Oh the end is near... finally... finally...

It's been a long month and a half since I put all my eggs in one basket for a job that JUST didn't pan out in a timely manner.  I have to work today through Thursday at a LTC facility where I literally stand up all day - 30 minute lunch - but I do get to listen to my iPod which usually results into me humming a few tunes from Patty Griffin or Kings of Leon.  I had my drug test and background test done, so now just waiting on "orders" from the new job.  There are some negatives.  I have PSLs to our city's NFL team.  I'll miss some games, I'm sure.  At least I can prop a TV up in the room where I work and see the game in the background though.  It's still ok to work from home at times!  I can crank up the music louder without worrying about bothering the cubicle next to me.  I can rush to the bathroom, leave the door open, and sing if I want!  It just sounds more comfortable, right?

So I'm sitting here struggling this morning because I need to get ready and make the long commute to this staffing gig just THREE more times.  Just three more times.

And the staffing comes to an end...

The staffing company I work for has nothing for me next week.  Unreal.  Out of all the shortages out there, not a single job.  The next week has a few but all about a 3-4 hour roundtrip commute.  Not even worth it.  With that said, I'm still waiting on my current offer to continue through.  I have to fill out background check information and a drug test.  Easy enough.  I really cannot wait to get back into looking at hospital orders.  It is much more interesting than tablets and more tablets.  Drips and IVs are so much more festive, chemotherapy more thought provoking, and TPNs more challenging... in the world of pharmacy anyway.  The latest fun thing for tablets are the new combination products that drug companies are making to overcome the brand names losing their trademarks.  Avandia/Amaryl, etc... 

I turned down the LTC offer.  Ironically the manager (who is not a pharmacist) told me that my reason for turning it down (long commute) wouldn't be an issue as they were relocating near where I am in 4-9 months.  And, oh please, don't let my employees know what I just confided in you.

That raised an immediate red flag.

Hey employers, you HAVE to take care of your staff first.  They have to be top priority.  You don't tell a possible hire something that you haven't told your own employees and then ask someone who doesn't even have your loyalty not to tell.

No, I didn't tell.  No, I won't tell but still!  Is it just me or should he have least told his employees of the possible relocation?

I still turned the job down.

I still am going to work from home.

The Angry Pharmacist hates drug reps

Let's go back in time a bit.  I'm married to a great guy (cat's out of the bag, eh?) who went to college with a guy who majored in, oh, let's say, geology.  He was a wild ass in college, partied his ass off, and today is a bonafide drug rep for Eli Lilly.  Not only that, I get the wonderful pleasure of being in his presence of hearing how great Strattera and Cymbalta are.  On and on...  "Hey, Blonde, have you tried Strattera?  It works really well."  He offers to give me samples.  Illegal.  He then attemps at the pharmacology of the drug.  It's obvious it's biased and exactly what EL told him to say.  I chuckle.  I don't have the time to even clarify or clear things up for him.  I don't have to tell him what an idiot he really is and to stop pretending to be a pseudo physician. He puts on a different hat at times with being in charge with the men's group at his church and becomes super preacher as well.

It all reminds me of the kid that has to really overcompensate for low self-esteem.

I just flew by The Angry Pharmacist's first post on drug reps.  Man, he cracks me up and is dead on.  The second post is even funnier as the angry drug reps tried hard to counter yet TAP (The Angry Pharmacist) used all the comments as great fodder for even more.  Love it.

Handwashing...

I know, I know, no drugs involved on this one, but it is almost time for flu vaccines and colds.  I hate both with a vengeance and have to become quite diligent and frequent handwashings.  What really elates me right now is the new job I think I have!  It is an at home job where I will be entering in hospital orders.  I am so excited because I won't have to worry about office drama OR OFFICE GERMS!  I'm going to start figuring out what sort of home office I want to create.  I'd love to raid some Pottery Barn office suites! 

Restroom Study Finds Hand Washing on the Decline

HealthDay FRIDAY, Sept. 21 (HealthDay News) -- Americans aren't washing their hands like they used to.

That's the conclusion of a new observational study that found fewer users of public restrooms stopping by the sink on their way out, compared to years past.  The study was released to coincide with National Clean Hands Week by the American Society for Microbiology and The Soap and Detergent Association.

For the study, researchers observed the behavior of almost 6,100 adults at six locations in four cities -- Atlanta, Chicago. New York and San Francisco.  They found that 77 percent of people washed their hands in public restrooms, a 6 percent decline from the 83 percent noted in 2005.  This latest study found that women were still more likely (88 percent) to wash their hands than men (66 percent). In 2005, 90 percent of women and 75 percent of men washed their hands.

