17 Comments
User's avatar
Booth Gail's avatar

You and your family have a wonderful Easter.

Jake Kelly MD's avatar

Thank you Gail! Happy Easter to you and your entire family!

Michael Kirsch, MD's avatar

Another medical ‘clinic’ for the public and professionals. The time commitment required to issue essays of this depth and caliber makes me wonder when you squeeze in a patient or two. Well done, Jake!

Jake Kelly MD's avatar

Micheal - you’re way too kind. When a specific patient or series of patients health journeys grab hold of me, I feel compelled to dig in and learn more and by writing up my discoveries, I’m a better physician and more satisfied that my next patient will benefit from my grounding. I also have many resources that I can now share with my current and future patients. Thanks for your support!

Shai Plonski's avatar

Wow, just wow. What a gift. Thank you for your service in sharing this nuanced and well researched knowledge so thoroughly and explained so well for non professionals.

Jake Kelly MD's avatar

Thanks for the wonderful feedback Shai - it means a lot and fuels my fire. Since medical school, I’ve always thrived and learned the most when a patient and then story grab my attention, change how I need to think and use problem solving and investigative skills to start to unravel the

Mystery and move the patient towards health. And change the incorrect paradigms or dogmas I had inadvertently been following.

Jamie Lynch's avatar

well laid out discussion. Thanks

Jake Kelly MD's avatar

Thanks for reading and glad you got something out of it!

Tonia Vinton's avatar

This was such a great case discussion. Thanks Jake!

Jake Kelly MD's avatar

This means a lot coming from you Tonia. John taught me a lot, made me question the very treatments I was providing and I believe led me to help others in a more systematic 360 degree way.

Bexy's avatar

Thanks for this fantastic information. How do you diagnose primary aldosteronism and what aldosterone renin values are positive for that. Can you treat hyperyension only with spirolactone dosis?

Thomas Easley's avatar

Great read! For a number of folks like John, I’ve found a glass of potassium rich low sodium v8 juice to be as effective as a low sodium diet for reducing hypertension.

Jake Kelly MD's avatar

Thanks for the great suggestion Thomas and real world success with low sodium V8. I also appreciate the feedback.

Virginia Lawson's avatar

Thank you, Doctor! Yes, all of the above. Now monitored daily via Internet for Cardiac Doc study, currently on 3 meds, great numbers. And yes, I was perp walked out of 3 dentist offices and not taken seriously till now. I am 81 and feel wonderful.

Jake Kelly MD's avatar

So glad you’re on track and have a good plan. I’d love to know more about your Cardiac doc study. Keep it up!

Virginia Lawson's avatar

This is Prestige Cardiology the office of Dr. Guirgis. We are sending out our monthly reminder to take your blood pressure readings on a daily basis. If you have any questions please do not hesitate to contact our office at 321-421-7544. However, If you are having transmission issues or error readings please contact the helpline at 844-445-8267. Thank you

Nanci Cartwright's avatar

THE best article I’ve read on blood pressure yet. Thank you so much. Sharing with family and friends.