Comments on: A Tale of Two Offices http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/ Thu, 08 Jan 2009 13:55:23 +0000 http://wordpress.org/?v=2.6.5 By: All Blogged Up: A Moof’s Tale / Testing the Waters http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-25537 All Blogged Up: A Moof’s Tale / Testing the Waters Tue, 27 Mar 2007 02:07:24 +0000 http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-25537 [...] Last summer, I wrote a post - A Tale of Two Offices - in which I asked all of my blog friends on both sides of the medical fence for advice on what to do about a PCP that quite literally gave me hypertension. I received a load of great advice from so many of you … [...] [...] Last summer, I wrote a post - A Tale of Two Offices - in which I asked all of my blog friends on both sides of the medical fence for advice on what to do about a PCP that quite literally gave me hypertension. I received a load of great advice from so many of you … [...]

]]> By: Moof http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-4042 Moof Sun, 23 Jul 2006 12:12:43 +0000 http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-4042 Julie, thank you for dropping in and leaving me a comment! My BP is consistently high. In fact, when it hovers below 120 systolic for any reason, I have to move very cautiously ... that's pretty <em>rare</em> though! You made a very good point: "<em>If you like him and he is good but you don’t go see him then he isn’t doing you any good.</em>" There's no way to know if things would be different with another person ... The "jury" is still out on this one ... *LOL* Julie, thank you for dropping in and leaving me a comment!

My BP is consistently high. In fact, when it hovers below 120 systolic for any reason, I have to move very cautiously … that’s pretty rare though!

You made a very good point: “If you like him and he is good but you don’t go see him then he isn’t doing you any good.” There’s no way to know if things would be different with another person …

The “jury” is still out on this one … *LOL*

]]> By: Julie http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-3987 Julie Sat, 22 Jul 2006 06:38:34 +0000 http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-3987 I get variable readings also. When I had day surgery recently they took my blood pressure and it was low. I just laughed as it had not been that low at home or at my Dr. office. I think that machines need to be calibrated and some medical personnel need their hearing examined. You said the nurse checked your BP did the Dr. check it also and get the same result? I can't say whether you should change your PCP or not. If you like him and he is good but you don't go see him then he isn't doing you any good. Would you change your behavior with a different doctor and go visit them? I get variable readings also. When I had day surgery recently they took my blood pressure and it was low. I just laughed as it had not been that low at home or at my Dr. office. I think that machines need to be calibrated and some medical personnel need their hearing examined. You said the nurse checked your BP did the Dr. check it also and get the same result?
I can’t say whether you should change your PCP or not. If you like him and he is good but you don’t go see him then he isn’t doing you any good. Would you change your behavior with a different doctor and go visit them?

]]> By: Moof http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-3963 Moof Fri, 21 Jul 2006 20:21:41 +0000 http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-3963 But Dr. Flea! I though you <b>were</b> a "normal person!" >;o) But Dr. Flea! I though you were a “normal person!” >;o)

]]> By: Flea http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-3955 Flea Fri, 21 Jul 2006 16:26:30 +0000 http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-3955 Hell, even I get nervous at the doctor! How much more so a normal person! best, Flea Hell, even I get nervous at the doctor! How much more so a normal person!

best,

Flea

]]> By: Moof http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-3949 Moof Fri, 21 Jul 2006 09:29:47 +0000 http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-3949 </em>Dr. Scan Man! Thank you for coming and leaving me a comment! I'm awfully happy that you haven't been "shut down" by the government! Latest news is that those who have are getting their web sites back! Never got that "24 hour" ambulatory test you mentioned ... but I think I know when it "shoots up" ... when there's a lot of stress. Hey! That would apply to anyone, eh? Your last paragraph cracked me up! I was just beginning to wonder why you went into Radiology! You and the lovely Mrs. Scan Man should consider opening an office together! You sound like you'd make a great PCP! :o) --- Cathy ... that's a riot. It was the second time yesterday too. Kt and I also "exchanged visits" ... what are the odds? ;o) Dr. Scan Man! Thank you for coming and leaving me a comment! I’m awfully happy that you haven’t been “shut down” by the government! Latest news is that those who have are getting their web sites back!

