Podcasts about Pharmacy

TWIRx – This Week in Pharmacy Episode Date: February 13, 2026 Valentine's Day Special

Amazon is working on a same day prescription medication delivery service, a major expansion of its existing online pharmacy. Learn more about your ad choices. Visit podcastchoices.com/adchoices

"It's just a little tester." The five most dangerous words in the English language.In this week's sesh, Justin Barone is dismantling the "Try Before You Buy" economy and taking it to its most illogical, biohazardous conclusion. What starts as a simple gripe about communal vapes at the local pot shop quickly spirals into a fever dream of cross-contamination that would make a health inspector faint.On Thoughts Off The Stem, we strip away the filters to look at the root of the problem: humanity has lost its mind. Join Justin as he navigates a retail hellscape where hygiene goes to die.Inside this episode's descent into madness:The Dental Deposit: Why your dentist wants you to "rent" a tester tooth for 48 hours. It's a loaner for your face. Don't lose it.

Host John Beckner is joined by Ed Cohen, founder and COO of PharmTeam Associates, and Megan Smith, PharmD, director of the UAMS Community-Based Residency Program and associate professor at the University of Arkansas for Medical Sciences, to explore how community pharmacy has evolved, and why no two community pharmacies are the same.

Federal regulators have finalized strict new standards for non-domiciled CDLs which will limit license eligibility to holders of specific work visas. Critics warn this move to close safety loopholes could eventually push nearly 200,000 drivers out of the market. Revised government data indicates the industry is facing a much sharper decline in trucking jobs than previously estimated, with losses exceeding 125,000 positions since the peak. Despite a rise in warehouse employment, the numbers confirm the true depth of the recent freight recession. Meanwhile, Amazon is moving fast to expand same-day pharmacy delivery by 80% to cover nearly 4,500 cities and towns in 2026. The tech giant aims to address "pharmacy deserts" and staffing shortages by getting prescriptions to patients in a matter of hours. Follow the FreightWaves NOW Podcast Other FreightWaves Shows Learn more about your ad choices. Visit megaphone.fm/adchoices

Welcome to Omni Talk's Retail Daily Minute, sponsored by Grocery Dealz and Mirakl.In today's Retail Daily Minute, Omni Talk's Chris Walton discusses:Uber launches Cart Assistant, an AI-powered personal shopper feature on Uber Eats that builds complete grocery baskets from text or image prompts, available now with Albertsons, Kroger, Wegmans, and dozens of other grocers.Amazon Pharmacy expands same-day prescription delivery to 4,500 cities and towns by end of 2026, adding nearly 2,000 new communities.Kraft Heinz halts its planned business split under new CEO Steve Cahillane, who says the company's challenges are "fixable" and announces a $600 million investment in marketing, R&D, and product improvement.The Retail Daily Minute has been rocketing up the Feedspot charts, so stay informed with Omni Talk's Retail Daily Minute, your source for the latest and most important retail insights.Be careful out there!

Pharmacy benefit managers' business practices are under attack from multiple directions. David W. Johnson and Julie Murchinson debate whether the new legislative and regulatory actions on pharmacy benefit managers' business practices will make a difference in how much consumers pay for drugs on “Breaking PBMs' Hold Over Drug Prices,” the new episode of the 4sight Health Roundup podcast, moderated by David Burda. Listen.

```html welcome to wall-e's tech briefing for thursday, february 12th! explore today's essential tech topics: microsoft vulnerabilities alert: hackers exploit critical zero-day vulnerabilities affecting windows and office users, enabling unauthorized access and malware installation through smartscreen bypass. uber eats ai evolution: introduction of the "cart assistant," simplifying grocery shopping with list uploads and past order integration, marking a new trend in food delivery ai. amazon pharmacy expansion: plans for same-day prescription delivery to nearly 4,500 u.s. cities by year's end, reflecting amazon's growing influence in healthcare. openai restructuring: disbandment of the mission alignment team, with former leader josh achiam becoming chief futurist, steering ai's future direction. xai's interstellar ambitions: plans unveiled for space-based data centers and a moon factory for ai satellites, indicating groundbreaking strides in tech exploration. stay tuned for tomorrow's tech updates! ```

Our very own RAC members, Diego Benavides and Elma Abdulbaki, open up about burnout in pharmacy residency and postgraduate training - what it looks like, why it's so prevalent, and how it can impact clinical performance and personal well-being. Through honest reflections and shared experiences, we explore common stressors like long hours, imposter syndrome, and high expectations. Most importantly, we discuss practical, realistic strategies to build resilience and protect your well-being throughout your pharmacy journey.

Timothy Aungst, PharmD; Ravi Patel, PharmD, MBA, MS; and Smit Patel, PharmD; joined Over the Counter to discuss direct-to-patient pharmacy models and how they're revolutionizing the future of health care.

Federal regulators have finalized strict new standards for non-domiciled CDLs which will limit license eligibility to holders of specific work visas. Critics warn this move to close safety loopholes could eventually push nearly 200,000 drivers out of the market. Revised government data indicates the industry is facing a much sharper decline in trucking jobs than previously estimated, with losses exceeding 125,000 positions since the peak. Despite a rise in warehouse employment, the numbers confirm the true depth of the recent freight recession. Meanwhile, Amazon is moving fast to expand same-day pharmacy delivery by 80% to cover nearly 4,500 cities and towns in 2026. The tech giant aims to address "pharmacy deserts" and staffing shortages by getting prescriptions to patients in a matter of hours. Follow the FreightWaves NOW Podcast Other FreightWaves Shows Learn more about your ad choices. Visit megaphone.fm/adchoices

If pain is a portal, what's on the other side? We invited functional pharmacist and men's health coach Rob Kress to help us challenge the default settings of modern care...more meds, more noise, less self. Rob shares how he moved from conventional pharmacy to a practice that blends functional medicine, clinical nutrition, and mind‑body work, and why the real turning point for so many men is a regulated nervous system and the courage to tell the truth.We dig into the moments most men avoid. The numbness that follows chronic stress, the swing between agitation and apathy, and the quiet stories they keep buried deep. Rob offers simple, practical resets like two minutes to breathe before a hard talk, a short burst of movement to discharge stress, and five minutes of daily silence to build safety and presence. From there, we unpack testosterone: when TRT helps, when it masks a deeper issue, and how thyroid, adrenals, sleep, alcohol, and cannabis shape libido and drive more than most realize.Our conversation gets real about America's medication reflex. SSRIs and benzos can bring relief, but they often mute feeling and complicate long‑term healing. Rob shares how to taper thoughtfully with breathwork, body‑based therapy, a good team and a plan.We also explore autism through a systems lens. Acetaminophen's impact on glutathione, the difference between folic acid and folate, the promise of folinic acid for speech in some kids, and how dairy may elevate folate receptor autoantibodies. It's not about single causes. It's about looking at every angle.We close with agency. Interview your doctors, curate a care team, and choose tools that align with your values. The path to health and healing is meant to be co‑creative. Show up for the meaningful work, focus on the what, and release the need to control the timeline. If this conversation recharged your curiosity, share it with a friend, leave a review, and subscribe. And check out our Patreon so you never miss an episode.https://www.patreon.com/c/seeyouontheothersideConnect with Rob here:www.instagram.com/robkressfrx?https://linktr.ee/robkressfrxhttps://www.functionalpharmacy.com/contact-rob Microdosify 10% OFF our trusted microdose supply!1:1 Discovery Calls Are psychedelics right for you on your healing journey? Book a discovery call to ask us anything. Support the showJoin our Patreon for exclusive content:https://www.patreon.com/seeyouontheotherside Our Website:https://linktr.ee/seeyouontheothersidepodcast

Those who hope to honor God and advance Jesus' Kingdom face powerful opposition from spiritual, physical, and psychological enemies. Successful launching and long term fruitfulness depends on recognizing and, in dependence on the Holy Spirit, waging war against those enemies.

Instacart and Toast announce a partnership. Convenience stores already are planning foodservice for the busy summer months. And Amazon Pharmacy plans to expand same-day prescription delivery to 4,500 cities and towns by the end of 2026.

In this episode of the Pharmacy in person podcast, Nana interviews Victoria Steele, a seasoned pharmacist and the first female superintendent of Lloyds Pharmacy. Victoria shares her journey from pharmacy school to founding her own business, Steeliers Limited, and discusses the challenges and triumphs she faced along the way. The conversation delves into the importance of mentorship, leadership responsibilities, and memorable patient encounters that have shaped her career. Victoria emphasizes the need for community pharmacy to be recognized for its vital role in healthcare and the future opportunities that lie ahead.

It's In the News.. a look at the top headlines and stories in the diabetes community. This week's top stories: T1D in the Olympics & Superbowl, Trump RX goes live, Ozempic pill available soon, tech updates from Medtronic, Beta Bionics, Eversense 365 and more! Announcing Community Commericals! Learn how to get your message on the show here. Learn more about studies and research at Thrivable here Please visit our Sponsors & Partners - they help make the show possible! Omnipod - Simplify Life All about Dexcom  T1D Screening info All about VIVI Cap to protect your insulin from extreme temperatures The best way to keep up with Stacey and the show is by signing up for our weekly newsletter: Sign up for our newsletter here Here's where to find us: Facebook (Group) Facebook (Page) Instagram Check out Stacey's books! Learn more about everything at our home page www.diabetes-connections.com  Episode transcription with links: Welcome! I'm your host Stacey Simms and this is an In The News episode.. where we bringing you the top diabetes stories and headlines happening now. A reminder that you can find the sources and links and a transcript and more info for every story mentioned here in the show notes. Quick reminder: We are just over one week from our first Moms' Night Out event of the year. While the plans are all set – the speakers, the vendors, the raffles and the fun is ready to go, it's always amazing how many people hear of these event last minute. That's fine, they're welcome! But if you're thinking of attending a future event – registration is open for We're going to Nashville next March 6-7 and Detroit in September – no need to wait. And we've got Club 1921 events for health care professionals and patient leaders in 6 cities this year! All the info is over at diabetes-connetionss.com events/   Okay.. our top story this week: XX Gotta be a quick shout out to some incredible T1D athletes – we had TWO in the super bowl this past weekend – Chad Muma of the New England Patriots and Logan Brown of the Seattle Seahawks AND there are at least two athletes with type 1 competing at the Winter Olympics. Hannah Schmidt competes in ski cross for Canada – she was diagnosed with Type 1 diabetes at age 12 years old.  Anna FarnSchadt Fernstäd a Czech skeleton racer diagnosed in 2022 after she'd already been to several Olympics. We wish them all the best!   https://english.radio.cz/skeleton-racer-anna-fernstadtova-overcoming-adversity-headfirst-down-ice-8876699 XX The government website TrumpRx.gov is live..  the website does not sell prescription drugs. Instead, it allows people to look up their drugs and then navigate to buy them elsewhere, either from a major drug company or a pharmacy. The 43 drugs listed on the site have prices ranging from $3 to over $5,500. TrumpRx does include warnings that the site may not be the best option to save money on prescriptions. Each product page advises: "If you have insurance, check your co-pay first — it may be even lower." For now, the website says its prices are for people paying with their own money, rather than going through insurance. The only insulin listed right now is Lilly's insulin lispro – and it's the same price as you'd find through Illy's insulin value program. I looked up diabetes meds.. For example, if you have an insurance co-pay of $25 a month for Farxiga, a drug often used for diabetes, you would be paying $182 on TrumpRx. As you can imagine, though ,this is complicated and as with most of our healthcare system, it may be good in some cases and not much help in other.  I'd suggest calling your local pharmacist or checking with your human resource dept. https://www.nytimes.com/2026/02/06/health/trumprx-prescription-drug-prices-consumers.html XX Novo Nordisk will launch some doses of its oral semaglutide for diabetes under the brand name Ozempic pill in the second quarter of this year. The company said the U.S. Food and Drug Administration has approved Ozempic tablets in three different doses. Novo says The new Ozempic name is intended to help patients and health care professionals more easily recognize the available treatment options for type 2 diabetes Semaglutide tablets have been available under the brand name Rybelsus Ruh BELL sis for diabetes since 2019 but with different dosing. The pill is also approved to reduce the risk of certain cardiovascular conditions in adults with type 2 diabetes who are at high risk for these events. The FDA had approved the new doses based on a bioequivalence study and the clinical trial data for Rybelsus, Novo said. https://www.reuters.com/business/healthcare-pharmaceuticals/novo-launch-ozempic-pill-diabetes-second-quarter-this-year-2026-02-04/ XX https://www.contemporarypediatrics.com/view/early-screening-for-type-1-diabetes-found-effective-in-children XX Possible new way to identify and track the progress of type 1 diabetes before clinical onset. A recent study published in Science Advances described the application of subcutaneous microporous scaffolds. These are inserted and have been shown to  identify changes in cancer, multiple sclerosis, and T1D by capturing changes of immune cells over the course of a disease. This is a proof of concept study in mice.. so very early days. https://www.news-medical.net/news/20260204/Implantable-immune-scaffold-predicts-type-1-diabetes-weeks-before-symptoms.aspx XX A large global genetics study shows that many key drivers of Type 2 diabetes operate outside the bloodstream. In a major international project led in part by the University of Massachusetts Amherst and Helmholtz Munich in Germany, researchers linked hundreds of genes and proteins to the disease. The work, published in Nature Metabolism, points to a key challenge in diabetes research: the biology behind rising blood sugar does not play out the same way in every part of the body. It also shows why including people from many backgrounds matters, since genetic clues that stand out in one population may be faint or invisible in another. Huge study, 2.5 million people worldwide comparing patterns across seven tissues tied to diabetes and four global ancestry groups, then asked a simple question: what do you miss if you only measure blood? Across the seven tissues, the researchers found causal evidence pointing to 676 genes. Yet overlap with blood was limited: only 18% of genes with a causal effect in a primary diabetes tissue, such as the pancreas, showed a matching signal in blood. At the same time, 85% of genetic effects observed in diabetes-relevant tissues were completely absent from blood-based analyses. The findings lay out a roadmap for future research aimed at understanding the biological pathways underlying Type 2 diabetes and developing more effective treatments. https://scitechdaily.com/massive-global-study-rewrites-the-biology-of-type-2-diabetes/ XX Express Scripts settled the U.S. Federal Trade Commission's claims its insulin pricing practices violated antitrust and consumer protection laws, and agreed to changes aimed at lowering costs for patients, insurers and small pharmacies The settlement, first reported by Reuters, fits with that goal, and allows the FTC to pare down a case brought by the former Biden administration against Cigna's Express Scripts, UnitedHealth Group Inc's (UNH.N), Optum unit and CVS Health Corp's (CVS.N), CVS Caremark. The case against Optum and Caremark is ongoing. Pharmacy benefit managers, which set how drugs are covered by health insurance, have faced a decade of scrutiny from regulators and lawmakers over pricing practices. While the industry has already made reforms, the settlement gives the FTC power to enforce broader changes at Express Scripts. The 10-year agreement restricts Express Scripts' ability to engage in practices critics say contribute to high costs, like pocketing rebate payments from drugmakers based on the list price of drugs. The FTC estimates the agreement could save patients as much as $7 billion over a decade. https://www.reuters.com/world/cigna-settles-ftc-insulin-case-commits-overhauling-drug-pricing-2026-02-04/ XX Audio? Congress has passed bipartisan legislation to extend and strengthen the Special Diabetes Program (SDP), a cornerstone of Federal investment in type 1 diabetes (T1D) research. The President signed the legislation and it is now law. Extends the SDP through December 31, 2026, and increases funding from $160 million to $200 million annually. Strengthens overall funding for the National Institutes of Health (NIH) by $415 million. Increases diabetes research funding at the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) by $10 million. Created by Congress and administered by the NIH, the SDP has contributed nearly $3.6 billion to T1D research and has played a role in nearly every major breakthrough in the field. A recent study conducted by Avalere Health shows that of the nearly 3.6 billion invested into the SDP by Congress since the establishment of the program, the Federal Government has realized $50 billion in healthcare savings through improved health outcomes from the use of SDP driven therapies and devices https://www.breakthrought1d.org/news-and-updates/congress-passes-bipartisan-extension-of-the-special-diabetes-program-securing-critical-t1d-research-funding/ XX Dexcom is rolling out what they're calling AI-enabled enhancements to Stelo, further transforming how users track and understand their glucose health. Expanded Smart Food Logging including a comprehensive nutrition database of more than 1M meals that provides a breakdown of calories, carbohydrates, protein, fat, dietary fibers, and more. More ways to meal track including text search, barcode scanning or taking a photo of the meal, creating a seamless and intuitive meal tracking solution. A redesigned Daily Insights feature which will introduce a new interface with more personalized recommendations. The newest features will launch nationwide in the coming weeks.  XX Beta Bionics has received a warning letter from the Food and Drug Administration following an inspection last year, the company disclosed on Friday. The diabetes technology company said in a securities filing that the warning letter concerns non-conformities with the company's quality management system, medical device reporting, and correction and removals. The warning letter has not yet been posted by the FDA.   The company said in the filing that it has already taken actions to improve the processes described in the warning letter, and it is working on a written response to the FDA.   The firm does not expect the warning letter to affect the planned launch of a new insulin patch pump by the end of 2027. Beta Bionics unveiled a prototype of the device, called Mint, last year at the American Diabetes Association's Scientific Sessions. The company also does not expect the warning letter to affect its financial results. https://www.medtechdive.com/news/beta-bionics-receives-fda-warning-letter/811140/?utm_source=Sailthru&utm_medium=email&utm_campaign=Issue%3A+2026-02-04+MedTech+Dive+%5Bissue%3A81423%5D&utm_term=MedTech+Dive&fbclid=IwY2xjawPwhDZleHRuA2FlbQIxMABicmlkETFaUUcyYmNQWldjZ2xudElic3J0YwZhcHBfaWQQMjIyMDM5MTc4ODIwMDg5MgABHouF8M3IstTyslPRgeHWUWVVdOAGOtzPWt_yNFcj9eYruqSPz3e86Iwcbpt8_aem_7q4D97vJVjHKfEwvoyUpgw XX Sequel Med Tech is reviewing co-founder Dean Kamen's ties to Jeffrey Epstein after recently released documents revealed new details about the longstanding relationship between the two men. The documents show that Kamen visited Epstein's island, and remained in contact with him for years after Epstein was convicted of sex crimes involving minors. Kamen has not been accused of any wrongdoing. In a statement, Sequel Med Tech said the Manchester-based company is aware of the documents pertaining to Kamen and – quote - "Sequel's Board of Directors has unanimously decided to engage an external law firm to review these disclosures and provide recommendations aligned with our mission to serve people living with diabetes," Kamen has not issued a statement regarding his reported connection to Epstein.   https://www.bostonglobe.com/2026/02/04/metro/nh-dean-kamen-jeffrey-epstein-review/ https://www.bostonglobe.com/2026/02/04/metro/nh-dean-kamen-jeffrey-epstein-review/ https://www.nbcboston.com/news/local/nh-inventor-placed-on-leave-after-epstein-messages-surface-report-says/3888569/ XX Abbot reports 860 serious injuries linked to the recall of some of its glucose monitoring sensors. We told you about this recall late last year, these numbers are an FDA update.     Abbott said the sensors can provide incorrect glucose readings over extended periods, which could lead to users making dangerous treatment decisions, including eating excessive carbohydrates along with skipping or delaying insulin doses, potentially leading to serious health risks. The company said it has identified and resolved the cause of the issue, which relates to one production line among several that make Libre 3 and Libre 3 Plus sensors.   https://www.reuters.com/business/healthcare-pharmaceuticals/abbott-recalls-glucose-sensors-after-seven-deaths-linked-faulty-readings-2026-02-04/ XX Updates from Medtronic & Senseonics – and a first from Nick Jonas.. right after this..   I'm excited to share that the FDA has cleared the MiniMed 780G system with the Instinct sensor, made by Abbott, for people with type 2 diabetes.  Medicare has also now approved coverage for the Instinct sensor for use with the MiniMed 780G system. This clearance and expanded coverage mean more people will have access to pairing our most advanced automated insulin delivery technology with the Instinct sensor, that offers a smaller, 15-day sensor experience.  They're also launching the MiniMed 780G system Pump Evaluation Program.  This program gives individuals living with diabetes the ability to try the full MiniMed 780G system at no cost for 30 days.† This includes the pump, the sensor of their choice, one month of infusion sets and reservoirs, everything but the insulin. They'll contact your doctor for you to get a prescription and get the process rolling. https://www.medtronicdiabetes.com/pump-evaluation-program XX Senseonics announced today that its Eversense 365 continuous glucose monitor (CGM) system received CE mark approval – that's European clearance.  This comes on the heels of the launch of Eversense 365 with Sequel Med Tech's twiist pump, marking the first pump integration for the CGM. Senseonics plans to launch Eversense 365 in Germany, Italy, Spain and Sweden in the coming months. Meanwhile, Senseonics continues to work toward an FDA investigational device exemption (IDE) submission for its next-generation Gemini transmitter-less CGM by the end of this year. https://www.drugdeliverybusiness.com/senseonics-ce-mark-eversense-365-cgm/ XX A huge shout out to Dr. Emily Blum, who just accomplished riding 100 miles in Antarctica for Breakthrough T1D! Despite having no direct connection to Type 1 Diabetes, Emily has been riding and fundraising for BreakthroughT1D for 10 years now. She is an integral part of the Georgia Ride team, training and riding many miles, and most importantly has raised tens of thousands of dollars to support the cause of ridding the world of T1D. She is surgeon and deeply involved with medical innovation, with an incredibly busy schedule, but jumped at the chance to take on the challenge of riding a century on every continent. Having already completed North America, Europe, Australia, Asia, and now Antarctica, only Africa and South America remain. Emily rides on and continues to be an inspiration to everyone who meets her. XX   https://diabetes-connections.com/t1d-connection-and-people-magazine-elise-zach-share-their-story/ XX Nick Jonas's becomes the first artist ever to wear a CGM on an album cover - new upcoming solo album Sunday Best, releasing Feb. 6.  The release says: This marks a powerful step forward in normalizing diabetes and raising awareness for the condition on a global scale. This moment adds to the growing visibility of diabetes in pop culture, alongside milestones like a Type 1 diabetes Barbie and Pixar characters wearing diabetes technology.

