Page 2 President’s Perspective

Page 3 Committee Corner

Page 4 Get to Know Your ACAP Colleagues

Page 7 Check Yourself

Page 8 Announcements

Page 8 Calendar

Page 9 Check Yourself Answers

… that is, the newsletter of the Alachua County Association of Pharmacists, aka ACAP, is getting a make-over and you’re invited to help!

Our newsletter needs a name!

What do we hope to accomplish with this newsletter? Several things come to mind. You already get a monthly email to remind you of the meeting (second Tuesday of each month September – May), so the newsletter isn’t needed for that. (Although, you WILL find a Calendar of Events in your newsletter, which includes future meetings!) No, we want this newsletter to be somewhat more interactive…more than just bringing news to you, we want this to be a vehicle that engages you and invites you to respond. We want this newsletter to be more of an exchange of information and/or opinions. Your newsletter will feature a pharmacist and a technician in each issue, sometimes a new ACAP member, sometimes an “oldie-but-goodie,” but expect to learn more about your fellow pharmacy practitioners here. And, if you want to suggest a technician or pharmacist to be featured, this newsletter will provide the means for you to do so. Your newsletter will include announcements about local pharmacies and pharmacy-associated businesses, as well as members’ announcements. And, if you have news to share (a wedding, a new baby, etc.), this newsletter will grant the opportunity to share your news with your fellow ACAP members. See the “In This Issue” box for a quick glance of other columns and articles you’ll find in your newsletter but, for now, our first invitation is for you to help us come up with a name for this newsletter. Some ideas that have been put on the table already:

Click HERE to submit your suggestion(s) for this publication. We promise to have a name by the next issue! And speaking of next issues…See the article on “Featuring a Committee…” for more info on that!

NameMe!October 2015

Edition

YOUR newsletter…

In This Issue…

ACAP Scripts

We are the largest diversified pharmacy organization in North Florida representing retail, institutional, and academic fields.

We have a strong membership of over 250 including pharmacists, pharmacy technicians, student pharmacists, and pharmacy residents.

ACAP

Alachua County Association of Pharmacists October 2015 Newsletter

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I first joined the Alachua County Association of Pharmacists (ACAP) when I was a pharmacy student at the University of Florida College of Pharmacy back in 2011. I was introduced to the association by one of my friends, Lexi Leal, who was the Student Representative for ACAP. Once I graduated and was employed by Walgreens, two pharmacists, Tim Rogers, Continuing Education Coordinator, and Neha Patel, Past President, encouraged me to become more involved in ACAP. Eventually I served as Vice President...and now I am here as President! ACAP to me is a community of pharmacists, technicians and students that are coming together from different fields to learn, to grow and to have fun. Everyone’s involvement -- officers, board members and general members is what keeps ACAP alive. However, as president, I don't want to just keep ACAP alive, I want to help it grow! My goals for my term as president are to help ACAP grow in the services and involvement opportunities we provide for our members, in our services for the community and profession, and in our membership. This association is dedicated to the professional development and education of pharmacists, pharmacy technicians and pharmacy students in Alachua County and the surrounding areas. ACAP, the association, and I, personally, as President, invite you to be a part of Alachua County Association of Pharmacists.

ABOUTMYSELFName:

JenniferChenEducation:

2009B.S.inFoodScienceandHumanNutritionattheUniversityofFlorida

2013Pharm.D.attheUniversityofFloridaCollegeofPharmacy

CurrentPosition:

StaffPharmacistatWalgreensinOcala,FL

Rememberitis…

Alachua County Association of Pharmacists October 2015 Newsletter

Valli Van Meter

BA in Humanities specializations in Art History, Renaissance, and the Classics from Florida

State University in 1983.

PharmD from the University of Florida in 2004.

Board Certified in Ambulatory Care.

Outpatient pharmacist at Lake City VA Hospital

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Jessica Gonzalez

BA in Chemistry concentrated in Biochemistry from Florida International

University in 2008.

PharmD from the University of Florida (UF) in 2015.

