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When my patients and their families seem confused about their asthma treatment plan, I ask them to bring in all their meds to the next visit. Sometimes, this is what I see. 1/
This is what happens when your PCP starts something, your specialist makes a change, the inpatient team ramps up your regimen before discharge. 2/
And families who have to pay a $50-100 copay for every inhaler don’t want to throw the old ones away. 3/
Then add formulary changes (we had 2 this year alone for our state’s Medicaid formulary) and you end up with THIS. Some you use every day, some are prn... No wonder families are confused. 4/
Not to mention that albuterol inhalers come in at least 3 different colors. So even though it seems clear to US, we - the health care system - makes it as confusing and difficult as possible for our patients. 5/
Please remember that photo that the next time you want to write “non-compliant” in the chart. / 6(fin)
