<s>[INST] my blood pressure is going way high and low lately many problems- surgery errors now hernia and arterial fibrillation bulldozing our property no tresass court actions i need to take something to bring it down now being told I need medication 400.00 monthly I cant afford no drug ins what is your suggestions right now im having veinous insuffientcy hbp part involved need the surgery for it too in progress plus hernia future always two procedures first colonoscopy with anti freeze then another at hospital freeway down the middle two weeks to heal or walk [/INST] HelloWelcome to Ask a Doctor serviceI have reviewed your query and here is my advice.Underlying cause of uneven hemodynamic system is matters, although it is very less likely, it is always be the high blood pressure, if you are going to read it on your own then it may show you great deal of fluctuation so better to see the physician, moreover such condition may not cause any obvious condition, venous insufficiency of what region is question ? it is being treated according to vein disease of related region or area, for the hernia it is again what type hernia is there in which area on body it is happening, surgery is the option for most of hernia. Hope I have answered your query, let me know for further assistance. </s>