Check Your Blood Pressure!

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Via Atrios, I see that doctors in Britain want to change the way they measure blood pressure:

More than a quarter of patients may have been misdiagnosed for high blood pressure, a finding that will see the way doctors identify hypertension changed for the first time in more than a century….Currently patients have a number of appointments to have their blood pressure checked, and it is estimated that 25% suffer from “white-coat hypertension” — a syndrome in which people show elevated blood pressure in a surgery or hospital but nowhere else.

….Although there is no debate over the existence of white coat syndrome, some researchers argue that even mild exercise can influence readings and patients should be at home when an assessment is made.

I can vouch for both of these. I have mild hypertension,1 but it turns into severe hypertension whenever I’m in a doctor’s office: my blood pressure routinely registers 20 points higher there than anywhere else. The effect is so reliable that I don’t even react anymore when attendants record my blood pressure before a visit and produce their usual startling results. Likewise, I discovered years ago that if I walked up to the local drugstore, my blood pressure registered 10-15 points lower on their machine compared to readings after driving over.

The British answer, apparently, is to make people wear a blood pressure monitoring system for a full day. My answer is to own a blood pressure monitor that’s been checked and calibrated by my doctor. This works great and it only cost 50 bucks. But it only works great if you actually use it, and I guess that’s a common problem. Perhaps 24-hour blood pressure boxes are in all our futures.

1Nicely controlled at the moment, thanks for asking.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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