Pharmacy Radio 115 February 2026 Welcome to episode 115 of Pharmacy Radio. I have a really great show for you this month because Monococ takes over the decks in the second hour with a brilliant dark and groovy techno mix. In the first hour as always I've got some fantastic new tunes all programmed for a journey from melodic techno through full on psy! First Hour: Christopher Lawrence Space Motion, RIKO & GUGGA - Just Groove - Space Motion Records Alex Tort - Golden Sky - Polarity Underground Tippstrip - Encounter - Techgnosis Records Dosem - Momental - Houstrike SKIY - Beat Of The Drum - Siona Records Eremitage - Fly Away - Soupherb Records SLVR - Music 4 Ur Body - Simulate Recordings Mia Mendi, Blake Light - Lose Yourself - A State of Trance James Wesson - Right Now - Railed Music Diego Straube, Aender - Relaxation Method (Akari System Remix) - KOSMOS E-Clip - Cosmic Flow - Sounds Of Akasha Conduit, Charlotte de Witte - A Prayer for the Dancefloor (feat. Conduit) (Avalon & GMS Remix) - KNTXT Animato, Tamar Reili - Maisamma - Shamanic Tales Xandar - Luminous Depths - TechSafari Guest Mix: Monococ MONOCOC & ROCKETMAN_SPEECH TONIGHT (Original Mix) MONOCOC_PRESSURE (Original Mix) MONOCOC_1984 (Original Mix) MONOCOC_I REMEMBER (Original Mix) MONOCOC_DRYLAND (Original Mix) SAN NICOLAS & MONOCOC_REVOLUTION (Original Mix) MONOCOC_AURORA BOREALIS (Original Mix) MONOCOC_ETERNITY (Original Mix) MONOCOC_ANY DARKNESS (Original Mix) MONOCOC_SYMPHONIC SPACE (Original Mix) MONOCOC_SYMMERTY (Original Mix) MONOCOC_SHOW ME YOUR MIND (Original Mix)

A judge blocks California's mask ban for federal agents. LA County reveals the neighborhoods hit hardest, economically, by ICE activity. The Kaiser Permanente strike is causing big delays at the pharmacy. Plus, more from Morning Edition. Support The L.A. Report by donating at LAist.com/join and by visiting https://laist.comSupport the show: https://laist.com

In this first episode for 2026, Host Kerri Musselman, PharmD, BCACP, introduces Ashley Ramer, MSN, RN, to discuss the launch of EQUIPP Academy, a new educational platform designed to help pharmacy teams navigate value-based care and non-dispensing revenue opportunities. The conversation focuses on making clinical education accessible for busy pharmacy staff without interrupting patient care. EQUIPP Academy is structured around "micro-learning" modules. Most lessons are 5 minutes or less, allowing staff to gain essential knowledge on-demand during small gaps in their schedule.Who Should Participate: The academy is designed for all pharmacy team members, from new hires to seasoned staff, who handle EQUIPP data or patient outreach.Your pharmacy team can get started at https://equippacademy.com/

The Pharmacy 50 Awards are back for the 2025 season, celebrating the people who are pushing the profession forward through leadership, innovation, advocacy, education, and patient care. In Part 3 of this 4-part series, we spotlight an incredible group of pharmacy professionals and industry leaders representing the full spectrum of pharmacy—from independent practice and health systems to digital health, specialty pharmacy, philanthropy, and beyond. This series is designed to recognize the voices shaping the future of pharmacy and to inspire the next wave of leadership across healthcare.   Maurice Shaw, PharmD — Social Media Influencer Katarina (Kati) Forbes, PharmD — Social Media Influencer April Nguyen, PharmD — Technology & Digital Health Mike Johnston, CPhT — Pharmacy Technician Paul Shelton — Long term Care Pharmacy Pat Lavella, BS Pharm — Independent Pharmacy Mark Cuban — Advocacy, Policy, Regulation or Government Sue Ojageer, PharmD — Social Media Influencer Sammy Yafai, PharmD — Health System Hospital Pharmacy Saam Ali, MR Pharm — Technology & Digital Health Richard Dang, PharmD — Academia & Pharmacy Educator Trent Twomey, BPharm — Advocacy, Policy, Regulation or Government  

The field of candidates is set in the LA Mayor's race, including a former ally-turned rival to Karen Bass. Pharmacy workers join the strike against Kaiser Permanente. A mother from San Bernardino County is detained by ICE, even though her family says she was following all the rules. Plus, more from Morning Edition. Support The L.A. Report by donating at LAist.com/join and by visiting https://laist.comSupport the show: https://laist.com

340B Insight wants to make our podcast the best it can be. To help us succeed, we'd like to hear your thoughts. Please take just a few minutes to complete our listener survey, and we will enter you in a drawing to win a $100 gift card! To participate, please go to 340bpodcast.org/survey.For the third year in a row, we consulted 340B Health's experts on our staff to answer our listeners' most pressing 340B questions. As 2026 gets underway, we answer your questions about the CMS drug acquisition cost survey, what states are doing on 340B this year, and more. Some of the topics we cover:CMS Drug Acquisition Cost Survey Not MandatoryEarlier this year, the Center for Medicare & Medicaid Services (CMS) launched a new survey focusing on hospitals' outpatient drug acquisition costs, which could lead to Medicare Part B payment cuts for 340B drugs. Some hospitals recently saw materials suggesting they are required to complete the survey. Amanda Nagrotsky, vice president of legal and policy for 340B Health, notes that a CMS rule states there are no penalties under the Medicare statute for hospitals that choose not to respond. 340B Health and other groups sent a joint letter asking for the language to be corrected, citing the confusion it has caused.State Legislatures Are Becoming Major Battlegrounds for 2026Just over one month into 2026, statehouses are already shaping up to be one of the biggest venues to debate various aspects of the 340B. Two broad categories of bills are emerging: legislation protecting access to 340B pricing — including protections for contract pharmacy arrangements — and state-level reporting mandates. 340B Health Senior Vice President of Government Relations Tom O'Donnell says the proposed reporting mandates mirror other states' recently enacted requirements, and he argues they can be misleading, burdensome, or modeled on frameworks promoted by large drug companies.Medicare Announces More Drug Price Caps for 2028Medicare is phasing in maximum fair pricing – or MFP – for high-spending drugs over several years. CMS recently announced the next group of 15 drugs that will be subject to these types of price caps in 2028, adding to the 2026 and 2027 drug lists. Starting in 2028, these price caps will apply to both Medicare Part D and Part B drugs, including those purchased through Medicare Advantage. 340B Health Senior Manager of Pharmacy Services Gilda Yeboah says this means hospitals will see reduced 340B savings on certain drugs as Medicare prices move closer to existing 340B ceiling prices. Yeboah says the issue is complex and evolving, and 340B Health is working to share concerns about MFP implementation with federal agencies.Resources340B Health and Allies Urge CMS Contractor To Correct Statement Suggesting Hospitals Must Respond to OPPS Drug Cost SurveyStates Introduce New 340B Legislation in 2026 SessionsMaine Federal Court Rejects Drug Company Challenge to State 340B Contract Pharmacy LawMedicare Expands List of Drugs Subject to Price Caps, Decreased 340B Savings Starting in 2028Manufacturer Notices to Covered EntitiesHRSA Releases 340B Purchase Data for 2024FY 2025 Manufacturer Audit Results

Welcome back to Dr. M's Women and Children Firsts Podcast. Today's conversation sits at the crossroads of chemistry, skepticism, and clinical innovation. Our guest is Nayan Patel, a pharmacist with more than three decades inside the world of drug formulation and delivery. He is an alumnus of the University of Southern California School of Pharmacy, where he now serves as adjunct faculty, teaching advanced biochemistry and compounding science. Over the years, he has become an international educator on one molecule that refuses to stay quiet: glutathione. Dr. Patel is the founder of Auro Wellness, launched in 2011 with a specific mission—stabilize glutathione and solve its delivery problem. His work led to the development of the Auro GSH™ Antioxidant Delivery System, a topical approach designed to improve absorption of this notoriously fragile molecule. He is also the author of The Glutathione Revolution, a deep dive into how glutathione influences detoxification, aging, energy production, and immune resilience. If you've spent time in integrative medicine, you've heard glutathione called the “master antioxidant.” That phrase can sound like marketing, but the biology is real. Glutathione is a three–amino acid peptide central to redox balance, mitochondrial function, immune signaling, and cellular survival. It does not just neutralize oxidative stress; it regulates how cells respond to it. The challenge is delivery. Oral glutathione is largely broken down in the gut. IV glutathione works, but it's impractical for most families. Precursors like NAC depend on intact metabolic pathways that may not be operating optimally in states of chronic stress or inflammation. Dr. Patel asked a disruptive question: what if the bottleneck isn't production—but delivery? Today we unpack the science and the skepticism around transdermal glutathione. Can a molecule like this meaningfully cross the skin barrier? What does stabilization actually require? And how does independent pharmaceutical innovation differ from traditional drug development pathways, which are often constrained by economics as much as biology? For those of us caring for women and children—where oxidative stress, immune dysregulation, mitochondrial strain, and toxic burden intersect in everything from complicated pregnancies to neurodevelopmental challenges—this conversation matters. Not as a silver bullet. Not as a miracle spray. But as an exploration of foundational physiology and thoughtful delivery science. This is a discussion about how molecules move, how systems adapt, and how asking better questions can reshape clinical practice. Let's dive in. Dr. M Auro Wellness

This episode of VHHA's Patients Come First podcast features Dave Dixon, PharmD, Chair of Pharmacotherapy and Outcomes Science and a Professor at the VCU School of Pharmacy. He joins us for a conversation about his professional path, the work of the Center for Pharmacy Practice Innovation, the recent launch of the Voices in Pharmacy Innovation Podcast, and more. Send questions, comments, feedback, or guest suggestions to pcfpodcast@vhha.com or contact on X (Twitter) or Instagram using the #PatientsComeFirst hashtag.

In this episode, Scott Knoer, PharmD, MS, FASHP, Regional Chief Pharmacy Officer, shares how he is transforming pharmacy at MercyOne by building ambulatory and specialty infrastructure, strengthening leadership teams, and driving improvement in both outcomes and the system's bottom line.

 Independent pharmacies are dispensing more prescriptions than ever—but too many are seeing their profits shrink month after month. In this episode of This Week in Pharmacy, hosts Todd Eury and CEO of MatchRx Johny Kello sit down with Saeed Dinno Director of Pharmacy for a group of independent pharmacies in MI. For a practical, plain-English breakdown of one of the most overlooked metrics impacting pharmacy profitability: GCR, let's dive into this! This episode isn't about policy debates, compliance theory, or vendor hype. It's a real-world conversation designed to help pharmacy owners, managers, and buyers understand how everyday sourcing and dispensing behaviors directly influence margin—often without anyone realizing it. Saeed explains what GCR actually measures, what it does not measure, and why two pharmacies filling the exact same prescription can end up with completely different financial outcomes. From convenience buying and emergency orders that become routine, to default NDC selection and a disconnect between the buyer and the bench, the episode highlights the subtle habits that quietly erode profitability over time. More importantly, the conversation delivers actionable steps pharmacies can implement immediately. Saeed outlines the core disciplines that improve performance—smarter buying strategy, better alignment between purchasing and dispensing, and simple operational guardrails that don't slow workflow. The focus is not on “working harder,” but on working differently. The episode closes with a clear, clip-worthy takeaway: one specific action pharmacy leaders can take this month to start moving the needle. If you've ever wondered why your pharmacy is busy but the numbers don't reflect it, this is an episode you'll want to listen to twice—and put into practice the very next day. Second segment of TWIRx is with Jonathan Adly, CEO of TJM Labs, to discuss his powerful new book, The Innovative Pharmacy: How to Build an 8-Figure Pharmacy One Idea at a Time. At a time when independent pharmacies are being squeezed by rising labor costs, shrinking reimbursements, and increasing operational complexity, Adly delivers a refreshing message: success is still possible—but it requires innovation, clarity, and execution. Jonathan shares why this book is not a “one-size-fits-all” business blueprint, but a collection of real-world frameworks inspired by hundreds of high-performing pharmacies across the U.S. and Canada. We explore the principles behind sustainable growth, including identifying your ideal customer, building scalable systems through automation, simplifying operations, and playing offense when the math works. This conversation is a call to action for pharmacy leaders ready to build smarter, faster, and stronger—one bold idea at a time. This episode of TWIRx is sponsored by MatchRx, TJM Labs, Independent Pharmacy Cooperative (IPC) and Sykes & Company. 

The 340B Program is a lifesaver for our Kansas community. 

Learn from experts in the field of Opioid REMS including appropriate treatment for pain management including opioids, non-opioid analgesics, and non-pharmacological therapies. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

Send us a textSchedule an Rx AssessmentWith Medicare's Maximum Fair Price (MFP) rebates officially underway and the 340B rebate mechanism on hold, pharmacy owners are left navigating one of the grayest areas the industry has seen in years.In this episode, Scotty Sykes, CPA, CFP®, Bonnie Bond, CPA, MBA, and Austin Murray sit down with Julie Crozier, CEO at  @secure340b to unpack how MDPNP is colliding with 340B and what pharmacies should be paying attention to right now.We cover:How MDPNP and MFP rebates are flowing todayThe duplicate discount problem no one is reconcilingBeacon's role and why future reconciliation risk mattersDispensing fee pressure, CE relationships, and contract implicationsPractical considerations if TPAs or covered entities push for carve-outsAnd more!More About Our Guest:As CEO of Secure340B, Julie is responsible for formulating and executing strategic plans and technology to deliver critical and timely intel to 340B stakeholders. Julie has over 25 years of pharmacy experience including co-founding, growing and leading a pharmacy software company, Macro Helix, which was acquired by McKesson Corp (NYSE: MCK) in 2012. Julie also has experience in retail pharmacy, long-term care, state Medicaid programs and healthcare revenue cycle. She holds a Bachelor's in Pharmacy and a Master's in Pharmacy Administration from The University of Texas at Austin.Julie serves on the board at Crossroads Community Services, a food pantry, and lives in Dallas, Texas with her husband and 2 daughters.Stay connected with Julie and Secure340B: Julie Crozier LinkedInSecure340B WebsiteSecure340B FacebookSecure340B LinkedInSecure340B InstagramStay connected with us: FacebookYouTube LinkedInInstagramMore resources on this topic: Podcast - Driving Independent Pharmacy Profitability in 2026Podcast – The Startup Compounding Pharmacy PlaybookPodcast – Inside the Fight for Compounding: Advocacy, Growth, and Regulation

Jesse Dresser, Esq, joined Over the Counter to provide necessary insights into recently signed PBM reform set to revolutionize the distribution of pharmacy benefits.

