Re: Doctor's appt and older lab reports

[Guest guest]

why does she think your K is Low. I suspect you have PA. You need a

renin and aldo test by an endo who knows about Conn's. Recommend you

take in my article.

Remind them that I worked with Dr. Conn.

Keep us posted.

May your pressure be low!

CE Grim MD

Clinical Professor of Internal Medicine

Professor of Epidemiology

Board Certified in Internal Medicine, Geriatrics and Hypertension

Doctor's appt and older lab reports

This might be my last appointment with my primary Doctor as

she is

moving. I did express my concern for my low potassium levels. She

surprised me by saying it's not too low but she didn't want me going

off of slow K either. She is all for me going to the ENDO and

getting checked further but she doesn't think anything will show from

it. Still waiting for referal appointment. She agreed that my altace

(ramipril) could be lowered and so now I'm on a lower dosage. I

didn't ask some of my questions because of the fact she's moving. I

had the usual blood work done checking electrolytes,etc. I asked for

copies of my labs back to sept 2005. The nurse was able to do that

quite quickly for me.

I will highlight some of the results: (there is way too much to post

so if you want to know anything else let me know... perhaps this is

not relevant this history for my current situation)

November 15/06: AST (SGOT) H 40 U/L ( < 40 )

Potassium L 3.2 mmol/L (3.5-5.0)

Cholesterol H 5.26 mmol/L (< 5.20 )

November 6/06: under CBC and Differential category:

MPV L 7.1 fL 7.4 - 10.4 (What is this?)

Lymph (LY#) L 1.3 10**9/L 1.5 - 4.5

Total CO2 H 33 mmol/L 22 - 29

Potassium 3.5 mmol/L 3.5 - 5.3

September 13/06:

Potassium L 3.1 mmol/L 3.5 - 5.0

Total C02 H 36 mmol/L 23 - 31

Cholesterol H 5.64 mmol/L (< 5.20)

* The interesting thing to me is I was exercising regularly and

eating quite healthy, following weight watchers up until the end of

June. I didn't go back to the gym until Jan 07 and started Dash Jan

07. There is a difference in cholesterol and potassium. Although I

did have a lower potassium reading in June too.

June 22/06:

Cholesterol 4.53 mmol/L (< 5.20)

Potassium 3.6 mmol/L (3.5 - 5.0)

June 12/06

Mono% H 9.8 % 1.5 - 9.5

Potassium L 3.1 mmol/L 3.6 - 5.0

May 12/06

potassium 3.5 mmol/L 3.5 - 5.0

Feb 22/06

potassium L 3.4 mmol/L 3.5 - 5.0

Feb 7/06

potassium L 3.3 mmol/L 3.5 - 5.0

Nov 29/05

potassium L 3.1 mmol/L 3.5 - 5.0

* I'm real curious what my potassium reading will be now as I have

increased my potassium doing the DASH.

________________________________________________________________________

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[Guest guest]

I do not do the CT scan unless the aldo/renin is high. If it is not high and BP is difficult to control (see my apprach in files on BPline) then my next imaging study would be a "Dr Grim" hypertensive MRI to look at kidneys arteries and adrenals at the same time.Grim

CE Grim

[Guest guest]

She has never been overly concerned with my low potassium readings

and doesn't give a reason about my low K readings. She as well as my

Internist would usually tell me eat more potassium... ie: eat 2

bananas a day, etc. A reason was never given for the low K. But at

least my Internist is looking into it now (as I posted before) with

the CT scan of the adrenals, aldo/ renin test. Hopefully I'll get

the Endo referral soon.

>

> why does she think your K is Low. I suspect you have PA. You need

a

> renin and aldo test by an endo who knows about Conn's. Recommend

you

> take in my article.

>

> Remind them that I worked with Dr. Conn.

>

> Keep us posted.

>

>

>

>

> May your pressure be low!

>

> CE Grim MD

> Clinical Professor of Internal Medicine

> Professor of Epidemiology

>

> Board Certified in Internal Medicine, Geriatrics and Hypertension

>

> Doctor's appt and older lab reports

>

> This might be my last appointment with my primary Doctor

as

> she is

> moving. I did express my concern for my low potassium levels. She

> surprised me by saying it's not too low but she didn't want me

going

> off of slow K either. She is all for me going to the ENDO and

> getting checked further but she doesn't think anything will show

from

> it. Still waiting for referal appointment. She agreed that my

altace

> (ramipril) could be lowered and so now I'm on a lower dosage. I

> didn't ask some of my questions because of the fact she's moving. I

> had the usual blood work done checking electrolytes,etc. I asked

for

> copies of my labs back to sept 2005. The nurse was able to do that

> quite quickly for me.

