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The Official Publication of the Georgia Pharmacy Association

August 2009

Bobby Parham, R.Ph. Honoring a Legacy of Professional and Public Service Served in the House of Representatives 1975-2009 Pharmacist since 1963

Volume 31, Number 8


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For more information visit * Association Program subject to state approval. Policy forms HH 750, HH 702, HH 703. This is a general summary only. Additional guidelines apply. Disability insurance has limitations and exclusions. For costs and details of coverage, contact your Principal Life financial representative.

The Georgia Pharmacy Journal


August 2009



Bobby Parham, R.Ph. Honoring a Legacy of Professional and Public Service FEATURE ARTICLES

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CE at Sea Georgia Pharmacy Foundation’s New Practictioner Leadership Conference Access to Essential Medications in Georgia Poison Ivy, Oak, or Sumac FAQ’s

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New Members GPhA Member News Pharmacy Time Capsule Pharm PAC Contribution Card GPhA Board of Directors

Advertisers 2 2 6 11 11 11 12 16 13 19 24 24 31 32

The Insurance Trust Principal Financial Group Pharmacists Mutual Companies PharmStaff Toliver & Gainer PQC NCPA Annual Conference AIP Michael T. Tarrant Melvin M. Goldstein, P.C. MTM Toolkit GPhA Career Center PACE The Insurance Trust

APhA Immunization Program


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President’s Message Editorial

For an up­to­date calendar of events, log onto

The Georgia Pharmacy Journal


August 2009

PRESIDENT’S MESSAGE Eddie M. Madden, R.Ph. GPhA President

Bobby Parham An Icon of Service to Pharmacy o one can fathom the time and commitment that comes with public service. Bobby Parham, R.Ph., began his public service “where the rubber meets the road” serving as a Baldwin County Commissioner from 1969 thru 1975. Bobby was twentyeight years old at the time and I had only just begun pharmacy school. While I never experienced public service at this level, I can assure you that this experience is one where you must walk a fine political line to be successful. Criticisms quickly become the talk of the morning coffee clubs around the town and county. It is not a formula for building a successful pharmacy business, yet Bobby succeeded in doing that also. Bobby must have impressed his constituents since he ran for and was elected to the State Legislature after his one term as a county commissioner.

hair flowing down around his ears, thoughtfully poised with a pen cap to his lips. As is often the case with long serving legislators, this picture is not updated with each session and I am sure this was an earlier one since I don’t remember Bobby with so much hair! He was chairman of Motor Vehicles Committee and serving on the powerful Rules Committee and the all-important one to pharmacy, Health and Ecology Committee. Bobby was among the elite leadership in the house, working closely with Speaker Tom Murphy.


I vividly remember going into the House Chamber when Bobby was going to the Well to debate one of his bills. Those who know Bobby know that when he speaks, he speaks with a low monotone. He used that low voice to quickly explain his bill. As he told me later, say only what you need to and get out of the Well. His technique worked well because the legislators rarely asked questions and he was out of the Well before they could gather their thoughts! Bobby had so much respect and trust from his colleagues, they would go ahead and vote for his bill anyway.

I first met Representative Bobby Parham when I joined the State Legislature in 1992. He was about half way through his seventeen legislative terms. Today I took out my first Legislative “picture book” for the 1992-1994 sessions and saw a much younger looking Bobby with long

Bobby explained to me that I could not see pharmacy issues in a personal way but in the bigger picture that would be helping all pharmacists and pharmacy throughout Georgia. The Georgia Pharmacy Journal


August 2009

While Bobby attended not only the legislative sessions, he would also spend countless days attending meetings throughout the state and country for the balance of the year. As a practicing pharmacist, each day away from his practice meant the expense of having another pharmacist cover his absence. Imagine the amount of money Bobby invested toward his public service over his thirty-four year career! Pharmacy can never thank him enough for what he has done for our profession during his tenure in the legislature.

As a freshman Senator, I was glad to take advice from my pharmacy House colleagues. Bobby, being the senior legislative member, was deemed the Dean of the Pharmacy Caucus. He quickly took me aside and said, “Son, when it comes to pharmacy issues up here, you’ve got to stand up for the profession.” That might sound like an obvious and easy thing to do to most of you, but you have to remember that being a politician, you are elected to represent all of your constituents, and not feather your own nest. Bobby explained to me that I could not see pharmacy issues in a personal way but in the bigger picture that would be helping all pharmacists and pharmacy throughout Georgia. He gave me good advice, which I followed even though I did take heat from some of the lobbying groups opposing my support of pharmacy on issues they opposed.

Another sacrifice of a long career in the legislature is the commitment a legislator’s family must make. Behind every good man, there is a good woman. Juanita has been by Bobby’s side throughout his career. Her smiling and enthusiastic face are energizing to all that are around her. Juanita was both a mother and father to their son, allowing Bobby to commit the time away for his public service. We all owe her a debt of gratitude for making this possible.

