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Msg ID: 2728914 White coat syndrome ?? +8/-1     
Author:Physical due soon
5/9/2022 8:54:50 PM

I definitely get the jeebers nocked out of me when I walk into the Drs office. Any tricks of the trade to help reduce my BP when walking in.

Very healthy 364 days of the year but as I get older My BP soars when walking thru the Flight doctors door.

 

Thanks

for the serious replys 



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Msg ID: 2728916 White coat syndrome ?? +13/-1     
Author:-----
5/9/2022 8:59:44 PM

Reply to: 2728914

The easiest way to lower your blood pressure is to hyperventilate (not literally) for a few minutes before you go in. Breathe in and out deeply and fairly rapidly for 2-3 minutes ... Try it at home first, then measure your BP, then see how much lower it went

Second thing - When you take your BP, make sure you are sitting down for at least 10 mins...


Third, do NOT let your hand go lower than horizontal. If you are sitting up and your hand is lower than your heart, your blood pressure will be higher

Also, try to lean back in the chair - don't cross your legs

Eat a Banana in the morning - The potassium may also lower it

 



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Msg ID: 2728917 White coat syndrome ?? +7/-0     
Author:oldNtired
5/9/2022 9:16:24 PM

Reply to: 2728916

good advice above.  Also don't chat when they take the BP that will raise it also.  Back in the old days before your Med app had to go to OAk City for review be the exam, most flight surgeons would just tell me to lay down for 10 minutes then they woul retake it and it would be fine.  White coat syndrome is a real thing and most docs know it.  I don't know if the Feds allow any lead way to the Docs now.  Funny thing , since I quite flying I've never had a problem with a physical. I'm just glad I'm out of it.  Good luck 



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Msg ID: 2728920 White coat syndrome ?? +9/-4     
Author:Old Pilot
5/9/2022 9:38:15 PM

Reply to: 2728914

Why not just get on a blood pressure lowering medication, might even save your life.

 



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Msg ID: 2728923 White coat syndrome ?? +3/-2     
Author:AME
5/9/2022 11:05:09 PM

Reply to: 2728920

Check out the FAA Med approvals for BP meds and Statins. They work well and should give you at least a 135 over 90 result which your AME should pass you easily for a Class II medical.    



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Msg ID: 2728925 White coat syndrome ?? +6/-1     
Author:--
5/10/2022 1:09:48 AM

Reply to: 2728920

Why get on a medication he doesnt need, unless he actually has hypertension. Sounds like it's always normal, except for the medical



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Msg ID: 2728922 White coat syndrome ?? +3/-0     
Author:Mel
5/9/2022 11:02:19 PM

Reply to: 2728914

Take 4 asprin half an hour before your appointment.



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Msg ID: 2728926 White coat syndrome ?? +1/-16     
Author:get 1
5/10/2022 3:28:39 AM

Reply to: 2728922

Heaven forbid if you morons could pass a class One. No wonder your a second class cietizen



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Msg ID: 2728931 White coat syndrome ?? +9/-0     
Author:It’s not a class one
5/10/2022 7:48:03 AM

Reply to: 2728926

it's called a first class and bp limits are the same for all classes



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Msg ID: 2728970 and what are those class one (NT) +1/-2     
Author:bp limits genius?
5/10/2022 6:12:53 PM

Reply to: 2728926


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Msg ID: 2728927 White coat syndrome ?? +3/-2     
Author:Dr. Jekyll
5/10/2022 5:05:35 AM

Reply to: 2728914

Watched a docu once, they did a study on old people who had high blood pressure their whole lives...80 some 90 years old even.  Never treated it.  Cognitive functions were just as sharp as in their teens.  None had any symptoms of dementia. 

 

Study concluded, they don't know why, but high blood pressure staves off alzheimer's and dementia.

 

food for thought.



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Msg ID: 2728962 White coat syndrome ?? +0/-0     
Author:just a thought...
5/10/2022 5:19:01 PM

Reply to: 2728914

have them take it manually.  The machines don't always work well with all people



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Msg ID: 2729028 White coat syndrome ?? +3/-0     
Author:Anonymous
5/11/2022 11:41:30 AM

Reply to: 2728914

The limit is 155/95. Even if you are over that the doc will wait a little while and take it again. True hypertension will show after a number of retakes. Even after all of that if you actually need meds there are at least 20 different ones you can take and still be good to fly even for a Class 1. You are only "grounded" for 7 days after the start of the new medication. Take a deep breath the doc isn't going to fail you after one high reading. 



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Msg ID: 2729068 White coat syndrome ?? +0/-0     
Author:pilot
5/11/2022 3:51:15 PM

Reply to: 2729028

I'm a helicopter pilot and we get class ones so don't know what that dummy is talking about. I have been dealing with this very issue for a long time. First, I would suggest you are absolutely positive your blood pressure is normal. It sounds like it is so that is taken care of. First, I would let your doctor know what is going on, they should understand. You can take the mineral Ginger, it's a mineral used to help motion sickness but it also helps calm your body down, in a natural way. Aspirin, banana I have done all that. Same with putting your hand up/down, not talking, it's all great and helps a little bit here and there. The issue here is between your ears. Talk it out with someone who wants to help. Perhaps go to a hypnotist, no, you're not going to be hypnotized (again, most people no nothing about what this is truly about) they can give you tips and exercises to help you deal with the subconscious that may work for you. These are just tips for you, everyone is different so what works for me or has worked for others may not work for you. Above all, think positive and learn to laugh it off if possible. Yes, laughing it off may seem crazy but it may help you. 



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Msg ID: 2729092 White coat syndrome ?? +0/-1     
Author: 155/95?
5/11/2022 8:36:40 PM

Reply to: 2729028

What's your reference?



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Msg ID: 2729096 White coat syndrome ?? +1/-1     
Author:Not the same guy
5/11/2022 8:53:32 PM

Reply to: 2729092

but it's from the FAA flight doc standards for flight physicals. It's open source on FAA medical site.



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Msg ID: 2729107 White coat syndrome ?? +0/-1     
Author:Anonymous
5/12/2022 12:08:32 AM

Reply to: 2729096

link?



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Msg ID: 2729156 Here: +1/-1     
Author:Anonymous
5/12/2022 12:52:56 PM

Reply to: 2729107

 

https://www.faa.gov/about/office_org/headquarters_offices/avs/offices/aam/ame/guide/app_process/exam_tech/item55/et/

 



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Msg ID: 2729191 Here: +0/-0     
Author:Anonymous
5/12/2022 5:36:57 PM

Reply to: 2729156

thank you



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Msg ID: 2729102 White coat syndrome ?? +1/-0     
Author:Orig poster
5/11/2022 11:13:04 PM

Reply to: 2728914

Thanks alot for the helpful serious replys

I check it almost every day and its always around 115-120 / 75-80 but just thinking about heading to an ME sends it thru the roof. 

Ill try some of the suggestions and see how it works out.

 

Thanks again

Fly Safe



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Msg ID: 2729179 White coat syndrome ?? +1/-1     
Author:hmm
5/12/2022 4:12:13 PM

Reply to: 2729102

Go for a run about 1 hour prior to exam, it reduces the anxiousness.  



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Msg ID: 2729295 White coat syndrome ?? +1/-0     
Author:666
5/14/2022 3:21:29 AM

Reply to: 2728914

Get unfat asap.



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Msg ID: 2729853 White coat syndrome ?? +1/-0     
Author:Talk
5/20/2022 4:31:38 PM

Reply to: 2728914

to the doc about anxiety. 

Tai Chi could be a window to learning how to calm yourself down about such things.  I started it in Vietnam.



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