Deborah Milito is the director of
clinical and operational services
for the Department of
Pharmaceutical Care at Monsour
Medical Center.
PNOW: Can you tell us a
little bit about what you do at
Monsour Medical Center?
DM: I have very busy days here.
I am, of course, the clinical
pharmacist who takes care of all
issues on the floor, such as
Vancomycin consults, all drug
usage evaluation, adverse drug
reporting, and also, our very
active IV to PO switch program. I
am also a smoking cessation
specialist as well as an
anticoagulation specialist. I am
on many different committees such
as discharge planning and the
geropsychiatric treatment team. In
addition, I am the coordinator of
all the grand rounds that we have
most Thursdays at noon.
Do you have a lot of direct
patient care?
Yes, I do. We do a lot of
patient teaching with Coumadin,
estrogen therapy and things like
that. We personally go and talk to
the patients. I am also a
preceptor for three different
universities so my PharmD students
get a lot of practice doing that
as well.
Do you have any advice for
ways to improve communication with
patients?
You have to be approachable. I
think it is inherent to the
pharmacy profession that we are
like that. I always remind my
students that they have to be
relaxed and open and able to
answer the questions. If you don’t
know the answer, you need to know
it is OK to say you do not know
but will find the answer and get
back to the person.
Have you been at Monsour for
your entire 23-year career?
For the first year out, I was
at a retail community pharmacy in
the city.
Your family background is
very interesting. Can you tell us
a little bit about that?
I have an identical twin sister
who is also a Pharm.D. She used to
be the director at Monsour, but
had a baby five years ago. I have
two boys and we live a door apart
from her. She works as a part-time
pharmacist here at the pharmacy so
I see her at work and then we get
to see each other at home, too!
(She also has a set of 16 year old
twin boys; it’s a myth if you
think it skips a generation!)
Have you always done things
together?
Actually, when we were getting
ready to go to college, we thought
it was time to be apart because we
had been together so much. We did
not tell each other where we were
applying or where we got accepted
and we both got accepted at
Duquesne University in the
pharmacy school! We thought, why
fight it; it was meant to be.
You are a single parent. Do
you have any tips for other single
parents?
The one way I have succeeded is
that when I am at home, I am at
home. When I am at work, I am at
work. I try to keep the two
separate. That is not to say that
sometimes there is not some
overlap with phone calls to check
on where my children are,
especially in the summer time,
when they are off of school and at
home, but I really try to keep
them separate. If at the end of my
day I can say that I learned
something or that I helped
somebody and my kids have a smile
on their face, then all is good.
Also, I have a support system in
place with the children’s
father, relatives and friends.
What advice would you give to
the young pharmacist who is first
entering the profession today?
I would advise them to be
flexible and to understand that
everything is not cut right down
the middle. I know as a student
you want to say, "this is the
way it is supposed to be,"
but it isn’t like that in real
life. Also, you have to always
have the desire to keep learning
because the minute you think you
know everything, you don’t.
Who has been the most
influential person in your life?
That is a hard question. One
person is my father. He has stood
by me no matter what and always
has the best advice -- sometimes
not subtle, but sometimes very
subtle. I have always respected
him for that. He has always
encouraged me to do what I thought
was right and to not take no for
an answer. The other person was
the first pharmacist I worked for,
Marc Goldberg. I worked at his
pharmacy before I came to the
hospital. I got some really good
business instincts from him such
as leaving your problems at the
door, keeping a smile on your face
and knowing that the customer is
always right!
Is there anything you know
now you wish you would have known
when you first entered the
profession?
I wish I knew how many people
rely on your expertise. I never
would have thought that. Because
pharmacists are so approachable,
everyone will ask your opinion
about everything.
Professionally or
personally?
Well, they really respect your
opinion when they know that you
are a pharmacist. People I run
into at the supermarket, family
members, people at a party, my
CEO, you name it. It is incredible
to me how many people appreciate
the expertise that I have. I have
always thought pharmacists have a
very well rounded education, not
just in the medication arena but
also in a lot of different areas.
I didn’t realize that when I
entered the profession. We have
been the most trusted
professionals for many years.
What do you feel is the most
important quality for success?
I think it is to not sit back
and think you have learned
everything you can possibly learn.
You need to constantly challenge
yourself. You will end up being a
better person and professional if
you do. You cannot rest on your
laurels and think that this is
where I am and this is where I am
going to be. I just don’t see
that as being successful.
How do you personally
challenge yourself?
I am always asking the next
question. I received some
information back in January asking
if I would like to be a faculty
member for Allegheny County
Community College. They needed
someone to teach Pharmacy Law and
Ethics. I didn’t feel I knew
much about Pharmacy Law and
Ethics, but I found it intriguing.
So, I called. To make a long story
short, I am now a professor for
Pharmacy Law and Ethics, and other
courses as well, at the Community
College. I have also been asked to
speak for different drug companies
on a myriad of topics. It forces
me to learn more about certain
disease states that perhaps I didn’t
know. I think you have to toot
your own horn sometimes. Who else
is going to do it? I think you
have to grasp at opportunities and
keep asking yourself, "what
if I did this?"
What would you say has been
the biggest challenge you have
faced in your career and what did
you do to get to the other side of
it?
I used to be serious all the
time, and then I let a new person
into my life for the past three
years. He has taught me to relax
and enjoy life a little bit and to
realize that everything gets done
in its own time. I’ve learned
that it is OK if I do not get
everything done today. It will get
done tomorrow. One of my sayings
that I use a lot is that if it is
not life or death, and I do deal
with that in the hospital, then
maybe it really doesn’t matter.
What has been the greatest
joy you have experienced
professionally?
Here at my hospital, I get such
tremendous respect and support
from the physicians. That has just
been wonderful. I talk to my peers
who say they cannot get over
certain hurdles because the
physicians want to continue doing
whatever they do and do not let
the pharmacist do it. The support
that I have received, and I will
say that it hasn’t happened over
night, has been incredible. I have
had to earn their respect, but
once you have it, it is a great
thing to have. From a professional
standpoint, it has been wonderful
for me.
What would you say has been
the best advice you have ever
received?
When I was trying to decide if
I should go back to school to get
my doctorate, my children were
only 2 and 5 at the time and I
really just could not make a
decision if it was the right thing
to be away from them. A very good
friend really helped me out. She
said, "Think about this, your
children will see you working very
hard for something and when you
achieve it, that could be the best
thing that they could ever get.
Such a lesson learned: If you work
hard you can get something you
really want." That was the
best advice I ever had: to go
ahead and do it!
What final words of wisdom
would you like to share?
You have to love what you do. I
still can say that after 24 years,
I actually look forward to coming
to my job every day because I know
that we are an acute care setting
in a small community hospital and
you never know what is going to
happen the next day. You really
have to enjoy what you do. If you
don’t, then maybe you need to do
something else. Don’t complain
about it, just move on.
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