Guest guest Posted June 13, 2003 Report Share Posted June 13, 2003 Hi Barbara, I would fully support Roy's observations. esp: If she shows reluctance, just let it go. Perhaps with a " That's OK, sometimes you need to let the body catch-up. Remember you have the tools to WORK ON IT on it whenever YOU CHOOSE TO. " You obviously helped her immensely, and to her entire satisfaction from what I can gather. What could better than that? This might also be an excellent opportunity to invite a follow-up call:-) Blessings, nels > Barbara- > You asked: " I have never had this reaction from anyone before and I backed off, should I have persisted to get it from OK to 0? " In honoring the client, I think you correct in not " persisting. " Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 2, 2004 Report Share Posted July 2, 2004 It's not weird to measure your BP everyday, at least. Just good medical practice. Get familiar with and you'll know when it changes. I use an electronic device to get a standard ear. More convenient in lotsa cases. I check it with a mercury sphygmo occasionally. Look up korotkoff sounds: http://www.nhlbi.nih.gov/resources/deca/whios/studydoc/procedur/9.pdf 1 first sound 2 start of the whoosh sound 3 regular beeping - no whoosh 4 last beep with a "pop"(followed by a muffled bump) 5 last sound. The convention is systolic = 1, diastolic = 5. The absolute best way is start doing it, lower the pressure slowly and listen carefully to the sounds. Also, listen to others sounds. I found mine was quite different. That may be my ear with my beat. I would call 135/85 too high but that is what I expect if I just sit down and take a measurement without resting. After rest, I expect 125/75. That is not ideal, but what I can do and feel OK. NIH has many docs on hypertension and measurement. Get more measurements and check it with your doctor's measurements. Keep a log with BP and the food you eat. Chart the data in a spreadsheet. Regards. ----- Original Message ----- From: chris Sent: Friday, July 02, 2004 1:51 AM Subject: [ ] Under pressure Hi all,At the risk of being labelled "weird" (TIC), I went out and bought my ownsphygmomanometer, if that is the right word in English (in Russian it's"tonometer").Any tips from you veterans as to its use? I tried it out, and the firsttime was pretty tricky, juggling all the little bits, while still trying tokeep my arm relaxed, wasn't easy. The reading seemed kind of high(135/85), so maybe I'm not doing something right. Not to mention that theinstructions are in Russian, and I may not have understood them exactly.thanks in advance,(|-|ri5 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 2, 2004 Report Share Posted July 2, 2004 JW, I have been doing some investigating in B/P numbers and find that he latest info is that the important aspect is the amount of difference between the Systolic and Diastolic. The difference should not be more than 40. The condition is very common in the elderly and is named 'Isolated Systolic Hypertension'. My B/P is 142/74 and therefor the difference is 68 which is not a good number. I would be healthier if it were 142/100 tho this doesn't sound reasonable to my standard concepts of high B/P I intend to ask my doc for a mild diuretic - just hope he can understand what I'm saying. Docs here dont check B/P unless you ask them to. I had taken mine in a pharmacy. Canary Peg PS And I was under the impression that my diastolic # was great which it may be for a younger person. , " jwwright " <jwwright@e...> wrote: > It's not weird to measure your BP everyday, at least. Just good medical practice. Get familiar with and you'll know when it changes. > > I use an electronic device to get a standard ear. More convenient in lotsa cases. I check it with a mercury sphygmo occasionally. > > Look up korotkoff sounds: > http://www.nhlbi.nih.gov/resources/deca/whios/studydoc/procedu r/9.pdf > > 1 first sound > 2 start of the whoosh sound > 3 regular beeping - no whoosh > 4 last beep with a " pop " (followed by a muffled bump) > 5 last sound. > The convention is systolic = 1, diastolic = 5. > > The absolute best way is start doing it, lower the pressure slowly and listen carefully to the sounds. > Also, listen to others sounds. I found mine was quite different. That may be my ear with my beat. > > I would call 135/85 too high but that is what I expect if I just sit down and take a measurement without resting. After rest, I expect 125/75. That is not ideal, but what I can do and feel OK. > NIH has many docs on hypertension and measurement. > > Get more measurements and check it with your doctor's measurements. > Keep a log with BP and the food you eat. > Chart the data in a spreadsheet. > > Regards. > > > ----- Original Message ----- > From: chris > > Sent: Friday, July 02, 2004 1:51 AM > Subject: [ ] Under pressure > > > > Hi all, > > At the risk of being labelled " weird " (TIC), I went out and bought my own > sphygmomanometer, if that is the right word in English (in Russian it's > " tonometer " ). > > Any tips from you veterans as to its use? I tried it out, and the first > time was pretty tricky, juggling all the little bits, while still trying to > keep my arm relaxed, wasn't easy. The reading seemed kind of high > (135/85), so maybe I'm not doing something right. Not to mention that the > instructions are in Russian, and I may not have understood them exactly. > > thanks in advance, > > (|-|ri5 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 2, 2004 Report Share Posted July 2, 2004 > JW, > I have been doing some investigating in B/P numbers and find > that he latest info is that the important aspect is the amount of > difference between