Seventeen two-year terms in the Georgia legislature is a tremendous amount of time and commitment to public service! With each passing term, a legislator’s duty and responsibilities grow as he rises into leadership. More and more time has to be given to make the commitment a success.

While Bobby’s legislative career is ending, he will still be a public servant. We wish him well in his new endeavor as a member of the State Board of Transportation. Our fast growing state will be fortunate to have his leadership in this important position.

The Georgia legislature is a “part-time” legislature only meeting for forty days at the first of each year. That quickly becomes a joke; similar to the one that serving on the Pharmacy Association’s Executive Committee only requires two days a month. With a part-time legislature, there are many uncompensated requirements that a legislator must endure as a part of being in public service.

In closing, to my friend Bobby Parham, our profession would not be what it is today without your wisdom and leadership. We will miss you as the Dean of the Pharmacy Caucus. Your shoes will be hard to fill. I am proud to have served with you. I sincerely thank you for your public service and wish you well in the years to come!

Welcome to GPhA! The following is a list of new members who have joined Georgia’s premier professional pharmacy association! Mark O. Aylor, Marietta Deborah Pinson Bozeman, R.Ph., Warner Robins Kristen Chapman-Gronberg, C.Ph.T., Villa Rica Mark H. Litzinger, B.S., Suwanee Lisa M. Lundquist, BCPS, CDM, Pharm.D., Atlanta Marcie Morris, R.Ph., Cumming Crystal Holmes Hembree, C.Ph.T., Villa Rica Erin Wurtz Everson, C.Ph.T., Carrollton

The Georgia Pharmacy Journal


August 2009

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EXECUTIVE VICE PRESIDENT’S EDITORIAL Jim Bracewell Executive Vice President / CEO

GPhA Visits with Georgia Congressional Representatives ver the Fourth of July Congressional Recess, the Georgia Pharmacy Association made every effort available to meet with, call and mail each member of the Georgia Congressional Delegation to let them know how important it is they consider the expanding role of the pharmacist in the Health Care Reform legislation.

We emphasized that for every dollar that the healthcare system spends on paying for prescription medications, we spend at least another dollar on additional health care services to treat the adverse effects of medications that are taken incorrectly or not taken at all. These include hospitalizations, physician office visits, and emergency room visits. That is an unacceptable situation which needs to be addressed and pharmacists are best equipped to address this problem.


We provided a letter to each congressman outlining the key points of concern by pharmacy and we left a cover page (a copy of which is printed on page ten) that specifically addresses what we believe any legislation should take into account to reform healthcare. All members were receptive and pleased to see the pharmacists of Georgia engaged in helping with this legislation. Dr. Tom Price, the Congressional Representative from that district six, found our discussion of the Mirixa study of Medicare Part D recipients most interesting and asked for a copy of the full study. You may recall the study demonstrated the value of pharmacists’ face to face encounters with patients. The study documented that when pharmacists personally performed a MTM review with a patient, the patient saved on the average of $34 per month on their prescription drugs equating to over a $400 dollar saving per year.

Another key area of our concern is that any public health plan contain language to clarify that the administration of any drug benefit under a public plan would be accomplished by a pharmacy benefits administrator (PBA) rather than a pharmacy benefits manager (PBM). We recommended a model used by the state Medicaid programs, or the Department of Defense (DOD) TRICARE program, where an “administrator” is used, which we believe will save money for the public program. That is because under a PBA, most if not all negotiated drug manufacturer rebates would be passed through to the public program. Any public plan would also benefit because “spread continued on page 8

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August 2009

pricing” would be eliminated. Under “spread pricing,” PBMs commonly charge the plan sponsor one price for a prescription, and then pay the pharmacy a lower amount for the prescription, pocketing the difference. Medicare Part D has recently prohibited this practice, known as “spread pricing.” Any public plan option should fully benefit from any rebates or discounts paid by manufacturers or pharmacies, and not have part of these retained by a PBM intermediary.

District 3: Lynn Westmoreland District 4: Hank Johnson District 5: John Lewis

With respect to any public plan option established, we also asked that standards be established for payment rates to pharmacies, including the establishment of dispensing fees, and that “any willing pharmacy” be allowed to participate in any public plan option if it is developed.

District 6: Tom Price District 7: John Linder District 8: Jim Marshall

GPhA has placed a new emphasis on government affairs at the federal level, but it is critical that the representatives hear from the pharmacists in their home district. Almost all Congressmen have websites or email to make it easy to contact them. They want to hear from you. Even a simple message that you are a member of GPhA and appreciate that the congressman has taken time to listen to the concerns of the pharmacists of Georgia. Below are a list of the members of the congressional delegation and their websites for your information and action.

