Medication Adherence Quotes

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Kovacs, I hate these goddamn freaks. They’ve been grinding us down for the best part of two and a half thousand years. They’ve been responsible for more misery than any other organisation in history. You know they won’t even let their adherents practise birth control, for Christ’s sake, and they’ve stood against every significant medical advance of the last five centuries. Practically the only thing you can say in their favour is that this d.h.f. thing has stopped them from spreading with the rest of humanity.
Richard K. Morgan (Altered Carbon (Takeshi Kovacs, #1))
Treatment for DID should adhere to the basic principles of psychotherapy and psychiatric medical management, and therapists should use specialized techniques only as needed to address specific dissociative symptomatology. Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision
James A. Chu
Others, however, were incapable of adhering to their medications on their own or of living independently; thus, a drug that was so helpful to so many ironically played a significant role in the disaster that was deinstitutionalization.
Jeff Lieberman (Malady of the Mind: Schizophrenia and the Path to Prevention)
Doctors Without Borders adheres to an unyielding ethical principle known as “distributive justice.” The principle asserts that all human beings deserve equal access to the best available medical care. Under the principle of distributive justice, every person is entitled to the same care, whether they are rich or poor, powerful or weak. The principle requires that medical resources must be spread out equitably among all patients according to their needs.
Richard Preston (Crisis in the Red Zone: The Story of the Deadliest Ebola Outbreak in History, and of the Outbreaks to Come)
Parallel to the idea of the US Constitution as covenant, politicians, journalists, teachers, and even professional historians chant like a mantra that the United States is a “nation of immigrants.” From its beginning, the United States has welcomed—indeed, often solicited, even bribed—immigrants to repopulate conquered territories “cleansed” of their Indigenous inhabitants. From the mid-nineteenth century, immigrants were recruited to work mines, raze forests, construct canals and railroads, and labor in sweatshops, factories, and commercial farm fields. In the late twentieth century, technical and medical workers were recruited. The requirements for their formal citizenship were simple: adhere to the sacred covenant through taking the Citizenship Oath, pledging loyalty to the flag, and regarding those outside the covenant as enemies or potential enemies of the exceptional country that has adopted them, often after they escaped hunger, war, or repression, which in turn were often caused by US militarism or economic sanctions. Yet no matter how much immigrants might strive to prove themselves to be as hardworking and patriotic as descendants of the original settlers, and despite the rhetoric of E pluribus unum, they are suspect. The old stock against which they are judged inferior includes not only those who fought in the fifteen-year war for independence from Britain but also, and perhaps more important, those who fought and shed (Indian) blood, before and after independence, in order to acquire the land. These are the descendants of English Pilgrims, Scots, Scots-Irish, and Huguenot French—Calvinists all—who took the land bequeathed to them in the sacred covenant that predated the creation of the independent United States. These were the settlers who fought their way over the Appalachians into the fertile Ohio Valley region, and it is they who claimed blood sacrifice for their country. Immigrants, to be accepted, must prove their fidelity to the covenant and what it stands for.
Roxanne Dunbar-Ortiz (An Indigenous Peoples' History of the United States (ReVisioning American History, #3))
Kovacs, I hate these goddamn freaks. They’ve been grinding us down for the best part of two and a half thousand years. They’ve been responsible for more misery than any other organization in history. You know they won’t even let their adherents practice birth control, for Christ’s sake, and they’ve stood against every significant medical advance of the last five centuries. Practically the only thing you can say in their favor is that this D.H.F. thing has stopped them from spreading with the rest of humanity.
Richard K. Morgan (Altered Carbon (Takeshi Kovacs, #1))
Christianity has been the means of reducing more languages to writing than have all other factors combined. It has created more schools, more theories of education, and more systems than has any other one force. More than any other power in history it has impelled men to fight suffering, whether that suffering has come from disease, war or natural disasters. It has built thousands of hospitals, inspired the emergence of the nursing and medical professions, and furthered movement for public health and the relief and prevention of famine. Although explorations and conquests which were in part its outgrowth led to the enslavement of Africans for the plantations of the Americas, men and women whose consciences were awakened by Christianity and whose wills it nerved brought about the abolition of slavery (in England and America). Men and women similarly moved and sustained wrote into the laws of Spain and Portugal provisions to alleviate the ruthless exploitation of the Indians of the New World. Wars have often been waged in the name of Christianity. They have attained their most colossal dimensions through weapons and large–scale organization initiated in (nominal) Christendom. Yet from no other source have there come as many and as strong movements to eliminate or regulate war and to ease the suffering brought by war. From its first centuries, the Christian faith has caused many of its adherents to be uneasy about war. It has led minorities to refuse to have any part in it. It has impelled others to seek to limit war by defining what, in their judgment, from the Christian standpoint is a "just war." In the turbulent Middle Ages of Europe it gave rise to the Truce of God and the Peace of God. In a later era it was the main impulse in the formulation of international law. But for it, the League of Nations and the United Nations would not have been. By its name and symbol, the most extensive organization ever created for the relief of the suffering caused by war, the Red Cross, bears witness to its Christian origin. The list might go on indefinitely. It includes many another humanitarian projects and movements, ideals in government, the reform of prisons and the emergence of criminology, great art and architecture, and outstanding literature.
