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Pharmacy Practice

Today’s pharmacists are key players in a wide array of health care settings, and we prepare our graduates for success, wherever their passions lead them.

Here are the latest news and stories about faculty and alumni making an impact on the profession.

The Missouri Opioid State Targeted Response Grant was implemented in May 2017. Two faculty from St. Louis College of Pharmacy were assigned to one of the grant objectives to increase access to naloxone in community pharmacies.

On April 27 and 28, more than 600 clinical pharmacists from 17 states gathered at St. Louis College of Pharmacy for the American College of Clinical Pharmacy’s annual Updates in Therapeutics meeting.

Gloria Grice, Pharm.D., FNAP, BCPS, assistant dean for curriculum and assessment and director of experiential education and professor of pharmacy practice, along with a task force of five other experiential education leaders from across the country, recently received the Award of Excellence in Experiential Education from the American Association of Colleges of Pharmacy (AACP).

Anastasia Armbruster, Pharm.D. ’09, BCPS, associate professor of pharmacy practice at St. Louis College of Pharmacy, and Katie Tellor, Pharm.D., BCPS, associate professor of pharmacy practice at the College, have been recognized by the American College of Cardiology (ACC) for their expertise and commitment to cardiovascular care.

Faculty, students and alumni of St. Louis College of Pharmacy attended the American Society of Health-System Pharmacists (ASHP) Midyear Clinical Meeting in Orlando, Florida.

In today’s digital age, industries are embracing data analysis as a tool for success. This has become especially evident in health system pharmacy, where the integration of comprehensive pharmacy analytics is helping organizations improve patient outcomes and reduce costs.

Throughout the years, Ryan Moenster, B.S. ’04, Pharm.D. ’05, FIDSA, BCPS-AQ ID, associate professor of pharmacy practice, has played a critical role in educating St. Louis College of Pharmacy residents.

Too often, health care practitioners get only a snapshot of their patients’ conditions and find themselves working in silos. Through an interdisciplinary approach, providers can share knowledge, form a more complete picture of a patient and achieve better outcomes.

With the 2017-18 flu season ranking as one of the most severe in more than a decade, the College is encouraging area residents to get their flu shots.

The College sets the pace for pharmacy residency program collaboration in the St. Louis area.

Community pharmacists are a patient’s most accessible health care provider, and as medication experts, they are critical to maintaining and improving patients’ health. While this truth has long been understood by pharmacists and the patients who rely on them, the larger health care industry has been slow to fully leverage community pharmacists as the invaluable resource they are.

St. Louis College of Pharmacy has positioned itself as a leader in the fight against opioid abuse. From prescription medication collection to research into the addictive nature of opioids, our students, faculty, staff and research centers have passionately invested themselves in combating this epidemic.

From the theater to the ICU, Alexis (Bylina) Kasniunas, Pharm.D. ’14, BCCCP, uses her creativity to better serve her patients.

The average survival rate for a lung transplant patient is five years. While that may not sound like much, for Keith Fester, Pharm.D. ’09, BCPS, and his patients, it is time that is not taken for granted.

P3 student Suzie Chen was awarded the United States Public Health Service Health Pharmacy Award for her dedication to serving underserved patient populations.

In partnership with Jennings High School, the College has developed a program that helps high school seniors not only become nationally certified pharmacy technicians but also access opportunities for continued education in pharmacy and health care.

Laura Challen, Pharm.D., MBA, BCPS, BCACP, assistant professor of pharmacy practice and clinical pharmacist at the Mercy JFK Clinic at Mercy Hospital in St. Louis, was recently named Preceptor of the Year by the Missouri Society of Health-System Pharmacists.

The Alumni Association hosted an industry career panel in March and welcomed back to campus three alumni to showcase different roles in the pharmaceutical industry.

Each year at St. Louis College of Pharmacy, advanced pharmacy practice experiences give students hands-on learning opportunities in a variety of practice settings locally and around the world.

Some residency programs offer a one-size-fits-all model, but at St. Louis College of Pharmacy, residents have the opportunity to diversify their skills while practicing at various sites across the St. Louis area.

During her final year at St. Louis College of Pharmacy, Katie Helm, Pharm.D. ’18, had the chance to turn her dream job into a pharmacy residency opportunity.

