Re: Re: question about GRA

[Guest guest]

I never presented HTN or hypokalemia (serum or urine) until age 38 and

44, respectively. Does this rule out GRA, or can that " hide " in

earlier years?

Dave

On Thursday, November 18, 2004, at 03:03 PM, lowerbp2@... wrote:

>

> IF you have only one adrenal and have PA then an adrenal vein study

> will not help it is used to decide which side to take out. If there

> is only one and BP and K cant be controlled then you take the last one

> out-be sure they have tested you for GRA.

>

>

> Unless they did not take all of the first one out.In a message dated

> 11/18/2004 12:04:33 AM Eastern Standard Time, Mr Pearson

> <dp@...> writes:

>

>>

>> Hi Ali, I am searching for a definition of BLA's.  Maybe you could

>> shoot one here?

>>

>> Dave

>>

>> On Wednesday, November 17, 2004, at 08:14 PM, aadair4 wrote:

>>

>>>

>>>

>>> Hi Dave,

>>>

>>> I would also try cushings-help.com.  A lot of Cushing's patients

>>> have BLAs.  Try the message boards; there is a lot of information

>>> there, patient stories, people to talk to.  It's an excellent

>>> website!

>>>

>>> Ali

>>>

>>>

>>>> Dr Grim, and all :

>>>>

>>>> I am about to get the venous study at UCSF, to decide whether my

>>>> remaining (left) adrenal should go.    I will find out about the

>>> meds

>>>> withdrawal, surgery, etc. there on Thursday, but any " heads up "

>>> about

>>>> this would be so welcome.

>>>>

>>>> Meanwhile, some months ago, one kind lady mentioned that she and a

>>>> family member or two had both glands out, and lived with addisons,

>>> and

>>>> steroid replacement.

>>>>

>>>> What is that life like?  How is it limited in quality?  Duration?

>>>> Dangers?

>>>>

>>>> I'm pretty nervous, as information about it seems hard to come by.

>>>>

>>>> Best Regards,

>>>>

>>>> Dave

>>>

>>>

>>>

>>>

>>>

>>>

>>>

>>>

[Guest guest]

In a message dated 11/19/04 1:24:34, dp@... writes:

I never presented HTN or hypokalemia (serum or urine) until age 38 and

44, respectively.  Does this rule out GRA, or can that "hide" in

earlier years?

Dave

The first family I saw all had normal K.

The father was 38 and the sons 8 and 9 as I recall.

Unless BP was carefully measured at each year at your Drs. the BP may have been missed until it became really high.

When BP is not done carefully and tracked it is easily written off as "just a bad day"

Clarence E. Grim, BS (Chem/Math), MS (Biochem), MD, FACP, FACC, FAHS

Clinical Professor of Medicine and Epidemiology

Director, Hypertension Diagnosis and Treatment Center

Board Certified in Internal Medicine, Geriatrics and Hypertension

Published over 220 scientific papers, book chapters and 220 abstracts in the area of high blood pressure epidemiology, physiology, endocrinology measurement, treatment and how to detect curable causes.

Listed in Best Doctors in America

Specializing in Difficult to Control High Blood Pressure and the History and Physiology of High Blood pressure in the African Diaspora

[Guest guest]

There are genetic tests and I also do an overnight dexamethasone suppression test like for Cushing's but also measure plasma aldosterone.

Clarence E. Grim, BS (Chem/Math), MS (Biochem), MD, FACP, FACC, FAHS

Clinical Professor of Medicine and Epidemiology

Director, Hypertension Diagnosis and Treatment Center

Board Certified in Internal Medicine, Geriatrics and Hypertension

Published over 220 scientific papers, book chapters and 220 abstracts in the area of high blood pressure epidemiology, physiology, endocrinology measurement, treatment and how to detect curable causes.

Listed in Best Doctors in America

Specializing in Difficult to Control High Blood Pressure and the History and Physiology of High Blood pressure in the African Diaspora

[Guest guest]

Yes, that's true. I never knew before the treatment began. . .what is

the test for GRA?

Thanks again,

Dave

On Nov 19, 2004, at 5:09 PM, lowerbp2@... wrote:

>

> In a message dated 11/19/04 1:24:34, dp@... writes:

>

>

>

>

> I never presented HTN or hypokalemia (serum or urine) until age 38 and

> 44, respectively.  Does this rule out GRA, or can that " hide " in

> earlier years?

>

> Dave

>

>

>

> The first family I saw all had normal K.

>

> The father was 38 and the sons 8 and 9 as I recall.

>

> Unless BP was carefully measured at each year at your Drs. the BP may

> have been missed until it became really high.

>

> When BP is not done carefully and tracked it is easily written off as

> " just a bad day "

>

>

>

> Clarence E. Grim, BS (Chem/Math), MS (Biochem), MD, FACP, FACC, FAHS

> Clinical Professor of Medicine and Epidemiology

> Director, Hypertension Diagnosis and Treatment Center

> Board Certified in Internal Medicine, Geriatrics and Hypertension

>

> Published over 220 scientific papers, book chapters and 220 abstracts

> in the area of high blood pressure epidemiology, physiology,

> endocrinology measurement, treatment and how to detect curable causes.

> Listed in Best Doctors in America

> Specializing in Difficult to Control High Blood Pressure and the

> History and Physiology of High Blood pressure in the African Diaspora

>

>

>

>