Guest guest Posted February 5, 2009 Report Share Posted February 5, 2009 Hi. Just got back from the emergency room. My BP went to 200/136 so decided to go. They got it down and am following up with my GP in the morning. They used labetalol and it took a while to get it normal--problem is that it only works for a little and then it starts rising again. I will bring the rx plan you discussed to doctor in am and hope we can get this under control. I reviewed my DASH book and starting Monday. My doctor never called me back or anything and am very disappointed. I had a ct of my head for I had a voracious headache and labs/ekg due to having some chest and back discomfort. Also did chest x-rays. All was normal but won't really know until I see actual records..Anyway, just another piece of the puzzle. > > > > > > > > > > > > > > > > > > > > > > > > I'm new to this so bear with me. My endocrinologist has > > scheduled > > > me for > > > > > AVS and I want to make sure I should do it. I have an > adenoma on > > > my right > > > > > adrenal gland and the results of my aldosterol/renin are as > > > follows: A/RA > > > > > Ratio Calc: 164.0 Aldosterone 32.8 and Renin, D irec t .2 I > have > > > not yet > > > > > been on any meds because I was just diagnosed. Shouldn't we > try > > > spiro first? > > > > > > > > > > > > > > > Thanks for any advice! > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2009 Report Share Posted February 6, 2009 Keep us posted. Dont mess with this level of BP. Remind me again where you are? I may know someone. May your pressure be low!  CE Grim BS, MS, MD High Blood Pressure Consulting Senior Consultant to Shared Care Research and Education Consulting Inc.(sharedcareinc.com) Clinical Professor of Internal Medicine Medical and Cardiology Medical College of Wisconsin Board certified in Internal Med, Geriatrics and Hypertension. Interests: 1. Difficult to control high blood pressure. 2. The effect of recent evolutionary forces on high blood pressure in human populations. 3. Improving blood pressure measurement in the office and out. On Feb 6, 2009, at 12:49 AM, Jay Man wrote: > Hi. Just got back from the emergency room. My BP went to 200/136 > so decided to go. They got it down and am following up with my GP > in the morning. They used labetalol and it took a while to get it > normal--problem is that it only works for a little and then it > starts rising again. I will bring the rx plan you discussed to > doctor in am and hope we can get this under control. I reviewed my > DASH book and starting Monday. My doctor never called me back or > anything and am very disappointed. I had a ct of my head for I had > a voracious headache and labs/ekg due to having some chest and back > discomfort. Also did chest x-rays. All was normal but won't really > know until I see actual records..Anyway, just another piece of the > puzzle. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I'm new to this so bear with me. My endocrinologist has > > > scheduled > > > > me for > > > > > > AVS and I want to make sure I should do it. I have an > > adenoma on > > > > my right > > > > > > adrenal gland and the results of my aldosterol/renin are as > > > > follows: A/RA > > > > > > Ratio Calc: 164.0 Aldosterone 32.8 and Renin, D irec t .2 I > > have > > > > not yet > > > > > > been on any meds because I was just diagnosed. Shouldn't we > > try > > > > spiro first? > > > > > > > > > > > > > > > > > > Thanks for any advice! > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2009 Report Share Posted February 6, 2009 University of Iowa in Iowa City--live in Davenport Iowa. Pressure is rising again going to doc----will update u Thanks, Macrito > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I'm new to this so bear with me. My endocrinologist has > > > scheduled > > > > me for > > > > > > AVS and I want to make sure I should do it. I have an > > adenoma on > > > > my right > > > > > > adrenal gland and the results of my aldosterol/renin are as > > > > follows: A/RA > > > > > > Ratio Calc: 164.0 Aldosterone 32.8 and Renin, D irec t .2 I > > have > > > > not yet > > > > > > been on any meds because I was just diagnosed. Shouldn't we > > try > > > > spiro first? > > > > > > > > > > > > > > > > > > Thanks for any advice! > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2009 Report Share Posted February 6, 2009 Overnighted in Bettendorf on way to Tahoe just before Christmas due to blizzzard Glad we did as when started on row road saw 30 cars off the roads Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension On Feb 6, 2009, at 9:03 AM, Jay Man <jndaqca2009@...> wrote: > University of Iowa in Iowa City--live in Davenport Iowa. Pressure > is rising again going to doc----will update u > Thanks, > Macrito > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I'm new to this so bear with me. My endocrinologist has > > > > scheduled > > > > > me for > > > > > > > AVS and I want to make sure I should do it. I have an > > > adenoma on > > > > > my right > > > > > > > adrenal gland and the results of my aldosterol/renin are > as > > > > > follows: A/RA > > > > > > > Ratio Calc: 164.0 Aldosterone 32.8 and Renin, D irec t . > 2 I > > > have > > > > > not yet > > > > > > > been on any meds because I was just diagnosed. Shouldn't > we > > > try > > > > > spiro first? > > > > > > > > > > > > > > > > > > > > > Thanks for any advice! > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2009 Report Share Posted February 6, 2009 Yeah, it gets bad here with that ice and snow. I see trucks and everything tipped or rolled over here but gets worse and u head west down 80 toward like Iowa City or Cedar rapids area---. My old doctor added Diltiazem er 120mg once a day today to the carvedilol and lisinopril for now. I gave him your med list and he looked it over. Was intrigued about the combo and told me to call him in two days or so and we can go from there. I think he wants to review meds. The ER showed my potassium at 3.0. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I'm new to this so bear with me. My endocrinologist has > > > > scheduled > > > > > me for > > > > > > > AVS and I want to make sure I should do it. I have an > > > adenoma on > > > > > my right > > > > > > > adrenal gland and the results of my aldosterol/renin are > as > > > > > follows: A/RA > > > > > > > Ratio Calc: 164.0 Aldosterone 32.8 and Renin, D irec t . > 2 I > > > have > > > > > not yet > > > > > > > been on any meds because I was just diagnosed. Shouldn't > we > > > try > > > > > spiro first? > > > > > > > > > > > > > > > > > > > > > Thanks for any advice! > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2009 Report Share Posted February 6, 2009 I would begin DASHing before Monday if you can. This will help both K and BP. Tell him I am happy to talk with him. May your pressure be low!  CE Grim BS, MS, MD High Blood Pressure Consulting Senior Consultant to Shared Care Research and Education Consulting Inc.(sharedcareinc.com) Clinical Professor of Internal Medicine Medical and Cardiology Medical College of Wisconsin Board certified in Internal Med, Geriatrics and Hypertension. Interests: 1. Difficult to control high blood pressure. 2. The effect of recent evolutionary forces on high blood pressure in human populations. 