My friend Peter Conrad published a remarkable paper in 1985 entitled The Meaning of Medications: Another look at compliance. Peter is a Professor of Sociology at Brandeis University who is interested in social aspects of health. In his paper, he was trying to understand why people with epilepsy took or did not take their medications. What were their reasons and what were they trying to achieve? In contrast to prior theories of compliance which focused on the doctor-patient relationship, Peter was trying to understand the patient’s experience of taking medication – and he called this “medication practice”, i.e. how did the patient approach the daily practice of taking medication? “Medical practice offers a patient-centered perspective of how people manage their medication, focusing on the meaning and the use of medications”. In other words, he was interested in the relationship between a patient and their medications. Recall that Peter was interested in people with epilepsy. One could imagine that people with epilepsy would, of course, take their medication religiously since their medication would reduce or eliminate their seizures – and who would want to have seizures if they could be avoided? But Peter found something much more interesting.