Blood Pressure Myths Busted: Why Regular Checks Matter More Than You Think

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Coming up on this episode of the
Healthy, Wealthy and Wise podcast.

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What makes the difference for you
to stand as opposed to sitting?

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When you stand, it lowers
your blood pressure.

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When you sit, it's just,
it's pretty mechanical.

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And you'll notice that when you go into
the doctor's office, if it's a little

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high, the nurse will say, I'm going
to have you stand for a few minutes.

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And then I'm going to check it again.

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Uh, and, and that's okay.

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Because if that standing blood
pressure is normal, you're good.

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You're good.

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All right.

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So, so that's why it's important,
the environment before you check

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your blood pressure, how you check

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your blood pressure.

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And welcome to the Healthy,
Wealthy and Wise podcast with Dr.

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William T.

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Choctaw, MD, JD.

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This podcast will provide you with
tools and actionable information

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you can use to help live a more
healthy, wealthy, and wise life.

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It's powered by the over 50 years of
medical experience of this Yale University

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Medical School trained surgeon who is Is
also a Western state law school trained

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attorney with executive experience being
a former mayor of Walnut, California,

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as well as the current chairman of the
nonprofit Servant's Arms, and as president

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of Choctaw Medical Group Incorporated.

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This is the leadership masterclass
edition already in progress.

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So, you might

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say, well, Dr.

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Octave, you

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just spent the last 20 minutes
talking about what's that had

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to do with high blood pressure.

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Well, there was an article that I
read, uh, actually about a week ago.

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Uh, in the Alzheimer's and Dementia
Journal, uh, by Scenaro and Hughes,

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where they show that over a period of
time, if you can lower the systolic

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blood pressure, remember blood pressure
is systolic and diastolic, systolic is

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the top number, diastolic is the bottom
number, that you can, uh, decrease

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dementia, or the rate of dementia.

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Um, one of the ways that, uh, you
treat dementia, um, uh, is by social

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engagement, is by interreacting, is
by, um, talking to other people, mental

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exercise, reading, class, hobbies, church.

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Church is a great place to, to
sort of, for us to sort of treat

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our dementia, in my opinion.

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Uh, why?

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Because you come and you see people that
you know, that you like, and you, you

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hug, and you talk, and you feel good,
and you listen to music, and you, you

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walk from the front part of the church
to the back part of the church, till

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you get some exercise, uh, physically.

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Um, and you do that once a
week at least, roughly, right?

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And so my point is there are things
around us that we need to do and maybe

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do more to help us, uh, therapeutically
deal with the possibilities.

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Let's look very quickly at blood pressure.

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Basic blood pressure is one 20 over 80.

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The top number is a one.

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2080 is the bottom number one.

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20 is systolic.

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80 is called diastolic.

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Okay, so the excellent
area is 120 over 80.

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Blood pressure is unique
in a couple of ways.

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One is a lot of people have blood
pressure problems, number one.

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Number two is how well your blood
pressure is being treated depends on,

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um, uh, where your blood pressure is.

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And so that depends on regular
measurements of your blood pressure.

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Um, there is a, a, a complete
misnomer or an illusion that

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says, well, I know when my blood
pressure is up cause I can feel it.

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No, you can't.

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No, you can't.

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You think you can.

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You can.

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You have no idea when
your blood pressure's up.

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Uh, and my point is that a lot of
people use that, uh, as a reason to

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say, Well, I don't need any medication
because my blood pressure's okay.

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You do not know what your blood
pressure is until you measure it, right?

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You gotta measure it, and you should
measure it on a regular basis.

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More importantly, all of us, when we go in
to see our doctors, first thing they do is

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a nurse will measure your blood pressure.

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Now, if you're like me, a lot of
other pressure, I don't particularly

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like to go see my doctor.

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Nothing personal, nothing
personal, I just don't like it.

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Is that right?

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Makes sense?

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Makes sense?

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I don't like it.

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Um, I like it when I'm on the other side.

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They come to see me.

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I'm cool with that.

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But I do not, so I'm already not
happy that I got to do this because

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I have an appointment, right?

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Uh, but the first thing they do is
they register my blood pressure.

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And a lot of, for a lot of people,
um, I'm already a little stressed

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because I got to be there.

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So my, and guess what that
does with my blood pressure?

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It's going to go up.

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It's going to go up.

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So many times the measurement of your
blood pressure at the doctor's office or

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the hospital may not be the most accurate.

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And what I mean by most accurate,
I mean what your blood pressure

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is most of the time, right?

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Um, and you spend more time
at home than you do at the

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hospital or the doctor's office.

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So you need to measure
it at home more often.

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So How you measure your
blood pressure is important.

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Now, six basic things about measuring
your blood pressure at home.

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These are six things you need to do.

