Re: Husband have surgery tommorrow for Conn's Tumor

November 19, 2007

In a message dated 11/19/07 9:50:16 AM, viumber@... writes:

>

> I am no doctor but have had both adrenal glands removed. But my guess is

> that he will probably need hydrocortisone and fludrocortisone as the other

> adrenal gland may take a while to wake up. Then he can wean when it wakes up.

If

> he doesn't have hydrocortisone and not making any or not much he will have a

> lot of muscle aches and also could have an adrenal crisis. Just hoping that

> his other adrenal gland can wake up fast. Good luck to both of you. Violet

>

Again usually only the aldo part of the other gland is asleep. Unless they

explore both glands surgically which is rarely done these days should have no

cortisol problem. In the old days we used to give cortisol pre and post op

for a few days as we could never predict if we had to take out both sides.

May your pressure be low!

Clarence E. Grim, BS, MS, MD

Senior Consultant to Shared Care Research and Consulting, Inc.

(sharedcareinc.com)

Clinical Professor of Internal Medicine and Epidemiology Med. Col. WI

Clinical Professor of Nursing, Univ. of WI, Milwaukee

Specializing in Difficult to Control High Blood Pressure

and the Physiology and History of Survival During

Hard Times and Heart Disease today.

**************************************

See what's new at http://www.aol.com

November 19, 2007

I am no doctor but have had both adrenal glands removed. But my guess is that he

will probably need hydrocortisone and fludrocortisone as the other adrenal gland

may take a while to wake up. Then he can wean when it wakes up. If he doesn't

have hydrocortisone and not making any or not much he will have a lot of muscle

aches and also could have an adrenal crisis. Just hoping that his other adrenal

gland can wake up fast. Good luck to both of you. Violet

" candy.lord " <candy.lord@...> wrote:

5 years ago, sudden uncontrollable high blood pressure led his gp to

suspect adenoma. Nothing showed on the CT. After 5 years, in April he

has an 8 mm adenoma on the right gland. We went to Dallas as there is

a specialist in this area. He diagnosed certain right aldosterone

producing adenoma through AVS. His reading on right is 15,200 and left

is 42. What are side effects of surgery if any? He is concerned with

the left gland reacting immediately and responding after it has

basically been asleep for 5 years. As the years have progressed his

symptoms have worsened. The low potassium being a huge problem in the

last year. Thanks for any response!

---------------------------------

Be a better sports nut! Let your teams follow you with Mobile. Try it now.

November 19, 2007

Read my article on the evolution of PA to understand what is going on.

Do you also have cortisol numbers from AVS? Was it done with ACTH

stimulatio? See our protocol.

Classically the only part of the contralateral adrenal that is asleep

is the glomerulosa part that produces aldo. Again see my article which

explains this in detail.

If they have done lots of these surgeries they will know how to handle

the post operative problems that can develop.

The classical post op changes are related to sudden hypoaldosteronism

(if you have not been on sprio before surgery). BTW trust you have had

a trial of spiro finally. It is diagnositc and suggests that surgery

will improve things if they get the right side and it is only

unilateral.

What one hopes to see is a very low post op PA and a rise in K even to

" high " levels. If this occur it is good news and suggests that surgery

will improve things.

Any FH of low K or HTN or PA?

Ask them how many they have done and followed for 15 years so you can

get some idea of their experience and results.

Husband have surgery tommorrow for Conn's

Tumor

5 years ago, sudden uncontrollable high blood pressure led

his gp to