Bill Wilson explains that severe brain dysfunction can make patients unable to follow treatment plans. Some need hospitalization or family support, and medications may be required to jumpstart cognitive function and manage symptoms.
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Are there any populations that you see that don't respond to your treatment regimen? Anybody that's kind of refractive?
Patients that are their brain function is so bad they can't comply, we'd have to admit them to the Wilson Medical Prison. And even then, when I was in practice, I could sometimes get those people, I get their relatives and so forth involved, and they're tough to treat because you tell them to do these 10 things to get healthy, and they can't even remember what you told them. And so in that situation, medications are almost always necessary to jumpstart the brain and control symptoms. And that gets a little bit complicated. I mean, I was one of the early users of the notorious fen phen combination, but I never used it for weight loss. I used it short term to control brain symptoms until the rest of my program kicked in to improve their brain function.