The Power of Two: Why Patient Validation is Crucial for Blood Pressure Control

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I don't know, uh, make that a podcast.

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And, and as a matter of fact, I
just hit the record button, but,

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but I should have did that earlier.

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I should have done that
earlier or just make it normal.

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Uh, so that we, that's good content there.

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Yeah, I think that's, that's how, that's
how, uh, uh, podcasting is done, you

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know, supposed to be a conversation.

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Yes.

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You can have structured A, B,
and C, you know, there's a time

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and spot for that, you know,
cause either one of us right now.

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Hey, I'm going to share my screen of
this, you know, and go down the line.

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Yeah, we could do that.

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How often do you check
your blood pressure?

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I check it every day, actually, you know,

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Pardon me?

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In the morning or in the evening?

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It's usually in the, in the evening.

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Okay, that's fine.

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But model suggests it's various sometimes
and see if there's a difference.

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Okay.

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But, but that's good because most
people don't check it every day.

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So the fact that you check your blood
pressure every day, um, um, and you're

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on top of it, that, that puts you
probably in that top 10 or 20 percent

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of people who are doing the right thing.

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Sometimes, sometimes I'll, I'll
bring it with me on the job

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and have it, no, that's,
that's even better.

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That's even better.

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Because now what you're doing is you,
you are validating your, your database,

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you the scope of your database and
you're increasing its reliability.

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You know, you can have a bunch of
numbers, but if you do it the exact

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same, same time, the same place.

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It's limited, but if you do it different
areas, then that certainly increases,

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um, the reliability of that data.

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And, and something else that you shared,
which was, I found, you know, very

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interesting and informative was, uh,
what you should or should not do prior

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to, you know, taking this.

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Yes, I, I think that's very important
and I'm trying to get that out

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to as many people as possible
because, you know, it's a standard.

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You know, and somebody put that standard
together, and I think the fact that it's

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a standard, which means that there's some
research data behind it, at least it's

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something, it's better than having no
standard, you know, and a lot of it is

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common sense, you know, like, you know,
sit with you, your feet on the floor

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and, and, um, you know, don't, don't, uh,
drink caffeine right before you're going

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to, going to take your blood pressure,

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your bladder, which, which actually,
you know, For me in my, in my

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case, uh, uh, and maybe others have
the same sim, similar situation.

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Okay.

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You're going to like my case.

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I'll go to Concentra, uh, uh, to
get, uh, my observation for, uh,

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my, uh, uh, DOT uh, uh, Uhhuh.

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They're, they, they, they want urinalysis.

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So you have to have, you know,
something in you to give them, you

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know, so you're sitting there and
you're drinking water, you know, unless

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you're already primed and ready to go.

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And then you, you're also trying to
keep, you know, everything else calm,

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you know, and I'm a calm person anyway.

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Right.

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I mean, but that's mentally,
you know, the back and you can't

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control the environment.

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That's where you are.

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My, my, my, my, uh, what
is the cortex up here?

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The prefrontal cortex,

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prefrontal cortex is always engaged.

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The, but the body is what it is.

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And so, um, uh, so I'm
sitting there doing that.

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And I was thinking of it when, when
you were saying that empty your

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bladder, I'm like, well, my bladder,
when I'm in that situation, and I

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think, I think others would, and
when they're there to give a specimen

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as well, the bladder might be full.

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But, but then there's the other scenario.

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When you're on the treadmill and
you got it and they're doing, you

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know, an observation, a stress test,

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right?

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You know, and

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everything is elevated there, right?

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Which is why the most reliable
blood pressure is at home.

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It's not doctors.

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It's counterintuitive.

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It's counterintuitive.

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And that that's what
makes it so challenging.

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Like the techniques we were talking about.

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One was don't drink caffeine, smoke
or exercise at least 30 minutes before

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you take your blood pressure to empty
your bladder before you go to sleep.

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3.

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Sit with your back straight, such as on a
dining chair with both feet on the floor.

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4.

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Rest quietly for at least 5
minutes before you take a reading.

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5.

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Do not move, talk, or text on your phone.

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Uh, while you before, right before
you take your blood pressure, that was

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exactly, uh, check your blood pressure
second time standing if it's elevated.

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So, you know, if we can get everybody
just to follow those basic things,

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then, then we would be good.

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Now

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on that part of the standing there,
if you're in the doctor's office,

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will they allow you to do that?

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I mean, most times they will
ask you to do that to stand

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and take absolutely.

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Yeah, absolutely.

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If you go, I know Kaiser does, um,
uh, and I would think, and Kaiser may

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be ahead of, like, the average, you
know, GP or whatever, or, you know,

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Physician, depending on how long they've
been in practice, but in general, uh,

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they will ask you to stand immediately.

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And usually the nurse is the one
that takes you about pressure

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before you see the doctor,

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right?

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That's true.

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Uh, but usually he or she will ask
you to stand and almost invariably.

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Um, I think that usually it's lower

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now to that point right there
about the nurse being the first

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in, uh, at least in, uh, Dr.

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Tai's practice.

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He'll come in and he'll do his own thing.

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Uh,

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they'll do it all

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because most of us doctors who are
old school were taught that you

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always validate it anyway, right?

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You don't go over what the nurse says.

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You validate it so that
that's what he's doing.

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And my own point is, and
I used to do the same.

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My other point is there should
be a third validation or a second

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validation and that's the patient
because that's the ultimate.

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And the most important validation.

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Now, you know, the discussion that you
and I just had for the last five or

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ten minutes Could could be a podcast
Well, it is because I said, and then

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so Jesse has a one on one conversation.

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Oh, yeah.

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If you

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listening.

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Yeah, only transparent.

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This is real world stuff.

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This is fake.

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And I'm still here, you know.

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We can

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definitely put a plug in that.

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And what the, and actually, essentially
you mentioned that because what the

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Hypertension, we, we did a number
of podcasts around hypertension.

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And I was trying to make that case today.

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It's really, really, really a big
deal in terms of quality health,

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keeping people alive, uh, you know,
giving them, empowering them, uh,

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to, to take care of themselves and
their, and the ones close to them.

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So,

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yeah.

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So in terms of a theme, you know,
that was sort of our theme for

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the last, You know, 30 days or so.

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Yeah, it was

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right on time.

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Actually, it may be something with
similarly with anxiety to where

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we have the major presentation,
but then we break it up into

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component parts that in the podcast.

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That's, that's excellent.

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That's excellent.

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That's excellent structure right there
because that makes it easy to digest.

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Yeah, that's how that's how Pastor Dockery
puts together the themes for his sermons.

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Oh, is that right?

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A month.

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Yeah, he'll have a

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theme.

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Right, right, he does have a theme.

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A theme for the rest of the month.

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Right, right, right.

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Well, thank you.

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That's basically what we're doing
here, particularly with some

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of this, but, um, that's good.

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That's good.

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I think we're moving
in the right direction.

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Um, I'm going to let you go at, you know,
you're, you're two hours in already.

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Woo!

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Boy.

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At least I, at least I haven't got, yeah.

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I'll

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be coming in.

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Hey, you know, when I when I would give
different talks to different hospitals

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on different subjects, whatever I
would always in early on purpose,

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and I would conclude by saying, I'm
going to give you the gift of time.

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You know, and I would say time is
something that we can't make any more of

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and I say, because you were here and we
were here earlier, whatever got a lot.

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I'm going to give you the gift of time.

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So today we're giving you the gift of
time instead of three hours is two hours.

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That's true.