Surviving the pills and the doctor!

A presently 72-year-old craftsman and goldsmith, originally suffering from chronic glomerulonephritis of unknown origin, had been transplanted with a renal allograft in February 1998. The clinical course after transplantation was very favourable, with an excellent and stable graft function, without any documented rejection episodes. Except for some minor urogenital infections, and symptomatic peripheral arterial vascular disease necessitating endoluminal catheter angioplasty, no major complications occurred. In 2002, the patient provided us with a gift of a self-made transparent plastic show-case, containing the blister collection of 1 year’s medication he had been prescribed (see Figure 1). At the time, he was on Sandimmun Neoral (cyclosporin A), 75mg tid;