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. 2021 Jan 24;5(1):rkaa078. doi: 10.1093/rap/rkaa078

Table 5.

Illustrative quotes: if my rheumatologist cannot communicate with me, why should I follow the medication regimen they prescribe?

  1. So, just because it’s something that you know or something what the book says, doesn’t mean that it’s me. It would be better if [my rheumatologist] listen and take everything on a case by case. Instead of just putting me in the lupus pile.… But [my rheumatologist] talks at me and not to me … It’s a counter-reaction to whatever I said.… Respondent B

  2. This [infusion] feels cold. With the lupus, because I have the [RP]. I have my little jacket to protect from the UV rays. This changes my body temperature. When it [infusion] goes in, it feels like winter. Yeah, that’s my life. I don’t know if it’s working. Do I have to do this for the rest of my life? Do I get any time off? They [rheumatologists] study it [lupus] but they don’t know. Respondent B

  3. They try and tell me how I feel. Or, ‘Oh no, the drugs don’t do that’. It does it to me. You [rheumatologist] don’t take the drug; I take the drug. Sometimes, I shut down. And after I tell you how I feel, and you tell me that’s wrong, I get frustrated. You not listening. Just because you did this [treatment] for somebody else does not mean it will work same way in me.… It [drug] may do this for them [other patient] but it doesn’t do this for me. Respondent B

  4. So, my theory behind my medication is, if I’m feeling good today, then I’m not taking my medication today. Respondent D

  5. I take it [medication] now so I don’t have to fight [my rheumatologist].… I pick and choose. I pick and choose. There will be days where I’ll be like, whatever, I’m not taking it.… Respondent A

  6. I don’t care if people diagnose [me] with jack shit anymore. I just go to the doctor and make sure my junk isn't blowing up anywhere … to make sure I don't die before I raise my children. I don't even care what it's [lupus] called, quite frankly.… I have no expectation that anyone can tell me what is causing what. I think that for the most part, the medical community, they kind of know some stuff and the rest is a crapshoot of guessing. Respondent E