Burden of Too Many Choices

Last week, a friend came to me for a medical opinion. He is diabetic, hypertensive, and has some airway diseases. After listening to his concerns, I asked him about his current medications—a routine question for any physician. He began taking out packets of medications, one after another. Each packet contained at least three different types of medicines. First packet: Medications for diabetes prescribed by a diabetologist. "But then," he added, "I was travelling, and a family friend’s doctor told me to add one more tablet, so I’m taking this too." Second packet: Medications for blood pressure, prescribed by a cardiologist. "Since I felt funny at night, I started taking this twice a day instead of once, as originally instructed. And sometimes, when I feel my BP is high, I take another tablet given by my friend's doctor, just in case." Third packet: Medications for his cough—two tablets he had been taking regularly. F...