Another doctor story

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GP put me on Lisinopril for high blood pressure just before holidays because HCTZ wasn't making much of a difference. Middle of February and I'm back complaining of non productive coughing keeping me up half the night.. GP checked my lungs and I casual mention deviated septum and problem breathing through one nostril. End if discussion. See an ENT who couldn't find a thing. Told me to forget about septum because it wasn't a problem. Still coughing a week later and called for another appointment with GP. GP was away on extended something somewhere and go in to see another GP in the clinic. New GP has a medical student from Nebraska Medical Center with him. Dr. asks what meds I am taking and no sooner get Lisinopril out of my mouth and medical students chimes in "Lisinopril." Seems ACE inhibitors cause coughing in some individuals. GP put me on another BP med and said coughing could last for months.Still coughing. A GP who has been in practice for forty years refers me to a specialist and a fourth year medical student has diagnosis in thirty seconds.
 
Welcome to the medical world. There's so much complexity even in what we think should be a simple situation, and there's so much for doctors to keep current on. This is why 2nd opinions are so important. If your doctor can't figure something out, don't hesitate to seek another doctor's opinion.
 
If the pressure in the system is too high, the volume of fluid within the system is excessive. Donate a pint and observe a preferable PSI without buying pesky prescriptions
wink.gif
 
Originally Posted By: Olas
If the pressure in the system is too high, the volume of fluid within the system is excessive. Donate a pint and observe a preferable PSI without buying pesky prescriptions
wink.gif

You may have something there as I have had high red cell count in past. For sure GP won't pick up on that as he has already retired on the job.
 
Sorry to hear that. When I was prescribed Lisinopril last year my doc told me coughing was the one side effect to look out for, and thankfully I've had no issue with it.
 
Originally Posted By: Mr Nice
Maybe the doctors are referring patients to their fellow doctor friends, like musical chairs...


It's highly illegal under STARK laws.
 
Originally Posted By: Mr Nice
Maybe the doctors are referring patients to their fellow doctor friends, like musical chairs...



I definitely think there is an element of that.
 
In Illinois, you get a good amount of info when you get the prescription. It helps the patient on how to best take the medicine. Sometimes they want you to take it with food because it gets into the system better. It also explains the possible side effects. I take Lisinopril and had a small cough that went away. I knew it was a possible side effect. When I read Lisinopril I thought I knew right away what you had. Maybe the doctor thought you had read and understood the information.
 
Last edited:
Originally Posted By: Chewie
He probably referred you to an ENT because you mentioned ENT problems.
Maybe but he didn't wait to hear anything else I had to say after mention of septum problem. Shouldn't have been a surprise since he has been looking up my nose for three years.
 
Originally Posted By: tgrudzin
In Illinois, you get a good amount of info when you get the prescription. It helps the patient on how to best take the medicine. Sometimes they want you to take it with food because it gets into the system better. It also explains the possible side effects. I take Lisinopril and had a small cough that went away. I knew it was a possible side effect. When I read Lisinopril I thought I knew right away what you had. Maybe the doctor thought you had read and understood the information.
Coughing side effect was never mentioned by GP or pharmacy.
 
Originally Posted By: HosteenJorje
Originally Posted By: tgrudzin
In Illinois, you get a good amount of info when you get the prescription. It helps the patient on how to best take the medicine. Sometimes they want you to take it with food because it gets into the system better. It also explains the possible side effects. I take Lisinopril and had a small cough that went away. I knew it was a possible side effect. When I read Lisinopril I thought I knew right away what you had. Maybe the doctor thought you had read and understood the information.
Coughing side effect was never mentioned by GP or pharmacy.


You should know what you're putting in your mouth before you put it there.

With 3 mouse clicks I found this information.

Quote:
Common lisinopril side effects may include:

headache, dizziness;
cough; or
chest pain.


I don't take any pills whatsoever, but if I were in a position that I had to, the first thing I'd do is my due diligence. That being said, lifestyle plays one of the biggest roles in high blood pressure. Lose the excess weight, exercise on a daily basis, eat a healthy diet and lower your sodium intake. The only side effect of living healthy is that you'll feel better.
 
Originally Posted By: HosteenJorje
GP put me on Lisinopril for high blood pressure just before holidays because HCTZ wasn't making much of a difference. Middle of February and I'm back complaining of non productive coughing keeping me up half the night.. GP checked my lungs and I casual mention deviated septum and problem breathing through one nostril. End if discussion. See an ENT who couldn't find a thing. Told me to forget about septum because it wasn't a problem. Still coughing a week later and called for another appointment with GP. GP was away on extended something somewhere and go in to see another GP in the clinic. New GP has a medical student from Nebraska Medical Center with him. Dr. asks what meds I am taking and no sooner get Lisinopril out of my mouth and medical students chimes in "Lisinopril." Seems ACE inhibitors cause coughing in some individuals. GP put me on another BP med and said coughing could last for months.Still coughing. A GP who has been in practice for forty years refers me to a specialist and a fourth year medical student has diagnosis in thirty seconds.


i tell you what it is. blinded by old routine vs thinking outside the box, typical for beginners. then beginners learn more, get more experience, and eventually they fall into old routine.
 
Originally Posted By: Alfred_B
Originally Posted By: Mr Nice
Maybe the doctors are referring patients to their fellow doctor friends, like musical chairs...


It's highly illegal under STARK laws.


only if you take a bribe back.
 
Dr. prescribed me 10mg Lisinopril, I cut them in half. BP is 125/76 today. No headache, dizziness, cough, or
chest pain.

Different Dr. prescribed my wife 20mg Lisinopril. She didn't like the side effects and now takes 25 mg hydrochlorothiazide which is keeping her BP under control.
 
Doctors cannot know what particular side may/may not happen to an individual. If you read all the side effects listed on the "medical information sheet" you might never begin a prescription.


The only infallible people are those on this forum who change their own oil-they will tell you so!


Now we are moving toward Doctors are incompetent/corrupt threads. WE must be running out of Jiffy Lube type/Dealers/why you should change your own oil stories.
 
Last edited:
Originally Posted By: friendly_jacek
Originally Posted By: Alfred_B
Originally Posted By: Mr Nice
Maybe the doctors are referring patients to their fellow doctor friends, like musical chairs...


It's highly illegal under STARK laws.


only if you take a bribe back.


That's another law that governs the referrals and is called Anti-Kickback statute. Referrals to family and friends are governed by the STARK Law.
 
Originally Posted By: Pop_Rivit
Originally Posted By: HosteenJorje
Originally Posted By: tgrudzin
In Illinois, you get a good amount of info when you get the prescription. It helps the patient on how to best take the medicine. Sometimes they want you to take it with food because it gets into the system better. It also explains the possible side effects. I take Lisinopril and had a small cough that went away. I knew it was a possible side effect. When I read Lisinopril I thought I knew right away what you had. Maybe the doctor thought you had read and understood the information.
Coughing side effect was never mentioned by GP or pharmacy.


You should know what you're putting in your mouth before you put it there.

With 3 mouse clicks I found this information.

Quote:
Common lisinopril side effects may include:

headache, dizziness;
cough; or
chest pain.


I don't take any pills whatsoever, but if I were in a position that I had to, the first thing I'd do is my due diligence. That being said, lifestyle plays one of the biggest roles in high blood pressure. Lose the excess weight, exercise on a daily basis, eat a healthy diet and lower your sodium intake. The only side effect of living healthy is that you'll feel better.




And we all knew this was coming.
smirk.gif
 
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