Sunday, June 7, 2015

Take Your Meds – Real Stories of Medicine Non-Compliance



Family and friends of non-compliant patients often live with the consequences---seeing their loved ones in crisis or deterioration, acting “not themselves” or in some extreme mental cases, actually committing mass murder, as a consequence of not taking their meds or taking them incorrectly.

Nicole, a third year law student, was stressing out. The pressure of her classwork and part time job was giving her migraine headaches and pain in her upper back and shoulders. Her doctor prescribed Vicodin, which helped with the discomfort but soon led to other problems. Her boyfriend started complaining that she was acting “goofy” and told her not to drive. Her actions were slow and disjointed and she was unable to perform in school or on the job. She seemed unable to get ready for any event on time. When her mother drove her to the doctor to get a new prescription, at the boyfriend’s request, she saw the consequences of this medication problem for the first time. Nicol
e was caught stealing a prescription pad from the doctor, was questioned for “shoplifting” at a local store and ended up crashing her car into a tree. The next day, her family brought her to the local hospital for evaluation. After a painful but effective detox and therapy sessions, she was eventually able to recover and eventually ended up graduating from law school.

Susan, a middle-aged housewife, came down with a urinary tract infection and was treated by her doctor with a ten-day course of antibiotics. After five days, she felt better and decided to stop taking the pills. She started to get worse, ended up with an even more severe bladder infection and had to be admitted to the hospital for several days. Although she eventually recovered, she suffered with extensive pain, and at great expense.

John, an elderly man, living with his son and his busy family, had been acting strangely the past few months. She never wanted to get out of bed, was irritable and sometimes appeared distracted and incoherent. His son, Bob, and his wife, who both had careers, and together, looked after four sons, were concerned. Bob hired two teenage girls to babysit the boys after school and keep an eye on his father. But the symptoms continued. He finally figured out that John would take his medication, and then forget, insisting that the teenagers give him more. Bob finally ordered an electronic pill box from an online distributor. The box helped the caregivers keep track of John’s medicine and give him the correct amount. After that, there were no more fights and John got back to his former outgoing, agreeable self.

Although the names of these patients have been changed to protect the innocent, their stories are very real. If you know someone who has had problems because of taking their meds incorrectly, please share, either by adding to the comments section below or going to www.towerviewhealth.com.



Take Your Meds – The Importance of Medicine Compliance


It is estimated that three out of four Americans do not take their medication as directed.
In fact, only about 60 percent of patients in developed countries are what is called medicine compliant or adherent.

There are many reasons why people don’t take their medicine as prescribed. Some don’t believe in taking medicine, don’t like the side effects, or prefer taking “healthier” supplements. Others think that, after a few pills, and feeling better, they don’t need to take the rest.

Some, especially those taking certain types of pain relief, especially opiates, may take more than they need, as these medicines are effective but highly addictive.

Still others don’t think they can afford expensive medicines and try to stretch them out as long as possible, taking one every second day, for example, rather than every day.

But most people just have trouble managing their medications. They are forgetful, get distracted or can’t keep track of what medicines they took and when. A harmless enough problem you may think.
But poor medication adherence takes the lives of 125,000 Americans annually, and costs the health care system nearly $300 billion a year. In fact, it is considered one of major issues in healthcare.

The pharmaceutical, insurance and healthcare industries, and the U.S. government are all trying to find solutions to this problem. Doctors or pharmacists are advised to take the time to talk to their patients about the medicines prescribed and discuss any concerns or confusions they may have. The cost of common medications has actually declined over the last few years and new legislation has closed the “doughnut-hole” coverage gap in the Medicare health benefit. There even is a medication adherence contest that honors medical students who come up with the most innovative ideas to help with medicine compliance.

Individual patients are advised to keep their prescription containers in a prominent place, sort the pills into containers that physically divide the doses up by day and time, and take advantage of technologies that can send you an alert or reminder …such as on a smartphone. Also, if cost is an issue, the patient or his/her caregiver should let the doctor or pharmacists know. There are programs that can help.

We at TowerView Health take this issue very seriously and we are trying to do our part, but we want to hear from you as well. Please add any ideas or suggestions to the “comment” section just below this blog or go to TowerViewHealth.com. We look forward to hearing from you.


Take Your Meds – How Medicine Compliance Built a Company







TowerView Health founders (clockwise from left) Ankur Aggarwal, Hareesh Ganesan, Rahul Jain and Nick Vallis with the company's specially designed pill tray and pill box. 


Nick Valalis, now president of TowerView Health, was in his first week of medical school at Duke University when he was diagnosed with a form of cancer -- acute myeloid leukemia. He went from taking no medications at all, to trying to handle more than 10 pills a day.

Nick spent so much time trying to organize his medications, remembering to take them, and going to the pharmacy for refills that he thought, “If I, a medical student, am having so many problems managing my medications, think what it must be like for everyone else.”

Nick, with several of his friends and classmates, founded TowerView Health, to try to help with this issue. Established just a year ago, the company has developed a special digital pill box that has sensors that detect when a patient has missed taking his/her medication on time. The missed medication triggers an email, text message or phone call that can go to the patient, or to relatives or nurses who are managing the patient’s care.

TowerView Health could not solve such a pressing problem as medicine adherence without the help of the rest of the healthcare community. The company has just embarked on a pilot study, in conjunction with insurance company, Insurance Blue Cross, and healthcare provider, Penn Medicine, to test its system on diabetic patients.

The pilot study will look at how well the company’s new digital pill box system can help high-risk diabetics who take medicine to control their blood sugar levels. The goal of the study is to enroll 150 patients, half of whom will receive their medications in a standard manner and the other half of whom will use TowerView’s system. Both groups of patients will be tracked for six months.

Patients testing the TowerView system will receive prefilled trays of medication from one of the study’s participating pharmacies. The tray will fit into the company’s proprietary pillbox to measure when these diabetic patients take, or miss taking their medication. Software displays the data collected by the pillbox in two dashboards — one for patients so they can track their own compliance and the other for care providers and health insurers so they can target patients who are continually non-adherent.

Hopefully, the study will lead to better medicine compliance for many people who are currently struggling with managing their medication. If you would like to participate in this trial or just learn more about TowerView Health or the issue of medicine adherence, please go to www.towerviewhealth.com.