Setting: Medical office setting as well as a medical waiting room setting. Patient is sitting in doctor's office during follow-up appointment.
Doctor: Your blood pressure is still quite high. I'm a bit puzzled by that, I would have thought it would have come down since you were here 2 months ago. You've been taking the medications I prescribed?
Patient: (sheepishly) Actually, no, um, after I got home, I decided not to fill the prescription. I was hoping that my blood pressure will come down on its own.
Doctor: (sharply) Okay, well, what about reducing your salt intake?
Patient: (hesitantly) Well, you know, that's kind of complicated...
Doctor: (interrupting) Listen, we went over all of this last time, right? I want to help you but you have to reduce your salt intake and take the medications I prescribed, or there's not a lot I can do.
Patient: (trying to explain) I know, it's hard for me...
Doctor: (sternly, interrupting again) I know it's hard, but your health is up to you. I can only help if you follow my advice. And from my perspective, it's really important that you reduce your salt intake and take the medications I prescribed.
Patient: (resignedly) Okay, doctor, whatever...
(In the waiting room)
Patient's daughter: So, how'd it go, dad?
Patient: (sighs heavily)
Patient's daughter: What happened?
Patient: Well, nothing, nothing, I mean I tried to explain why it's so difficult for me to take the pills and why I can't cut back on salt. But nothing, the guy just wouldn't listen at all, nothing. I mean, just like the last time, I just wasted another 2 hours of my time...
Concluding facilitation question: What could the doctor have done differently to address the patient's non-adherence?