District 9: Nathan Deal District: 10 Paul Broun District 11: Phil Gingrey

Senate Members

District 12: John Barrow

Saxby Chambliss

District 13: David Scott

Johnny Isakson House of Representative District 1: Jack Kingston District 2: Sanford Bishop

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August 2009

U.S. Rep. Nathan Deal, representing Georgia’s ninth legislative district, paid a visit to Lula Pharmacy in Lula, Georgia. Here shown with owner Amy Miller, R.Ph., and her spouse, Laird Miller, R.Ph., owner of Medical Park Pharmacy in Gainesville, Georgia. The Millers had the opportunity to share the details of pharmacy practice and patient care in their pharmacy.

U.S. Rep. Tom Price, representing Georgia’s sixth legislative district, was visited by Jim Bracewell, GPhA Executive Vice President and CEO, Jonathan G. Marquess, Pharm.D., CDE, CPT, owner of the Institute of Wellness and Education in Marietta, Dale Coker, R.Ph., owner of Cherokee Custom Scripts of Canton, and Larry L. Braden, R.Ph., owner of Lacy Drug Company Inc. in Acworth.

The staff of U.S. representative John Barrow was visited by Jim Bracewell, GPhA Executive Vice President and CEO (not pictured), Marshall Curtis, R.Ph., owner of Medical Villa Pharmacy of Augusta, Stewart Flanigan, Jr., R.Ph., owner of Hill Drug Company of Augusta and Marshall L. Frost, Pharm.D., of Moye Pharmacy of Thomson.

Stuart Griffin, Director of Government Affairs, Robert C. Bowles, Jr., R.Ph., CDM, CFts, owner of Big C Pharmacy of Thomaston, Ralph W. Balchin, R.Ph., owner of Jones Pharmacy in Fayetteville, Drew Miller, R.Ph., CDM, and Charles H. Wynn, R.Ph., of Wynn’s Pharmacy in Griffin, David Sandlin, R.Ph., owner of Hines Prescription Shop Inc. of Barnesville, met with John Stacey, U.S. Rep. Westmoreland’s district director, and Rep. Lynn Westmoreland. The Georgia Pharmacy Journal


August 2009

The Georgia Pharmacy Journal


August 2009


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August 2009


Georgia Pharmacy Foundation’s New Practitioner Leadership Conference he Georgia Pharmacy Foundation announces the graduates of its Sixteenth New Practitioner Leadership Conference recently held at St. Simons Island. This annual conference is a unique opportunity available to pharmacy practitioners in Georgia who have been in practice for ten years or less. It is designed to provide an opportunity for pharmacists to spend time together in a retreat setting to develop organizational skills that will enable both personal and professional growth.

The conference has been funded by several pharmaceutical manufacturers in the past, but primarily by Merck, Inc., and the Georgia Pharmacy Foundation. Smith Drug Company, of Spartanburg, South Carolina, has generously provided a scholarship to help sponsor this conference and also provides additional participation later in the year by hosting another meeting of the Class of 2009 in Atlanta.


On Saturday, the sessions are designed for developing leadership skills and on Sunday, the GPhA executive committee members meet with the new practitioners and share their knowledge, experiences and responsibilities of leadership. The young pharmacists are challenged to get involved in their profession’s leadership and utilize their leadership abilities in other endeavors.

A select group of twenty practitioners was chosen to attend the conference. We are pleased to announce that: Ashish Advani, Pharm.D., of Atlanta Crystal Bartlett, R.Ph., of Senoia George H. “Buck” Brown, Pharm.D., of Braselton Joey Burg, III, Pharm.D., of Augusta Laura Susan Cain, Pharm.D., of Columbus Chandler M. Conner, Pharm.D., of Valdosta Michael A. Crooks, Pharm.D., of Marietta Mary Ashley Faulk, Pharm.D., of Macon Katie Smith Glover, Pharm.D., of Smyrna Amy C. Grimsley, Pharm.D., of Macon Michael E. Karnbach, Pharm.D., of Cumming Joshua Davis Kinsey, Pharm.D., of Cleveland Tracie D. Lunde, Pharm.D., of Cartersville Kimberly L. McCrary, Pharm.D., MBA, of Norcross Mandy Mock, Pharm.D., BCPS, of Phenix City Austin D. Mudd, Pharm.D., of Atlanta Sukhmani K. Sarao, Pharm.D., of Athens Maria L. Sikking, Pharm.D., of Atlanta DeRoyce D. Simmons, Pharm.D., of Norcross Adam Snyder, Pharm.D., of Atlanta

Both GPhA’s board of directors and the members of the New Practitioner Committee are enthusiastic about this conference. Having graduates of such a high caliber will help ensure quality leadership for the future. We are committed to the idea of continuing such a conference and we would welcome the opportunity to work together with new companies to provide a leadership skills development program that will enhance the profession.

