And there were shepherds living out in the fields nearby, keeping watch of their flocks at night. An angel of the Lord appeared to them, and the glory of the Lord shone around them, and they were terrified. But the angel said to them, “Do not be afraid. I bring you good news of great joy that will for all the people. Today in the town of David a Savior has been born to you; he is Christ the Lord.
Luke 2:8-11
Merriam-Webster defines secundum artem as "according to the accepted practice of a profession or trade". In pharmacy it typically goes hand in hand with the preparation of extemporaneous compounds, i.e. when you have to make something from scratch. Pharmacists have been doing this since the profession began. Unfortunately it’s a dying art not only because of lack of interest from younger pharmacists, but secondary to increased regulation and bureaucratic red tape as well. It’s a real shame. To put it in perspective it would be like surgeons no longer performing surgery by hand because of the invention of the da Vinci Robot.
The ASHP Midyear 2011 Conference basically concluded for me today. I’d like to evaluate the meeting, but honestly have very little to say. This was my first year working in the role of Product Manager for a vendor, and not acting as an “attendeeâ€, i.e I was here for work. The conference took on an entirely different feel this year as I wasn’t able to attend any of the sessions. For the most part I was stuck in the company booth playing the role of demo jockey. It was a strange feeling to say the least. I tried to follow the Twitter stream (#ashpmidyear) a bit, but finally relented and gave up.
Apparently National Influenza Vaccination Week (NIVW) is next week. Who knew?
The CDC has additional information on NIVW here, and a whole lot more information on seasonal influenza (Flu) as well. Need to know more about types of influenza viruses? No problem, you can find that at the CDC site too. The most common form of influenza is Type A. For most healthy people the flu is self-limiting. Sure you feel like crap for a few days, but you get over it and truck on. With that said, influenza can be quite dangerous to elderly and those with compromised immune systems. Get vaccinated.
About a year ago I left the comforts of the pharmacy and struck out into the world of product management. It’s not all that dramatic really. I simply thought I needed a change so I jumped over to the dark side and went to work for a company that builds pharmacy automation and technology. Why not, I love pharmacy technology. The move made perfect sense to me at the time.
I grabbed a coffee filter this morning to make a pot of coffee – something I’ve done hundreds of times – when I had a moment of nostalgia. The coffee filter took me back to my days in organic chemistry class in college when I used to create my own fluted filters for gravity filtration. I can’t tell you why I had the flashback. Perhaps it’s my body trying to deal with the 50 pounds of food I’ve ingested over the past couple of days; who knows.
Fluting filter paper is common practice in high school and college chemistry labs across the country. The process is done to increase the speed of the filtration process and give one a larger surface area onto which to collect the sample. Pretty low tech, but cool nonetheless.
I’m at the MEDICA World Forum for Medicine in Düsseldorf Germany this week. While I haven’t seen much in the way of pharmacy related products, I did come across something that I thought was pretty cool. The brochure I grabbed said it was the “Sharps Waste Eliminator†by GMP (Global Medi Products). However when I went to the GMP website for more information I couldn’t find mention of it anywhere. A little creative Googling led me to the BMTS Corp site where I found the device I was looking for. Someone should have a talk with the marketing folks at GMP. Just sayin’.
Pharmacists don’t exactly come to mind when you think of notable characters on TV. That’s why I felt compelled to post the short transcript below. It comes from Mort Goldman, owner of Goldman’s Pharmacy on the Family Guy cartoon series as he stands in front of a school class discussing his job as a pharmacist. It’s pretty funny. I tried to find a video clip, but couldn’t. In this case the written word doesn’t do it justice.
Mort: On the whole, I enjoy my job as a pharmacist. In fact, many of my customers are your mommies and daddies. Jimmy Hopkins, your mother had awful postpartum depression after you were born. And Danielle, your father had bad, very bad hemorrhoids that stung him unmerciful. Oh, they were awful. They were like stinky little balloons. And I gave him some special ointment and he hurt so bad that he had to apply it in the car with his sock. Thank you.
Boy: Cool! I want to be a pharmacist!
Boy 2: Oh, yeah!
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Family Guy Episode: Mr. Saturday Knight -Â Aired on Tuesday, Jun 08, 2010
I left pharmacy practice in November of 2010, so I’ve been out of the hospital for almost a year now. Typically I don’t give it a second thought, but recently I’ve found myself in several inpatient pharmacies face to face with pharmacists and technicians. Pharmacists are always willing to engage in talk about pharmacy practice, clinical situations and how things are going. The technicians are always up for a little conversation about operations, equipment, medication preparation, and so on. I find it quite enjoyable. While I’m not pining for the good old days, I do tend to get a little nostalgic on occasion.
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Contrary to what your mom told you as a kid, not everyone’s opinion should count.
There are several definitions for the word opinion. The one I like comes from Merriam-Webster and reads “belief stronger than impression and less strong than positive knowledgeâ€. Opinions are beliefs; something you think. They are not rooted in fact – although facts can play a roll in forming an opinion – nor are they required to be acknowledged by anyone other than the one giving the opinion. You have your opinion and I have mine. What if they’re different? No matter because they’re opinions.
Where we get ourselves in trouble is when we start thinking of one’s opinion as fact, or something close enough to fact that is must be acted upon. I frequently see this when someone with “expert†stamped on the end of their name says something like “you should …†or “why don’t you …â€. Instead of evaluating statements like these and thinking them through many people will simply accept them as fact and act on them. This is a bad thing. Why? Because everyone has an opinion and they don’t often line up with each other. This is especially true in healthcare; pharmacy in particular.
We have a habit of taking an idea, passing it around the table, collecting opinions and making every attempt to act on them all. I see this a lot with automation and technology. Hey, I’m all about functionality, but not at the expense of common sense. When you try to incorporate everyone’s opinion into a product you get the object to the right. I’m sure someone thought this was a good idea; someone must have requested all that functionality, right? Sure. It’s the most functional piece of utility equipment in the history of mankind, but practical it is not. Try putting it in your pocket. This is what many pieces of pharmacy automation and technology turn into once everyone’s opinion is taken into account.
This goes doubly when people start suggesting that something needs to be added secondary to safety; “that should be added because it’s a safety issueâ€. Ah, the battle cry of those that know their opinion can’t stand up to close scrutiny. I get this one all the time. I suppose walking around in a suite of chainmail armor and driving 25MPH on the freeway would be safer than the way we do things now, but I just don’t see that happening anytime soon. It’s just not practical. And at the most basic level we give up the marginal difference in safety for the efficiency and practicality of wearing jeans and t-shirts while driving 70MPH. It’s a matter of compromise between form, function and usability combined with taking a little responsibility for our actions.
You simply can’t replace human responsibility and accountability with automation and technology. We need people to be responsible for their actions. It’s the only thing that keeps us honest. Without it everyone’s life will be like Phil Connor’s (Bill Murray) in Groundhog Day before he figured it all out.