<s>[INST] I am a para T7 complete 48 year old white male, 18 years post injury.  I am very active, 6 ft 220lbs.   My BP is always 115 / 74.  This week it is suddenly 134 / 95!  It has been that way the past 3 days, is it a concern?  The VA told me to monitor it and that was all....  Shouldl I go to a civilian doctor? [/INST] If your technique of measuring blood pressure is right ... Then need to start some medication ...one reading of high blood pressure not sufficient took start medication </s>