s I’ve been texting, I mean thinking about texting, as well as dialing, handwriting, and face-to-face talking in our hurry-up worl | I2P: Information to Pharmacists - Archive
Publication Date 01/07/2014         Volume. 6 No. 6   
Information to Pharmacists

Editorial

From the desk of the editor

Welcome to the July 2014 homepage edition of i2P (Information to Pharmacists) E-Magazine.
At the commencement of 2014 i2P focused on the need for the entire profession of pharmacy and its associated industry supports to undergo a renewal and regeneration.
We are now half-way through this year and it is quite apparent that pharmacy leaders do not yet have a cohesive and clear sense of direction.
Maybe the new initiative by Woolworths to deliver clinical service through young pharmacists and nurses may sharpen their focus.
If not, community pharmacy can look forward to losing a substantial and profitable market share of the clinical services market.
Who would you blame when that happens?
But I have to admit there is some effort, even though the results are but meagre.
In this edition of i2P we focus on the need for research about community pharmacy, the lack of activity from practicing pharmacists and when some research is delivered, a disconnect appears in its interpretation and implementation.

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News Flash

Newsflash Updates for July 2014

Newsflash Updates

Regular weekly updates that supplement the regular monthly homepage edition of i2P. 
Access and click on the title links that are illustrated

Comments: 1

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Feature Contribution

Woolworths Pharmacy - Getting One Stage Closer

Neil Johnston

It started with “tablet” computers deployed on shelves inside the retailer Coles, specifically to provide information to consumers relating to pain management and the sale of strong analgesics.
This development was reported in i2P under the title Coles Pharmacy Expansion and the Arid PGA Landscape”
In that article we reported that qualified information was a missing link that had come out of Coles market research as the reason to why it had not succeeded in dominating the pain market.
Of course, Woolworths was working on the same problem at the same time and had come up with a better solution - real people with good information.

Comments: 5

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Intensive Exposition without crossing over with a supermarket

Fiona Sartoretto Verna AIAPP

Editor's Note: The understanding of a pharmacy's presentation through the research that goes into the design of fixtures and fittings that highlight displays, is a never-ending component of pharmacy marketing.
Over the past decade, Australian pharmacy shop presentations have fallen behind in standards of excellence.
It does not take rocket science - you just have to open your eyes.
Recently, our two major supermarkets, Woolworths and Coles, have entered into the field of drug and condition information provision - right into the heartland of Australian Pharmacy.

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The sure way to drive business away

Gerald Quigley

I attended the Pregnancy, Baby and Children’s Expo in Brisbane recently.
What an eye and ear opening event that was!
Young Mums, mature Mums, partners of all ages, grandparents and friends……...many asking about health issues and seeking reassurances that they were doing the right thing.

Comments: 1

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‘Marketing Based Medicine’ – how bad is it?

Baz Bardoe

It should be the scandal of the century.
It potentially affects the health of almost everyone.
Healthcare providers and consumers alike should be up in arms. But apart from coverage in a few credible news sources the problem of ‘Marketing Based Medicine,’ as psychiatrist Dr Peter Parry terms it, hasn’t as yet generated the kind of universal outrage one might expect.

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Community Pharmacy Research - Are You Involved?

Mark Coleman

Government funding is always scarce and restricted.
If you are ever going to be a recipient of government funds you will need to fortify any application with evidence.
From a government perspective, this minimises risk.
I must admit that while I see evidence of research projects being managed by the PGA, I rarely see community pharmacists individually and actively engaged in the type of research that would further their own aims and objectives (and survival).

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Organisational Amnesia and the Lack of a Curator Inhibits Cultural Progress

Neil Johnston

Most of us leave a tremendous impact on pharmacies we work for (as proprietors, managers, contractors or employees)—in ways we’re not even aware of.
But organisational memories are often all too short, and without a central way to record that impact and capture the knowledge and individual contributions, they become lost to time.
It is ironic that technology has provided us with phenomenal tools for communication and connection, but much of it has also sped up our work lives and made knowledge and memory at work much more ephemeral.