In both the 2005 and 2007 studies, researchers observed the hand washing behavior of people at: Turner Field in Atlanta; the Museum of Science and Industry and the Shedd Aquarium in Chicago; Grand Central Station and Penn Station in New York City; and the Ferry Terminal Farmers Market in San Francisco. 

In 2007, Chicago had the most conscientious hand washers (81 percent), followed by New York City (79 percent), Atlanta (75 percent) and San Francisco (73 percent)."  According to the Centers for Disease Control and Prevention, the single most important thing we can all do to keep from getting infectious diseases and spreading them to others is to clean our hands," ASM spokesperson Dr. Judy Daly, director of the microbiology laboratories at the Primary Children's Medical Center in Salt Lake City, said in a prepared statement.  "Many cases of colds, flu and foodborne illness are spread by unclean hands, and these diseases are responsible for billions of dollars each year in health-care expenditures and productivity losses in the United States," Daly noted.   "Worldwide, infectious diseases remain the leading cause of illness and death."

More informationThe U.S. Centers for Disease Control and Prevention has more about stopping the spread of germs.

Copyright © 2007 ScoutNews, LLC. All rights reserved.

Putting your eggs all in one basket...

I'm proof positive that it's NOT a good idea.  Here the blonde pharmacist is working for a staffing company, barely getting any hours CLOSE to full time (Ok, I will admit, I love the golfing and quiet time at home), waiting on this "perfect job" that I thought was a sure thing...  and I get an email yesterday stating that there is a freeze on hiring for about 2 months.  She wished that I had started the process earlier, etc...  (me, too!)  I would love to wait longer, but it's not an option. SO...  blonde pharmacist is back looking for another job leaning toward LTC. 

I'm going to have to devote some time to this blog for discussions of drugs also.  I've kind of dropped the ball on that one!

The Blonde Pharmacist...

... is currently working PART-TIME for a staffing company.  Yes, you heard me right.  I am staffing.  Tomorrow I'll be driving very far away to work in a hospital.  So far, I have enjoyed the sabbatical from the run-of-the-mill I have to give a crap day that I normally have in a job where it counts.  I mean it counts now, but I can overlook all the negativity and employees hating one another and just do my job making sure the medication won't hurt someone and is filled correctly.  You can't beat that except, I need more work.  I'm holding out for a job that I really really want.  I called to check on the status of it yesterday and we're in the checking of the references mode and hopefully I will be announcing soon what kind of job it is.

It is perfect for me in every way.

So with that said...  I'm literally doing stuff about the house, cleaning, etc...  trying to get ready for fall.  Playing a lot of golf.  Listening to a lot of books on iPod.  The list goes on.  I worry about my significant other getting upset with me for not working full-time, but hopefully I will make up for it with a nice sign-on bonus.

Wish me luck.  I need it! 

If I don't hear back from them by the end of this month.  I'm going to be looking hot and heavy again, darn it!

What REALLY happened at my job

My Boss's Boss, I am sorry to leave as I did.  I have really struggled with this decision and wished that I had gotten to know you better during this time at the very least.  I had very high expectations of this job and still feel that there are wonderful things in place systems-wise that will definitely make the company profitable. 

I would be doing you a disservice if I didn't at least share with you what I experienced here at your company.  I wanted to speak with you in person about these things, but it never seemed to be the right time.

First of all, when I interviewed, Boss and I had discussed the schedule.  I was told 8-8:30 am to 5-5:30 pm.  There are always things that pull you toward a job and things that repel, and schedule is my number one pull.  I focus on it more than anything since I do so much outside of work in my neighborhood along with other responsibilities.  After just a few days on board, there was a change made to Fed Ex to save money.  Boss said out-loud that we would be moving to a split shift, one pharmacist coming in early and the other later (staying until 6:30pm to 7:00pm depending on when Fed Ex would arrive).  Since coming on board one pharmacist had been dropped from two days to one day and another pharmacist 40 hours to 32 hours a week, I couldn't help but notice that I would be the one to carry the later shifts for the most part.  I went to my boss to ask him about the schedule.  I told him that I thought when I interviewed the hours were 8-8:30 am to 5-5:30 pm, and he immediately told me that he knew that sometimes "perception was reality," and that he was sorry to say that I misunderstood him.  I didn't misunderstand the schedule as it is at the top of the list as far as job priorities go.  My boss then said, "Don't forget, Blonde Pharmacist, that I sweetened the pot for you."  I felt very insulted at that point.  I had counter-offered on the salary negotiation even after in the interview he said salary wasn't negotiable.  He had met the counter-offer, yet now it was being pulled back up in my face, so to speak.  I felt like that one comment shed immediately light into the lack of professionalism his words carried.

