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Kitchen Design Trends for the New Year 2012

Posted 09:43 AM January 16, 2012

Kitchens are used to be the places for cooking, but now modern kitchens role is expanded dramatically. In addition to preparing food, people entertain, do homework, read, pay bills and watch TV there. Spacious, bright, cheerful, interesting and comfortable modern kitchen design is very popular. If you want to create functional and attractive contemporary kitchen decor and wisely spend your time and money on your kitchen remodeling project.

Glorious colors, like emerald, ruby, amethyst and sapphire, golden yellow tones and exotic coral shades, vivid turquoise and luscious cream colors, combined with tender ivory, comfortable brown, elegant silver, light gray and warm whites are modern interior design trends for 2012.

Warm and comfortable materials and luxurious finishes are among modern interior design trends for 2012. Marble and wood, leather and glass, wool and high quality plastic designs create light, relaxing and gender neutral home interiors that feel luxurious, inviting and comfortable.  For more information please visit www.FlooringandDesignCenter.com





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Tips for Finding the Right Veterinary Pharmacy

Posted 08:47 AM December 28, 2011

A veterinary pharmacy can be a helpful partner in animal health care, but not all veterinary pharmacies are the same. For example, some only offer commercially available medications; others also prepare individualized drugs by prescription. Some have only local service with no delivery or shipping options; others serve entire states or multiple states and ship rapidly. Before selecting a pharmacy for your companion, work, or performance animal’s medicine, it pays to do your homework.

Look for a veterinary pharmacy that fits your busy lifestyle. Check to see if it has an online prescription refill request form and offers shipping to your home or workplace. Ascertain the price of shipping to see if it is cost effective when combined with the medication price. Determine whether the veterinary pharmacy offers compounding services, which will be very handy if you encounter dosing difficulties. A compounding pharmacy by prescription can enhance palatability, alter the delivery form / route of adminstration, produce FDA-approved medicines that are on drug shortage lists, customize the strength so that you don’t have to divide an unscored tablet, or reformulate to get rid of allergenic or irritating inactive ingredients like fillers and dyes.


Monument Pharmacy welcomes you to explore its vast array of veterinary pharmacy services. Human and veterinary compounding specialists since 1995, we serve 22 states with fast and free 1-class shipping to a client’s home or workplace (additional shipping charge assessed for refrigerated items or overnight delivery). Our website at www.monumentpharmacy.com features a 24/7 online refill request form, and our friendly staff stands ready to assist you by phone at our toll-free number, 800-595-7565. Plus, we’ll beat others’ compound prices by 10%. Just let us know what you’re paying elsewhere!

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Veterinary Pharmacies Can Help Through Customization

Posted 08:16 AM December 22, 2011

Animal patients come in all sizes ranging from pocket pets and small birds to horses and elephants, but commercially available pharmaceuticals only come in a few strengths. Sometimes veterinary patients need an individualized dose to fit their body size, and a compound pharmacist can tailor-make a customized pharmaceutical by prescription. This is particularly important if the animal’s owner or caretaker is trying to divide an unscored tablet or “guesstimate” the amount of liquid medication that will yield the proper dose. Sometimes medications have different therapeutic effects at commercially unavailable strengths, and this is another reason why a veterinarian may prescribe a compound in a custom strength.


A compound pharmacist like Monument Pharmacy has the expertise, ingredients, formulations, and equipment to produce individualized doses for animals large and small. Working in collaboration with the veterinarian and animal owner, a compounding pharmacy can determine the patient’s individual needs and compound a prescription pharmaceutical to accommodate them. Since 1995 Monument Pharmacy has compounded individualized medications by Rx order with integrity, professionalism, and regulatory compliance. And we stand ready to assist patients in 22 states.