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Academics on the payroll: the advertising you don't see

Staff Writer

This article was first published in The Conversation and was written by Wendy Lipworth, University of Sydney and Ian Kerridge, University of Sydney
In the endless drive to get people’s attention, advertising is going ‘native’, creeping in to places formerly reserved for editorial content. In this Native Advertising series we find out what it looks like, if readers can tell the difference, and more importantly, whether they care.
i2P has republished the article as it supports our own independent and ongoing investigations on how drug companies are involved in marketing-based medicine rather than evidence-based medicine.

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I’ve been thinking about admitting wrong.

Mark Neuenschwander

Editor's Note: This is an early article by Mark Neuenschwander we have republished after the soul-searching surrounding a recent Australian dispensing error involving methotrexate.
Hmm. There’s more than one way you could take that, huh? Like Someday when I get around to it (I’m not sure) I may admit that I was wrong about something. Actually, I’ve been thinking about the concept of admitting wrong. So don’t get your hopes up. No juicy confessions this month except that I wish it were easier for me to admit when I have been wrong or made a mistake.
Brian Goldman, an ER physician from Toronto, is host of the award-winning White Coat, Black Art on CBC Radio and slated to deliver the keynote at The unSUMMIT for Bedside Barcoding in Anaheim this May. His TED lecture, entitled, “Doctors make mistakes. Can we talk about it?” had already been viewed by 386,072 others before I watched it last week.

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Dispensing errors – a ripple effect of damage

Kay Dunkley - BPharm, Grad Dip Hosp Pharm, Grad Dip Health Admin, MPS, MSHPA

Most readers will be aware of recent publicity relating to dispensing errors and in particular to deaths caused by methotrexate being incorrectly packed in dose administration aids.
The Pharmacy Board of Australia (PBA), in its Communique of 13 June 2014, described a methotrexate packing error leading to the death of a patient and noted “extra vigilance is required to be exercised by pharmacists with these drugs”.
This same case was reported by A Current Affair (ACA) in its program on Friday 20 June
http://aca.ninemsn.com.au/article/8863098/prescription-drug-warning

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Take a vacation from your vocation

Harvey Mackay

Have you ever had one of those days when all you could think was, “Gosh, do I need a vacation.”
Of course you have – because all work and no play aren’t good for anyone.
A vacation doesn’t have to be two weeks on a tropical island, or even a long weekend at the beach. 
A vacation just means taking a break from your everyday activities. 
A change of pace. 
It doesn’t matter where.
Everyone needs a vacation to rejuvenate mentally and physically. 
But did you also know that you can help boost our economy by taking some days off? 
Call it your personal stimulus package.

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Explainer: what is peer review?

Staff Writer

This article was first published in the Conversation. It caught our eye because "peer review" it is one of the standards for evidence-based medicines that has also been corrupted by global pharma.
The article is republished by i2P as part of its ongoing investigation into scientific fraud and was writtenby Andre Spicer, City University London and Thomas Roulet, University of Oxford
We’ve all heard the phrase “peer review” as giving credence to research and scholarly papers, but what does it actually mean?
How does it work?
Peer review is one of the gold standards of science. It’s a process where scientists (“peers”) evaluate the quality of other scientists' work. By doing this, they aim to ensure the work is rigorous, coherent, uses past research and adds to what we already knew.
Most scientific journals, conferences and grant applications have some sort of peer review system. In most cases it is “double blind” peer review. This means evaluators do not know the author(s), and the author(s) do not know the identity of the evaluators.
The intention behind this system is to ensure evaluation is not biased.
The more prestigious the journal, conference, or grant, the more demanding will be the review process, and the more likely the rejection. This prestige is why these papers tend to be more read and more cited.

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Dentists from the dark side?

Loretta Marron OAM BSc

While dining out with an elderly friend, I noticed that he kept his false tooth plate in his shirt pocket. He had recently had seven amalgam-filled teeth removed, because he believed that their toxins were making him sick; but his new plate was uncomfortable. He had been treated by an 'holistic dentist'. Claiming to offer a "safe and healthier alternative" to conventional dentistry, are they committed to our overall health and wellbeing or are they promoting unjustified fear, unnecessarily extracting teeth and wasting our money?