Smart toothbrushes have gone from novelty gadgets to genuinely sophisticated pieces of technology. They now feature Bluetooth connectivity, AI-powered brushing guidance, pressure sensors and apps that track brushing technique with alarming precision. Top-of-the-range smart toothbrushes can cost around €400, which is roughly the same price as a decent smartphone. The question is: does spending that kind of money on a smart toothbrush actually make sense? The pros and cons of smart dental tech Expensive gadgets that promise to revolutionise mundane tasks are often met with scepticism. Dental tech, however, occupies slightly different territory. Oral health has genuine long-term consequences, and most people are objectively poor at brushing their teeth properly. What you're actually paying for with smart dental tech Premium electric toothbrushes aren't just vibrating sticks with fancy packaging. The technology inside has become genuinely sophisticated. High-end models like Philips Sonicare 9900 DiamondClean Prestige use sonic or ultrasonic vibrations at frequencies that manually brushing simply cannot match. We're talking 30,000+ brush movements per minute creating fluid dynamics that clean between teeth and along the gum line. The smart features include pressure sensors that stop you scrubbing too hard and damaging enamel, timers that ensure you brush for the recommended two minutes, and position tracking that tells you which areas you're neglecting. The apps connect to your phone via Bluetooth, providing real-time feedback and building a picture of your brushing habits over time. The pressure sensor alone justifies the cost Here's something most people don't realise: brushing too hard causes more damage than not brushing enough. Aggressive brushing wears down enamel, causes gum recession, and leads to sensitivity issues that are expensive and unpleasant to fix. A single crown or veneer in Ireland will cost you far more than even the most premium electric toothbrush. Pressure sensors solve this problem elegantly. The brush automatically reduces power or stops entirely when you're pressing too hard, training you to use proper technique. After a few weeks, you naturally adjust your brushing style. It's the kind of feature that seems minor until you realise it's preventing hundreds or thousands of euros in future dental work. The Irish dental cost factor Irish dental care is notoriously expensive compared to much of Europe. A routine hygienist appointment costs €60-80, fillings start around €80-100 and anything more serious quickly runs into hundreds. The HSE covers very limited dental care for adults, meaning most of us are paying out of pocket for everything. In this context, investing in prevention makes financial sense. If a €400 toothbrush helps you avoid even one filling or root canal over its lifetime, it's paid for itself. Most premium electric toothbrushes last 5-10 years with proper care, meaning the daily cost works out to less than 20 cents – cheaper than your morning coffee. Where to find smart electric toothbrushes without the markup Electric toothbrushes carry ridiculous markups in some retailers. Pharmacies and department stores often charge full RRP, and even online retailers frequently inflate prices. Although you can find comprehensive smart dental tech on Notino at significantly better prices than traditional outlets. This matters because the barrier to entry is often price rather than effectiveness. If you can get a quality sonic toothbrush for €100-150 rather than €300+, the value proposition becomes much clearer. You don't necessarily need the absolute top-tier model to see benefits – mid-range options from reputable brands like Oral-B or Philips offer most of the important features at more accessible price points. The app experience varies wildly Bluetooth connectivity and companion apps are standard on premium models now, but the quality varies enormously. Some apps are genuinely useful, providing action...

Kiera is joined by the tooth-healer himself, Jason Dent! Jason has an extensive background in pharmacy, and shares with Kiera where his pharmaceutical experience has bled over into dentistry. This includes the difference between anti-quag and anti-platelet and which medications are probably safe, what to do to shorten the drag time in the pharmacy, how to write prescriptions most efficiently, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and today is a really awesome and unique day. It is, think the second time I've had somebody in the podcast studio with me live for a podcast and it's the one and only Jason Dent. Jason, how are you? I'm doing well. Good morning. Thanks for having me. It is crazy. I I watch Instagram real like this all the time where people are like in the podcast and they're hanging out on two chairs and couches and now look at us. We're doing it. Cheers. Cheers.   That was a mic cheer for those of you who are only listening, but yeah, Jace, how does this feel to be on the podcast? It's weird. Like I was not nervous at all talking about it. I got really nervous as soon as you hit play. So if I stumble over my words, please forgive me ahead of time. Well, Jason, I appreciate you being on the podcast because marketing had asked me to do a topic about teledentistry and I was like, oh shoot, that's like not my forte at all. so   You and I were actually chatting in the hot tub. call it Think Tank session and you and I, we have a lot of good ideas that come from that Think Tank. A lot of business. no phones. That's why. We do leave our phones out. But I was talking to Jason and this is actually a podcast we had talked about quite a while ago. Jason has a lot of information on pharmacy. And if you don't know, Jason isn't really, we were going through all of it last night. It's kind of a mock in the tub. And I think it's going to be great because I feel like this is an area, I'm working at Midwestern and   knowing about how dentists, pharmacology was surely not your favorite one. Jason actually helps a lot of dentists with their clearances. And so we were talking about it and I like it will just be a really awesome podcast for you guys to brush up on pharmacology, different things from a pharmacist's side. So Jason, welcome. Thank you. Yeah, no, we were talking about it and here's like, what should I talk about on the podcast next? I have all these different topics and she's like, what do you know? And the only real interaction I have with dentists is doing clearances for procedures. We get them all the time, which makes sense.   Lots of people are on blood thinner, I've always told Kiera, like, hey, I could talk about that. Like, that's kind of a passion of mine. I'm not a dentist. Or my name is Jason Dent. So in Hebrew, Jason means tooth. No, no, no, sorry. Nerves are getting to me. Jason means healer and Dent means tooth. So my name means tooth healer. So, here's a little set. Hold on, on, hold Can we just talk about? I brought that up before you could talk about it more. So.   My name means tooth healer but I did not become a dentist. I know you wanted me to become a dentist. did. I don't know why. I enjoy medicine. I know what you're going to get to already. The things you're going to ask me. There's been years of this. But nevertheless, that's my name. We'll get that out of the way. But you did give me a great last name. So I mean, it's OK. You're All is fair and love here. SEO's up for that. But yeah, Jason, I'm going to get you right into the show. And I'm going to be the host. And we're going to welcome to the podcast show. Jace, how are you?   Good, good, good. Good, good, good. So by getting into clearances, right? This is what you're kinda talking about with you know, before we get to clearances, I actually wanted Jason, for the listeners who don't know you, who haven't talked to you, who don't know, let's kinda just give them like, how did you go from, Kiera wanted you to be a dentist, to now Jason, you are on the podcast talking as our expert on pharmacy. fantastic. I've always really loved medicine, a ton. As a kid getting headaches and taking Excedrin, like you just feel like a miserable pile of crap.   and then you take two pills and all of a sudden you feel better. Like that's amazing, like how does that happen? Also getting ear aches as a kid, just being in so much pain and then taking some medicine and you start feeling a lot better. I always had a lot of appreciation for that. I've always been mechanically inclined. I went to, started doing my undergrad and took biology and learned about ATP synthase, which is a spinning enzyme that's inside the mitochondria, like a turbine engine. I used to work on small engines on my dirt bike and thought that is so cool. So I really got wrapped up into chemistry.   All the mechanics of chemistry really pulled me in. I'm not getting goosebumps. checking. I usually get goosebumps when I think about chemistry. But it's so cool. You think an engine's awesome, like pistons and camshafts and pressures, the cell is the same thing. It's not as loud, so it's not as cool. But it's fascinating. that's why we're like. ⁓   chemistry and really got into coagulation. So I did my residency after pharmacy school. we went to Arizona for three years. ⁓ You did and your main focus, you were never wanting to be the guy behind the counter. No, I haven't done that. Yeah. No, I love them though. I've always really want to go clinical. ⁓ But I love my retail ⁓ pharmacists. They're amazing resources. And ⁓ I use the retail pharmacist every day still to this day, but I went more the clinical route, really love the chemistry aspect of it.   did my doctorate degree and then I did my residency in Reno. Reno's kind That's how we got here everybody. Welcome to Reno. Strategically placed because I was really interested in critical medicine and where we're located we cover a huge area. So we pull in to almost clear, we go clear to Utah, clear to California, all of Northern Nevada. We get cases from all over. So we actually are kind like the first hub of care for lot of areas. So we really get an eclectic mixture of patients that come in that need-   all kinds of different cases that are coming to them. So it's what I really wanted. So I did my residency in critical care there. And then for the next 10 years, I worked in vascular medicine with my final five years being the supervisor of the clinic. Ran all the ins and outs of that. So my providers, two doctors were on our view. So when we talk about dentistry, talk about production, those kinds of things, totally get it. My doctors were the exact same way, my vascular providers. ⁓   There's some pains there, right? You wanna be seeing patients as much as possible, being able to help as many people, keeping the billing up. And had other nurse practitioners, four practitioners, a fleet of MAs, eight pharmacists. We also had that one location we had, going off the top of my head, I think we had eight locations running as well. And we took care of all the different kinds of vascular cases that came to us. Most common was blood clots, ⁓ which is just a...   which is an easier way of saying VTE. There's so many different ways to say a blood clot. Like you might hear patients say, I've had a PE or a DVT or a venous thromboembolism or a clot in my leg, right? They're all clots, but in different locations. Same with an MI, and MI can be a clot as well. ⁓ there's a lot of, everybody's kind of saying the same thing, but sometimes the nomenclature can make it sound hard, but it really is actually pretty simple.   No. And Jason, I love that you went through, you've been in like, and even in your, ⁓ when you were getting your doctorate, you were in the ER. You also worked in retail pharmacy. remember you having a little sticker on your hand. And retail pharmacy, I have a lot of respect for those guys. They have a lot of pressure on them. and then you also, ⁓ what was that test that you had to take that? I don't know. You were like studying forever for it. ⁓ board certification for, ⁓ NABP. Yeah. So I did that board certification as well.   And now you've moved out of the hospital side onto another section in your career. Now in the insurance, right? So it's really, really interesting. So now I'm on the other side reading notes and evaluating clinical appropriateness and trying to help patients with getting coverage and making those kinds of determinations. So yeah, I've really jumped all over. Really love my clinical days. I know. don't I don't I do miss them. But yeah, kind of had a good exposure to a lot of.   pharmacy a lot a lot of dentists actually with all the places that come through which Jason I really appreciate that and honestly I know you are my spouse and so it's fun to have you on but when I go into conversations like this I don't know any of this information and so finding experts and Jason I think here's me talk more about dentistry and my business than I do hear about him on pharmacy so as we were chatting about this I really realized you are a wealth of knowledge because you've been on the clinical side so you've done a lot of patient care and you've seen how   medications interact and I know you've had a few scares in your career and ⁓ you've known some physicians that have had a few scares and ⁓ you've seen plenty of patients pass away working in the ER and gosh in Arizona drownings were such a big deal. I remember when you were in the ER on your rotations I'd be like who died today? Like tell me the stories and you've really seen and now going on to the insurance side I felt like you could just be such a good wealth of knowledge because I know dentists are sometimes so   I would say like maybe just a little more anxious when it comes to medications. I know that dental students from Midwestern were like here was like four months and we had to like pass it, learn it. And Jason, you've done four years plus clinical residency, plus you've been in it. And something I really love about Nevada Medicine is they've been so collaborative with you.   like your heart, your cardiologist, they diagnose and then they send to you to treat with medicine and... Yeah, I've been really lucky being here in Reno too. The cardiology team has been amazing to work with. We started a CHF program, sorry, congestive heart failure program for patients. So we would collaborate with cardiologists. They'd see the cardiologists and then they send them to the pharmacist to really manage all the medications. So there's pillars of therapy ⁓ called guideline directed medical therapy and the pharmacist would take care of all that. So that's gonna be your...   your beta blockers, your ACEs, your ARBs, your Entresto, which would be a little bit better, spironolactone. So just making sure that all these things are dosed appropriately, really monitoring the heart, and make sure that patients are getting better. we've had real positive outcomes when the, sorry, this is totally off topic. do, talk about that study. When we looked at when patients were coming to see our pharmacists in our clinic that we started up, the patients were half as likely to be readmitted. And this was in 2018, and our pharmacists,   We're thinking about all the medications. We're usually adjusting diabetes medications too at the same time. Just kind of naturally just taking care of all the medications because we kind of got a go ahead from the providers, a collaborative practice agreement that we could make adjustments to certain medications within certain parameters. So we weren't going rogue or maverick, but we were definitely trying to optimize our medications as much as possible. And then years later, some studies came out with, I'm sure you've seen Jardins and Farseegh. not trying to, I'm not.   I don't get any kickback from them. I have no conflicts to share. But because our pharmacists were really optimizing that medication, those medications were later shown to reduce hospitalizations and heart failure, even though they're diabetes medications. Fascinating. So it wasn't really the pharmacists. It was just the pharmacists doing as much as they can with all the tools that were in front of them. And then we found out that the patients were going back to the hospital.   half as much as regular patients. So, yeah, being here, it's been so amazing to work with providers here. the providers here want help, want to help patients, don't have an ego. I mean, I just, it's awesome. I love it. I do love how much I think Jason sees me geek out about dentistry and I watching Jay's geek about his pharmacy and how much he loves helping patients. And ⁓ really that was the whole idea of, all right.   Dentistry has pharmacy as a part of it. And I know a lot of dentists are sending in clearances and I know working in a chair side, it would be like, oh no, if they're on warfarin or on their own blood clot, you guys, honestly don't even know half of what I'm talking about because this is not my jam, which is why Jason's here. But I do know that there was always like, well, we got to talk with their provider. And so having Jason come in and just kind of explain being the pharmacist that is approving or denying or saying yes or no to take them off the blood thinners in different parts, because you have seen several dental   I don't know what they're called. What is it? Clarence's? that what comes to you? don't even know. All day my mind, it's like, here is the piece of paper that gets mailed to you to the pharmacist and then you mail it back. So whatever that is. But Chase, let's talk about it because I think you can give the dentist a lot of confidence coming from a pharmacist. What you guys see on that side. When do you actually need to approve or disapprove? Let's kind of dig into that. Yeah. Well, first of all, I think I'm not a replacement for any kind of clinical judgment whatsoever. Every patient's different. But the American Diabetes Association, you   I work with diabetes a lot. American Dental Association has some really great guidelines on blood thinners and I would always reference them. I actually looked at their website today. Make sure I'm up to speed before I get back on this again. They have resources all around making decisions for blood thinners. And I think the one real important thing in putting myself in the shoes of a dentist or any kind of staff that's around a patient that's in a chair, if they say I'm on a blood thinner, right, a flag goes up. At least in my mind, that's what goes up.   Like, okay, how do we get across this bridge? And I think the important thing to really distinct right then when they say they're on a blood thinner is that is kind of a slang word for a lot of different medications, right? Like it's the overarching word that everybody pulls up saying, I'm on a blood thinner. It's like, okay, but I don't know what say. It's like, I have a car. You're like, okay, do you have a Mazda? Do you have?   Toyota, Honda, what do you have? or even worse it'd be like saying I have a vehicle, right? So when somebody says they're on a blood thinner, it opens up a whole box of possibilities of what they're Blood thinners are also, doesn't, when they're taking these types of medications that are quote unquote a blood thinner, it doesn't actually thin the blood, like adding water to the blood, if that makes sense, or like thinning paint, or like thinning out a gravy, right? It doesn't do the same thing. Blood thinners, really what they're doing is they're working on the blood, which.   which is really cool, try not to tangent on that. ⁓ When they're working on the blood, it's not thinning it per se, but it's making it so that the proteins or platelets that are in it can't stick together and make a cloth quite as easy. So whenever somebody's on a blood thinner, I usually ask, what's the name of the blood thinner that you're on? It's not bad that they use that slang, that's okay, on the same page, but it's really broken into two different classes. There's anticoagulant and antiplatelet.   And a way to kind of remember which is which, when residents would come through our clinics, the way that I teach them is a clot is like a brick wall. You know, it's not always a brick wall. Usually the blood is a liquid going through. But once they receive some kind of chemical message, it starts making a brick wall with the mortar, which is the concrete between the and the bricks, the two parts. When it's an anti-quagent, it's working on that mortar part. When it's an anti-platelet, it's working on the bricks part, right? You need both to make a strong clot or strong brick wall.   But if you can make one of them not work, obviously like if your mortar is just water, it's not working, right? You're not gonna make a strong brick wall. So that's kind of the two deviants right there. So that's what I do in my mind real quickly to find out because antiplatelets are usually, so that's gonna be like your Plavix, Ticagrelor, Brilinta. And hold on, antiplatelets are bricks? Good job, bricks. They're the bricks. And so the reason I was thinking you could remember this because I'm, antiplatelets, it's a plate and a plate is more like a brick.   And anti coagulant, I don't know why quag feels like mortar to me, like quag, like, know, it's like slushy in the blood, like it's coagulating. It's a little bit of that, like, honestly, I'm just thinking like coagulated blood is a little bit more mortar-ish. And so platelet is your plate, like a brick, and anti-quag is like.   the gilly between the bricks. Okay, okay, I got it. Yeah, so there's an exception to every rule, but when they're on that Don't worry, this is Kiera, just like very basic. You guys are way smarter listening to this, and that's why Jason's here. No, no, you helped me pass pharmacy school. When we were doing all the top 200, you helped me memorize all know what flexorill is, all right? That's a muscle relaxant. Cyclo? I don't know that part. It's a cyclo, because you guys are cycling and flexing. I don't actually know. just know it's a muscle relaxant, so that's about as far as I got. When we're looking at antitick platelets, so that's the brick part, so that's going to be your, you know,   Hecagrelor, Breitlingta, Clopidogrel is the most common one. It's the cheapest one, so probably see that one the most. Those, I mean, there's an exception to every rule, but that's generally being used after like a stent's placed in the heart. It can be used for VTE, there's some out there, but that's pretty rare. But also for some valves that are placed in the hearts, it can be used for that as well. So antiplatelet, really thinking more like a cardiac event, right? Like I said, there's always an exception to every rule, but that's kind of where my mind goes real quickly, because we're gathering information from the patient.   They're on anticoagulant. Those are like going to be the new ones that you see commercials for all the time. So Xeralto, Alequis, those are the two big ones right now. They're replacing the older one. And also we were supposed to do a disclaimer of this is current as of today because the ADA guidelines do change. this will be current as of today. And Jason, as a pharmacist, is always looking up on that. I had no clue that you are that up to speed on dental knowledge. so just throwing it out there that if you happen to catch his podcast,   a few years back that obviously check those guidelines for sure. But the new ones are the Xarelto and Eloquist. They're replacing the older ones of warfarin. Warfarin's been around for a really long time. We've seen that one. Those are anti-coagulants. So when you're looking, when a patient says that, generally they're on that medication because they've possibly had a clot in the past or they have a heart condition called atrial fibrillation. Those are kind of the two big ones. Like I said, there's always caveats to it, but that's kind of where my mind goes real quickly. And then,   as far as getting patients cleared, the American Dental Association has really good resources on their website. You can look at those and they're always refreshing that up. They even say in their own words that there's limited data around studying patients in the dental chair and with anticoagulants or anti-platelets. It's pretty limited. There's a few studies, some from 2015, some from 2018. There's one as recent as 2021, which is nice. But really, all of those studies come together and it's really more of an expert consensus.   