This conference was initiated by the Georgia Pharmacy Foundation, an entity of the Georgia Pharmacy Association (GPhA). The conference has proven highly successful in developing leadership skills in this group of young practitioners. At the current time approximately 36 percent of the members of the Georgia Pharmacy Association board of directors are graduates of this conference.

The Georgia Pharmacy Journal


August 2009


Dr. Susan W. Miller, professor, was appointed to the American Association of Colleges of Pharmacy Accreditation Council for Pharmacy Education Assessment and Accreditation Advisory Group. Dr. Ashish A. Advani, clinical assistant professor, was awarded a grant for $21,000 from Alaven Pharmaceuticals, LLC for professional/consulting services.

Recently, Hamilton Health Care System held its annual Health Fair at the Hamilton Medical Center in Dalton, GA. Over 200 employees attended the Health Fair. Employees received information regarding the diabetes and cardiovascular programs offered by Hamilton Health Care System to better their health and well being. Samee Ellerbee, R.Ph., CDE, MPH(c), serves as a pharmacist coach trhough GPhA for the Dalton Ten City Challenge participants.

like included in the GPhA Members in the News section of The Georgia Pharmacy Journal please email the item of news to Kelly McLendon at or fax it to her attention at 404.237.8435.

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Convention News Parris Pope, Pharm.D. candidate Lisa Lundquist, Pharm.D., BCPS J. Grady Strom, Jr., R.Ph., Ph.D.

Access to Essential Medications in Georgia ince 2006, Mercer University College of Pharmacy and Health Sciences’ (COPHS) students have been involved in Health Students Taking Action Together (HealthSTAT). HealthSTAT is a non-profit health professional student organization in Georgia with the aim of encouraging student involvement in three areas of focus: health disparities and access to care, childhood obesity prevention, and HIV/AIDS prevention. In reviewing the overall mission of HealthSTAT, COPHS students wanted to design a community service project that would focus on health disparities and access to care in the state of Georgia. The objectives of the student-led project were to determine the level of need for free clinics and prescription assistance information in pharmacies and county health departments in Georgia and to identify free clinics and prescription resources at the national, state and county level.

for additional information, and perceived benefit of providing resources. A 5-point Likert scale was utilized for each question. For questions regarding knowledge, 1 = poor, 2 = limited, 3 = adequate, 4 = good and 5 = extensive. For questions regarding benefit, 1 = no expected benefit and 5 = definite benefit.


A survey area of northern Georgia covering 25 contiguous counties was selected to provide representation of four distinct demographic areas: rural, small urban, suburban, and urban. Demographic designations were based on population density and distance from a major city. An additional 10 counties were selected outside this region based on the availability of student participants. Figure 1 details the survey area in Georgia that questionnaires were administered.

The Institutional Review Board at Mercer University granted approval for this project. All student participants were required to complete an online course on the protection of human subjects during research. Three questionnaires were designed to answer questions related to medical assistance and prescription assistance in Georgia and were aimed at patients, healthcare providers in county health department clinics, and pharmacists. Each question was constructed to assess patients’ or healthcare professional’s knowledge of available medical assistance and prescription assistance resources, their need The Georgia Pharmacy Journal

Students were assigned counties to administer the questionnaires based on their availability and willingness continued on page 8 17

August 2009

to travel. Students scheduled appointments with healthcare professionals at the county health departments and pharmacists at independent and chain retail pharmacies. Questionnaires were administered to patients at the county health departments. The questionnaire administered to healthcare professionals at the county health department and pharmacists at independent and chain retail pharmacies requested information including: the frequency of patients’ request for assistance in obtaining medications, knowledge of prescription resources, and the potential benefit that the clinic and community would receive from a detailed list of medication assistance resources. The questionnaire administered to patients requested information including: third-party prescription coverage, medication assistance participation, knowledge of resources, and if the patient would benefit from medication assistance. In addition, student participants conducted internet and telephone inquiries to identify free and reduced cost medical care resources at the county level. Students utilized a consistent search method to find

The Georgia Pharmacy Journal

available data for the purpose of compiling all counties’ resources of information. The search method included: the Georgia Free Clinic Network website, Health Resources and Service Administration website, Georgia Department of Human Resources, Division of Public Health, and the Department of Health and Human Services, Office of Pharmacy Affairs.

To date, 27 student participants interviewed 287 pharmacists in independent and chain retail pharmacies in Georgia. Healthcare professionals staffing 35 county health departments were also interviewed. Sixty-one patients consented for interviews at the county health departments. Tables 1, 2 and 3 detail the compiled information.