> I will highlight some of the results: (there is way too much to

post

> so if you want to know anything else let me know... perhaps this is

> not relevant this history for my current situation)

>

> November 15/06: AST (SGOT) H 40 U/L ( < 40 )

> Potassium L 3.2 mmol/L (3.5-5.0)

> Cholesterol H 5.26 mmol/L (< 5.20 )

>

> November 6/06: under CBC and Differential category:

> MPV L 7.1 fL 7.4 - 10.4 (What is this?)

> Lymph (LY#) L 1.3 10**9/L 1.5 - 4.5

> Total CO2 H 33 mmol/L 22 - 29

> Potassium 3.5 mmol/L 3.5 - 5.3

>

> September 13/06:

> Potassium L 3.1 mmol/L 3.5 - 5.0

> Total C02 H 36 mmol/L 23 - 31

> Cholesterol H 5.64 mmol/L (< 5.20)

>

> * The interesting thing to me is I was exercising regularly and

> eating quite healthy, following weight watchers up until the end of

> June. I didn't go back to the gym until Jan 07 and started Dash Jan

> 07. There is a difference in cholesterol and potassium. Although I

> did have a lower potassium reading in June too.

>

> June 22/06:

> Cholesterol 4.53 mmol/L (< 5.20)

> Potassium 3.6 mmol/L (3.5 - 5.0)

>

> June 12/06

> Mono% H 9.8 % 1.5 - 9.5

> Potassium L 3.1 mmol/L 3.6 - 5.0

>

> May 12/06

> potassium 3.5 mmol/L 3.5 - 5.0

>

> Feb 22/06

> potassium L 3.4 mmol/L 3.5 - 5.0

>

> Feb 7/06

> potassium L 3.3 mmol/L 3.5 - 5.0

>

> Nov 29/05

> potassium L 3.1 mmol/L 3.5 - 5.0

>

> * I'm real curious what my potassium reading will be now as I have

> increased my potassium doing the DASH.

>

>

>

>

>

>

>

______________________________________________________________________

__

> Check out the new AOL. Most comprehensive set of free safety and

> security tools, free access to millions of high-quality videos from

> across the web, free AOL Mail and more.

>

[Guest guest]

Read my approach to difficult HTN In our files.

I would do an aldo renin ratio first, but your local team will know you better and should be better able to plan what to do.

CE Grim MD

[Guest guest]

I received a call today for my Endo appt. which is March 19th. (This happens to be at the same hospital my son was admitted to after breaking his neck when he was 7... he is 18 now and fully recovered) I have to have blood work done 2 weeks prior to appt. A requisition is being sent for the blood work. I'm not sure what is being checked. I want to ask: Is my high aldosterone levels the cause of my hypertension? Can I do a trial of spiro and off other meds to see if it corrects my K and BP? What about a 24 hr urine for aldosterone on a high salt diet and on no drugs?

In the mean time I am doing the DASH diet. My husband asked if I'm noticing any changes. I said my BP readings are lower. It's hard to get in all the grains in a day. I calculated the fibre for today. It was 22.8 g. 30 g is what the aim is to be. I am also exercising more. I did 25 mins. on the eliptical and 10 laps walking around the track at the gym today. Just exercising is helping me feel better and helping with my energy levels.

I am reading labels even more now. Some things have an incredible amount of sodium in them. Soya sauce is bad. Even some 'healthy' soups with a heart wise label still have more sodium in them than one would expect. We've had fish 3 times now since I started DASH. We're eating less red meat, etc... etc.. I think DASH will help my husband who has been told to drink this prostate herbal tea by his doctor.

- In hyperaldosteronism , lowerbp2@... wrote:>> I do not do the CT scan unless the aldo/renin is high. If it is not high > and BP is difficult to control (see my apprach in files on BPline) then my next > imaging study would be a "Dr Grim" hypertensive MRI to look at kidneys > arteries and adrenals at the same time.Grim> > CE Grim>

[Guest guest]

Dr. Grim, Have you heard of Dr. McNab? (U of A hospital in Edmonton,

AB, Canada) That's the Endo I'm being sent to. Did you ever check of

any others you might have heard of in Alberta?

>

> This might be my last appointment with my primary Doctor as she is

> moving. I did express my concern for my low potassium levels. She

> surprised me by saying it's not too low but she didn't want me

going

> off of slow K either. She is all for me going to the ENDO and

> getting checked further but she doesn't think anything will show

from

> it. Still waiting for referal appointment. She agreed that my

altace

> (ramipril) could be lowered and so now I'm on a lower dosage. I

> didn't ask some of my questions because of the fact she's moving.

I

> had the usual blood work done checking electrolytes,etc. I asked

for

> copies of my labs back to sept 2005. The nurse was able to do that

> quite quickly for me.

> I will highlight some of the results: (there is way too much to

post

> so if you want to know anything else let me know... perhaps this is

> not relevant this history for my current situation)

>

> November 15/06: AST (SGOT) H 40 U/L ( < 40 )

> Potassium L 3.2 mmol/L (3.5-5.0)

> Cholesterol H 5.26 mmol/L (< 5.20 )

>

> November 6/06: under CBC and Differential category:

> MPV L 7.1 fL 7.4 - 10.4 (What is this?)