And with that expert consensus, they have kind of simplified things for dentistry, which is really nice. ⁓ comparing that to, we have more data for like total hip replacement, total knee replacement. We have a lot of data and we know really what we should be doing around then. But going back to dentistry, we don't have as much information, so they always say use clinical judgment, but they do give some really great expert guidance on that. So if a patient's on an anticoagulant, ⁓   they generally recommend that it doesn't need to be stopped unless there's a high bleeding risk for a patient. as a provider or as a clinician in the practice, you can be looking at high bleeding risk. Some things that make an oral procedure a little bit lower risk is one, it's in the compressible site, right? Like we can actually put pressure on that site. That's the number one way to stop bleeding is adding pressure. It's not like it's in the abdominal cavity where we can't get in and can't apply pressure. So number one, that kind of reduces the bleeding risk.   is number one. Two, we can add topical hemostatic agents. Dentists would know that better than me. There's a lot of topical ways to do that. So not only pressure, but there's those things as well. And also, but there are some procedures that are a little bit more likely to bleed. And that's where you and dentists would come in hand in What's the word in APO? Oh, the APOectomy. I got it right. Good job. like, didn't you tell me last night that the ADA guideline was like what?   three or four or more teeth? great question. So you can extract one to three teeth is what their expert consensus One to three teeth without. Without really managing or stopping anticoagulation or doing anything like that. I think that's some good guidance from them. I'm gonna add a Jasonism on that though. So with warfarin, I do see why dentists would be a little bit more conservative or worried about stopping the warfarin because warfarin isn't as stable as these newer agents. Warfarin, the levels.   quote unquote levels can go really high, they can go really low. And if the warfarin levels are high, they're more likely to bleed. So I do think it makes sense to have a really recent INR. That's how we measure what the warfarin's doing. I think that makes a lot of sense, but the ADA guidelines really go into the simplification version of all these blood thinners. Generally, it's recommended to not stop them because the risk of stopping them outweighs the benefit of stopping them in almost every case. Almost every case.   ⁓ So when you're with that patient, right, they say I'm on a blood thinner, finding out which kind of blood thinner that they're on, you find out that they're on Xeralto, right? How long have you been on Xeralto for? I've been on it for years. You don't know exactly why, but if they haven't had any recent bleeding, you're only gonna remove one tooth. ⁓ You can do what's called a HasBlood score. That kind of looks at the bleeding risk that they'd have. That'd be kind of going a notch above, but in my mind, removing one tooth isn't a real serious bleeding risk. I'd love to hear from my dentist friends if they...   disagree, right, but ADA says one to three tooth removals, extractions, that's the fancy word. Extractions, yeah, for extracting teeth out. Is not really that invasive. Sure. It's not that high risk, so it's usually perfectly fine. So if a patient was on Xarelto, ⁓ no other, this is in a vacuum, right? I'm not looking at any other factors, which you should be looking at other factors. I would be perfectly fine to just remove one to two.   And when those clearances come in, because dentists do send them, talk about what happens. You guys were working in the hospital and you guys would get these clearances all the time. do. We get them so often. I mean, we get like four or five a day. We'd love to give it to our students, student pharmacists, and ask them what to do. And they would usually look up the American Dental Association guidelines and come up with something. We're like, yep, that's what we say too. In fact, we say it so many times a day that we have a smart phrase.   which just blows in the information real quickly and faxes it right back to the So it's like a copy paste real quick. So what I wanted to point out when Jason told me this is dentists like hearing this and learning this, this can actually save you guys a ton of time to be able to be more confident, to not need to send those clearances on. And we were actually talking last night about how I think this might be a CYA for dentists. like, as we were talking, I think Jason, you seeing so many other aspects of medicine, like you've literally seen patients die, you've seen other areas.   And so coming from that clinical vantage point, we were realizing that dentists, we are so blessed to live in an injury. I enjoy dentistry because possibly there's someone dying, not super high, luckily in dentistry. The only time that I have actually had a doctor have a patient pass away, and it was only when they were completely sedated and doing ⁓ some other things, but that was under the care of an anesthesiologist. And so that's really our high, high risk. And so hearing this, Jason,   That was one of the reasons I wanted him to come on is to give you doctors more confidence of do we have to always send to a pharmacist? I mean, hearing that on the pharmacy side, they're just sending these back and not to say to not see why a to not cover this because you might be questioning like, well, do I really need to? But you also were talking about some other ways of so number one, you guys are just going to copy back the 88 guidelines. So so 88 guidelines. Yeah. And I think that that gives a lot of confidence to a provider or a dentist is that you can go to the 88 guidelines and read them, right? Like you're listening to some   nasally monotone pharmacist on a podcast. Rumor has it, people love him at the hospital. were like, you're the voice, he's been told he has a good radio So for the clinic, I was the voice. Like, yeah, you've reached the vascular clinic, right? And they're like, oh my gosh, you're the voice. But sorry, you me distracted. That'll be your next career, Jace. You're going to be a radio host. OK. I would love that. I love music. But you're hearing from a nasally guy, but you can actually read the ADA guidelines. You just go right to the ADA, click on Resources, and under Resources, it has the   around anticoagulants, I think that's the best way to get a lot of confidence about it because they have dentists who are the experts making calls on these. I'm just reiterating what they say, but I think it makes a lot of sense to help providers. And the reason why my heart goes out to you as well is having the providers that used to work underneath me, they're always looking for our views, which is a fancy way of making sure that they're drilling and filling. Can I say that? Yeah, can say drilling and filling. They're being productive, right? They're being productive, right?   They're always looking to make sure if a patient's canceling, like get somebody in here. Like I need to be helping people all day long. That's how I, we keep the lights on. That's how I help as many people. And so if you have a patient coming in the chair and it has an issue, they say I'm on Xeralto. Well, you can ask real quickly, why are you on Xeralto? I had a clot 10 years ago. my gosh. Well, yeah, we're pretty good to go. Then I'm not worried. We're only removing one tooth or we're just doing a cavity or a cleaning. Something like that. Shouldn't be an issue whatsoever because there's experts in the dental. ⁓   in the dental society, the ADA guidelines that recommend three teeth or less, minimally invasive. They really recommend if it's gonna be really high bleeding risk. And clinically, that's where you would come in, ⁓ or yourself. know, apioectomy is one that's like on the fence line. I don't know where implants set. though, and like we were talking, implants aren't usually like a date of procedure. Most people aren't popping in, having tooth pain, and we're like, let's do an implant. Now sometimes that can be the case, but typically that one's gonna have   a few other pieces involved. And so that is where you can get a clearance if you want to. ⁓ But we were really looking at this of like so many dentists that I know that you've seen will just send in these clearances because they are. And I think maybe a way to help dentists have more confidence is because you know, I love routines. I love to not have to remember things. So why don't we throw it in, have the team member set it up where every quarter we just double check the ADA guidelines. Are there any updates? Are there any other things that we need to do on that? That way you can just see like   getting into the language of this, of what do I need to do? Because honestly, you guys, know pharmacy was not a big portion for it, so, recommending different parts, but I think this is such a space where you can have confidence, and there's a few other things I wanna get to, and I you- I some pearls too. Okay, go. I'm so when she get me into talking about drugs, I'm not gonna stop. So, some other things around that too is these newer blood thinners like Xarelto Eloquist, they now have reversal agents, so a lot of providers in the past were really worried about bleeding because we can't turn it off. We can turn those off. Warfarin has reversal as well, right?   So I'm looking at these patients. It's really low risk. It's in the mouth, generally speaking. Very rarely are they a high bleeding risk. Now if you're doing maxillofacial surgery, this does not apply, right? This does not apply whatsoever. you're like general dentist, you're pediatric dentist. Yeah, yeah, and it's kind of on the fly. So just trying to really help you to be able to take care of those patients on the moment, have that confidence, look at the ADA guidelines, have that in front of you. I don't think it's a bad thing to ever...   check with their provider if you need to. If you're thinking, I feel like I should just check with the provider, I would never take that away from you. But I just want to kind of steer towards those guidelines that I have to help. But what did you want to share? No, yeah, I love that. And I think there were just a few other nuggets that we were chatting about last night that can help dentists just kind of get things passed a little bit easier. So you were mentioning that if they were named to their cardiologist, what was it? was like, who is the last? Great question. Yeah, when a patient's on a blood thinner,   It could be prescribed by the cardiologist. It could be prescribed by the family provider or could have been punted to like a vascular clinic like where I was working. It can go to any of those. And when you send that fax, right, if it goes to the cardiologist and it's supposed to go to the family care provider, like it just kind of goes, goes nowhere, right, from there. So I think it's a really good idea to find out who prescribed it last. If the patient doesn't know who prescribed their blood thinner last, you can call their pharmacy. I call pharmacies all day long.   I have noticed in the last year, they are way easier to get a hold of, which has made my job a lot easier, working on the insurance portion. So reaching out to the pharmacy, finding out who that provider is and sending it to them, because they should be able to help with that. I thought that was a good shift in verbiage that you had of asking instead of like the cardiologist, because that's who you would assume was the one. But you said like so many times you guys would take care of them, and then they go back to family practitioner, and you guys would get the clearances, but you couldn't clear because you weren't overseeing. So just asking the patient.   who prescribed their medication for them last time. That way you can send the clearance to the correct provider. then- And they might not know. You know patients, right? They're like, I don't know, my mom's or else, I don't know who gave it to me. Somebody told me I need to be on this. But at least that could be another quick thing. And then also we were talking last night about-   ⁓ What are some other things that dentists can do when like writing scripts to help them get what I think like overarching theme of everything we discussed is one how to help dentists have less I think drag through pharmacy. ⁓ Because pharmacy can take a little while and so perfect we now know the difference between anti-quag and anti-platelet. We know which medications are probably safe. We know we can check the ADA guidelines so that we were not having to do as many clearances. We also know if they're on a medication to find out and we do need a clearance.   who we can go to for the fastest, easiest result. And now, in talking about prescriptions, you had some really interesting tips that you could share with them. Yeah, so with writing prescriptions, right, pharmacies are pharmacies. So I'm not gonna say good thing or bad thing. There are challenges working with pharmacies. I'm not gonna play that down at all. ⁓ If you're writing prescriptions and having issues and kickbacks from pharmacies, there's some interesting laws around ⁓ writing prescriptions. Say that you're trying to ⁓ prescribe   augmentin, you know, 875 BID, and you tell the patient, hey, I want you to take this twice a day for seven days, and then you put quantity of seven, because you're moving fast, right? You want it for seven days, quantity of seven. Quantity would actually be 14, right? It's not that big of a deal. Anybody with common sense would say if you're taking a pill for twice a day for seven days, you need 14 tablets. But LAHA doesn't allow pharmacists to make that kind of a change, unfortunately. They have to follow what you're saying there. So you're going to get a...   An annoying callback that says, you wrote for seven tablets. I know you need 14. Is that OK? Just delays things, right? So ⁓ I really like the two letters QS. That's Q isn't queen. S isn't Sam. Yeah. It stands for quantity sufficient. So you don't have to calculate the amount of any medication that you're doing. So for me, as a pharmacist, when I was taking care of patients, I hated calculating the amount of insulin they would need for an entire month. So I would say.   Mrs. Jones needs 15, I'd say 15 units ⁓ QD daily. ⁓ And then I say QS, quantity sufficient, ⁓ 90 day supply through refills. So the pharmacy can then go calculate how much insulin that they need. I don't have to even do that. So anytime you're prescribing anything, I like that QS personally. So that lets the pharmacy use ⁓ common sense, as I like to call it, instead of giving you a call. I think that's super helpful. I also thought of one thing too.   going back to blood thinners is when it's kind of like a real quick, like they're not gonna have you stop the blood thinner at all. like you're seeing if you can stop the blood thinner for a patient, there's some instances it's just not gonna happen. And that's whenever they've been, they've had a clot or a stroke or a heart attack within the last three months. Three months. Yeah, that's kind of like the.   Because so many people are like, they had a heart thing like six years ago. And so I think a lot of my dentists that I worked with were like, we got to stop the blood thinners. But it sounds like it's within three months. Yeah, well, I'm just the time. Like this is general broad strokes. What I'm just trying to say is when you want to expect a no real quick. Got it. Right. So because benefits of stopping a blood thinner within those first three months of an event is very, very risky versus the, you know, the benefit of reducing a little bit of blood coming out of the mouth. Right. Like that's not that bad.   when somebody's had a stroke or a heart attack or pulmonary embolism, a clot in the lung, like we can't replace the lung, heart or brain very easily. We can replace blood a lot better. We've got buckets of it at most hospitals have buckets of it, right? So I'm always kind of leaning towards I'd rather replace blood than tissue at all times. So that's kind of a quick no. If they've had one those events in the last three months, we are really, really gonna watch their brain instead of getting.   root canal, right? Like really worried about them. So you'll just say no. And they could the dentist still proceed with the procedure or would you recommend like a three month wait? Or is it provider specific way the pros and cons because sometimes you need to get that tooth out. Great question. think then it's going to come into clinical. That's that's when you send in the clearance, right? Like, and it's great to reach out to the provider who's managing it for you. But I think it's kind of good to know exactly when you get a quick no quick no is going to be less than three months.   ⁓ Or when it's going to be like a kind of a typical, yeah, no problem. If it's been no greater than six months, they're on the typical anticoagulants or alto eloquence. Nothing crazy is going on for them. You're only removing two teeth. This is very, very low risk. But again, I'd urge everybody to read the ADA guidelines. That way you feel more comfortable with it. I'm not as eloquent as they do. They do a real good job. So I don't want to take any of their credit. I think they do a real good job of simplifying that and making you feel confident with providing.   more timely care for patients. Which is amazing. And Jayce, one last thing. I don't remember what it was. You were talking about the DEA and like six month rule. yeah. Let's just quickly talk about that and then we'll wrap this because this is such a fascinating thing for me last night. Yeah. So when comes to prescribing controlled substances, most providers have to have a DEA license. OK. First of all, though, what's your take on dentist prescribing controlled substances? ⁓ I don't think, you know, I worked on the insurance side of things. Right. And I look at the requirements for the   as the authorizations, what a patient, the criteria a patient needs to hit in order to qualify for certain medications. A lot of times for those controlled substances, they have pretty significant issues going on, like fibromyalgia or cancer-related pain or end-of-life care versus we don't, in all my scanning thread, I don't have a ⁓ perfect picture memory. Sure. But I don't usually see oral.   pain in there. There is some post-operative pain that can be covered for those kind of medications but I really recommend to keep those lower and in fact in a lot of our criteria it recommends you know have they tried Tylenol first, they tried, have they filled NSAIDs or are they contraindicated with the patient. So really they should be last line for patients in my two cents but there's always going to be a caveat to the rule right? Of course. comes through that has oral cancer and you're taking   like that would make sense to me. Got it, so then back to the DEA. Yeah, okay. Okay, ready. So as a provider, you should be checking the, if you're doing controlled substances, you should be checking the prescription drug monitoring program, or sometimes called the PDMP, looking to see if patients are getting ⁓ controlled substances from another provider. So it's really just a check and balance to make sure that they're not going from provider to provider to getting too many narcotics and causing self harm or harm to others.   And so with checking that PDMP before prescribing, I think a lot of providers do that. A lot of softwares that I'm aware of, EMRs, electronic medical records, sometimes have links so that you can do that more quickly. However, I don't think it's as intuitive that they need to be checking that every six months in some states. And like here in Nevada, you're supposed to be checking it every six months, not for a patient, but for your actual DEA registration to see if anybody else is prescribing underneath you. Because if you don't check that every six months, you could get in some serious trouble with...   not only DEA, but even more the Board of Pharmacy and your state. Now, I don't know all 50 states, so I check with your state to see if you need to be checking that every six months, but set an alarm just to check that real quickly, keep your nose clean. ⁓ I've had providers, I've had to remind to do that. And if somebody was using your account, prescribing narcotics, you'd never know unless you went and checked that PDMP.   Yeah, I remember last night you were like, and if that was you, I would not want to be you. The Board of Pharmacy is going to be real excited to find you. So that was something where I was like, got it. So, and we all know I'm big on let's make it easy. And Jason, I love that you love this so much and you just brought so much value today. And like also for me, it's just fun to podcast. fun. Yeah. But I got a nerd out on my world a little bit. Bring it into yours. I work with dentists or at least you know, when I was working in Vascular Clinic all day long. Great questions that would come through. Yeah.   So I think for all of us, as a recap on this is number one, I think setting yourself ⁓ some cadences. So maybe every quarter we check our ADA guidelines and we check our, what is it, PDMP. PDMP. so each state, so they call it Prescription Drug Monitoring Program. We need that. Yeah, but there are different acronyms in different states, though. That's just what it's called in Nevada. I forget what it is in California, but you can check your state's prescription monitoring program, make sure that opioids aren't being prescribed under your name. Got it. So we just set that as a cadence.   We know one to three teeth most likely if they're on a blood thinner is According to the 88 as of today is good to go You know things that are going to get a quick know are going to be within the last three months of the stroke the heart attack or the Clot I'm thinking like the pulmonary embolus. Yeah, that's what we're trying to prevent   Those are gonna be quick knows and then if we're prescribing, let's do QS. We've got quantity is sufficient so that we're not getting phone calls back on those medications that we are. And then on narcotics, just being a bit more cautious. Of course, this is provider specific and in no way, or form did Jason come on here to tell you you are the clinical expert.   Jason's the clinical expert on medications. And if you guys ever have questions, I know Jason, you geek out and you want to talk to people so that anyone wants to chat shop. Be sure to reach out and we'll be able to connect you in. we've even talked about possibly, so let me know listeners. You can email in Hello@TheDentalATeam.com of ask a pharmacist anything. I talked to Jason. I was like,   We'll just have them like send in questions and maybe get you back on the podcast or we do a webinar. But any last thoughts, Jace, you've got of pharmacy and dentistry as we as we wrap up today? No, I think that's pretty much it. So check the ADA guidelines. I think it's really good to have cross communication between professions. Right. If you're working with the pharmacy, CVS, Walgreens or something like that or Walmart, I know that it can be challenging. Right. They're under different pressures. You're under different pressure. So I think ⁓ just coming in with an understanding, not being angry at each other.   you know what mean, is super beneficial and working together. When it comes to it, every dentist that I've talked to is actually worried about their patient. Every pharmacist that I've worked with is really worried about the patient as well. So we're trying to accomplish the same thing, but we have different rules and our hands are bound in different ways that annoy each other, right? Like I know Dr. Jones, want 14 tablets, but you said seven. And I know Common Sense says I should give them 14, but I've got to make that change.   knowing that their hands are tied by the law. They can't use as much common sense, which is aggravating. I mean, that's why I love what I gotta do here. I gotta just kind of help a lot more and use common sense and improve patient care. But those kinds of things I think are really beneficial as you work together and then not being so afraid of blood thinners, right? So I think those guidelines do a great job of giving you confidence and not worrying about the side effects. And there's a lot of things that you can do locally for bleeding.   You have a lot of control over that. I think that's pretty cool, the tools they have. Yeah. And at the end of the day, yes, you are the clinician. You are the one who is responsible for this. so obviously, chat, but I think collaborating, talking to other pharmacists, talking to them in your state, finding out what are the state laws, things like that I think can be really beneficial just to give you peace of mind and confidence. And again, dentistry, are maybe a bit more risk adverse because luckily we don't have patients dying That's great thing. Yeah, that's fantastic. I want my dentists to be risk adverse. I think so too. But Jason, I appreciate you being on the podcast today.   And for all of you listening, ⁓ more confidence, more clarity, more streamline to be able to serve and help our patients better. if we can help you in any way or you've got more questions, reach out Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.  

