Regarding white coat hypertension, the shot isn’t always necessary. Some people’s blood pressure just goes up from the stress of the clinical setting.
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It really amazes me how people whose job it is to take blood pressure don’t recognize the stress situations that people are in might result in abnormal readings.
It was kind of interesting watching my blood pressure tick down back to normal over the course of about 4 days though.
I guess the lesson is don't rip your bicep off, it will transiently elevate your BP. ;)
Edit: Well, it will stop bleeding… once you lose enough blood.