Re: Francis - New PCP

November 4, 2011

Sure sounds like low K. Be sure to mention this to PCP next visit and tell them a put problem getting blood. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

Forget to reply to the tingling. None in face but sometimes in hands and legs go to sleep more often that what I think is normal. Sometimes I know that sitting certain ways hand having legs go to sleep is normal But sometimes sitting normal for short time and they will go to sleep.

> > > > > > > > > > > >

> > > > > > > > > > > > Francis, 143/80 is better than any reading I get at the VA. Did they take 3 and average 2 after sitting etc, etc? This is also a lot lower than the 199/100 you've been reporting. If you assume the same range for renin at Dartmouth, both your renin test are within range and aldo is also. I know Dr. Grim said once you had PA but I'm not sure what he saw that made him come to that conclusion. He usually requires a 24h urine as I recall.

> > > > > > > > > > > >

> > > > > > > > > > > > Have you ever tried stopping the atenolol? Both it and lisinopril are ACE inhibitors and if I understand it correctly work on angiotenisn which starts as renin. Since my renin was =

> >

>

November 4, 2011

Dr Grim said some time ago that based on what I posted he thought I had PA.

Believe this was sometimes in 2009.

This is the text from recent posting. Do not think I was surprised by what Dr

Grim said as he had hinted to cut off of PAR ratio before Has posted things like

If cutoff is 20 and your ratio is 19.5 you still have PA. Of course if you

understand what he says the Evolution of PA all that have PA will start out with

a low PRA ratio.

You have told me this before that you think I have PA based on Information I

have posted.

This is the first time you have given your thoughts on the A/R ratio Something I

was trying to get an answer in past posting on this. You have hinted to this

before. If only could get main line medical system to accept this. Many would be

spared needless suffering.

> > > > > > > > > > > > > > >> > > > > >

> > > > > > > > > > > > > > >> > > > > > > Are you getting a real doctor this

time or another resident?

> > > > > > > > > > > > > > >> > > > > > >

> > > > > > > > > > > > > > >> > > > > > > I was at the VA today and found out

the new Neprologist was

> > > > > > > > > > > > > > >> > > as I

> > > > > > > > > > > > > > >> > > > > hoped, Dr. Luiz Kolankiewicz. He was the

one I saw back in

> > > > > > > > > > > > > > >> > > December

> > > > > > > > > > > > > > >> > > > > and seemed to know about PA. I thought

asked the right questions.

> > > > > > > > > > > > > > >> > > > > You might suggest a referral if

appropriate!

> > > > > > > > > > > > > > >> > > > > > >

> > > > > > > > > > > > > > >> > > > > > > I also heard Dr. , Chief -

Pulmonary Section, passed away

> > > > > > > > > > > > > > >> > > > > from a massive heart attack! 46 y/o,

great shape and exersized

> > > > > > > > > > > > > > >> > > every

> > > > > > > > > > > > > > >> > > > > day! I told Dr. Webster that was it, I

was going to remain fat,

> > > > > > > > > > > > > > >> > > dumb

> > > > > > > > > > > > > > >> > > > > and happy!

> > > > > > > > > > > > > > >> > > > > > >

> > > > > > > > > > > > > > >> > > > > > > - 65 yo super ob. male - 12mm X

13mm rt. a.adnoma with

> > > > > > > > > > > > > > >> > > > > previous rt. flank pain. Treating with

Meds. And DASH. . Current

> > > > > > > > > > > > > > >> > > > > BP(last week ave): 131/76 HR 60

> > > > > > > > > > > > > > >> > > > > > > Other Issues/Opportunities: OSA w

Bi-Pap settings 13/19, DM2,

> > > > > > > > > > > > > > >> > > > > and PTSD.

> > > > > > > > > > > > > > >> > > > > > > Meds: Duloxetine hcl 80 MG,

Metoprolol Tartrate 200 MG, 81mg

> > > > > > > > > > > > > > >> > > > > asprin, Metformin 2000MG and

Spironolactone 50 MG.

> > > > > > > > > > > > > > >> > > > > > >

> > > > > > > > > > > > > > >> > > > > >

> > > > > > > > > > > > > > >> > > > >

> > > > > > > > > > > > > > >> > > >

> > > > > > > > > > > > > > >> > >

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>

November 4, 2011

I also need to add I went to a third small medical center for same thing. So if

problem is low K have three medical centers that don't do not know this is SX of

low K. they just look at blood test and not think there is a problem with blood

draw. After all k of 3.8 is normal.

