SPC Private RallyPoint Member 5631445 <div class="images-v2-count-0"></div>So recently I went in to get my heart looked at, along with a recent development of chest pains and sleep problems (waking up 4-5 times every night with either shortness of breath or chest pain). When I told him everything that&#39;s going on he said that there was nothing wrong with me and to take Motrin. My blood pressure through the roof 24/7 and I&#39;m only 20 years old. How should I go about handling this situation without being a total douchebag? How should someone handle a Primary Care Doctor who doesn't do anything for your health needs? 2020-03-05T13:24:04-05:00 SPC Private RallyPoint Member 5631445 <div class="images-v2-count-0"></div>So recently I went in to get my heart looked at, along with a recent development of chest pains and sleep problems (waking up 4-5 times every night with either shortness of breath or chest pain). When I told him everything that&#39;s going on he said that there was nothing wrong with me and to take Motrin. My blood pressure through the roof 24/7 and I&#39;m only 20 years old. How should I go about handling this situation without being a total douchebag? How should someone handle a Primary Care Doctor who doesn't do anything for your health needs? 2020-03-05T13:24:04-05:00 2020-03-05T13:24:04-05:00 MSG Private RallyPoint Member 5631451 <div class="images-v2-count-0"></div>Ask your PCM for a referral to a cardiologist. Response by MSG Private RallyPoint Member made Mar 5 at 2020 1:25 PM 2020-03-05T13:25:58-05:00 2020-03-05T13:25:58-05:00 CPT Private RallyPoint Member 5631456 <div class="images-v2-count-0"></div>You should be able to change your PCM in your tricareonline.com profile under the &quot;Actions&quot; menu. Or, make an appointment online and just choose a different provider. Response by CPT Private RallyPoint Member made Mar 5 at 2020 1:27 PM 2020-03-05T13:27:30-05:00 2020-03-05T13:27:30-05:00 SFC Private RallyPoint Member 5631607 <div class="images-v2-count-0"></div>You are always entitled to a second opinion. As for your blood pressure, if you are smoking, dipping, or drinking, any PCM is going to automatically attribute your high blood pressure to that. Second most likely answer is that you are stressed. Response by SFC Private RallyPoint Member made Mar 5 at 2020 2:06 PM 2020-03-05T14:06:59-05:00 2020-03-05T14:06:59-05:00 MSgt Private RallyPoint Member 5632177 <div class="images-v2-count-0"></div>Speak to a patient advocate at the clinic. They are specifically there to speak on your behalf to help you out when you are not getting the answers you feel you should. Response by MSgt Private RallyPoint Member made Mar 5 at 2020 5:10 PM 2020-03-05T17:10:54-05:00 2020-03-05T17:10:54-05:00 MAJ Private RallyPoint Member 5632188 <div class="images-v2-count-0"></div>Chest pain deserves: <br />1. EKG<br />2. troponins<br />3. echocardiogram, <br />...at the MINIMUM **** WITHOUT EXCEPTION ****.<br />When you are having chest pain go to the ER. They will rule out things that will kill you then you can decide what to do after the work up you get there.<br />Your age is even more reason to have it thoroughly checked out.<br />Anxiety/stress won&#39;t make you drop dead of an acute coronary syndrome. A sudden cardiac arrest due to an unsuspected/undiagnosed early onset arrhythmia will. Find a provider that will look at your symptoms, regardless of your age. Response by MAJ Private RallyPoint Member made Mar 5 at 2020 5:12 PM 2020-03-05T17:12:55-05:00 2020-03-05T17:12:55-05:00 LTC Jason Mackay 5632249 <div class="images-v2-count-0"></div>Ask for a second opinion. Go see a patient advocate at the MTF. Write it all down. Include your COC so they can advocate for you. Response by LTC Jason Mackay made Mar 5 at 2020 5:44 PM 2020-03-05T17:44:59-05:00 2020-03-05T17:44:59-05:00 MAJ Byron Oyler 5632254 <div class="images-v2-count-0"></div>What was your BP? Response by MAJ Byron Oyler made Mar 5 at 2020 5:47 PM 2020-03-05T17:47:46-05:00 2020-03-05T17:47:46-05:00 SPC Richard Zacke 5641593 <div class="images-v2-count-0"></div><a class="dark-link bold-link" role="profile-hover" data-qtip-container="body" data-id="1592960" data-source-page-controller="question_response_contents" href="/profiles/1592960-14e-patriot-fire-control-enhanced-operator-maintainer-b-btry-6-52-ada">SPC Private RallyPoint Member</a> I&#39;ve been out of the Army for a long time so I don&#39;t know how things work. If you were my son calling asking what to do I&#39;d tell you to go to the ER. It may be some kind of stress related situation but at 20 y/o you better make damn sure that it&#39;s not a cardiac problem. Good luck. Response by SPC Richard Zacke made Mar 8 at 2020 3:37 PM 2020-03-08T15:37:29-04:00 2020-03-08T15:37:29-04:00 2020-03-05T13:24:04-05:00