused
• 1:29:55
  Speaker 8: by our politicians too, that we don't trust. It's like
• 1:29:58
  Speaker 8: an AI vida could come out lander someone, but someone
• 1:30:01
  Speaker 8: in control it could be like, Nope, this is this
• 1:30:03
  Speaker 8: is real, or this isn't a I when really it's
• 1:30:06
  Speaker 8: a I. So I don't know. It just goes back
• 1:30:08
  Speaker 8: to that public trust. And I would like something to
• 1:30:11
  Speaker 8: be like that. But you know, I my tinfoil hat
• 1:30:14
  Speaker 8: and I always talk about this. My tinfoil hat just
• 1:30:16
  Speaker 8: doesn't trust that something like that too. I want to
• 1:30:18
  Speaker 8: believe it, but I'm.
• 1:30:20
  Speaker 9: I don't know.
• 1:30:21
  Speaker 8: I just don't trust our government. I just I think
• 1:30:23
  Speaker 8: it's good regardless of who's in control. It's going to
• 1:30:25
  Speaker 8: have a healthy distrust whoever's in power.
• 1:30:28
  Speaker 4: Just a little bit, just like anxiety, a little bit.
• 1:30:32
  Speaker 8: Yeah, exactly, exactly.
• 1:30:35
  Speaker 1: We have we have the solution. We just have to
• 1:30:38
  Speaker 1: trust sky Net.
• 1:30:41
  Speaker 8: Don't make all our choices for it.
• 1:30:43
  Speaker 9: Full circle. Yeah it's not too bad idea, No.
• 1:30:50
  Speaker 8: Try everything else?
• 1:30:51
  Speaker 10: Why not?
• 1:30:56
  Speaker 1: Awesome? You guys are doing an amazing job once again.
• 1:31:01
  Speaker 1: Rated our ex podcast you can find on all of
• 1:31:06
  Speaker 1: the feeds, and of course we are excited that you're
• 1:31:10
  Speaker 1: coming to the Pharmacy Podcast Network. We're going to be
• 1:31:14
  Speaker 1: distributing starting with episode thirty and we're gonna have a
• 1:31:18
  Speaker 1: little celebration of the thirtieth episode of the Rated r
• 1:31:22
  Speaker 1: X podcast as well. You guys, you got to keep
• 1:31:25
  Speaker 1: it going. The number one way that a podcast is
• 1:31:30
  Speaker 1: successful is the consistency, and that's the number one indicator
• 1:31:34
  Speaker 1: for success and podcasting. Keep going, keep going, Oh, let's go.
• 1:31:40
  Speaker 8: No matter how much you want to cry, keep going.
• 1:31:42
  Speaker 1: Yeah I cry.
• 1:31:45
  Speaker 5: We can have an episode.
• 1:31:47
  Speaker 8: We all just cry, you know, me with a good time.
• 1:31:59
  Speaker 1: Exactly. Shout out to pharmacy students. You guys are crying.
• 1:32:02
  Speaker 1: You're gonna be in a quarter of a million dollars
• 1:32:05
  Speaker 1: worth of debt.
• 1:32:06
  Speaker 8: Oh no, I'm actually gonna cry.
• 1:32:11
  Speaker 1: All right, that's it for this Week in Pharmacy, once
• 1:32:14
  Speaker 1: again r X rated podcast shout out. We'll see you
• 1:32:17
  Speaker 1: guys soon.
• 1:32:19
  Speaker 8: Bye. Yes, he's we're having us
• 1:32:32
  Speaker 13: M