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Old 04-19-2019, 01:54 PM
 
2,391 posts, read 1,406,327 times
Reputation: 4211

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Quote:
Originally Posted by Don in Austin View Post
Here are a few examples:

Leading a patient into an examination room and fitting a blood pressure cuff the minute the patient sits down. Give me 30 seconds to relax and my readings will easily be 20 points lower. Why bother to take the reading if it is going to be grossly inaccurate?
Yes! Back in February, I saw a new cardiologist (electrophysiologist) for the first time. I had a horrible time actually finding the office (I had written down the wrong address by mistake), then couldn’t find parking, then, realizing I was really late I bounded up three flights of stairs (instead of waiting for the elevator). They checked me in immediately and within minutes they were checking my “resting” pulse and blood pressure. They were both the highest readings I’ve ever had in a doctor’s office. What was the point of that? I told them that they were way too high and I wasn’t really resting, but it was like: “Uh huh. Uh huh. Uh huh ... whatever...”

Also, are medical professionals still telling people with diverticulitis to avoid eating nuts and seeds? My GI specialist told me back in 2004 that this had been disproven (actually nuts and seeds turned out to be slightly protective) but 10 years later, I still had my PCP insisting on the no nuts and seeds thing.
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Old 04-19-2019, 01:57 PM
 
2,391 posts, read 1,406,327 times
Reputation: 4211
Quote:
Originally Posted by Don in Austin View Post
Here are a few examples:

Leading a patient into an examination room and fitting a blood pressure cuff the minute the patient sits down. Give me 30 seconds to relax and my readings will easily be 20 points lower. Why bother to take the reading if it is going to be grossly inaccurate?
Yes! Back in February, I saw a new cardiologist (electrophysiologist) for the first time. I had a horrible time actually finding the office (I had written down the wrong address by mistake), then couldn’t find parking, then, realizing I was really late I bounded up three flights of stairs (instead of waiting for the elevator). They checked me in immediately and within minutes they were checking my “resting” pulse and blood pressure. They were both the highest readings I’ve ever had in a doctor’s office. What was the point of that? I told them that they were way too high and I wasn’t really resting, but it was like: “Uh huh. Uh huh. Uh huh ... whatever...”

Also, are medical professionals still telling people with diverticulitis to avoid eating nuts and seeds? My GI specialist told me back in 2004 that this had been disproven (actually nuts and seeds turned out to be slightly protective) but 10 years later, I still had my PCP insisting on the no nuts and seeds things.
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Old 04-19-2019, 02:09 PM
 
9,952 posts, read 6,676,224 times
Reputation: 19661
Quote:
Originally Posted by Jill_Schramm View Post
Yes! Back in February, I saw a new cardiologist (electrophysiologist) for the first time. I had a horrible time actually finding the office (I had written down the wrong address by mistake), then couldn’t find parking, then, realizing I was really late I bounded up three flights of stairs (instead of waiting for the elevator). They checked me in immediately and within minutes they were checking my “resting” pulse and blood pressure. They were both the highest readings I’ve ever had in a doctor’s office. What was the point of that? I told them that they were way too high and I wasn’t really resting, but it was like: “Uh huh. Uh huh. Uh huh ... whatever...”

Also, are medical professionals still telling people with diverticulitis to avoid eating nuts and seeds? My GI specialist told me back in 2004 that this had been disproven (actually nuts and seeds turned out to be slightly protective) but 10 years later, I still had my PCP insisting on the no nuts and seeds thing.
Don’s post is years old, but keep in mind that the people in back might not know how long you have been waiting. Some people arrive early and have been in the waiting room for 20 minutes before they are called and others might have just rushed in 30 seconds before. Usually if it is alarmingly high, they should be doing a recheck or asking if there is a reason you know why it would be high. Like one time recently I had a little issue with not using how to use an inhaler and used it too many times within 24 hours of my visit to the allergist. Needless to say, my BP and pulse were elevated, but that was not typical for me.
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Old 04-19-2019, 02:35 PM
 
Location: Southern California
29,266 posts, read 16,753,924 times
Reputation: 18909
Yes, it's an older post but all info is very relevant today as back a few yrs ago. And it's so true one's BP can be elevated by just the sheer actions of getting to the doctor's office and then add white coat on top of that. It's amazing they still continue to take a reading first thing when a person goes into the doc's office. I always take this into account for my reading.
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Old 04-25-2019, 10:21 AM
 
17,577 posts, read 13,355,792 times
Reputation: 33014
Everyone is aware of White Coat BP elevations. Just ask that BP be repeated later in the session..
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Old 04-25-2019, 10:31 AM
 
Location: Bella Vista, Ark
77,771 posts, read 104,739,062 times
Reputation: 49248
Quote:
Originally Posted by Jill_Schramm View Post
Yes! Back in February, I saw a new cardiologist (electrophysiologist) for the first time. I had a horrible time actually finding the office (I had written down the wrong address by mistake), then couldn’t find parking, then, realizing I was really late I bounded up three flights of stairs (instead of waiting for the elevator). They checked me in immediately and within minutes they were checking my “resting” pulse and blood pressure. They were both the highest readings I’ve ever had in a doctor’s office. What was the point of that? I told them that they were way too high and I wasn’t really resting, but it was like: “Uh huh. Uh huh. Uh huh ... whatever...”

