I started with a new Dr. recently, he did a complete blood screen, and we had a through discussion of my current status. He seems very pleasant, and a good listener. Aside from COPD and Arthritis, I frequently get up at night. I was taking 20mg bloodpressure med 2x/day and 1x/day Flowmax. He upped my Flowmax to 2x/at night, and reduced BP med to 1x/day. For years, whenever I go to a Dr, BP is fine, in the 120 range... with that simple change I had a reading as high as 178! After a week, I reverted to my original med plan. I seem to be getting back to normal...just measured at 103/53! ed