First year fellow in Healthcare Quality and

Medication Safety at UF’s College of Pharmacy and University of Florida Health

Physicians

Our plan is for three issues of the newsletter this 2015-16 year. At this time, there are only two of us on the newsletter committee and we both work fulltime (like most of us do!), so our time is limited (like it is for most of us!). Now, if we only had a just few more people…Oh, the ideas we have!! We just need a few more people to help some of these ideas blossom into reality! Can you interview someone one time every 3-4 months? Or, do you enjoy writing? Are you good at organizing? Or, are you especially computer-savvy? (Or not? Not every member of the committee needs to be a computer whiz!) Keep in mind, our goal is to keep the committee work “volunteer-sized.” That is, we realize that we are all volunteers, that most of us have fulltime jobs, and that our time available for volunteering is very limited. We aim to keep the newsletter committee work volunteer-sized! Also, remember that the best way to meet new people, get connected in the local pharmacy community and, perhaps, make some new friends along the way, is to get involved. If you think you’d be interested, contact The ACAP Newsletter Committee.

We know you have talents beyond the mortar & pestle. Please share your talents with your ACAP community.

Other committees in ACAP: Scholarship, Education, Budget & Financial, By-laws, Public Relations, Awards, Resolutions, Membership

TheNEWSLETTERCommittee

Alachua County Association of Pharmacists October 2015 Newsletter

Lauren Wise is a third generation pharmacist! Surely there aren’t very many of us that can make that claim! Although she heralds from the Wise family (Yes, that’s the local Wise’s Pharmacy family!), her life didn’t take a totally direct route from cradle to pharmacy…In her own words, Lauren “literally grew up in a pharmacy.” That would the Wise’s Pharmacy which was located on University Avenue in Gainesville. Nowadays, Wise’s Pharmacy is located on Southwest 4th Avenue in Gainesville, near where Alachua General Hospital used to be, and in what is now known as the Innovation District. Wise’s Pharmacy is one of the few family owned pharmacies in our area and certainly the longest operating in Gainesville. Lauren’s father, Buddy Wise, and her uncle, Larry Wise, own and operate the pharmacy which was started in 1938 by Lauren’s grandfather. And, as a point of interest, her grandfather, known as Doc Wise, became a pharmacist back in the days when

you didn’t go to a college of pharmacy! Instead, you worked through an apprenticeship! Having grown up in the community pharmacy environment, Lauren is quite aware of the pharmacy’s evolution with computerization, etc.to allow for more efficiency, especially in terms of volume. In the future, however, Lauren foresees a community pharmacy which will include medicines dispensed by machines combined with telephone/video chat with a pharmacist, allowing for more focus on quality than quantity. Imagine what her grandfather, the original Wise pharmacist, would think! In addition to Lauren’s father (who, by the way is also an ACAP member!), both of Lauren’s older siblings are pharmacists; two of her uncles are pharmacists; and two cousins are pharmacists. In spite of the pharmacy legacy, Lauren originally intended to become an architect! She wanted something in the artistic field and, with a strong math background, architecture seemed to make

NAME Lauren Wise AGE 37 years old FAMILY Married to Ben, stepson Micah, 18, and daughters Gabrielle & Tabitha, 6 & 4 HOBBIES “Glamping” (glamorous camping, for the un-initiated!) in a travel trailer, turkeys and baking bread IF I COULD HAVE LUNCH WITH ANYONE IN THE WORLD, PAST OR PRESENT It would be Malala because I am so proud of what she has overcome and I want to give her all the encouragement that I can. OUTSIDE OF MY PHARMACY-ASSOCIATED WORK, I AM MOST PROUD OF My family MY FAVORITE THING ABOUT BEING A PHARMACIST IS Helping patients!

