Mr. Okafor came for his blood pressure check and arrived already negotiating. “I stopped the tablet because I felt better. And I only take it when my head is heavy.” The reading was 168/102. He looked at the machine, then at me, then at the floor. “I have been reducing salt,” he added, like that cancelled the rest. I sat down. “Feeling better is not the same as being controlled. The tablet is what keeps the number down when you are not looking. Stopping it because you feel fine is how people end up with stroke or kidney problems they did not schedule.” He was quiet. Then he asked if he could start again that evening. “Yes. Same dose. Same time every day. Not when your head reminds you. And we will recheck in two weeks.” He nodded, slower this time. Hypertension does not always announce itself with pain. That is why the cuff matters more than the mood. The tablet is not for the days you feel sick. It is for the days you feel normal and still need protection.