Home blood pressure unchanged two weeks after lisinopril went from 10 to 20 mg.
The 20 mg prescription was picked up. Nothing yet shows she started it.
Done
Jake SmithDrafted a reply
“Did my kidney test come back okay?”
Review reply
Mary LouisFlagged
Weight up 6 pounds in 2 days. Her last echo showed an LVEF of 25%.
Review her diuretic dose. Her next visit is Friday.
Done
Elena ParkReviewing
Checking the EHR for new records
Stop review
Coda also reviewed 9 patients today
Schedule5 left
Jake SmithBriefing ready
Robert HaleBriefing ready
Grace Okafor
Wen LiBriefing ready
Samuel Adeyemi
Maya BennettFlagged
Home blood pressure unchanged after the dose increase
Lisinopril went from 10 mg to 20 mg daily at her August 14 visit [1]. Home readings since then average 143/83, close to her average before the change [2]. The pharmacy shows the 20 mg prescription picked up on August 16 [3]. Nothing in her record yet says whether she started it.
Home blood pressureApple Health · home cuff
Basis and limitations Sources 3
DiscussDone
Maya Bennett
Discussing this reviewHome blood pressure unchanged after the dose increase · Today, 9:12 PM
Could anything else be keeping it up?
Reading the chart
An urgent care visit on August 9 started a prednisone course for bronchitis [1]. It ended August 18, and her home readings since then still average 143/83 [2]. So the steroid doesn’t explain it. Whether she started the 20 mg is still the open question.
Ask Coda about this patient…Send
Source 1Visit note · Dr. SmithAugust 14, 2026
Increase lisinopril to 20 mg daily. Recheck home blood pressure in two weeks.
Open original
Source 3Pharmacy recordLisinopril 20 mg tablet · 30 days
Picked upAugust 16
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Built by physicians. Founded by a physician at Mass General and an MIT computer scientist.
LVEF 25%. Moderate mitral regurgitation. No change from the prior study.
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JS
Jake Smith58 years · DOB Mar 12, 1968
Discussing this replyToday, 6:05 PM
How does his creatinine compare with before?
Reading the chart
It’s 1.2 today, down from 1.5 on August 20 [1]. That rise came after he started ibuprofen for knee pain [2], which he stopped on August 22 [3]. Over the past two years it ranged from 1.1 to 1.3 [4].
Ask Coda about this patient…Send
Follow-ups1
Elena ParkFollow-up
Look for her A1c and any messages once she is back from Spain at the end of September.
ReviewingChecking the EHR for new records
Review nowCancel follow-up
Back on Today
Elena ParkFlagged
Back from Spain. A1c 8.1, up from 7.4 in June.
Done
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The pharmacy shows the 20 mg prescription picked up on August 16 [3].
Source 3Pharmacy recordLisinopril 20 mg tablet · 30 days
Picked upAugust 16
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Robert HalePreparing visit
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Jake SmithDrafted a reply
“Did my kidney test come back okay?”
Review reply
Maya BennettFlagged
Blood pressure unchanged after the dose increase.
DiscussDone
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9:41▮▮▮ ◒ ▰
Thursday, October 8Monday, October 12Edit
Good morning, Maya
What Duet noticed
Home blood pressure stayed close to your recent average
This week143/83
Previous 2 weeks144/84
9 readings · Apple Health↗
Coming up
Morning blood pressureEvery morning · until Tuesday›
For my doctor
My page for my doctorSaved · ready to previewAn update is ready to review›
Your measurements
Blood pressure
141/82mmHg
This morning · Home cuff
Steps
4,280
Today · Apple Health
9:41▮▮▮ ◒ ▰
Sprout
Thursday, October 8
Your home readings this week averaged 143/83, close to 144/84 the two weeks before. With your visit on Tuesday, a reading each morning would give your doctor a steady week.
Check in each morning
Check-in added.
Morning blood pressureCheck-in every morning until Tuesday · open current item›
Monday, October 12
Good morning. Today’s reading is in, 7 mornings this week. Want me to add them to your page for your doctor?
Yes, add them
Here’s the update. Your saved page stays as it is until you save it.
Review proposed update →
Message Sprout↑
9:41▮▮▮ ◒ ▰
For my doctorEdit
Your continuing page
For my doctor
Page savedThis update has not been shared.
An update is ready
This week’s readings. Ready for Tuesday.
Seven mornings of home readings are ready to add to your page.
Prepared October 12 · Not saved
Review update
Saved pageOctober 1October 12
What I want to discuss
I want to know whether I should start the higher dose of lisinopril.
Blood pressureView page →
Ask Duet about this page
Review updateEdit
Here’s what changed.
Proposed by Duet · Not saved
Through Oct 12
Home blood pressure
Her home cuff readings averaged 141/82 mmHg across October 6–12 (7 mornings), after 144/84 mmHg across September 22–October 5 (12 days).
Apple Health · Home cuff · Oct 6–12 ↗
Your words · unchanged
I want to know whether I should start the higher dose of lisinopril.
▸ Your question · unchanged
PreviewEdit
Your saved page · October 12
For my doctor
Maya Bennett
Date of birth · March 14, 1968
What I want to discuss
I want to know whether I should start the higher dose of lisinopril.
Blood pressure
Maya takes lisinopril 10 mg each morning. She picked up a 20 mg prescription on October 1 and has not started it. [1]
Her home cuff readings averaged 141/82 mmHg across October 6–12 (7 mornings), after 144/84 mmHg across September 22–October 5 (12 days). [2]
My questions
Should I start the 20 mg dose now, or keep recording at home first?
Sources included
1Maya’s wordsPatient note · October 1, 2026+
2Home blood pressureApple Health · Home cuff · September 22–October 12, 2026+
Prepared with Duet · Reviewed by Maya
October 12, 2026 · 8:14 am
• • •For my doctor · Maya Bennett
For my doctor
Maya Bennett
Date of birth · March 14, 1968
What I want to discuss
I want to know whether I should start the higher dose of lisinopril.
Blood pressure
Maya takes lisinopril 10 mg each morning. She picked up a 20 mg prescription on October 1 and has not started it. [1]
Her home cuff readings averaged 141/82 mmHg across October 6–12 (7 mornings), after 144/84 mmHg across September 22–October 5 (12 days). [2]
My questions
Should I start the 20 mg dose now, or keep recording at home first?
Sources included
1Maya’s wordsPatient note · October 1, 2026+
2Home blood pressureApple Health · Home cuff · September 22–October 12, 2026+
Prepared with Duet · Reviewed by Maya
October 12, 2026 · 8:14 am
01
Duet notices
02
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03
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Patient memory
Every patient, one current picture.
Records, results, messages and your conversations with Coda come together for each patient. Coda updates the picture as things change, and every line shows where it came from.
Maya BennettIllustrative patientSummary written
2019 to July
AugSepToday
Patient summary
Blood pressure plan
10 mg
10 mg
20 mg
Lisinopril 20 mg daily
Pharmacy
10 mg filled monthly
20 mg picked up
20 mg picked up Aug 16
Reported use
No side effects reported
Started 20 mg
Started 20 mg on Aug 29
Creatinine
Between 0.96 and 1.03
1.4
1.4 on Sep 8, up from 1.02
Home blood pressure
143/83 average
131/79 average
131/79 average
Past reactions
Amlodipine, 2024
Dry cough
Lisinopril: dry cough, Aug 29 Amlodipine: ankle swelling, 2024
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