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Re: BV, metronidazole allergy, no insuranceFrom: DoctorJoe@aol.comTue Mar 19 06:01:29 2002
In a message dated 3/19/02 12:42:40 AM, ainsron@sbcglobal.net writes: << I find it interesting that often the patients who complain the most about the cost of their medicines are also the smokers, the individuals who buy the latest vitamin fad at the health food store, the obese patient who buys all the wrong foods at the grocery store, etc. and they don't think twice about their discretionary spending, just the prescription drug costs. I may be off base with this particular patient, but the trend is something I also see in my own practice. >> I see it all the time... I'm starting to think there is a "syndrome" of what I've been calling "self-indulgence." They CAN'T "make themselves": 1) stop smoking 2) start exercising 3) stop eating whatever tastes good 4) stop drinking real "cokes" or "cold drinks" or "sodas" It's like all they live for is self-indulgence, -gratification, whatever. It tastes good, eat it. It takes work, avoid it. They always have money for cigarettes and junk food. But they're "poor" and have no insurance, no steady job, etc. Often, they have a nebulous "disability" and take an SSRI and maybe even oral narcotics for some sort of "arthritis" or "disc" problem. Also, they don't seem to have intact families necessarily, but I need to look at that a little harder. I see this over and over again. They want a pill or a potion to do something RIGHT NOW with NO EFFORT on their part. Anyone spot that as a "syndrome" yet? Joe P.
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