In this episode of Say It With Your Chest, an OffAir mini-series brought to you by Durex, we talk intimacy, communication, confidence, protection, and the unspoken rules shaped by culture and judgement.From women carrying condoms to awkward pharmacy moments, playlists, compliments, and why silence kills the vibe. Nothing is off-limits.Join the conversation in the comments

Dr. Jeni Hayes, Senior Clinical Manager, Strategic Clinical Intelligence, and Dr. Heather Pace, Senior Clinical Manager, Ambulatory Care, join host Carolyn Liptak to discuss the Vizient Winter 2026 Spend Management Outlook, with a focus on pharmacy projections and key changes from prior outlooks. The episode also covers ambulatory care and self-administered drugs, biosimilar therapeutic insights, and dynamic pharmacy market forces.   Guest speaker:     Jeni Hayes, PharmD, BCPS   Senior Clinical Manager, Strategic Clinical Intelligence Vizient Spend Management Solutions   Heather Pace, PharmD   Senior Clinical Manager, Ambulatory Care Vizient Center for Pharmacy Practice Excellence     Host:   Carolyn Liptak, MBA, BS Pharm Pharmacy Executive Director, Regulatory Compliance & Revenue Integrity Center for Pharmacy Practice Excellence (CPPE) Vizient   00:05 — Introduction Announcer welcomes listeners to Verified Rx, produced by the Vizient Center for Pharmacy Practice Excellence.   00:14 — Episode Overview Host Carolyn Liptak, Pharmacy Executive Director at Vizient, introduces the Winter 2026 Spend Management Outlook (SMO). Focus areas: Pharmacy inflation projections Acute vs ambulatory care trends Provider-administered vs self-administered drugs Biosimilar therapeutic insights Dynamic pharmacy market forces shaping 2026–2030 Guests: Jeni Hayes, Senior Clinical Manager, Strategic Clinical Intelligence Heather Pace, Senior Clinical Manager, Ambulatory Care   01:09 — What Is the Spend Management Outlook (SMO)? Biannual Vizient publication projecting price trends across healthcare spend categories. Pharmacy headline: Inflation slightly lower than last edition Total spend still rising, driven by utilization growth and new technologies   01:49 — Top-Line Pharmacy Inflation Projection 2.84% projected drug inflation for purchases between July 2026 – June 2027. Down from 3.35% in the prior edition. Based on October 2024 – September 2025 wholesaler data. Heavily weighted toward highest-spend drugs. Contracted products show lower inflation; non-contract drugs still ~70% of spend.   02:45 — Inflation by Site of Care Acute Care 3.03% projected inflation Driven by: Sugammadex Kcentra Clotting factors Ambulatory Care 2.85% overall, but with key divergence: Provider-administered drugs: 3.35% Self-administered drugs: 2.43%   04:02 — Provider-Administered Drugs: What's Driving Growth Oncology infusions are the main drivers. Key agents: Keytruda Darzalex Faspro Continued growth due to: Expanded indications Increased outpatient infusion utilization Oncology split by site of care: Inpatient: High-cost CAR T (e.g., Yescarta) Outpatient: Infusions, bispecifics, emerging cellular therapies Emphasizes importance of site of care strategy.   05:14 — Self-Administered Drugs: Utilization Over Inflation Five key drivers: Autoimmune / inflammatory: Skyrizi, Dupixent, Rinvoq Diabetes / metabolic / weight loss: Ozempic, Wegovy, Mounjaro, Zepbound Spend growth fueled by: Media exposure Expanded indications Increased patient demand Opportunity for: Retail & specialty pharmacy optimization Margin capture Patient support (adherence, counseling, benefits investigation)   06:45 — New Section: Dynamic Pharmacy Market Forces (2026–2030) Seven strategic forces influencing pharmacy practice: Growth in specialty and cell & gene therapies Expansion of value- and outcomes-based contracting Siteofcare shifts toward ambulatory and home Digital transformation & automation Supply assurance and resilience Expanded pharmacist clinical scope & workforce models Regulatory and policy efforts to lower drug prices 340B changes IRA Medicare Part D negotiations   09:37 — Practical Takeaways for Pharmacy Leaders Use 2.84% inflation as a baseline — then customize using Vizient Pharmacy Analytics. Leverage segmented views to prioritize: Acute vs ambulatory strategies Provider-administered vs self-administered drugs Identify top spend movers and align them with long-term market forces. Consider: Specialty pharmacy expansion Site of care optimization   10:48 — Biosimilar Therapeutic Insights: 2025 Recap Heather Pace highlights: Shift from biosimilar approval to active adoption management. Ustekinumab (Stelara) as defining example: Multiple biosimilars Uptake driven by payer and PBM strategy Utilization varies widely based on: Formulary design Benefit alignment Biosimilars now actively steered, not passively adopted.   11:50 — Why Stelara Was a Turning Point PBM-developed, private-label biosimilars drove adoption. Net cost and copay design outweighed: Interchangeability status Manufacturer differentiation Sets expectations for future biologic launches.   12:25 — Operational Impact for Health Systems Expect payer-specific product preferences. Frequent switching will become routine. Key considerations: Siteofcare mandates Product presentation Supply chain logistics Billing & reimbursement complexity Clinical barriers are decreasing; workflow flexibility is critical.   13:09 — What to Expect From Biosimilars in 2026 Faster adoption timelines Earlier payer-driven switching Fewer preferred products Less reliance on reference product trial periods   13:45 — Biosimilars With Major 2026 Impact Eylea — multiple launches expected post-litigation Xolair — expansion into asthma/allergy and retail specialty Perjeta — oncology pathway disruption expected late 2026 / early 2027   15:01 — 2025 Biosimilars Impacting 2026 Ustekinumab (Stelara): broader formulary shifts Denosumab (Prolia, Xgeva): full year of impact; all interchangeable Eculizumab (Soliris): first rare-disease biosimilar entry   15:58 — FDA Biosimilar Guidance to Watch Late-2025 FDA guidance: Reduced reliance on clinical efficacy trials Greater emphasis on analytical similarity Aims to: Reduce development cost Accelerate market entry   16:26 — Interchangeability: Where Things Are Headed Moving toward expectation that all biosimilars are interchangeable. Shifts responsibility to: Payers Health systems Pharmacists managing transitions and education   17:17 — Biggest Shift in the Biosimilar Landscape Faster launches Larger scale adoption Payer strategy more influential than timing of approval Success depends on: Formulary fit Channel alignment Operational simplicity   17:41 — Final Biosimilar Insight Biosimilar strategies must be molecule-specific. One-size-fits-all approaches are no longer effective.   18:13 — Final Thoughts on the SMO Inflation projections are a starting point. Leaders should: Focus on top spend drugs Understand siteofcare and specialty drivers Translate projections into actionable budgets   18:40 — Resources Winter 2026 Spend Management Outlook available on Vizient's SMO Hub. Includes current and prior editions and related insights.   18:58 — Closing Carolyn thanks Jeni and Heather. Reminder to subscribe, like, and share feedback. Verified Rx is produced by the Vizient Center for Pharmacy Practice Excellence.   Links | Resources:  Vizient Spend Management Outlook webpage Vizient Winter 2026 Spend Management Outlook Vizient Biosimilars Therapeutic Insights   Subscribe Today! Apple Podcasts Spotify YouTube RSS Feed    

Medical missionaries often feel powerful emotional burden from moral injury, and it is a leading cause of departure from the mission field. But we have learned proven methods of preventing and dealing with moral injury. Use God’s powerful methods to protect yourself and your team, and to grow in wisdom and spirit!

In the earliest days of Disneyland, guests could visit a replica of a pharmacy on Main Street, replete with artifacts and exhibits. In the new book A Spoonful of Sugar: The Story of the Upjohn Pharmacy in Disneyland author and historian Stephen Hall pours out lots of new knowledge about how the Upjohn Pharmacy worked with Disney to create this special spot in the Happiest Place on Earth. It's an intricate and insightful new title from The Old Mill Press. Listen in to find out how this pharmacy replica in Disneyland provided fun finds and facts about pharmacy life to millions of Guests. Purchase a copy of A Spoonful of Sugar from The Old Mill Press or wherever you find books. Check out more about The Coit Museum of Pharmacy & Health Sciences at the University of Arizona to check out the Upjohn Pharmacy collection in person! Feel free to reach out to Brett via Bluesky @drnachman and Instagram @drnachman, subscribe to the podcast, and send your feedback to notablydisney@gmail.com  New episodes of Notably Disney debut on the first Tuesday of each month.

Recorded at #NCPA2025, host John Beckner and co-host Ed Cohen talk with Shahida Choudhry, PharmD, owner of Palms Pharmacy, about using social media as a tool for patient education, engagement, and business growth through consistent communication.

Why did Henry David Thoreau care so much about pencils—and why did some phone numbers keep ringing long after they were disconnected? In this episode of The Box of Oddities, Kat and Jethro wander into two stories that shouldn't be connected… but somehow are. First, we look at the surprising industrial legacy of Henry David Thoreau, long before Walden Pond. As a young man working in his family's pencil business, Thoreau applied chemistry, precision, and quiet rebellion to fix America's worst pencils—changing how graphite was processed, how pencils were graded, and why most pencils are still yellow today. It's a story about innovation, independence, and how financial stability made room for deep thinking… and eventually, deliberate living. Then, the episode takes a darker turn. During the 1960s and 70s, people across the U.S. reported receiving phone calls from businesses that had been closed—sometimes for decades. Funeral homes. Pharmacies. Local shops. Callers insisted they had just spoken to someone on the line. Engineers found nothing. Phone companies found no active service. The FCC investigated. No explanation stuck. What emerged instead was something stranger: the idea of telecom afterimages—echoes of human habit lingering in old copper wire. Conversations without ghosts. Voices without intent. Systems that didn't quite know how to forget. This episode explores how infrastructure remembers, how absence isn't always clean, and why the most unsettling stories are often the quietest ones—ordinary conversations that shouldn't exist, but somehow do. Learn more about your ad choices. Visit megaphone.fm/adchoices

Disney Parks Podcast Show #907 – Interview with Author Stephan Hall and his book Spoonful of Sugar Author On today's episode, we're joined by Stephen Hall, MA — museum curator, historian, and storyteller of history's hidden gems. Stephen's path into pharmacy history started almost by accident, volunteering at the University of Arizona's History of Pharmacy... The post Disney Parks Podcast Show #907 – Interview With Author Stephan Hall and his book Spoonful of Sugar appeared first on Disney Parks Podcast.

In this eye-opening interview, Clay sits down with Michael Jones, owner of Helping Hand Family Pharmacy in Vicksburg, to expose the pharmacy benefit manager (PBM) "racket" that's devastating independent pharmacies across Mississippi. Michael breaks down how PBMs—middlemen like Express Scripts (Cigna), CVS Caremark, and Optum (UnitedHealth)—started as claim consolidators but evolved into profit machines through spread pricing, manufacturer rebates, and vertical integration, forcing locals to sell meds below cost and leading to widespread closures.   He shares his fight's origin: Post-COVID reimbursement drops hit hard, shuttering stores like People's Drugstore, creating "drug deserts." Michael dug into campaign finances, uncovering PBM-linked donors influencing lawmakers, and went public—posting at his store and on social media—to rally customers. A Mississippi audit revealed Optum paying affiliates 20x more than independents, while PBM profits soar into billions.   Urgent action: Support House Bill 1672 (State Affairs Committee) and Senate Bill 2575 (Public Health and Welfare)—bills must exit committee by February 3. Michael urges calls to the Capitol switchboard at (601) 359-3770 to demand fair reforms. Last year's near-win died at the eleventh hour; don't let it happen again. This is a battle for community businesses—stand up before independents vanish!

In this high-energy episode of the Clay Edwards Show, host Clay Edwards kicks off with a motivated Monday vibe, diving into Central Mississippi's hottest issues. He breaks down a dramatic police pursuit in Madison involving brothers Donta "Demon" Palmer and Darius Palmer, who allegedly tried to run over officers in a stolen Challenger. Clay connects the dots to a notorious local crime family, critiques Attorney General Lynn Fitch's handling of similar cases, and calls for accountability in law enforcement prosecutions.   Shifting gears, Clay spotlights the pharmacy benefit manager (PBM) "racket" that's threatening independent pharmacies. Guests Robert Jordan of Corner Pharmacy in Flowood and Michael Jones of Helping Hand Family Pharmacy in Vicksburg join to explain how big chains are squeezing out locals through unfair pricing and vertical integration. They discuss key bills—House Bill 1672 and Senate Bill 2575—and urge listeners to contact legislators before the February 3 committee deadline to support protections for community businesses.   In hour three, Clay teams up with Andrew Gasser for a deep dive into the newly released Epstein files, unpacking mentions of high-profile figures like Trump, Clinton, Gates, Musk, and others, while questioning the FBI's delays and global implications.   Tune in for unfiltered talk on corruption, justice, and standing up for Mississippi's small businesses. Call your reps at (601) 359-3770 to back independent pharmacies!  

Have you ever wondered what really happens behind the 'black door' between the OR and pharmacy?