There is not a lot of work right now, yet any work that there may be to do is dealt with immediately with a super sense of urgency.  I don't have the time to even make the decision to do anything without a reminder of "Have you done "X" yet?"  "You can do "X" now."  I notice this with every employee.  It feels as though there is a lack of trust with his employees on being able to be self starters and getting the job done.  It is one reason that a tech wanted to quit.  Both he and and his favorite tech treat her as though she is lacking any thought process of her own. 

My boss speaks loudly and does all corrective action in front of everyone.  I find this very uncomfortable.  Another pharmacist had had trouble with a physician signing a CII and had had a difficult conversation with the physician regarding the legal steps.  She was professional and direct yet very nice with the physician.  That pharmacist shared with the boss the issue, and the boss immediately chastised her in front of his favorite tech and me, "E, you have not handled this correctly.  You have poured gasoline on the fire."  The more appropriate response would to be to deal with her in private if he thought she was inappropriate.

There is a clique feeling here with the Wal-Mart crew.  Others aren't as welcome.  I have felt very unwelcome with them since Day 1. 

The next day, he accused that same pharmacist (E) in front of the staff of leaving the building for lunch with me (I had gone alone to pick up lunch and to come back and meet E in the breakroom to eat).  E told him immediately that she had been in the break room and had not left the pharmacy unmanned per law.  The ironic thing was that the next day I came into work at 8:10am (wreck put me 10 minutes behind), and the boss had been here to let the boss's favorite tech in and had gone to the LTC conference.  His favorite tech was in the pharmacy alone.  His favorite tech is not a pharmacist and though is almost treated as one cannot be left in the pharmacy alone.  This just seemed ironic to me that very day before the boss had accused E of the same thing.

I resigned which was difficult.  I have never resigned a job without having another one lined up, but I got to the point where I knew I would not be able to work for the boss any longer and endure the kind of atmosphere in place here.  His management style is not very conducive to professional growth, and I had to beg my husband to let me resign.  After a week of resigning, I asked the boss if I could leave a couple of hours early one day for an interview.  It's the only one I had lined up at all.  The boss immediately said, "Why don't we just let today be your last day?"

I was completely at a loss for words.  I told him that we had agreed on two weeks and if he wanted me to leave, I would.  He told me that he thought he was doing me a favor.  If I had wanted that type of response, I would have said that I wanted to leave that day and it be my last.  He has a way of making people feel subhuman.  I was very emotional and told him that I needed to work out the two weeks and that I was only asking to leave a little bit early one day.  He said that he thought he was helping me out to do more interviewing and drug tests.  I told him that I didn't have all that lined up at all.  Then he went into a lecture about pharmacy, his daughter, and that he thought that I needed off because I had been moping around and was unhappy.

I haven't been moping or unhappy.  I have been trying to be as professional as possible while working for a very unprofessional manager, and it's been the most difficult short tenure that I have ever had.  I hope that I never have to go through another situation like this again.  It's very difficult for me to let you know all of this for fear of sounding like a child, but it's the truth, and I do wish you and your business the best.  I believe the boss is good at growing businesses, perhaps, but he will have a difficult time growing his staff.  I only left due to him and the environment he has created.

Sincerely, Blonde Pharmacist

His response:

Blonde Pharmacist,

Thank you for taking the time to provide me your reasoning for leaving my pharmacy. I was surprised and disappointed with your departure. More than anything, I feel badly that your experience here was so negative to the point that you left without even having a job. Sometimes the chemistry between people is just far off the mark, and when that is the case misunderstandings abound. You might be interested to know, for your own benefit, that several folks here asked if "Blonde Pharmacist ever smiles"...and this was the first week or so. Obviously your unhappiness was noticed by others and so it was best that you moved on to search for a position that will meet your needs and fulfill your expectations.

I believe you are an exceptionally talented professional and that you will find that right opportunity and they will be fortunate to have you on their team.

Sincerely,

Boss's Boss

-------------------------------------------------------------------

WHAT??!!!! So of course in Blonde Pharmacist's true form - one last communication:

Boss's Boss,

I'm really surprised by your email, especially the part about me never smiling. That really made me smile! I actually did, quite a lot. I cannot imagine who the several would even be considering the only one I didn't smile at much was my boss and there are only a handful of employees there. I didn't smile much to boss the first week because of the schedule change that was mentioned and the inappropriate way he talked down to me when I questioned him about the changes that were being made the first few days of my employment. It's hard to digest someone changing what they tell you in an interview. I've never had that happen before.