3. Improving blood pressure measurement in the office and out. On Feb 6, 2009, at 1:20 PM, Jay Man wrote: > Yeah, it gets bad here with that ice and snow. I see trucks and > everything tipped or rolled over here but gets worse and u head > west down 80 toward like Iowa City or Cedar rapids area---. My old > doctor added Diltiazem er 120mg once a day today to the carvedilol > and lisinopril for now. I gave him your med list and he looked it > over. Was intrigued about the combo and told me to call him in two > days or so and we can go from there. I think he wants to review > meds. The ER showed my potassium at 3.0. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I'm new to this so bear with me. My endocrinologist has > > > > > scheduled > > > > > > me for > > > > > > > > AVS and I want to make sure I should do it. I have an > > > > adenoma on > > > > > > my right > > > > > > > > adrenal gland and the results of my aldosterol/renin are > > as > > > > > > follows: A/RA > > > > > > > > Ratio Calc: 164.0 Aldosterone 32.8 and Renin, D irec t . > > 2 I > > > > have > > > > > > not yet > > > > > > > > been on any meds because I was just diagnosed. Shouldn't > > we > > > > try > > > > > > spiro first? > > > > > > > > > > > > > > > > > > > > > > > > Thanks for any advice! > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2009 Report Share Posted February 6, 2009 I'm pretty sick with K = 3.5. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Jay Man The ER showed my potassium at 3.0. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2009 Report Share Posted February 7, 2009 yeah---people can be real sensitive. I thought I was taking 40 meq daily and it was not---doctor make a boo boo on RX. Now am takking the 40---feel a little better. Had to go to the doctor the next morning after ER for my bp was still high---he added an RX. When I left hospital it was 140's over 85 ish---When I got home is was 175/110 and contunied in the am until it was 188/110-----now its 165/110---little bit lower. A year ago when I went to the ER my presure was 250/150 and they gae me same med-labetalol---I left ER with a BP of 90/60---I felt so light and relieved like I was flying---sweated like a pig in er while it was comming low like this time. Crazy ride everyone.... Talk soon From: Valarie <val@...> Subject: RE: Re: Is AVS nesessary? hyperaldosteronism Date: Saturday, February 7, 2009, 6:20 AM I'm pretty sick with K = 3.5. Val From: hyperaldosteronism [mailto:hyperaldosteronism@ groups. com] On Behalf Of Jay Man The ER showed my potassium at 3.0. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2009 Report Share Posted February 7, 2009 I don't recall what Dr. Young says is low. But I would guess that 3.5 might be in his normal range therefore you can't be sick. ;-) May your pressure be low!  CE Grim BS, MS, MD High Blood Pressure Consulting Senior Consultant to Shared Care Research and Education Consulting Inc.(sharedcareinc.com) Clinical Professor of Internal Medicine Medical and Cardiology Medical College of Wisconsin Board certified in Internal Med, Geriatrics and Hypertension. Interests: 1. Difficult to control high blood pressure. 2. The effect of recent evolutionary forces on high blood pressure in human populations. 3. Improving blood pressure measurement in the office and out. On Feb 7, 2009, at 12:20 AM, Valarie wrote: > I'm pretty sick with K = 3.5. > > Val > > From: hyperaldosteronism > [mailto:hyperaldosteronism ] On Behalf Of Jay Man > > The ER showed my potassium at 3.0. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2009 Report Share Posted February 7, 2009 At 3.5, I have erratic heartbeats, sweats, shakes, weakness but I am not sick. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim I don't recall what Dr. Young says is low. But I would guess that 3.5 might be in his normal range therefore you can't be sick. ;-) May your pressure be low!  CE Grim BS, MS, MD High Blood Pressure Consulting Senior Consultant to Shared Care Research and Education Consulting Inc.(sharedcareinc.com) Clinical Professor of Internal Medicine Medical and Cardiology Medical College of Wisconsin Board certified in Internal Med, Geriatrics and Hypertension. Interests: 1. Difficult to control high blood pressure. 2. The effect of recent evolutionary forces on high blood pressure in human populations. 3. Improving blood pressure measurement in the office and out. On Feb 7, 2009, at 12:20 AM, Valarie wrote: > I'm pretty sick with K = 3.5. > > Val > > From: hyperaldosteronism <mailto:hyperaldosteronism%40> > [mailto:hyperaldosteronism <mailto:hyperaldosteronism%40> ] On Behalf Of Jay Man > > The ER showed my potassium at 3.0. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2009 Report Share Posted February 8, 2009 Hello everyone---feeling a little better since I raised my K intake and my blood pressure has declined slightly-but still haveing the back and left side pain. The morning after my er visit I had the doctor draw another plasma renin/aldo level with ratios and had a question: What prescription drugs would interfere with the test----I took the IV push labetalol in the er the night before-also taking carvedilol 25mg one in the morning and one in the evening, Zanex 1mg one in am and one in pm, lisinopril 40 mg once a day, potassium 20meq once a day,and singulair 10mg once a day? See my new kidney doctor in the am and my Endo on Tuesday and another endo on the 19th. Just looking for some advise on tests or information that can help me. I am taking the articles you all have suggested to my appointments.  Any comments would be appreciated. I just dont want to waste my time during the appointments.  Thanks, > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I'm new to this so bear with me. My endocrinologist has > > > > > scheduled > > > > > > me for > > > > > > > > AVS and I want to make sure I should do it. I have an > > > > adenoma on > > > > > > my right > > > > > > > > adrenal gland and the results of my aldosterol/renin are > > as > > > > > > follows: A/RA > > > > > > > > Ratio Calc: 164.0 Aldosterone 32.8 and Renin, D irec t . > > 2 I > > > > have > > > > > > not yet > > > > > > > > been on any meds because I was just diagnosed. Shouldn't > > we > > > > try > > > > > > spiro first? > > > > > > > > > > > > > > > > > > > > > > > > Thanks for any advice! > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2009 Report Share Posted February 8, 2009 Dear Jay Man Even just going up to 4-6Slow K a day and eating a high potassium diet - even that alone - bananas etc - I take plantain - will make a huge amount of difference and you can get off all these drugs you are on.. Kwame (from Australia) ________________________________ From: Jay Man <jndaqca2009@...> hyperaldosteronism Sent: Monday, 9 February, 2009 3:56:49 PM Subject: Re: Re: Is AVS nesessary? Hello everyone---feeling a little better since I raised my K intake and my blood pressure has declined slightly-but still haveing the back and left side pain. The morning after my er visit I had the doctor draw another plasma renin/aldo level with ratios and had a question: What prescription drugs would interfere with the test----I took the IV push labetalol in the er the night before-also taking carvedilol 25mg one in the morning and one in the evening, Zanex 1mg one in am and one in pm, lisinopril 40 mg once a day, potassium 20meq once a day,and singulair 10mg once a day? See my new kidney doctor in the am and my Endo on Tuesday and another endo on the 19th. Just looking for some advise on tests or information that can help me. I am taking the articles you all have suggested to my appointments.  