Tag Archives: Lisinopril

The Upward Slide

I own a new adjective: hypertensive.

It’s been over a week since I had the eye injection and the sight in my right eye is somewhat improved. It could be coincidence. It could be that time was going to take care of the problem. It could be the Avastin. It could be both.

The reason I can tell it’s better is because when I look at a straight line, the dip in the middle is now minimal. When I follow the line, it undulates as the dip moves along my line of vision. It’s a phenomenon that makes me want to say: Far out, Man.

Before, the line had a steep downward curve past the midline of my vision field. One reason I could not read with that eye, the words were distorted and blurred in the middle. Now I can make out the words, though they are still a little blurred and slightly curvy in the middle.

My new ophthalmologist was immediately concerned about my blood pressure. Though no vital signs were taken at his office, he wanted me to have it checked out. The ophthalmologist I’d been seeing for years never mentioned my blood pressure when he diagnosed me with a retinal hemorrhage. All he said was let me stick a needle in your eye. But this new doctor was persistent and I promised I would.

My BP ran around 110/60 for years and years. Even on the busiest, non-stop days at work, I hardly broke a sweat. “How do you stay so cool?” the other nurses would ask me. “Why raise your blood pressure?” I would respond.

And now, now that I am retired from all those adrenalin rushes and working at something I enjoy when I feel like it, NOW I get high blood pressure? I suppose a contributing factor could be the sedentary aspect of “ass in chair” that writers suffer. Perhaps a standing desk over a treadmill is in order. You’d think all the years on my feet would have immunized me against hypertension.

It took a few years for it to trend up. First 120’s, then 130s and now 140s/80s. I can’t say I didn’t notice it. All the while I was being seen by a doctor every two months for over TEN years. But no comment was made by either one of us. Vitals are taken as part of the ritual. Something to document. Something to prove you’re still around, heart beating. It’s amazing how tunnel vision develops and you end up focusing on one big thing.

RA.

That’s all we saw, every two months. RA and RA-related numbers. The irony is that RA is probably complicit in these numbers as well. All along, my up-and-coming hypertension was hiding in plain sight.

I’m now on Lisinopril 5 mg daily. “It’s a little dose,” my doctor said. He wants me in the 130s. And he wants to check it again in two weeks. He retook my blood pressure himself, with a sphygmomanometer and a stethoscope, though the nurse had already taken it with the blood pressure machine. I liked that he did that. That’s how I started out taking blood pressures on my patients. The good old-fashioned way, where you can trust your own ears and not a mechanical object.

So, heads up: Learn your numbers and talk to your doctor about your blood pressure readings. Stay active and maintain a healthy weight. And if you love salt, cut it out! In all seriousness, I hope no one else has to worry about their BP.

 

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