Nobody had ever suggested to Marek Doubek that a prescription could get shorter. Six years of appointments had only ever added.
Medication was reviewed twice, and on both occasions the change was a reduction. That is not the usual direction of travel and nobody in the room pretended otherwise.
Baseline took three weeks and no intervention at all. The team wanted a picture of an ordinary month before they changed anything about it.
Deprescribing takes longer than prescribing and gets a fraction of the clinic time. That’s a design fault, not a clinical one.
Illustrative composite
Evenings were the problem, as they usually are. Not the food itself so much as the eight-hour gap that preceded it.
He is on two fewer agents than he was in January, and his readings are steadier than they were on all of them.