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Planning for Profit in 2015 – Your key to Business Success

Chris Foster

We are now entering a new financial year and it’s a great time to reflect on last year and highlight those things that went well and those that may have impacted negatively in the pursuit of your goals.
It's also a great to spend some time re-evaluating your personal and business short, medium and long term goals in the light of events over the last year.
The achievement of your goals will in many cases be dependent on setting and aspiring to specific financial targets. It's important that recognise that many of your personal goals will require you to generate sufficient business profits to fund those aspirations

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ReWalk™ Personal Exoskeleton System Cleared by FDA for Home Use

Staff Writer

Exoskeleton leader ReWalk Robotics announced today that the U.S. Food and Drug Administration has cleared the company’s ReWalk Personal System for use at home and in the community.
ReWalk is a wearable robotic exoskeleton that provides powered hip and knee motion to enable individuals with Spinal Cord Injury (SCI) to stand upright and walk.
ReWalk, the only exoskeleton with FDA clearance via clinical studies and extensive performance testing for personal use, is now available throughout the United States.

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Attracting and Retaining Great People

Barry Urquhart

Welcome to the new financial year in Australia.
For many in business the past year has been described as a challenging period.
Adjectives are a key feature of the English language.  In the business lexicon their use can be, and often is evocative and stimulate creative images.  But they can also contribute to inexact, emotional perceptions.
Throughout the financial pages of newspapers and business magazines adjectives abound.
References to “hot” money draw attention and comment.  The recent wave of funds from Chinese investors, keen to remove their wealth from the jurisdiction and control of government regulations is creating a potential property bubble in Australia.

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Updating Your Values - Extending Your Culture

Neil Johnston

Pharmacy culture is dormant.
Being comprised of values, unless each value is continually addressed, updated or deleted, entire organisations can stagnate (or entire professions such as the pharmacy profession).
Good values offer a strong sense of security, knowing that if you operate within the boundaries of your values, you will succeed in your endeavours.

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Evidence-based medicine is broken. Why we need data and technology to fix it

Staff Writer

The following article is reprinted from The Conversation and forms up part of our library collection on evidence-based medicines.
At i2P we also believe that the current model of evidence is so fractured it will never be able to be repaired.
All that can happen is that health professionals should independently test and verify through their own investigations what evidence exists to prescribe a medicine of any potency.
Health professionals that have patients (such as pharmacists) are ideally placed to observe and record the efficacy for medicines.
All else should confine their criticisms to their evidence of the actual evidence published.
If there are holes in it then share that evidence with the rest of the world.
Otherwise, do not be in such a hurry to criticise professions that have good experience and judgement to make a good choice on behalf of their patients, simply because good evidence has not caught up with reality.

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Laropiprant is the Bad One; Niacin is/was/will always be the Good One

Staff Writer

Orthomolecular Medicine News Service, July 25, 2014
Laropiprant is the Bad One; Niacin is/was/will always be the Good One
by W. Todd Penberthy, PhD

(OMNS July 25, 2014) Niacin has been used for over 60 years in tens of thousands of patients with tremendously favorable therapeutic benefit (Carlson 2005).
In the first-person NY Times best seller, "8 Weeks to a Cure for Cholesterol," the author describes his journey from being a walking heart attack time bomb to a becoming a healthy individual.
He hails high-dose niacin as the one treatment that did more to correct his poor lipid profile than any other (Kowalski 2001).

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Culture Drive & Pharmacy Renewal

Neil Johnston

Deep within all of us we have a core set of values and beliefs that create the standards of behaviour that we align with when we set a particular direction in life.
Directions may change many times over a lifetime, but with life experiences and maturity values may increase in number or gain greater depth.
All of this is embraced under one word – “culture”.
When a business is born it will only develop if it has a sound culture, and the values that comprise that culture are initially inherent in the business founder.
A sound business culture equates to a successful business and that success is often expressed in the term “goodwill” which can be eventually translated to a dollar value.

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ReWalk™ Personal Exoskeleton System Cleared by FDA for Home Use

Staff Writer

Exoskeleton leader ReWalk Robotics announced today that the U.S. Food and Drug Administration has cleared the company’s ReWalk Personal System for use at home and in the community.
ReWalk is a wearable robotic exoskeleton that provides powered hip and knee motion to enable individuals with Spinal Cord Injury (SCI) to stand upright and walk.
ReWalk, the only exoskeleton with FDA clearance via clinical studies and extensive performance testing for personal use, is now available throughout the United States.