> Lymph (LY#) L 1.3 10**9/L 1.5 - 4.5

> Total CO2 H 33 mmol/L 22 - 29

> Potassium 3.5 mmol/L 3.5 - 5.3

>

> September 13/06:

> Potassium L 3.1 mmol/L 3.5 - 5.0

> Total C02 H 36 mmol/L 23 - 31

> Cholesterol H 5.64 mmol/L (< 5.20)

>

> * The interesting thing to me is I was exercising regularly and

> eating quite healthy, following weight watchers up until the end of

> June. I didn't go back to the gym until Jan 07 and started Dash

Jan

> 07. There is a difference in cholesterol and potassium. Although

I

> did have a lower potassium reading in June too.

>

> June 22/06:

> Cholesterol 4.53 mmol/L (< 5.20)

> Potassium 3.6 mmol/L (3.5 - 5.0)

>

> June 12/06

> Mono% H 9.8 % 1.5 - 9.5

> Potassium L 3.1 mmol/L 3.6 - 5.0

>

> May 12/06

> potassium 3.5 mmol/L 3.5 - 5.0

>

> Feb 22/06

> potassium L 3.4 mmol/L 3.5 - 5.0

>

> Feb 7/06

> potassium L 3.3 mmol/L 3.5 - 5.0

>

> Nov 29/05

> potassium L 3.1 mmol/L 3.5 - 5.0

>

> * I'm real curious what my potassium reading will be now as I have

> increased my potassium doing the DASH.

>

[Guest guest]

You have primary aldo till proven otherwise. Ramipril will not lower BP in PA tho. You could have secondary aldo. A renin will tell the story.

May your pressure be low!

Clarence 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.

[Guest guest]

Jan 19/07 - potassium was low 3.3 mmol/L 3.5 - 5.0

What is total C02? Many lab results say it's high.

Dr. Grim, Have you heard of Dr. McNab in Edmonton?

I guess my previous Aldo/Renin test did not quite tell the story?

The aldo was high. You mentioned the renin result maybe wasn't the

best test before. Maybe it's going to be done again.

>

> You have primary aldo till proven otherwise. Ramipril will not

lower BP in

> PA tho. You could have secondary aldo. A renin will tell the

story.

>

>

>

> May your pressure be low!

>

> Clarence 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.

>

[Guest guest]

In a message dated 1/30/07 7:19:17 AM, cornerstone@... writes:

also test high for co2 and would like to know why...

There are many reasons why. Ask you Dr. he knows you best. If K is that will do it and I explainded that in a post not too long ago which I think went into the files.

May your pressure be low!

Clarence 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.

[Guest guest]

In a message dated 1/30/07 1:55:10 AM, cjant@... writes:

Dr. Grim, Have you heard of Dr. McNab in Edmonton?

Nope but dont know many Kanuks.

May your pressure be low!

Clarence 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.

[Guest guest]

Lyn,i also test high for co2 and would like to know why...do you have many problems getting in for needed tests or procedures in Edmonton? My sis in Abbotsford sure does. Has to wait forever!if you doc didn't tell you, or didn't test for renin, you should ask for it (don't just assume). sometimes they won't take that extra step without a little push!!kim> ....Maybe it's going to be done again. > >.... A renin will tell the > story.> > > > > > > > May your pressure be low!> > > > Clarence 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.> >>

[Guest guest]

No I don't have a waiting problem. I'm not from Edmonton but going

there for specialist appt. I have relatives in Abbotsford too. Dr.

Grim says he explained about the C02 thing before. I'll have to

check back.

>

> Lyn,

>

> i also test high for co2 and would like to know why...

>

> do you have many problems getting in for needed tests or procedures

in

> Edmonton? My sis in Abbotsford sure does. Has to wait forever!

>

> if you doc didn't tell you, or didn't test for renin, you should

ask for

> it (don't just assume). sometimes they won't take that extra step

> without a little push!!

>

> kim

>

> > ....Maybe it's going to be done again.

> >

> >.... A renin will tell the

> > story.

> > >

> > >

> > >

> > > May your pressure be low!

> > >

> > > Clarence 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.

> > >

> >

>

[Guest guest]

A PA case, I tested high for Co2 also. Mine turned out to be from COPD

(emhpysema), then undiagnosed. A pulmonary function test turned it up.

My lung Dr. says smoking, breathing toxins often, and lots of other

things can cause high Co2 in bloodwork. If it is fairly consistent in

blood, more tests.

Dave

On Jan 31, 2007, at 2:12 AM, lyndyst wrote:

> No I don't have a waiting problem. I'm not from Edmonton but going

> there for specialist appt. I have relatives in Abbotsford too. Dr.

> Grim says he explained about the C02 thing before. I'll have to

> check back.

>

>

> >

> > Lyn,

> >

> > i also test high for co2 and would like to know why...

> >