dr. Peter salgo welcome to Second Opinion, where each week we solve a real medical mystery. When we close this file a half an hour from now, youll not only know the outcome of this weeks case, but youll be better able to take charge of your own healthcare and doctors will be able to listen to patients more effectively. Im your host, dr. Peter salgo. Youve already met our special guests, who are joining our primary care physician, dr. Lou papa. Pleasure to have you here. No one on the team has seen this case. And were going to get right to work. Let me tell you a little bit about dora. Dora is 58 years old. She is an attorney, and shes in her Doctors Office for her annual physical exam. Its her first visit with a new primary care physician, who happens to be a gynecologist. And ill tell you that the chart shows that dora was diagnosed with hypertension about 15 years ago. She takes a substantial dose of a betablocker. She is on an arb as well. Shes on some hydrochlorothiazide. Shes 5 fo