Gerald Okpara’s list went from thirteen to nine over nine months, which sounds fast and was in fact deliberately, almost tediously slow.
Nothing here is about taking fewer medicines as a goal in itself. It is about the list matching the intention, which is a different and duller objective.
The two weeks after a discharge are, statistically, when things come apart: doubled doses, discontinued drugs still being taken, side effects nobody warned about.
Stopping four things at once tells you nothing about which one mattered. So we stop one.
Illustrative composite
Roughly one in six calls finds a duplication — the same drug arriving under two names from two prescribers who were each entirely correct.
Two agents came back. “That isn’t failure,” he says. “That’s how we found out they were doing something.”
