ACP). These organizations issued their own guidelines 6 months earlier, with recommendations for blood pressure management of adults older than 60 years. Those guidelines recommend a target systolic blood pressure of less than 150 mm Hg-distinctly different from the target recommended by the new joint statement, which recommends a target less than 130 mm Hg. 2 This remarkable lack of consensus complicates the decision-making process for practicing clinicians and creates confusion.I would like to say to the guidelines committees: "Help me out-Please!" My job is not easy. I see 10 to 12 patients a session, and most of the patients my colleagues and I see have multiple illnesses that complicate the decision-making process about their treatment. Their problem lists often include combinations of depression, diabetes, arthritis, chronic obstructive pulmonary disease, congestive heart failure, hyperlipidemia, and other diseases, in addition to their hypertension. The guidelines were released as a 481-page report with an executive summary that ran 401 pages. It would have been nice had the committee thought to make it easy for us to review the guidelines. Fortunately, JAMA published a synopsis. 3 I understand that evidence evolves and that recommendations need to change when new evidence appears. Although that is a challenge, it is also a joy of medicine. Inconsistent guidelines, however, implicitly ask clinicians to be the experts in deciding which expert guideline best interprets the evidence. That is not reasonable. This is a plea from the trenches: we need more clarity to guide us with less robust confusion.