hmmm getting paid to take medicine

[dbtoo]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>hmw</b></i>
<br />
<br />A chronic non-compliant patient will continue to be non-compliant if they are truly resistant to meds vs. just being forgetful. </end quote>
<br />
<br />39 years of popping pancrease and I still forget to take them, particularly when I'm away from the house!

 

[Liza]

Here's an honest question Dbtoo. Are you really forgetting to take them or just not?

I ask this because my youngest, who has been taking enzymes since she was about 3 days old and is about to turn 20, sometimes says she "forgot". Although I think she has admitted to just being too lazy sometimes to actually get them out. This happens at home or away.


So, do you sometimes forget or just don't?

 

[Liza]

Here's an honest question Dbtoo. Are you really forgetting to take them or just not?

I ask this because my youngest, who has been taking enzymes since she was about 3 days old and is about to turn 20, sometimes says she "forgot". Although I think she has admitted to just being too lazy sometimes to actually get them out. This happens at home or away.


So, do you sometimes forget or just don't?

 

[Liza]

Here's an honest question Dbtoo. Are you really forgetting to take them or just not?
<br />
<br />I ask this because my youngest, who has been taking enzymes since she was about 3 days old and is about to turn 20, sometimes says she "forgot". Although I think she has admitted to just being too lazy sometimes to actually get them out. This happens at home or away.
<br />
<br />
<br />So, do you sometimes forget or just don't?

 

[dbtoo]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Liza</b></i>
So, do you sometimes forget or just don't?</end quote></div>

I never "just don't" because I know full well what the consequences are! I almost always have them with me when I am out. Sometimes, at home, they are sitting on the countertop and I just walk past them with my food.

It's not a life threatening situation, with pancrease at least for me, it's an inconvenience factor really, when I miss a dose or two. (not saying that's the case for infants or people who are PI which cannot get what they need without them.)

I've never created the habit of making it such a ritual that I automatically do it.

Maybe it's a subconcious elephant-denial? I can see where a young CFer would not want to draw attention to themselves by taking medications in public. It could also be that she feels 'more normal' if she doesn't take them.

 

[dbtoo]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Liza</b></i>
So, do you sometimes forget or just don't?</end quote>

I never "just don't" because I know full well what the consequences are! I almost always have them with me when I am out. Sometimes, at home, they are sitting on the countertop and I just walk past them with my food.

It's not a life threatening situation, with pancrease at least for me, it's an inconvenience factor really, when I miss a dose or two. (not saying that's the case for infants or people who are PI which cannot get what they need without them.)

I've never created the habit of making it such a ritual that I automatically do it.

Maybe it's a subconcious elephant-denial? I can see where a young CFer would not want to draw attention to themselves by taking medications in public. It could also be that she feels 'more normal' if she doesn't take them.

 

[dbtoo]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Liza</b></i>
<br />So, do you sometimes forget or just don't?</end quote>
<br />
<br />I never "just don't" because I know full well what the consequences are! I almost always have them with me when I am out. Sometimes, at home, they are sitting on the countertop and I just walk past them with my food.
<br />
<br />It's not a life threatening situation, with pancrease at least for me, it's an inconvenience factor really, when I miss a dose or two. (not saying that's the case for infants or people who are PI which cannot get what they need without them.)
<br />
<br />I've never created the habit of making it such a ritual that I automatically do it.
<br />
<br />Maybe it's a subconcious elephant-denial? I can see where a young CFer would not want to draw attention to themselves by taking medications in public. It could also be that she feels 'more normal' if she doesn't take them.

 

[JustDucky]

I wonder if those hospitalizations related to non compliance issues were actually because the patient could not afford the medication? As a former nurse, I saw non compliance issues, especially with the elderly, but it was because they had to choose between food and meds. Meds are so expensive as we know all too well, those on a fixed budget (such as those who are disabled or on social security) really feel the financial crunch when they go to pay for these drugs. For example, insulin costs me nearly 80$ for one vial. That's quite a bit of money. Singulair, nearly 100 for 30 days. That's because I am in the doughnut hole and brand name drugs I have to pay full price until I hit catastrophic coverage. Luckily, my doctor will hold samples for me so I don't have to pay for the brand name meds that I take (which if I paid for them out of pocket would be nearly 500 a month). I am sensing that many disabled/seniors are having this same problem. Of course they are going to choose shelter and food over meds.

Of course, there were those patients who just didn't take their meds, were totally non compliant in all aspects of their health care. We would see revolving door type admissions, where we would treat a person who would come in for their condition, such as diabetes, that would be out of control, we would regulate them, send them home only to see them on our doorstep again within weeks in the same condition.