Kenneth Scott Latourette
If you can’t make a good prediction, it is very often harmful to pretend that you can. I suspect that epidemiologists, and others in the medical community, understand this because of their adherence to the Hippocratic oath. Primum non nocere: First, do no harm. Much of the most thoughtful work on the use and abuse of statistical models and the proper role of prediction comes from people in the medical profession.88 That is not to say there is nothing on the line when an economist makes a prediction, or a seismologist does. But because of medicine’s intimate connection with life and death, doctors tend to be appropriately cautious. In their field, stupid models kill people. It has a sobering effect. There is something more to be said, however, about Chip Macal’s idea of “modeling for insights.” The philosophy of this book is that prediction is as much a means as an end. Prediction serves a very central role in hypothesis testing, for instance, and therefore in all of science.89 As the statistician George E. P. Box wrote, “All models are wrong, but some models are useful.”90 What he meant by that is that all models are simplifications of the universe, as they must necessarily be. As another mathematician said, “The best model of a cat is a cat.”91 Everything else is leaving out some sort of detail. How pertinent that detail might be will depend on exactly what problem we’re trying to solve and on how precise an answer we require.
Nate Silver (The Signal and the Noise: Why So Many Predictions Fail-but Some Don't)
In his report, Dr. Pūras warned that power and decision-making in mental health are concentrated in the hands of ‘biomedical gatekeepers’, particularly those representing biological psychiatry. Dr. Puras told the United Nations that these gatekeepers, supported by the pharmaceutical industry, maintain this power by adhering to two outdated concepts: that people experiencing mental distress and diagnosed with ‘mental disorders’ are dangerous, and that biomedical interventions are medically necessary in many cases. According to Dr. Puras, ‘these concepts perpetuate stigma and discrimination, as well as the practices of coercion that remain widely accepted in mental health systems today
Terry Lynch (The Systematic Corruption of Global Mental Health: Prescribed Drug Dependence)
For some individuals, weight struggles and health issues persist despite their best efforts--no matter how diligently they adhere to dietary guidelines, engage in physical activity, or follow medical advice, controlling their weight remains a constant battle.
Stephanie Sehestedt (Bariatric Bombshell: An Honest Approach to Weight Loss Surgery Success)
While I’m scrubbing the toothpaste and the globs of makeup adhered to the sink, my eyes stray to the medicine cabinet. If Nina’s actually “nuts,” she’s probably on medication, right? But I can’t look in the medicine cabinet. That would be a massive violation of trust.
Freida McFadden (The Housemaid (The Housemaid, #1))
Ashish Bhatt answered, “Often those persons who live successfully with schizophrenia are ones who have positive prognostic factors, which include good premorbid functioning, later age of symptom onset, sudden symptom onset, higher education, good support system, early diagnosis and treatment, medication adherence, and longer periods of minimal or absent symptoms between episodes.
Esmé Weijun Wang (The Collected Schizophrenias: Essays)
Yet, if I were to adhere to my mom's advice, I would have had to drop out of school years ago (since a lot of folks in our inequitable education system refuse to love us), quit engaging public health offices (because I walked in as a human in need of medical services and walked out as a patient whose subjective world was mad invisible by research lingo: "MSM," otherwise known as "men who have sex with men'), sleep in my bed all damn day (knowing it is more likely that I would be stopped by police when walking to the store in Camden or Bed-Stuy while rocking a fitted cap and carrying books than my white male neighbors would be while walking around in ski masks in the middle of summer and dropping a dime bag on the ground in front of a walking police and his dog)...
Kiese Laymon (How to Slowly Kill Yourself and Others in America)
I don't make baseless claims like - I'll remove all your fears, I'll remove all your anxieties, I'll remove all your insecurities. I am a scientist, not an influencer - which means, I am dutybound to adhere to the truth, no matter how inconvenient they are, instead of peddling comforting lies for exposure. And the truth is, if bombarding people with some fancy facts about the mind removed their worries, every household with a DSM (Diagnostic and Statistical Manual of Mental Disorders) would be the happiest place on earth.
Abhijit Naskar (Vande Vasudhaivam: 100 Sonnets for Our Planetary Pueblo)
Under Dr. Nasha’s care most experience far better clinical outcomes (some cases we can truly call “miracles”) and a better quality of life living with cancer than patients adhering strictly to the conventional medical model. Because of her emphasis on traditional, whole food, nutrient-dense, and therapeutic diets, Dr. Nasha teamed up with master nutrition therapist Jess Higgins Kelley in order to expand treatment and education options for her patients. Together we knew there had to be a better way to approach this largely preventable and debilitating disease—and we have found it.