Quantum Physics Proves Faith (4) Be Careful – Words Create (audio) David Eells – 2/1/26 Mar 11:23-24 Verily I say unto you, Whosoever shall say unto this mountain, Be thou taken up and cast into the sea; and shall not doubt in his heart, but shall believe that what he saith cometh to pass; he shall have it. (24) Therefore I say unto you, All things whatsoever ye pray and ask for, believe that ye received (Greek) them, and ye shall have them. Looking at it from a surface level, it would seem a ridiculous statement that Jesus made. How is it possible that spoken words would send a mountain, or a spiritual equivalent, into the sea?   Mustard Seed and Quantum Physics When Jesus said in Luke 17:6, “If you have faith as a grain of mustard seed, you would say…” He was speaking of the smallest seed that could be seen in His time. If He were here today, He might say, “If you had faith as an atom…” Or even smaller, “If you had faith as a quark (which is a subatomic particle)…” The point He was making was that small things that cannot be easily seen manifest themselves and affect things in this larger world where we live. Quantum physics is the study of things so small that we cannot see them, yet everything we see is made of these subatomic particles. Remember, Hebrews 11:3 “Through faith we understand that the worlds were framed by the word of God, so that things which are seen were not made of things which do appear.” Before God spoke and said, “Let there be light”, the substance for light was there. The sound vibration of His words caused the substance to manifest and appear. Words are energy and energy affects matter. The energy of your microwave vibrates the water molecules and heats the water. The energy of electricity flows to your washing machine and powers the motor that spins the tub and cleans your clothes. So, we can rightfully say that energy affects matter. Your words are energy and they affect the matter in your life. When you speak the words, “This is the worst car I have ever had! You stupid piece of junk!” Those words are vibrations of energy that affect the atoms that make up that car. If you speak those words long enough, your car will obey you! Scientists have performed experiments with atoms and their subatomic particles, such as electrons. If you paid attention in school, you saw the diagram of an atom with the electron orbiting it like the Earth orbits the sun. The interesting thing is that scientists have discovered that the electron that is shown orbiting the nucleus is not always there in particle form. It exists in a wave state (like a cloud, everywhere at once) until someone looks at it. When the scientist observes it, it suddenly appears as a dot (particle). What we all want to know is, “How does it know someone is looking at it?” It obviously is responding to the observer's interaction with it. One of the difficulties in quantum physics is that the particles behave somewhat differently for each observer, which leads to the question, “Does it behave according to what the scientist believes?” In any event, we can definitely conclude that Jesus was right when He taught that all matter responds to faith and words. The substance from which our world is made is influenced and manifested by words. The things that you desire are made up of atoms. They know what you believe, hear what you say and behave accordingly! The thoughts and beliefs that you carry also produce an energy around you. Have you ever noticed that when you are angry, things go wrong, and people are insulting and angry with you? Your thoughts and beliefs produce an energy that people can perceive and react to. If you believe that no one likes you, then you emit that rejecting type of energy, and people will be driven away from you. If you love people and care about them, they will feel that and be drawn to you. Have you ever been around someone who is pleasant and full of love? It is an energy you can actually feel. The energy of love is a powerful drawing card for good in your life. After all, God is Love. When you believe that God loves you and wants you to prosper, then you change your words and beliefs about money. Now, I have learned to think, believe, and say, “Things always work out for me. Everything that I do prospers and I have abundance in Jesus' name.” God is not limited to the things that you and I see. There is an infinite supply of substance waiting to be manifest according to your beliefs and words! Let me share with you portions of this video transcript on how we need to be careful, because our words create. Please remember, I only used what I agree with, but my advice in red is from a biblical perspective. It's called:   This Ancient Code Reveals EXACTLY How Your Words Control Reality The Universe Obeys This Philosophical Essence - 12/1/2025 (David's notes in red) Everything is energy, including the words you speak. This deep-dive uncovers the hidden influence language has on perception, belief, emotion, and the human nervous system. You'll explore how words shape internal states, how meanings influence behavior, and why conscious speech can transform the trajectory of your life. This masterclass breaks down the roots behind commonly used terms, how repetition affects the subconscious, and why intentional language can create profound psychological shifts. You'll learn practical tools to upgrade your vocabulary, shift limiting self-talk, and reclaim the creative power hidden inside everyday speech. If you've ever felt like your potential was muted, your confidence diluted, or your reality stuck on repeat — this is the missing piece. Your words are not just expressions… they're instructions. Reclaim the code. Pro 18:21 Death and life are in the power of the tongue; And they that love it shall eat the fruit thereof. Your words have a very dark secret. I'll prove they're controlling your reality. What if I told you that every word you've ever spoken was a spell? And what if the people who designed language knew this from the very beginning? (Correction: God created this from the scattering of Babel by their languages He gave them.) There's a reason they call it “spelling”. It's called that because you're literally casting spells every time you arrange letters into words. And here's what nobody tells you: the words you were taught to use were specifically chosen to keep you trapped in a mental prison you can't even see. (Correction: Jesus taught that our words bind AND loose.) But it's not your mistake. And before you dismiss this as a conspiracy theory, let me show you something. Look at the word “grammar”. Where does it come from? Grimoire. That's a book of magic spells. The structure of language grammar was originally understood as a magical system. (But it is more correctly a supernatural system.) Then there's “cursive writing.” We call it cursive because it creates curses. And “spelling”; you're casting spells. This isn't hidden. It's right there in plain sight. They just trained you to laugh it off as coincidence. (Most of what lost man says is a curse.) But here's where it gets disturbing. In 1946, something vanished from American schools. Not prayer. Not paddling. Etymology. The study of where words come from and what they actually mean. And the moment they removed it, you lost the ability to see the trap. Because when you understand what words really mean at their root, you start noticing that almost every word you use was designed to program you into accepting limitations you never agreed to. Let me prove it to you right now. There's a reason they stopped teaching etymology in 1946. Before that, every kid learned to decode words to understand the hidden programs inside language. Then it stopped. Everywhere all at once. They replaced it with memorization and standardized tests. Why? Because if you knew that, ‘understand' literally means ‘to stand under' - to submit, you might stop saying ‘I understand' in every agreement. If you knew ‘government' breaks ‘to govern,' meaning to control and ‘meant' meaning mind, you might start questioning authority differently. They gave you a corrupted vocabulary and told you words don't matter. But words are spells. And they've been casting them over you your entire life. Listen, I know how that sounds. I know you're probably thinking, OK, this is going to be some weird metaphor thing, but stay with me because what I'm about to show you isn't a metaphor at all. It's physics. It's biology. And they've (more like Satan has) systematically hidden it from you, because once you understand that your words aren't describing reality, they're creating it, you become ungovernable. (It starts with the heart. Rom 10:10 for with the heart man believeth unto righteousness; and with the mouth confession is made unto salvation.) Here's the truth nobody's telling you. You've been doing the work right? Like positive thinking? This means you're not lazy and you're definitely not missing some secret ingredient. But here's what's happening. You've been using contaminated language that programs failure directly into your nervous system. And they did that on purpose. (It's not “they”, its unbelief in God who made the rules.) Think about it. You say, “I'm trying to lose weight.” What does your subconscious hear? “Trying. Attempting but not succeeding.” It means effort without result. You say, “I want to be successful.” Your body hears, “want, lack, desire. The state of not having.” You say, “I need more money.” Your cells receive “need, scarcity, desperation, and emergency mode.” Every single one of those statements is a spell. And you just cast limitation into your reality without even knowing it. (Jesus said, “believe you have received”.) Now here's what they don't want you to know. The elite study etymology like their lives depend on it. They teach their children Latin, Greek, Sanskrit, and Hebrew, these ancient languages that are basically frequency codes. While they're learning to program reality, they give your kids text, speak, and emojis. They dumb down the vocabulary. They remove etymology from schools, and they tell you the biggest lie ever told. “Sticks and stones may break my bones, but words will never hurt me.” That's not protection. That's programming you to dismiss the most powerful force in your reality. Words aren't neutral. I need you to understand this. They're not just communication tools; they're technology. Frequency technology. Every word you speak creates an electromagnetic signature. Doctor Masaru Moto proved this. He exposed water to different words: written words, spoken words, and even thoughts directed at water. Then he froze it and photographed the crystals under a microscope. Water, exposed to love and gratitude, form perfect, beautiful, symmetrical crystals. Absolute geometric perfection. Water exposed to ‘hate' and ‘you make me sick' create chaos, broken, distorted, ugly formations. Now here's where it gets crazy. You are 70% water. Every cell, every organ, every system, is mostly water. And you speak, what is it like, 16,000 words a day? Every single word is creating either coherence or chaos inside your body. When you say, “I'm so stupid,” your cells hear that. When you say, “I'm broke, I'm tired; I'm stressed, I'm overwhelmed,” every water molecule in your body is reshaping around that frequency. The problem is, nobody told you that thoughts don't create reality. Words do because thoughts are made of words, right? You can't think without language. And if your language is corrupted, your thoughts are corrupted, which means your reality is corrupted. It's that simple. And get this. Spelling and casting spells aren't a coincidence. Grammar comes from Grimoire, a book of spells. Cursive comes from curse. It's all hiding in plain sight, and we laugh it off because we've been trained to dismiss it as coincidence. But once you decode even five words, you can't “unsee it”. “Mortgage” - Mort means death, like mortal mortuary. Gauge means pledge, like engage in a binding agreement. So mortgage equals “death pledge”. You're signing a death pledge, and they call it that right to your face. “Pharmacy” comes from pharmakeia, which is sorcery, witchcraft. “Government” equals governance, control, plus ‘meant, mind' equals mind control. They're telling you exactly what they're doing, and you're agreeing because nobody taught you to read the code. So here's what changes once you understand this. Once you get that language is literal reality programming technology, you gain complete linguistic sovereignty. You stop speaking unconsciously. You stop signing invisible contracts. You stop casting limitation spells over your own life. You reclaim the creative power they've deliberately hidden from you. This isn't about positive thinking. Positive thinking is surface-level. It's like putting a Band-Aid on a bullet wound. This is about understanding that you are a frequency generator broadcasting electromagnetic signatures every second, and language is how you tune that frequency. (It's not positive thinking alone, its faith in God's thinking which we are told, “overcomes the world”.) Some people manifest easily and listen. It's not because they're more spiritual or more blessed. They just understand that every sentence is a contract with the universe. And the universe always says yes. You're about to learn what the elite know. You're about to understand why certain people seem to bend reality while others stay stuck in the same patterns year after year. And you're never going to speak the same way again. Because once you know, words are spells, every conversation becomes a conscious ritual. And you are the spellcaster. So let me take you back to 1946. Before that year, every kid in school learned etymology. Not as some optional elective you could skip as protection. They taught you to decode words, to understand the hidden programs inside language. To recognize when someone was casting a spell over you through carefully chosen vocabulary. It was the standard curriculum everywhere. The United States, Europe, Asia, everywhere. Then 1946 hit, and it stopped globally, simultaneously. They replaced etymology with memorization, standardized testing, and regurgitation. Why decode language when you can just memorize what they tell you it means, right? Just trust us. This word means this. Don't ask where it came from, don't ask what the roots are, just memorize it and move on. Here's where it gets crazy. This wasn't a gradual shift. It's not like schools slowly phased it out over decades. This was a coordinated effort after World War II, after they saw what propaganda could do, how language could move entire nations, how words could convince people to do unspeakable things. They systematically removed linguistic literacy from education. Edward Bernays. You've got to know this name. The nephew of Sigmund Freud literally wrote the book on propaganda; “public relations,” he called it. He understood that controlling language controls populations. And his whole philosophy was this: a population that decodes language is dangerous. A population that understands etymology asks too many questions. They see through the manipulation. They recognize the spells being cast. So what did they do? They gave you dumbed-down vocabulary. They told you words are just sounds we assign meaning to. Random, arbitrary. ‘Oh, we just decided this collection of sounds means this thing.' But that's a lie. Every word carries frequency. Every route carries programming. And when you don't know what you're saying, you can't control what you're creating. Think about how many contracts you've signed in your life without understanding the etymology of the terms. How many agreements have you made using words you never decoded? You've been consenting to things you didn't understand because they removed your ability to read the fine print hidden in plain sight. I mean, when you sign a mortgage, do you know you're signing a death pledge? When you go to the pharmacy, do you know you're visiting a place whose name literally means sorcery? When you say, “I understand” in a legal agreement, do you know you're saying, “I position myself beneath your authority?” No, because they removed that knowledge in 1946. Systematically, globally. And nobody questioned it because they framed it as educational reform, progress, and modernization. But it wasn't progress. It was control, and once you see that, you can't “unsee it”. Now, let me remind you about Doctor Masaru Emoto and why his work should have changed everything. This man did something so simple and so profound that it broke through all the academic gatekeeping and hit people right in the gut. He took water, just regular water. And exposed it to different words. He'd write words on paper and tape them to containers of water. He'd play music with different emotional tones. He'd have people speak to the water with different intentions. ‘Love, gratitude, hate.' ‘You make me sick.' ‘I will kill you.' Different frequencies through language and sound. Then he froze the water and photographed the crystals under a microscope. And what he found, water exposed to ‘love and gratitude,' formed perfect, beautiful, symmetrical crystals. Sacred geometry appearing in frozen water because of a word. Water exposed to ‘hate' and ‘you make me sick' became chaotic, distorted, and broken. Now here's what you need to understand. You are 70% water. Every cell in your body, your blood, your organs, your brain, your muscles, is mostly water. And you speak 16,000 words a day. Every single word creates either coherence or chaos inside your body. When you say, “I'm so stupid,” your cells hear that. When you say, “I'm broke, I'm tired, I'm stressed, I'm overwhelmed,” every water molecule responds, shifting to match that frequency. Symatics proves this even further. Sand on a vibrating plate forms geometric patterns depending on the frequency. Your body is the plate, your words are the frequency. Your cells arrange themselves accordingly. This is why some people heal, and others don't. This is why placebo works. This is why someone who speaks life lives longer than someone who speaks negativity. The water is listening and it obeys. You've been broadcasting 16,000 reality commands a day and nobody told you your body was listening. Nobody told you that “I am sick” isn't a description, it's an instruction. Your body follows it. Now let's talk about what the elite know. Ever wonder why elite schools still teach Latin? Why their kids study Greek, Sanskrit, and Hebrew, dead languages nobody uses? Why waste time on those? Because those languages are frequency codes, not corrupted, not diluted. Sanskrit words hold precise vibrational signatures. Hebrew letters have numerical frequency structures. Latin is the root of law, medicine, government, and systems of power. They're not learning history. They're learning to program reality. While their kids study ancient frequency languages, yours get text, speak emojis. Slang that changes every few months, so you never develop deep linguistic roots. Corrupted language creates corrupted thinking. (Psa 45:1… My tongue is the pen of a ready writer. Where does it write? On your soul.) Corrupted thinking creates powerless people, and powerless people are controllable. The elite know language is technology. They study etymology obsessively. They understand words like, mortgage, pharmacy, and understand, all carry hidden commands. They use these words on you while avoiding them themselves. (This is not possible because what they sow they reap and they are clearly corrupted.) Listen to how they talk privately. Precise, intentional, never casual. Every word is a contract. Every conversation is a ritual. Language is how they cast spells. They removed etymology so you wouldn't see the manipulation. They simplified your vocabulary. They told you language doesn't matter while mastering rhetoric, persuasion and linguistic magic at elite universities. The game has always been rigged. But now you know. Princeton University ran an experiment for decades called The Global Consciousness Project. They set up random number generators all over the world. Machines that should produce completely random data. No pattern. No predictability. Just pure randomness. Then they measured what happened during major global events. September 11th, massive natural disasters, Princess Diana's funeral, and the moment Obama was elected. Moments when millions of people focus their consciousness on the same thing at the same time, feeling the same emotions, thinking similar thoughts. The random number generators became less random. Significantly, measurably, statistically impossible to explain away. Human consciousness was affecting machines not through touch, not through proximity, through field, through frequency, through collective attention, creating coherence in the quantum field. (I have found this so. Machines respond to commands.) Now I heard about this, and I thought, “OK, that's interesting. But it's happening with millions of people. What about one person? What about me?” So I got a random number generator app on my phone. Simple thing. Just spits out random numbers between 1 and 100. I watched it for a week, completely random, as expected. No patterns, just chaos. Then I tried something. I focused my intention on it, not hoping, not wishing. I declared out loud, “This device now responds to my consciousness. I'm collapsing the randomness into pattern.” And I held that state. Not desperate, not forcing, just absolute certainty. Like when you know you're about to catch something someone throws to you. That kind of certainty. The numbers started clustering. At first I thought it was chance, but it kept happening. Then patterns emerged, runs of similar numbers, sequences. Then I started trying to will specific ranges, “Give me numbers above 70.” And they came. Not 100% of the time, but way above statistical chance. Enough that I couldn't explain it away, enough that I had to sit with the implications. And here's what hit me in that moment. Sitting there watching my consciousness affect electronics, “If I can do this to a random number generator, what am I doing to my body? What am I doing to my relationships? What am I doing to my bank account?” To every situation I walk into, broadcasting unconscious frequency. Your words aren't just vibrating air. They're not just sound waves that disappear. They're altering electromagnetic fields. They're collapsing quantum possibilities; their programming matter. And when you understand that, when you feel that, you can never speak carelessly again. Every word becomes a conscious act of creation. So let's get into why we call it ‘spelling.' Why not wording? Why not lettering? Think about it. When you're in school, they call it spelling tests. You have to spell words correctly. Why? Why is that the term? Because you're casting spells letter by letter, word by word. You're assembling symbols that carry frequency and when you arrange them correctly, they execute their programming. “Grammar” comes from Grimoire, and a Grimoire is a book of magic spells. “Cursive” comes from curse. It's all hiding in plain sight, but we laugh it off because we've been trained to dismiss it as coincidence. But there are no coincidences in etymology. Language evolved over thousands of years, and every word carries the memory of its origin. The frequency signature of its root. (Proverbs 18:21 Death and life are in the power of the tongue, And they that love it shall eat the fruit thereof.) Spelling is called spelling because assembling letters into words is literally how you cast spells over reality. Think about school. They drilled it into you. Spelling tests. You had to spell words correctly. Why was that so important? Because incorrect spelling breaks the spell. The frequency changes, the code doesn't execute properly. They were teaching you spell casting and calling it literacy. And you thought you were just learning to read and write. Every e-mail you write, every text you send, every conversation you have, you're casting spells, programming reality, creating experiences. Most people do this unconsciously, which is why most people feel powerless. They're broadcasting random frequency all day long, contradicting themselves, creating chaos, and then wondering why their life feels out of control. But once you know, once you see that language is literally magic (supernatural) disguised as communication, everything changes, you become intentional. You become sovereign. You become the conscious creator they never wanted you to be. Now, let me break down the words you've been using without knowing what you're actually saying. This is where it gets really wild. Because once I show you