Sunday, July 14, 2013

4. Non-Compliance and Faith

A couple of headlines from the past few days:
     "NASCAR will not penalize teams with noncompliant roof flaps"
      and "Forty percent of miners' technical reports are non-compliant"

More than just not following recommendations, "non-compliance" suggests a serious breaking of rules or laws.

Doctors use non-compliance to describe patients who don't take their meds, or don't quit smoking or don't exercise or don't have lab tests done.  For some, the law-breaking insinuation of the term is distasteful and "nonadherent" has been suggested instead, but nonadherent has its own problems.

You can read that some 50% of patients do not take prescribed medications, not unexpected in the 70 year old on 5-10 meds, each with different schedule (morning or night; before or after meals, etc.).  But I just have a once weekly self-injection for arthritis, and a couple of daily supplements (calcium, vitamin D, omega-3 pill) and now the weekly alendronate.  

No big deal if I forget the supplements a couple times a week, but I forgot alendronate dose 2, taking it couple days late, and this morning forgot dose 3; we'll see if I take it tomorrow. No wonder that 30% of osteos on alendronate stop taking it within several months.  I don't and won't feel better taking it--same goes for blood pressure or cholesterol lowering meds, among others--I just take it on faith.

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