Welcome to the July edition of i2P, and of course, the first week of the new financial year.
Note that we are developing a new range of categories for you to follow e.g. health politics, hospital news, an expanded IT offer and we will be developing the category of anti-ageing medicine
Also, out of interest, could I refer you to the e-publications category located immediately below our columnists. If you click on the link contained there, you will find a range of e-publications that are recommended reading.
The first publication noted is the Pharmacist Activist written by Dr Daniel A. Hussar of the faculty of the Philadelphia College of Pharmacy at the University of the Sciences in Philadelphia. He is a pharmacy advocate.
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The ubiquitous Mrs Wright, in her quest to unearth a new erotic shopping experience, ushered this writer to a new Coles store located at the all very nice and leafy suburb of Ivanhoe in Melbourne recently.
This is contemporary retailing at its best, no doubt influenced by the gurus at Westfarmers and the rapidly changing retail climate in Australia, which of course involves the future of Pharmacy in some way….but more about Pharmacy later.
I read some market research recently that ought to concern community pharmacists across the country, as well as the Pharmacy Guild of Australia.
Groups of average Australians were brought together for a series of focus groups to discuss the community pharmacy landscape as they see it.
Some of the feedback was disconcerting.
Some twenty years ago uneasy tremors were running through hospital pharmacy here in Perth. Hospital management had suggested to one of my fellow Chief Pharmacists that the hospital needed a total parenteral and intravenous additive service (IVAS) .
When it was pointed out that this would be very labour intensive and the pharmacy did not have sufficient staff to provide it, the comment was that “nurses would be happy to run such a service”.
In the region where I practice, GP’s are reluctant to comply with a patient request for a Home Medication Review.
The stock standard phrase is “I can do that for you” and so in frustration a patient will turn to me, in a professional, or quite commonly in a social setting, and asks if it is possible for me to perform a review without the doctor’s involvement.
Disgraceful – discuss
The newspapers have been chock-a-block the past few days with dire tales but true about the black hole we are about to enter with the insane policy to re-regulate the ‘workplace’ to suit the union paymaster cliques.
While I never voted for Keating I did admire him a little bit this morning when I read a quote of his from the bad old days.
He said to some union goose: “you are carrying the jobs of (100,000) dead men around your shoulders”.
Giving a dead hand to this union unfettered power play will ensure that the nation will soon look like NSW; where the government is actually the plaything of a few loosely combined public ‘service’ union mugs.
Depending on how large your pharmacy is, in terms of overall staffing, you will soon be touched by the coming dead hand of the new/old order.
The recent furore in the UK over pharmacist Elizabeth Lee receiving a conviction for a criminal offence and subsequently a suspended jail sentence, has really lit a fire under the imbalances that exist when a pharmacy dispensing error is made.
The dispensing pharmacist or the supervising pharmacist under current UK legislation, has been made to bear the brunt of legal responsibility, with pharmacy owners escaping with little pain.
According to an article in PJ Online "In many cases, all that the employer needs to establish is that he had standard operating procedures in place and that the employee or locum had simply not complied with them. In these cases, the employer can walk away leaving the employee or locum to face the, often damaging, consequences".
There is now a rush in the UK to have current legislation amended to reflect a more proportionate responsibility for all parties involved.
The appointment for the first time of a Minister for Indigenous, Rural and Regional Health and Regional Service Delivery is an important strategic recognition of the special needs and circumstances facing people in Australia's rural and remote communities.
People in the bush will expect this position to be part of a permanent increase in the Government's commitment to rural communities.
In welcoming Minister Warren Snowdon to the new position, Dr Jenny May, Chairperson of the National Rural Health Alliance (NRHA), said the appointment will be important both for substantive policy reasons and to boost the place of rural issues on the political agenda.
The following news item was recently published in Science Alert. It would seem that the pristine environment of New Zealand is under attack. The reasons are similar to those findings in Australia surrounding the protection of the Great Barrier Reef.
A new "fertility first" hypothesis published this week by a group of international experts in the American Journal of Human Biology, proposes that the global epidemic of Type 2 diabetes has its origins in the struggle, over millennia, to sustain human fertility in environments defined by famine.
A surprising and important implication for us in the modern world is that this hypothesis gives cause for optimism that the modern epidemics of diabetes and cardiovascular disease will diminish.
Source: Sydney University
A team of Monash University researchers has discovered the importance of a protein, which could improve the way the drug interferon is used to strengthen the human immune system.
Published online in the prestigious journal Immunity, the findings show that the protein promyelocytic leukemia zinc finger (PLZF) is a key player in the body's immune response to disease, increasing our understanding of the function of the immune system.(Source: Science Alert )
China is notable for its authoritarian approach to the Internet and other forms of media communications.
Restrictions on Internet activity may have some long-term implications for Australia, particularly as these restrictions are intruding into the health arena.
