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Old 10-27-2004, 10:41 AM   #1
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Doctors & Patients Have Different Views

When it comes to B/P Meds... Found this article really interesting.

http://www.lif*******.com/focus/blood/articleView.asp?MessageID=332

 
Old 10-27-2004, 10:49 AM   #2
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Re: Doctors & Patients Have Different Views

Axe,

You hit on a great point yesterday. Perhaps, all doctors treating hypertensive patients should have hypertension themselves.

 
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Old 10-27-2004, 12:03 PM   #3
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Re: Doctors & Patients Have Different Views

I think that there should be a target # or average that docs. should take into consideration to wean a patient off of meds. Those with white-coat, anxiety & etc. should be placed in a different class imo. If the anxiety is causing the HBP, then treat the anxiety 1st. I'm not a doctor or even close, but this makes sense to me. The docs. that I have been to look at the B/P #'s, but never ask "How do you feel today" or "Let me take a look at your readings outside of here". They just go by what they see that day at that moment, schedule another appointment months down the line & go on to the next patient. It's really frustrating having white-coat & getting readings like 120/78 the last time I was in his office. Can I wean off of the Atenolol doc?
"No, but you can wean off of the xanax if you want". *** is that? Anxiety is the cause of my HBP in the 1st place. Why wean off of what is working. His partner who left the practice said that when my B/P was "normal" that I could get off of the Atenolol. I guess 116/66 isn't low enough on average. When should I have another appt. doc.??? "Whenever you want"... Great advice huh? "You have gone though enough tests" ... a real quote from my 3rd doc.

The research from that report just showed how doctors are much more likely to prescribe than the patients want them to. In cases like white-coat & anxiety, is it really true HBP or is the doc. just covering his a**.

 
Old 10-27-2004, 12:47 PM   #4
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Re: Doctors & Patients Have Different Views

I really can't complain. I am one of the lucky ones who has a GP who understands my fear of doctors, takes my BP records and not the "white coat numbers" and actually listens to some of the info I come in with from the internet.

 
Old 10-27-2004, 01:19 PM   #5
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Re: Doctors & Patients Have Different Views

That's all i ask for is a dr that listens to me and take my lifestyle changes in to consideration when prescribing meds. i might just be the 1 or 2% that is sensitive to meds. i feel right now that im on my own. I am really hoping this cardio dr is a patient and caring soul. Otherwise, i will be where Axe is, looking and searching for answers and a new dr.

Bharkins, i was on that combo you're on and it lowered my bp to 113/72. However, it was horrible for me with side effects and allergies.

 
Old 10-27-2004, 01:35 PM   #6
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Re: Doctors & Patients Have Different Views

Quote:
Originally Posted by jtu91952
That's all i ask for is a dr that listens to me and take my lifestyle changes in to consideration when prescribing meds. i might just be the 1 or 2% that is sensitive to meds. i feel right now that im on my own. I am really hoping this cardio dr is a patient and caring soul. Otherwise, i will be where Axe is, looking and searching for answers and a new dr.

Bharkins, i was on that combo you're on and it lowered my bp to 113/72. However, it was horrible for me with side effects and allergies.
I feel for you and can empathise. My doctor is awful in his BP procedure and does a number of things incorrectly ( as I have found out since I have started reading this board) and he is like a block of ice. He ignores the things I say and is determined to put me on meds without much consideration ( He dismisses white coat, me being overweight, me being in pain most of the time from a possible hernia and/ or gallstones - I get pains on either side of my upper abdomen- and the stress I am in by the time I get into his office)

Since i bought my BP kit I have since found out that my bp is slightly elevated but never once in a hypertensive range..whilst at the docs it will be 170/110+ which is high but, the doc never once tests me after a relaxation period or even takes my bp twice, just one strike and out..It does make you wonder why you even go to him. If he was my only source of info on the subject I would probably never go back to him thus jeopardizing my health when something else is wrong with me but, since I've educated myself somewhat on the BP subject I just go there get whatever is wrong checked out and then leave.

It really shouldn't be that way You doc should be someone whose presence relaxes and calms you... I can't wait to switch Gp's

 
Old 10-27-2004, 01:48 PM   #7
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Re: Doctors & Patients Have Different Views

JTU,

Good for you. You took matters into your own hands & found a way off of that dreadful Toprol!!! I was switched from 100 MGS of Toprol to 100 MGS of Atenolol. The pharmacist even said, "Why is a person so young on these meds? These are for people that have had heart attacks+". Betas don't agree with me at all. It's just the way that it goes. I'm going to keep this doc., but if he doesn't wean me, then I am going to a specialist. I have had enough. I should be weaned off of Atenolol & kept on Lotrel. Hopefully I will be able to get off of everything within 3-6 months.

Scout,

That is B.S. If they don't pay attention to your #'s away from the office (like my Doctor) then go to a specialist or find a new GP. It's a shame that some of us know more about BP then the docs. who are prescribing these meds. to us....... I don't believe that it 1-2% JTU.... they just find some people with stomachs made of steel & random animals & include them in the survey.

 
Old 10-27-2004, 02:37 PM   #8
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Re: Doctors & Patients Have Different Views

I think i can lower my bp just by stopping smoking, (over two wks now) and lowering my cholesterol. I am now taking the artichoke extract and halfed the hctz. My bp is still a little high but i don't care. At least im back to my ole self again and back on my daily walks. Some of those bp meds make me literally ill. I can't walk or stand for two minutes. After my walks, my bp drops to about 140/72 and sometimes 135/69, my pulse is always in the 60's. Winter is coming and i plan on stating healthy, whatever it takes. Drs can't even agree on what meds to give me. The gp prescribe, then the endo says no, what will the cardio say to all this . In the end i will be the final word.

 
Old 10-27-2004, 02:42 PM   #9
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Re: Doctors & Patients Have Different Views

Scout, some drs don't want you to have too much knowledge on your own health care. I've had (ex gp) tell me to stop reading this board. Then another dr at a large hospital in upstate ny, told me to stop reading health mags.

My mom's dr told her he didn't know she had a license to practice medicine. All she did was question him about an arthiritis pill (vioxx) he had prescribed. My mom is 80 yrs old, she turned out to be right.

 
Old 10-27-2004, 03:12 PM   #10
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Re: Doctors & Patients Have Different Views

Jtu,

Good for you. I was wondering how you were doing off the butts. Keep it up.

 
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