Overall, rural pharmacists in both chain and independent pharmacies report the highest frequency of prescription assistance information requests and the highest knowledge of both prescription and medical assistance resources. Both pharmacists and health care professionals in the health department clinics anticipated a definite benefit from a comprehensive

source of prescription and medical assistance information for their respective communities. The student participants identified 530 free or reduced cost clinics via internet and telephone inquiries. At least one free or reduced cost clinic was confirmed for all 159 counties in Georgia. Several free services were confirmed as providers of convenient

August 2009

single-source assistance for patients needing medical and prescription assistance. Local charities and region specific services also were identified. The compilation of the county specific medical assistance and prescription assistance information resulted in an online publication for healthcare providers and patients. The comprehensive online database is available at In addition, multi-lingual flyers were created to describe the online database and website. These flyers were distributed by the students to pharmacies and health departments throughout the state of Georgia.

An aim of this community service project continues to be to expand knowledge of free or reduced cost services for all patients in Georgia. Distribution of the first round of multi-lingual flyers has led to requests for a second printing. In addition, a printable version of the online comprehensive database is in progress in response to healthcare provider and patient requests. Through participation in this community service project, students were able to meet a community need by publication of

the comprehensive online database. Students gained insight and knowledge about access to healthcare from both patients and healthcare providers. Also, interacting with pharmacists in independent and chain retail pharmacies provided insight to everyday challenges of access to essential medications. Additionally, students can reflect on the difference they can make in the practice of pharmacy.




August 2009

Member News Kelly J. McLendon GPhA’s Director of Public Affairs

Bobby Parham, R.Ph.: Honoring a Legacy of Professional and Public Service s he moves on to a new role in public service, the Georgia Pharmacy Association would like to take this moment to look back at the long service of Bobby Eugene Parham, R.Ph., and thank him for the legacy of professional service to his colleagues and constituents.

overwhelmingly and served in this capacity until 1974, the year he served as chairman of the commission. During his time on the Commission he was honored as Outstanding Young Man of America in 1970 and for his Distinguished Service by the Milledgeville Jaycees in 1973.


This humble gentleman was born on November 6, 1941, in Baldwin County, Georgia, and spent his earlier year in the rural areas around Milledgeville. In 1960, he was a Distinguished Military Graduate of Georgia Military College and went on to the University of Georgia School of Pharmacy where he graduated in 1963. During his time at the University of Georgia he was named the 1962-1963 Brother of the Year for Kappa Psi Pharmaceutical Fraternity. then, in 1964, he Bobby Eugene Parham, R.Ph., preparing to run for County opened Medical Arts Commissioner of Baldwin County in 1969. Pharmacy in Milledgeville, Georgia. In 1969, in an effort to give back to the community that had done so much for him, Bobby ran for and was elected to the Baldwin County Commission. He was elected

The Georgia Pharmacy Journal

Under his leadership, Baldwin County established its first solid waste disposal system and initiated an airport expansion project. In 1975, Bobby was elected to the Georgia House of Representatives where he served until 2009. During these years in the House he served on the Health and Ecology, Banks and Banking, Rules, Appropriations and Motor Vehicles Committees. He served as the cochairman of the Health and Ecology Committee and chairman of the Motor Vehicles Committee from 1991 to 2001.

With a tenure of 33 years, he is the longest serving pharmacist to ever serve in the Georgia House. In continued on page 8 21

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recognition of his contributions to his community he has received many awards for service including the Georgia Military College Service Award in 2001 and the William Bone Golden Key Award from Georgia College and State University in 2002.

• The Bobby E. Parham Good Government Award from GPhA in 2005 Among the many accomplishments was serving as a the founder and board member of the First National Bank of Milledgeville from 1990 until 2008. He was a trustee and member of the Georgia College and State University Foundation. He also served on the Suntrust Bank Advisory Board in 2008.

In addition to his contributions he has made to his community, he has been an invaluable servant to his chosen profession. In recognition of this service, Bobby has received all of the following awards:

The state of Georgia and its citizens have Bobby Parham to thank for his leadership in obtaining funds to restore the “Old Governor’s Mansion,” to fund the Georgia Military College, Georgia College and State University and raises for the employees of the state of Georgia.

• The Meritorious & Distinguished Service Award from GPhA in 1978 • Merck, Sharp and Dohme Dedicated Service Award in 1984 • The President’s Award for Outstanding Service from GPhA in 1984 • The AH Robbins Bowl of Hygeia Award in 1984 • The Distinguished Alumnus Award from the University of Georgia College of Pharmacy • Dedicated Service Award from GPhA in 1986 • Outstanding Service Award from GPhA in 1991 • The Larry L. Braden Meritorious Service Award from GPhA in 2000 • The Hubert H. Humphrey Award from APhA in 2001

In 2009, Rep. Parham chose to resign his position as a member of the House of Representatives to take a seat on the Georgia Department of Transportation Board. In addition to these duties he will remain an active member of the Northside Baptist Church and the Masonic Lodge #2 in Milledgeville. While Bobby will be sorely missed in the House his contribution to pharmacy and the citizens of the state of Georgia will never be forgotten by the citizensoand pharmacists of Georgia and GPhA.

