My B/P when I got there was 160/85. My highest reading prior to going to his office over the last 9 months or so was like 140/85 & I average 116/66. I showed him my #'s that I keep. He said you may have white-coat.... you think??? He said, but the EKG that I ran a few months ago showed you with a heart rate of 69. Most people with white-coat have a higher heart rate. I said that I am on Atenolol. He said "Oh that's right". He said that if I want off of the meds. I could do it, but he is fearful. He said to measure my B/P for 4 more months & if it stayed low like it has for months then I can get off of the meds. I took my B/P 20 minutes later on my own & the 1st measurement was 122/76....white-coat.... you think.
B) He said my weight is fine & healthy & all of my tests are fine. He said that it's better to be on the thin side at 150. It was my weight when I saw him 3 months ago, so I guess a lot hasn't changed.
C) He said the redness could be part of the B/P meds., but I'm healthy & my complexion looks great (maybe some of it is in my head?)
D) He said that Atenolol wasn't the cause of the stomach problems & that it was anxiety. He said that he has the same thing from time to time.
What do you do from here. I have white-coat. My measurements are fine outside of his office after many many months of monitoring. What is the point in another appt. in 4 months? More of the same.
I left feeling like, why did I do this in the 1st place. He also said that anyone taking B/P meds. should have a blood test once a year... A waste of an appointment..... it sure seems like it. He wants me to come back in 4 months for what? To see that I have white-coat & that my B/P is lower (a lot lower away from his office). What is the point in having an appointment every 4 months? Yesterday my B/P was like 111/67.
I feel for you Axe. Everytime I see my doc, she gets upset because she says my BP is boderline high and keeps wanting to put me on Norvasc (sp?). I keep refusing because every where else my BP is 110/75 and the highest being 120/80. When I go to her office, my BP is 145/90! I'm stressed out evertime I see her because I know she's going to chew me out for not letting her put me on BP meds. Good luck. I really hope you can get off the meds. It sounds like you everything under control.
It makes me wonder how competent some of these docs. are!!! When he said I don't know if you have white-coat, because your heart rate is 69, I said that you put me on Atenolol, which keeps it low.... he said, "yeah you're right". "You can go off of the meds., but I don't know if that is a good idea." I want a doc. who knows what he is doing. With readings like 108/64+ days prior to my appt. & 156/85 or so in his office, what does it sound like??? White-coat? He even told me in a prior appt. that I have white-coat. Now he forgot. I don't get it. 3 different docs. & a specialist in 20 months & I'm still in the same place. Do GP's do anything, but check your B/P, give EKG's & look at blood test results, as well as prescribe? This doc. acts like I am perfectly healthy & there is no reason to come back until I want to last time. This time he sets an appointment for 4 months from now for a follow-up. When my B/P was 122/76 30 minutes later our of his office, it really makes me wonder.
It's almost like I was instructing him on why I have white-coat after he told me that I had white-coat before. If he looks at average #'s like 116/66 & 108/64 & sees 156/85, what would that show him???? Why would he want me to come back in 4 months? So he can tell me that I have white-coat again. Treat the anxiety 1st!!!! Not the blood pressure. If anxiety is the cause, then treat the anxiety. He didn't mention it once. I know that it's easy to say find another doctor, but after 3 docs., 1 specialist & 2 psychiatrists, I am starting to think about going to Medical School. I have more knowledge on B.P then these clowns. He looked at me like 94 year old people look at me when I take my B/P.... you're healthy & young what are you doing here.....
Poor Axe, i thought you would finally get some results.I guess im in the same boat as you though. I have shopped around for a new gp and none of the ones under my new insurance are satisfactory or convenient for me. I am back with the nutty professor. The only difference between you and i is that i just tell my gp what meds i will and will not take.
He has labled me a difficult patient but i don't care. This is my body and i know what the meds do to me. I can't changed drs until after the new yr when the dr's office near my home start taking new patients.
I think you're right but only you can stop yourself from taking a certain med. Good luck and keep looking for a better dr.