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Number one, don't drink coffee, smoke,
or exercise at least 30 minutes before

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you measure your blood pressure.

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Don't get on the treadmill.

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Walk an hour, or run 30 minutes,
and then say, Okay, let me

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go check my blood pressure.

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Don't do that!

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Right?

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Because it's not going to be accurate.

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It's got to be high.

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What you want to know is what is my
blood pressure most of the time, right?

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Uh, empty your bladder before
you measure your blood pressure.

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Don't sit there and say, okay,
okay, hurry up, hurry up, hurry up.

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I gotta go to the bathroom.

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Don't talk to me like that.

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Because it's stressful.

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It's stressful.

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Um, sit with your back straight,
such as on a dining room

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chair, both feet on the floor.

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Um, rest quietly at least five minutes
before taking your blood pressure.

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Just sit there and think, or if you
meditate, meditate, that, that's fine.

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Um, don't move or talk, don't have
your phone there, so it's buzzing and

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you're getting texts and all that.

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All of that bumps up your blood pressure.

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Uh, and if your blood pressure is
higher than it should be, stand.

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Wait three or four minutes
and check it again.

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Now I'm sure most of you, um, have
equipment to check your blood pressure.

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You do not need a stethoscope to
check your blood pressure at home.

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Now that's old school.

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Old school.

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All right.

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That's the way we used to do it.

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You can go to any pharmacy or
I'm sure Amazon would do it too.

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Order a blood pressure unit that comes
in two parts, that's the cuff that

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goes around your arm, it plugs into
the little machine, which is plastic

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and gives you the readout, and it
tells you what your blood pressure is.

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Any questions about that
blood pressure part?

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Yes sir.

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Systolic.

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Uh, the systolic, what is it measuring
and, uh, Can it be high because you're

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moving around in the disolic, say it's
80 or 115, uh, uh, uh, uh, what is it?

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It's usually, well, 120

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over 80

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is the normal thing.

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Yeah, the 80.

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Okay.

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I'd say it's a little lower, say 70.

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Okay.

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And the, uh, Upper one systolic is one.

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Systolic uhhuh is one 40.

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Okay.

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And the bottom one is good.

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Okay.

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At one at 70, right.

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Okay.

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Is that good at seven 70 is good.

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Okay.

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But the upper one, what can make the, uh,
systolic uhhuh ? Did I say that right?

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Uh, no Systolic stylic.

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Sistah.

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Sistah.

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Sistah.

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Uh huh.

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And, uh, with that said, what's
going on in the body that makes it

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the sistah?

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That's a good question.

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Because for many years, And when I
say many years, I'm talking about,

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I'm going to say the 70s, back when
I graduated from medical school.

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We used to think that the
most important number was the

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diastolic, the second number.

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That the systolic was probably
okay, that it could be a little

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high and that didn't mean that much.

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Because one measures blood going
from the heart and one measures

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blood going to the heart.

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Now we know both are important.

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Going to part of your question
that, uh, it doesn't matter

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if the diastolic is normal.

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If the systolic is abnormally high, you
still need medication to bring it down.

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Yes.

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Uh

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oh.

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Thank you.

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What makes the difference for you
to stand as opposed to sitting?

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Good question.

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When you stand, it lowers
your blood pressure.

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When you say it's just, it is pretty
mechanical, and you'll notice that when

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you go into the doctor's office, if
it's a little high, the nurses say, I'm

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gonna have you stand for a few minutes,
and then I'm gonna check it again.

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Uh, and, and that's okay because if
that standing blood pressure is normal,

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you're good, you're good, right?

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So, so that's why it's important
the environment before you check

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your blood pressure, how you check
your blood pressure, and when

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you check your blood pressure.

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So if that's the case, why is it
that you don't stand to begin with?

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Well, because ideally, you want it
at a certain level without standing.

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Standing is just a way of evaluating
it under more different circumstances.

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Thank you.

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Good question.

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No, thank you.

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Yes.

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So the standing allows you to let go.

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By standing, you say stand.

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Right.

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And are sitting straight?

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When you stand, the
pressure decreases some.

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Now it's different for different
people, and it may not decrease

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to get your blood pressure normal.

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And so you want to know that,
but that's what standing does.

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And, uh, I'm thinking, I'm
just getting a picture of it.

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Uh, standing, because like if
I'm sitting and I'm crouched, and

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the blood is kind of being pushed
back into a more condensed area.

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But by standing, it has
more able body to flow.

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It's really less.

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It's not on the physical effect,
it's more on the pressure.

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When you stand, the pressure goes down.

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Because when you're sitting, you know,
part of your lower torso is a certain

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way, your upper torso is another way.

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But by standing, your whole body, which is
what you're concerned about, is what that

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pressure is throughout the whole body.

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Not the upper body or the lower body.

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Okay.

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Good for me.

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Is that right?

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Yes it is.

