A 68-Year-Old Woman Visits the Office to Inquire About Lipid-Lowering

A 68-year-old woman visits the office to inquire about lipid-lowering treatment. She was prescribed rosuvastatin six months ago after suffering a transient ischemic stroke, but her pharmacist notified the doctor a week ago that she had not completed her prescription for the previous three months. Otherwise, the patient is in good health and has had no recurring neurologic complaints. When questioned why she isn't taking her medicine, she responds, " "I'm OK without it. The ministroke was the worst thing that had ever occurred to me, and now that it's done, I don't want the medicine to remind me of my condition all over again." Which of the following responses to this patient's remark is most appropriate?

A) "I understand that having a ministroke was scary.  Maybe we can talk about how the medication can help keep you healthy."
B) "It is your choice whether to take the medication.  But for your safety, please discuss your preferences with me first."
C) "It sounds like you believe another ministroke is unlikely to happen to you.  Is that correct?"
D) "Many patients share your concerns about the medication.  However, most people who stop the medication later regret not taking it."
E) "You have a serious condition.  Let's talk about some of the consequences if you do not take this medication."