Picture the scene: A teenager presents with a serious skin complaint. He’s had it for a while, it’s sore and, given how it looks, most people won’t go near him. The doctor, tutting through the appointment, ends up prescribing him heart disease medication and sends him on his way.
The doctor knows that the meds are not going to work. Pharmaceutical trials have shown that these heart drugs are ineffective for his skin condition, and can have multiple side-effects.
Sure enough, a few months later, the teen re-arrives at the surgery. He’s more agitated than before. His skin is hard to look at, even for the doctor. He’s suffering from extreme palpitations, depression, he says he feels angry all the time. Against orders, the boy has taken the decision to come off the medication.
The doctor examines the teen thoroughly. Being the family doctor, she knows that the teen’s mother had this skin complaint, about eight years ago, although it cleared up with topical cream and dietary changes. She decides on further medical interventions. Continue reading Prescribing Ideology