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Beyond Compliance, Adherence, & Concordance – Supporting The Patient’s Implementation Of Optimal Treatment

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I really cannot understand why it is so difficult to follow directions on the prescription bottle

September 21st, 2007 at 3:13 pm · · Communication · No Comments

A review of my last several posts indicates that I may have passed from maintaining hope for healthcare despite evidence to the contrary to implacable misanthropy without passing through lovable curmudgeon.

And today’s post may confirm that diagnosis.

I discovered Following directions, a post at Pharmer Jane (Pharmer Jane appears to be written by a pharmacist but no actual personal or institutional names are used) last week but had not written about it because it seemed to offer nothing in the way of useful clinical information or insight into human behavior vis-a-vis adherence to treatment.

I’ve recanted that position, however, in the belief that there is value in pointing out to readers that there are still healthcare professionals who “really cannot understand why it is so difficult to follow directions on the prescription bottle” and, further, appear uninhibited about declaiming that view on the Net where God, patients, fellow clinicians, and I can read it.

The title of my post is taken from the first line of of Pharmer Jane’s post. Another couple of excerpts should provide a sense of the post:

People like Glyburide Lady [a client of the pharmacist/author] piss me off in a professional capacity. I’m using my hard-earned knowledge to help her out, consulting with the doctor who is also spending a lot of time and effort on her, and she somehow thinks that she knows better than all of us.
She’s sabotaging her own health and doesn’t give a shit that many people are trying to help her.

Again, this post (and a comment congruent in tone) can be found at Following directions and is sufficiently self-explanatory that no further elaboration is needed.

Tags: Communication