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Old 02-17-2009, 09:09 PM   #1
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Extreme High Blood Pressure 200+ daily

A Very close friend of mine has lived with high blood pressure for several years now. For the past several months her medicine has not been working and her GP was not helping, and often times she would end up in the ER. For someone who is self employeed, this is not a good option. Finally, she decided to see an internal med. doctor who placed her on a new medication and told her it would take a couple of weeks before it started working. The following week after taking it for 7 days she had to have some blood work done and decided to drop in at the docotor's office because her BP readings not just once a day but several times were at the 200 range or above. They were not eager to help because it had only been a week and she felt that they were annoyed that she came in. He did however double her medication that he gave her to take and told her to come back in 4 weeks. Well, it has been well over 4 weeks and her blood pressure continues to be over the 200 sometimes as high as 234 on a regular basis, at times she has spells where she says her heart is rapidly beating and then stopping. She has been afraid to call the Doctor because of how they made her feel on her last visit. She does have an appointment scheduled for later this week and we will see what this doctor says this time. My concern is that maybe she should be seeing another specialist??? I just cant believe that a doctor would want a patient to continue to wait when her BP readings are daily over 200. Isnt that a gamble?? Someone has to be able to atleast tell her what is causing this, or be more aggressive in getting this under control. I plan on having her register and read this post and add to it any other symptoms that could be helpful.
Thank You, Chinsch

 
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Old 02-18-2009, 07:25 AM   #2
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Re: Extreme High Blood Pressure 200+ daily

Quote:
Originally Posted by chinsch5hers View Post
... The following week after taking it for 7 days she had to have some blood work done and decided to drop in at the docotor's office because her BP readings not just once a day but several times were at the 200 range or above. They were not eager to help because it had only been a week and she felt that they were annoyed that she came in.
Our broken medical system thinks that the patients are there to serve them, not that they should serve their sick, worried patients. Sad and frustrating, isn't it?

Doctors and nurses don't know how to bring down resistant high blood pressure. They don't know how long it takes for medication to start working, if it ever does work. They want to collect their money and see as little of their "problem" patients as possible.

Quote:
He did however double her medication that he gave her to take and told her to come back in 4 weeks.
4 weeks!? And what if she strokes out from the very high blood pressure, in the meantime? That is absurd. He should be following up daily. He should have her call in and tell his staff whether or not the meds are working. But, more than that, he should get at the root cause of her health problems. After all, he is a doctor, right? Doctors are supposed to know something about health, especially the very common problem of High Blood Pressure, right?

Quote:
Well, it has been well over 4 weeks and her blood pressure continues to be over the 200 sometimes as high as 234 on a regular basis, at times she has spells where she says her heart is rapidly beating and then stopping.
Wow! Her blood pressure needs to come down yesterday!

Quote:
She has been afraid to call the Doctor because of how they made her feel on her last visit.
That is a shame. She has a real and serious health problem and they minimize her problems and make her feel like she is not worth their time, that she is over-reacting. They just don't want to be bothered by difficult health problems. They don't want to expand the extra effort to help her.

The sad part is that the medical profession's Hippocratic Oath is to do no harm to their patients, but the treatment of your friend is doing harm to her. When she is treated badly, it could worsen her already chronically high blood pressure through increased stress and anxiety. Thanks a lot, for nothing, to her doctor and his staff!

Quote:
She does have an appointment scheduled for later this week and we will see what this doctor says this time. My concern is that maybe she should be seeing another specialist???
ASAP, imho! He isn't helping her, or taking her serious enough.

Quote:
I just cant believe that a doctor would want a patient to continue to wait when her BP readings are daily over 200. Isnt that a gamble??
Yeh. If he loses her as a patient, it reduces his source of revenue.

Quote:
Someone has to be able to atleast tell her what is causing this, or be more aggressive in getting this under control.
The medical world has yet to figure out what causes chronically high blood pressure. The better, more qualified the doctor, the better they can treat high blood pressure.

Quote:
I plan on having her register and read this post and add to it any other symptoms that could be helpful.
Thank You, Chinsch
I've had to deal with serious, life threatening, health problems for over 20 years. If I hadn't been more pro-active in my own care, and relied less on the medical system, my health problems, which were supposed to get progressively worse, were supposed to result in my being dead or worse by now. Instead, my health has continued to improve. I am averaging 150 pushups, 400 steppers, 250 weight lifts, and an hour power-walk per day, whereas when I was much worse, I had barely the strength or energy to get out of bed.

I've had to deal with chronically high blood pressure, heart failure, persistent Atrial Fibrillation (heart doesn't want to beat correctly), Tachycardia (heart wants to beat too fast), Insulin Resistance (from a bad diet too high in carbs), Immune Dysfunction, Asthma, Sinusitis and bad allergies. I am also close to 70.

I have found that the most important goal for surviving my most serious health problems, with a good quality of life, was to reduce my chronically high blood pressure. I found out that going on a healthy diet had a profound effect on lowering my blood pressure.

It's taken over 26,000 blood pressure readings and countless hours of research, analysis, and trial and error, to get my chronically high blood pressure down to very healthy levels, resulting in significantly improved health!

