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Category: Main Content Written by Dr. Charles Shively / October 21, 2019


Commentary on Alternative Therapies and Life Style Interventions for Obese Individuals with Type 2 Diabetes

Category: Patient Engagement Written by Dr. Charles Shively / October 21, 2019

With obesity worldwide reaching pandemic levels (recent global research indicates over 2 billion individuals are either obese or overweight…one-third of the world population), it has pervaded countries with greatly different cultures and nutritional habits. Many different interventions have been offered and researched in the past ten years, with some intervention approaches being significantly better than others. As practitioners look for alternative therapies for patients who are obese with Type 2 Diabetes and view best practice approaches available, the current controversy using the traditional Metformin and GLP 1 Receptor Agonists (Byetta, Bydureon, Tanzaum, Trulicity and Victoza) has caused many practitioners to consider alternative therapies. Additionally, in the US alone, one-third of the 323 milllion population (2016) is classified as diabetic or pre-diabetic by the CDC (US Centers for Disease Control and Prevention). Read more ...

Points of Difference Define Pharmacy Technology Today

Category: Pharmacy Advances Written by Dr. Charles Shively / October 21, 2019

How Is It We Are? Which comes first? Technology and automation or sustainability and profitability? In today’s independent pharmacy environment many of the needs for sustainability and profitability has caused an influx of new automated technologies that emphasize labor reduction, improved workflow efficiencies and error avoidance. Automated technology designers and equipment manufacturers have been brought to the independent pharmacy marketplace by these needs. Read more ...

Beyond the Genome and Pharmacogenetics: Precision Medicine

Category: Pharmacy Success Written by Dr. Charles Shively / October 21, 2019

Is Precision Medicine for You? Do you wish to foresee your individual health future? The decision to investigate what health challenges .each individual may experience is not for the weak of heart (no pun intended). Most healthcare practitioners embrace the need for interprofessional linkages with fellow professionals (physicians, pharmacists, nurses, nurse practitioners, physician assistants and many others) as they work to provide personalized care for patient/customers. Read more ...

The Pride. The Passion. The Thrill of Pharmacy.

Category: Pharmacy Success Written by Dr. Charles Shively / October 21, 2019

Is this possible? YES. It exists in Aynor, South Carolina…the home of the local high school ”Battling Blue Jackets”. Where is this location that an independent Good Neighbor pharmacy is so successful? Horry County, South Carolina. The Aynor Family Pharmacy was built just four years ago and is positioned at 240 Eighth Avenue (just off SC 501), some thirty miles from North Myrtle Beach, South Carolina and the Atlantic Ocean. Most important: Local patient/customers understand the meaning of “Family” in the Aynor Family Pharmacy name. Read more ...

Sustainability Toward the Intersection of Pharmacy Technology and Its Future

Category: Pharmacy Advances Written by Dr. Charles Shively / October 21, 2019

How Is It We Are? Where were we with pharmacy automation and pharmacy technology ten even five years ago? Can you recall? I do and it is such a success story. As pharmacists, we are ascending a very special path toward sustainability for independent pharmacy profitability. Why? Those independent pharmacies owners who have embraced newer technologies know this. Many large retail chains are even adopting the independent pharmacy learnings. How do we know independent pharmacy is on a special ascension? Read more ...

Seven Reasons Automated Will-Call Defines Cost-Benefit for Pharmacies

Category: Pharmacy Success Written by Dr. Charles Shively / October 21, 2019

Recent independent pharmacy visits have confirmed the value of in-place automated will-call or retrieval systems. This technology, when integrated within the existing pharmacy operational software, pays for itself through the savings in time and various costly error correction events that can occur during everyday pharmacy workflow. From my experience as a pharmacist, I offer the following reasons below. These reasons are based upon use of an Automated Retrieval System (the ARS) offered by RxMedic Systems of Wake Forest, NC. www.rxmedic.com. It is the only automated will-call retrieval system available today which is integrated into existing pharmacy software and is not a separate software add-on to deliver medications at point of sale. Read more ...

The Epigenetic Clock and Longevity

Category: Healthcare Advances Written by Dr. Charles Shively / October 21, 2019

Many alterations occur to our genome or DNA as we age. Some of these changes are epigenetic modifications to our DNA without altering the genetic sequence itself. The human genome is the complete assembly of DNA (deoxyribonucleic acid) that makes each individual unique. The genome consists of about 3 billion base pairs...half from the mother and half from the father. DNA holds the instructions for building the proteins that carry out a variety of functions in a cell. Chemical compounds and proteins that can attach to DNA comprise what is known as the epigenome. These epigenomic compounds attach to DNA as "tags" and change the way individual cells use the DNA's instructions. Importantly these tags or "marks"... as they are known... do not change the sequence of the DNA but rather how the cells operate. Read more ...

A Celebration Success with the Future in Mind

Category: Pharmacy Success Written by Dr. Charles Shively / October 21, 2019

For the hundreds of Rx30 pharmacy operation software owners present at the Shingle Creek Resort in Orlando, FL, January 28-29, 2017, it will be something to be remembered forever! The inaugural RX30 conference was absolutely exciting from the Friday morning CE and into the Friday night Welcome Reception and Exhibitor Grand Opening. It continued to the Saturday night extravaganza. Read more ...

Personalized Therapeutics through Pharmacogenomics

Category: Patient Engagement Written by Dr. Charles Shively / October 21, 2019

Introduction Most healthcare professionals are aware of the emerging field of pharmacogenomics. Many are not aware however that it is nearing its 15th year of pursuit to combine the science of how drugs work (pharmacology) with the science of the human genome (genomics). Although the field of pharmacogenomics is still in its infancy with only limited use in select disease areas such as cancer, cardiovascular challenges, HIV, Alzheimer’s and asthma, the coordination between United States research centers is accelerating the pace and implementation in several new disease states. This approach to personalized medicine is a significant departure from previous drug development where the idea has existed that each drug works pretty much the same in every individual and where by exception over time is has been learned that many different aspects must be considered when a medication is provided to the end user. Read more ...