Feeling dizzy or lightheaded? Have you been newly diagnosed with hypertension? Are you taking medications for it? Take your blood pressure again! Better yet, get an experienced nurse do the reading using a stethoscope, and an sphygmomanometer. Take note of your blood pressure. An average blood pressure should be 120/80. A blood pressure that reads higher than that of the depicted period may lead your physician to determine that you have an ICD-10 (I10) payment code of Hypertension. My concern is a dual concern: did the person who was taking the blood pressure use an automated device and was the person using the right procedure? It’s not difficult to understand or a secret that some technicians can do their work superiorly than the others. This worries me.

Technique is used when taking the blood pressure. The device used is essential. The reason I say this is because the automatic devices will give you an inaccurate reading when compared to a stethoscope and a sphygmomanometer. With a stethoscope and sphygmomanometer technicians can aucultate or listen for the first “thump”, which is the systolic amount in which the vessel begins to open , and pressure against the vessel’s walls can be determined when the heart beats. The final ‘thump’ is the diagnostic number. It indicates that the vessel is now open and blood pressure is determined in this case while the heart is resting between beats. This gives a reading of diastolic over systolic. This reading can determine a person’s blood pressure. The diagnosis of hypertension, normal, or hypotension will be more accurate with an Steroscope. I believe that this technique is much more dependable and should be utilized to diagnose rather than an automated machine.

Automated blood pressure machines: Automatic machines can be trusted if the base (by making use of an stethoscope or sphygmomanometer) of a person’s blood pressure is already established or else there is ambiguity in the measurement. Automated blood pressure machines give a ‘quick swift, speedy, and in an instant’ reading that may be accurate, but are more often than not, they are inaccurate. Some automatic machines may render more precise readings than others; most don’t even read the same on the same person who is using the same arm at the same time. I’ve never studied the machines, but I’ve been a victim to an automatic machine that is used in my doctor’s clinic. To sum up the use of automated Blood Pressure machines… the readings can be false and should not be used for diagnosing especially for wrists.

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I’m sure someone is saying, “well the machines are employed in hospitals every day therefore they must be trustworthy”. Right! The equipment used in hospitals as well as other acute care facilities are not identical to the machines employed in doctor’s offices and clinics. While I’m not saying to not trust the machines. But I’m saying you need to be aware of your blood pressure and the way it was measured in all capacities.

Technique: Healthcare professional’s technique should be noted and reprimanded regardless of whether it’s an automated machine or the traditional method. For instance blood pressures shouldn’t be taken with bulky sleeves due to clothes. The cuff should begin snug and not be loose nor tight. The air tube made of rubber should be placed in the antecubital region and not behind or elsewhere. As a way to improve the auscultation bell, the stethoscope should be placed directly under the air tube, too. For auscultation accuracy while using a stethoscope, the space should be kept quiet.

My experience: in 2013, I was diagnosed by my doctor with high blood pressure. I was skeptical about it. I had my blood pressure taken several times over the next six months and , sure enough that a high reading was not reported. So, I stop taking the medicine. At the time, was taking a small dose of Lisinopril. The medication made me cough to almost death anyway. The coughing went away after about two weeks after stopping the Lisinopril. It was the most painful experience ever! Sorry, but people need to know that too.

I returned to the doctor’s office to have the appointment of a diabetes patient and observed the method used by the office assistant who took my pressure and reported something that was high. Well, the technique was a bit off and I was skeptical of the results. The doctor asked me if I had taken my BP medications , and I responded”no’ because I do not suffer from high blood pressure’. He then began to look at the results at the time and then assured me I suffered from hypertension and asked me to take the drugs to lower it or get it to normal. I replied, “OK” but did not intend of taking the medicine. I surveyed my BP at a second time with nurses (my personal nurse) who was using the sphygmomanometer as well as a stethoscope. My pressure was 122/84 (ishes) without taking any medication. My baseline was textbook (120/80). I knew this.

The next visit I noticed the technician had used the automated machine and cuff wrong again and my pressure read high yet again. At the during that visit, the doctor thought he would take my case to an expert in diabetes teaching and stabilization. In the initial visit the office aide measured my blood pressure using an sphygmomanometer, stethoscope and a it read fairly normal. The doctor arrived and said ‘well, I do not think you’re suffering from high blood pressure, but you should continue to monitor it and let us know if it is higher than 140. I said sure.

The time passed, about a year or two, in which normal pressures were recorded every three months , until the last visit it read high even with the conventional equipment, but I’m not able to remember the method used.

It was high, and my doctor recommended for me Losartan 50mg once daily. I was required to take my first dose on one of my short vacations, so I was unable to monitor my blood tension before taking it. I was driving back home from Arkansas and realized that I couldn’t feel the asphalt as I drove. I felt lightheaded and dizzy and had to stop at a rest stop to rest until the dizziness and lightheadedness decreased, about an hour. I was convinced that , although I did not have high blood pressure, I was weak and non-functional because I’d taken an antihypertensive drug unnecessarily and decided to not take further Losartan until I went to my doctor once more.

On the following visit, my husband joined me for my annual physical at the office of the doctor where the nurse aide uses an automatic machine. His blood pressure is always normal. After seeing his doctor in the same office staff and staff, he was told his blood pressure had to be checked because it was reading HIGH. Why? because the office helper medical assistant, nurse’s aide or even a nurse could have taken his blood pressure wrong? I know she did because the same person tested mine and it read high as well. I was shocked thinking that this couldn’t be happening. I was thinking, “is this what’s going all over the world? Perhaps just this one country is the cause for drug or financial greed?” I was wondering, “do I need to inform the public about this cavalier attitude of taking blood pressures?” I was thinking, “do I blow the whistle to all the insurance companies paying for these ridiculous diagnosis of hypertension and the medications?”. The part that is warm in my heart, which is also the largest area of mine lead me to share my story because this may be happening more often than is necessary and the public need to know.

This isn’t just a superficial belief. It’s more authentic that the tracks of Sasquatch I’ve never witnessed however others seem to have. However, those who are experiencing similar experiences will reflect on their experiences, and hopefully bring some light to the cause of people’s consciousness.

Healthcare professionals are generally working in a hurry. Make sure your blood pressure has been properly measured prior to taking anti-hypertension medications. It’s possible that the method used to check your blood pressure is not correct and you need to know. Insurance companies should also be aware. Short-cuts should never be allowed when diagnosing patients with any condition. Automated machine to monitor blood pressures is definitely an easy way to cut corners. The old fashioned stethoscope and sphygomanometer can always give you the most accurate results.

See your physician if you are newly diagnosed and you’re experiencing dizziness and lightheadedness.

The healthcare profession does not do any harm to anyone but will make use of shortcuts. Even though HYPERTENSION is still regarded as ‘The silent killer’ We must be attentive to the condition of our bodies and how it changes but additionally other aspects that may add to or take away from our normal homeostasis.

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