{"id":640,"date":"2011-10-17T17:18:06","date_gmt":"2011-10-17T21:18:06","guid":{"rendered":"http:\/\/blogstemp2.wpengine.com\/?p=640"},"modified":"2011-10-17T17:18:06","modified_gmt":"2011-10-17T21:18:06","slug":"checking-it-twice","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2011\/10\/checking-it-twice\/","title":{"rendered":"Checking It Twice"},"content":{"rendered":"

\"\"<\/a>I always remember my mother trying to teach me things I didn\u2019t agree with. Being the bigmouth that I was (am), I would voice my disagreement, and she would tell me that, one day, I would tell my kids the same thing. I, of course, did not agree. I felt the same way about some of the tedious things I learned to do in medical school. I didn\u2019t understand why my attending always made me recheck blood pressures on patients when I saw them, after a nurse had already done that precise thing. I would recheck the blood pressure and mindlessly report the measurement back to my staff. I started noticing that the levels were usually lower when I checked them again in the room, and I thought this was because I was so good at checking them.<\/p>\n

The study regarding clinic-based BP measurement <\/a>discusses this issue in more detail. It states that many people who are \u00a0diagnosed with hypertension\u00a0by clinic-based measurements alone are not truly hypertensive. It proves the validity of \u201cwhite coat hypertension\u201d and\u00a0the importance of serial blood pressure measurements prior to initiation of therapy. If patients are not truly hypertensive, we are putting them at risk for hypotension with BP-lowering medications and subjecting them to risk for adverse effects and the associated cost-burden.<\/p>\n

I was recently in clinic and asked my student what a patient’s blood pressure was when she rechecked it in the room — to which my student rolled her eyes and went back to check. I had to laugh — I realize how things really do come full circle.<\/p>\n","protected":false},"excerpt":{"rendered":"

