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January 17, 2026JAMA0 citations

Against Medical Advice

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WSWendy Stead

Key Points

  • This essay aims to explore how patient preferences can shape treatment decisions in complex medical cases.
  • Narrative medicine approach to discuss clinical experiences
  • Descriptive case example of a patient with a lung infection
  • Reflection on patient-physician interactions.
  • Patient prioritized lifestyle over strict adherence to medical advice
  • Reinforced the importance of understanding patient perspectives in treatment
  • Highlighted complexities in balancing medical guidelines with patient autonomy.

Abstract

In this narrative medicine essay, an infectious diseases physician describes how a patient with a complex lung infection demanded that his treatment would not interfere with his life, which offered a fresh way of understanding patient-centered care.

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Cite This Study

Wendy Stead (2026) studied this question.

synapsesocial.com/papers/696b25f3d2a12237a93492f5https://doi.org/10.1001/jama.2025.24090
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