Bobby’s 1963 graduation photo from the University of Georgia College of Pharmacy.

Parham on the first day of business at Medical Park Pharmacy in 1964.

Parham in Officer training at Fort Benning.

Bobby’s high school graduation photo.

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August 2009

Bobby, shown here in midair playing football for the Georgia Military College in Milledgeville, Georgia.

Rep. Parham in his office at his pharmacy, Medical Arts Pharmacy in Milledgeville in the 1980s. Bobby, shown here in a Rules Committee meeting in the 1980sm served on a number of House committees including Health and Ecology, Banks and Banking, Rules and Appropriations.

Rep. Parham on the Floor of the State House talking with Bubba McDonald.

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August 2009

Bobby with Governor Roy Barnes on the steps of the State Capitol in the early 2000s.

Known for his understated leadership and quiet speech, here is Bobby in the Well of the State House in 2001. Of the legislation he introduced, 95% passed both the house and the senate.

Here Bobby is shown qualifying for the 2008 election which he won in an uncontested race. He resigned his seat on the last day of the legislature in 2009 to take a seat on the Georgia State Transportation Board.

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August 2009

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PATIENT INFORMATION Kelly J. McLendon GPhA’s Director of Public Affairs

Poison Ivy, Oak, or Sumac FAQ’s The rash usually appears 8 to 48 hours after your contact with the urushiol. But it can occur from 5 hours to 15 days after touching the plant. The rash usually takes more than a week to show up the first time you get urushiol on your skin. But the rash develops much more quickly (within 1 to 2 days) after later contacts. The rash will continue to develop in new areas over several days but only on the parts of your skin that had contact with the urushiol or those parts where the urushiol was spread by touching.

Poison Ivy

What are poison ivy, oak, and sumac? Poison ivy, poison oak, and poison sumac are plants that can cause a skin rash called allergic contact dermatitis when they touch your skin. The red, uncomfortable, and itchy rash often shows up in lines or streaks and is marked by fluid-filled bumps (blisters) or large raised areas (hives). It is the most common skin problem caused by contact with plants (plant dermatitis).

The rash is not contagious. You cannot catch or spread a rash after it appears, even if you touch it or the blister fluid, because the urushiol will already be absorbed or washed off the skin. The rash may seem to be spreading, but either it is still developing from earlier contact or you have touched something that still has urushiol on it.

What causes a poison ivy, oak, or sumac rash? The rash is caused by contact with an oil (urushiol) found in poison ivy, oak, or sumac. The oil is present in all parts of the plants, including the leaves, stems, flowers, berries, and roots. Urushiol is an allergen, so the rash is actually an allergic reaction to the oil in these plants. Indirect contact with urushiol can also cause the rash. This may happen when you touch clothing, pet fur, sporting gear, gardening tools, or other objects that have come in contact with one of these plants. But urushiol does not cause a rash on everyone who gets it on his or her skin.

Without treatment, the rash usually lasts about 10 days to 3 weeks. But in people who are very sensitive to urushiol, the rash may take up to 6 weeks to heal.

What are the symptoms of the rash? The usual symptoms of the rash are: • Itchy skin where the plant touched your skin. • Red streaks or general redness where the plant brushed against the skin. • Small bumps or larger raised areas (hives). • Blisters filled with fluid that may leak out.

The Georgia Pharmacy Journal

The more urushiol you come in contact with, the more severe your skin reaction. Severe reactions to smaller amounts of urushiol also may develop in people who are highly sensitive to urushiol. Serious symptoms may include: • Swelling of the face, mouth, neck, genitals, or eyelids (which may prevent the eyes from opening). • Widespread, large blisters that ooze large amounts of fluid.

How is the rash treated? Self-Care at Home If you are exposed to any of these plants or their oils, wash thoroughly with soap and water as soon as possible. An alternative is rubbing alcohol, which can dissolve and 26

August 2009

remove the oils from your skin. If you can remove the oil within 10 minutes, you are unlikely to develop the rash.

• If at all possible, you or your companion should be prepared to tell medical personnel what medications you take and your allergy history.

Symptoms from a mild rash can sometimes be relieved by the following: • Cool compresses with water or milk • Calamine - A nonprescription lotion • Aveeno oatmeal bath - A product you put in the bath to relieve itching • Oral antihistamines such as diphenhydramine (Benadryl) - Caution: these medications may make you too drowsy to drive a car or operate machinery safely. Nonsedating antihistamines are now available over the counter and include loratadine (Claritin).

