White Coat Hypertension strikes again

Sip on This: Beet Juice Lowers Blood Pressure

 

Part of my white coat dates back years of learning Arkansas Law regarding narcotics and then intelligently and with calmness discussing with a semi hostile doctor who has seen way way way too many drug seekers. There were several layers to the discussion, first I am not a seeker, second the pain is real and so forth, third applying the state law and my own clinic's total and utter permission without a contract anywhere including the doc's personal number to confirm then the fourth layer is a total display of comprehension of the ER doc's dilemna vs the state if he did give anything to me, the state will viciously write nasty letters to him to justify that drug order.

But the biggie is proof of the defect in the body such a busted hip bone. There she is. All smashed up. Now will you get that nurse to get me a big needle already? The state can choke on those big pretty pictures.

Getting the doctor to feel comfortable is the hard thing. My last three in the ER were awesome. We actually enjoyed one another's converstations as my BP dropped in front of him. One mentioned a addict or seeker would never do as well as I did working a deliberately designed questioning meant to detect same. I call those interdiction questions, there is about 19 on one panel and 44 on a another designed to protect doctors from addicts and seekers.

I should not have to study, memorize FLACC system of pain assessment, I should not have to study state laws and CDC ER directives I should just be a simple patient come in with a broken wing and go hey doc can you fix this owie?

Never mind all the other combat related BS of having to acquire necessary medicine to fix that broken owie. And you wonder why I get angry driving my BP up.

The most important problem with me dates back decades. When I explain a doctor comes to my old home with a small black bag, takes a moment to listen to my woes and that of my parents and decides what can be done to fix it and make it happen. Just us and the doc. Never mind everyone else, they get to stay outside that room until the medical problem is resolved once the doctor understands he or she is not in danger in any way and I need to fix whatever the problem dropped me into his time in the first place.

Those days are slipping away awful fast in light of how everything medical has become weaponized against everyone who is guilty before proven clean with a blood toxic panel to show no drugs. (And with a proper medicine bottle and correct count against refill date etc)

I guess I a little more fortunate than most because the ER docs understand me from years of visiting and I never go until my situation at home is impossible or does not support life. They do a very good job. But to be honest with you, I think they want out. Their situation is almost impossible. They trained for this and want to help people. But now they fight with the state asking mammy may I use this drug on so and so? Sometimes they don't dare out of fear and toss so and so a couple of asprin and kick em out.

And you wonder why people are angry sometimes. I am not a nutter, treehugger, gypsy or any of that. But the more I think about the current wreckage of what our Medical system has become the more I lean towards essentially possibly growing my own medicines out back or learning what can be used that already is growing somewhere that is legal outside of any doc or system.

I think there is a awful lot of people going that route also. Possibly making a decision to refuse to participate in weaponized enforcement type state oppressive medical systems.

 

I have long forms of my DOT physical going back 30 years, with consistent readings which were just fine 30 years ago 138/88, 141/90 etc but now considered borderline and keep you from a 2 year cert.
I bring copies with me to the physical, have a little conversation with the nurse, DO NOT LET THEM USE AN AUTOMATED BLOOD PRESSURE MACHINE. They are no more accurate than the ones at a pharmacy.
A veteran nurse will take the blood pressure readings the old fashioned way, usually get satisfactory results the 1st or 2nd time. If the physician wants to talk about it, then I will show him my physical fitness records from Map my Run showing regular walking and biking exercise periods going back years.
They seem to lose sight of the fact that you have to be fit enough to control a truck, not run a marathon.

 

Once my biolink biobelt for cdl drivers is approved, this will be a moot point.

Detects eye diversion from the roadways, real time BP reading, and sleep time / pattern readings.

 

Does it have an alarm indicating when the cat needs to be fed?

 

That would be redundant.

 

I got the white coat BP problem too. My own doctor told me just to double dose my BP meds a few hours before I went in.

Worked like a charm. I was a little surprised that he gave me that advise though.