> > > > > > > > > > > > > >

> > > > > > > > > > > > > > Francis, 143/80 is better than any reading I get at

the VA. Did they take 3 and average 2 after sitting etc, etc? This is also a lot

lower than the 199/100 you've been reporting. If you assume the same range for

renin at Dartmouth, both your renin test are within range and aldo is also. I

know Dr. Grim said once you had PA but I'm not sure what he saw that made him

come to that conclusion. He usually requires a 24h urine as I recall.

> > > > > > > > > > > > > >

> > > > > > > > > > > > > > Have you ever tried stopping the atenolol? Both it

and lisinopril are ACE inhibitors and if I understand it correctly work on

angiotenisn which starts as renin. Since my renin was =

> > > >

> > >

> >

>

November 4, 2011

No unless one has GRA U at birth one starts with a normal PA AND PRA. Then as tumor or hyperplasia slowly grows renin first becomes low but also is normal for that person. Stage 1 etc. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

Dr Grim said some time ago that based on what I posted he thought I had PA. Believe this was sometimes in 2009.

This is the text from recent posting. Do not think I was surprised by what Dr Grim said as he had hinted to cut off of PAR ratio before Has posted things like If cutoff is 20 and your ratio is 19.5 you still have PA. Of course if you understand what he says the Evolution of PA all that have PA will start out with a low PRA ratio.

You have told me this before that you think I have PA based on Information I have posted.

This is the first time you have given your thoughts on the A/R ratio Something I was trying to get an answer in past posting on this. You have hinted to this before. If only could get main line medical system to accept this. Many would be spared needless suffering.

> > > > > > > > > > > > > > >> > > > > >

> > > > > > > > > > > > > > >> > > > > > > Are you getting a real doctor this time or another resident?

> > > > > > > > > > > > > > >> > > > > > >

> > > > > > > > > > > > > > >> > > > > > > I was at the VA today and found out the new Neprologist was

> > > > > > > > > > > > > > >> > > as I

> > > > > > > > > > > > > > >> > > > > hoped, Dr. Luiz Kolankiewicz. He was the one I saw back in

> > > > > > > > > > > > > > >> > > December

> > > > > > > > > > > > > > >> > > > > and seemed to know about PA. I thought asked the right questions.

> > > > > > > > > > > > > > >> > > > > You might suggest a referral if appropriate!

> > > > > > > > > > > > > > >> > > > > > >

> > > > > > > > > > > > > > >> > > > > > > I also heard Dr. , Chief - Pulmonary Section, passed away

> > > > > > > > > > > > > > >> > > > > from a massive heart attack! 46 y/o, great shape and exersized

> > > > > > > > > > > > > > >> > > every

> > > > > > > > > > > > > > >> > > > > day! I told Dr. Webster that was it, I was going to remain fat,

> > > > > > > > > > > > > > >> > > dumb

> > > > > > > > > > > > > > >> > > > > and happy!

> > > > > > > > > > > > > > >> > > > > > >

> > > > > > > > > > > > > > >> > > > > > > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with

> > > > > > > > > > > > > > >> > > > > previous rt. flank pain. Treating with Meds. And DASH. . Current

> > > > > > > > > > > > > > >> > > > > BP(last week ave): 131/76 HR 60

> > > > > > > > > > > > > > >> > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2,

> > > > > > > > > > > > > > >> > > > > and PTSD.

> > > > > > > > > > > > > > >> > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg

> > > > > > > > > > > > > > >> > > > > asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > > > > > > > > > > > > >> > > > > > >

> > > > > > > > > > > > > > >> > > > > >

> > > > > > > > > > > > > > >> > > > >

> > > > > > > > > > > > > > >> > > >

> > > > > > > > > > > > > > >> > >

> > > > > > > > > > > > > > >> >

> > > > > > > > > > > > > > >>

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>

November 4, 2011

Isn't low and normal PAR ratio the same?

> > > > > > > > > > > > > > > > >> > > > > >

> > > > > > > > > > > > > > > > >> > > > > > > Are you getting a real doctor

this time or another resident?

> > > > > > > > > > > > > > > > >> > > > > > >

> > > > > > > > > > > > > > > > >> > > > > > > I was at the VA today and found

out the new Neprologist was

> > > > > > > > > > > > > > > > >> > > as I

> > > > > > > > > > > > > > > > >> > > > > hoped, Dr. Luiz Kolankiewicz. He was

the one I saw back in

> > > > > > > > > > > > > > > > >> > > December

> > > > > > > > > > > > > > > > >> > > > > and seemed to know about PA. I

thought asked the right questions.