When the economy slowed down in 2008, Alex Tryson, Pharm.D. ’18, took a step back to reevaluate his career choice as an architect and discovered his passion for pharmacy.

Four students share their perspectives on what it’s like to be a visiting student halfway across the world.

As she works to make the most of her year on rotations, P4 student Jamie Voigtmann recently participated in an independent pharmacy experience that made a lasting impression on her, her preceptor and the patients she served.

Matt Thomas, Pharm.D., PGY2 ambulatory care resident, shares the heart-warming benefits of being a pharmacist.

Carol Hotze Hermann, B.S. ’91, is proof that one person can make a difference. Through her participation in medical mission trips, she is making an international impact as part of a collaborative, interprofessional health care team.

The Center for Interprofessional Practice and Education’s Curriculum and Assessment Committee (CAC) has released its new Three-Phase Curriculum Model, which represents a major milestone in teaching learners across the Washington University Medical Campus to work effectively on teams.

From the moment students begin classes at the College until the time they receive their diplomas, they are constantly encouraged to engage patients, build relationships, and advance health care.

As a P3 student, Dena Badran was offered the opportunity to return to the place she once called home through an internship with Hikma Pharmaceuticals PLC in Amman, Jordan.

After graduating from St. Louis College of Pharmacy, Kacie Kuehn, Pharm.D. ’16, knew she wanted to specialize in ambulatory care. But, after taking part in a residency through the College, she discovered another passion – academia.

Jeff Pasucal, Pharm.D. ’17, engages in life-changing conversations through his PGY1 community-based residency.

Alicia B. Forinash, Pharm.D., FCCP, BCPS, BCACP, professor of pharmacy practice, served as a co-author on the recently published Drugs in Pregnancy and Lactation: A Reference Guide to Fetal and Neonatal Risk, 11th Edition.

Katie Tellor, Pharm.D., BCPS, associate professor of pharmacy practice, along with coauthors Abigail Yancey, B.S. ’02, Pharm.D. ’03, FCCP, BCPS, professor of pharmacy practice, Anastasia Armbruster, Pharm.D. ’09, BCPS, associate professor of pharmacy practice, Steffany Nguygen, Pharm.D. ’17, Amanda Bultas, Pharm.D. ’17, and P4 student Nicholas Greenwald received the 2017 Virtual Poster Symposium Best Poster Award for their abstract and presentation “Evaluation of Warfarin Requirements in Hospitalized, Obese Patients Admitted with a Therapeutic INR.”

Michelle Jeon, Pharm.D., assistant professor of pharmacy practice, shares her top tips for traveling with prescription medications.

Dan Kistner, Pharm.D. ’11, has been recognized as one of the top 60 health care leaders under 40 by Becker’s Hospital Review.

David Norman ’67, R.Ph., was certain of three things growing up—he was not going to work in his family’s pharmacy, he was never moving back to Ava, Missouri, and he was not going to be a pharmacist. Young Norman could not have been more wrong about his future.

After 12 years of practice, Jill Sellers ’92/’93, Pharm.D., took a leap of faith to make the transition from pharmacist to communications entrepreneur.

Alexandra Bixby ’17, Pharm.D., first got involved with Health Resource Center Diabetes Clinic when she reached out to the Saint Louis University residents running the clinic to find a collaborative way for student pharmacists to support their health care team.

A three-part questionnaire about daily routines, smoking habits and favorite television shows is not a conventional way to make a best friend, but United States Public Health Service (USPHS) Lieutenant Commanders (LCDR) Christopher LaFleur ’10, Pharm.D., CPH, and Patrick Harper ’10, Pharm.D., MPH, CPH, have never felt the need to adhere to conventional paths.

One in three American adults are at risk for kidney disease, according to the National Kidney Foundation. Often associated with other disease states like hypertension and diabetes, kidney disease can often go unseen and undiagnosed. However, during the month of March, the importance of kidney health will be spotlighted.

The Comprehensive Addiction and Recovery Act of 2016 outlines new provisions to help pharmacists and other health care providers continue the fight against opioid abuse.

Kurt Kleinmann ’59, R.Ph., M.S., came to the U.S. in 1941 only knowing “yes” and “no,” but would carve a place for himself in the profession of pharmacy through lifelong learning and a dedication to teaching those after him.