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Pharmacy 2014 - Pharmacy Management Conference

Neil Johnston

The brave new world of health and wellness is not the enemy of Pharmacy, it is its champion.
Australian futurist, Morris Miselowski, one of the world's leading business visionaries, will present the Opening Keynote address on Pharmacy's Future in the new Health and Wellness Landscape at 2.00pm on Wednesday July 30.
Morris believes the key to better health care could already be in your pocket, with doctors soon set to prescribe iPhone apps, instead of pills.
Technology will revolutionise the health industry - a paradigm shift from healthcare to personal wellness.
Health and wellness applications on smartphones are already big news, and are dramatically changing the way we manage our personal health and everyday wellness.

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Generation and Application of Community Pharmacy Research

Neil Johnston

Editor’s Note: We have had a number of articles in this issue relating to pharmacy research.
The PGA has conducted a number of research initiatives over the years, including one recently reported in Pharmacy News that resulted from an analysis of the QCPP Patient Questionnaire.
Pharmacy Guild president, George Tambassis, appears to have authored the article following, and there also appears to be a disconnect between the survey report and its target audience illustrated by one of the respondent comments published.
I have asked Mark Coleman to follow through, elaborate and comment:

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I’ve been texting, I mean thinking about texting, as well as dialing, handwriting, and face-to-face talking in our hurry-up worl

Mark Neuenschwander

articles by this author...

Mark Neuenschwander has earned his reputation as one of the nations' leading authorities on dispensing and point of administration automation. Whether writing, lecturing or problem solving with a client, Mark communicates in terms and concepts that are easy to grasp and apply. His fresh perspective and keen insight stem from having invested thousands of hours in research and in-depth consulting with clients.

These days we call the US Post Service [sic] snail mail. But in 1775, Ben Franklin’s innovation sped up letter travel between Philadelphia and San Francisco from forever to a few months.
In 1844, Samuel Morse accelerated message delivery exponentially. Transmitting words at the speed of light, the inventor’s telegraph made Abraham Lincoln our first online president, enabling the commander in chief to chat instantaneously with his generals on the front lines.
In 1862 the transcontinental railroad relegated the year-old Pony Express to mothballs by whisking letters from coast to coast at 30-some miles per hour in under ten days.

A decade and change later, Alexander Graham Bell was awarded a patent for the telephone (1876). Within a year, Rutherford B. Hayes had the disruptive technology installed in the White House telegraph room. It was a bit like the first fax machine—not much good when only one existed. But eventually a few others acquired telephones, and early-adopters began communicating real-time. It would be another 50 years before President Herbert Hoover had the first phone line installed in the Oval Office and could connect with virtually any home or office in the country. By 1960, our national grid was comprised of 80 million phones.

As a ninth grader each evening during the third week of October 1962, I connected with the operator on my dad’s rotary-dial telephone—attempting person-to-person calls to John F. Kennedy. An Oval Office visit was out of the question. The prospect of instant gratification was more appealing than hunting and pecking at our Smith-Corona, rummaging about for a stamp, and waiting on the mail snails.

I had thought through and written out talking points, which my memory fails to resurrect after five decades. But I’m certain they were brilliant. I do recall my ego being propped back up after learning JFK probably didn’t take my calls because he was tangled in more pressing matters—like the Cuban missile crisis for starters.

Today with my iPhone I could text, Tweet (let’s not go there), e-mail, or call President Obama if he’d give me his number. Not that I’ve finalized my talking points. Anyway, I’m fascinated by which communication options we favor these days when reaching out to others.

Four girls were sitting together in a restaurant. Instead of talking with each other, their faces were glowing, and their fingers were text messaging—at enviable speed. I couldn’t help myself, and blurted out, “Are you all texting each other?” They laughed. Whew. I guess someone was saving gas money.

In his fascinating book, Mr. Lincoln’s T-Mails, Tom Wheeler notes, “Lincoln’s appreciation of the telegraph was its ability to instantaneously communicate over great distances.” But he went on to say, “Where a face-to-face meeting was not possible, [Lincoln] preferred a well thought out letter.”

