Re: Right Adrenal results - Dr. Grim...anyone?

[Guest guest]

No, I did not have the ACTH injection because they were testing me for a pheochromocytoma and took the aldo while they were doing the procedure. It would be like having a blood test for aldo and renin. Same range (tested by the Mayo lab who).

Debi

[Guest guest]

My catecholamines are elevated also (metanephrine and normetaneprhine). I guess they won't know everything until it is removed and pathology done. I also have carcinoid syndrome.

Debi

[Guest guest]

Also, I forgot to add....my renin was <6. That's one high ratio!

Debi

>

> Finally, I got the right adrenal aldosterone results from the AVS.

All

> they did was sample the left, right and IVC. I previously posted

the

> results of the left adrenal 55 ng/dl (range 1-21)and lower IVC 5.7

> (same range). The right adrenal with the 1.2 cm nodule was 177

ng/dl

> (same range). My doctor has been trying to call me for days to tell

me.

> Holy cow! He is setting me up with my surgeon (who is a vascular

> surgeon)to remove the right adrenal gland. Now I'm scared. The left

is

> elevated also. I thought you couldn't have one out if both were

> elevated.

>

> I have been so sick. I am currently taking clonidine (alpha),

> metoprolol (beta), potassium, benecar, triamterene w/HCTZ, thyroid

med.

> What should I ask the surgeon? What do I need to do in the mean

time?

> I'm sure I'll be having this done very soon.

>

> thanks,

> Debi in Knoxville

>

[Guest guest]

Debi,

Were these results before or after ACTH injection? I

hope Dr. Grim or someone else who has had AVS will

comment on this. Maybe it's the ratio and not the

amount of aldosterone that matters, I don't know. But

I just dug out my AVS report. I'll post just part of

the results, not the cortisol & ratios. My results

were much, much higher but I have bilateral adenomas

and hyperfunction so surgery is not an option for me.

And maybe that makes a difference in the results.

Before ACTH injection: (normal 1-16 ng/DL)

R adrenal 579.1 L adrenal 886.6 IVC 45.5

After ACTH injection:

R adrenal 2407.5 L adrenal 2539.3 IVC 68.0

a

>

> >

> > Finally, I got the right adrenal aldosterone

> results from the AVS.

> All

> > they did was sample the left, right and IVC. I

> previously posted

> the

> > results of the left adrenal 55 ng/dl (range

> 1-21)and lower IVC 5.7

> > (same range). The right adrenal with the 1.2 cm

> nodule was 177

> ng/dl

> > (same range). My doctor has been trying to call me

> for days to tell

> me.

> > Holy cow! He is setting me up with my surgeon (who

> is a vascular

> > surgeon)to remove the right adrenal gland. Now I'm

> scared. The left

> is

> > elevated also. I thought you couldn't have one out

> if both were

> > elevated.

> >

> > I have been so sick. I am currently taking

> clonidine (alpha),

> > metoprolol (beta), potassium, benecar, triamterene

> w/HCTZ, thyroid

> med.

> > What should I ask the surgeon? What do I need to

> do in the mean

> time?

> > I'm sure I'll be having this done very soon.

> >

> > thanks,

> > Debi in Knoxville

> >

>

>

>

>

[Guest guest]

Oh, I didn't know they did AVS to diagnosis a pheo.

How did those results turn out?

a

--- moonium@... wrote:

> No, I did not have the ACTH injection because they

> were testing me for a

> pheochromocytoma and took the aldo while they were

> doing the procedure. It would

> be like having a blood test for aldo and renin. Same

> range (tested by the

> Mayo lab who).

>

> Debi

>

[Guest guest]

Good luck on your surgery now we know what side it is from. I cant wait

to get that far along with mine.I wonder what it will feel like to not

be all amped on neropinephrine probably realy good I have been amped

for a long time. ita

[Guest guest]

In a message dated 10/11/06 5:37:16 PM, moonium@... writes:

Finally, I got the right adrenal aldosterone results from the AVS. All

they did was sample the left, right and IVC. I previously posted the

results of the left adrenal 55 ng/dl (range 1-21)and lower IVC 5.7

(same range). The right adrenal with the 1.2 cm nodule was 177 ng/dl

(same range). My doctor has been trying to call me for days to tell me.

Holy cow! He is setting me up with my surgeon (who is a vascular

surgeon)to remove the right adrenal gland. Now I'm scared. The left is

elevated also. I thought you couldn't have one out if both were

elevated.

I have been so sick. I am currently taking clonidine (alpha),

metoprolol (beta), potassium, benecar, triamterene w/HCTZ, thyroid med.

What should I ask the surgeon? What do I need to do in the mean time?

I'm sure I'll be having this done very soon.

thanks,

Debi in Knoxville

It would appear to me that they did not give you ACTH before the sampling which limits the ability to determine where you are with the blood samples and you do not give any cortisol results. Have you been on sprio or Inspra yet?

[Guest guest]

In a message dated 10/11/06 5:37:16 PM, moonium@... writes:

What should I ask the surgeon? What do I need to do in the mean time?

I'm sure I'll be having this done very soon.

How many has he done? What has been his 10 years cure rate? If you have not been on spiro or Inspra yet this would be a reasonable test to predice how your BP and K will do.

[Guest guest]

In a message dated 10/11/06 7:52:25 PM, shahall@... writes:

Oh, I didn't know they did AVS to diagnosis a pheo.

How did those results turn out?

a

You can measure NE and E to localized pheo but usually not done.

[Guest guest]

In a message dated 10/11/06 6:21:59 PM, shahall@... writes:

I'll post just part of

the results, not the cortisol & ratios.

The reason to do the ACTH is to look at the Cortisols to see if you were in a vein that drains the adrenal.

[Guest guest]

In a message dated 10/11/06 5:39:32 PM, moonium@... writes:

Also, I forgot to add....my renin was <6. That's one high ratio!

less than 6 or less than 0.6???