If you ever have blood pressure that’s 180/120 or above, it’s an EMERGENCY

According to this article How Do I Know if I Need High Blood Pressure Drugs?  If you ever have blood pressure that’s 180/120 or above, it’s an EMERGENCY You need medical help right away to get it under control.

did everyone know that Medicare checks pts taking meds for diabetes,high blood pressure, and high cholesterol checks to see if they are taking their meds as prescribed… medically being compliant. Supposedly, they are suppose to “financially ding” prescribers and pharmacists/pharmacies if their pts are NOT routinely compliant.  Apparently there is no verification that the medication that the pt is being prescribed and routinely taking is not getting their blood pressure to an acceptable levels – typically <135/85.

How many chronic pain pts has their blood pressure increase as the prescriber has been reducing their pain meds.  You are put on up to 5 different blood pressure meds and your pressure remains at/near same HIGH LEVELS. They refuse to see any relationship with your reduced pain meds and your elevated BP and all the BP meds being prescribed … are DOING NOTHING !

They claim that there are no tests to evaluate that a pt is dealing with chronic pain and the intensity of their pain.  It is becoming quite obvious that many chronic pain pts who have their med therapies reduced and their blood pressure has increased and the prescriber adds 4-5 different categories of pharma anti-hypertensive meds and the pt’s elevated BP does go down.

Shouldn’t prescribers give pts a 30 day trial of a opiate to see if opiate therapy would lower their blood pressure ? I would suggest giving a pt Norco-10 and let the pt to be able to determine what dose they need to lower their overall pain. Norco-10 every 3 hrs around the clock as needed.  This dose is both under the 2016 CDC guideline of max of 90 MME/day and under the max recommended dose of Acetaminophen/Tylenol/day.  I would suggest that the pt take their blood pressure when they get up in the AM, after lunch, after supper and at bedtime and the pt – ideally – the pt should create a chart using a spread sheet over the 30 days, and the pt should wean themselves down over the last week of available meds.

What if the pt’s BP goes down some, but no where near the ideal BP of  < 135/85 ?  That would strongly suggest that the pt may still be dealing with under treated pain, but that their body – because of still high BP… is still dealing with elevated BP that higher dosing or using a different opiate may help lower the pt’s BP even lower.   This is may also be a good time for the pt to do DNA pharmacogenomic testing that would point out if the pt is a fast/ultra fast metabolizer for Hydrocodone and/or would better metabolizer of a different opiate.

The long term adverse health affects to pts with under/untreated pain can be quite dramatic.  High blood pressure has always been labeled as the SILENT KILLER. Attached graphic illustrates most all of those “bad outcomes” of under/untreated high blood pressure.

Medical Board Takes Action Against Misinformation Doc

— Pathologist Ryan Cole, MD, is facing discipline for negligence, spreading false statements

https://www.medpagetoday.com/special-reports/features/10270

An Idaho pathologist who previously came under fireopens in a new tab or window for prescribing ivermectin to COVID-19 patients and spreading falsities about vaccines, is facing disciplinary actionopens in a new tab or window by the Medical Commission in Washington state, where he is also licensed to practice.

Ryan Cole, MD, is said to have made “numerous false and misleading statements” during public presentations on the pandemic, COVID vaccines, the use of ivermectin to treat COVID, and the effectiveness of masks, according to a statement of chargesopens in a new tab or window issued by the Washington Medical Commission earlier this month. He also allegedly provided negligent care to a number of patients in the prevention or treatment of COVID.

“Due to their specialized knowledge and training, licensed physicians possess a high degree of public trust,” the commission wrote in the statement. “That public trust is essential to effective delivery of medical care. Knowingly false statements or those made in reckless disregard for the truth, such as the medical disinformation statements by respondent … erode the public’s trust in physicians and their medical treatment and advice, and thereby injure public health.”

Specifically, at all times relevant to the case, Cole, an anatomical and clinical pathologist, ran an independent medical laboratory that he owns, provided direct care to patients via telemedicine through the website MyFreeDoctor.com, and spoke at public and private forums, as well as on news shows and podcasts, the statement noted.

According to the commission, since March 2021, Cole is said to have made false and misleading comments during his presentations, including, “Children survive [COVID-19] at a hundred percent,” and “A hundred percent of world [ivermectin] trials have shown benefit.”

Other public statements Cole is said to have made include that the COVID vaccine is “an experimental biological gene therapy immune-modulatory injection,” in addition to “a fake vaccine … the clot shot, needle rape.”

In a written statement to the Washington Medical Commission dated Feb. 7, 2022, Cole wrote that he had not advised patients or the general public to not get the COVID vaccine, contrary to other remarks included in the statement of charges.

As for the allegations of negligent patient care, the statement included descriptions of telemedicine provided in June and July 2021 to four unnamed patients.

“For all of these patients, respondent prescribed medications that are not indicated for a COVID-19 infection, failed to properly document adequate justification for the treatment in the medical record, failed to take a history or perform a physical examination, and failed to obtain appropriate informed consent,” the commission wrote. “Respondent also provided inadequate opportunity for follow-up care, treated patients beyond his competency level, and did not advise patients about standard treatment guidelines and preventative measures.”

The Idaho Capital Sun reported that Cole has until the end of the monthopens in a new tab or window to respond to the statement of charges, and that the physician has previously maintained that he did not violate standardsopens in a new tab or window while treating patients for COVID via telemedicine.

The news outlet further noted that Cole serves as the CEO of his laboratory, Cole Diagnostics, located in Garden City, Idaho, and is currently licensed by the Idaho Board of Medicine, as well as medical boards in several other states.

A search of the Idaho Board of Medicine’s online portal showed no action against his license there.

Cole did not immediately return a request for comment.

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