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NP Susan

They did not take any prescribed medications, just supplements. And neither
one of the couple had a primary care provider relationship the wife saying
she hadnt seen a provider in 40 years. Thus, she had not received any
vaccines or had any screenings, such as a mammogram or colonoscopy.

So, my findings were probably not too surprising.

With the husband, I found a slight heart murmur and moderately high blood
pressure.

The womans blood pressure was extremely elevated 210/115. I would have
called 911, but she said she did not have any cardiac symptoms, headaches
or vision changes of any kind. So, I tried getting her in to see a primary care
provider. Being Friday, that was to no avail.

After explaining the potential consequences of her blood pressure and the
importance of being seen today, she agreed to an urgent care visit. I was
familiar with the urgent care center and staff, so with the members
permission, I called in advance and provided a report.

It turns out that on their arrival to the urgent care, the womans blood
pressure was 240/120 and she was immediately sent to the emergency room
for further diagnosis and treatment.

In the short term, todays visit helped the woman avoid complications due to
her high blood pressure. On a longer term, they both committed to following
up and establishing a primary care provider relationship.