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Customized Compounds Through a Veterinary Compounding Pharmacy

Posted 09:33 AM December 12, 2011

A veterinary pharmacy that specializes in compounding can be a beneficial partner in animal health care. Working in collaboration with veterinarian and animal owner, a compounding pharmacist can, by prescription, produce tailor-made pharmaceuticals to heighten compliance when the patient cannot or will not take the commercially available form of the medication of choice. A few examples of compounding services include adjusting strength to fit patient size or to ensure accurate dosing, eliminating allergens or irritants among the inactive ingredients, and enhancing palatability. The right veterinary pharmacy will determine the patient’s individual needs and compound a drug intended to promote the desired health care outcome.

 Animal patients come in all sizes, ranging from pocket pets and small birds to horses and elephants. But commercially available pharmaceuticals only come in a few strengths. Sometimes veterinary patients need a customized dose to suit their needs. This is particularly important if the animal’s owner or caretaker is trying to divide an unscored tablet or “guesstimate” the amount of liquid medication that will yield the proper dose.

 When an animal has an adverse reaction to an inactive ingredient in the commercially available pharmaceutical of choice, a veterinary compounding pharmacist might be able to reformulate the drug. Animals can experience allergic reactions, and some ingredients might be irritating for veterinary patients. One example that comes to mind is a dog with a localized skin rash. The prescribed commercially available topical cream contained an inactive ingredient that further irritated the condition. Reformulation to eliminate that one particular ingredient, via substitution with another inactive agent, resulted in a medication that was reportedly non-irritating.

 Have you tried to pill a cat or give an animal a foul-tasting medication? Quite the challenge, isn’t it? A compounding pharmacy can prepare flavored pharmaceuticals that may please the palate of the finickiest patients. Such compounds might save animal owners and pet parents time and money – the extra time that it takes to dose the patient and the money wasted when the dose goes flying through the air to destination unknown. Palatable compounds might also promote proper dosing, desired health care outcomes, and less anxiety for patient and caretaker.

 The right veterinary pharmacy will be able to work in collaboration with veterinarians and animal owners when pharmaceutical compliance issues arise, to formulate a tailor-made medication intended to promote the desired health care outcome. Whether an animal needs a customized dose, a drug free of allergens and irritants, a flavored preparation, or another customized pharmaceutical, compounding specialists can provide individualized therapies by prescription.  Since 1995 Monument Pharmacy has been a trusted compounding veterinary pharmacy, serving patients in 22 states with integrity, professionalism, and regulatory compliance.

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Combating Pharmaceutical Shortages

Posted 10:12 AM November 22, 2011

When our compounding pharmacy conducts media scans, we frequently find items about rampant pharmaceutical shortages for human and animal health care. These shortfalls have been newsworthy for the past two years – and will continue to be so for the foreseeable future.


The U.S. Food and Drug Administration (FDA) recently convened a drug shortage workshop for drug manufacturers, health care providers, and other stakeholders. The outlook: drug shortages will get worse before they get better. In the workshop transcript, FDA states that sterile injectable drugs, especially chemotherapeutics and anesthetics, are the most vulnerable and pose the biggest public health threat. Why are injectables in short supply? Because of manufacturer capacity issues, industry consolidation (leading to lack of redundancy), and manufacturing challenges. There’s also another factor: older injectable drugs are less economically attractive.


In 2010 according to FDA data, 54% of overall sterile and nonsterile drug shortages were attributable to product quality or good manufacturing practices (GMP) issues. That same year 21% were due to manufacturing delays and capacity issues, 11% were because of discontinuation, and 5% arose from raw material or active pharmaceutical ingredient (API) issues.  The 2011 data is pending, but the percentage of shortages attributable to product quality or good manufacturing practices will likely be higher than 2010’s figure of 54%.


That leaves 9% of shortages unaccounted by 2010 FDA data. The American Society of Health-System Pharmacists has discerned other factors: less-than-desirable inventory management practices, such as stockpiling prior to price increases and hoarding prompted by rumors of an impending shortage; natural disasters that prompted heightened demand to treat disaster victims; and unanticipated demand spikes arising from new indications, new therapeutic guidelines, or disease outbreaks.