I have documented how I was able to greatly improve my health, on HealthBoards, under the Heart Issue subject:

The four essential steps, that I've taken, that help me live with Heart Failure

Following is the link, which you would have to copy and then paste into your browser window:

[url]http://www.healthboards.com/boards/showthread.php?t=641933[/url]

Best of luck to your friend. I hope that she can get proper care for her very serious problems with chronically high blood pressure.
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CHF, A-fib, HBP, Insulin Resist & Asthma much better

⇒ I avoid common ordinary but unhealthy household items
⇒ Balanced, healthy diet
⇒ Exercise
⇒ I alter my Circadian Rhythm
⇒ I LOVE COREG!

Last edited by Machaon; 02-20-2009 at 09:15 AM.

 
Old 02-18-2009, 05:53 PM   #3
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Re: Extreme High Blood Pressure 200+ daily

Hi Chin,

She is lucky to have such a caring friend. You can help her a lot.

What med is she on? She will get a certain amount of protection against stroke even though it is not lowering her b/p at the moment.

Is she on aspirin? If not she should ask her DR. about taking a baby aspirin if she doesn't have any risk factors against that such as stomach issues, asthma. Aspirin without coatings give the best protection against a stroke or heart attack. Bayer has been the only one that I have found to have an aspirin without all the coatings. I have to cut a regular size one into 4 pieces if I want the low dose. My Dr. had me take a 325mg aspirin when my b/p was so high.

Most patients with hypertension especially during the period of diagnosis & medication trying out meds experience a type of white coat hypertension.

She can look into all the lifestyle stuff too as her goal should be to take only enough med to lower her b/p. Anything such as diet, exercise, stress reduction etc. should receive top priority. The Dash diet for HBP has been proven to reduce b/p. C-pap machines for sleep apnea will lower one's b/p by at least 10 points.

Biofeedback can lower b/p for some but certain meds will interfere with the equipment.

She should try her best to get to a medical center with a medical school affliation.


My b/p was in the 200's for months but I do have a good family history of relative that have had high b/p's without strokes or heart attacks.

Eating real licorce ( a candy) will raise one's b/p as will some street drugs. Fam

 
Old 02-18-2009, 07:39 PM   #4
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Re: Extreme High Blood Pressure 200+ daily

Your friend needs to be screened for secondary hypertension ASAP. You mention she has just had some blood drawn - that is a start, but not nearly enough.
Secondary hypertension comes immediately to mind, given the fact that her hypertension had previously been well controlled by antihypertensive medication. If the clinical assessment - based on the labs, medical history, presentation and clinical risk factors is suggestive of secondary hypertension, further investigation, including radiology and other testing must be performed. The most frequent cause -and usually the first one doctors try to rule out- is renovascular hypertension (renal artery stenosis). Other, less frequent, causes of secondary hypertension are endocrine problems, such as hypothyroidism and primary hyperparathyroidism, Cushing's syndrome, aldosteronism, pheochromocytoma, many primary renal diseases and coarctation of aorta. Her internist might be waiting for the labwork results before he makes further treatment decisions. Your friend is not properly medicated in the meantime, which could be potentially very dangerous. I remember how sick I was with these and higher blood pressure readings, not responding to any medical treatments. I was lucky enough to be under the care of a hypertension and other specialists from the start. I believe this is the type of medical care your friend needs - her "sudden" onset of hypertension warrants the attention of a hypertension specialist. The appropriate (=successfull) treatment of her high blood pressure should be initiated while the cause of her blood pressure spikes is being investigated. She should demand a referral to a hypertension clinic, where refractory and resistant hypertension is treated successfully almost 100% of the time. Your friend needs a proper (not a hit-and-miss) treatment ASAP.

flowergirl

 
Old 02-20-2009, 08:59 AM   #5
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Re: Extreme High Blood Pressure 200+ daily

Here is some interesting information (non-verbatim) that relates to secondary hypertension and, possibly, this poster's friend. I came across it (for the first time!!!) just last week in one of my nephrology books.

Both essential and secondary hypertension can coexist in the same individual in certain circumstances. Hypertension commonly causes chronic kidney disease. As the disease progresses, secondary hypertension can also develop. The same holds true in older individuals with essential hypertension and atherosclerosis. There is a good chance some of them will develop a complication - renal artery stenosis - followed by secondary hypertension.
And, lastly, some people with primary (essential) hypertension - previously controlled- become resistant to therapy due to the presence of secondary causes of hypertension. Thus, both essential and secondary hypertension may coexist in the same person.

I will be seeing my nephrologist on Monday. I'd like to discuss this if I get a chance. I find this quite fascinating, especially since it could apply to my situation.

flowergirl

Last edited by flowergirl2day; 02-20-2009 at 09:03 AM.

 
Old 07-13-2010, 05:06 PM   #6
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Re: Extreme High Blood Pressure 200+ daily

I had a friend her blood pressure was up around 180+ so I drove her to her doctor. Her doctor told me to take her to the ER. Later on she had problems, I think maybe she was not taking her meds like she should have.

I checked on her a few times, she had 2 other people living with her and I thought she was ok. Well she suffered a stroke. I'm not trying to scare you but you need to take of this.

 
Old 07-14-2010, 03:42 PM   #7
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Re: Extreme High Blood Pressure 200+ daily

been to the ER 2 times with BP around 180/107 and both times they gave me xanax and sent me home, they did absolutly nothing anyway.

Last edited by mod-anon; 07-14-2010 at 10:05 PM. Reason: removed quote

 
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