Reply to S/o What the f do you all want from doctors?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I want them to listen to what I'm telling them and not dismiss my concerns without any consideration. Example: never ever ever had high blood pressure outside of pre-eclampsia during pregnancy. In my 50's, after COVID (which I had not had but had the vaccine), blood pressure significantly higher than typical for me at GI doctor office visit. Dr's first response: it's not that high. (It is for me!) Second response: some people have white coat high blood pressure due to anxiety at doctor appointments (in my 50+ years of life, this has never ever been the case for me!) Third response:[b] you can get a monitor at CVS and check it at home if you're concerned.[/b]

I want them to try to figure out what the cause of something is instead of going "hmm" and moving on with the exam never to return.

I want them to take the information from other doctors and specialists as a whole and consider relationships between medical findings. The rare doctors we've had that actually did this were old, experienced, and since retired.

Young doctors coming out just don't do these things and apparently aren't trained to. Our most current PCP even told my spouse that they would take the practice's PA over all of the new MDs there.[/quote]

This is the logical first step. If someone’s BP is higher than usual you monitor for a few weeks. You don’t jump into extensive testing or refer after one elevated reading.

What was the end result?  Did they find a reason for your hypertension?[/quote]

This correct. You don't make a diagnosis of hypertension on one value, but on multiple values taken on different days. Blood pressure is too labile. It also trends up as you get older, so although it may have been[b] "high for you" at a younger age,[/b] it's not unexpected to be higher now.

[/quote]

I don't get what this means. I've seen doctors regularly throughout my life. This wasn't a matter of it getting higher as I've aged. PE within the previous year was still what my BP always was. This was 35 higher. We re-took it in the office that day in case it was up from climbing the stairs to the office. Same result.  It remained the same the day of my procedure ( a procedure I've had multiple times and never had any raised BP around it, so no, not anxious about it). Few months later at regular PE again, it was back down to normal -- same normal as 30 years ago.

The concern was the lack of "trending up." It was a sudden anomaly that should at least raise an eyebrow.[/quote]

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