Any comments would be appreciated. I just dont want to waste my time during the appointments.  Thanks, > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I'm new to this so bear with me. My endocrinologist has > > > > > scheduled > > > > > > me for > > > > > > > > AVS and I want to make sure I should do it. I have an > > > > adenoma on > > > > > > my right > > > > > > > > adrenal gland and the results of my aldosterol/renin are > > as > > > > > > follows: A/RA > > > > > > > > Ratio Calc: 164.0 Aldosterone 32.8 and Renin, D irec t . > > 2 I > > > > have > > > > > > not yet > > > > > > > > been on any meds because I was just diagnosed. Shouldn't > > we > > > > try > > > > > > spiro first? > > > > > > > > > > > > > > > > > > > > > > > > Thanks for any advice! > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2009 Report Share Posted February 8, 2009 Remember one of the ways BB (labetalol) work it to block renin release from the kidney. With PA there is no renin coming from the kidney due to aldo effects no volume and increased BP. Overview: Renin comes from the kidney (JG cells) and is controlled by sodium balance and blood pressure at the kidney. High sodium intake lowers renin. High blood pressure lowers renin. When renin secreted into the blood by the kidney reacts with renin substrate (aka angiotensinogen) angiotensin 1 is formed. It has not biological activity. But when ACE converts AI to AII we get the most powerful vasoconstrictor known. AII occupies the AII receptor on vessel muscle and vessels constrict. Remember ACEs (lisinopril) blocks the conversion of AI to AII (by angiotensin converting enzyme) but with no renin as in PA there is no AI to block. so it won't work well. Same for ARBs but they work at the AII receptor. No AII no effect for an ARB. Some place in the figures in our files I have a nice series of diagrams of this from my ppt talk. So would not expect this combo to work well in you or others with PA as discussed in article. May your pressure be low!  CE Grim BS, MS, MD High Blood Pressure Consulting Senior Consultant to Shared Care Research and Education Consulting Inc.(sharedcareinc.com) Clinical Professor of Internal Medicine Medical and Cardiology Medical College of Wisconsin Board certified in Internal Med, Geriatrics and Hypertension. Interests: 1. Difficult to control high blood pressure. 2. The effect of recent evolutionary forces on high blood pressure in human populations. 3. Improving blood pressure measurement in the office and out. On Feb 8, 2009, at 10:56 PM, Jay Man wrote: > Hello everyone---feeling a little better since I raised my K intake > and my blood pressure has declined slightly-but still haveing the > back and left side pain. The morning after my er visit I had the > doctor draw another plasma renin/aldo level with ratios and had a > question: What prescription drugs would interfere with the test---- > I took the IV push labetalol in the er the night before-also taking > carvedilol 25mg one in the morning and one in the evening, Zanex > 1mg one in am and one in pm, lisinopril 40 mg once a day, potassium > 20meq once a day,and singulair 10mg once a day? See my new kidney > doctor in the am and my Endo on Tuesday and another endo on the > 19th. Just looking for some advise on tests or information that can > help me. I am taking the articles you all have suggested to my > appointments. Any comments would be appreciated. I just dont > want to waste my time during the appointments. Thanks, > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I'm new to this so bear with me. My endocrinologist > has > > > > > > scheduled > > > > > > > me for > > > > > > > > > AVS and I want to make sure I should do it. I have an > > > > > adenoma on > > > > > > > my right > > > > > > > > > adrenal gland and the results of my aldosterol/ > renin are > > > as > > > > > > > follows: A/RA > > > > > > > > > Ratio Calc: 164.0 Aldosterone 32.8 and Renin, D > irec t . > > > 2 I > > > > > have > > > > > > > not yet > > > > > > > > > been on any meds because I was just diagnosed. > Shouldn't > > > we > > > > > try > > > > > > > spiro first? > > > > > > > > > > > > > > > > > > > > > > > > > > > Thanks for any advice! > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2009 Report Share Posted February 9, 2009 Depending on the slow K dose (it has been associated with ulcers from the tablets) 10 mEq or 320 mg K or 20 mEq or 640 mg you will need a lot of these to get the 4000 you get from the DASH. But this will help the Sx from the low K. To get the max BP effect you likely need both high K diet (or pills) AND low sodium diet. Remember the toxic effects of aldo require excess diet salt. May your pressure be low!  CE Grim BS, MS, MD High Blood Pressure Consulting Senior Consultant to Shared Care Research and Education Consulting Inc.(sharedcareinc.com) Clinical Professor of Internal Medicine Medical and Cardiology Medical College of Wisconsin Board certified in Internal Med, Geriatrics and Hypertension. Interests: 1. Difficult to control high blood pressure. 2. The effect of recent evolutionary forces on high blood pressure in human populations. 3. Improving blood pressure measurement in the office and out. On Feb 9, 2009, at 1:08 AM, kwame mfodwo wrote: > Dear Jay Man > > Even just going up to 4-6Slow K a day and eating a high potassium > diet - even that alone - bananas etc - I take plantain - will make > a huge amount of difference and you can get off all these drugs you > are on.. > > Kwame (from Australia) > > ________________________________ > From: Jay Man <jndaqca2009@...> > hyperaldosteronism > Sent: Monday, 9 February, 2009 3:56:49 PM > Subject: Re: Re: Is AVS nesessary? > > Hello everyone---feeling a little better since I raised my K intake > and my blood pressure has declined slightly-but still haveing the > back and left side pain. The morning after my er visit I had the > doctor draw another plasma renin/aldo level with ratios and had a > question: What prescription drugs would interfere with the test---- > I took the IV push labetalol in the er the night before-also taking > carvedilol 25mg one in the morning and one in the evening, Zanex > 1mg one in am and one in pm, lisinopril 40 mg once a day, potassium > 20meq once a day,and singulair 10mg once a day? See my new kidney > doctor in the am and my Endo on Tuesday and another endo on the > 19th. Just looking for some advise on tests or information that can > help me. I am taking the articles you all have suggested to my > appointments. Any comments would be appreciated. I just dont > want to waste my time during the appointments. Thanks, > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I'm new to this so bear with me. My endocrinologist > has > > > > > > scheduled > > > > > > > me for > > > > > > > > > AVS and I want to make sure I should do it. I have an > > > > > adenoma on > > > > > > > my right > > > > > > > > > adrenal gland and the results of my aldosterol/ > renin are > > > as > > > > > > > follows: A/RA > > > > > > > > > Ratio Calc: 164.0 Aldosterone 32.8 and Renin, D > irec t . > > > 2 I > > > > > have > > > > > > > not yet > > > > > > > > > been on any meds because I was just diagnosed. > Shouldn't > > > we > > > > > try > > > > > > > spiro first? > > > > > > > > > > > > > > > > > > > > > > > > > > > Thanks for any advice! > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2009 Report Share Posted February 9, 2009 High sodium intake lowers renin. High blood pressure lowers renin. Dr. Grim, does this mean all those with uncontrolled BP for a long time will have low renin? I guess this makes it important to measure the ald as well to diagnose PA. Farah On Sun, Feb 8, 2009 at 11:59 PM, Clarence Grim <lowerbp2@...