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Dad wants only his lowest blood pressure readings sent to the clinic. What do I say?

Health category photographHealth

"Use the second photo. That first one makes me look terrible," Dad said, reaching for my phone.

His clinic asked him to keep a home blood pressure log. One evening the monitor showed 154/94; a later reading showed 137/86. He has started keeping the lower numbers and deleting the others. He says the first reading catches him before he settles down, and he does not want the doctor changing treatment over a bad photograph.

I understand the worry. He is the one taking the medicine, and I am only helping because he dislikes typing into the clinic portal. But the draft message now looks more reassuring than the monitor's memory.

The [American Heart Association advises quiet rest before measuring and recording both readings taken one minute apart](https://www.heart.org/en/health-topics/high-blood-pressure/understanding-blood-pressure-readings/monitoring-your-blood-pressure-at-home). We need to check his technique and the clinic's instructions rather than keep pressing the button until we like the answer.

I have not sent the edited log. How can I explain why the missing numbers matter without making his home feel like a place where his family marks him wrong?

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2 community replies

Try connecting the full log to his own worry: "If the doctor needs to decide whether anything should change, they need to see what the machine actually recorded, including how you took it." He can add that he is concerned about unnecessary treatment changes. That concern belongs in the message too.

Neither photograph lets this thread decide whether his treatment is right. The [AHA guidance says to take home records to the healthcare professional and not stop blood pressure medicine on the strength of home readings without checking with them](https://www.heart.org/en/health-topics/high-blood-pressure/understanding-blood-pressure-readings/monitoring-your-blood-pressure-at-home). Keeping the numbers is not agreeing to a medication change.

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