Welcome to this website !

 

Dear colleague,

Thank you for clicking past the introduction page to the Health Professional part of this site. I hope to be able to provide you with a service of informing and updating you about the diagnostics, treatment and future aspects of hypertension.

We are all trying to do the best for our patients and we all know how hard and often unrewarding the treatment of hypertension is. Completely understandable from a patient perspective, who has no symptoms, but experiences side effects from the medication, compliance with treatment is often poor. Furthermore, usually changes in lifestyle are required and this also impacts on the patients life and is not always easy to achieve.

Modern medicine is often characterized by blindly running with the latest publications and using the most modern (and expensive) drugs. Ads in our professional journals stimulate us to prescribe these. What often gets forgotten is that in the past we have used medication that worked well, but for some reason (too cheap?) became 'obsolete'. I have found that my best successes with the treatment of hypertension were actually achieved by combining older drug classes with some modern drugs. The term 'Evidence Based Medicine' is often abused in that it is applied to drugs that have only recently seen the light of day.

You will see that under the drug classes I have also created a category of 'alternative medication'. It is my strong belief that complementary medicine has a place in the treatment of hypertension and I hope with this website to further stimulate your interest in this. I have through the years spoken to many colleagues who succesfully use complementary medicine, and have found that their successes are often downgraded by others as 'anecdotical evidence'. I am the opinion that, as long as it works for our patient, treatment is excellent. There is also a growing body of evidence in literature to support complimentary medicine and I will refer to that.

Last but not least, i would like to work together with you to treat patients with therapy resistant hypertension. As a nephrologist with many years of clinical experience in renal disease and hypertension I have always had a keen interest in this topic and contributed with scientific research. My Clinic for Nephrology and Hypertension in Albany has proven to be a popular concept and I am always impressed with the high quality of referrals I get from you. As a novelty for New Zealand I would like to introduce the concept of the 'Interactive Clinic', where the triangle patient - GP - Nephrologist is used as an effective means to control hypertension in the fastest and most economic way for the patient. The aim is always to have the maximum effect with the minimum of tablets. More information about this under the amber coloured button.

I hope that with these lines I have gained your interest in the treatment of therapy resistant hypertension and invite you to further explore this page. It would be great if we could meet on the 'Forum' part of the side where I am very keen to learn about your experiences. Any question you have will be answered within 24 hours by clicking on the 'Ask me a Question' button. For clinical questions or suggestions for my website you can reach me any time on my mobile 021 - KIDNEY (021-543639).

Johan Rosman

September 2009