I have heard nothing but good things about you, yet now I wonder what the purpose of you even replying to me regarding what I emailed you except to let me know that I was a negative force in your business. I wouldn't have been perceived that way had I been dealt with fairly in the beginning. There were NO misunderstandings of what the boss said to me in the interview and what then transpired. There's no misunderstanding schedule. There's no misunderstanding someone then saying, "Don't forget I sweetened the pot for you." I think that one statement in itself spoke to me as to what kind of person he is. I cannot work for that kind of individual.

Perhaps if you would have talked to me or gotten to know me in the four weeks I was there, you would find out the truth about me instead of listening to the boss's take on what happened and trying to benefit me with information that I didn't smile? There are a lot of pharmacists in the pharmacy industry in this city that warned me about working for him, and I did not listen. I wanted to find out for myself because it seemed like a great opportunity, and he came across so honest.

I am just speechless at your email. Really an "I'm sorry it didn't work out" would have been much more professional.

---------------------------------------------------------------------------------------

Can I be any more hormonal right now? GEEZE! The main thing is that I'm so livid at his response. It lacked professionalism.

I didn't smile? Are you freaking kidding me?

I would love to plaster their names all over this post, but won't. I've definitely burned a bridge!

NAPLEX is Suspended

Prof. accused of sharing licensure exam questionsQuality of University not in doubt KRISTEN COULTER

Issue date: 8/30/07 Section: News

Shirley Zhang, a graduate student from China studying biochemical sciences, walks past the Pharmacy Building located on South Campus.

A University pharmacy professor is a defendant in a federal court case, in which he is accused of collecting and disseminating pharmacy test questions to students, according to court documents obtained by The Red & Black.

The National Association of Boards of Pharmacy filed the case Aug. 3 against the Board of Regents and Flynn Warren Jr., citing copyright infringement, misappropriation of trade secrets and breach of contract, according to the documents.

NABP has investigated Warren twice for these allegations.

The North American Pharmacist Licensure Examination and Georgia Multistate Pharmacy Jurisprudence Examination are tests required to obtain a license to practice pharmacy. The NAPLEX is used by all 50 states’ boards of pharmacy, and the MPJE “combines federal and state specific law items to serve as the state law examination in 46 participating jurisdictions,” according to a NABP news release.

At an Aug. 23 meeting, the executive committee of NABP decided to suspend all administrations of the NAPLEX and the Georgia MPJE beginning Aug. 25 and will not administer the test nationwide.

NABF said in the news release it has not decided when to reinstate the test.

“I cannot comment on this, given the current investigation,” said University Provost Arnett Mace Wednesday afternoon.

Warren, who was reached at his home Wednesday evening, also refused to comment.

The College of Pharmacy referred calls to Tom Jackson, the associate vice president for public affairs. Jackson wrote Wednesday in an e-mail, “parties have been ordered by the court not to comment on the matter while it is in litigation.”

While he would not comment on the investigation, George Francisco, associate dean of the College of Pharmacy, said Warren has taught the board review course at the University “for several years.” Francisco said the class lasts three days and is available to both University pharmacy students and students at other institutions.

Warren is accused of copyright infringement because NABP owns the copyrights on the exam questions. Court papers say he asked students to memorize NAPLEX test questions and share them with him. He collected the tests’ contents and created a review packet.

Warren is faced with these accusations because he was never “granted a license … to copy, sell, distribute, prepare derivative works from, or otherwise offered to transfer the ownership of the copyrights of the NABP Examination Questions, to which NABP has exclusive rights,” the court papers read.

Warren is accused of misappropriation of trade secrets because: “the NABP Examination Questions are original lists of questions containing technical information used for evaluating the competency of a candidate in the field of pharmacy,” and the questions “derive economic and evaluative value from not being generally known and not being readily ascertainable by proper means,” according to the documents.

The breach of contract charge stems from a 1995 settlement agreement, in which Warren and the University said they will “cease and desist for profit or otherwise from all past, present and future copying, transcribing or other infringing use of NABP copyrighted materials, including but not limited to patient profiles, sample questions, or other copyrighted information.”

Francisco said he was unaware of the 1995 settlement, and the pharmacy school was not monitoring Warren’s classes.

Last year, the BOR offered to pay $40 million for an addition to the College of Pharmacy.

Professors at other schools exposed exam study guide

According to a biography on the University’s Web site, Warren has been a pharmacy faculty member since 1985. Before his July 1 retirement, he was a clinical professor and the college’s assistant dean for student affairs.