even 5 or 6 of these, you're going to start seeing it everywhere. Mortgage: You sign this document to buy a house, right? It's normal, everybody does it. But let's decode it. ‘Mort' equals death, like mortal, subject to death. Mortuary where they keep dead bodies. Mortality, the state of dying. ‘Gauge' equals pledge, like engage to pledge yourself. Mortgage equals “death pledge.” You're literally pledging your life force to the bank for 30 years. They're telling you exactly what it is right in the name, but nobody taught you to read the code. You're signing a death pledge and thinking you're just buying a house. The elite who own the banks know exactly what they're making you sign. They know the frequency that word carries, and they use it deliberately. Government: You hear this word every day, but let's break it down. ‘Govern' means to control, to steer, to direct, like a governor on an engine. ‘Meant' means mind, like mental or mentality. Government equals “mind control.” It's not conspiracy theory, it's etymology. They're broadcasting their function in the name itself. They govern your mind through media, education, language, and you call them your government, thinking it's about representation and democracy. Maybe it started that way, but the word tells you what it actually does. Understand: You say it all the time. ‘I understand' what you're saying. ‘I understand' the agreement. But let's look at the roots. ‘Under' equals ‘beneath, below, in a position of submission.' ‘Stand' equals ‘to take a position.' Understand equals “to stand beneath, to submit.” Every time you say, “I understand,” you're literally saying, “I submit to your authority.” (We have to be careful of legalism. Romans 13 commands us to submit to government authority.) Try saying I comprehend instead. Comprehend means to grasp. Feel the difference? Pharmacy: You go there when you're sick. You trust them. But pharmacy comes from the Greek, pharmakeia, which means sorcery, witchcraft, the use of drugs and potions for magical purposes. They're literally practicing sorcery and calling it medicine. And again, I'm not saying don't take medicine, I'm saying know what you're invoking. The word itself carries the frequency of ‘chemical sorcery'. Human: This one is beautiful. ‘Hue' equals light, color. ‘Man' equals mind. Human equals ‘light mind,' ‘light-being.' (We are men who walk in the light when we follow Christ.) You're a ‘being of light and consciousness'. Not an accident, not a meat robot. A light-being having a physical experience. They don't want you knowing that. Person: ‘Per' equals through. ‘Son' equals sound. (We are born “through” the “Son”.) “Person” equals ‘sound moving through form.' You are vibration. You are frequency. Every person is a unique frequency signature broadcasting through matter. This is quantum physics. This is string theory. This is ancient wisdom. And they hid it in a word you use every day. You're not a solid thing. You're sound moving through form, your frequency, wearing meat, and once you get that, you understand why your words matter so much. Because you're already sound. You're already frequency. Your words are consciously directing that frequency. Every one of these words is a revelation. And you've been using them your whole life without knowing what you were saying. That's not an accident, that's intentional obscurity. They don't want you to know what you are or what you're doing. Because once you know you can't be controlled, once you decode the spells, you can't be programmed anymore. Now let's talk about the Bible, because whether you're religious or not, you need to understand what it's telling you about language. The Bible isn't just a religious text. It's a frequency manual, and it tells you flat out, words create reality. In the beginning was the Word, and the Word was with God, and the Word was God. John 1:1. But in the beginning was the thought, not the feeling, not the intention, the Word. Creation happens through spoken language. God spoke, and light appeared. God said, and it was so. That's not metaphor, that's mechanics. That's the operating system of reality. Life and death are in the power of the tongue. Proverbs 18:21. Not ‘kind of influenced' by the tongue, not ‘partially affected' by what you say. Life and death. Your tongue, your words, are the determining factor between creating life or creating death in your experience. You're either speaking life over yourself, your family, your finances, your health, or your speaking death. Every day, every conversation. There's no neutral. And then Exodus 3:14. This is huge, Moses asks, ‘God, Who are you? What's your name? Who should I say sent me?' And God doesn't say Steve. God doesn't give some mystical ancient name. God says, I AM that I AM. The most powerful name in the Bible, the name of God, is I AM. And then throughout Scripture, God basically says that's your name, too. You're made in the image of God, right? That means you have the same creative power every time you say, “I am.” You're invoking creator consciousness. You're declaring reality into existence. You're speaking as the source of your experience. Jesus didn't ‘think' demons out of people. He didn't wish them away. He didn't pray quietly and hope they'd leave. He spoke to them, direct command. “Come out,” and they obeyed. Not because He had special magic that you don't have. Because He understood that authority comes through words, through declaration, through command, He understood frequency disrupting frequency. When He calmed the storm, He didn't meditate on calmness. He spoke to the storm, “Peace be still,” and it obeyed. When He healed people, He spoke healing, “Rise and walk. Be made whole. Your faith has healed you.” Words, commands, frequency, altering matter. This isn't about religion. You'd be an atheist, and this still applies because it's physics. It's quantum mechanics. The Bible is just one of many ancient texts trying to tell you that you have this power you always have. They coded it into scripture, into mythology, into every wisdom tradition. Words are creative force, and you are the wielder. You are the one speaking. You are the one creating. So what are you saying? Now let's talk about your electromagnetic body. Because this is where it all comes together. You think you're solid, right? You feel solid. You look in the mirror, and you see a physical body. But that's an illusion. You're 99.9999% empty space. The atoms that make up your body are mostly electromagnetic fields. You are frequency, wearing meat. The HeartMath Institute proved something incredible. Your heart generates an electromagnetic field that extends 15 feet around you in all directions. 15 feet; that's huge! That field carries information, emotion, intention, and frequency. It affects everyone and everything nearby. You felt this. You know when you walk into a room, and someone's angry? You feel it before they say a word. You know when someone's in love. They radiate it. That's not psychic ability, that's electromagnetic field detection. You're reading frequency. Water crystals respond to words because water is a crystalline structure that holds frequency. Doctor Emoto proved that. Symatics shows that sound creates form. Different frequencies literally arrange matter into different patterns. You can watch sand form perfect geometric patterns just from sound vibration. Your voice is frequency, your words are vibration, and your body is rearranging itself in response every single second. Think about this simply. Your cells communicate through chemical signals, right? But also electrical impulses and electromagnetic fields. When you speak, you're broadcasting frequency through all three channels simultaneously. You're not just making sounds, you're programming biology. You're sending instructions through chemistry, electricity, and electromagnetism all at once. This is why negative people drain your energy. Their frequency is chaotic, discordant, low vibration. Your body has to work harder to maintain coherence around them. This is why being around certain people lights you up. Frequency matching resonance. You're synchronizing. This is why some places feel good and others feel heavy. Residual frequency in the electromagnetic field of that space. You are a walking broadcasting station. Your heart is pumping out a 15-foot field of electromagnetic information. Your brain is generating measurable frequencies. Your words are adding specific vibration to that broadcast. The question is, what are you broadcasting? Limitation or possibility? Fear or power? Submission or sovereignty? Your reality is matching your broadcast. Always. So now let's talk about how they control you with this knowledge, because they know everything I'm telling you. They've known it for centuries, and they weaponize it against you every single day. The media doesn't report news; it casts mass spells. Think about it. Every headline is a frequency broadcast. Every phrase repeated across channels is a ritual. Repetition is how you program consciousness. They're not informing you, they're programming you. And they know exactly what they're doing. “Stay safe.” You hear that everywhere now, right? Sounds caring. Sounds like they're looking out for you. But let's decode the frequency. “Stay” equals ‘remain (Remain Safe is good), don't move, don't change, don't grow.' “Safe” equals ‘protected from danger,' which implies danger is everywhere, which triggers fear, which creates contraction. “Stay safe” is a submission command. It programs fear of the world, dependence on authority, and small living. “Stay small.” “Stay controlled.” “Stay afraid.” That's what your subconscious hears every single time. (Remain in safety is a good command.) “The new normal.” Remember this phrase from 2020 repeated 10,000 times across every media outlet? Why that specific phrase? Because repetition programs reality. They're telling you this is normal now. Accept it, adapt. Don't question, don't resist. This is just how things are now. Your mind hears that phrase enough times and it becomes your operating system. You stop fighting. You comply. You adjust. Mission accomplished. Edward Bernays. You've got to understand who this guy was. The nephew of Sigmund Freud literally wrote the book on propaganda in 1928. “Public Relations,” he called it, because propaganda sounded too negative after World War I. But it's the same thing. He understood that controlling language controls populations. He understood that you don't need physical force when you can program minds through repetition, emotional manipulation, and carefully chosen words. His whole philosophy was this: “Give people the illusion of choice while controlling the language that shapes their thinking. Let them think they're free while you're actually directing their thoughts, their beliefs, their behaviors through linguistic programming.” (Not just words but their emotion and intent are also broadcast. Stay safe, be healed, be free, have emotion and intent.) He helped sell wars. He helped sell cigarettes to women by calling them ‘freedom torches'. He helped sell political candidates like products, using the same techniques. Control the language, control the people. They know language is frequency. They know repetition programs consciousness. They know fear-based words trigger survival responses that shut down critical thinking. So they weaponize it every single day on every platform. News, social media, and entertainment. It's all programming, all frequency manipulation, all spell casting at a massive scale. But here's the key. Here's what they don't want you knowing. You can't be programmed if you're aware. Once you recognize the spell being cast, it loses power over you. You start noticing, “Oh, they're using that phrase to trigger fear. (Don't leave out emotion and intent.) They're repeating this to program acceptance. They're framing this to shut down questions.” And the spell breaks. You become immune. You become sovereign, you become ungovernable. Now let's talk about the “I am” secret, because this is the most powerful thing I can teach you. “I am” are the two most powerful words in any language. Not just English, any language. Why? Because I AM is the name of God. The tetragrammaton, YHWH in Hebrew. I AM that I AM. When Moses asked God's name of the burning Bush, God didn't say Jeff. God didn't give some mystical ancient title. God said, “I AM.” That's not a name, that's a state of being, it's present tense existence, pure presence, pure creative power. And then the Bible tells you over and over. This is your name, too. You're made in the image of God. You have the same creative authority. When you say, “I am”, you're not describing yourself. You're not making an observation. You're commanding reality. You're speaking as the creator of your experience. The quantum field responds to “I am” declarations instantly. Not eventually. Not if you're good enough. Instantly. Because “I am" is the voice of Source consciousness and reality obeys Source. Here's where most people mess this up completely. They say, “I am trying to be confident.” Wrong. Trying cancels creator power. Trying means ‘attempting but not succeeding.' Its failure language. They say, “I am working on being healthy.” Wrong. Working on means, ‘not there yet.' Its future language; the quantum field only responds to now. They say, “I wish I was,” or “I want to be”, or “someday I'll be”. All wrong, all failure codes, all spells of lack. (True, we are to believe and speak that Jesus lives in us, and our old man is dead. 2Co 3:18. We are to speak the end from the beginning as the Lord said.) “I am” is present tense, absolute, declarative, not hope, not intention, command. “I am abundant,” not, “I want abundance”, not, “I'm trying to create abundance”. “I am abundant right now as I speak”, present tense, total certainty. (True) “I am healthy,” not “I'm trying to get healthy”, not “I'm working on being healthy”. I am healthy, period. No question, no doubt. “I am sovereign.” Not, “I'm working on confidence”. Not, “I wish I were more confident”. I am sovereign. Full stop. No negotiation. Whatever follows “I am” becomes your reality instruction to the universe, and the universe doesn't argue, it doesn't judge, it doesn't question whether you deserve it. It says “yes” and starts arranging circumstances, people and opportunities to match your declaration. That's how creation works. That's the operating system. This is why Jesus said, “I am the way, the truth, the life.” “I am the light of the world.” “I am the resurrection.” He was demonstrating Creator consciousness. Teaching the template, showing you how to use your divine authority. And then they diluted it. They made it about worshipping Him instead of becoming like Him. Because they don't want you knowing you have this power. They don't want 7 billion people walking around speaking with “I Am authority”. That would be the end of control. (1Pet 4:11 If any man speaks, let it be as an oracle of God.) Now let's get into quantum physics, because this is where science catches up to ancient wisdom. The famous double slit experiment broke physics; changed everything. Scientists shot particles, electrons, and photons at a screen with two slits in it. When they observed which slit the particle went through, the particles behaved like particles. They went through one slit or the other. Made two distinct bands on the back screen. But when they didn't observe, when they just let it happen without measuring, the particles behaved like waves. They went through both slits simultaneously. Created an interference pattern on the back screen, like waves in water overlapping and creating ripples. Same particles; same experiment. The only thing that changed was observation. And that changed the outcome completely, from wave to particle, from potential to actual; from possibility to reality. What does this mean? Particles, the building blocks of everything; matter, energy, and reality, don't exist in a fixed state until observed. They exist as potential, as possibility, as wave function, multiple states existing simultaneously. And observation, consciousness collapses that potential into one definite reality. You're not living in a solid, fixed reality; you're living in a fluid field of potential. And your consciousness is constantly collapsing possibility into form. Every moment, every thought, every word. You're choosing which reality manifests by where you put your attention and what you declare. Your words are observation devices. When you say, “I am broke”, you're not describing your bank account; you're collapsing the wave function of all financial possibility into the specific reality of poverty. You're taking infinite potential and forcing it into one limited outcome. When you say, “I am abundant”, you're collapsing different probabilities. You're observing a different reality into existence. This is why manifestation isn't about begging the universe. It's not about hoping and wishing and trying really hard. It's about declaring. You're not asking for reality to change. You're observing it into the form you choose. Your words are the observation device. And reality has no choice but to comply. That's quantum mechanics. That's how creation works at the subatomic level. Most people don't manifest because they're observing current reality and describing it. “I'm broke, I'm stuck, I'm tired, I'm alone.” Let's just solidifying what already exists. That's like taking a photograph of a photograph. You're not creative, you're copying. (True) Creators observe the desired reality and speak it into being. “I am abundant.” “I am free.” “I am energized.” “I am connected.” You're collapsing different probabilities. You're choosing from infinite potential. Now let's talk about victim language versus creator language. Because this is where you practically apply everything I've been teaching you. Every sentence you speak positions you as either victim or creator, and most people default to victim language without even realizing it. “I can't afford it.” You say this all the time, right? Seems harmless. But you're claiming powerlessness. You're declaring. You're positioning yourself as victim of circumstances. Replace it with, “I'm choosing to invest elsewhere right now.” Completely different frequency. You have choice. You have agency. You're the one making decisions. Create a language. “I'm so stressed.” (Say, “I cast out stress”, which can be a demon.) Victim language. Stress is happening to you, you're powerless against it, it's attacking you, and you're suffering. Replace with, “I'm processing intense energy right now.” Create a language. You're actively working with what's present. You're not helpless. You're in the process of transformation. You're handling it. “I have to work.” Victim language. You're trapped. No choice. You're a slave to circumstances. Replace with, “I choose to honor my commitments.” Create a language. Even if you don't love the job, claiming choice reclaims power. You're choosing. You have agency. You're not a victim. “I'm trying to lose weight.” Victim language. Trying means not succeeding. It's coded failure. Replace with, “I'm becoming healthier every day.” Create a language present tense, active, progressive. No failure coded in. “I'm stuck.” Victim language frozen, helpless, no movement possible. Replace with, “I'm gathering information in this chapter.” Creator language. You're in a process, there's purpose, you're learning, you're preparing for the next phase. Completely different energy. “I need more money.” Victim language. Need broadcasts lack, desperation, emergency. Your body goes into survival mode when you say need. (It's better to say, I believe I “have received” abundant provision. Php 4:19 And my God shall supply every need of yours according to his riches in glory in Christ Jesus.) “I can't do this.” Victim language, total powerlessness, complete defeat. (Say, I can do all things through Christ who strengthens me.) “But I really want to.” Victim language. “But” cancels everything before it. “I love you, but…” means, “I don't love you.” (Think: Php 4:13  I can do all things in him that strengtheneth me. ) “I want to succeed but…” means, “I don't believe I can succeed.” Replace with, “and I'm choosing to prioritize this.” Creator language. (Thank you, Jesus, that I am successful as I abide in your will and faith.) Every single transformation shifts you from passive receiver to active creator, from being done unto, to doing, from powerless to sovereign. And your nervous system responds immediately. Your cells respond. Your electromagnetic field responds. Your reality responds. This isn't positive thinking. This is frequency reprogramming at the cellular level. (Ask for the Lord's help. Psa 141:3  Set a watch, O Jehovah, before my mouth; Keep the door of my lips.) Eliminate “Can't and try.” Every time you catch yourself saying, “I can't” or “I'm trying,” stop mid-sentence if you have to. (Say, I can do all things through Christ who strengthens me.) Rephrase. “I can't afford that,” becomes “I'm choosing to invest elsewhere.” “I'm trying to be healthier” becomes (1Pe 2:24  who his own self bare our sins in his body upon the tree, that we, having died unto sins, might live unto righteousness; by whose stripes ye were healed.  I thank you Lord, it's done.) Eliminate “have to” and “need to.” These program obligations and lack. Every “have to” is claiming you're trapped. Every “need to” is broadcasting desperation. Replace with, “I choose to” or “I'm ready to.” “I have to go to work,” becomes “I choose to honor my commitments.” “I need to make money” becomes “I'm ready to receive income.” Feel the difference? Your whole body shifts Eliminate “But.” This one's sneaky because you say it constantly without noticing. “But” cancels everything before it. I mean, think about it. “I love you, but…” Doesn't feel like love, right? “I want to succeed, but I'm scared” means “I don't believe I can succeed.” (Say, I cast down doubt and unbelief.) (Remember, Self works will not accomplish what Faith will. Eph 2:8 for by grace have ye been saved through faith; and that not of yourselves, it is the gift of God; 9 not of works, that no man should glory.) Don't say, “I am so lazy.” “I am terrible with money.” “I am always anxious.” “I am not smart enough.” “I am too old.” “I am not attractive,” “I am unlucky.” Every single one is a spell you're casting over yourself multiple times a day. Those aren't descriptions. Those are instructions and your body, your energy field, your reality, they're all saying yes and arranging themselves to match. (Say, Gal 2:20 I have been crucified with Christ; and it is no longer I that live, but Christ liveth in me. This confession will bring power.) For each limitation spell, write the power declaration, not the opposite, the truth of who you are. “I'm so lazy” becomes “I am disciplined and energized.” “I am terrible with money” becomes “I am a wise steward of resources.” “I am always anxious” becomes “I am calm and centered in my power.” “I'm not smart enough” becomes “I am intelligent and capable.” “I am too old” becomes “I am in my power at every age.” “I am not attractive” becomes “I am magnetic and radiant.” (Jesus made reconciliation, which means an exchange of His life for yours. Everything He is has been given to you, and you were crucified with Him.) Keep it present tense. Keep it declarative. No trying, no hoping, no someday. This is who I am right now. And you have to speak it out loud. Your body needs to hear it, not in your head. That's thought, that's weak. Out loud. That's creation. That's powerful. You're broadcasting frequency into your field before anything else gets in there. You're setting the tuning for your whole day. Worry comes from Old English wyrgan, to strangle, to choke. Every time you say, “I'm worried,” you're literally strangling your own life force. You're choking yourself with fear. (Php 4:6 In nothing be anxious; but in everything by prayer and supplication with thanksgiving let your requests be made known unto God. 7 And the peace of God, which passeth all understanding, shall guard your hearts and your thoughts in Christ Jesus. 8 Finally, brethren, whatsoever things are true, whatsoever things are honorable, whatsoever things are just, whatsoever things are pure, whatsoever things are lovely, whatsoever things are of good report; if there be any virtue, and if there be any praise, think on these things. 