In my practice, I always teach my patients about strict compliance to their maintenance medications. Ironically, I don't practice what I preach.
Yes, I know I'm wrong. I should know better. But what can I do?
Currently, I'm on my 10th going 11th month of taking the combination of ARVs Lamivudine, Tenofovir, and Efavirenz. I take them all once daily at 11pm. I still feel dizzy and hot few hours after having my meds. It's what Efavirenz is notoriously known for. That is why taking them before bedtime is very convenient.
My ID doctor told me once that I should have, by now, overcome the dizziness. I don't know why I still haven't.
I have always been religious about taking my meds. I got so used to it that it has been in my system already to have my ARVs on 11pm. I don't even need an alarm anymore.
That is, when I'm not on 24-hour duty.
The problem is, I am always on 24-hour duty after every 3 days. Technically speaking, I'm on 24-hour duty 10 times a month.
I do remember to take my meds even when on duty no matter how toxic the workplace is. However, I deliberately delay taking them so that I don't feel dizzy when I am still expected to be awake and doing my work. I can't concentrate and I feel very unproductive after the dizziness sets in. In deliberately delaying taking the meds (at around 3 or 4am), by the time I feel the side effect, there is already less work to do and all I have to do is endorse all my work to the next duty team.
I know this is wrong. And I've been hearing from everyone that I should prioritize my health rather than my work.
Again, what can I do? Having the privilege of wearing the white coat and putting those 2 letters (MD) at the end of my name, I am expected by my family, by the society to help other people alleviate their physical suffering...
... at the expense of my own health?
I got my CD4 count this morning. Then the flight of ideas, thus this entry. I'll tell na lang about my CD4 count next time.