> wrote: > Remember one of the ways BB (labetalol) work it to block renin > release from the kidney. With PA there is no renin coming from the > kidney due to aldo effects no volume and increased BP. > > Overview: > > Renin comes from the kidney (JG cells) and is controlled by sodium > balance and blood pressure at the kidney. High sodium intake lowers > renin. High blood pressure lowers renin. When renin secreted into > the blood by the kidney reacts with renin substrate (aka > angiotensinogen) angiotensin 1 is formed. It has not biological > activity. But when ACE converts AI to AII we get the most powerful > vasoconstrictor known. AII occupies the AII receptor on vessel > muscle and vessels constrict. Remember ACEs (lisinopril) blocks the > conversion of AI to AII (by angiotensin converting enzyme) but with > no renin as in PA there is no AI to block. so it won't work well. > Same for ARBs but they work at the AII receptor. No AII no effect > for an ARB. Some place in the figures in our files I have a nice > series of diagrams of this from my ppt talk. > > So would not expect this combo to work well in you or others with PA > as discussed in article. > > May your pressure be low! > >  > > CE Grim BS, MS, MD > > High Blood Pressure Consulting > > Senior Consultant to Shared Care Research and Education Consulting > Inc.(sharedcareinc.com) > > Clinical Professor of Internal Medicine Medical and Cardiology > Medical College of Wisconsin > > Board certified in Internal Med, Geriatrics and Hypertension. > > Interests: > 1. Difficult to control high blood pressure. > 2. The effect of recent evolutionary forces on high blood pressure > in human populations. > 3. Improving blood pressure measurement in the office and out. > > On Feb 8, 2009, at 10:56 PM, Jay Man wrote: > > > Hello everyone---feeling a little better since I raised my K intake > > and my blood pressure has declined slightly-but still haveing the > > back and left side pain. The morning after my er visit I had the > > doctor draw another plasma renin/aldo level with ratios and had a > > question: What prescription drugs would interfere with the test---- > > I took the IV push labetalol in the er the night before-also taking > > carvedilol 25mg one in the morning and one in the evening, Zanex > > 1mg one in am and one in pm, lisinopril 40 mg once a day, potassium > > 20meq once a day,and singulair 10mg once a day? See my new kidney > > doctor in the am and my Endo on Tuesday and another endo on the > > 19th. Just looking for some advise on tests or information that can > > help me. I am taking the articles you all have suggested to my > > appointments. Any comments would be appreciated. I just dont > > want to waste my time during the appointments. Thanks, > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I'm new to this so bear with me. My endocrinologist > > has > > > > > > > scheduled > > > > > > > > me for > > > > > > > > > > AVS and I want to make sure I should do it. I have an > > > > > > adenoma on > > > > > > > > my right > > > > > > > > > > adrenal gland and the results of my aldosterol/ > > renin are > > > > as > > > > > > > > follows: A/RA > > > > > > > > > > Ratio Calc: 164.0 Aldosterone 32.8 and Renin, D > > irec t . > > > > 2 I > > > > > > have > > > > > > > > not yet > > > > > > > > > > been on any meds because I was just diagnosed. > > Shouldn't > > > > we > > > > > > try > > > > > > > > spiro first? > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Thanks for any advice! > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2009 Report Share Posted February 9, 2009 This may be one of the contributors to the low renin as is age and presence of diabetes in some. But high renin can also be the cause of the BP in renal artery stenosis for example. May your pressure be low!  CE Grim BS, MS, MD High Blood Pressure Consulting Senior Consultant to Shared Care Research and Education Consulting Inc.(sharedcareinc.com) Clinical Professor of Internal Medicine Medical and Cardiology Medical College of Wisconsin Board certified in Internal Med, Geriatrics and Hypertension. Interests: 1. Difficult to control high blood pressure. 2. The effect of recent evolutionary forces on high blood pressure in human populations. 3. Improving blood pressure measurement in the office and out. On Feb 9, 2009, at 1:09 PM, Farah Rahbar wrote: > High sodium intake lowers > renin. High blood pressure lowers renin. > Dr. Grim, does this mean all those with uncontrolled BP for a long > time will > have low renin? > > I guess this makes it important to measure the ald as well to > diagnose PA. > > Farah > On Sun, Feb 8, 2009 at 11:59 PM, Clarence Grim <lowerbp2@...> > wrote: > > > Remember one of the ways BB (labetalol) work it to block renin > > release from the kidney. With PA there is no renin coming from the > > kidney due to aldo effects no volume and increased BP. > > > > Overview: > > > > Renin comes from the kidney (JG cells) and is controlled by sodium > > balance and blood pressure at the kidney. High sodium intake lowers > > renin. High blood pressure lowers renin. When renin secreted into > > the blood by the kidney reacts with renin substrate (aka > > angiotensinogen) angiotensin 1 is formed. It has not biological > > activity. But when ACE converts AI to AII we get the most powerful > > vasoconstrictor known. AII occupies the AII receptor on vessel > > muscle and vessels constrict. Remember ACEs (lisinopril) blocks the > > conversion of AI to AII (by angiotensin converting enzyme) but with > > no renin as in PA there is no AI to block. so it won't work well. > > Same for ARBs but they work at the AII receptor. No AII no effect > > for an ARB. Some place in the figures in our files I have a nice > > series of diagrams of this from my ppt talk. > > > > So would not expect this combo to work well in you or others with PA > > as discussed in article. > > > > May your pressure be low! > > > >  > > > > CE Grim BS, MS, MD > > > > High Blood Pressure Consulting > > > > Senior Consultant to Shared Care Research and Education Consulting > > Inc.(sharedcareinc.com) > > > > Clinical Professor of Internal Medicine Medical and Cardiology > > Medical College of Wisconsin > > > > Board certified in Internal Med, Geriatrics and Hypertension. > > > > Interests: > > 1. Difficult to control high blood pressure. > > 2. The effect of recent evolutionary forces on high blood pressure > > in human populations. > > 3. Improving blood pressure measurement in the office and out. > > > > On Feb 8, 2009, at 10:56 PM, Jay Man wrote: > > > > > Hello everyone---feeling a little better since I raised my K > intake > > > and my blood pressure has declined slightly-but still haveing the > > > back and left side pain. The morning after my er visit I had the > > > doctor draw another plasma renin/aldo level with ratios and had a > > > question: What prescription drugs would interfere with the > test---- > > > I took the IV push labetalol in the er the night before-also > taking > > > carvedilol 25mg one in the morning and one in the evening, Zanex > > > 1mg one in am and one in pm, lisinopril 40 mg once a day, > potassium > > > 20meq once a day,and singulair 10mg once a day? See my new kidney > > > doctor in the am and my Endo on Tuesday and another