Thursday, August 07, 2014

Are you being treated TOO much?

A relative of mine once went into a coma and almost died from a systemic bladder infection (sepsis)--yet this week when she had one, she could not for the life of her get the doctor to call in a script. They said they would "try." Yoda, people--there is no TRY, only DO. She ended up at Urgent Care at 8 PM to get treated and get medicine.

But the WSJ, Laura Landro, Aug 5, 2014, also has a story on how some diseases such as high blood pressure and diabetes may be treated too aggressively--resulting in people falling over from low BP or hypoglycemia.

Check out the Aug 4th issue of the J of American College of Cardiology. They looked a 400,000 Kaiser Permanente patient records--those whose BP was pushed too low were at risk for death or kidney failure.

Guidelines say that adults from 30 to 59 should aim for below 140 on the top (systolic) and 90 on the bottom (diastolic).

Once a patient is on meds, they hate to stop them.

The range of 130-139 on top and 60 to 79 on the bottom had the lowest risk of dying or kidney failure.

From 140 to 149 on top, 44% more  likely to die or have kidney issues.

From 120 to 129 on top, 12% more risk.

From 110-119 on top, 81% more risk.

If this is true (I am hinky about most studies), why is 120/80 recommended?

I am not suggesting you become your own doctor and quit meds or anything, but talk about these things.

The article suggested doctors look out for patients who are dizzy or lightheaded. Look out--how?

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