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Well, this visit was going to be a breeze. The notes indicated, and the member later proudly confirmed, she did not take any prescription medications. And in fact, the woman was rather annoyed about the visit, feeling it would be a waste of time. We moved quickly through the preliminaries and history, Dana said. When I took her blood pressure it was 280/140! (120/80 is more normal.) I rechecked on her right arm and it was 280/120. The woman commented that she had been told she was hypertensive, but didnt take it seriously. Moreover, she had not been seen by a health care provider for many, many years. As Dana continued the assessment, she found the womans carotid arteries in her neck had blockage, which could lead to a stoke. Dana also discovered a significant heart murmur. She absolutely would not go to the emergency room, Dana said. But, she finally conceded to seeing her doctor that day. She had no one to take her, so since she was asymptomatic, I followed her to her doctors office and went in with her and spoke to the doctor. When I left, I knew she was in good hands.