One of my patients finally visited without her husband It was a woman in her 60s with the usual metabolic problems - DM, HTN, HLD. She had CKD3 when I first met her like 4 years ago. She always came with her husband, and he always spoke with authority for her. I usually try to ignore the person who overspeaks, but she looked at him whenever I asked her a question, and again when I discussed results and medications. Fine, I guess I’ll direct things to him. "Hey her kidneys and diabetes suck. She's had some heart stuff. Please take these meds, go see some specialists, go get these tests done." She does some tests. She takes some meds. She skips several appointments. She never sees a single specialist. Eventually it becomes routine. Like I am annoyed I even have to see her because it feels pointless. Socially, they are very low income, on and off homeless. Her diabetes progressed. CKD4. Her memory started deteriorating. “Can you please see a neurologist?” She actually did - friggin once.…