Re: Argh!� And it was all going so well...

[Guest guest]

Yes, the K is looking fine at 4.5 mmol/L. Will re-continue to dash and

track BP.

Thanks,

Jeff

>

> in many the bp will bounce around for a while. has k been recheched

post

> op? still dash. the vessel hyoertrophy from the aldo bp takes a

while to

> reverse. be sure to keep track

> of bp daily.

>

>

> 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]

Dave,

Thanks. Things are smoothing out very well. It seems that I am, for

the moment, much more sodium sensitive than I am accustomed to...that's

pretty easy to deal with with a bit of DASHing. In addition, I was

unaware that BP bouncing around post-op while looking for a set point is

fairly normal.

As to the path report, I've read it in full and have followed up with

the pathologist. The only abnormality found was the 1.2cm adenoma with

the characteristic golden chalice color. There were no abnormalities

seen visually or under microscope in the remaining tissue (I had the

pathologist recheck these sections since nothing other than their

existence was noted on the path report).

Although I had the AVS, the findings were not totally unambiguous since

only 1 sample from the right appeared to be coming from the adrenal vein

and perhaps not cleanly at that. That said, when looking at the aldo

results from left pre and post-ACTH stimulation, the numbers were so

high in comparison with my overall plasma levels (and IVC), we had a

fairly high level of confidence that the problem was unilateral on the

left. Surgery showed that to be correct. Sorry your " experiment " did

not work out quite so well.

-Jeff

> > >

> > > in many the bp will bounce around for a while. has k been

recheched

> > post

> > > op? still dash. the vessel hyoertrophy from the aldo bp takes a

> > while to

> > > reverse. be sure to keep track

> > > of bp daily.

> > >

> > >

> > > 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]

Glad to hear yours did, Jeff.

Dave

On Jan 8, 2007, at 10:47 AM, datawrhsdoc wrote:

> Dave,

>

> Thanks. Things are smoothing out very well. It seems that I am, for

> the moment, much more sodium sensitive than I am accustomed

> to...that's

> pretty easy to deal with with a bit of DASHing. In addition, I was

> unaware that BP bouncing around post-op while looking for a set point

> is

> fairly normal.

>

> As to the path report, I've read it in full and have followed up with

> the pathologist. The only abnormality found was the 1.2cm adenoma with

> the characteristic golden chalice color. There were no abnormalities

> seen visually or under microscope in the remaining tissue (I had the

> pathologist recheck these sections since nothing other than their

> existence was noted on the path report).

>

> Although I had the AVS, the findings were not totally unambiguous

> since

> only 1 sample from the right appeared to be coming from the adrenal

> vein

> and perhaps not cleanly at that. That said, when looking at the aldo

> results from left pre and post-ACTH stimulation, the numbers were so

> high in comparison with my overall plasma levels (and IVC), we had a

> fairly high level of confidence that the problem was unilateral on the

> left. Surgery showed that to be correct. Sorry your " experiment " did

> not work out quite so well.

>

> -Jeff

[Guest guest]

Dave,I'm curious, since you couldn't do AVS, did the docs do positional studies or Reglan (i don't know how long ago your surgery was) to try to differentiate between hyperplasia and APA?-Jeff

On 1/8/07, Uncle Dave <riothamus20@...> wrote:

Glad to hear yours did, Jeff.DaveOn Jan 8, 2007, at 10:47 AM, datawrhsdoc wrote:> Dave,>> Thanks. Things are smoothing out very well. It seems that I am, for> the moment, much more sodium sensitive than I am accustomed

> to...that's> pretty easy to deal with with a bit of DASHing. In addition, I was> unaware that BP bouncing around post-op while looking for a set point> is> fairly normal.>

> As to the path report, I've read it in full and have followed up with> the pathologist. The only abnormality found was the 1.2cm adenoma with> the characteristic golden chalice color. There were no abnormalities

> seen visually or under microscope in the remaining tissue (I had the> pathologist recheck these sections since nothing other than their> existence was noted on the path report).>> Although I had the AVS, the findings were not totally unambiguous

> since> only 1 sample from the right appeared to be coming from the adrenal> vein> and perhaps not cleanly at that. That said, when looking at the aldo> results from left pre and post-ACTH stimulation, the numbers were so

> high in comparison with my overall plasma levels (and IVC), we had a> fairly high level of confidence that the problem was unilateral on the> left. Surgery showed that to be correct. Sorry your " experiment " did

> not work out quite so well.>> -Jeff