FDA aims to prevent and mitigate shortages of medically necessary drugs by encouraging early notification and ramped-up production by manufacturers, using regulatory discretion, expediting reviews of new manufacturing lines and API suppliers, and allowing temporary imports from other countries (like they did in 2010 and 2011 with propofol, Foscarnet, Ethiodol, Thiotepa, norepinephrine, Xeloda, levoleucorvorin, and leucovorin). But many other pharmaceuticals will remain on the short list because they do not fit the definition of medically necessary. The term is defined by FDA as “a product that is used to treat or prevent a serious disease or medical condition for which there is no other alternative drug available in adequate supply that is judged by medical staff to be an adequate substitute.”


What’s the good news? Whether or not your human or veterinary pharmaceutical of choice is “medically necessary,” a compounding pharmacy like Monument Pharmacy might be able to produce it –by prescription only – while it is off-market due to back-order or manufacturer discontinuation. Bear in mind, however, that federal regulations prohibit a compounding pharmacy from producing pharmaceuticals for food- or food-producing animals.

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Common Colorado Compounding Pharmacy Services

Posted 03:17 PM November 10, 2011

Medical, dental, podiatric, and veterinary health care practitioners and patients in the Centennial State might benefit from the services of a Colorado compounding pharmacy when pharmaceutical compliance issues arise. Compounding is the extemporaneous preparation of customized medications by prescription order, tailor made to suit individual patient needs. While manufactured drugs address the pharmacotherapy needs of most patients, sometimes medications need tweaking for patients who cannot or will not take the drug of choice in its commercially available form. And a Colorado compounding pharmacy can help to make those adjustments.


What factors working singularly or in combination can contribute to patient dosing difficulties? The medication might be unpalatable with an undesirable flavor, scent, color, and/or texture. Or the route of administration could be problematic, requiring a tweak or re-routing altogether. Sometimes the commercial market does not offer the strength needed for the patient, and dividing unscored tablets can yield inaccurate doses. Lurking among the inactive ingredients may be an agent that further irritates a patient’s condition or induces an allergic response. And perhaps the biggest compliance factor since the economic downturn is drug shortages – the inability to procure the pharmaceutical of choice on the commercial market. A Colorado pharmacy that specializes in compounding may be able to help in these instances.


Animal health care practitioners encounter a wide array of patient dosing difficulties and can contact a Colorado veterinary pharmacy that specializes in compounding for tailor-made medications. Cats are notorious for their pharmaceutical noncompliance and may benefit from flavored liquid medications or transdermal gels rather than tablets if they are hard to pill. Pocket pets, toy dogs, and small birds may need a dose much smaller than commercially available and might benefit from a compounded medication in a customized strength. Further, animal health medications and surgical pharmaceutical agents figure heavily on the back-order and discontinuation lists. Veterinarians can contact a veterinary compounding pharmacy to see if they can compound the drug of choice while off market.


Drug shortages also impact human pediatric health care. Pediatricians can contact a Colorado pharmacist who specializes in compounding to see if the pharmaceutical of choice can be produced by prescription order while it is on back-order or manufacturer discontinued. Palatability and route-of-administration issues arise often in children’s health care, and a compounding pharmacy might be able to provide a tailor-made transdermal gel, rectal suppository, or flavored liquid medication that the patient will tolerate. Allergens and irritants among the inactive ingredients could also be problematic for children, so pediatricians can contact a compounding pharmacy to see if reformulation is possible.


These are just a handful among thousands of examples of how a compounding pharmacy might be able to help human and veterinary health care practitioners to close pharmaceutical compliance gaps. A specially trained pharmacist  — drawing upon professional compounding references, operating in compliance with federal and state regulations and industry standard operating procedures, and consulting in a triad relationship with practitioner and patient – can advise as to the parameters of a customized drug that might better fit individual patient needs. Such adjustments could include palatability change, delivery tweaking or re-routing, a customized strength, reformulation without allergens or irritants, and/or production of an off-market but FDA-approved pharmaceutical. When the desired health care outcome seems elusive due to dosing difficulties, a Colorado compounding pharmacy stands ready to assist veterinarians, dentists, podiatrists, and human medical practitioners and patients in the Centennial State.