Little thought seems to have occurred in maintaining and supporting mature aged pharmacists in the workplace.
Given that this group of pharmacists is the one with the "corporate memory" of the profession, with many having started life as compounding pharmacists and counter-prescribers, there is a wealth of untapped intellectual resource that could be internally utilised in mentoring or even training pharmacists in how to sell a professional service.
This group of pharmacists is concerned with the development of retail clinics proposing to do almost exactly what they were successfully doing 30-40 years ago.
What went wrong?
Well, there is plenty of evidence to illustrate that the process of commoditising medicines is the primary reason for this loss, because if you strip everything out of a process to sell at the cheapest possible price, you get a barren professional offering
Source: Science Alert
It is clear that the Terry White pharmacy group is on the move with the recent purchase of Pharmacy Direct and a restructure of its own management. Terry has had a distinguished pharmacy career and his stewardship will see possibly the strongest pharmacy group in Australia emerge He is opening up the opportunity for equity for senior members of his management team.
The following excerpt extracted from pharmacy media reports explains the process.
Harvey Mackay is a nationally syndicated columnist for United Feature Syndicate, and is one of America's most popular and entertaining business speakers. Toastmasters International named him one of the top five speakers in the world.
Elephants are powerful creatures, yet when you see them at a circus they stand quietly tied only to a small chain and metal stake.
They could easily break free, yet they don't.
Elephants are powerful creatures, yet when you see them at a circus they stand quietly tied only to a small chain and metal stake.
When elephants are young they are tied to a heavy chain and immovable metal stake. They soon discover that no matter how hard they try, they can't break free. As elephants grow and become strong, they still believe they can't escape, as long as there is a chain around their neck and a stake in the ground beside them.
People are a lot like elephants in that they feel constrained. They never stretch beyond their self-imposed limitations.
You can't let others stop you. You have to unleash your power.
Often, our ability to accomplish a difficult task is directly related to our confidence that we can accomplish it. You have to believe in your ability and capitalize on your strengths. Look at it this way: If you can identify a reasonable solution to a problem, and you think you have the necessary skills to fix it, chances are you will be successful. Otherwise, you wouldn't even try.
Author Glenn Van Ekeren describes it well: "All people are created with the equal ability to become unequal. Not everyone is equipped with the same talents, gifts or abilities. Each of us is created in a unique way. Our personalities are as diverse as the universe itself. Yet there is one constant: We can, by using what we have to the fullest, stand out from the crowd."
Thomas Edison was almost deaf, but he didn't waste valuable time trying to teach himself to hear. Instead, he concentrated on the things he did best: thinking, organizing and creating. He believed in his ability and accomplished great things because of it.
A lot of famous people would never have achieved success if they had not stretched themselves and refused to listen to those who tried to hold them back. They believed in their abilities.
* The MGM testing director for Fred Astaire's first screen test wrote: "Can't act! Slightly bald! Can dance a little!" Astaire displayed this memo in his Beverly Hills home.
* Emily Dickinson had only seven poems published in her lifetime.
* Albert Einstein was called "mentally retarded" by one observer, and others criticized him for not wearing socks and having long hair.
* Sigmund Freud was booed from the podium when he first presented his ideas to the European scientific community. Fortunately, he returned to his office and kept on writing.
* Jerry Seinfield was jeered off stage during his initial appearance at a comedy club for stage fright. He returned the following night to wild applause.
The late Bill Walsh, former head coach of the San Francisco 49ers, was considered a career assistant coach and not head coaching material. His unorthodox ideas were shunned. Finally after 21 years as an assistant coach, new 49ers owner, Eddie DeBartolo Jr., recognized Walsh's ability and hired him as head coach. Three Super Bowl wins later, Bill Walsh proved the importance of recognizing people's unique abilities.
One of the points I mention in my speeches is that NFL head coaches Bill Walsh, Tom Landry, Chuck Noll and Jimmy Johnson accounted for 11 Super Bowl championships. Ironically, they also share the distinction of having the worst first-year records of head coaches in NFL history, with only four wins total among the four. The people who hired them maintained confidence in their ability.
The ability to recognize ability is a top management skill. As any manager knows, hiring a person they don't necessarily like is a gamble. Generally, ability trumps personality.
A friend of mine hired a quiet—some might say anti-social—woman as his company's CFO because of her fiscal know how. She rarely left her office and spoke to almost no one. In fact, the only way most folks knew whether she was in the office was seeing her car in the parking lot. But for 25 years, the woman was a financial genius. At her retirement party, she said a few words of thanks. It was the first time many had even heard her voice. Not a people person, to be sure. But her fellow employees knew they owed their jobs to the woman who had the ability to handle the budget and steer the ship through the roughest waters.
Mackay's Moral: There's always room at the table for those who are able.