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Re: Re: Right Adrenalectomy scheduled

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In a message dated 12/29/05 4:09:25 PM, suzanne_paolini@... writes:

I am on Spiro 50mg twice a day. I have been on it for about a month

and a half. I also take Toprol 12.5mg once per day and Xanax 0.25mg

once per day. My K was 4.5 three weeks ago up from 3.7 a month and a

half ago.

My resting pulse was very high for me today, around 90. My bp has

been excellent at around 110/70 and as low as 103/54. I am concerned

about the pulse. Should I be? Is this normal? 

I also have hypothyroidism and my TSH is around 6 right now. I am not

on Synthroid because it caused some problems for me and we are

waiting until after my surgery to readdress this problem.

Thanks!

Suzanne

Your local Doctors can best advise you on this.

Have you been decreasing your Toprol or has your BP fallen a lot recently. If the latter then it is likely your baroreceptors trying to keep the pressure up and this should quiet down. Keep us posted on your surgical results. Have we gotten a complete Suzanne's story of your journey to the correct diagnosis. If not we would like to have it in as much detail as you have time. You should also take it to your current Dr'ing team and then also to all the Drs who missed the Dx in the past. You will help prevent them from missing others.

CE Grim MD

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In a message dated 12/30/05 8:38:00 PM, suzanne_paolini@... writes:

I have been on the Spiro for about 1 1/2 months. My Bp has seemed to

drop a little lately. It is now going down as low as 103/54 but

averaging 110/70. Maybe it just took the Spiro this long to fully

kick in?

My guess is that ths spiro is doing its job now and this is why your BP is so much better--especially if you are DASHing. It suggests that surgery will be very successful if you have a unilateral problem.

Check with you Endo as soon as he gets back.

May your pressure be low!

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

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Good luck Suzanne and it sounds like you are in good hands of the doctors. I'll be looking forward hearing your story post adrenalectomy and wish you the best and hope all goes well for you. Farahsuzanne_paolini <suzanne_paolini@...> wrote: Hi Dr. Grim,Thanks for your reply. My Endo is on vacation until Jan 2.I lowered my Toprol about 3 weeks ago to 12.5mg from 25mg. I didn't notice too much of a jump in pulse or bp after lowering it until now. I have been on the Spiro for about 1 1/2 months. My Bp has seemed to drop a little lately. It is now going down as low as 103/54 but averaging 110/70. Maybe it just took the Spiro this long to fully kick in?I will definitely write up my whole story this week so we can add it to the files. Then I will keep you all posted on my

surgery after it is over. I know reading the stories of others on this board have really helped me get through this. I think Kip's detailed reports post surgery have really made me optimistic about the whole thing. Thank you so much to all of you! I think it takes a really strong person to make it through this... you are all very special!>> > In a message dated 12/29/05 4:09:25 PM, suzanne_paolini@y... writes:> > > > I am on Spiro 50mg twice a day. I have been on it for about a month> > and a half. I also take Toprol 12.5mg once per day and Xanax 0.25mg> > once per day. My K was 4.5 three weeks ago up from 3.7 a month and a> > half ago.> > My resting pulse was very high for me today, around 90. My bp has> > been excellent at around 110/70 and as low as 103/54. I am

concerned> > about the pulse. Should I be? Is this normal? > > I also have hypothyroidism and my TSH is around 6 right now. I am not> > on Synthroid because it caused some problems for me and we are> > waiting until after my surgery to readdress this problem.> > Thanks!> > Suzanne> > > > Your local Doctors can best advise you on this. > > Have you been decreasing your Toprol or has your BP fallen a lot recently. > If the latter then it is likely your baroreceptors trying to keep the pressure > up and this should quiet down. Keep us posted on your surgical results. > Have we gotten a complete Suzanne's story of your journey to the correct > diagnosis. If not we would like to have it in as much detail as you have time. > You should also take it to

your current Dr'ing team and then also to all the > Drs who missed the Dx in the past. You will help prevent them from missing > others.> > CE Grim MD>

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