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Alachua County Association of Pharmacists October 2015 Newsletter

sense. She began taking her first year architecture & design classes at University of Florida and says that it finally dawned on her during yet another all-night project-building affair that, while the architecture work was creatively pleasing at first, ultimately, she wanted a career that included a more personal touch, a career that provided a more direct opportunity to help people. She realized that what her dad did as a pharmacist was much more fulfilling…which lead her back to pharmacy! Lauren enrolled in a unique program at UF that offered a combination Bachelor of Science in Nutrition & Doctorate of Pharmacy degree. Her plan was to go into hospital pharmacy, which she believed would be a more satisfying career choice for her. However, during her fourth year rotations, Lauren realized that she was better suited to the patient interaction that community pharmacy offers. She confesses that hospital basements (the traditional home of the hospital pharmacy) and hospital germs might have played a minor role in her drift over to the community pharmacy setting. “I’m not a total germaphobe!” she insists. “I like some germs! The germs on our ‘glamping’ trips are friendly germs!” Graduating in 2004, Lauren has been a pharmacist with Walgreens since that time. A few years after graduating, she became certified as an immunizing pharmacist through the American Pharmacists Association (APhA) program.

Like most of us who have worked in community pharmacy, Lauren acknowledges that this particular work environment can be quite hectic at times. She attributes her ability to remain calm under this pressure as one her most helpful personal characteristics. Being able to tune out the peripheral pandemonium, focus on the problem at hand to find a solution and then translate that solution into counselling points that the patient can understand…this is a point of pride for Lauren. One of her most memorable experiences in the pharmacy was when, as a new pharmacist, she was working a weekend shift and having a rough day overall. She recalls being somewhat flustered and grumpy. Furthermore, Laruen says it must have shown on her face, because her partner pulled her aside and reminded her that “It’s all about the patients.” “That was so simple,” reflects Lauren. “It helped me refocus on what was really important. Years later, I keep coming back to that simple phrase, especially when things get crazy…It’s all about the patients!...That’s why I became a pharmacist, after all.” So, say hello to Lauren and her dad Buddy at the next ACAP meeting. And, try to refrain from saying, “Father knows best!”

NAME Dawn Peisel AGE 44 years old FAMILY Married to Eric, daughter Ashley, 20, and sons Hunter & Chase, 15 & 8 HOBBIES Cake decorating, cooking, painting (anything! Pictures, houses, furniture, etc.), spending time with my family, reading IF I COULD HAVE LUNCH WITH ANYONE IN THE WORLD, PAST OR PRESENT It would be Jesus so that I could ask if I am doing what he had planned for me and are my talents being used as he intended OUTSIDE OF MY PHARMACY-ASSOCIATED WORK, I AM MOST PROUD OF My family MY FAVORITE THING ABOUT BEING A PHARMACIST IS Being needed, whether it’s being needed by my pharmacist or by my patients, my job is to help!

Dawn Peisel has been a pharmacy technician for almost 21 years! She first became involved in the pharmacy industry in the 1990’s. At age 25, she was married, eight months pregnant with her first child, managing a fast food restaurant and not feeling particularly fulfilled by the job. A tech from Eckerd who was a regular lunch customer encouraged Dawn to interview for an opening at the Eckerd pharmacy. Although she was almost ready to deliver her baby and she had no medical or pharmacy experience, she was hired and remained with Eckerd/CVS for 18 years. Dawn worked mostly in Lake City, but also worked at times in Tallahassee and Gainesville. She started as a drug clerk, but then became a technician, and was eventually hand-selected by the Eckerd district supervisor to become an Employee Trainer, teaching Eckerd pharmacy employees in 28 stores how to use a new computer software that was being installed nationwide. She continued working on special projects as assigned throughout the district. Dawn has also worked in hospital pharmacy, at Lake City Medical Center and at the Lake City VA Hospital. She has been fulltime with the VA for the past five years, working in both inpatient and outpatient settings. Currently, she is the “vault technician,” responsible for filling all prescriptions for controlled substances and for preparing controlled substances for the hospital’s floor stock and inpatient orders. Dawn has a Bachelor of Science degree in Microbiology Cell Science from University of Florida. She has been certified since 2001 by the Pharmacy Technician Certification Board (PTCB) and has been licensed as a Florida pharmacy technician since 2009. When asked for her opinion of the future of the pharmacy technician position in the industry, Dawn predicts more responsibility, more specialization and more accountability for technicians. “More responsibility in the sense that technicians would be able to perform some tasks that are currently restricted to pharmacists. If technicians could take on more responsibility, it would free up pharmacists for more clinical duties,” she reasons. “With more responsibility would come more

