<s>[INST] MY BLOOD PRESSURE IS ALMOST PERFECT WHEN I TAKE WHAT I KNOW WORKS FOR MY BODY AND I AM ABLE TO KEEP THE PAIN UNDER CONTROL AS WELL AS MOVE ABOUT AS I NEED AND WANT TO.TODAY AT IT WAS 142/106 P 93 THEN 135/105 P95. THE LOWEST IT WAS SINCE 5-22-13 WAS 123/84 P94 THAT WAS AT 7:03PM ON 5.30.13 AFTER TAKING WHAT I HAD OF THE MEDS. MY PHYSICIAN IS BEGINNING TO GET OLDER AND IS NOT CORRECT WITH THE AMOUNT OF TRAMADOL. I HAVE SIGNS OF FIBROMYALGIA AND NEUROPATHY, BUT, THIS IS ALL DUE TO INJURIES THROUGH THE YEARS. I DO NOT AND WILL NOT TAKE ANY ANT-DEPRESSANTS. I AM INJURED AND GET ANGRY THAT I WOULD BE INJURED IN ANY WAY AND NEED TO THINK CLEAR. [/INST] Degree understand your problems are clearly anxious. That is ll. Pulse rate of above 90 explains that. BP above 140/90 is said to essential hypertension. Systolic varies with age and other circumstantial factors and diastolic measures health of heart. If lower reading goes beyond 95 you have reason for worrying. Do trust your physician, otherwise you cannot be cured or managed. LAK of trust in your physician caused your anxiety problem. You feel that he is not right. You are actually not right because you are not a doctor. Or better you find a physician who is most suitable to you and leave the rest to him. Your anxiety will vanish. You also need help of psychologist /psychotherapist. Please come to me through "ask specialist opinion" in this website. Wish you speedy recovery. </s>