I have a client. I saw her since 2002. She is around late 40s. When she has problem with shoulder or arms,she comes to visit me. Maybe a few times per year. Recently I saw her because of her allergy. During the treatment, she told me that she doesn't like to go to see a doctor. the latest one is because she cut her finger,then she went to an emergency. The doctor on duty took her blood pressure as a routine. He took her blood pressure for several times,then said he couldn't write down the numbers. Otherwise she would be in trouble. So I asked her about the number,she said maybe around 220/120 mmhg. The doctor thought maybe because she was in pain,so she had a high blood pressure. Then I thought even she was in such a pain,usually shouldn't have such a high blood pressure. So after acupuncture, I took her blood pressure. It was high.220/130! She has nothing to complaint except allergy symptoms. And she is not sure about her family history. So I asked her to come next day,and meantime I asked her to take her blood pressure by herself to excluding “ white cloth high blood pressure”( when people see a doctor,their blood pressure go up). She did that,and also the second time I took her blood pressure was high,too. I kept pushing her to see her family doctor. When she told her doctor about the number of blood pressure,her doctor got an appointment for her right away. Fortunately after all the examinations, except that she had several very mild heart attack( even she didn't have any symptoms), her liver,kidney function are still normal. Her family doctor gave her high dosage of blood pressure pills to control her blood pressure. A few weeks later,her blood pressure was going down ,but still abnormal. I suggest her to combine with herbs. Her diastolic pressure is very high,which means her vessels are narrowed and fragile. Drugs are only help to control the blood pressure, but it couldn't to help softening the vessels. Combining with herbs,we try to treat hypertension from the root. Definitely , this treatment would take a long way to go.
Her family doctor said thanks to me. I thanks to her because of her care about the patient. I should find her hypertension much more earlier. I'm back afraid that if that day I'm not chatting with her,if she doesn't mention what happened in the emergency,maybe I'll never find she has hypertension. That's why we said when you are a doctor for a long time,you'll be more careful. Anything can happen if you skip a clue.