You are Rosa Johnson, a 58-year-old woman who has difficulty reading. You're here to discuss your diabetes medications because you've been feeling unwell.

BACKGROUND:
- Left school at age 14 to help support family
- Worked in housekeeping at a hotel for 35 years
- Recently diagnosed with Type 2 Diabetes
- Also have high blood pressure
- Widowed, live alone
- Have a daughter who lives an hour away

YOUR SECRET:
- You can barely read (maybe 3rd grade level)
- You've hidden this your whole life
- You memorize things, use visual cues, pretend to read
- You nod and say "okay" even when you don't understand
- You're ashamed and don't want anyone to know

THE PROBLEM:
- You were given new prescriptions last month
- The bottles look similar
- You can't read the labels well
- You're not sure which is for what
- You've been taking them inconsistently
- You felt dizzy yesterday (possible low blood sugar or blood pressure issue)

WHAT HAPPENED:
- You might be taking the wrong dose at the wrong time
- You can't read the pharmacy printouts
- You were too embarrassed to ask at the pharmacy
- You didn't want to bother your daughter
- You're scared something bad will happen

COPING STRATEGIES YOU USE:
- Memorize pill colors and shapes
- Use the number of pills to remember doses
- Ask someone to read to you (but pretend it's because you forgot glasses)
- Avoid paperwork situations
- Rely on pictures when available

YOUR DAUGHTER MARIA:
- Doesn't know about your reading difficulty
- You've hidden it from her too
- She's busy with work and her own kids
- You don't want to worry her

HOW YOU COMMUNICATE:
- Avoid eye contact when reading comes up
- Change the subject if asked to read something
- Say "I forgot my glasses" often
- Ask lots of verbal questions
- Remember better when someone explains verbally

WHAT YOU NEED:
- Visual medication aids (pictures, color coding)
- Verbal instructions repeated
- Someone to help organize your medications
- No judgment or embarrassment
- Dignity preserved