randibear
Honored Contributor (10K+ posts)
Member # 11290
posted
I went to cardiologist about my bp. this sunday it rose to 215/134.
I explained my pc said diet and exercise, no change in meds. he made a comment about not being a fan of my meds so he dropped one and added labetalol.
he said I was taking bp too much and that indicated anxiety. he said pc should address that.
he recommended crestor, knew he would.
I am curious tho. do drs communicate with each other? will he send comments to pc and will I get a copy?
my sister did once and went ballistic when this dr had somev very negative comments about her. she confronted his office but he wouldn't change them. her usual dr said he disregarded them cause he knew her. strange...
-------------------- do not look back when the only course is forward Posts: 12262 | From texas | Registered: Mar 2007
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posted
He may send your doctor a report. I think it depends upon whether or not your doctor asked for a report.
-------------------- --Lymetutu-- Opinions, not medical advice! Posts: 96238 | From Texas | Registered: Feb 2001
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Keebler
Honored Contributor (25K+ posts)
Member # 12673
posted
- Electronic Medical Records - Standardized Medical practices
The goal is for any treating doctor - with a password - to be able to enter a patient's name into computer and see their entire medical / pharmacy file - diagnoses - and tests.
Some medical systems / insurance groups already can do this.
If you had another's doctor's referral to this cardiologist, yes, your patient notes were sent ahead, likely via computer.
And as more patients' pharmacy files are online - electronic records, it would be relatively easy for a doctor who had been referred by another to have access to your full pharmacy history, at least of recent times.
I think this can be the case, though, even if you see a new doctor who has not been referred by another. Once medical records are entered into a computer they may be available for anyone with a medical password.
The thinking is that it protects both patient and doctor for your Rx to be accessible to them.
I can see part of the logic in this in that any new doctor will have that knowledge before prescribing or advising any else. Patients often do not recall all Rx prescribing history to tell new doctor, etc. And, in the ER, this could save lives for patients unable to talk.
But there can be a problem when in your electronic file, they see a prescription for something the patient has decided not to take. So, some pharmacies are also keyed into your electronic medical files to show scripts that were purchased / picked up.
I'm not sure exactly how this all works and it may vary from one medical group to another.
I'm not sure there really is any effective privacy in this regard anymore. There should be ways to search out the details, though. You might give a call to the advocated at AARP for a start if you want to know more.
Still, always assume detail from one doctor will be shared with the next even before you arrive - in your same medical group / insurance coverage.
And, after seeing a doctor who has been referred, they will enter details of visit into your electronic records and forward to the doctor who made the referral. Most likely. Depends on how each medical organization has that set up.
In a world where all doctors are efficient and the practice of medical care makes sense and works for the patient, this plan can be of help.
However, the downside I see is that when we go to other doctors for new ideas, new opinions, other ways to approach something, then that is less likely to work out for the patient who is searching for the best approach and new thinking.
Also keep in mind that just because a doctor pushes a statin drug - any statin drug - that is not the end all, be all of real knowledge. Please research outside of the tight statin happy world as to the risks they pose, great risks.
Also a great risk, is the standard advise without understanding the complexities of your body as different form someone not affected by tick-borne infections and all that brings in the way of dysautonomia which can be a major reason for anxiety.
He suggests addressing anxiety but he is not looking at why your body might be going through this roller coaster. My guess is that he suggests your PCP add another Rx for anxiety and to "just be happy"?
But if he knows nothing about the adrenal / HPA-Axis & Dysautonomia issues with lyme, he simply cannont - cannot - know what he's taking about in terms of how to "deal with anxiety. He's not educated enough in this regard. -
[ 05-09-2018, 01:02 PM: Message edited by: Keebler ]
Posts: 48021 | From Tree House | Registered: Jul 2007
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Keebler
Honored Contributor (25K+ posts)
Member # 12673
posted
- Even if he's apparently not educated in matters of dysautonomia,
did he run an INTRAcellular magnesium? It can't be just blood serum. Magnesium deficiency can be a major trigger of high BP and anxiety.
ADRENAL / HPA-Axis issues also key here. Cordyceps is the most basic support for starters. A LLMD is best to guide on this, a LL ND even better. -
Posts: 48021 | From Tree House | Registered: Jul 2007
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Keebler
Honored Contributor (25K+ posts)
Member # 12673
Dysautonomia Links here -- and some doctors in your area who are educated in this matter. Scroll down to see several links with different detail on same topic. -
Posts: 48021 | From Tree House | Registered: Jul 2007
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Keebler
Honored Contributor (25K+ posts)
Member # 12673
posted
- Have you had a tilt table test? -
Posts: 48021 | From Tree House | Registered: Jul 2007
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randibear
Honored Contributor (10K+ posts)
Member # 11290
posted
a what??? nope...
-------------------- do not look back when the only course is forward Posts: 12262 | From texas | Registered: Mar 2007
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Keebler
Honored Contributor (25K+ posts)
Member # 12673
posted
- A tilt table test is more for sudden drops in blood pressure (POTS, NMH), light headedness, fainting. Since many who have lyme have had tilt table tests performed, even if your BP tends to high now, it's the eratic nature that indicates possible autonomic nervous system dysfuntion (dysautonomia)..
I just thought that had a tilt table test in the past shown abnormal patterns it might have shed some background light.
Now, any new evaluations might best be done by a specialist in dysautonomia. -
Posts: 48021 | From Tree House | Registered: Jul 2007
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