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What is Design/Build? Why Should I Consider This Approach to Building?

Posted 01:44 PM November 06, 2011

What is Design/Build and Why Should I Consider this Approach to Building?


Design/Build is a team approach to building. The team consists of 3 primary players; Owner, Design Professional and Contractor, all of which are equally important.  Just think of a 3-legged stool. All 3 legs are required in order for the stool to function. If one leg is weaker than the others, or is removed, the entire stool collapses and ceases to function.

Traditional Hard Bid Approach

Most homeowners who approach a building project hire someone to draw a set of plans and then solicit multiple bids from multiple contractors with those same set of plans. This is the most common approach and has been done for decades. Here’s the problem……… when using this approach you are assuming that all contractors have the same level of expertise, same level of competence and will use the same quality materials and the only difference is going to be the price. THIS IS THE FURTHEST THING FROM REALITY!

It’s almost as if you decide to buy a particular car (your project) and you just go from dealer to dealer (the contractor) to get the best price. This process is usually fine since all cars are built on an assembly line, in a controlled environment and the materials and quality are controlled by the same manufacturer. With the exception of a few ‘lemons’ here and there, the end product is rather predictable, therefor PRICE is the only thing that is negotiable at that point.

Construction, however, is completely the opposite. The end product is hand made by fallible humans with different levels of expertise, different business practices and with different motivations, hence a different end product than you think you are going to get when you started out.

Design/Build is a Negotiated Bid

In a Design/Build approach to building, the owner selects their “team” (design professional and builder) from the beginning. Referring back to the 3-legged stool, the owner communicates their needs to the designer who interprets those needs into a preliminary design and then the contractor runs a preliminary cost analysis based on the preliminary design. If the costs are outside of the budget (and it usually is on the first draft, it’s a matter of how much over), the designer, contractor and owner work together to design the project to the budget and not the budget conforming to the design. This is the negotiation part of the process. It’s NOT about negotiating profit margins, but rather negotiating the aspects of the design, identifying the costly portions and developing creative design solutions to bring the costs down.  During this process, it is the design professional’s job is to ensure the integrity of the design solution, the contractor acts as a consultant for projected cost purposes and the owner steers the direction of the decision making process. All three are equally important.

Once a final design solution (including construction costs) is arrived at, final construction documents are completed by the design professional, permits are obtained by the contractor and construction begins. The advantage of having the contractor involved during the design process is that by the time you are building, all parties are fully versed of the expectations of the project and a working relationship between the owner, design professional and contractor is already established before a shovel of dirt is ever turned. A dialog and working relationship has already been established. This will prove invaluable during the actual construction when something goes awry (and it will) and issues can be headed off before it becomes a major problem.

Throughout my entire 25 year career of designing nearly 800 projects, I can say that the most successful projects have been the ones that were done in a design/build approach. My definition of ‘successful’ is when all the parties are still talking to each other by the end of the project!

The following is a side by side comparison of a Traditional Bid vs. Negotiated Bid

 

    Traditional hard bid system                                   Negotiated bid process

 

  1. More risk for contractor.                                                  1. Less risk for contractor.

  2. Ensures low-cost approach.                                            2. Emphasizes quality.

  3. Sets up adversarial relationship among                            3. Sets up team relationship among        

     Contractor, designer and owner.                                          Contractor, designer and owner.

  4. Contractor works for them self.                                       4. Contractor works for owner.

  5. More profit potential.                                                      5. Less profit potential - no windfall lump sums.