Our sixteenth president’s hierarchy of communication placed highest value on sit-down meetings, then handwritten letters, and finally telegraph messages—backwards, it seems, to how we reach out today.

And I wonder how often efficiency is costing us effectiveness?

Deciphering communications always requires some reading between the lines, but I’m pretty sure distance between those lines tends to expand or contract depending on the method.

Like yesterdays’ telegrams, today’s text messages are brief, full of abbrevs, and prone to ambiguity. Had Lincoln sent “FIRE AT WILL” in dashes and dots, would the recipient assume there was a fire at Williamsburg, that he was to shoot the enemy when ready, or view it as an executive order to execute a guy named William?

In a scholarly article: Egocentrism over e-mail: Can we communicate as well as we think? professors Kruger, Epley, and Parker found, “Not only do e-mail senders overestimate their ability to communicate feelings, but e-mail recipients also overestimate their ability to correctly decode those feelings.”  The authors explain, “Without the benefit of paralinguistic cues such as gesture, emphasis, and intonation, it can be difficult to convey emotion and tone over electronic mail.”

But facts can be blurred as much as feelings in brief messages. For example, observe how the subtitle of the professors’ article may be read two ways: “Can we communicate as well as we think?”

Carefully crafted, lengthy letters don’t always solve the problem.  Wheeler tells of a missive carefully written by “Honest Abe” and notes, “After fully venting his frustrations, he turned the page over and wrote, ‘Not sent.’” “Hitting the ‘Send’ button on an e-mail,” Wheeler reminds his readers, “is an easy, but irreparable, action.”

Subtlety of thought and tone of voice missing from snail and e-mail suggests that sometimes we’d be better off picking up the phone. I’d bet all the cell phones in China that had the telephone been available Lincoln would have chosen it before a letter when face-to-face was not possible.

However, just as good letters require careful composition, the best calls result when involved parties have prepared well for communicating their thoughts and feelings.

My friend and communication genius Darlene Price, is the founder and president of Well Said! In the interest of becoming a better communicator, I religiously pay attention to her communiqués. That’s because everything she writes (e.g., e-mails, articles, and books) is, well…well said. Same when she speaks. I’ve watched her videos, sat on the edge of my chair through a live lecture, and talked with her by phone and face-to-face. I don’t know if she texts, but she’s an advocate of thoughtful communicating, whatever medium may be required.

Before your next important call, I recommend investing ten minutes with Darlene’s July 2013 e-mail: Speak with Impact on the Phone: Twelve Tips for Better Telephone Meetings. Be forewarned. You won’t be able to resist subscribing to her monthly e-mails.

Ha. I just hung up with a colleague who lives a thousand miles away. We had filled each other’s mailboxes with back-and-forth e-mails for the past few days only to end up totally confused. A few minutes on the phone clarified everything, and we enjoyed some stories while we were at it.

With Lincoln, I’ve found the least ambiguous and most effective conversations occur face-to-face. They are also the most rewarding. In addition to adding tone of voice and body language to the conversation, they enable both parties to look into each other’s eyes—“the window to your soul.” (Shakespeare).

I think it’s hilarious that on Bell’s fist telephone call, which was to his lab assistant across the hall, the inventor simply said, Mr. Watson, come here. I want to see you!”

It would have been more enjoyable, and I would have learned more if I could have noodled on all this with you over the phone or a lunch. Anyway, thanks for reading. I’d love to know what you think. Here are a few options for connecting with me:

  • Text or call: 425-655-6797
  • Email: mark@hospitalrx.com
  • Fax: Can’t. The fax machine disappeared from my life about when I shed my wristwatch in favor of checking the time on my iPhone.
  • Slug mail (it’s a Pacific Northwest thing):
    2506 W Lake Sammamish SE, Bellevue WA 98008
  • Drop by the office: address above

Four years after my attempts to get the President on the phone, TouchTone® began disrupting dialing. Fax machines were decades off. The Internet was not even a glimmer in anyone’s eye. And the young prophets, Simon and Garfunkel, admonished us, “Slow down. You move too fast.

Now that Lincoln and Bell have slowed down, I bet they’re happy to be off the grid.

Mark Neuenschwander aka Noosh

 

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