specialization, such as compounding or IV assembly or insurance claims work. And then, of course with the added responsibility would come more accountability for techs.” Dawn sees the certification and licensing for technicians as steps in this direction of added responsibility and accountability. Dawn confesses to being “a big nerdy dork” (her words!) and loves being one! She actually previewed our Check Yourself CE quiz and liked it because it appealed to her nerdiness! She has been accused of being anal retentive, but believes that meticulous attention to detail is part of what makes her a good pharmacy technician. Taking pride in her work is what Dawn considers to be the driving force in her pharmacy career. Although many people consider the community pharmacy workplace to be one of the most stressful, Dawn says this setting is her favorite because it is so rewarding working with patients, forming relationships and knowing in her heart that she is helping them. “I have seen patients grow up, have babies, suffer with illness, win cancer battles and lose cancer battles. I’ve seen people become addicted and overcome addiction. I have held their hands, laughed and cried with them. Working for so many years in one pharmacy gave me the opportunity to make personal connections with patients. Most other professions just can’t provide that sense of connection. Not to say there weren’t days when I wanted to just throw in the towel…But, when you are the one who gets that insurance claim to go through, when you see the relief wash across a patient’s face, when your hand is the one they grab and squeeze as you let them cry on your shoulder because of a lost loved one…Well, in the end, it was never just another day at work…It was another day I was there for someone.” Look for Dawn at the next ACAP meeting! Perhaps you share her affinity for community pharmacy. Or maybe you’re a “nerdy dork,” too! Maybe you want to talk to her about her specialized tech position at the VA…Whatever the reason, make a point to say hello to Dawn!

Alachua County Association of Pharmacists October 2015 Newsletter

Here’s your opportunity to review major points from the September CE on Eating Disorders, presented by Dr. Mathew Nguyen, Medical Director of the Eating Disorders Recovery Clinic from UF Department of Psychiatry.

1) True or False: While it is true that eating disorders involve distorted body image; self-critical attitudes; negative thoughts & feelings; and feelings of shame, anxiety & powerlessness, there is no reason to hospitalize someone with an eating disorder.

2) True or False: Of the three recognized eating disorders, bulimia nervosa (bingeing and then purging) is the most prevalent type of eating disorder, affecting 1-6% of the population, and also the deadliest of all psychiatric illnesses.

3) The only medication with FDA approval to treat anorexia (restriction of calories and/or binge/purge to the point of a dangerously low Body Mass Index, combined with a perception of being overweight no matter what the actual weight is) is A) Prozac (fluoxetine), especially for

teenagers B) Vyvanse (lisdexamfetamine), because it

can help with weight gain for people with anorexia

C) Zoloft (sertraline), because it is approved for Obsessive Compulsive Disorder and anorexia has strong similarities to OCD

D) None of these are FDA approved for anorexia

E) All three have FDA approval for anorexia

4) True or False: Risk Factors for Eating Disorders include all of the following: genetics, puberty, exposure to cultural factors such as ultra-thin models in ads and personality factors such as low self-esteem and perfectionism

5) Which of the following statement(s) is/are true: A) A person with bulimia has a

dangerously low Body Mass Index (BMI)

B) The lifetime prevalence for anorexic behavior in females is about 1 in 100, approximately the same as for schizophrenia

C) Seizures and heart attack are possible medical complications of anorexia

D) Although the choices of medications to treat eating disorders are limited, individual and family therapy, combined with a skilled dietician, leads to a very high “cure” rate (90%) for people with eating disorders, especially if treatment is begun in the adolescent years.

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Alachua County Association of Pharmacists October 2015 Newsletter

• Sadly, we lost Carolyn Ferencz, a pharmacist for over 43 years. She passed away peacefully in August. Carolyn graduated from UF College of Pharmacy in 1972 and worked here in Gainesville, first with Eckerd and then with CVS.

• The pharmacy community recently lost Edward Basdekian, a retired pharmacist who worked at the UF student infirmary for years and was an ACAP member for many years as well.

