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Re: AVS test results

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Need to know where each sample was from. Esp L vs right.

are all aldos or are some cortisols?

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 8:59 AM, sgalley1 wrote:

> Here are my test result from my AVS last week. My doctor has not

> called

> me back yet. Can anyone decipher them?

>

> Aldosterone, Serum

> 02/04/2009 PLASMA 12.8

> 02/04/2009 PLASMA 13.3

> 02/04/2009 PLASMA 3460.0

> 02/04/2009 PLASMA 10.8

> 02/04/2009 PLASMA 11.4

> 02/04/2009 PLASMA 1051.0

>

> It looked like my cortisol was normal. Thanks!

>

>

>

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Need to know where each sample was from. Esp L vs right.

are all aldos or are some cortisols?

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 8:59 AM, sgalley1 wrote:

> Here are my test result from my AVS last week. My doctor has not

> called

> me back yet. Can anyone decipher them?

>

> Aldosterone, Serum

> 02/04/2009 PLASMA 12.8

> 02/04/2009 PLASMA 13.3

> 02/04/2009 PLASMA 3460.0

> 02/04/2009 PLASMA 10.8

> 02/04/2009 PLASMA 11.4

> 02/04/2009 PLASMA 1051.0

>

> It looked like my cortisol was normal. Thanks!

>

>

>

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Share on other sites

The results online did not specify left or right. I cut and paste them so thats

all that was there. Here are the Cortsol ones:    

Cortisol Options

(ug/dL)

Normal Range

2-23 02/04/2009 9.7

02/04/2009 9.8

02/04/2009 21.8

hyperaldosteronism

Sent: Monday, February 9, 2009 8:24:20 AM GMT -07:00 US/Canada Mountain

Subject: Re: AVS test results

Need to know where each sample was from. Esp L vs right.

are all aldos or are some cortisols?

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 8:59 AM, sgalley1 wrote:

> Here are my test result from my AVS last week. My doctor has not

> called

> me back yet. Can anyone decipher them?

>

> Aldosterone, Serum

> 02/04/2009 PLASMA 12.8

> 02/04/2009 PLASMA 13.3

> 02/04/2009 PLASMA 3460.0

> 02/04/2009 PLASMA 10.8

> 02/04/2009 PLASMA 11.4

> 02/04/2009 PLASMA 1051.0

>

> It looked like my cortisol was normal. Thanks!

>

>

>

Link to comment
Share on other sites

Need to know where each sample was from. Esp L vs right.

are all aldos or are some cortisols?

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 8:59 AM, sgalley1 wrote:

> Here are my test result from my AVS last week. My doctor has not

> called

> me back yet. Can anyone decipher them?

>

> Aldosterone, Serum

> 02/04/2009 PLASMA 12.8

> 02/04/2009 PLASMA 13.3

> 02/04/2009 PLASMA 3460.0

> 02/04/2009 PLASMA 10.8

> 02/04/2009 PLASMA 11.4

> 02/04/2009 PLASMA 1051.0

>

> It looked like my cortisol was normal. Thanks!

>

>

>

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Share on other sites

It doesn't specify right or left on the online results. I guess I'll just wait

for my Dr. to call.

They were all aldos.

Re: AVS test results

Need to know where each sample was from. Esp L vs right.

are all aldos or are some cortisols?

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 8:59 AM, sgalley1 wrote:

> Here are my test result from my AVS last week. My doctor has not

> called

> me back yet. Can anyone decipher them?

>

> Aldosterone, Serum

> 02/04/2009 PLASMA 12.8

> 02/04/2009 PLASMA 13.3

> 02/04/2009 PLASMA 3460.0

> 02/04/2009 PLASMA 10.8

> 02/04/2009 PLASMA 11.4

> 02/04/2009 PLASMA 1051.0

>

> It looked like my cortisol was normal. Thanks!

>

>

>

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Share on other sites

Did they use ACTH? Where was this done?

