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Richard Plotzker's avatar

My medical office version of this has roughly the same theme, though perhaps with a dark side. Everyone takes their medicines when you ask them. When you look at their BP, cholesterol levels, HbA1c or objective lab metrics, the doc wonders why his Rx don't do as well as what the journal studies report. Some bring their pill bottles to their office visit, most don't even when asked. Our validation method is the electronic Rx record which tells when the last refill was issued. People miss more pills than they realize or admit if they do realize. And how much do you drink? Very little but the MCV on the CBC is always 103 fL. That we can't validate.

Lacking Ryan's elegance in figuring out who does not convey to the doctor what he/she needs to know, We are left with our reptile brains to profile patients by our stereotyped impressions, not always accurately. In the 10 minutes in the exam room we have to decide whether to increase doses, create better systems for compliance at the same dose, send visiting nurses to count pills, or most often accept what we are told.

Eric Rasmusen's avatar

One of your best posts. Amazing what insights one can get with just means, no fancy econometrics.

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