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Open CME claims 1:3 people in the US have HT but only 29% of them are aware of it. This sad state of affairs has nothing to do with guidelines, best evidence or medical education reform, it relates entirely to diagnosis. If you can't diagnosis it, you certainly can't treat it.
Taking a. BP is nor hard, but it requires a certain descipline: multiple readings, sitting and standing, documentation of body position and all readings. As long as BPs are done by machine or aid, we can count on gross errors. The machine is usually inaccurate. The aid is looking only for a normal reading. I had one aid ask me if that sounded right. If the doctor is not interested in finding elevated BP readings, he won't find them, but he will indeed if only he or she will take the time to do the pulse and BP. What better way to establish raport, intimacy and trust - not to mention build a quality practice.
Taking a. BP is nor hard, but it requires a certain descipline: multiple readings, sitting and standing, documentation of body position and all readings. As long as BPs are done by machine or aid, we can count on gross errors. The machine is usually inaccurate. The aid is looking only for a normal reading. I had one aid ask me if that sounded right. If the doctor is not interested in finding elevated BP readings, he won't find them, but he will indeed if only he or she will take the time to do the pulse and BP. What better way to establish raport, intimacy and trust - not to mention build a quality practice.
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