endo on the > > > 19th. Just looking for some advise on tests or information that > can > > > help me. I am taking the articles you all have suggested to my > > > appointments. Any comments would be appreciated. I just dont > > > want to waste my time during the appointments. Thanks, > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I'm new to this so bear with me. My > endocrinologist > > > has > > > > > > > > scheduled > > > > > > > > > me for > > > > > > > > > > > AVS and I want to make sure I should do it. I > have an > > > > > > > adenoma on > > > > > > > > > my right > > > > > > > > > > > adrenal gland and the results of my aldosterol/ > > > renin are > > > > > as > > > > > > > > > follows: A/RA > > > > > > > > > > > Ratio Calc: 164.0 Aldosterone 32.8 and Renin, D > > > irec t . > > > > > 2 I > > > > > > > have > > > > > > > > > not yet > > > > > > > > > > > been on any meds because I was just diagnosed. > > > Shouldn't > > > > > we > > > > > > > try > > > > > > > > > spiro first? > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Thanks for any advice! > > > > > > > > > > > > > > > > > > > > > > [Non-text portions of this message have been > removed] > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > [Non-text portions of this message have been > removed] > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 10, 2009 Report Share Posted February 10, 2009 Dr. Grim, I love it when you give us these lessons. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim Remember one of the ways BB (labetalol) work it to block renin release from the kidney. With PA there is no renin coming from the kidney due to aldo effects no volume and increased BP. Overview: Renin comes from the kidney (JG cells) and is controlled by sodium balance and blood pressure at the kidney. High sodium intake lowers renin. High blood pressure lowers renin. When renin secreted into the blood by the kidney reacts with renin substrate (aka angiotensinogen) angiotensin 1 is formed. It has not biological activity. But when ACE converts AI to AII we get the most powerful vasoconstrictor known. AII occupies the AII receptor on vessel muscle and vessels constrict. Remember ACEs (lisinopril) blocks the conversion of AI to AII (by angiotensin converting enzyme) but with no renin as in PA there is no AI to block. so it won't work well. Same for ARBs but they work at the AII receptor. No AII no effect for an ARB. Some place in the figures in our files I have a nice series of diagrams of this from my ppt talk. So would not expect this combo to work well in you or others with PA as discussed in article. May your pressure be low! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 10, 2009 Report Share Posted February 10, 2009 This reminds me of the cardiologist I went to see few years ago. One look at my test results with a renin of <0.02 he diagnosed me as a person who has renal artery stenosis. Never noted that my ald/renin ratio was in the thousands and my K was so low. A year later after I became very very ill following his insistance that I should be on labetalol, at Stanford hospital, he consulted with the idiots there and informed them that he had already tested me for PA and it was all negative, then insisted that human body doesn't change that often thus no need for further testing. Of course those guys at Stanford were so messed up that they wouldn't have known what to do anyway. They just scratched their heads and pondered, low potassium, SS BP, and wanted to put me on about 10 medications, no clue what so ever..mixed me up with another patient with heart disease. Thank God with my husband's help I decided to get dressed and walk away before being killed after the 3rd day. Good thing I ran away Val, as much as you are stressed and angry over seeing Dr. Young, I still like to confront those guys at Stanford. My bp rises every time I think about my Stanford experience. What made it worse was when I asked for a copy of my records few months later to take to Mayo, they totally had changed the story. No mention of the mix up and all the wrong medications they pumped me up with which caused me to be bed bound for 6 months. On Mon, Feb 9, 2009 at 1:34 PM, Clarence Grim <lowerbp2@...> wrote: > This may be one of the contributors to the low renin as is age and > presence of diabetes in some. > > But high renin can also be the cause of the BP in renal artery > stenosis for example. > > > May your pressure be low! > >  > > CE Grim BS, MS, MD > > High Blood Pressure Consulting > > Senior Consultant to Shared Care Research and Education Consulting > Inc.(sharedcareinc.com) > > Clinical Professor of Internal Medicine Medical and Cardiology > Medical College of Wisconsin > > Board certified in Internal Med, Geriatrics and Hypertension. > > Interests: > 1. Difficult to control high blood pressure. > 2. The effect of recent evolutionary forces on high blood pressure > in human populations. > 3. Improving blood pressure measurement in the office and out. > > On Feb 9, 2009, at 1:09 PM, Farah Rahbar wrote: > > > High sodium intake lowers > > renin. High blood pressure lowers renin. > > Dr. Grim, does this mean all those with uncontrolled BP for a long > > time will > > have low renin? > > > > I guess this makes it important to measure the ald as well to > > diagnose PA. > > > > Farah > > On Sun, Feb 8, 2009 at 11:59 PM, Clarence Grim <lowerbp2@...<lowerbp2%40mac.com>> > > > wrote: > > > > > Remember one of the ways BB (labetalol) work it to block renin > > > release from the kidney. With PA there is no renin coming from the > > > kidney due to aldo effects no volume and increased BP. > > > > > > Overview: > > > > > > Renin comes from the kidney (JG cells) and is controlled by sodium > > > balance and blood pressure at the kidney. High sodium intake lowers > > > renin. High blood pressure lowers renin. When renin secreted into > > > the blood by the kidney reacts with renin substrate (aka > > > angiotensinogen) angiotensin 1 is formed. It has not biological > > > activity. But when ACE converts AI to AII we get the most powerful > > > vasoconstrictor known. AII occupies the AII receptor on vessel > > > muscle and vessels constrict. Remember ACEs (lisinopril) blocks the > > > conversion of AI to AII (by angiotensin converting enzyme) but with > > > no renin as in PA there is no AI to block. so it won't work well. > > > Same for ARBs but they work at the AII receptor. No AII no effect > > > for an ARB. Some place in the figures in our files I have a nice > > > series of diagrams of this from my ppt talk. > > > > > > So would not expect this combo to work well in you or others with PA > > > as discussed in article. > > > > > > May your pressure be low! > > > > > >  > > > > > > CE Grim BS, MS, MD > > > > > > High Blood Pressure Consulting > > > > > > Senior Consultant to Shared Care Research and Education Consulting > > > Inc.