I am not sure if I like the pay for compliance deal...maybe if it is for true forgetfulness and not sheer non compliance. But then again, what is stopping them from tossing the pill as Harriet pointed out. The system can always be outsmarted and you would still have a non compliant patient with a few more dollars to his or her name. I think the researchers have to look more into the causes of non compliance.

Jenn

 

[JustDucky]

I wonder if those hospitalizations related to non compliance issues were actually because the patient could not afford the medication? As a former nurse, I saw non compliance issues, especially with the elderly, but it was because they had to choose between food and meds. Meds are so expensive as we know all too well, those on a fixed budget (such as those who are disabled or on social security) really feel the financial crunch when they go to pay for these drugs. For example, insulin costs me nearly 80$ for one vial. That's quite a bit of money. Singulair, nearly 100 for 30 days. That's because I am in the doughnut hole and brand name drugs I have to pay full price until I hit catastrophic coverage. Luckily, my doctor will hold samples for me so I don't have to pay for the brand name meds that I take (which if I paid for them out of pocket would be nearly 500 a month). I am sensing that many disabled/seniors are having this same problem. Of course they are going to choose shelter and food over meds.

Of course, there were those patients who just didn't take their meds, were totally non compliant in all aspects of their health care. We would see revolving door type admissions, where we would treat a person who would come in for their condition, such as diabetes, that would be out of control, we would regulate them, send them home only to see them on our doorstep again within weeks in the same condition.

I am not sure if I like the pay for compliance deal...maybe if it is for true forgetfulness and not sheer non compliance. But then again, what is stopping them from tossing the pill as Harriet pointed out. The system can always be outsmarted and you would still have a non compliant patient with a few more dollars to his or her name. I think the researchers have to look more into the causes of non compliance.

Jenn

 

[JustDucky]

I wonder if those hospitalizations related to non compliance issues were actually because the patient could not afford the medication? As a former nurse, I saw non compliance issues, especially with the elderly, but it was because they had to choose between food and meds. Meds are so expensive as we know all too well, those on a fixed budget (such as those who are disabled or on social security) really feel the financial crunch when they go to pay for these drugs. For example, insulin costs me nearly 80$ for one vial. That's quite a bit of money. Singulair, nearly 100 for 30 days. That's because I am in the doughnut hole and brand name drugs I have to pay full price until I hit catastrophic coverage. Luckily, my doctor will hold samples for me so I don't have to pay for the brand name meds that I take (which if I paid for them out of pocket would be nearly 500 a month). I am sensing that many disabled/seniors are having this same problem. Of course they are going to choose shelter and food over meds.
<br />
<br />Of course, there were those patients who just didn't take their meds, were totally non compliant in all aspects of their health care. We would see revolving door type admissions, where we would treat a person who would come in for their condition, such as diabetes, that would be out of control, we would regulate them, send them home only to see them on our doorstep again within weeks in the same condition.
<br />
<br />I am not sure if I like the pay for compliance deal...maybe if it is for true forgetfulness and not sheer non compliance. But then again, what is stopping them from tossing the pill as Harriet pointed out. The system can always be outsmarted and you would still have a non compliant patient with a few more dollars to his or her name. I think the researchers have to look more into the causes of non compliance.
<br />
<br />Jenn

 

[static]

Everybody loves money, but would money make me more compliant? Truth be told, no, it would not.

In fact, I would probably be even more willing to lie to my doctor about certain medications (if I rly don't want to be on them) just to keep the money.

I think we all need to be a little more honest with our doctors about stuff, but I don't think money would be a good insentive. Getting sick and experiencing how that feels is still the best insentive to stay on medication of them all.

P.S- prob lots of spelling mistakes but I'm in a rush.

 

[static]

Everybody loves money, but would money make me more compliant? Truth be told, no, it would not.

In fact, I would probably be even more willing to lie to my doctor about certain medications (if I rly don't want to be on them) just to keep the money.

I think we all need to be a little more honest with our doctors about stuff, but I don't think money would be a good insentive. Getting sick and experiencing how that feels is still the best insentive to stay on medication of them all.

P.S- prob lots of spelling mistakes but I'm in a rush.

 

[static]

Everybody loves money, but would money make me more compliant? Truth be told, no, it would not.
<br />
<br />In fact, I would probably be even more willing to lie to my doctor about certain medications (if I rly don't want to be on them) just to keep the money.
<br />
<br />I think we all need to be a little more honest with our doctors about stuff, but I don't think money would be a good insentive. Getting sick and experiencing how that feels is still the best insentive to stay on medication of them all.
<br />
<br />P.S- prob lots of spelling mistakes but I'm in a rush.