←back to thread

327 points jamesbelchamber | 9 comments | | HN request time: 3.564s | source | bottom
Show context
cestith ◴[] No.45893306[source]
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.
replies(14): >>45893475 #>>45893635 #>>45893849 #>>45894005 #>>45894270 #>>45894485 #>>45895530 #>>45896224 #>>45896258 #>>45896522 #>>45898517 #>>45898702 #>>45899150 #>>45900224 #
1. wkjagt ◴[] No.45898702[source]
I had a doc appointment a couple of weeks ago. My wife was driving and we were running late, so I was getting stressed about missing the appointment on top of being stressed about going to see the doctor. There was a lot of traffic so I decided to get out at a red light and run to my appointment while my wife parked the car. I only barely made it and the first thing they did was take my pressure. They took it twice, because at the first they were like, this can't be right. When I explained, they asked if I had a blood pressure monitor at home so I could take my own pressure at a more quiet moment.
replies(2): >>45900881 #>>45903290 #
2. andreareina ◴[] No.45900881[source]
The guidelines for taking blood pressure state you should be sitting quietly for 5 minutes beforehand, something that almost never happens at the doctor's.
replies(1): >>45900961 #
3. hirvi74 ◴[] No.45900961[source]
Mine constantly asks me questions during my measurements. I thought one wasn't supposed to be talking during the readings either?
replies(1): >>45901360 #
4. rhyperior ◴[] No.45901360{3}[source]
A PA explained to me once: they’re taught you have to sneak quietly into a room where the patient has been sitting in the dark listening to soothing music for 15 minutes and take their BP measurement without them noticing. Goals.
replies(2): >>45901783 #>>45902445 #
5. hermitcrab ◴[] No.45901783{4}[source]
Hard not to notice the squeeze from a pressure cuff.
replies(1): >>45902233 #
6. nathan_douglas ◴[] No.45902233{5}[source]
Numb the arm by having the patient sit calmly with their left arm in an ice bath.
replies(1): >>45902381 #
7. hermitcrab ◴[] No.45902381{6}[source]
Sitting for minutes in extreme discomfort definitely won't change your BP! ;0)
8. adirelle ◴[] No.45902445{4}[source]
You are kidding but having hypertension issues for years, I can confirm you that tension is a highly-dynamic value that can change in few minutes for a lot of reasons. Here the standard toi
9. stuffn ◴[] No.45903290[source]
I've never been to a doctor where they waited the appropriate amount of time. It's always almost immediately as you sit down. This has caused a lot of problems for me. I learned most insurance companies require a doctor hold you until your blood pressure is "normal" (where normal is < 140/90 for their purposes). This resulted in several times where I was kept in an office with nurses coming in and out every 3 minutes to repeatedly take measurements which simply made it worse.

Blood pressure is highly variable even moment by moment. A single data point at your yearly visit is basically meaningless. Even your posture can shift it. Legs in a different position? Too much tension in one arm over the other? Seated awkward? Have gas? Unfortunately, it's also very difficult to get a 24 hour monitor unless you have another suspected condition (such as kidney problems).