Parkland Health Mart Pharmacy in Desloge,Missouri, feels different than most. When patients walk through the door, they enter a cozy seating area with contemporary decor that feels like home.

Projected to save billions of dollars in U.S. health care costs, biosimilars are a highly anticipated alternative to some of the most expensive medications on the market. However, from ongoing patent litigation and legislation to complex development processes, pharmacists and the U.S. prescription drug industry are left to hang on the cusp of a revolution.

Sister Mary Louise Degenhart ’60 receives the prestigious Harvey A.K. Whitney Lecture Award.

St. Louis College of Pharmacy and NCADA to distribute 50,000 medication deactivation pouches to promote safe disposal of prescription medications.

Pharmacists at St. Louis College of Pharmacy research one of the deadliest diseases in America.

P3 students Joanna Huang and Dane Fickes were selected to participate in the TL1 Predoctoral Clinical Research Program over the summer through the Clinical Research Training Center (CRTC) at Washington University School of Medicine in St. Louis.

Stephanie Crist, Pharm.D., assistant professor of pharmacy practice, talks to Fox 2 news about challenges patients face when trying to control blood pressure.

From the latest flu guidelines, to a new vaccination for a potentially deadly infection, Associate Professor Golden Peters, Pharm.D., BCPS, shares important information about vaccines.

Associate professor of pharmacy practice selected as a Fellow.

Yvonne Burnett, Pharm.D., receives a grant from the Society of Infectious Diseases Pharmacists to analyze pharmacist-led dosing and monitoring of vancomycin in an OPAT program setting.

The partnership between St. Louis College of Pharmacy and Nelson Mandela Metropolitan University in South Africa carves a new path for pharmacy technicians in Southern Africa.

St. Louis College of Pharmacy professor tackling two subjects at the AACP annual meeting.

Faculty member shares advice on balancing teaching and clinical responsibilities.

St. Louis College of Pharmacy professor participates in the national discussion regarding Entrustable Professional Activities (EPAs).

Scott Vouri becomes the first pharmacist to receive the Alene & Meyer Kopolow Award for Geriatrics, Psychiatry, and Neurology for work on medication interactions.

How two faculty members at St. Louis College of Pharmacy are helping reduce hospital readmission rates.

With 1,685,210 new cancer cases expected to be diagnosed in 2016, according to the American Cancer Association, the necessity to expand our knowledge of cancer biology to improve treatment is undeniable. Simply learning more about the biology of cancer is not enough; it is only one piece of the puzzle.

More patients than ever before are being diagnosed with chronic kidney disease.

Matt Pitlick, Pharm.D., talks to Fox 2 News about the important role pharmacists play in identifying potential medication side effects.

Integrity Pharmacy is a fitting name for a company that prides itself on serving the community with kindness and integrity. With two locations and more than 70 employees, the pharmacy is able to make an impact across the state of Missouri.

How St. Louis College of Pharmacy is helping lead this important region-wide effort.

As a member of both the Eutectic Cross Country and Track and Field teams, Bethany Chew, P3, is no stranger to competition. She is prepared to rise to another challenge as this year’s St. Louis College of Pharmacy representative for the American Pharmacists Association Academy of Student Pharmacists (APhA-ASP) National Patient Counseling Competition.

Megan Snodgrass is a PGY1 resident at L & S Pharmacy, an independently owned pharmacy that is part of St. Louis College of Pharmacy's community pharmacy residency program. The program is based at L & S Pharmacy in Charleston, Missouri, as well as at Schnucks Pharmacy and Walgreens Pharmacy, both in St. Louis.

Students and faculty have the opportunity to expand learning and scholarship at Trinity College in Dublin.

Winners of the Illinois and Missouri Distinguished Young Pharmacist Awards Share an Office

As a PGY2 ambulatory care resident at the St. Louis County Department of Public Health, April Huang consults with patients about the health conditions they are working through — as well as other challenges they face.

As a PGY2 resident, Shane Austin ’14 cares for a variety of patients through his internal medicine residency program at St. Louis VA Health Care System – John Cochran.

St. Louis College of Pharmacy is impacting pharmacy education and patients across the globe.

Inspired by a trending hashtag, Philip Wenger, Pharm.D., BCPS, associate professor of pharmacy practice, has advice for patients using mental health medications and those considering their options.

Janelle Mann, Pharm.D., BCOP, talks about treating patients, teaching students, and balancing it all.