How can I prevent the rash from poison ivy, oak, and sumac? The best way to prevent the rash is to learn to identify and avoid the plants. When you cannot avoid contact with the plants, heavy clothing (long pants, long-sleeved shirt, and vinyl gloves) and barrier creams or lotions may help protect you. Information found at from WedMD.

Nonprescription corticosteroid (eg, hydrocortisone) creams usually do not help. Do not attempt to treat severe reactions or to "wait it out" at home. Go immediately to the nearest emergency department or call an ambulance. Here are some things to do while waiting for the ambulance: • Try to stay calm. • Prevent further exposure to the "poisonous" plant. • Take an antihistamine (1-2 tablets or capsules of diphenhydramine [Benadryl]) if you can swallow without difficulty. • If you are wheezing or having difficulty breathing, use an inhaled bronchodilator such as albuterol (Proventil) or epinephrine (Primatene Mist) if one is available. These inhaled medications dilate Poison Sumac the airway. • If you are feeling lightheaded or faint, lie down and raise your legs higher than your head to help blood flow to your brain. • If you have been given an epinephrine kit for aprevious allergic reaction, inject yourself as you have been instructed. The kit provides a premeasured dose of epinephrine, a prescription drug that rapidly reverses the most serious symptoms. • Bystanders should administer CPR to a person who becomes unconscious and stops Poison Oak breathing or does not have a pulse. The Georgia Pharmacy Journal


August 2009

Pharmacy Time Capsule 2009 Third Quarter 1984—Twenty-five years ago: • National Patient Counseling Competition for student pharmacists inaugurated. • George C. Glenner discovered that a principal component of the plaque in the brains of Alzheimer’s patients was a peptide, now termed beta-amyloid peptide.

1959—Fifty years ago: • The independent Southern School of Pharmacy merged with Mercer University. • All state boards but one require an applicant for registration to have completed one year of practical experience.

Pharm PAC would like to encourage you to make a contribution today and help pharmacy look forward to a bright future in the state of Georgia. Name: __________________________________________ Address: __________________________________________ __________________________________________ Phone Number: __________________________________________ Email Address: __________________________________________ Pledge: $___________________________________ (Circle the Pledge Level to which you wish to belong.) $1 - $250 - Patriot $251 - $500 - Representative $501 - $1000 - Senator $1001+ - Governor’s Circle

1934—Seventy-five years ago: • Arizona, Delaware, Massachusetts, Nevada, New Mexico, Tennessee, and Vermont did not require graduation from a college of pharmacy as a prerequisite to taking the board of pharmacy licensing exam • Annual dues for membership in the Conference of Pharmaceutical Association Secretaries was $5.00

Sustainers Circle: When you check this box and provide valid credit card information you are making a 5 year commitment to make the same contribution for the next 5 years. Your credit card will automatically be charged annually on the date of your initial contribution.

1909—One hundred years ago: • Most states pay pharmacy board members $5 per day plus actual expenses • Centennial of the birth of Charles Darwin.

Name on the Credit Card: __________________________________________ Credit Card Number: __________________________________________ CSV#: ________ Expiration Date: _________________ Signature: __________________________________ Detach this form and complete it and return it to:

By: Dennis B. Worthen Lloyd Scholar, Lloyd Library and Museum, Cincinnati, OH

Contributions or gifts to Pharm PAC are not deductible as charitable contributions for Federal income tax purposes.

Pharm PAC, 50 Lenox Pointe, NE

One of a series contributed by the American Institute of Atlanta, GA 30324 the History of Pharmacy, a unique non-profit society You may also donate online. dedicated to assuring that the contributions of your profession endure as a part of America's history. Membership offers the satisfaction of helping continue this work on behalf of pharmacy, and brings five or more historical publications to your door each year. To learn more, check out:

The Georgia Pharmacy Journal


August 2009

APhA Immunization Program A Pharmacy-Based Immunization Program was recently held at the 2009 GPhA Annual Convention at the Sawgrass Marriott Resort in Ponte Vedra Beach, FL. This is an interactive and innovative training program that teaches pharmacists the skills necessary to become a primary source for vaccine information and administration. The program teaches the basics of immunology and focuses on practice implementation and legal/regulatory issues. As part of the training, the participants gave (and received) subcutaneous and intramuscular injections. Twenty-nine participants attended this program. Each participant was awarded a certificate of achievement, and a total of 20 contact hours of CPE credit for successful completion of all components of the program. Participants who attended this program:

Sabra L. Maddox, R.Ph., of Woodbine Tammy Lynn McLellan, Pharm.D., of Ocala, FL Richard P. Noell, R.Ph., of Woodstock Chioma C. Otuonye, of Locust Grove Christy Belk Phillips-Malcom, B.S., of Royston Andrea Peek Pierce, Pharm.D., of Brunswick Perry P. Prather, Pharm.D., of LaGrange Tina Rogers, of Unadilla Carla Sappe, of Gordon Lori Sego, of Bainbridge Teresa Futch Smith, R.Ph., of Pembroke Barbara Sona, of Savannah Deja Stephenson, of Savannah Dennis H. Strickland, R.Ph., of Glennville Laura E. Tyson, Pharm.D., of Lenox Charity Wilkerson, of Savannah