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Yes

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it is.

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Yes it is.

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Yes it is.

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And so that's why it's important, but
what's even more important is for you

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to know what your blood pressure is.

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And the only way you can do that
is you have to do it regularly.

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And I would suggest writing it down.

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Yes.

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It's, you know, little directions.

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Right.

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Right.

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And one of them says that your
blood pressure taken more than once.

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In a certain period of time, there's
a little statement on the side there,

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uh, it can go down so many, uh, levels.

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Right.

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It may

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change.

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Yeah, that's true.

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That's true.

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Okay.

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Um, so remember managing your
blood pressure, you want regular

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checkups, lifestyle modifications.

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Um, exercise is always good.

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Stress management is always good.

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Um, for a number of you, myself
included, this may have been a stressful

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week, but we will get through it.

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We will get through it.

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God is good.

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Uh, and we will recommit
ourselves, um, and stay resilient.

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Um, the other thing to keep
in mind, um, that high blood

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pressure, can be in your genes.

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One of the things that has been so
misused in this country is we beat up

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on people because of their illnesses.

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We sort of say, well, you have so and
so and I don't have that because I,

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I don't know, I go to church and, and
so God blesses, you know, we, we go

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through all that stuff, which is hogwash.

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It's hogwash.

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It may very well be that your
great grandmother and great

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grandfather had high blood pressure.

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And they pass that gene down to you.

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So it doesn't matter.

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It's important what you do,
but you can't make it go away.

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That's what I'm saying.

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That the fact that you have high blood
pressure, or that you have obesity, or

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that you have diabetes, Some of these
things may be inherited, uh, you'd be

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amazed at the people who think they're
just bad people because they don't have,

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um, uh, willpower and they, they, they,
they should have done better and they

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go through all this stuff and all they
do is end up depressing themselves.

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Right?

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And then they eat more, or sit more, or
exercise less, and make the problem worse.

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A lot of this is inherent,
it is not your fault.

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So please keep that in mind.

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Blood pressure is important because
it is called the solid killer.

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Again, you do not know when
your blood pressure is elevated.

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They've proven this by checking people
who think they know when their blood

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pressure is elevated, and they're wrong.

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They're wrong.

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Uh, and so you want to
do it on a regular basis.

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Salt affects your blood pressure
by directly increasing, um,

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the blood pressure in the body
through certain mechanisms.

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And that's why many times, uh, they,
they put you on a low salt diet,

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um, because salt pulls in fluid.

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Fluid coming in increases
pressure in the, in the vessels.

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which increases your blood pressure.

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One of the things that I want
to sort of end on is something

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real basic and real simple.

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And this is called the pillbox.

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The pillbox.

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00:14:23,890 --> 00:14:26,289
Now, some of you may
know what a pillbox is.

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Some of you may have
never heard of a pillbox.

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A pill box, that's exactly what it says.

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It's a box you put pills in.

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Nothing, nothing to hide here.

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It's a box you put pills
in, but it's a special box.

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Uh, it has the months of the year.

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I mean, the, the, um, uh,
the days of the weeks on it.

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And If you are, I'm going to go out on
a limb, if you are 50 years of age and

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older, I'm going to suggest that you're
probably taking some kind of medication.

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You may not be, but I'm
just going to suggest it.

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Now obviously you can be younger than
50 taking medication, but I'm going to

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say that most of us who hit 50, 40, 45,
50, you're on at least one medication.

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00:15:09,980 --> 00:15:15,354
Okay, so let's say you're on one
medication and the doctor says, I want you

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to take this medication three times a day.

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00:15:17,604 --> 00:15:24,435
Let's say if that issue is high
blood pressure, you may be on two or

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three different types of medication
just for high blood pressure, right?

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So he says, I want you to take
medicine A three times a day.

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I want you to take medicine B.

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Two times a day, uh, at night.

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I want you to take
medicine C every other day.

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Thank you for listening to the Healthy,
wealthy and Wise Podcast with Dr.

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00:15:43,385 --> 00:15:45,949
William t Choctaw, MDJD.

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You can listen again to this and
any of the previous episodes.

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00:15:50,530 --> 00:15:58,360
Leave a comment or pose questions to
the doctor by going to www.thwwp.com.

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00:15:58,720 --> 00:16:04,150
That's www.thwwp.com and you've got it.

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00:16:04,660 --> 00:16:04,810
It's all.

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00:16:05,069 --> 00:16:09,569
Also available wherever you get
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00:16:09,610 --> 00:16:11,350
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00:16:11,350 --> 00:16:15,290
If you haven't already, then tune in
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00:16:15,290 --> 00:16:17,189
Wealthy and Wise podcast with Dr.

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00:16:17,189 --> 00:16:17,739
William T.

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Choctaw, MD, JD, a production of
Change Makers Communications, LLC.