the Systolic and Diastolic. The difference > should not be more than 40. The condition is very common in > the elderly and is named 'Isolated Systolic Hypertension'. My B/P > is 142/74 and therefor the difference is 68 which is not a good > number. I would be healthier if it were 142/100 tho this doesn't > sound reasonable to my standard concepts of high B/P I intend > to ask my doc for a mild diuretic - just hope he can understand > what I'm saying. Docs here dont check B/P unless you ask them > to. I had taken mine in a pharmacy. > > Canary Peg > PS And I was under the impression that my diastolic # was great > which it may be for a younger person. > Currently my BP is around 124/69, about the same as it was when I was in my mid twenties if I remember correctly. (Hopefully the systolic will improve with 10 more pounds of weight loss.) I always figured this was due to a rather slow strong heart beat and not too much to be worried about. Anyway was a little concerned about your statement about the delta bp should be less than 40 so " googled " this reference about ISH. http://www.holistic-online.com/Remedies/Heart/hypert_ISH.htm ----------------------------------------------------------------- Isolated Systolic Hypertension (ISH) When your systolic pressure (force of blood in the arteries as the heart beats; top number in a blood pressure reading) is 140 and higher; but your diastolic pressure (second number in a blood pressure reading) is normal the condition is called " isolated systolic hypertension, " or ISH. This is the most common form of high blood pressure for older persons. For most people, systolic blood pressure increases with age, while diastolic increases until about age 55 and then declines. About 65 percent of people with high blood pressure over age 60 have ISH. You may have ISH and feel fine. As with other types of high blood pressure, ISH often causes no symptoms. If left uncontrolled, high systolic pressure can lead to stroke, heart attack, congestive heart failure, kidney damage, blindness, or other conditions. While it cannot be cured once it has developed, ISH can be controlled. Clinical studies have proven that treating a high systolic pressure saves lives, greatly reduces illness, and improves the quality of life. Yet, most people do not have their high systolic pressure under control. Treatment options for ISH are the same as for other types of high blood pressure, in which both systolic and diastolic pressures are high. ISH is treated with lifestyle changes and/or medications. The key for any high blood pressure treatment is to bring the condition under proper control. Blood pressure should be controlled to less than 140/90 mm Hg. ---------------------------------------------------------------- By the way, at age 13 had a measured systolic blood pressure of up to 180. Couldn't have weighed over 110 pounds so it certainly wasn't due to being overweight. (Was put in a Catholic school and the nuns used to scare the s--t out of me :-) ) Anyway was put on a low salt diet and don't know if it helped much or not. Luckily went out for track, did a lot of sweating, and was totally cured of the bp problem. To this day, if I find my bp rising, I just try to do a little jogging, preferable in a warm temperature, until the bp comes back down to normal. So I always encourage everyone with high bp to try and get some aerobic exercise and do a lot of sweating since it seems much easier to eliminate salt than not to eat it in the first place. Of course this assumes that you can tolerate this kind of exercise to begin with. Aequalsz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2004 Report Share Posted July 6, 2004 Yes, I've heard that referred to as " pulse pressure " and 40 is a healthy target. I consider it a different but important marker of circulatory health. I've heard it described as similar to " pipe hammer " the clanging of your plumbing when you rapidly turn close a water faucet. Absolute high levels of BP can damage organs, pulse pressure indicates poor vessel flexibility and potential for related problems. JR -----Original Message----- From: Peg Diamond [mailto:enmuffins@...] Sent: Friday, July 02, 2004 1:54 PM Subject: [ ] Re: Under pressure JW, I have been doing some investigating in B/P numbers and find that he latest info is that the important aspect is the amount of difference between the Systolic and Diastolic. The difference should not be more than 40. The condition is very common in the elderly and is named 'Isolated Systolic Hypertension'. My B/P is 142/74 and therefor the difference is 68 which is not a good number. I would be healthier if it were 142/100 tho this doesn't sound reasonable to my standard concepts of high B/P I intend to ask my doc for a mild diuretic - just hope he can understand what I'm saying. Docs here dont check B/P unless you ask them to. I had taken mine in a pharmacy. Canary Peg PS And I was under the impression that my diastolic # was great which it may be for a younger person. , " jwwright " <jwwright@e...> wrote: > It's not weird to measure your BP everyday, at least. Just good medical practice. Get familiar with and you'll know when it changes. > > ________________________________________________________ This email has been scanned by Internet Pathway's Email Gateway scanning system for potentially harmful content, such as viruses or spam. Nothing out of the ordinary was detected in this email. For more information, call 601-776-3355 or email support@... ________________________________________________________ Quote Link to comment Share on other sites More sharing options...
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