I have hundreds of patients with high blood pressure and yet, until today, I had only heard 5 original excuses for why it was elevated on that particular day. In no particular order, those 5 are:
Nurse took it as soon as I sat down after walking in (legit but usually not true).
I just smoked a cigarette (semi-legit but brings up other issues).
It always runs high at the doctor but it's good at home (semi-legit but second part usually not true).
I forgot to take my medications (legit).
I'm stressed out (semi-legit minus).
Today I got #6 -- I was at a baby shower last night and had a couple corkers.
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