• Member Tim Rogers is seeking donations of pill counting trays & spatulas for future medical mission trips. If you have any that can be donated, please contact Tim personally at the next ACAP meeting or email him at TimRogersRph@yahoo.com

• Two new pharmacies have opened in the past year in Alachua County: o Caring Pharmacy in High Springs, owned by pharmacist Varsha Chaudhari o Vineyard Pharmacy is a new independent pharmacy in town owned by a ACAP member

Dr. Frank A Peprah-Asante, PharmD. His pharmacy provides $4 for most generic drugs, free delivery within a 5-10mile radius, medical supplies, and accepts most insurance plans. The services provided by this family pharmacy are to help and meet people at their point of need. Stop by – 6500 SW Archer Rd, Suite H, Gainesville, FL 32608

• Do you have an announcement to share? New baby, job promotion, job opportunity, weddings, etc? Click HERE to send in an announcement for the next issue. Be sure to include a phone number and email in case we need to contact you!

• Tues, Nov. 10, ACAP meeting – Atrial Fibrillation (1Hr); Update on New Heart Failure Meds (1Hr) • Tues, Nov. 24, Board meeting • Tues, Dec. 08, ACAP meeting – Novel Anticoagulation Therapies • Tues, Dec. 22, Board meeting • Tues, Jan. 12, ACAP meeting – Sexually Transmitted Diseases • Tues, Jan. 26, Board meeting • Tues, Feb. 09, ACAP meeting – Medication Errors

Board meetings are open to see behind the scenes of ACAP. If you are interested in attending a board meeting, please contact us HERE

Would you have a speaker to suggest or a CE topic suggestion you would like to see? Please let us know HERE.

Disclose: Topic subject to change without notice. Look for your monthly email notification with the most current details.

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Alachua County Association of Pharmacists October 2015 Newsletter

1) False. The first part of the sentence which describes eating disorders is true. However, some patients will require hospitalization if any of the following occurs: • Getting worse despite treatment • Dangerously malnourished • Suicidal or severely depressed • Medical complications such as

electrolyte imbalance, seizure, cardiac abnormalities or esophageal tears.

2) False. While bulimia is more common than anorexia, Binge Eating Disorder (the most recently recognized eating disorder in DSM-5), which involves binge eating with no purge afterward, is the most prevalent of the eating disorders. BED affects 1-6% of the population. The deadliest of all psychiatric illnesses is anorexia, which has a 5-18% mortality rate.

3) D is correct. Unfortunately, medications do not work very well for eating disorders. Therapy seems to work better. There is NO FDA approval for any medication for anorexia. • A is incorrect because fluoxetine has

FDA approval at 60mg/day to treat bulimia and is thought to work because bulimia may be related to OCD. However, there is a Black Box Warning on SSRI use in children & teens due to agitation which can lead to suicidal behavior.

• B is incorrect because Vyvanse has FDA approval for treating BED, not anorexia, and it may cause weight loss, not weight gain.

• C is incorrect because, while sertraline is not approved for any eating

disorder, it is approved for OCD and therefor can be helpful in bulimia, not anorexia, as bulimia may be related to OCD.

4) True. • Genetics are a risk for developing an

eating disorder (up to 60%). There are many instances of both parent & child having an eating disorder.

• Puberty is a risk, with 40% of new cases of anorexia occurring in females 15-19 years old and most beginning in pre-puberty.

• Exposure to cultural factors as can be found in the media is a risk factor. Advertising images (most of which are computer enhanced to create unrealistic “models”) and the perception that thinness somehow translates to morality, goodness and financial success are examples of cultural factors.

• Personality factors including being a high achiever or a perfectionist and/or having low self-esteem are risk factors for an eating disorder.

5) B & C are true. • A is false. People with bulimia are not

necessarily underweight. • D is false. The “cure” rate is closer to

50% and adolescents are among the most difficult to treat. In most cases, the individual must admit to himself/herself that the eating disorder exists and must want to overcome it. If/when a person with an eating disorder does seek treatment or cooperate with treatment, it is most commonly in adulthood.

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