A Tale of Two Offices
This was one of those days that I dread … dread … dread. I not only had one doctor’s appointment, I had two. I’m a little bashful about being too “out there” with this sort of thing, but I have such wise readers, that I thought I may be able to glean a bit of advice from both sides of the medical fence - those in the profession, and those who may be able to relate to a bit of what I’m experiencing …
Those of you who are long time readers probably know that I have a bit of a panic problem when I find myself nose to nose with someone in a white coat … or who could be wearing a white coat, if he isn’t. It kept me from seeing a physician all but once in 16 years … until about 3 years ago, when I was diagnosed with kidney failure, severe hypertension … and other secondary problems. For about 2 years afterward, I sometimes wondered why I bothered going home - I was in one office or another … or one hospital or another … so darn often.
Anyway, over the last year I’ve distanced myself as much as possible from the situation. That’s been both good and bad, as you might imagine. I’ve continued to see my nephrologist every four months, but went for more than a year without seeing my PCP … until his office called me late this spring and wanted me to make an appointment to come in. Reluctantly, I did. To make a long story short, they found that my blood pressure was elevated enough for concern (over 200 systolic) … and had me coming in to have it checked repeatedly. Always high.
Well, something very revealing happened today … something I’ve suspected for a long time now.
This was the day I had to see my nephrologist. He took my blood pressure standing and sitting, and it was great! Sitting was under 150 systolic, standing was super! Although I’m not comfortable enough to be really open with him, he’s a quiet fellow, and the 4 month visits with him are pretty stress free. I know what he’s going to do … I know what he’s going to say. There aren’t any surprises. He’s pretty laid back. We even exchanged a bit of small talk about the direction primary care seems to be taking.
I had a few hours between that appointment, and my next one … so I came home, relaxed, and did some school work, then headed back out the door. Once there, his nurse came out to get me, brought me into the exam room, and took my blood pressure first thing. That’s what I was there for - again. The systolic was 178. Not really all that high, but much higher than it had been all day. I looked at her, shook my head and said: “Robin, it’s this office. I just can’t come into this office.” I told her about my visit to the nephrologist earlier in the day. She went and spoke to my PCP, and to my amazement (and relief,) I was out the door in about 5 minutes. I guess they didn’t want to be responsible for a stroke … *cough* …
Now, I like my PCP. I’ve liked him since I first met him. This may not be the problem, but his style is vastly different from the nephrologist’s style: my PCP is a bit “fidgety,” and usually has a string of rapid fire questions that I’m not well prepared to answer. I find it completely impossible to just chat with him, although I can say practically anything I want to him by email, or on paper, and have in the past. I’m certain that if I met this fellow outside of his profession, that I would really like him a lot, and see him as a fun, humorous sort of person to be around. In this setting however, I’m at sea.
Today proved it to me. My poor PCP gives me HTN!
I know that the elevated HTN is from some sort of emotional/psychological reaction - otherwise it makes no sense. But I have absolutely no idea what it could be - or why. It appears that just stepping through the door causes it to rise a good 20 to 30 points, if not more. The first time I ever went there, it was 280/160 … although I admit there were more medical reasons for that sort of reaction back then.
Now, this old lady isn’t getting any younger, and I’ve got ongoing problems that I just sit on because the thought of going in to see him makes me so nervous. Even when things get so bad that I give in and go, we get nowhere because I can’t express myself. My fault - not my PCP’s … and that part, at least, would be a problem anywhere I went.
So … my wise readers … what would you do? Would you try to stick it out and work on it? If so - how? I’m all ears! Would you look for someone else? No guarantee that I’ll do any better anyplace else, though … and I’m not good in that venue even under the best of circumstances. Also, having to start over with someone new would be stressful in itself.
Depending on the advice you all give me, I may cut and paste this post and the replies into an email …
A Long Search:
- A Tale of Two Offices
- Testing the Waters
- On a Rollercoaster …
- And the Ride Goes On


Dr. Terry Bennett is a local physician - he practices less than 20 minutes away in an old house, which has been turned into a clinic. He calls it “The Clinic on the Common.” One of my sons sees him, and although this son finds fault with everyone, he likes Dr. Bennett.




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