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In a message dated 10/14/06 6:43:58 PM, meling333@... writes:

I am having a MRI to look at this possible Pheo. Should this be a with contrast and without contrast MRI?

not my area of expertise--MRI so go with what the recommend. pheos are classically very vascular and should who up easily if large enough. Unusual to have both.

May your pressure be low!

C.E. Grim, B.S., M.S., M.D.

Specializing in Difficult to Control High Blood Pressure

and the Physiology and History of Survival During

Hard Times and Heart Disease today.

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Yes its all very rare and is probably why I been to 8 Endos with no luck at all

till I found you Dr. Grim. You are a a real life saver. My neropinephrine is the

highest above range. aldo,testosterone,

dopamine, Dhea over range as well. With the exception of cortisol which is in

range last checked. I am also keeping up with checking K as Im taking HCTZ now

days. I have learned much in here on how to manage this hurrican of hormones I

got going on. The ACEI and the CCB are making a real difference. I am so pleased

something is going right at last. ita

I am having a MRI to look at this possible Pheo. Should this be a with

> > contrast and without contrast MRI?

> >

>

> not my area of expertise--MRI so go with what the recommend. pheos are

> classically very vascular and should who up easily if large enough. Unusual

to

> have both.

>

>

>

> May your pressure be low!

>

> C.E. Grim, B.S., M.S., M.D.

> Specializing in Difficult to Control High Blood Pressure

> and the Physiology and History of Survival During

> Hard Times and Heart Disease today.

>

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Hi ita,

about two years ago, i was told that i may have pheo. since i have

conn's already, it is very difficult to even think i have another rare

illness.

dr. grim, what is the probability of having two rare illnesses in one

person? and why? if i have pheo and conn's, what are my options?

david 2

>

> I am having a MRI to look at this possible Pheo. Should this be a with

> > > contrast and without contrast MRI?

> > >

> >

> > not my area of expertise--MRI so go with what the recommend. pheos

are

> > classically very vascular and should who up easily if large

enough. Unusual to

> > have both.

> >

> >

> >

> > May your pressure be low!

> >

> > C.E. Grim, B.S., M.S., M.D.

> > Specializing in Difficult to Control High Blood Pressure

> > and the Physiology and History of Survival During

> > Hard Times and Heart Disease today.

> >

>

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I hope you dont develop a pheo have you had your catecholamines checked? I was

rather shocked when I found out I had twice the amound of norepinephrine but it

explained why I went from a relaxed kick back person to a enraged individual

nerves wreck with less patience and always stressed for no reason at all and

could not sleep well.

The ACEI Benazepril has really taken the edge of me I am sleeping through the

whole night after all these years of suffering.

I do think having one hormone imbalance can lead to another especialy a growing

adenoma.

ita

hyperaldosteronism , " bayabas76 " <bayabas76@...> wrote:

>

> Hi ita,

>

about two years ago, i was told that i may have pheo. since i have conn's

already, it is very difficult to even think i have another rare

illness. dr. grim, what is the probability of having two rare illnesses in one

> person? and why? if i have pheo and conn's, what are my options?

>

> david 2

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Dr. Grim,

So I guess I am a very unique creature with those probabilities. I

have conn's confirmed. I am scared of finding out pheo. but the

symptoms are there. What a way to exist.

>

>

> In a message dated 10/16/06 8:49:18 PM, bayabas76@... writes:

>

>

> > dr. grim, what is the probability of having two rare illnesses in one

> > person? and why? if i have pheo and conn's, what are my options?

> >

>

> On the average it will be

>

> Prob of having two diseases: prob of disease 1 x prob of disease 2.

>

> So if prob of PA is say 1/100,000 and Pheo is 1/1,000,000 then

mulitple it

> out. So the risk is very small but not zero.

>

> I have never seen both but have only seen 150-200 PAs and 50 pheos

so my

> chances of seeing both would be very small.

>

>

> This assumes that PA and Pheo do not alter the risk of having the

other.

> one o

>

>

>

> May your pressure be low!

>

> C.E. Grim, B.S., M.S., M.D.

> Specializing in Difficult to Control High Blood Pressure

> and the Physiology and History of Survival During

> Hard Times and Heart Disease today.

>

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Same here with the " enraged " thing and less patience too. I do not go

to any doctor now.

> >

> > Hi ita,

> >

> about two years ago, i was told that i may have pheo. since i have

conn's already, it is very difficult to even think i have another rare

> illness. dr. grim, what is the probability of having two rare

illnesses in one

> > person? and why? if i have pheo and conn's, what are my options?

> >

> > david 2

>

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Hi

Yes becoming enraged when there is no good reason to be enraged.

I had to learn to controll the rage part years ago and just feel the churning of

the rage inside me but look like calm water on the outside. It has been rough.

