Thursday, February 14, 2013

The Amlodipine Adventure: Hypertension Isn't funny ... Except this Time

By Brian Sloan


Regular Guy, Brian Sloan, here to give you a quick story. It's really a tad uncomfortable. However, throughout all of my article writing in the previous few years, it seems that my readers wish to hear how I make a horse's rear out of myself instead of reading a few of my "deep" insights about the condition of society. And, although this story line wasn't necessarily a big blunder on my part, I suspect this happened to be one of my most daunting and awkward physician's appointments ever. Fortunately, I haven't had any very severe health conditions that couldn't be managed. However, regarding the entertainment value of this small adventure, just file away this fact in the back of your mind. I had been taking Amlodipine for minor high blood pressure levels for a year or so.

But, that affliction was well under control - I believed. But one problem really was not. Okay, so here it is - fun, fun: I have had chronic prostate troubles for many years (BPH - Benign prostatic hyperplasia, I believe that's what it's called). And it's rather frustrating. Now, I'm thankful that it's not cancer. I've had some friends who had to go through that. But my ailment is certainly not that serious. It's found in plenty of much older gentlemen generally. But I have endured the blasted thing for many, many years. It feels like I was diagnosed in the 3rd grade. "Mrs. Sloan, just thought you would want to know that your child possesses a prostate gland approximately the size of a small refrigerator. But don't worry, we will try to stop it from getting really large." SAY WHAT?? Oh, man, I have tolerated this for a long time. I'm 54. And seriously, it's not like it's a topic that I want to discuss at parties. "Everyone listen, guess what? I had this man in a white coat who obviously just won first place in the world's biggest finger competition stick his entire arm up my keister earlier today! Pass the chips, please." NO.... It's just one of those things you just try to keep to yourself, hope it is going to improve, and you don't ever introduce the topic at dinner time.

So, anyhow I was minding my own stinkin' business, just waiting to see my doctor, because that's what he makes me do frequently pertaining to my ailment. I think the small refrigerator sized gland had become infected. So, there I was, patiently waiting for my doctor to come into the exam room. He's actually a great person and our family members had been acquainted quite a while before I started using him as my primary doctor. And, I have to let you know, it doesn't matter who it might be, if you're sitting in that small room waiting for the doc to come in and perform the forever dreaded finger routine, you WILL NOT BE relaxed.

So, I'm patiently waiting there in my not relaxed, hurry up, get in here and let's get this over frame of mind, and then it happened. And I really had no idea whatsoever that something like this could affect my blood pressure the way this would. However, what the doctor's office had failed to inform me was that my physician wasn't available that particular day and his physician's assistant, a pleasant young LADY, was ready to help me. And please note that I'm not a sexist who doesn't want women serving in the medical field. And I really know that the world needs many qualified women throughout the medical profession. I simply didn't wish to have one right there in that room at that particular moment.

Well, first she begins bombarding me with questions and while doing so, checked my blood pressure. Upon doing so she didn't do very well covering a disturbing amount of concern on her face. "Mr. Sloan, your blood pressure is extremely high." I don't recall her exact wording or the BP level. She took it once more and I think it was even worse that time. If I correctly remember she asked me did I normally get Physician's office anxiety at the physician's office. Well, of course the answer to the question was yes, but I neglected to answer that the real condition that I had was FMPIWCH (Female Medical Person In a White Coat Hypertension).

So, God bless her, she's now so fearful that this guy's going to have a stroke in her office, that she requests that I recline on the examination table, let her cut off the lights and let her leave me for a few minutes in order for me to rest and settle down, and she would come back in just a bit. Well, the problem with her strategy was that the chances were significantly against her getting a complete sex change operation in the following several minutes and come walking back into as a male doctor. So I lay there, virtually in the dark on a very hard examination room table while trying to relax.....uh huh. But it was not gonna' happen.

Well, she came back into the room about 10 minutes later, but again discovered my BP to be fairly elevated, approved for me a higher dosage of amlodipine for my high BP, didn't even examine my prostate gland at all, and told me to see my regular physician regarding that problem! So possibly she realized my anxiety after all. And, subsequently we determined that she had done the correct thing. I really did need to have a greater dose of the Amlodipine for my blood pressure problem in general, irrespective of who was ready to check the prostate. And they consistently need to emphasize to me to take that BP medication daily.

I have trained, watched my eating habits and shed some substantial pounds of late that certainly did lower my BP levels. Yet, I still need to take the medication. In spite of my amusement and total embarrassment regarding this adventure, our blood pressure is one thing that we definitely have to regulate properly. High blood pressure isn't referred to as the silent killer for nothing. Get yours checked out. Make certain that you comply with your doctor's instructions and don't let hypertension place you in jeopardy of serious or fatal physical conditions.

Have yourself a fantastic week!




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