3 ms·

Since when do people resist taking medicine prescribed by a doctor? Why see a doctor if you aren't going to do what he says.

LPTS 18y ago
The largest cause of disease progression in HIV is adherence between 70 and 90 percent. Hypertension, Diabetes, etc. All these long term problems have adherence rates less then 70%. Resistance is low on the list for reasons for nonadherence. More common reasons include forgetting (because human brains are lousy alarm clocks), not getting refills, not renewing the rx, and not being able to afford it. One problem that happens is people fail to take meds as prescribed, get sicker, go back to the doctor, get a higher dose, take it right, and take too much since the doctor was operating under the assumption that the previous dose was taken. This is responsible for about 10% of hospital and 24% of nursing home admittances, at a cost of 100 billion. There are many 2007 and 2008 medical journal articles about how this is a huge problem desperate for a solution. Its not that people don't want to take the med, in most cases. Its that it takes more then wanting to adhere to make it happen, and the medical industry has no good solution.
- aaronblohowiak 18y ago
  That is a huge problem. It also addresses the desire to do good while you're trying to do well for yourself. I wish you the best.
xenoterracide 18y ago
just to find out what's wrong. Doctor's tend to over-prescribe.
- yummyfajitas 18y ago
  Woman: Doctor, my daughter has trouble breathing. House: Have you been keeping up with her medication? Woman: She doesn't use that except in emergencies. Pharmaceuticals are very risky. House: You know what else is risky? NOT BREATHING. That has some minor side effects such as DEATH. Your doctor, after carefully weighing all the options, decided that NOT BREATHING is more dangerous than [insert minor side effect of pills]. (Paraphrased, I don't remember the exact lines.)
  - xenoterracide 18y ago
    me: I'm sick doctor: here's some anti-biotics. repeat for 20 years. me: realizes doctor prescribes anti-biotics for allergies, the flu, and the common cold.
- LPTS 18y ago
  I don't think laypeople should decide when doctors are overprescribing. That's like new age people who think quantum physics is a scientific way of stating their religious superstitions without understanding the math. The problem isn't so much with doctors as it is with patients who see ads for made up conditions on TV and try to talk their way into samples with the talk to your doctor guides to scoring drugs. Ban advertising, ban bribing doctors to push pharma junk, the problem largely dissolves. (I accidently pushed to downmod instead of upmod you, sorry. I will go upmod 2 others.)
  - xenoterracide 18y ago
    I'm just tired of being prescribed meds for things when I obviosly don't need them or as much as they give. Or they won't give me what I need. I can't sleep here's and anti-depressant with a side effect of making you tired.
    - LPTS 18y ago
      You're a moron if you think you are capable of deciding what medicine you need without having medical school. Sorry, man, but we got this great thing called division of labor where the MD learns about the medicine and you can focus on something else. Then when you need to apply medical knowledge to your life, you ask the MD. Your nonsensical post makes me think you should think really hard about taking everything your doctor says. If you think your doctor is not treating you properly seek a second opinion. But you are not qualified to make the judgements about your medication.
      - xenoterracide 18y ago
        see my anti-biotics comment. They don't do a damn thing for the common cold. I don't know what I need all the time. But I'm starting to get pretty good at learning what I don't need. But they still like giving me that stuff. A second opinion? can't afford the first. I've gotten pretty good at knowing what's gone wrong with my own body over the years. I'm no pharmacist for sure, or a doctor. But every time (that I recall) going to a doctor I get a prescription. Why is it I get a prescription for the common cold? or the flu. No prescription can cure those (at least that I'm aware of). Better to tough it out. why is it exactly that you trust MD's so much? I don't trust them any more than I trust mechanics, and my body is more important than my car, and more complex.
iloveyouocean 18y ago
You are not in touch with the general world population. Most/many diseases are caused by people not adhering to very basic eating, exercise and health routines to begin with. Couple that with vague superstitious beliefs about Drs just wanting to make money/actually hurting the patient, also the inability to pay for the medicine, etc. I do wonder, however, if someone is not capable of taking medicine, how will they use a website/other technology any more reliably?