Axe, for what it is worth, I think maybe U got yourself all wound up before your appt., and that is why your BP was a bit high. I know when I have to go to this dr., I get all anxious hrs. before I even go, so by the time I get there, my BP is up, face is red, and heart rate is up. My dr. was all set to ad another med. till I told him I get like this when I have to see him, so he said he would wait and see what happens next time. I already told him, it will happen almost every time, and at home 99% of the time my bp is fine, so he had me bring in my monitor and show him the difference between the readings at home and the one's I get in his office. Of course God only knows what he will say next time, as he changes his mind ALOT!!
If this dr. is not going to work with you, this problem is not going to go away, so your only choice is to try and find someone else your comfortable with. It sounds like he is not convinced your bp numbers are ok when home, as let's face it, we can all lie to our drs. if we want. Have U brought in your monitor to have him check it, or brought in any readings from home? I know what it is like to work with a dr. who just doesn't listen, and it only makes matters worse. He also may be afraid if he let's U off the meds, your BP might go too high and then U will have to start all over. I really hope U find a solution to all this, as your way too young to be wasting so much time trying to convince a dr. to take U off the meds., and I don't think he is ready to let U do it. JMHO Good luck...
Yes! This doc. changes his mind a lot as well. Last time I had a reading of 120/78. This time it was 156/86 or so, because I was nervous+. He said that I could try to get off of the meds. & see what happens, but he doesn't know. I just hate this wishy washy stuff. Either work with me or not. I can't just get off of Atenolol. He should know that. If he knows so little about white-coat & is concerned with covering his you know what, why wouldn't he refer me out to a specialist in HBP. He has no clue about white-coat... just because my heart rate was 69 doesn't mean I don't have white-coat! I'm taking Atenolol... remember doc. "Oh yeah" he said. I told him that my stomach gets upset when I wake up & he said that it is anxiety. If it is anxiety, why doesn't he treat the anxiety 1st. He didn't even mention that. He just said that I'm at a perfect weight, my complexion looks good+. He also said that they run blood tests once a year if you are on B/P meds.? I asked why, because some people get elevated glucose or cholesterol. He said no? To test kidney function? I don't understand. They just tested that 6 months ago & everything was perfect. Does this guy even read a chart before seeing a patient or does he just wing it? What is the purpose of DO's-GP's, if they are so incompentent. If my B/P drops 34 points on the 1st # & 11 on the 2nd 30 minutes after my appointment, could it be white-coat??? He even told me that I have white-coat & doesn't remember. He's not old, so he isn't over the hill, but.... what does he know???? The 1st doc. that I went to was a top cardiologist in South Fla. He was just a poor doc. One measurement & I started on Altace & Toprol. Terrible. The 2nd doc. said that Atenolol was better than the Toprol & switched 100 MGS of one to the other....they are not equal....The 1st doc. put me on the Lotrel, told me to quit smoking, drink a max of 4 oz. of alcohol a night & etc. & referred me out. This 3rd doc. has selective memory.
Advice on where to go from here would be appreciated. I have white-coat, that is obvious. I just don't understand doctors who forget what meds. you are on & the fact that they discount white-coat when it is obvious that it is white-coat (even he said that I had white-coat months ago). He said that people with white-coat have high heart rates... well not when you are on Atenolol 100 MGS. He says that side-effects like upset stomach when I wake up is anxiety. It just seems that he is clueless & has no idea what he is doing. I brought in my 20 months of readings & he took a 3 second glance at it & said that I am healthy. He said that they do blood tests once a year for people on B/P meds. I asked to test for Glucose & Cholesterol & he said no, for kidney function. Well I just had a blood test in his office in May & my kidney function was fine. Where do I go from here??? I want off of these meds., Atenolol 100 MGS & Lotrel 5/20, but I want to see a professional... not an amateur. I have been to 3 docs. & 1 specialist in 20 months. All 3 docs. I didn't feel comfortable with. Advice please.
I agree with Zuzu call your friend, start the wean, go back in 4 months and when your BP readings are the same at home on whatever mgs you would be on then compared to 100mgs, your decision will be justified by your BP numbers.
P.S. Just because your pulse was 69 does not mean "white coat", it could have raised to 69, in my case before my doctor weaned me I was in the 50's sometimes 47, scary.