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pnwmom

(110,261 posts)

63. It makes no sense to prescribe blood pressure medication without finding out why

Wed Sep 2, 2015, 09:16 PM

Sep 2015

blood pressure was suddenly elevated. It could be diabetes-related, or kidney problems, or many other things. Each one would require a different treatment.

This woman is afraid of needle sticks so she wants him to rely on outdated blood work from before -- when she wasn't having the elevated blood pressure. That makes no sense.

She needs to either get over her fear of needles or quit complaining about being offered standard medical care from a conscientious doctor.

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I have some questions about medical practice these days after a frustrating morning with a new docto [View all] Trailrider1951 Sep 2015 OP

I've gone through a similar series of tests with a new doc this summer. My old doc retired. Shrike47 Sep 2015 #1

I would agree with your new Doc on the blood tests. leftofcool Sep 2015 #2

Find another doc and do not go back to Dr. D mnhtnbb Sep 2015 #3

THANK YOU. I feel the same as you do about some of those tests. nt raccoon Sep 2015 #29

She's following "protocols" zipplewrath Sep 2015 #4

I think she is just being thorough. femmocrat Sep 2015 #5

Thank you for your thoughts Trailrider1951 Sep 2015 #9

Agreed. WillowTree Sep 2015 #14

She was coercive and abusive tavalon Sep 2015 #52

I don't think it is unreasonable for a doctor to want to know the health of a new patient Skittles Sep 2015 #6

IMO, Dr D asking you to provide blood for a baseline blood workup is pretty Nay Sep 2015 #7

Right, and having a baseline EKG after 55-60 is probably a good idea Warpy Sep 2015 #13

EKG is a very simple test. It's not invasive. How is it over the line for someone with high blood LisaL Sep 2015 #20

Well, only in the sense that the doc has yet to see her transferred med Nay Sep 2015 #25

I don't find anything unusual in what doctor wanted to do. LisaL Sep 2015 #51

You are conflating TWO different appointments. There were two, not one. pnwmom Sep 2015 #61

The doctor told her during the spider bite appointment that she would need to get blood work, tammywammy Sep 2015 #68

The doctor said that AFTER the woman agreed that she would be her primary care doctor -- pnwmom Sep 2015 #75

Completely agree with you. TexasMommaWithAHat Sep 2015 #86

You didn't read the post - she was coming in for BP medication. Yo_Mama Sep 2015 #84

You need routine tests REP Sep 2015 #8

I agree with everything but the clindamycin. Ms. Toad Sep 2015 #31

Clindamycin isn't always enough REP Sep 2015 #35

That's the excuse for giving me clindamycin (penicillin allergy). Ms. Toad Sep 2015 #70

Yup, I got C diff! TexasBushwhacker Sep 2015 #72

Generally, though, they are not testing to determine Ms. Toad Sep 2015 #80

I'd post photos of my leg wounds but I don't want a hide for graphic content! REP Sep 2015 #85

Since my daughter was treated numerous times for cellulitis, Ms. Toad Sep 2015 #88

colonoscopy's and mammogram are done routinely and repeated periodically Lil Missy Sep 2015 #10

They are also covered under ACA regulations mcar Sep 2015 #30

Please don't propagate the MDiety problem tavalon Sep 2015 #54

I dumped my "primary" doctor 5 or 6 years ago tularetom Sep 2015 #11

Just to squeeze a few more bucks - these tests are jwirr Sep 2015 #47

My doctor retired and I needed a new one. My new doc did a very thorough physical and history Tess49 Sep 2015 #12

IMO, you're in the wrong. Yo_Mama Sep 2015 #15

I agree TexasBushwhacker Sep 2015 #73

Thanks everyone for your thoughts Trailrider1951 Sep 2015 #16

I was just put on the pink ones, they 840high Sep 2015 #19

She probably wanted to see your CURRENT bloodwork, so your old bloodwork pnwmom Sep 2015 #23

