Carlo Favaretti

by VIPAN NIKORE, MD on September 10th, 2012in PHYSICIAN

Sitting on a dusty wooden bench in the rural Sacred Valley in Peru with the Andean mountain range serving as a scenic backdrop, it dawned on me that I was the first physician that my 43-year-old Peruvian patient had ever seen.

After treating his acute diarrhea, I was faced with his elevated but asymptomatic 162/89 blood pressure. I knew he needed treatment, but my concern was whether or not to start him on a blood pressure medicine without follow up. Medications often need to be titrated, and side effects need to be monitored.

What if he was exquisitely sensitive to the anti-hypertensive meds thus causing hypotension and light-headedness? What if he couldn’t afford the medicine in the long run and thus abruptly stopped it and developed rebound hypertension? Why give a month supply of medication if he will not have…

View original post 929 altre parole



Inserisci i tuoi dati qui sotto o clicca su un'icona per effettuare l'accesso:


Stai commentando usando il tuo account Chiudi sessione / Modifica )

Foto Twitter

Stai commentando usando il tuo account Twitter. Chiudi sessione / Modifica )

Foto di Facebook

Stai commentando usando il tuo account Facebook. Chiudi sessione / Modifica )

Google+ photo

Stai commentando usando il tuo account Google+. Chiudi sessione / Modifica )

Connessione a %s...

%d blogger hanno fatto clic su Mi Piace per questo: