Tuesday, February 12, 2013

The Most Embarrassing Way to Change Medication Dosage

By Brian Sloan


Regular Guy, Brian Sloan, here in order to give you all a quick tale. It's a little bit embarrassing. Yet, throughout all of my writings in the last number of years, it seems that folks wish to hear just how I make a horse's backside out of myself rather than reading several of my "transformational" insights about the order of society. And, even though this situation wasn't necessarily a big goof up on my part, I guess this was one of my most daunting and humiliating doctor appointments ever. Fortunately, I have never had any extremely bad physical ailments that could not be treated. However, regarding the entertainment value of this story, just file away this fact in the back of your mind. I had been using Amlodipine for minor high blood pressure for quite some time.

However, that affliction was in check - I assumed. But one problem definitely wasn't. Here it is - fun, fun: I have had persistent prostate troubles for quite a few years (BPH - Benign prostatic hyperplasia, I think that's what it's called). And it's somewhat aggravating. Now, I really am thankful that it's not cancer. I've had some friends who had to go through that. But my condition is certainly not that serious. It's found in plenty of much older men generally. But I've had the blasted thing forever. It almost seems like I was diagnosed around the age of ten. "Mrs. Sloan, just thought you would want to know that your son possesses a prostate gland roughly the overall size of a small refrigerator. Don't worry though, we will certainly try to keep it from getting really large." WHAT?? Oh, goodness, I have tolerated this for a long period of time. I'm 54. And seriously, it's not really like it's a matter that I bring up at dinner parties. "Everyone listen, you know what? I had this guy in a white lab coat who clearly just won first place in the world's biggest finger contest poke his entire arm up my keister earlier today! More chips, please." NO.... It's one of the things in life you simply attempt to keep to yourself, trust it will get better, and you don't introduce the topic at the dinner table.

So, at any rate I was minding my own business, just trying to see the doctor, considering that's what he makes me do frequently pertaining to my ailment. As I recall the small gland had become infected. So, there I was, patiently waiting for my physician to come into the room. He's honestly a great person and our families 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 on in and perform the dreaded finger drill, you WILL NOT BE at all relaxed.

So, I'm sitting in there in my not at all relaxed, please hurry up, get in here and let's get this over attitude, when it occurred. And I really had no idea whatsoever that a little something like this could affect my blood pressure as much as this would. However, what the doctor's office had failed to inform me was that my doctor was not available that day and his physician's assistant, a pleasant young FEMALE, was going to assist me. And please note that I'm not a sexist who doesn't want women serving in the medical field. And I do know that we need plenty of competent ladies throughout the medical profession. I simply didn't want one of them right there in that room at that particular moment.

Well, initially she starts bombarding me with questions and in the process of doing that, checked out my blood pressure. Upon doing that the good doctor didn't do very well covering a disturbing degree of concern. "Mr. Sloan, your blood pressure is off the charts." I don't recall the doctor's exact wording or the BP numbers. She took it once more and I believe it was even worse at that point. If I correctly remember she asked me whether or not I get a touch of white coat hypertension at the doctor's office. Well, of course the answer was yes, but I failed to tell her 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 suggested that I lay back on the exam table, let her turn off the overhead lights and she would leave for a few minutes so I could relax and calm down, then she would be back in a bit. Well, the trouble with her plan of action was that the odds were significantly against her having a complete sex change procedure in the next several minutes and come stepping back into as a male physician. So I lay there, virtually in the dark on a very hard exam room table and tried to relax.....uh huh. But it wasn't going to happen.

So, she came back into the exam room about 10 minutes later, but still tested and found my blood pressure to be elevated, approved for me a higher dose of amlodipine for my hypertension, didn't examine my prostate at all, and told me to get back with my regular doctor regarding that particular problem! So perhaps she appreciated my anxiety after all. And, subsequently we determined that she had made a good call. I really did require a greater dosage of the Amlodipine for my blood pressure problem over all, irrespective of what medical professional was ready to check the prostate gland. And they continue to remind me to take that BP medication regularly.

I have exercised, watched my diet and shed a good bit of pounds recently that certainly did help my BP levels. However, I still need to use the medication. Despite my laughter and humiliation about this adventure, our blood pressure is one thing that we definitely have to keep under control. High blood pressure is not called the silent killer for nothing. Get yours checked out. Make sure that you follow your physician's instructions and don't let high blood pressure put you at risk of severe or deadly conditions.

Have yourself a fantastic week!




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