(1) What is the docs theory on the readings we bring? Either they don't believe us---dont trust our machine--or dont care????? I even bring mine printed out from the machine and the doc reads them (usually 125/75 or 118/71 ish) but then takes my blood pressure and says yeah its high so we better be careful if we want to change meds.
(2) Is it supposed to be lower when the doc takes it lying down?
Here's the way I translate what the doctor says :
"Yes, you could have white coat syndrome <but then I wouldn't have a blessed THING to do but write referrals, so lets make believe there is no such thing.>"
The part in brackets is muttered inaudibly as he writes out prescriptions for Diovan, Norvasc, Calan, Capoten, and atenolol.
Despite the ALLHAT results, a weak hypertension R&D pipeline and major patent expiries, continued uptake of the ARBs is forecast to drive the value of the global anti-hypertensives market from $36.8bn in 2002 to $51.3bn in 2010.
While back I brought in 2-3 months worth of daily measurements, brought in my cuff as well and had the nurse check it against what she got with a steth and the doc still really didn't care, was more or less "whatever" as he broke out the prescription pad.
my doctor asked my to bring in my blood pressure monitor to see if it was taking the correct readings. It was taking the correct readings but I still need to take medication for it. I don't know what would have happened if my readings were always lower without medication. I would change doctors if they didn't believe me.
The 3 doctors that I have been to over the past 23 months believe me, but they pay much more attention to what my B/P is in their office, then the 300+ readings that I have gotten outside of it. They all play CYA & would rather prescribe & have more appointments than not prescribe.
You hit it there Lillian...
I dont buy the conspiracy theory with drug companies as much because some of these docs are good people. I think it is more of a CYA issue. They think if we ride our bikes later and "stroke out" they will take the fall for not taking enough action. Cant go wrong with overprescribing. Whoever mentioned bringing the home cuff in --its a good idea I might do it next appt.--sorry it didnt work for you.
It's all about CYA. When I asked my doc. if I could wean off of Atenolol with an average of 114/66, he was very wishy-washy with his answer. Well you can try it, but I don't know for sure. It was an answer that covered him either way.
Believe me Axe, the cardiologists are no better at BP management then the GP's. Beside, what else can the GP do?
Believe me this is true. After years of uncontroled BP my GP sent me to a cardiologist who tried to get me to just stop taking atenolol after 16 years!
This was a well known specialist in one of the best known medical centers in the world.
I trust my GP much more than any specialist.
I don't think that any of them are really "great" at it imo. I have been to 3 docs. & a specialist & they all are afraid to try the ARB's & stick with the Beta-blockers & CCB's. When there is no reason for 95% of HBP, a lot of it is trial & error & docs. getting $'s from scheduling lots of appointments.