Never got that “24 hour” ambulatory test you mentioned … but I think I know when it “shoots up” … when there’s a lot of stress. Hey! That would apply to anyone, eh?

Your last paragraph cracked me up! I was just beginning to wonder why you went into Radiology! You and the lovely Mrs. Scan Man should consider opening an office together! You sound like you’d make a great PCP! :o)

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Cathy … that’s a riot. It was the second time yesterday too. Kt and I also “exchanged visits” … what are the odds? ;o)

]]> By: Cathy http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-3942 Cathy Fri, 21 Jul 2006 06:48:32 +0000 http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-3942 Yes Moof, I see that we were each visiting the other at the exact same time. I think we are connected!...:) Yes Moof, I see that we were each visiting the other at the exact same time. I think we are connected!…:)

]]> By: scan man http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-3937 scan man Fri, 21 Jul 2006 06:08:15 +0000 http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-3937 Hi Moof, Thanks for the email. I haven't been shut down by my government... yet ;) I agree with the four other doctors who have commented before me... you need to seriously consider changing your PCP, and you need to be more serious about controlling your BP. During the course of your 'one office or another.... one hospital or another' initial evaluation of your hypertension, did you ever get a 24-hour ambulatory blood pressure monitoring done? It might be helpful... your nephrologist may be able to identify situations which make your BP shoot up.. Lifestyle modification plays a major role in the control of BP... And finally Get some good advice, by that I mean from docs like Hebert, Anon & Grumet, who are involved in the day-to-day care of patients, rather than people like me :) Hi Moof,
Thanks for the email. I haven’t been shut down by my government… yet ;)
I agree with the four other doctors who have commented before me… you need to seriously consider changing your PCP, and you need to be more serious about controlling your BP.
During the course of your ‘one office or another…. one hospital or another’ initial evaluation of your hypertension, did you ever get a 24-hour ambulatory blood pressure monitoring done?
It might be helpful… your nephrologist may be able to identify situations which make your BP shoot up..
Lifestyle modification plays a major role in the control of BP…
And finally
Get some good advice, by that I mean from docs like Hebert, Anon & Grumet, who are involved in the day-to-day care of patients, rather than people like me :)

]]> By: Moof http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-3912 Moof Fri, 21 Jul 2006 02:41:20 +0000 http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-3912 Kt ... I laughed myself silly reading your comment. TMI indeed! *LOL* For myself, even my girlfriends can't accuse me of TMI ... I began practicing something that approaches more than politeness on my adult children beginning less than a year ago. TMI won't be a problem coming from me for a very long time yet, I think! --- Pk ... wouldn't hurt ... you know that, right? *Poke!* --- Dawn ... thanks for stopping in and taking the time to comment ... and thank you even more for what you've shared! I hear you about stress being able to make a BP jump to unbelievable levels in mere minutes - that's exactly the way mine is. And I can usually tell when it's happening. And you're right ... you feel "so much better" when things are going normally, and your BP isn't elevated. Good luck in keeping it at a nice, low level! :o) --- Cathy, I was just coming from reading your blog when your comment hit my inbox! It sounds like your BP is worse than mine - I've never had uncontrolled nose bleeds, or anything like that with my problem. *comfort!!!* You and I have a few meds in common - I was also taking Toprol (metoprolol) ... but I dropped it on my own in the beginning because of the awful side effects. I'm still taking Hyzaar (100/25), so we have that in common. I also take Clonidine .2 twice a day, and Norvasc 5, once a day, and an extra one PRN when my systolic is above 160. About family stuff ... my dad had HTN, and died of a massive stroke. My maternal grandmother also died from a stroke, but I was too young to know what her medical problems consisted of ... I would say that yes, it runs in my family - on both sides. The CRF is not genetic though. You have great advice, Cathy. Thank you so much for sharing all of that, and taking the time to write it all out. You have no idea how much I appreciate it. {{{ hugs! }}} Kt … I laughed myself silly reading your comment. TMI indeed! *LOL* For myself, even my girlfriends can’t accuse me of TMI … I began practicing something that approaches more than politeness on my adult children beginning less than a year ago. TMI won’t be a problem coming from me for a very long time yet, I think!