Less than 20 percent of Americans smoke. Every year, more try to quit. Asking for help from a pharmacist help could increase your chances of putting cigarettes down for good.

Feeling sick? Clark Kebodeaux, Pharm.D., assistant professor of pharmacy practice at St. Louis College of Pharmacy, has some recommendations.

Could we be protected from the flu for a lifetime? Clark Kebodeaux, Pharm.D., assistant professor of pharmacy practice, checks in on the current research.

Stopping the flu begins with the flu shot. Clark Kebodeaux, Pharm.D., assistant professor of pharmacy practice, explains other steps to help stop the spread of the virus.

Clark Kebodeaux, Pharm.D., assistant professor of pharmacy practice, continues his series on the 2015 flu season by looking inside this year's vaccine.

Flu season is about to start. How do you keep your family protected? Clark Kebodeaux, Pharm.D., assistant professor of pharmacy practice, begins a multi-part series to answer that and other pressing questions.

Why Addyi Could be the Start of Something New for Women

St. Louis College of Pharmacy faculty member is using his position in national organization to help students.

Pharmacist Shares 5 Important Points for Patients About OxyContin

How Prescription Medication Prices Affect Pharmacists

Paul Juang, Pharm.D., BCPS, associate professor of pharmacy practice, is recognized for his significant contributions and impact on the practice of critical care medicine.

Pharmacist and faculty member Jamie Woodyard talks about all of the options for allergy relief.

Accepting a position at STLCOP was a coming home of sorts for Kilinyaa Cothran, who graduated from the College in 2001.

Erica Crannage, Pharm.D., assistant professor of pharmacy practice, is an early-adopter in health care innovation. In less than two years, she has led the way for pharmacists in Missouri to advance patient care.

In an effort to treat depression, many patients try an herbal product that is available over-the-counter. With the dizzying number of choices, I took a look at the research behind nine herbal products and found there is a wide range of effectiveness when it comes to treating depression.

In the last posting, I looked at the body of evidence for five herbal products which have been used to help treat depression. I found no medical proof that inositol, melatonin, fish oil, L-tryptophan, or gingko were effective for depression in a large scale study. There are four herbal products where evidence shows some help for patients who were depressed. Don’t forget to ask your doctor or pharmacist before trying any of these products.

Faculty member calls for help from other health care providers.

Nicole Gattas, Pharm.D., BCPS, associate professor of pharmacy practice, has been elected to the American Pharmacists Association Academy of Pharmacy Practice and Management.

Here’s the best way to not only get the relief you need, but also make the best use of your time while shopping.

Dr. Clark Kebodeaux reacts to new data showing low whooping cough vaccination rates for pregnant women.

Every patient who comes into Copper Bend Pharmacy in Belleville, Ill. receives their prescription from owner Steve Clement ’74 or a pharmacy student under his supervision.

“If we’ve saved one person, that’s enough.” It’s a short, simple sentiment by his wife, Peggy, that has served as Patrick Tharp’s mantra since he founded Pharmacists Preventing Suicides (PPS©) more than 10 years ago.

College dignitaries and alumni alike were honored at the Missouri Pharmacy Association’s Annual Convention and Trade Show at the Hilton Convention Center in Branson on June 6-9.

Many in the pharmacy profession don’t know what a Risk Evaluation and Mitigation Strategy (REMS) is, which was even more reason to have a Meeting of the Minds panel discussion about the subject, according to the event’s expert panel.

The number of patients receiving hospice care is growing steadily. The National Hospice and Palliative Care Organization (NHPCO) estimates around 1.5 million Americans utilized hospice services in 2012.

Former President and Health Minister of Ecuador Alfredo Palacio visited St. Louis College of Pharmacy to talk about ways the College can make an impact in South America.

A majority of St. Louis College of Pharmacy graduates begin their careers in pharmacy at a national chain. Recently, Bruce Canaday, Pharm.D., dean of the School of Pharmacy, was invited to a forum hosted by CVS Health. The event was an important step in building a strong relationship with the College and other colleges of pharmacy.

Elizabeth A. Neuner ’06, Pharm.D., BCPS, AQ-ID, has been named the recipient of the American Society of Health System Pharmacists (ASHP) Research and Education Foundation’s 2012 Pharmacy Residency Excellence New Preceptor Award.

