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Message:: [QUOTE="GSWx, post: 2296182, member: 69854"]That's great... We will have to disagree on the negative effects of long-term hypertensive drug therapy, e.g. if left untreated or under treated, the mortality and morbidity of hypertension with small vessel disease is much higher as compared to the negative effects of drug therapy associated with death. I do believe there's a therapeutic role with exercise, diet and life style changes as a first line of defense. However, some overweight and sedentary people are not going to stick with the program. I was never into cardiology other than a required PALS and ACLS certification that has long since expired. Give me an endocrine system and I'm happy camper. How's the family feeling about Medicare payments after the first of the year?  The doctors in your family ought to keep the Prime's recruiter No. penciled on the wall.  Trucking companies can exceed DOT medical standards and often do. Every now and then you will read on the forum(s) about someone  diagnosed with hypertension and subsequently being sent home. Some of the cuff numbers are boarderline, too. It all comes down to the M.D's opinion at the prospective employer/trucking company.[/QUOTE]