Bad doctor + unexplained prescription = frustration.
August 20, 2011 9:06 AM Subscribe
I've been prescribed a blood-pressure medication by a doctor that I don't trust. I'm concerned about taking it for reasons that might be irrational. In the meantime, I need to deal with my blood pressure *somehow* to have surgery. I need someone's reassurance and knowledge.
This is sort of a long story, so I'll make it short as I can:
- I've had a really terrible sinus/staph infection and a newly deviated septum for the entire summer - because I can't have an MRI (metal in head) and my CT scan came up with my right sinuses totally opacified, it's impossible to know whether part of the symptoms are being produced by polyps or some unwanted tissue growth - so that's gone effectively undiagnosed. After two months of aggressive antibiotic treatment with only mild improvement, my ENT specialist recommended endoscopic surgery with a cellular biopsy, to be undergone Tuesday of next week. (The appointment discussing this was this past Monday.) As part of the run-up to surgery, I would need an appointment with my primary-care physician to get clearance.
- As such, my PC physician saw me on Wednesday, and two things happened: 1. he acted in such an unprofessional, insulting manner that I don't feel comfortable seeing him as my primary-care doctor anymore; and 2. he denied me clearance due to hypertension - I am a 27-year-old male, with 160/110 blood pressure when he measures it. I have reason to believe the reason it's so high right now is a combination of white coat syndrome - it's incredibly stressful to see this doctor - and the fact that the sinus infection and its nasal congestion have brought back my sleep apnea, big-time - my blood pressure is significantly higher than it was when measured by a different doctor at the start of the summer. But either way, I have it, and my ENT is not willing to do the surgery while I'm recording blood pressure at that level.
- I have zero intention to see this primary-care doctor again. I refuse to unless its life or death - it's that simple. But in the meantime, he prescribed me Lisinopril, a hypertension medication, and then didn't answer my questions when I asked if taking this medication is a permanent choice, or people ever get off it. I *really* am hesitant to start taking a medication for life if I don't have to do so.
- I've made an appointment to see a new potential primary-care doctor next Thursday. In the meantime, my ENT has recommended that I start taking the blood-pressure medication, whether I switch my primary-care doctor or not.
So, I have a few questions:
1. Is Lisinopril a life sentence? Is it possible/likely to stop taking it after some other lifestyle changes are made?
2. Is it okay for me to take the medication I was prescribed by my old PC doctor, while then switching over to a new PC doctor to whom I can explain why I'm taking this medication? Or do I need to get it presribed by the new doctor, therefore delaying things further?
3. I pretty much need to start taking this new medication, huh? In the long-term for my general health, but in the short-term particularly if I want to have this surgery *sometime* in the next few weeks - I'm already feeling pretty bummed that I'm going to have to wait at least a few weeks longer, as the infection's side-effects, not to mention the various anti-biotics' side-effects, have sort of ruined the last few months.
4. Any advice on switching primary-care physicians?
I'm sorry if this is rambly/weird, I've just been extremely flustered about this since the Wednesday appointment - it was so unexpectedly unpleasant that I felt depressed the next day, when I haven't felt that way in a *long* time. (I can go through the details of it if need be, but the basic upshot is that he openly mocked questions and concerns I had over sensitive health issues, and clearly didn't listen to issues I brought up to the point that I genuinely don't feel comfortable entrusting this person with my health - but apart from not answering my questions about the timespan for taking this medication, none of that had to do with him prescribing the medication per se. I've wanted to get a different primary doctor for a long time now, but this has made it something that I can't put off any longer.)
AskMe, what should I do?