Also, are medical professionals still telling people with diverticulitis to avoid eating nuts and seeds? My GI specialist told me back in 2004 that this had been disproven (actually nuts and seeds turned out to be slightly protective) but 10 years later, I still had my PCP insisting on the no nuts and seeds thing.
oh my, sounds too familiar especially the part about nuts and seeds. I can remember when they even advised not to eat things like strawberries and my dad's wife followed the advise to the tee. I know there are still doctors that tell us to be careful including my old PCP. I have changed since then. As for the high BP; a few years ago I was in ER for a bleeding problem. I had to stay overnight for testing. I was due to be released early the next morning but by the time the doctor got to the room to release my my BP was sky high. Why, because I was pissed about it being 4pm and I was still stuck in the hospital. So when I was released what did the release papers state? It said; diagnoses high BP. Nothing about the reason I was there in the firstplace which had nothing to do with BP
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Old 04-25-2019, 12:52 PM
 
Location: on the wind
23,297 posts, read 18,837,889 times
Reputation: 75302
Quote:
Originally Posted by mike1003 View Post
Everyone is aware of White Coat BP elevations. Just ask that BP be repeated later in the session..
If I happen to be rushed, frustrated, or anxious upon arrival at an appointment I use my words and TELL SOMEONE as they start taking my bp. They simply repeat the test later. Easy peasy! I don't expect any medical professional to automatically know everything about their patients without any contributions from the patients. They can't pull magic rabbits out of magic hats.

Last edited by Parnassia; 04-25-2019 at 01:52 PM..
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Old 04-29-2019, 05:21 AM
 
3,106 posts, read 1,770,051 times
Reputation: 4558
Quote:
Originally Posted by Jill_Schramm View Post
Yes! Back in February, I saw a new cardiologist (electrophysiologist) for the first time. I had a horrible time actually finding the office (I had written down the wrong address by mistake), then couldn’t find parking, then, realizing I was really late I bounded up three flights of stairs (instead of waiting for the elevator). They checked me in immediately and within minutes they were checking my “resting” pulse and blood pressure. They were both the highest readings I’ve ever had in a doctor’s office. What was the point of that? I told them that they were way too high and I wasn’t really resting, but it was like: “Uh huh. Uh huh. Uh huh ... whatever...”

Also, are medical professionals still telling people with diverticulitis to avoid eating nuts and seeds? My GI specialist told me back in 2004 that this had been disproven (actually nuts and seeds turned out to be slightly protective) but 10 years later, I still had my PCP insisting on the no nuts and seeds things.
The issue is that the "medical professionals" taking your BP incorrectly aren't medical professionals. They are minimally trained and paid medical assistants. In many States all it takes to be a medical asst is finding someone willing to call you one. There is no standardized education, training or licensing required. There are schools where one can go to receive medical asst certification but its up to the individual practice or hospital whether they require such training or not.

Just donning scrubs does not make one a medical professional yet that's what the healthcare system wants the patients to believe. My experience with BP readings is that when a nurse or even the doctor takes it again after the inordinately high reading the MA got, that the results are normal.

Letting MA's give vaccine shots is another problem area. The MA who did the last one I got hit a bone in my upper arm. It is still sore 8 months later.
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Old 04-29-2019, 06:02 AM
 
70 posts, read 32,542 times
Reputation: 106
If you don't think the results are valid for BP or anything else you have every right to tell the MA to the MD to f--- off. You don't have to do or take a damn thing they prescribe. Simple as that.
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Old 04-29-2019, 11:15 AM
 
Location: Middle of the valley
48,526 posts, read 34,851,331 times
Reputation: 73764
Quote:
Originally Posted by Dr. Zoidberg View Post
If you don't think the results are valid for BP or anything else you have every right to tell the MA to the MD to f--- off. You don't have to do or take a damn thing they prescribe. Simple as that.
Or you can mildly say that you would like to rest and take it again. Sounds like my MIL, guns blazing for no reason.
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