Nasha Winters (The Metabolic Approach to Cancer: Integrating Deep Nutrition, the Ketogenic Diet, and Nontoxic Bio-Individualized Therapies)
Death will come for us all and yet medicine still sees it as a defeat. No wonder that legal physician-assisted suicide has caused such an uproar within medical circles. Research has shown that even in jurisdictions where it is legal, confusion about its ethics, processes and procedures abound. Why? Because physician-assisted suicide allies the doctor with their enemy, namely death. Health professionals generally don’t seem to have the training and skills to assist in the dying process and most don’t appear to want them. Research has shown a strong connection between the death attitudes of health professionals and the quality of end-of-life care that they provide. For example, nurses low in death acceptance tend to have negative attitudes towards end-of-life care and cultivate poorer relationships with terminal patients. Death anxiety among healthcare providers negatively affects their attitudes towards family members of the dying. Further, death anxiety has been shown to stop relevant health professionals from initiating discussions about advance care directives. This, of course, makes it extremely difficult to ensure that the wishes of the dying are adhered to when the moment comes.
Rachel E. Menzies (Mortals: How the fear of death shaped human society)
In a review of the published literature on the role of empathy on patient satisfaction, adherence to treatment, and patient outcomes, researchers at Radboud University Nijmegen Medical Center in the Netherlands stated that ‘empathy in the patient-physician communication in general practice is of unquestionable importance.’20 They reported that empathy lowers anxiety and distress levels in patients and that it delivers significantly better clinical outcomes.
David R. Hamilton (Why Woo-Woo Works: The Surprising Science Behind Meditation, Reiki, Crystals, and Other AlternativePractices)
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1965 investigation of Scientology by Australia’s state of Victoria. One of the harshest denunciations of the church ever produced by a government body, the probe had been launched in 1963, and after hearing from both current and former church members, its author, Queens Counsel Kevin Victor Anderson, recommended that legislators banish Scientology in no uncertain terms. “If there should be detected in this Report a note of unrelieved denunciation of Scientology, it is because the evidence has shown its theories to be fantastic and impossible, its principles perverted and ill-founded, and its techniques debased and harmful,” Anderson wrote. “While making an appeal to the public as a worthy system whereby ability, intelligence, and personality may be improved, it employs techniques which further its real purpose of securing domination over and mental enslavement of its adherents. It involves the administration by persons without any training in medicine or psychology of quasi-psychological treatment, which is harmful medically, morally and socially.
Tony Ortega (The Unbreakable Miss Lovely: How the Church of Scientology tried to destroy Paulette Cooper)
While making an appeal to the public as a worthy system whereby ability, intelligence, and personality may be improved, it employs techniques which further its real purpose of securing domination over and mental enslavement of its adherents. It involves the administration by persons without any training in medicine or psychology of quasi-psychological treatment, which is harmful medically, morally and socially.
Tony Ortega (The Unbreakable Miss Lovely: How the Church of Scientology tried to destroy Paulette Cooper)
Laborit substituted the new antihistamine, Thorazine, for promethazine. He also went so far as to recommend that Thorazine be included in soldiers’ battlefield kits, as a kind of first aid that could be self-administered in case of injury, to help manage stress responses and the flood of histamines into the body. Adhering to this recommendation, the U.S. military did include Thorazine in the medical kits of its soldiers during the Korean War. So marked was the apathy caused by Thorazine that the soldiers who took it lay languidly on the battlefield, indifferent to their wounds and unworried about their situation, in some cases forgoing opportunities for rescue, to the point where some may have died as a consequence. Thorazine as a battlefield staple was quickly discontinued.
Lauren Slater (Blue Dreams: The Science and the Story of the Drugs that Changed Our Minds)
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And so, as historian Christian McMillen has written, “The terms ‘compliance’ and ‘adherence’ or whatever other term might be deployed are all too confining. What does a national TB program’s inability to keep track of patients on treatment have, necessarily, to do with patient compliance or adherence? When a program loses a large percentage of its patients, is this a compliance problem or a surveillance problem? Is it a patient’s fault when he or she cannot afford the food necessary to ward off the hunger brought on by the drugs?” More broadly, is it a patient’s fault if they are too disabled by depression and isolation to follow through on treatment? Is it a patient’s fault if they or their children become so hungry that they feel obliged to sell their medication for food? Is it a patient’s fault if their living conditions, or concomitant diagnoses, or drug use disorder, or unmanaged side effects, or societal stigma result in them abandoning treatment? Why must we treat what are obviously systemic problems as failures of individual morality? Many patients have described the experience of receiving their drugs as humiliating—they may be handed their medicine while being told that this only happened because they were unclean or poor or otherwise lesser.[*] This is often not an environment patients are excited to return to—and yet somehow we always seem to blame the patient for noncompliance, rather than blaming the structures of the social order that make compliance more difficult.
John Green (Everything Is Tuberculosis: The History and Persistence of Our Deadliest Infection)
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