I always remember my mother trying to teach me things I didn\u2019t agree with. Being the bigmouth that I was (am), I would voice my disagreement, and she would tell me that, one day, I would tell my kids the same thing. I, of course, did not agree. I felt the same way about some […]<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,4],"tags":[16,26,31],"class_list":["post-640","post","type-post","status-publish","format-standard","hentry","category-cases-and-rounds","category-clinical-implications-of-research","tag-cardiology","tag-evidence-based-medicine","tag-patient-care"],"yoast_head":"\nChecking It Twice - Insights on Residency Training<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2011\/10\/checking-it-twice\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Checking It Twice\" \/>\n<meta property=\"og:description\" content=\"I always remember my mother trying to teach me things I didn\u2019t agree with. Being the bigmouth that I was (am), I would voice my disagreement, and she would tell me that, one day, I would tell my kids the same thing. I, of course, did not agree. I felt the same way about some […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2011\/10\/checking-it-twice\/\" \/>\n<meta property=\"og:site_name\" content=\"Insights on Residency Training\" \/>\n<meta property=\"article:published_time\" content=\"2011-10-17T21:18:06+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/blogs.nejm.org\/general-medicine\/wp-content\/uploads\/sites\/4\/2011\/10\/white-coat-hypertension.jpg\" \/>\n<meta name=\"author\" content=\"Gopi Astik, MD\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Gopi Astik, MD\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2011\/10\/checking-it-twice\/\",\"url\":\"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2011\/10\/checking-it-twice\/\",\"name\":\"Checking It Twice - Insights on Residency Training\",\"isPartOf\":{\"@id\":\"https:\/\/blogs.nejm.org\/general-medicine\/#website\"},\"datePublished\":\"2011-10-17T21:18:06+00:00\",\"dateModified\":\"2011-10-17T21:18:06+00:00\",\"author\":{\"@id\":\"https:\/\/blogs.nejm.org\/general-medicine\/#\/schema\/person\/f20ecd160f9de6928530ce6ceb8829f8\"},\"breadcrumb\":{\"@id\":\"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2011\/10\/checking-it-twice\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2011\/10\/checking-it-twice\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2011\/10\/checking-it-twice\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/blogs.nejm.org\/general-medicine\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Checking It Twice\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/blogs.nejm.org\/general-medicine\/#website\",\"url\":\"https:\/\/blogs.nejm.org\/general-medicine\/\",\"name\":\"Insights on Residency Training\",\"description\":\"Observation of residents across diverse medical specialties\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/blogs.nejm.org\/general-medicine\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/blogs.nejm.org\/general-medicine\/#\/schema\/person\/f20ecd160f9de6928530ce6ceb8829f8\",\"name\":\"Gopi Astik, MD\",\"description\":\"Dr. Astik grew up in Warrensburg, Missouri, an hour east of Kansas City. She received her Bachelor of Arts\/MD in a 6-year combined program at the University of Missouri-Kansas City. Dr. Astik was an Internal Medicine resident at UMKC from June 2008 to July 2011 and currently is completing an extra year as a Chief Resident. She is planning to apply for a Gastroenterology fellowship in 2012. Dr. Astik is an avid tennis player and has been playing competitively since childhood; she loves to meet and talk with new people.\",\"url\":\"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/author\/gastik\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Checking It Twice - Insights on Residency Training","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2011\/10\/checking-it-twice\/","og_locale":"en_US","og_type":"article","og_title":"Checking It Twice","og_description":"I always remember my mother trying to teach me things I didn\u2019t agree with. Being the bigmouth that I was (am), I would voice my disagreement, and she would tell me that, one day, I would tell my kids the same thing. I, of course, did not agree. I felt the same way about some […]","og_url":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2011\/10\/checking-it-twice\/","og_site_name":"Insights on Residency Training","article_published_time":"2011-10-17T21:18:06+00:00","og_image":[{"url":"http:\/\/blogs.nejm.org\/general-medicine\/wp-content\/uploads\/sites\/4\/2011\/10\/white-coat-hypertension.jpg"}],"author":"Gopi Astik, MD","twitter_misc":{"Written by":"Gopi Astik, MD","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2011\/10\/checking-it-twice\/","url":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2011\/10\/checking-it-twice\/","name":"Checking It Twice - Insights on Residency Training","isPartOf":{"@id":"https:\/\/blogs.nejm.org\/general-medicine\/#website"},"datePublished":"2011-10-17T21:18:06+00:00","dateModified":"2011-10-17T21:18:06+00:00","author":{"@id":"https:\/\/blogs.nejm.org\/general-medicine\/#\/schema\/person\/f20ecd160f9de6928530ce6ceb8829f8"},"breadcrumb":{"@id":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2011\/10\/checking-it-twice\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2011\/10\/checking-it-twice\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2011\/10\/checking-it-twice\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.nejm.org\/general-medicine\/"},{"@type":"ListItem","position":2,"name":"Checking It Twice"}]},{"@type":"WebSite","@id":"https:\/\/blogs.nejm.org\/general-medicine\/#website","url":"https:\/\/blogs.nejm.org\/general-medicine\/","name":"Insights on Residency Training","description":"Observation of residents across diverse medical specialties","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.nejm.org\/general-medicine\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/blogs.nejm.org\/general-medicine\/#\/schema\/person\/f20ecd160f9de6928530ce6ceb8829f8","name":"Gopi Astik, MD","description":"Dr. Astik grew up in Warrensburg, Missouri, an hour east of Kansas City. She received her Bachelor of Arts\/MD in a 6-year combined program at the University of Missouri-Kansas City. Dr. Astik was an Internal Medicine resident at UMKC from June 2008 to July 2011 and currently is completing an extra year as a Chief Resident. She is planning to apply for a Gastroenterology fellowship in 2012. Dr. Astik is an avid tennis player and has been playing competitively since childhood; she loves to meet and talk with new people.","url":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/author\/gastik\/"}]}},"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/wp-json\/wp\/v2\/posts\/640","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/wp-json\/wp\/v2\/comments?post=640"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/wp-json\/wp\/v2\/posts\/640\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/wp-json\/wp\/v2\/media?parent=640"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/wp-json\/wp\/v2\/categories?post=640"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/wp-json\/wp\/v2\/tags?post=640"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}