Dr. Atef, Dallas. I can help you know your body better, and understand your medical issues, and together make a plan to how to manage your medical condition. I believe a doctor should feel more reprehensibility than just giving medication prescription. As a doctor I believe I should do my best to understand your medical condition and share it with you and your significant people as you wish and explore different ways to help you in your fight. I believe in these principles and I respect any of my colleagues who take this route as well. Medical conditions are having their roots in our genes and our environment which is made by our habits, our limits, and our habitats. Medication is another add up element to our habitat. Doctor should be able to help you to have better insight about yourself, you habits and your habitat. Doctor can understand you better through a thorough targeted discussion, examination and evaluation. Doctor should have you in mind as a center of this activity during this process and consider all the benefits and possible harms which may be associated with this endeavor. I can help you in conditions and diseases which come under category of adult medicine including kidney diseases. I practice in Dallas.
Once a patient asked me, “how did you know I take Clonidine?” This is a real experience. I had a patient who had high blood pressure but his blood pressure (BP) was far from becoming stable and his BP reading was only in the acceptable range for few hours of a day but immediately after is was very high again. Whenever I see a chart like this, I ask the patient if he or she is taking clonidine. And it is very common to hear that patients state they are on clonidine. About an hour after taking clonidine (orally) blood pressure starts dropping. This effect will not last for more than few hours. In majority of cases blood pressure then increases to levels even more than what is was before taking clonidine.
Soon after its clinical use in 1964, it was noticed that stopping clonidine can cause rebound hypertension.
Fifty years later we still face a large number of patient who are on clonidine and suffer large swings in their BP.
In my practice I try to take every patient off clonidine if possible.