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Today I attended Grand Rounds at the dialysis center because I needed answers as to why my 19yr old has extremely high blood pressure-even resting (220/153 at least 1X daily), only managed by various medications. I asked if we could change the doses, check her hormone secretions in her kidneys (her pediatric nephrologist suggested taking them out due to her not urinating), her doctor said he was not going to do anything else for her BP, he has done everything he is willing to do. I am truly shocked, considering last week the doctor at our vascular access center said there were many things that could be done which initiated my attending to ask. I truly need some advice.
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