Several alumni were recognized for their leadership in the pharmacy profession, health care environment, and business community. The College is proud to honor our graduates:

For the past two years, we’ve seen a dramatic spike in flu cases nationwide in late December and early January. Data from the government shows this year’s season is tracking right along the same lines, opening us up for the potential of another spike in cases.

There is a new call for more Americans to consider taking statins to reduce the risk of a stroke or heart attack. Amy Tiemeier, Pharm.D., BCPS shares three important points about today’s news.

Recent news about statins prompted a letter to the editor in the Nov. 30 issue of the St. Louis Post-Dispatch. Shirley Giebel wrote to ask whether there was a connection between statin use and bladder incontinence.

Could a cholesterol lowering medication be the next to no longer require a prescription from a physician? News Pfizer is recruiting participants for a clinical study prompted two St. Louis College of Pharmacy students to take a closer look at Lipitor and the four things patients need to know about the medication.

Whether you’re driving 30 minutes or 300 miles to get to Thanksgiving or Christmas celebrations, car sickness can hit a child at any time. Nicole Gattas, Pharm.D., is also a parent and recommends trying several steps before turning to medications:

Ismar Karadzic ’10 has treated the president of the United States, who was also a medical doctor. Well, not really. But Karadzic’s patient definitely believed he was both of those things.

Can I be proactive about treating my asthma? Or is it better to wait for an asthma attack to take my medicine?

Leah LaRue ’10, a recognized leader in pain medication management, is extending the focus of her work to include the innovative field of pharmacogenetics, a type of genetic testing that shows how genetic variability impacts individual responses to medications.

According to Ruth Chan ’11, a typical day as a resident involves completing physician consults, which might include questions on antibiotic dosing, warfarin dosing, or nutrition education.

Whether a person is moving from operating to recovery room, hospital to home, or home to skilled-care facility, each transition of care can become a complicated, intricate process.

Students make an impact in the community by volunteering at a free monthly health clinic.

Janelle Mann, Pharm.D., shares why she chose to specialize in treating cancer.

There are many ways pharmacists help patients manage their pain during chemotherapy and cancer treatments.

This week is National Influenza Vaccination Week. Clark Kebodeaux, Pharm.D., BCACP, assistant professor of pharmacy practice at St. Louis College of Pharmacy, has been vaccinating patients for more than five years as part of his pharmacy practice. In honor of the week, he has three important points about the flu vaccine:

I commend This American Life and ProPublica for covering the serious issue concerning acetaminophen overdoses in the recent program “Use Only as Directed.”

With the new year upon us, many are beginning to think about resolutions. Amy Tiemeier, Pharm.D., BCPS, associate professor of pharmacy practice at St. Louis College of Pharmacy suggests four easy resolutions for a healthier year.

The number of Americans using hospice and palliative care is growing; in 2012, about 1.5 million chose to enter hospice. One of the many questions patients and their families have about beginning this form of care is pain management.

Philip Wenger, Pharm.D., BCPS, spends a significant amount of time behind bars. When the associate professor of pharmacy practice at St. Louis College of Pharmacy is not teaching in class, he’s working at the Buzz Westfall Justice Center in Clayton, Mo. There, he helps manage medication for more than 1,200 inmates inside the St. Louis County jail.

Recently, Ryan Moenster, Pharm.D., BCPS-ID, associate professor of pharmacy practice talked to CNBC about the rise of drug-resistant bacteria.

What is the best way to use antibiotics? An infectious disease pharmacist explains.

In the latest installment of 'Any Questions for the Pharmacist?', Anastasia Armbruster, Pharm.D., associate professor of pharmacy practice, answers a question about a heart healthy diet.

Should I take an aspirin to help my heart? In the latest installment of 'Any Questions for the Pharmacist?', Anastasia Armbruster, Pharm.D., associate professor of pharmacy practice, answers this common question.

Whether you've been taking a vitamin for years, or are considering one to take, Scott Vouri, Pharm.D., BCPS, CGP, assistant professor of pharmacy practice explains the process for selecting the right product

If you're caring for an older adult Scott Vouri, Pharm.D., BCPS, CGP, assistant professor of pharmacy practice has some practical advice to help the patient lead a healthier life.