The benazepril is doing wonders for the rage part and I have not had to take

any valium or xanax since I went on benazepril I am laughing much more again.

I know it is hard to find a dr. that knows about this. I wont see any in

Sacramento their so scary and reckles. I seen 10 down there since 01 and 5 in

the last year with no luck. Then I came in this news group and found out I am a

wreck of hormones with labs to prove it..

I dont know what those dr.s i was seening were doing for 8 months in Sacramento,

can you believe they came up with nothing? I have so many out of wack hormones I

gave up on them in July. I met several drs. in PI when I lived there that I

liked. Hope you find someone, there for your hypertension that understands

endocrinology hormones. Now I am going to San Francico to a dr. referred by

dr.Grim and waiting for some MRI scan to get approved hoping the pheo/adenoma

glows. Then banishing it from my body cut,cut snip, snip and hope I am well by

spring or summer. Thats my plan. I got very very luck to think Dr. Grim is

moving an hour in a half away from me. I just have to be patient and all good

things will come. ita

" bayabas76 " <bayabas76@...> wrote:

>

> Same here with the " enraged " thing and less patience too. I do not go

> to any doctor now.

>

>

>

" meling333 " <meling333@>

> >

> > I hope you dont develop a pheo have you had your catecholamines

> checked? I was rather shocked when I found out I had twice the amound

> of norepinephrine but it explained why I went from a relaxed kick back

> person to a enraged individual nerves wreck with less patience and

> always stressed for no reason at all and could not sleep well.

> > The ACEI Benazepril has really taken the edge of me I am sleeping

> through the whole night after all these years of suffering.

> > I do think having one hormone imbalance can lead to another

> especialy a growing adenoma.

> >

> > ita

> >

> >

> > hyperaldosteronism , " bayabas76 " <bayabas76@> wrote:

> > >

> > > Hi ita,

about two years ago, i was told that i may have pheo. since i have

> conn's already, it is very difficult to even think i have another rare

> > illness. dr. grim, what is the probability of having two rare

> illnesses in one

> > > person? and why? if i have pheo and conn's, what are my options?

> > >

> > > david 2

> >

>

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Hi Debi,

I have no clue as to my dopamine levels. I am not seeing any doctors

anymore. it is the classic story of conn's people...having been missed

by docs for so long. in my case, twelve years.

-- In hyperaldosteronism , moonium@... wrote:

>

> ,

>

> How are your dopamine levels? High levels of this can cause rage.

You may

> have said and I didn't see it.

>

> Debi

>

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Dr. Grim,

I have retired here in the Philippines right now.

>

>

> In a message dated 10/18/06 8:55:10 PM, bayabas76@... writes:

>

>

> >

> > Same here with the " enraged " thing and less patience too. I do not go

> > to any doctor now.

> >

> >

> >

> >

> >

>

> You need to find one who will work with you and knows what they are

doing.

> Where do you live?

>

>

>

> May your pressure be low!

>

> C.E. Grim, B.S., M.S., M.D.

> Specializing in Difficult to Control High Blood Pressure

> and the Physiology and History of Survival During

> Hard Times and Heart Disease today.

>

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ita,

One way I control rage is through exercise. I put all the tension into

exercise and it helps somehow. The head pains are minimized when I am

not conscious about it. I think my mind is helping too. Since I lost

my job last May, I do not think I can afford the drs here in PI, you

know how they charge per visit.

take care.

> > > >

> > > > Hi ita,

> about two years ago, i was told that i may have pheo. since i have

> > conn's already, it is very difficult to even think i have another rare

> > > illness. dr. grim, what is the probability of having two rare

> > illnesses in one

> > > > person? and why? if i have pheo and conn's, what are my options?

> > > >

> > > > david 2

> > >

> >

>

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Still Dr. Grim its a good move to check for Pheos and thankful you had that in

your difficult to treat hypertension page. I would have never knew what cats are

other wise till probably a later date.

And I got the high norepinphrine level in labs. I need to do my 24hr urine that

is waiting on me. For the 2nd proof test.

I'm really enjoying the Benazpril which has alowed me to sleep nights along with

the spiro, & atenolol. I got a good combo going on now. ita

>

> In my experience I am most often wrong when I think a pt has a pheo based on

> symptoms. There are a lot of folks who have the Sx but dont have a pheo.

> My guess is 1000 to 1 is the ratio. Dont know what they have but pheo is very

> easy to diagnose. Just takes a 24 hr urine or we prefer a sleep urine which

> should have the lowest cats in it.

>

>

>

> May your pressure be low!

>

> C.E. Grim, B.S., M.S., M.D.

> Specializing in Difficult to Control High Blood Pressure

> and the Physiology and History of Survival During

> Hard Times and Heart Disease today.

>

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