Though he retired last month, Warren still is teaching elective classes for the pharmacy school, Francisco said.

This case arose after Warren offered an annual exam review course at Samford University.

Alan Ray Spies, an assistant pharmacy professor at Samford, said in an affidavit that he learned Warren was giving NAPLEX questions to students. Spies said he first found out this information in May 2007.

“Specifically, I learned that Mr. Warren’s course materials include, among others, a series of questions, some 2,700 in number, that appear to be very similar, if not verbatim, to questions asked on the NAPLEX,” Spies said in the affidavit.

Spies said he talked with some of his students about Warren’s course in the affidavit.

“It soon became apparent to me that individuals who had just taken the exam were sending Mr. Warren questions which he in turn was forwarding to students who had not yet taken the NAPLEX.”

Spies said he sent the information he found in an e-mail to Steven Pray, a pharmacy professor at Southwestern Oklahoma State University.

In his affidavit, Pray discussed his view of the importance of exam security for the NAPLEX.

“The knowledge base required to become a competent pharmacist is vast, taught via hundreds of hours of lectures, laboratories, and practical experiences,” Pray said.

In the affidavit, Pray also discussed his thoughts about the extensive consequences for the exam if the questions have been compromised.

“A loss of hundreds or thousands of items, as it appears, has occurred through the activities of Mr. Warren, will force NABP to endure a loss of millions of dollars and will necessitate a radical overhauling of the examination pool,” he said. “If this is required, the nation’s pharmacy graduates cannot be licensed until a new, uncompromised NAPLEX can be created.”

As he further researched the issue, Pray said in the affidavit that he found an online forum where students discussed Warren’s course.

“This Web site also discussed an individual named ‘Flynn,’ who offered a review course and notes on passing the NAPLEX,” Pray said in the document. “One correspondent on the Web site suggested that prospective examinees review the comments sent to ‘Flynn’ by other students, and another provided his address at the University of Georgia.”

Pray declined Wednesday to speak for attribution about the case with The Red & Black.

Professionals feared news would ‘impair confidence’

According to court documents, Pray sent the information to Carmen Catizone, executive director of NBAP.

In his affidavit, Catizone said Kerri Hochgesang, a lawyer for NABP, bought Warren’s course materials on July 31. In her affidavit, she stated, “a true and correct copy of my payment receipt from the ‘UGA Pharmacy Cont ED, Pharmacy Building’ for the course materials” was given to her for $100.

According to Catizone, the materials contained at least three PDF files. On the NAPLEX REVIEW 2007 disc included in the materials, the files were labeled “NAPLEX MATERIAL PART 2, 2006 INFO FOR NAPLEX, and NAPLEX SAMPLE TEST W ANSWERS.”

Catizone reported his analysis of this material “revealed at least 633 ’sample’ questions contained in Warren’s ‘review course’ and/or were made available by Mr. Warren to candidates who gave him their e-mail addresses.”

He also discussed his concerns about the value of the test if the allegations against Warren are true.

“The extent of the forgoing breach in the confidentiality of NAPLEX exam questions calls into serious question the integrity of the exam,” Catizone said in the affidavit.

Efforts to reach Catizone Wednesday were unsuccessful.

According to an Aug. 6 NABP news release, “United States’ Marshals seized materials and computers from the University of Georgia College of Pharmacy and the offices and home of Flynn Warren, Jr.”

“NABP is disappointed and appalled that the

public trust and health were victimized, the security of the NAPLEX and MPJE breached, and the integrity of the licensure process compromised,” Catizone said in the news release.

On Aug. 3, NABP motioned to file the case under seal, citing potential public panic as a result of the case.

“If the facts of this case are covered in the media or are otherwise publicly available, there is a significant chance that the confidence of the general public in pharmacists and the dispensation of pharmaceuticals will be impaired,” NABP stated in the document.

“This case involved copyright infringement and misappropriation of trade secrets in highly confidential testing materials used in the licensure of pharmacists in many jurisdictions, and reproduction of the testing materials is required in order for Plaintiff to prove its case. Making this information publicly available will further compromise the licensure of pharmacists.”

Warren filed a motion to stay Aug. 21, citing a lack of subject matter jurisdiction.

On Aug. 27, the court “provided the parties with a limited opportunity to conduct discovery related solely to the jurisdiction issue,” according to court documents.

The court also stated, “there have been no final factual determinations by the court and no findings of liability on behalf of any defendant. Furthermore, the court has made no findings that would question the quality of education provided by the University of Georgia College of Pharmacy.”

- Alexis Garrobo, Juanita Cousins and Brian Hughes contributed to this report.