An important component of the mission at St. Louis College of Pharmacy is to advocate for the profession of pharmacy. That advocacy comes in many forms and can be seen in direct patient care, interactions with other health care professionals and discussions with lawmakers.

Pharmacists and physicians are increasingly using genetic testing for patients who are taking a host of medications, such as warfarin or antidepressants, to help use the correct dosage.

Asthma, a chronic disease affecting 20 million Americans, including nine million children, continues to affect the city of St. Louis. In 2012, the Asthma and Allergy Foundation of America ranked St. Louis seventh on their list of the 10 asthma capitals in the U.S.

Asthma is a very common problem across our nation. About one out of every 11 children has asthma. It is even more common in the St. Louis area.

How a video game helped kick a three pack-a-day habit.

My asthma seems much better with a daily controller medicine. I don’t wheeze or cough often. I rarely need my quick-relief inhaler. Do I still need to take a daily medicine?

A look at some of the most common errors for patients make when trying to control their asthma.

Expiration dates are a guarantee from the manufacturer. It shows the date the medication will be effective until when stored under ideal conditions.

In between consulting with patients, picking up their medications, and verifying prescriptions, I often see patients standing in front of shelves and shelves of supplements taking in all the options.

Professor explores reasons why the number of patients taking life-saving medicine falls significantly after three months.

The Wall Street Journal reports as many as half of all U.S. patients on medication for chronic diseases aren’t following the doctor’s orders. Why? Assistant Professor Jamie Shelly, Pharm.D., explains five ways she works with patients on managing side effects.

Students at St. Louis College of Pharmacy are setting an example of interprofessional collaboration. A team from STLCOP and Washington University were recognized with two awards from the National Consumers League.

Her groundbreaking work in women’s health and collaborative, interdisciplinary approach to patient care have put Alicia Forinash at the forefront of the pharmacy profession.

Starting today, hydrocodone is now classified as a schedule II drug under new Food and Drug Administration rules. For patients, this will change the way prescriptions are filled during the next visit to the pharmacy.

International partnerships with nations like South Africa, China, Ethiopia, Mexico, and Saudi Arabia position St. Louis College of Pharmacy to be at the forefront of impacting health care worldwide.

This year St. Louis College of Pharmacy and the BJC Accountable Care Organization (ACO) entered into an agreement to help find ways for older adults to better manage their medications. Terry Seaton, Pharm.D., professor of pharmacy practice, is working with ACO medical director Douglas Pogue, M.D., on the hospital’s most complex cases.

Many women spend a good part of their pregnancy on a hunt for information. Beginning this summer, those moms-to-be and their families will have clearer information about the effects of medication. The Food and Drug Administration is dismissing a letter-grading system for medication and replacing it with more detailed information.

With the flu so widespread across the country, patients are being prescribed Tamiflu and Relenza in hopes of both shortening their flu symptoms and stopping the spread of the virus. These antiviral medications are the only two approved to both prevent and treat the flu. As a result, these medications are under a lot of scrutiny and debate over their effectiveness.

The holidays bring plenty to look forward to, including time off work and school. These changes in daily routine may mean that medications may take a back seat. To make sure you stay on track and stay healthy, Amy Tiemeier, Pharm.D., BCPS, associate professor at St. Louis College of Pharmacy, has some advice.

Lead...Every day about 137 people in America are infected with HIV according to U.S. government estimates. In honor of World AIDS Day, Alexandria Garavaglia-Wilson, Pharm.D., assistant professor of pharmacy practice writes about treatment for newly diagnosed patients.

Treating cancer is in her position title, but most of Dr. Valeria Bernardo’s time is spent dealing with the side effects. Bernardo, Pharm.D., assistant professor of pharmacy practice at St. Louis College of Pharmacy, also practices as a pediatric oncology pharmacist at Cardinal Glennon Children’s Medical Center.

Interprofessional patient-centered care continues to become more and more important, and St. Louis College of Pharmacy is committed to educating our future pharmacists in this area.

St. Louis College of Pharmacy’s community pharmacy residency program gives residents the opportunity to provide patient care services in the community, where pharmacists’ roles continue to expand.

he recent measles outbreak has grabbed a lot of headlines, and created a lot of concern. Right now there are no confirmed measles cases in Missouri. There are several cases in the Chicago area. Knowing all I do about the effectiveness and safety of vaccines, I wanted to see how well our children are protected.

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