Doctors Really Do Raise Your Blood Pressure

House Approves Bill To Stop Cut To Medicare Doctors

This link between doctors and higher blood pressure readings is known as the “white coat effect,” and is believed to be the result of patients being more nervous when examined by a physician. This effect has been noted in a number of previous studies, but this new paper is the first to confirm it, according to the study authors. Two new studies focus on heart disease, plus the key to keeping kids safe on the road, in today’s health news roundup. The investigators analyzed data from more than 1,000 people who had blood pressure readings taken by both doctors and nurses during the same visit. The readings taken by doctors were significantly higher than those taken by nurses, the study authors found. The findings, published in the current issue of the British Journal of General Practice, should lead to changes in the way blood pressure readings are taken, according to lead author Dr. Christopher Clark, of the University of Exeter Medical School, in England. “Doctors should continue to measure blood pressure as part of the assessment of an ill patient or a routine check-up, but not where clinical decisions on blood pressure treatment depend on the outcome,” Clark said in a university news release. “The difference we noted is enough to tip some patients over the threshold for treatment for high blood pressure, and unnecessary http://shannonhobrown.wordpress.com/2014/01/06/painless-alex-simring-solutions-uncovered/ medication can lead to unwanted side-effects,” he said. “Some patients may be erroneously asked to continue to monitor their own blood pressure at home, which can build anxiety. These inappropriate measures could all be avoided by the simple measure of someone other than a doctor taking the blood pressure recording,” Clark added. He suggested that researchers “should also think carefully about how to account for this effect in studies that compare treatment by doctors and nurses. Some studies have concluded that nurses are better at treating [high blood pressure], when in fact those findings could be down to this recording bias.” More information The U.S. National Heart, Lung, and Blood Institute explains how to prevent high blood pressure Copyright 2014 HealthDay. All rights reserved.
http://www.cbsnews.com/news/doctors-really-do-raise-your-blood-pressure/

We need a permanent fix,” Waxman said. Pelosi, however, swung behind the legislation. “The simple fact is that the clock is ticking, and on March 31st, it’s bad news for seniors and for the doctors who treat them in the Medicare program,” Pelosi said. The heavily lobbied legislation also contains numerous other health care provisions of interest to doctors, hospitals, drug companies and other health care providers. Timing in the Senate was uncertain, although there was a lot of pressure to act by a Monday midnight deadline. Otherwise, Medicare would stop processing payments to doctors until the payment fix was enacted. Aides said Senate Majority Leader Harry Reid, D-Nev., would press to speed the measure through the Senate as early as Thursday, but it would take cooperation from all 100 senators to make that happen. There is widespread support for bipartisan legislation to repair, once and for all, the broken Medicare formula, but there is no agreement on how to bear the 10-year, $140 billion cost. The powerful American Medical Association and a host of other health care provider groups weighed in against the measure, saying it would undermine the drive for a permanent solution. “The endless cycle of short-term remedies that serve to support a failed policy are no longer acceptable,” the AMA and other groups wrote in a letter to lawmakers. However, Rep. Joe Pitts, R-Pa., said, “A vote ‘no’ today is a vote against seniors. We are not voting for the AMA today.” New Senate Finance Committee Chairman Ron Wyden, D-Ore., wants to keep working on a permanent solution. He proposes using savings from lower costs for operations in Afghanistan.
http://www.huffingtonpost.com/2014/03/27/congress-medicare-fees_n_5043834.html

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