"Have you been taking your pills?"
"This is the eighth time in the past year that you've been admitted to the hospital for the same reason. When you don't take your pills, your blood sugar goes through the roof, and you end up back here. You need to take your pills."
"I was taking them, but then I was feeling better, so I stopped."
"Yes, that is the problem. The pills are what make you feel better. So you can't stop taking them when you feel better."
"But I felt better, so I didn't think I needed them anymore."
"You will always need them. Don't you see that this is what keeps happening when you stop taking the pills? You keep repeating the same thing."
"I thought this time would be different. I thought maybe I didn't need the pills anymore."
"You need the pills."
"But I was feeling better."
"Because of the pills."
"But how am I supposed to know when it's because of the pills?"
"It's always because of the pills. Can you promise me you will take your pills?"
"And you won't stop when you're feeling better?"
"But what if I'm really better?"
"You're not going to be better."
"Please just take the pills."
I don't understand how so many of my patients exist in the world. How they function on a day to day basis. How they manage to stay alive. What happened to survival of the fittest? I don't even know how most of my patients cross the street without getting hit by a car. Or find their keys. Or refrigerate their milk. Or dress themselves. Or get to the hospital at all.