(sharedcareinc.com) > > > > > > Clinical Professor of Internal Medicine Medical and Cardiology > > > Medical College of Wisconsin > > > > > > Board certified in Internal Med, Geriatrics and Hypertension. > > > > > > Interests: > > > 1. Difficult to control high blood pressure. > > > 2. The effect of recent evolutionary forces on high blood pressure > > > in human populations. > > > 3. Improving blood pressure measurement in the office and out. > > > > > > On Feb 8, 2009, at 10:56 PM, Jay Man wrote: > > > > > > > Hello everyone---feeling a little better since I raised my K > > intake > > > > and my blood pressure has declined slightly-but still haveing the > > > > back and left side pain. The morning after my er visit I had the > > > > doctor draw another plasma renin/aldo level with ratios and had a > > > > question: What prescription drugs would interfere with the > > test---- > > > > I took the IV push labetalol in the er the night before-also > > taking > > > > carvedilol 25mg one in the morning and one in the evening, Zanex > > > > 1mg one in am and one in pm, lisinopril 40 mg once a day, > > potassium > > > > 20meq once a day,and singulair 10mg once a day? See my new kidney > > > > doctor in the am and my Endo on Tuesday and another endo on the > > > > 19th. Just looking for some advise on tests or information that > > can > > > > help me. I am taking the articles you all have suggested to my > > > > appointments. Any comments would be appreciated. I just dont > > > > want to waste my time during the appointments. Thanks, > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I'm new to this so bear with me. My > > endocrinologist > > > > has > > > > > > > > > scheduled > > > > > > > > > > me for > > > > > > > > > > > > AVS and I want to make sure I should do it. I > > have an > > > > > > > > adenoma on > > > > > > > > > > my right > > > > > > > > > > > > adrenal gland and the results of my aldosterol/ > > > > renin are > > > > > > as > > > > > > > > > > follows: A/RA > > > > > > > > > > > > Ratio Calc: 164.0 Aldosterone 32.8 and Renin, D > > > > irec t . > > > > > > 2 I > > > > > > > > have > > > > > > > > > > not yet > > > > > > > > > > > > been on any meds because I was just diagnosed. > > > > Shouldn't > > > > > > we > > > > > > > > try > > > > > > > > > > spiro first? > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Thanks for any advice! > > > > > > > > > > > > > > > > > > > > > > > > [Non-text portions of this message have been > > removed] > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > [Non-text portions of this message have been > > removed] > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 10, 2009 Report Share Posted February 10, 2009 I have excellent slides to go along with them but they are in our files as Jpegs without labels and Ihave not had time to lable. Them. What I would like to do is to have a PPT show on our site but dont think we can. May try to do it a my mac site. Suggestions. Could also put on utube I suppose. May your pressure be low!  CE Grim BS, MS, MD High Blood Pressure Consulting Senior Consultant to Shared Care Research and Education Consulting Inc.(sharedcareinc.com) Clinical Professor of Internal Medicine Medical and Cardiology Medical College of Wisconsin Board certified in Internal Med, Geriatrics and Hypertension. Interests: 1. Difficult to control high blood pressure. 2. The effect of recent evolutionary forces on high blood pressure in human populations. 3. Improving blood pressure measurement in the office and out. On Feb 10, 2009, at 12:33 PM, Valarie wrote: > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 10, 2009 Report Share Posted February 10, 2009 Farah, every time I hear about your mistreatment, I just cringe. Your survival, in the face of such bad treatment, is a testament to your strength. Have you informed that cardiologist about his errors? Do you have your records from him? How can a cardiologist conclude from an ultra low renin that you have renal artery stenosis? Do these people read ANYTHING? I am in Oklahoma, helping my mother-in-law out a bit. She had breast cancer 41 years ago. About three years ago, she started complaining of pains in her leg. She was 79 so the doctor just dismissed her as a complaining old lady. She went to a new doctor last June. That doc immediately recognized what was going on and got tests and scans for her. By then, breast cancer had spread throughout her skeleton. She is failing rapidly. Yesterday, her doctor recommended in-home hospice. I am getting tired of having to be smarter than people who call themselves doctors. Now I know that the most likely place for breast cancer to return is in the bones. I wish I would have known it earlier. If I could find that information on the Internet, surely her previous doctor should have known it. She very well could have been treatable if he would have paid attention three years ago. I am very angry and intend to do some reporting when this is all over. BTW, my adopted son has some sort of special arrangement at Stanford. They pay $6,000 per year directly to Stanford. In exchange for that + their regular health insurance, they get AAA+ care. They are seen immediately when requested, etc. They have red-carpet treatment. Maybe you weren't paying enough. Val From: hyperaldosteronism [mailtod:hyperaldosteronism ] On Behalf Of Farah Rahbar This reminds me of the cardiologist I went to see few years ago. One look at my test results with a renin of <0.02 he diagnosed me as a person who has renal artery stenosis. Never noted that my ald/renin ratio was in the thousands and my K was so low. A year later after I became very very ill following his insistance that I should be on labetalol, at Stanford hospital, he consulted with the idiots there and informed them that he had already tested me for PA and it was all negative, then insisted that human body doesn't change that often thus no need for further testing. Of course those guys at Stanford were so messed up that they wouldn't have known what to do anyway. They just scratched their heads and pondered, low potassium, SS BP, and wanted to put me on about 10 medications, no clue what so ever..mixed me up with another patient with heart disease. Thank God with my husband's help I decided to get dressed and walk away before being killed after the 3rd day. Good thing I ran away Val, as much as you are stressed and angry over seeing Dr. Young, I still like to confront those guys at Stanford. My bp rises every time I think about my Stanford experience. What made it worse was when I asked for a copy of my records few months later to take to Mayo, they totally had changed the story. No mention of the mix up and all the wrong medications they pumped me up with which caused me to be bed bound for 6 months. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 10, 2009 Report Share Posted February 10, 2009 This is esp galling as Stanford was for many years a leader in aldo (Dr Leutscher there was the first to report of aldo in the urine (ever) in pts with heart and liver failure). and in Primary Aldo. Dr. MH Weinberger trained there (your Dr in Denver's dad) and also dr. Ganguly who was with us at Indiana for a number of years and is now in Tampa. I think Dr Hseuh who is now chair at UCLA trained with Dr. Leutscher there as well. Pity. I urge both of you to look at this issue of the New Yorker Magazine. There is an article by a lady with tinnitus and she reports her experience and current research. I believe the 2 of you could put toget a good story of the problems faced by Pts with PA in the US and Drs who are not up to date. May your pressure be low!  CE Grim BS, MS, MD High Blood Pressure Consulting Senior Consultant to Shared Care Research and Education Consulting Inc.(sharedcareinc.com) Clinical Professor of Internal Medicine Medical and Cardiology Medical College of Wisconsin Board certified in Internal Med, Geriatrics and Hypertension. Interests: 1. Difficult to control high blood pressure. 2. The effect of recent evolutionary forces on high blood pressure in human populations. 