Rick4036,

Thanks for your question.  I'm sorry to hear that your Mother-in-law is still having problems.  Has anyone discussed this situation with her doctor, and asked what may be going on.  She's also been seen by a specialist and still her pressure is high. 

Just because a patient is still having symptoms, does not mean the doctor is doing nothing, or he/she is delivering improper care.  Sometimes, when physicians do everything possible, patients still have problems.  It's time to have a meeting that includes the doctor, patient, and interested family members (preferable "next of kin") and openly discuss: how she is feeling: her lack of response or failure to improve; what might be causing her continued problems; what testing has been performed; and, what options are still available.  A specialist consultation could also be discussed at this time.  Once you have all of this information, then you can make an informed decision whether your Mother-in-law is receiving the care she needs, or if the time has come to find another physician.

Best wishes.

Martin Cane, M.D.