  6. Usually no involvement at conceptual stage.                    6. Involved heavily at conceptual stage.

  7. Is reactive to the market.                                                7. Is pro-active to the market.

  8. Emphasizes price.                                                         8. Emphasizes quality and service.

  9. Communication skills helpful.                                          9. Communication skills essential.

  10. No value engineering required                                       10. Value engineering required.

  11. Makes the assumption that the quality                          11. Chooses contractor on the basis of quality              will be the same no matter who builds                             and value of workmanship.

        the project.

  12. Price is the deciding factor.                                          12. Considers experience, quality, reliability,       on-time work and ideas.

  13. Schedule may be difficult because of lack                     13. Team approach allows for more accurate

       of coordination among designer,                                         scheduling.

      contractor, and owner.                                                                          

  14. Requires monitoring the market.                                   14. Requires ongoing education.

  15. Budget must fit the design, after the fact.                      15. Project is designed around the budget from                                                                                                  the start.

  

Author Jennifer Davis can be contacted at www.jddesigns.net                                                                                                                    












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Colorado Veterinary Pharmacy Needs

Posted 10:07 AM October 31, 2011

Animal health care practitioners, staffers, and clients in the Centennial State might benefit from the services of a Colorado veterinary pharmacy that compounds medications by prescription order. Palatability is a huge factor contributing to pharmaceutical noncompliance in animals, and a compounding pharmacy might be able to prepare a flavored liquid medication that the patient will tolerate. Problems sometimes arise when the drug’s route of administration does not suit patient needs, and compounders might be able to offer alternative routing through transdermal gels, etc. Increasingly often, the medication of choice is on back-order or manufacturer discontinued – and compounders might be able to prepare these pharmaceuticals by prescription while off market. Matching strength to patient need can be challenging when trying to accurately divide unscored tablets, and a Colorado veterinary pharmacy might be able to compound the medication in a customized dose. Allergens or irritants may be present among the inactive ingredients in a pharmaceutical, and compounders might be able to reformulate the medication to eliminate problematic ingredients.


When choosing a Colorado veterinary pharmaceutical, consider Monument Pharmacy for all of your compounding needs. Why? We have a full-size clean room and staff specially trained in aseptic techniques for compounding sterile preparations like injectables and ophthalmics. We also adhere to state and federal regulations and rigorous standard operating procedures to ensure potency and stability for sterile and nonsterile compounds. Plus, we offer free first-class shipping and will beat others’ compound prices by 10%. Add in our rapid turnaround and friendly customer service, and the choice for your Colorado veterinary pharmacy is obvious: Monument Pharmacy, family owned and operated since 1995!

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Radio Show Debut!

Posted 05:32 PM October 30, 2011

I will be making my Radio Debut on Monday, October 31st on AM 1300. 10AM to 11AM (mountain time) Monday to Friday. The show is called Springs Radio Real Estate and can be streamed live at http://www.sportsanimal1300.co 

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Top 5 Reasons for Specialized Compound Pharmacist

Posted 10:50 AM October 13, 2011

How might a specialized compounding pharmacy help you or your patients? Think PROSE!

  • Palatability: reformulating a foul tasting medication into a tastier form
  • Route of administration: tweaking an oral medication for better compliance or re-routing altogether, as through the skin with a transdermal gel
  • Off-market but FDA approved: compounding a pharmaceutical of choice  while it is on back-order or is manufacturer discontinued
  • Strength adjustment: creating a customized dose when, for example, dividing an unscored tablet will yield an inaccurate amount
  • Elimination of allergens and irritants: reformulating to avoid allergens and irritants among the inactive ingredients

When choosing a Colorado pharmacy, consider the specialists at Monument Pharmacy. We have a full-size clean room and staff specially trained in aseptic techniques for compounding sterile preparations like injectables and ophthalmics. We also adhere to state and federal regulations and rigorous standard operating procedures to ensure potency and stability for sterile and nonsterile compounds. Plus, we offer free first-class shipping to 22 states and will beat others’ compound prices by 10%. Factor in our rapid turnaround and friendly customer service, and the choice is clear: Monument Pharmacy!

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