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As time now for Sunday house call joining us as always every Sunday this -- doctor mark single.
He's associate professor of medicine and why is -- on medical center and the author of the inner pulse.
Unlocking -- she -- code of sickness and.
Health and also doctor Davis -- Marty who I am proud to tell you starting in July as the new chair of urology at Lenox Hill Hospital.
Professor of urology at the Hofstra North Shore L I.
Graduation -- you doctor some -- -- big change.
Yes it's it's a great honor.
Joining -- -- this team and also it's it was a wonderful health care system.
-- also to be able to develop -- premiere urology program and robotic prostate cancer program at Lenox Hill Hospital.
It's a great honor while we had a fantastic time at mount Sinai.
I look forward to read this this great opportunity and we're excited about it.
And for anyone who needs to know that robot.
It'll be -- -- you'll notice due to great work that you do doctor Siegel welcome GH I wanna get started because.
I congratulate David by the -- first of all to very prestigious position.
A great hospital actually -- -- bailed out and when you angle medical center after hurricane send -- their operating rooms a great facility congratulations thank you mark.
Your your great partner great friend and because I -- I appreciated.
All right and none of this march 6 loss in the -- so we can help you out in fact 67 million Americans have high blood pressure.
It's a disease that place such a huge role -- strokes and heart and kidney disease we don't want you have any of that.
And then we found this brand new study that finds too many people are being treated for high blood pressure doctor Siegel how can that be too many people 67 million have it.
You know Jamie this is a very important study came out of Minnesota -- fifteen physician group is looking -- people.
With something called ambulatory blood pressure monitoring which has just caught on like wildfire in Great Britain in fact.
They won't let you have a diagnosis of high blood pressure -- -- you've had this and I'll tell you what the problem is.
Someone's comes to simulate high blood pressure they may have -- white -- syndrome they may say.
You know I'm really nervous -- they may have had two cups of coffee before they came running over to make it in time for their appointment.
We -- tend to use three measurements over different.
-- times before you make the diagnosis but again and -- the same time -- -- we're not checking them at night before they go to sleep we're not checking them before after exercise.
I personally don't like the home monitoring equipment that.
Patients use themselves because they're inaccurate but ambulatory blood pressure monitoring equipment.
Has been studied and found to be within five millimeters of Mercury of our own blood pressure -- that we use in the office and again.
Fifteen minutes to a half an hour through out the day this is -- really the way to -- 15100 of these in the United States mostly used by hypertension specialist.
We need more of these this is definitely the -- go biggest problem Jamie -- cost.
There about 15100 dollars each that's a lot.
But they also cut down on cost because it's a 150 billion dollars a year to take care -- high blood pressure if it's diagnosed and accurately.
It's a problem we know we need to cut costs and keep people healthy doctor -- what do you have data on us.
Well I think the technology behind measuring blood pressure is completely outdated and then I'd like to hear what mark has to say about this.
But their blood pressure cough that we we use.
You know it's coming from 18100.
It's always over a century old so I think we need to come -- -- much better.
Ways to measure -- -- -- this is this snapshot you go to the doctor you run up the stairs and you blood pressure would be high.
Out of this six or seven million Americans -- a diagnose it but -- thirteen million off the mark over diagnosed.
And our own all of his medications without any need for -- so.
One of the newest thing that's coming out and then I think this is going to be the future.
Is the measurement of central blood pressure as opposed to -- for all.
Right now the doctor would put it this good cough on your arm and they would measure the blood pressure that's called her -- From the break -- watery I think central blood pressure which measure the pressure in the aorta and the carotid.
Is much more accurate and there is it new research coming -- saying that that's much more related to the cardiovascular disease etc.
So talking about this study is that just came out of London actually did this week.
Now you said that when you where you watches -- -- looking at the time.
You would seal blood pressure that's important because it gives you a -- continue this way to monitor your blood pressure.
And as mark mentioned the best time to measure the blood pressure is when -- -- And that's very accurate now you can bring that -- -- doctor visit microchip in it -- -- really gives you very accurate way of that's essential but pressure and that's the way to go.
That's interesting I know I'm doctor called me weighing -- start -- you want to -- stop smoking and stop beating so much to.
You -- what I was gonna say first of all David is totally right about central blood pressure the wave of the future I wanted to -- before doctors out there start pushing those pills.
Lifestyle changes -- get people to exercise get them to lose weight get them to stop smoking like doctor -- said.
We have to move in that direction before we start with a drugs.
Our side effects side effects from those drugs and quickly costs doctor -- of this technology well it's it's very expensive but more expensive of the thirteen million people that David's mentioning that are over treated that's framework Jay got to leave it there Jamie it is also a company called stigma -- and I certainly will post this on line.
Smith is signal corps is coming adopters that you put on the wrist.
How did you do that come in central blood pressure so it's becoming much much easier -- kids and I don't have much more Erica.
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