LPTS 18y ago

The largest cause of disease progression in HIV is adherence between 70 and 90 percent. Hypertension, Diabetes, etc. All these long term problems have adherence rates less then 70%. Resistance is low on the list for reasons for nonadherence. More common reasons include forgetting (because human brains are lousy alarm clocks), not getting refills, not renewing the rx, and not being able to afford it. One problem that happens is people fail to take meds as prescribed, get sicker, go back to the doctor, get a higher dose, take it right, and take too much since the doctor was operating under the assumption that the previous dose was taken. This is responsible for about 10% of hospital and 24% of nursing home admittances, at a cost of 100 billion. There are many 2007 and 2008 medical journal articles about how this is a huge problem desperate for a solution. Its not that people don't want to take the med, in most cases. Its that it takes more then wanting to adhere to make it happen, and the medical industry has no good solution.

aaronblohowiak 18y ago
That is a huge problem. It also addresses the desire to do good while you're trying to do well for yourself. I wish you the best.

xenoterracide 18y ago

just to find out what's wrong. Doctor's tend to over-prescribe.

yummyfajitas 18y ago
Woman: Doctor, my daughter has trouble breathing. House: Have you been keeping up with her medication? Woman: She doesn't use that except in emergencies. Pharmaceuticals are very risky. House: You know what else is risky? NOT BREATHING. That has some minor side effects such as DEATH. Your doctor, after carefully weighing all the options, decided that NOT BREATHING is more dangerous than [insert minor side effect of pills]. (Paraphrased, I don't remember the exact lines.)
- xenoterracide 18y ago
  me: I'm sick doctor: here's some anti-biotics. repeat for 20 years. me: realizes doctor prescribes anti-biotics for allergies, the flu, and the common cold.
LPTS 18y ago
I don't think laypeople should decide when doctors are overprescribing. That's like new age people who think quantum physics is a scientific way of stating their religious superstitions without understanding the math. The problem isn't so much with doctors as it is with patients who see ads for made up conditions on TV and try to talk their way into samples with the talk to your doctor guides to scoring drugs. Ban advertising, ban bribing doctors to push pharma junk, the problem largely dissolves. (I accidently pushed to downmod instead of upmod you, sorry. I will go upmod 2 others.)
- xenoterracide 18y ago
  I'm just tired of being prescribed meds for things when I obviosly don't need them or as much as they give. Or they won't give me what I need. I can't sleep here's and anti-depressant with a side effect of making you tired.
  - LPTS 18y ago
    You're a moron if you think you are capable of deciding what medicine you need without having medical school. Sorry, man, but we got this great thing called division of labor where the MD learns about the medicine and you can focus on something else. Then when you need to apply medical knowledge to your life, you ask the MD. Your nonsensical post makes me think you should think really hard about taking everything your doctor says. If you think your doctor is not treating you properly seek a second opinion. But you are not qualified to make the judgements about your medication.
    - xenoterracide 18y ago
      see my anti-biotics comment. They don't do a damn thing for the common cold. I don't know what I need all the time. But I'm starting to get pretty good at learning what I don't need. But they still like giving me that stuff. A second opinion? can't afford the first. I've gotten pretty good at knowing what's gone wrong with my own body over the years. I'm no pharmacist for sure, or a doctor. But every time (that I recall) going to a doctor I get a prescription. Why is it I get a prescription for the common cold? or the flu. No prescription can cure those (at least that I'm aware of). Better to tough it out. why is it exactly that you trust MD's so much? I don't trust them any more than I trust mechanics, and my body is more important than my car, and more complex.

iloveyouocean 18y ago

You are not in touch with the general world population. Most/many diseases are caused by people not adhering to very basic eating, exercise and health routines to begin with. Couple that with vague superstitious beliefs about Drs just wanting to make money/actually hurting the patient, also the inability to pay for the medicine, etc. I do wonder, however, if someone is not capable of taking medicine, how will they use a website/other technology any more reliably?