High Blood Pressure (Hypertension)

What is high blood pressure?

Blood pressure is the force of blood pushing against your artery walls. When it stays too high for too long, it wears out the small blood vessels in your kidneys, heart, eyes, and brain.

A reading has two numbers, like 130/80. For most adults, pressure that stays at or above 130/80 counts as high. One high reading at the doctor's office doesn't make the diagnosis — a pattern does. That's why home readings matter so much.

Your kidneys and your blood pressure are partners: high pressure damages kidneys, and struggling kidneys push pressure higher. Breaking that cycle is what our clinic is named for.

When should you see a specialist?

• Your pressure stays high even though you take three or more medicines — this is called resistant hypertension
• You're young (under 40) with significantly high pressure — a hidden cause is more likely
• Your potassium runs low, or your kidney numbers are abnormal
• Your pressure swings wildly, or spikes with headaches, sweating, or a racing heart
• You have CKD, diabetes, or protein in your urine along with high pressure

Roughly 1 in 10 people with high blood pressure has a specific, findable cause — a hormone problem, a narrowed kidney artery, sleep apnea, or a medicine side effect. Finding it can change everything.

How we treat it

• Confirm the real numbers — home monitoring, correct cuff size, correct technique
• Look for hidden causes before adding more pills
• Simplify your medicines — the right combination often beats a bigger pile
• Practical lifestyle steps — salt, sleep, movement, and alcohol, tailored to your real life
• Protect your kidneys and heart while we get the numbers down

Our goal isn't a perfect number at any cost. It's a safe number on a plan you can actually keep — with as few side effects as possible.

What to expect at your visit

We'll measure your pressure carefully (both arms, proper rest, correct cuff), review every medicine and supplement you take, and order targeted labs if a hidden cause seems possible. You'll leave with a clear target, a simple medicine plan, and instructions for checking pressure at home. Bring your home log and your medicine bottles — they're the two most useful things you own.

See what to bring to your first visit →

If this is an emergency, call 911. A reading of 180/120 or higher with chest pain, trouble breathing, vision changes, weakness, or confusion is an emergency — do not wait.