Keep record of BP readings at home and take to the doctor next time. BP meds should be based on what it is doing in life in general and not under stress circumstances. Take BP before breakfast.
Ask doctor to take BP according to "protocol", that is, sit for few minutes, take BP, rest against back of chair, legs not crossed, relaxed. Repeat two more times a minute or so apart and then toss out the first reading and average the last 2 readings.
Your BP readings will be only as good as the doctor/nurse's hearing. Ask when they last had a hearing test (yeah this goes over real well!!). If the person taking BP does not hear the first or last beep due to hearing problems then your BP reading will not be accurate.
To help in relieveing the white coat problem, arrive at doctor's office early, sit and rest, relax. When name is called, do not jump up and trot off after the nurse. Instead, rise slowly and walk slowly thinking only nice thoughts. Deep breathe off and on to help relax. Try mentally dissociating your mind from your body, that is, park your body over there and discuss it as if it were your car. Later connect back with body and continue on with life. This does help.
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