How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Chip Your Own Question

Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 27455
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
18722459
Type Your Medical Question Here...
Dr. Chip is online now

I want to know if an 83 year old woman, who has been previously

Resolved Question:

I want to know if an 83 year old woman, who has been previously very well with a history of raised blood pressure on blood pressure medication once a day presents with a history of the following - what would be the treatment.
raised bp - 190/110
raised pulse - 150 b/m
'funny turn' at ten am, waited two hours to see if bp came down and pulse came down before calling GP out.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Chip replied 2 years ago.
Hi. What blood pressure medication is she on? What did you mean by funny turn?
Customer: replied 2 years ago.

She felt light headed, disorientated and dizzy. I am not sure what medication she is on, but she has been on it for several years, once a day slow release.

My concern is that she needs admission for stroke assessment, not an ecg in a few days time!

Expert:  Dr. Chip replied 2 years ago.
OK Jude. I fully agree with you that she needs to be in the ER. That blood pressure was much too high and it may be that she had a run of something called atrial fibrillation which can cause a stroke. If may just be that the arrhythmia itself caused her symptoms and this wasn't a threatened stroke but still she needs immediate evaluation
Customer: replied 2 years ago.

The reason I am asking is that her GP has asked her to have an ecg and recommended medication to thin the blood ...... I am not happy and think she needs stroke assessment. I am a midwife but no expert in these matters. But I am in the UK where the NHS is on its knees, so GP's are under pressure not to admit patients to hospital.

Expert:  Dr. Chip replied 2 years ago.
I understand Jude. But she needs an immediate ECG to look for the atrial fibrillation and I wouldn't thin her blood until that was confirmed. That said, I agree she also needs an MRI of her brain and a full neurological workup so I still say take her to the ER
Customer: replied 2 years ago.

what do you mean ER, are you in the uk? do you mean emergency room??

Expert:  Dr. Chip replied 2 years ago.
Sorry--yes--emergency room or A&E.
Customer: replied 2 years ago.

Thank you and I am guessing you are not in UK.

Expert:  Dr. Chip replied 2 years ago.
No, I'm in the US but my advice would be exactly the same if I were in the UK. Let me know how she does and please remember to rate my service to you
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 27455
Experience: 20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
Dr. Chip and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.

I will tell you now, 14 hours after being seen by her GP my mother had a huge stroke. I am not happy with her gp prescribing dabigatran prior to doing an ecg. But I wanted to have some idea of the best treatment for her symptoms. I know hind sight is a wonderful thing but her GP left her alone in the house after seeing her.

Thank you for answering my questions.

Expert:  Dr. Chip replied 2 years ago.
Sorry to hear that Jude. Let me know how she does.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.