9 The things which ye both learned and received and heard and saw in me, these things do: and the God of peace shall be with you.) The linguistic shield. Listen, you're exposed to thousands of words daily. Media conversations, social media, and advertising. Not all of them are yours. Most are spells being cast at you, programming being broadcast into your field. (Stay in the Word of God and don't be distracted by the World. Be transformed by the renewing of your mind with the Word.) During media consumption, and this is big. When you notice fear language, repetitive phrases, manipulative framing, programming attempts, you say internally, “I do not accept this spell.” “I return this frequency to sender.” “I am immune to manipulation.” Every time. You don't have to say it out loud. An internal declaration is enough, but you have to catch it and actively reject it. Evening release before sleep: “I release all words not aligned with my truth.” “I release all frequency, not mine to carry.” “I reclaim my linguistic sovereignty.” “I am cleansed.” “I am clear.” “I am free.” This isn't paranoia. This is protection. You wouldn't let strangers reprogram your phone, right? Why let them reprogram your consciousness? Every word you consciously reject weakens its power over you. Every spell you refuse breaks the caster's hold. You're building immunity. Most people fall asleep scrolling, stressed, or rehearsing tomorrow's anxiety. “I gotta do this.” “I gotta do that.” “What if this goes wrong?” They're programming their subconscious to expect more stress. To scan for problems to find threats, flip it. End every day by remembering what worked. What made you feel alive? Your brain will deliver more of it. That's how the reticular activating system works. You get more of what you focus on. So focus on aliveness before sleep. (Thank the Lord for His faithfulness and meditate on all His promises.) You speak 16,000 words a day. That's 16,000 reality commands, 16,000 spells cast. The question is, what have you been creating? What are you creating right now? What will you create tomorrow? Speak life, speak power, speak sovereignty, speak abundance, speak health, speak joy, speak freedom and watch reality bend to your word. Watch circumstances shift, watch opportunities appear. Watch your body respond. Watch your life transform. Not because you got lucky. Not because you finally deserved it. Because you remembered you're the spellcaster and you started using your voice as the creative instrument it's always been. Here is a dictionary website of the history of English words, where you can search words and read the origin, read the root, and read the evolution, etc. https://www.etymonline.com/ Now, let me share with you from our book, The Tongue Conquers The Curse. Sweet waters are the words we speak in agreement with the Word of God and are a blessing to the people around us. They are a healing to the nations, and they spring forth out of our thoughts and hearts, and over our tongues to become words of life. An overwhelming majority of what we call Christianity speaks against God's benefits, which we must receive by faith. So we do what God does: we calleth the things that are not, as though they were (Rom.4:17) and we agree with God, even though we don't see it. This is God's method of bringing the promises into His physical creation. He has blessed us with every spiritual blessing in the heavenly [places] (Eph.1:3); but when we confess, it becomes ours in these physical places around us. But the opposite can also come to pass. (Jas.3:10) Out of the same mouth cometh forth blessing and cursing. My brethren, these things ought not so to be. (11) Doth the fountain send forth from the same opening sweet [water] and bitter? (12) can a fig tree, my brethren yield olives, or a vine figs? neither [can] salt water yield sweet. Many times, the problem with our mouths is that we are speaking a mixture of blessings and curses. But with the increase of the lips, we should be growing with the knowledge of God in our heart, speaking and agreeing with this knowledge and denying those things that exalt themselves above the knowledge of God by casting them down (2 Corinthians 10:5). We grow into confessing God's Word and into righteousness because He imputes righteousness when we agree with His Word. We should be growing into the sweet water, the river of living water coming up from us, and not a mixture of blessing and cursing. (Jas.3:5) So the tongue also is a little member, and boasteth great things. Behold, how much wood is kindled by how small a fire! People think that the things that they say are insignificant and that they don't count. Not so before God and, I might say, not so before the devil, because he gets his authority from you. Remember, the devil doesn't have authority, except what we give him. Jesus said that all authority hath been given unto me in heaven and on earth (Mat.28:18). And He put that authority under His feet and gave Himself to be the head of the body, the Church. (Eph.1:20) Which he wrought in Christ, when he raised him from the dead, and made him to sit at his right hand in the heavenly [places], (21) far above all rule, and authority, and power, and dominion, and every name that is named, not only in this world, but also in that which is to come: (22) and he put all things in subjection under his feet, and gave him to be head over all things to the church, (23) which is his body, the fulness of him that filleth all in all. Every principality and power has been put under the feet of Jesus, which is the lowest member of His “body,” so we have the authority. The devil has to get us to give him authority and, of course, he works constantly to sow the seed of the world into our hearts. That is what a harlot is – a person who receives the seed of the world in their heart, rather than the seed of the Kingdom. (Jas.5:6) And the tongue is a fire: the world of iniquity among our members is the tongue, which defileth the whole body, and setteth on fire the wheel of nature, and is set on fire by hell. The tongue defiles the body when our faith is in what we are told by the world and by the devil; therefore, it is what we believe and what comes out of our mouth that defiles the body. The “wheel of nature” or, as otherwise interpreted, “cycle of life,” is sowing and reaping. You speak things that are a curse and cursing comes upon you. You speak things that are a blessing, and a blessing comes upon you. There is a cycle that tends to be upward and a cycle that tends to be downward. We want to bring our tongue into submission by first repenting, that is, changing our minds and agreeing with the Word of God. (Pro.18:21) Death and life are in the power of the tongue; And they that love it shall eat the fruit thereof. This can be just your death and life or the death and life of the people around you. We are all going to prove whether we love death or whether we love life. We are going to eat the fruit of the one that we love. If you love life, you will obviously pay very close attention to what you say, and you will begin to train your tongue to come into agreement with the Word of God. Our minds are like computers; they need to be programmed so that what we see on the monitor reflects something beneficial and a blessing. A computer by itself is worthless without a monitor. Basically, God is saying that the monitor is the tongue. It reflects what is inside the programming. If you say that you're a believer and everything you say is contrary to what God says, then that's a lie. We need to reprogram this computer so that what comes out of our mouth is the Word of the Lord and is effectual in changing us and the world around us. The Bible says the tongue is like a rudder that is able to turn the whole body (James 3:4-8). It's a very powerful tool that God has given us. (Rom.12:1) I beseech you therefore, brethren, by the mercies of God, to present your bodies a living sacrifice, holy, acceptable to God, [which is] your spiritual service. (2) And be not fashioned according to this world: but be ye transformed by the renewing of your mind, that ye may prove what is the good and acceptable and perfect will of God. We must spend time in the Word of God so we can program it into our hearts, and we have to put it in there often enough so that it begins to overcome what is already there. To show forth what the perfect will of God is in your life, your mind needs to be renewed. You will never walk in perfection without the renewing of your mind. According to James, it's not just the mind, but what comes out of the mind that matters. (Jas.3:2) For in many things we all stumble. If any stumbleth not in word, the same is a perfect man, able to bridle the whole body also. (3) Now if we put the horses' bridles into their mouths that they may obey us, we turn about their whole body also. (4) Behold, the ships also, though they are so great and are driven by rough winds, are yet turned about by a very small rudder, whither the impulse of the steersman willeth. (5) So the tongue also is a little member, and boasteth great things. Behold, how much wood is kindled by how small a fire! How do we steer this vessel with the tongue? First, we need the will to do this. He whom the Son sets free is free indeed (John 8:36). The Lord sets us free by giving us His will. Nothing can restrain God's will. He does what He wants to in the armies of Heaven and upon the earth (Daniel 4:35). We are frustrated because we have a schizophrenic will. His will is fighting in us against our will, but as we walk by faith, He works in us both to will and to work, for his good pleasure (Php.2:13). Then, when in this way His will has overcome ours, we are free to do what we like to do. Then His will in us will steer the body with the tongue. When we hear ourselves speaking words that do not line up with the Scriptures, we can back up and say, “No, I don't like what I said there. I don't accept that, Lord. Forgive me. I'm going to agree with your Word.” (Rom.3:4) God forbid: yea, let God be found true, but every man a liar; as it is written, That thou mightest be justified in thy words, And mightest prevail when thou comest into judgment. We are about to come into judgment and some of you are in it and don't even know it. And God is saying that the most important tool is a renewed mind speaking out of your mouth, the Word of God. That's the powerful tool that you have. Jesus and His disciples turned the world upside down with the things that they said (Acts 17:6). The things that they said, they commanded; and the things that they said agreed with the Word of God and brought repentance and deliverance. We have to change our minds, and we must be careful about what we put in our computers. We must be anxious for nothing and let our prayers and requests be made known unto God with thanksgiving (Philippians 4:6). Paul tells us something about being at peace with what we put in our minds and what we program our computers with. (Php.4:8) Finally, brethren, whatsoever things are true, whatsoever things are honorable, whatsoever things are just, whatsoever things are pure, whatsoever things are lovely, whatsoever things are of good report; if there be any virtue, and if there be any praise, think on these things. Everything we put in our minds is still there, but recall is the problem. We don't want to be polluted by the things of the world. We want to put things in our minds that will cause us to think and speak properly in agreement with the Word of God. We don't want a leaven that leavens the whole lump (1 Corinthians 5:6; Galatians 5:9). We don't want to fill up our minds with the television, the things of the world and the love of the world. We want to fill up our minds with the Word of God, fulfilling His will and walking as a disciple. He tells us to think on the good things, not the bad news, not the conspiracies, not studying the false doctrines. The Gospel is the Good News and the power of God unto salvation (Rom.1:16). Paul tells us that I would have you wise unto that which is good, and simple unto that which is evil (Rom.16:19). In other words, stop studying the evil in the world and start studying the good because when you sow the Word into your heart, it brings forth Jesus Christ. That's why we are told to “think on these things.” These things have the power to bring forth Christ in you and Christ in you can take care of evil, so it will no longer be a problem or temptation for us. Christ within you cannot be tempted with evil. It's the old man that can be tempted by evil; that's the part that needs to die. So think on the good things, the things that are true, honorable, just, pure, lovely, and the things of good report. (Php.4:9) The things which ye both learned and received and heard and saw in me, these things do: and the God of peace shall be with you. We have been given awesome examples, not only in Jesus, but in the apostle Paul and many others. They've gone out before us, filled with the Word of God, the love of the Lord Jesus Christ, and the Spirit of God. It's a death experience of self, but it's a resurrection experience of Jesus Christ living in us. He wants to use our tongue to do the same thing that the tongue of His first body did, which brought deliverance and blessing to the world. It turned not only the body but everything around them. In order to do that, we have to fight this warfare that we're called to fight. He tells us that this warfare is not of the flesh. (2Co.10:3) For though we walk in the flesh, we do not war according to the flesh (4) (for the weapons of our warfare are not of the flesh, but mighty before God to the casting down of strongholds). One of those weapons, the most important one, is the tongue. When you agree with the Word of God, you are accounted righteous. Then you are entitled to the benefits of the Kingdom. One of the benefits is the reconciliation, which is the exchange between you and the Cross. God has taken away your sins, your sinful life, and your sinful tongue and has nailed them on the Cross. He has taken the righteousness of Jesus Christ and has given it to you. Now He's given this to you as a benefit, but for you to receive this benefit, you must be accounted righteous. That's why you speak what the Bible says about you. You were crucified with Christ and it's no longer you who lives, but Christ Who lives in you (Galatians 2:20). Can you confess that? This is what the apostle Paul taught us to believe, think, and speak. We don't live anymore; Christ lives in us. That's the Good News, which is “the power of God unto salvation,” but if it doesn't come out of our mouth, it's not going to work. We have to agree with the Word and refuse to say anything that is contrary to the Word. (2Co.10:5) Casting down imaginations (Greek: logismos, meaning “reasoning”), and every high thing that is exalted against the knowledge of God, and bringing every thoug

The Pharmacy 50 Awards are back for the 2025 season, celebrating the people who are pushing the profession forward through leadership, innovation, advocacy, education, and patient care. In Part 2 of this 4-part series, we spotlight an incredible group of pharmacy professionals and industry leaders representing the full spectrum of pharmacy—from independent practice and health systems to digital health, specialty pharmacy, philanthropy, and beyond. This series is designed to recognize the voices shaping the future of pharmacy and to inspire the next wave of leadership across healthcare.   Walter Oronsaye PharmD — Social Media Influencer Emily Durham, MS, CPhT — Compounding Christopher Bowens, PharmD — Health System Hospital Pharmacy Mark Duman, MRPharmS — Technology & Digital Health Greg Reybold — Advocacy, Policy, Regulation or Government Dave Randolph, BSPharm — Independent Pharmacy Kelley D. Carlstrom, PharmD — Specialty Pharmacy Andy Crawford — Independent Pharmacy Brandi Chane, CPhT — Independent Pharmacy Mayank Amin, PharmD — Independent Pharmacy Chris Antypas, PharmD — Specialty Pharmacy Tarah Slusher Davis, PharmD — Independent Pharmacy

In this episode, Sahil Sheth, PharmD, BCCCP, Senior Director of Pharmacy Services at Luminis Health, discusses restructuring pharmacy leadership, expanding ambulatory and clinical pharmacy services, and strengthening operations across the system.

TWIRx – January 30 | Special Guest: Marc Essensa, CEO of IPC On this episode of This Week in Pharmacy, we welcome Marc Essensa, President and CEO of the Independent Pharmacy Cooperative (IPC), to discuss timely strategies and resources helping independent pharmacies strengthen their businesses in today's challenging environment. Building Your Independent Pharmacy Business Marc shares insights on navigating reimbursement pressure, improving margins, and leveraging IPC's purchasing power, data, and strategic tools to support long-term sustainability. The Payment Card Settlement: A Practical Guide We break down IPC's guidance on the Payment Card Interchange Fee Settlement, which may allow pharmacies that accepted Visa or Mastercard between 2004–2019 to recover funds. Marc explains eligibility, next steps, and how recovered dollars can support cash flow, staffing, technology, or inventory investments. IPC Member Support Services The conversation highlights IPC's expanded member support offerings, including business consulting, strategic partnerships, wholesale access, and operational resources designed to help independents stay competitive. Legislative & Advocacy Updates Marc also provides updates on IPC's advocacy efforts at both the state and federal levels, focused on protecting independent pharmacy interests and addressing ongoing policy and reimbursement challenges.

In this powerhouse segment from The Clay Edwards Show, host Clay Edwards sits down with State Rep. Fred Shanks for a no-holds-barred chat on hot Mississippi and national issues. They kick off with the "Kraken" finally unleashing in Fulton County—six years after 2020—with DNI Director Tulsi Gabbard on the ground auditing ballots amid desperate reactions from election officials that scream guilt. Clay and Fred speculate on potential foreign ties (Venezuela? China?) and celebrate the momentum, even floating a bold "Trump 2028" reclaim.   Shifting to local streets, they break down Rep. Shonda Yates' bill to seize vehicles in drag racing busts. As fellow reformed South Jackson car guys, they support hitting organized chaos—like trailer queens flipping on Medgar Evers—while protecting casual enthusiasts from overreach. No more shutting down city blocks for high-stakes bets; it's time for real teeth in enforcement, inspired by JPD and Capitol PD feedback.   Finally, Fred draws from his 30 years as a pharmacist to expose the PBM racket—pharmacy benefit managers owned by big insurers and chains like CVS, clawing back millions and forcing independents to close. They call for transparency and reform to save community lifelines that sponsor Little Leagues, deliver midnight meds, and beat big-box prices. Listeners: Contact your reps to push PBM changes before independents vanish.   Unfiltered insights on accountability, street safety, and small-business survival—straight talk from two Mississippi originals.

In this episode, Detective Ev sits down with Alisa, a Doctor of Pharmacy with over 25 years of experience who made the courageous leap from conventional medicine into the world of functional health. After years of dispensing medications to manage symptoms, Alisa began to question the system—and her role in it. What she discovered changed everything. Alisa opens up about her personal and professional journey, including the stress, burnout, and gut health crisis that led to an emergency room visit in 2023. That wake-up call forced her to prioritize her own health and ultimately guided her toward becoming a Functional Diagnostic Nutrition® (FDN) Practitioner. Today, she's on a mission to help others understand how deeply lifestyle choices impact the body—and how true healing happens when we address root causes, not just diagnoses. This conversation explores the powerful shift from a pharmaceutical mindset to a functional, lifestyle-based approach, emphasizing how everything in the body is connected. Alisa breaks down why focusing on DRESS (Diet, Rest, Exercise, Stress Reduction, and Supplementation) is foundational for long-term health and why having real data about how your body is functioning can be truly life-changing.     Want to watch this episode on YouTube? Click here. Subscribe if you'd like to catch all new episodes live and participate with our guests directly.   Want to learn more about becoming an FDN? Go to fdntraining.com/resources to get our best free workshops and mini-courses! Where to find Alisa Berteau: Website: healthanalyzers.com Instagram: @health_analyzers Facebook: @Health Analyzers LLC  

There is still a lot more you should know about drastic price reductions on key brand name drugs.   The Manufacturer Fair Price (MFP) price reductions have now hit, but there are still things a pharmacy can do to mitigate gross profit loses.  Jay Blackburn, CEO of the Compliant Pharmacy Alliance (CPS) shares several tips, tactics and techniques that he suggests you understand.  It will pay for you to understand and act on now! More information can be had on the CPA website:  www.compliantrx.com 

Nutritional rickets is caused by a vitamin D deficiency, and people figured out two ways to treat it before we even knew what vitamin D was. Research: “Oldest UK case of rickets in Neolithic Tiree skeleton.” 9/10/2015. https://www.bbc.com/news/uk-scotland-glasgow-west-34208976 Carpenter, Kenneth J. “Harriette Chick and the Problem of Rickets.” The Journal of Nutrition, Volume 138, Issue 5, 827 – 832 Chesney, Russell W. “New thoughts concerning the epidemic of rickets: was the role of alum overlooked?.” Pediatric Nephrology. (2012) 27:3–6. DOI 10.1007/s00467-011-2004-9. Craig, Wallace and Morris Belkin. “The Prevention and Cure of Rickets.” The Scientific Monthly , May, 1925, Vol. 20, No. 5 (May, 1925). Via JSTOR. https://www.jstor.org/stable/7260 Davidson, Tish. "Rickets." The Gale Encyclopedia of Medicine, edited by Jacqueline L. Longe, 6th ed., vol. 7, Gale, 2020, pp. 4485-4487. Gale OneFile: Health and Medicine, link.gale.com/apps/doc/CX7986601644/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=811f7e02. Accessed 7 Jan. 2026. Friedman, Aaron. “A brief history of rickets.” Pediatric Nephrology (2020) 35:1835–1841. https://doi.org/10.1007/s00467-019-04366-9 Hawkes, Colin P, and Michael A Levine. “A painting of the Christ Child with bowed legs: Rickets in the Renaissance.” American journal of medical genetics. Part C, Seminars in medical genetics vol. 187,2 (2021): 216-218. doi:10.1002/ajmg.c.31894 Ihde, Aaron J. “Studies on the History of Rickets. I: Recognition of Rickets as a Deficiency Disease.” Pharmacy in History, 1974, Vol. 16, No. 3 (1974). https://www.jstor.org/stable/41108858 Ihde, Aaron J. “Studies on the History of Rickets. II : The Roles of Cod Liver Oil and Light.” Pharmacy in History, 1975, Vol. 17, No. 1 (1975). https://www.jstor.org/stable/41108885 Newton, Gil. “Diagnosing Rickets in Early Modern England: Statistical Evidence and Social Response.” Social History of Medicine Vol. 35, No. 2 pp. 566–588. https://academic.oup.com/shm/article/35/2/566/6381535 O'Riordan, Jeffrey L H, and Olav L M Bijvoet. “Rickets before the discovery of vitamin D.” BoneKEy reports vol. 3 478. 8 Jan. 2014, doi:10.1038/bonekey.2013.212. Palm, T. “Etiology of Rickets.” Br Med J 1888; 2 doi: https://doi.org/10.1136/bmj.2.1457.1247 (Published 01 December 1888) Rajakumar, Kumaravel and Stephen B. Thomas. “Reemerging Nutritional Rickets: A Historical Perspective.” Arch Pediatr Adolesc Med. Published Online: April 2005 2005;159;(4):335-341. doi:10.1001/archpedi.159.4.335 Swinburne, Layinka M. “Rickets and the Fairfax family receipt books.” Journal of the Royal Society of Medicine. Vol. 99. August 2006. Tait, H. P.. “Daniel Whistler and His Contribution to Pædiatrics.” Edinburgh Medical Journal vol. 53,6 (1946): 325–330. Warren, Christian. “No Magic Bolus: What the History of Rickets and Vitamin D Can Teach Us About Setting Standards.” Journal of Adolescent Health. 66 (2020) 379e380. https://www.jahonline.org/article/S1054-139X(20)30038-0/pdf Wheeler, Benjamin J et al. “A Brief History of Nutritional Rickets.” Frontiers in endocrinology vol. 10 795. 14 Nov. 2019, doi:10.3389/fendo.2019.00795 World Health Organization. “The Magnitude and Distribution of Nutritoinal Rickets: Disease Burden in Infants, Children, and Adolescents.” 2019. Via JSTOR. https://www.jstor.org/stable/resrep27899.7 Zhang, M., Shen, F., Petryk, A., Tang, J., Chen, X., & Sergi, C. (2016). “English Disease”: Historical Notes on Rickets, the Bone–Lung Link and Child Neglect Issues. Nutrients, 8(11), 722. https://doi.org/10.3390/nu8110722 See omnystudio.com/listener for privacy information.