Hi Hopeful,

I just responded with a long story that was not really relevant and might cause some confusion to others that may read it so I deleted it. The renal blockages were discovered accidentally when investigating another problem. Bilateral renal artery bypass was performed. Knowing that uncontrolled hypertension can lead to renal failure and that part of the function of the kidneys is to regulate blood pressure caused me much concern when my mother's renal arteries were occluded

I think my elevated BP (with medication) only at my pain mgt. doc is because I am usually there when my pain is the worst. I guess it is the pain combined with the fact an assistant takes my pressure immediately after rushing me into the exam room before I can even get seated. My other docs personally take my BP after we have been talking for a bit, not upon rushing me into the room.

Whenever I get an elevated reading at the doc's office, I come home and check it to be sure it was a fluke and not a need to change or increase my BP meds.

As far as the different types of BP meds, I know that I was put on a beta blocker by my cardiologist because of my heart rate (tachycardia), not just my BP. I was already on other types of BP meds, the beta blocker was additional. I also know they consider the patient compliance factor especially with some men because of the side effects of some types of BP meds on them. I was just curious what factors determine which type of meds they prescribe for hypertension. I know some considerations but wonder about the other factors.

Sure hope you find the reason for your recent elevations. I don't need to tell you how important it is to control BP as you already know that and are taking all the right steps toward proper care of yourself. Sorry that your nursing background is now needed to care for yourself. Thanks for your postings.