3. Improving blood pressure measurement in the office and out. On Feb 10, 2009, at 9:58 PM, Valarie wrote: > Farah, every time I hear about your mistreatment, I just cringe. > Your survival, in the face of such bad treatment, is a testament to > your strength. > > Have you informed that cardiologist about his errors? Do you have > your records from him? How can a cardiologist conclude from an > ultra low renin that you have renal artery stenosis? Do these > people read ANYTHING? > > I am in Oklahoma, helping my mother-in-law out a bit. She had > breast cancer 41 years ago. About three years ago, she started > complaining of pains in her leg. She was 79 so the doctor just > dismissed her as a complaining old lady. She went to a new doctor > last June. That doc immediately recognized what was going on and > got tests and scans for her. By then, breast cancer had spread > throughout her skeleton. She is failing rapidly. Yesterday, her > doctor recommended in-home hospice. > > I am getting tired of having to be smarter than people who call > themselves doctors. Now I know that the most likely place for > breast cancer to return is in the bones. I wish I would have known > it earlier. If I could find that information on the Internet, > surely her previous doctor should have known it. She very well > could have been treatable if he would have paid attention three > years ago. I am very angry and intend to do some reporting when > this is all over. > > BTW, my adopted son has some sort of special arrangement at > Stanford. They pay $6,000 per year directly to Stanford. In > exchange for that + their regular health insurance, they get AAA+ > care. They are seen immediately when requested, etc. They have red- > carpet treatment. Maybe you weren't paying enough. > > Val > > From: hyperaldosteronism > [mailtod:hyperaldosteronism ] On Behalf Of Farah Rahbar > > This reminds me of the cardiologist I went to see few years ago. > One look at > my test results with a renin of <0.02 he diagnosed me as a person > who has > renal artery stenosis. Never noted that my ald/renin ratio was in the > thousands and my K was so low. A year later after I became very > very ill > following his insistance that I should be on labetalol, at Stanford > hospital, he consulted with the idiots there and informed them that > he had > already tested me for PA and it was all negative, then insisted > that human > body doesn't change that often thus no need for further testing. Of > course > those guys at Stanford were so messed up that they wouldn't have > known what > to do anyway. They just scratched their heads and pondered, low > potassium, > SS BP, and wanted to put me on about 10 medications, no clue what so > ever..mixed me up with another patient with heart disease. Thank > God with my > husband's help I decided to get dressed and walk away before being > killed > after the 3rd day. Good thing I ran away > Val, as much as you are stressed and angry over seeing Dr. Young, I > still > like to confront those guys at Stanford. My bp rises every time I > think > about my Stanford experience. What made it worse was when I asked > for a copy > of my records few months later to take to Mayo, they totally had > changed > the story. No mention of the mix up and all the wrong medications they > pumped me up with which caused me to be bed bound for 6 months. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 11, 2009 Report Share Posted February 11, 2009 Is it the one in files>Dr Grim's presentation.ppt? It begins " Natural history of a 35yo male " In ppt and word doc formats. Or: in files> ASH 08 7 DEVICES.ppt Black%20fig[1].ppt DASH and TONE.ppt ? There is something called " entiregroup.zip " - 55 slides which I think are those in the ppt presentation. They are the ones in the doc format, which I think I made (collated) and I may have left out something. Also on bpline in ppt and word doc formats. Of course, these are not in text format If someone doesn't have those applications they can download Openoffice for free and read anything. A very nice package that works like MS office. Tell me what we're missing. Regards Re: Re: Is AVS nesessary? I have excellent slides to go along with them but they are in our files as Jpegs without labels and Ihave not had time to lable. Them. What I would like to do is to have a PPT show on our site but dont think we can. May try to do it a my mac site. Suggestions. Could also put on utube I suppose. May your pressure be low!  CE Grim BS, MS, MD High Blood Pressure Consulting Senior Consultant to Shared Care Research and Education Consulting Inc.(sharedcareinc.com) Clinical Professor of Internal Medicine Medical and Cardiology Medical College of Wisconsin Board certified in Internal Med, Geriatrics and Hypertension. Interests: 1. Difficult to control high blood pressure. 2. The effect of recent evolutionary forces on high blood pressure in human populations. 3. Improving blood pressure measurement in the office and out. On Feb 10, 2009, at 12:33 PM, Valarie wrote: > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 11, 2009 Report Share Posted February 11, 2009 Maybe Farah and I will get busy and do a story one of these days. I want to make it clear that I don't put all docs in the same category as the ones who nearly killed Farah or the ones who let me go on years and years with low potassium. A year ago, my heart was jumping all over the place. Thank God for Dr. Grim. When I went to the endo, I was able to tell her what to do. When I went to National Jewish, I saw Dr. Weinberger and Dr. Downey. They both were competent and earnestly interested in eliminating other possible diagnoses. For the first time in a long time, I didn't feel like I had to research everything they said. I understand that medicine is not a perfect science, but what cardio has not heard of low K and PA? I'm in small town OK. I'll have to wait until I get home to find a copy of the New Yorker. I'd like to read the article. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim This is esp galling as Stanford was for many years a leader in aldo (Dr Leutscher there was the first to report of aldo in the urine (ever) in pts with heart and liver failure). and in Primary Aldo. Dr. MH Weinberger trained there (your Dr in Denver's dad) and also dr. Ganguly who was with us at Indiana for a number of years and is now in Tampa. the end I think Dr Hseuh who is now chair at UCLA trained with Dr. Leutscher there as well. Pity. I urge both of you to look at this issue of the New Yorker Magazine. There is an article by a lady with tinnitus and she reports her experience and current research. I believe the 2 of you could put toget a good story of the problems faced by Pts with PA in the US and Drs who are not up to date. May your pressure be low! On Feb 10, 2009, at 9:58 PM, Valarie wrote: > Farah, every time I hear about your mistreatment, I just cringe. > Your survival, in the face of such bad treatment, is a testament to > your strength. > > Have you informed that cardiologist about his errors? Do you have > your records from him? How can a cardiologist conclude from an > ultra low renin that you have renal artery stenosis? Do these > people read ANYTHING? > > I am in Oklahoma, helping my mother-in-law out a bit. She had > breast cancer 41 years ago. About three years ago, she started > complaining of pains in her leg. She was 79 so the doctor just > dismissed her as a complaining old lady. She went to a new