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Pk … wouldn’t hurt … you know that, right? *Poke!*

—

Dawn … thanks for stopping in and taking the time to comment … and thank you even more for what you’ve shared!

I hear you about stress being able to make a BP jump to unbelievable levels in mere minutes - that’s exactly the way mine is. And I can usually tell when it’s happening.

And you’re right … you feel “so much better” when things are going normally, and your BP isn’t elevated. Good luck in keeping it at a nice, low level! :o)

—

Cathy, I was just coming from reading your blog when your comment hit my inbox!

It sounds like your BP is worse than mine - I’ve never had uncontrolled nose bleeds, or anything like that with my problem. *comfort!!!*

You and I have a few meds in common - I was also taking Toprol (metoprolol) … but I dropped it on my own in the beginning because of the awful side effects. I’m still taking Hyzaar (100/25), so we have that in common. I also take Clonidine .2 twice a day, and Norvasc 5, once a day, and an extra one PRN when my systolic is above 160.

About family stuff … my dad had HTN, and died of a massive stroke. My maternal grandmother also died from a stroke, but I was too young to know what her medical problems consisted of … I would say that yes, it runs in my family - on both sides. The CRF is not genetic though.

You have great advice, Cathy. Thank you so much for sharing all of that, and taking the time to write it all out. You have no idea how much I appreciate it.

{{{ hugs! }}}

]]> By: Cathy http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-3911 Cathy Fri, 21 Jul 2006 02:09:38 +0000 http://moof.blogsplot.net/2006/07/18/a-tale-of-two-offices/#comment-3911 Hi Moof, I have been reading and learning as much as you from this post. I would change pcp's. Like you I also take 3 bp meds a day although I don't recall ever having a reading as high as that one you just admitted to. I have to admit Moof it's an illness I have never understood. I was put on BP meds when I was 20 yrs. old and pregnant with my first child. Over the years someone occasionally comes along that thinks they would like to discontinue my meds, just to see how I do. That's happened 3 times and 3 times I ended up in the er with horrible nose hemmorhages and having 72 in of gauze shoved up my nose for 36 hours. This attitude on the part of the PCPs worried me. I have to agree Moof, that you BP isn't controlled or it would not be rising to those levels under any circumstances. That's mainly why I think you need a new PCP. I currently take demadex, hyzaar, and toprol XL. That seems to be a good mix for me. I haven't strayed, to very high numbers, much since being on this combination. Is this a family history thing Moof? My mom had HBP for all the years of my life as did both her parents. Like me my mom was first put on meds while pregnant with me. My grandmother died after suffering a stroke and my grandfather had a cerebral hemmorhage. Bottom line Moof, you have to find a dr. that doesn't make you nervous and that you are comfortable with. You aren't with this guy. Hi Moof, I have been reading and learning as much as you from this post. I would change pcp’s. Like you I also take 3 bp meds a day although I don’t recall ever having a reading as high as that one you just admitted to. I have to admit Moof it’s an illness I have never understood. I was put on BP meds when I was 20 yrs. old and pregnant with my first child. Over the years someone occasionally comes along that thinks they would like to discontinue my meds, just to see how I do. That’s happened 3 times and 3 times I ended up in the er with horrible nose hemmorhages and having 72 in of gauze shoved up my nose for 36 hours. This attitude on the part of the PCPs worried me.

I have to agree Moof, that you BP isn’t controlled or it would not be rising to those levels under any circumstances. That’s mainly why I think you need a new PCP. I currently take demadex, hyzaar, and toprol XL. That seems to be a good mix for me. I haven’t strayed, to very high numbers, much since being on this combination.

Is this a family history thing Moof? My mom had HBP for all the years of my life as did both her parents. Like me my mom was first put on meds while pregnant with me. My grandmother died after suffering a stroke and my grandfather had a cerebral hemmorhage.

Bottom line Moof, you have to find a dr. that doesn’t make you nervous and that you are comfortable with. You aren’t with this guy.

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