Likely for liability reasons Lurks Often Sep 2015 #27

Or, perhaps Dr. D. cares about her patients. Ms. Toad Sep 2015 #34

Prove it zipplewrath Sep 2015 #38

It's a shitload cheaper to treat high blood pressure before your kidneys fail. Yo_Mama Sep 2015 #42

Maybe zipplewrath Sep 2015 #44

It makes no sense to prescribe blood pressure medication without finding out why pnwmom Sep 2015 #63

Or both Lurks Often Sep 2015 #39

At least a year - Ms. Toad Sep 2015 #71

Copies of your medical records should supplement, Ms. Toad Sep 2015 #33

don't put off the lab work KT2000 Sep 2015 #17

You're a patient, elleng Sep 2015 #18

Regarding the mammogram, phylny Sep 2015 #21

Most good doctors will want their new, regular patients to have standard screening tests pnwmom Sep 2015 #22

Dr D sounds like a good doctor tammywammy Sep 2015 #24

Writing scripts and providing care without a baseline of tests Lee-Lee Sep 2015 #26

I truly hate to say this, but the ACA, it seems to me, requires much more doctor control and WinkyDink Sep 2015 #28

Question: these networks are not part of ACA - what jwirr Sep 2015 #48

Bloodwork needs to be current, particularly for chronic conditions - and high blood pressure is a yellowcanine Sep 2015 #32

As a new patient, she likely needs to have an overall physical/checkup with you Cal Carpenter Sep 2015 #36

Some doctors treat "patients," others treat "customers." Vinca Sep 2015 #37

There is nothing in the OP to suggest that she was being treated as a customer. pnwmom Sep 2015 #65

Doctor #2 had no interest in getting records from Doctor #1 which might avoid some testing. Vinca Sep 2015 #81

Not true. Her new doctor wouldn't accept the old records as a SUBSTITUTE pnwmom Sep 2015 #83

just logged on to mention...turmeric J_J_ Sep 2015 #40

I eat turmeric every day since we eat predominantly Indian food. CBGLuthier Sep 2015 #82

also for the spider bite infection J_J_ Sep 2015 #41

This all sounds acceptable and normal to me n/t PasadenaTrudy Sep 2015 #43

One of the issues you are facing is that ACA no longer jwirr Sep 2015 #45

blood tests shanti Sep 2015 #46

You may also want to get some bug spray and spray for spiders. cbdo2007 Sep 2015 #49

No, you just got a crap doctor tavalon Sep 2015 #50

It sounds more like the old doctor was a crap doctor pnwmom Sep 2015 #58

If you're older you need checkups, and follow chronic illnesses Gloria Sep 2015 #53

You're long past the age where those routine tests are necessary. LeftyMom Sep 2015 #55

There are two ways of reading your subject line. pnwmom Sep 2015 #59

Call your healthcare network abelenkpe Sep 2015 #56

And say what? That the new doctor followed standard care guidelines pnwmom Sep 2015 #64

No they need to stop recommending that particular abelenkpe Sep 2015 #66

You didn't read the whole thing. On her SECOND appointment she went for high blood pressure. pnwmom Sep 2015 #67

She needed her prescription refilled abelenkpe Sep 2015 #69

No, she doesn't say she was off her medication. She said she was running low, which is when most pnwmom Sep 2015 #74

The patient is also responsible for half of that relationship TexasMommaWithAHat Sep 2015 #87

A few years back I had to take my daughter to see a Nuerologist for a sleep study she was ... SummerSnow Sep 2015 #57

Medical Malpractice for along proper care of a patient Codeine Sep 2015 #60

the new doctor is probably happy you're leaving taught_me_patience Sep 2015 #62

My doctor is terrific. Had him for 15 years. cheapdate Sep 2015 #76

The new Doc was right and you were wrong dem in texas Sep 2015 #77

There is a big shift in how doctors are paid, to "outcome based" bananas Sep 2015 #78

Obama Signs Medicare Bill Encouraging Outcome-Based Compensation bananas Sep 2015 #79