doctor > last June. That doc immediately recognized what was going on and > got tests and scans for her. By then, breast cancer had spread > throughout her skeleton. She is failing rapidly. Yesterday, her > doctor recommended in-home hospice. > > I am getting tired of having to be smarter than people who call > themselves doctors. Now I know that the most likely place for > breast cancer to return is in the bones. I wish I would have known > it earlier. If I could find that information on the Internet, > surely her previous doctor should have known it. She very well > could have been treatable if he would have paid attention three > years ago. I am very angry and intend to do some reporting when > this is all over. > > BTW, my adopted son has some sort of special arrangement at > Stanford. They pay $6,000 per year directly to Stanford. In > exchange for that + their regular health insurance, they get AAA+ > care. They are seen immediately when requested, etc. They have red- > carpet treatment. Maybe you weren't paying enough. > > Val > > From: hyperaldosteronism <mailto:hyperaldosteronism%40> > [mailtod:hyperaldosteronism <mailto:hyperaldosteronism%40> ] On Behalf Of Farah Rahbar > > This reminds me of the cardiologist I went to see few years ago. > One look at > my test results with a renin of <0.02 he diagnosed me as a person > who has > renal artery stenosis. Never noted that my ald/renin ratio was in the > thousands and my K was so low. A year later after I became very > very ill > following his insistance that I should be on labetalol, at Stanford > hospital, he consulted with the idiots there and informed them that > he had > already tested me for PA and it was all negative, then insisted > that human > body doesn't change that often thus no need for further testing. Of > course > those guys at Stanford were so messed up that they wouldn't have > known what > to do anyway. They just scratched their heads and pondered, low > potassium, > SS BP, and wanted to put me on about 10 medications, no clue what so > ever..mixed me up with another patient with heart disease. Thank > God with my > husband's help I decided to get dressed and walk away before being > killed > after the 3rd day. Good thing I ran away > Val, as much as you are stressed and angry over seeing Dr. Young, I > still > like to confront those guys at Stanford. My bp rises every time I > think > about my Stanford experience. What made it worse was when I asked > for a copy > of my records few months later to take to Mayo, they totally had > changed > the story. No mention of the mix up and all the wrong medications they > pumped me up with which caused me to be bed bound for 6 months. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 14, 2009 Report Share Posted March 14, 2009 Old message but resending in case it did not get sent. Depending on the slow K dose (it has been associated with ulcers from the tablets) 10 mEq or 320 mg K or 20 mEq or 640 mg you will need a lot of these to get the 4000 you get from the DASH. But this will help the Sx from the low K. To get the max BP effect you likely need both high K diet (or pills) AND low sodium diet. Remember the toxic effects of aldo require excess diet salt. May your pressure be low!  CE Grim BS, MS, MD High Blood Pressure Consulting Senior Consultant to Shared Care Research and Education Consulting Inc.(sharedcareinc.com) Clinical Professor of Internal Medicine Medical and Cardiology Medical College of Wisconsin Board certified in Internal Med, Geriatrics and Hypertension. Interests: 1. Difficult to control high blood pressure. 2. The effect of recent evolutionary forces on high blood pressure in human populations. 3. Improving blood pressure measurement in the office and out. On Feb 9, 2009, at 1:08 AM, kwame mfodwo wrote: > Dear Jay Man > > Even just going up to 4-6Slow K a day and eating a high potassium > diet - even that alone - bananas etc - I take plantain - will make > a huge amount of difference and you can get off all these drugs you > are on.. > > Kwame (from Australia) > > ________________________________ > From: Jay Man <jndaqca2009@...> > hyperaldosteronism > Sent: Monday, 9 February, 2009 3:56:49 PM > Subject: Re: Re: Is AVS nesessary? > > Hello everyone---feeling a little better since I raised my K intake > and my blood pressure has declined slightly-but still haveing the > back and left side pain. The morning after my er visit I had the > doctor draw another plasma renin/aldo level with ratios and had a > question: What prescription drugs would interfere with the test---- > I took the IV push labetalol in the er the night before-also taking > carvedilol 25mg one in the morning and one in the evening, Zanex > 1mg one in am and one in pm, lisinopril 40 mg once a day, potassium > 20meq once a day,and singulair 10mg once a day? See my new kidney > doctor in the am and my Endo on Tuesday and another endo on the > 19th. Just looking for some advise on tests or information that can > help me. I am taking the articles you all have suggested to my > appointments. Any comments would be appreciated. I just dont > want to waste my time during the appointments. Thanks, > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I'm new to this so bear with me. My endocrinologist > has > > > > > > scheduled > > > > > > > me for > > > > > > > > > AVS and I want to make sure I should do it. I have an > > > > > adenoma on > > > > > > > my right > > > > > > > > > adrenal gland and the results of my aldosterol/ > renin are > > > as > > > > > > > follows: A/RA > > > > > > > > > Ratio Calc: 164.0 Aldosterone 32.8 and Renin, D > irec t . > > > 2 I > > > > > have > > > > > > > not yet > > > > > > > > > been on any meds because I was just diagnosed. > Shouldn't > > > we > > > > > try > > > > > > > spiro first? > > > > > > > > > > > > > > > > > > > > > > > > > > > Thanks for any advice! > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2009 Report Share Posted March 17, 2009 Hi. I take 20meg of potassium three times a day now including 50mg of spiro twice a day. When potassium was checked it just barely hit the start of the normal range--I believe 3.5. Doctor said I have hyperaldo-doing a repeat ct on teh 23rd with different cuts and then he is referring me to surgery. I am wasting a lot fo potassium in my spot urine checks around 80-90. I only had the urine checked for potassium loss twice and thsi came with the new kidney doctor I seen last month that seems a much better doctor and am happy with. I get stomach aches since the spiro/breast tenderness which I had before came back, constipation. Potassium tablets have increased my thrist. Will keep you updated. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I'm new to this so bear with me. My endocrinologist > has > > > > > > scheduled > > > > > > > me for > > > > > > > > > AVS and I want to make sure I should do it. I have an > > > > > adenoma on > > > > > > > my right > > > > > > > > > adrenal gland and the results of my aldosterol/ > renin are > > > as > > > > > > > follows: A/RA > > > > > > > > > Ratio Calc: 164.0 Aldosterone 32.8 and Renin, D > irec t . > > > 2 I > > > > > have > > > > > > > not yet > > > > > > > > > been on any meds because I was just diagnosed. > Shouldn't > > > we > > > > > try > > > > > > > spiro first? > > > > > > > > > > > > > > > > > > > > > > > > > > > Thanks for any advice! > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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