Myron S. Anderson, Pharm.D., of Jesup Brittany Crotty, R.Ph., of St. Simons Island Shannon Dykes, of Hawkinsville Robin D-O Findlay, Pharm.D., of Savannah Matthew Fox, of Savannah Christina Futch, Pharm.D., of Brooklet Christina Gomez, of Savannah Josephine Grier, B.S., of Martinez Jennifer Harpe Belinda Lee Jann, Pharm.D., of Tucker Anasa Johnson, Pharm.D., of Ellenwood Ashley Kunkle, Pharm.D., of Albany C. Mark Lowrey, R.Ph., of Athens

APhA Immunization Program Save the Date Georgia Pharmacy Association will be providing Pharmacy Based Immunization program on September 19, 2009 at an Atlanta location TBD. Watch for details in upcoming emails from GPhA. The Georgia Pharmacy Journal


August 2009


The Georgia Pharmacy Journal Editor:

Jim Bracewell

Managing Editor & Designer:

Kelly McLendon

The Georgia Pharmacy Journal® (GPJ) is the official publication of the Georgia Pharmacy Association, Inc. (GPhA). Copyright © 2009, Georgia Pharmacy Association, Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical including by photocopy, recording or information storage retrieval systems, without prior written permission from the publisher and managing editor. All views expressed in bylined articles are the opinions of the author and do not necessarily express the views or policies of the editors, officers or members of the Georgia Pharmacy Association.

ARTICLES AND ARTWORK Those who are interested in writing for this publication are encouraged to request the official GPJ Guidelines for Writers. Artists or photographers wishing to submit artwork for use on the cover should call, write or e-mail the editorial offices as listed above.

SUBSCRIPTIONS AND CHANGE OF ADDRESS The Georgia Pharmacy Journal® (GPJ) (ISSN 1075-6965) is distributed as a regular membership service, paid for through allocation of membership dues. Subscription rate for non-members is $50.00 per year domestic and $10.00 per single copy; international rates $65.00 per year and $20.00 single copy. Subscriptions are not available for non-GPhA member pharmacists licensed and practicing in Georgia. The Georgia Pharmacy Journal® (GPJ) (ISSN 1075-6965) is published monthly by the GPhA, 50 Lenox Pointe NE, Atlanta, GA 30324. Periodicals postage paid at Atlanta, GA and additional offices. POSTMASTER: Send address changes to The Georgia Pharmacy Journal®, 50 Lenox Pointe, NE, Atlanta, GA 30324.

ADVERTISING Advertising copy deadline and rates are available at upon request. All advertising and production orders should be sent to the GPhA headquarters as listed above.

GPhA HEADQUARTERS 50 Lenox Pointe, NE Atlanta, Georgia 30324 Office: 404.231.5074 Fax: 404.237.8435


Robert Bowles Eddie Madden Dale Coker Jack Dunn Mahlon Davidson Robert Hatton Mary Meredith Jim Bracewell Hugh Chancy Ashley Dukes Keith Herist Jonathan Marquess Sharon Sherrer Andy Rogers Alex Tucker Heather DeBellis Tony Singletary John Drew Bill McLeer Shobhna Butler Bobby Moody Mike Crooks Larry Batten Jason Rich Chris Thurmond Marshall Frost Ken Eiland Renee Adamson Liza Chapman Burnis Breland Tim Short DeAnna Flores Rick Wilhoit John T. Sherrer Michael Farmer Fred Barber

Chairman of the Board President President-Elect Candidate for First Vice President Candidate for Second Vice President Candidate for Second Vice President Candidate for Second Vice President Executive Vice President/CEO State-at-Large State-at-Large State-at-Large State-at-Large State-at-Large State-at-Large State-at-Large Region One President Region Two President Region Three President Region Four President Region Five President Region Six President Region Seven President Region Eight President Region Nine President Region Ten President Region Eleven President Region Twelve President ACP Chairman AEP Chairman AHP Chairman AIP Chairman APT Chairman ASA Chairman Foundation Chairman Insurance Trust Chairman Ex Officio - President, GA Board of Pharmacy Ex Officio - Chairman, GSHP EX Officio Mercer Ex Officio Mercer ASP Ex Officio South Ex Officio South ASP Ex Officio UGA Ex Officio UGA ASP

Don Davis Gina Ryan Johnson Meagan Spencer Barbee Rusty Fetterman Garrick Schenck Daniel Forrister Kyle Burcher

Print: Star Printing - 770.974.6195

The Georgia Pharmacy Journal



August 2009


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