> > > > > > > > > > > > > > > > >> > > > > You might suggest a referral if

appropriate!

> > > > > > > > > > > > > > > > >> > > > > > >

> > > > > > > > > > > > > > > > >> > > > > > > I also heard Dr. , Chief -

Pulmonary Section, passed away

> > > > > > > > > > > > > > > > >> > > > > from a massive heart attack! 46 y/o,

great shape and exersized

> > > > > > > > > > > > > > > > >> > > every

> > > > > > > > > > > > > > > > >> > > > > day! I told Dr. Webster that was it,

I was going to remain fat,

> > > > > > > > > > > > > > > > >> > > dumb

> > > > > > > > > > > > > > > > >> > > > > and happy!

> > > > > > > > > > > > > > > > >> > > > > > >

> > > > > > > > > > > > > > > > >> > > > > > > - 65 yo super ob. male -

12mm X 13mm rt. a.adnoma with

> > > > > > > > > > > > > > > > >> > > > > previous rt. flank pain. Treating

with Meds. And DASH. . Current

> > > > > > > > > > > > > > > > >> > > > > BP(last week ave): 131/76 HR 60

> > > > > > > > > > > > > > > > >> > > > > > > Other Issues/Opportunities: OSA w

Bi-Pap settings 13/19, DM2,

> > > > > > > > > > > > > > > > >> > > > > and PTSD.

> > > > > > > > > > > > > > > > >> > > > > > > Meds: Duloxetine hcl 80 MG,

Metoprolol Tartrate 200 MG, 81mg

> > > > > > > > > > > > > > > > >> > > > > asprin, Metformin 2000MG and

Spironolactone 50 MG.

> > > > > > > > > > > > > > > > >> > > > > > >

> > > > > > > > > > > > > > > > >> > > > > >

> > > > > > > > > > > > > > > > >> > > > >

> > > > > > > > > > > > > > > > >> > > >

> > > > > > > > > > > > > > > > >> > >

> > > > > > > > > > > > > > > > >> >

> > > > > > > > > > > > > > > > >>

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November 4, 2011

Also to them this Sx leads them to think it is anxiety.

> > > > > > >

> > > > > > > > Then you are lucky.

> > > > > > > >

> > > > > > > > Very prominent nephrologist in a leading teaching USA hospital

told it to me. Endocrinologist confirmed that. My PCP said the same!

> > > > > > > >

> > > > > > > > Natalia

> > > > > > > > From: <jclark24p@>

> > > > > > > > To: hyperaldosteronism

> > > > > > > > Sent: Thursday, November 3, 2011 1:46 AM

This is also a lot lower than the 199/100 you've been reporting. If you assume

the same range for renin at Dartmouth, both your renin test are within range and

aldo is also. I know Dr. Grim said once you had PA but I'm not sure what he saw

that made him come to that conclusion. He usually requires a 24h urine as I

recall.

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > Have you ever tried stopping the atenolol? Both it

and lisinopril are ACE inhibitors and if I understand it correctly work on

angiotenisn which starts as renin. Since my renin was =

> > > > >

> > > >

> > >

> >

>

November 4, 2011

seems like anymore anyone coming through the door automatically has depression, anxiety, and a drug problem as soon as they come in the door

Subject: Re: Francis - New PCPTo: hyperaldosteronism Date: Friday, November 4, 2011, 10:10 AM

Also to them this Sx leads them to think it is anxiety. > > > > > > > > > > > > > > > Then you are lucky. > > > > > > > > > > > > > > > > Very prominent nephrologist in a leading teaching USA hospital told it to me. Endocrinologist confirmed that. My PCP said the same!> > > > > > > > > > > > > > > >

Natalia> > > > > > > > From: <jclark24p@>> > > > > > > > To: hyperaldosteronism > > > > > > > > Sent: Thursday, November 3, 2011 1:46 AMThis is also a lot lower than the 199/100 you've been reporting. If you assume the same range for renin at Dartmouth, both your renin test are within range and aldo is also. I know Dr. Grim said once you had PA but I'm not sure what he saw that made him come to that conclusion. He usually requires a 24h urine as I recall.> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Have you ever tried stopping the atenolol? Both it

and lisinopril are ACE inhibitors and if I understand it correctly work on angiotenisn which starts as renin. Since my renin was => > > > >> > > >> > > > > >> >>

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