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of sgalley1

Here are my test result from my AVS last week. My doctor has not called

me back yet. Can anyone decipher them?

Aldosterone, Serum

02/04/2009 PLASMA 12.8

02/04/2009 PLASMA 13.3

02/04/2009 PLASMA 3460.0

02/04/2009 PLASMA 10.8

02/04/2009 PLASMA 11.4

02/04/2009 PLASMA 1051.0

It looked like my cortisol was normal. Thanks!

Link to comment
Share on other sites

He did not use ACTH. His reasoning was that the numbers all go high when you do.

This was done at Intermountain Medical Center in Murray, Utah. Do the two high

numbers mean that it is both right and left that are giving me problems?

RE: AVS test results

Did they use ACTH? Where was this done?

Val

From: hyperaldosteronism

[mailto: hyperaldosteronism ] On Behalf Of sgalley1

Here are my test result from my AVS last week. My doctor has not called

me back yet. Can anyone decipher them?

Aldosterone, Serum

02/04/2009 PLASMA 12.8

02/04/2009 PLASMA 13.3

02/04/2009 PLASMA 3460.0

02/04/2009 PLASMA 10.8

02/04/2009 PLASMA 11.4

02/04/2009 PLASMA 1051.0

It looked like my cortisol was normal. Thanks!

Link to comment
Share on other sites

Need cortisol to make that interpretation.

Also need to know where each sample came from and when.

Guess your guy did not read my paper or the Endo Soc Guidelines so

did not understand that ACTH is required for best interpretation.

Have found another Endo in Salt Lake area who has experience in PA

who I can advise as well in case this guy does not work out.

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 11:23 AM, sgalley1@... wrote:

> He did not use ACTH. His reasoning was that the numbers all go high

> when you do. This was done at Intermountain Medical Center in

> Murray, Utah. Do the two high numbers mean that it is both right

> and left that are giving me problems?

> RE: AVS test results

>

> Did they use ACTH? Where was this done?

>

> Val

>

> From: hyperaldosteronism

> [mailto: hyperaldosteronism ] On Behalf Of sgalley1

>

> Here are my test result from my AVS last week. My doctor has not

> called

> me back yet. Can anyone decipher them?

>

> Aldosterone, Serum

> 02/04/2009 PLASMA 12.8

> 02/04/2009 PLASMA 13.3

> 02/04/2009 PLASMA 3460.0

> 02/04/2009 PLASMA 10.8

> 02/04/2009 PLASMA 11.4

> 02/04/2009 PLASMA 1051.0

>

> It looked like my cortisol was normal. Thanks!

>

>

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Share on other sites

It looks to me that one side is higher than the other. Whether it is enough

higher, I don't know. Does the report identify what numbers go to which side?

Does it identify anything with any words other than " plasma? "

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of sgalley1@...

He did not use ACTH. His reasoning was that the numbers all go high when you do.

This was done at Intermountain Medical Center in Murray, Utah. Do the two high

numbers mean that it is both right and left that are giving me problems?

----- Original Message -----

From: " Valarie " <val@... <mailto:val%40wyosip.com> >

Did they use ACTH? Where was this done?

Val

From: sgalley1

Here are my test result from my AVS last week. My doctor has not called

me back yet. Can anyone decipher them?

Aldosterone, Serum

02/04/2009 PLASMA 12.8

02/04/2009 PLASMA 13.3

02/04/2009 PLASMA 3460.0

02/04/2009 PLASMA 10.8

02/04/2009 PLASMA 11.4

02/04/2009 PLASMA 1051.0

It looked like my cortisol was normal. Thanks!

Link to comment
Share on other sites

You are better than I am if you can read the side these came from.

Am I missing something. Must have cortisols to interpret.

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 1:50 PM, Valarie wrote:

> It looks to me that one side is higher than the other. Whether it

> is enough higher, I don't know. Does the report identify what

> numbers go to which side? Does it identify anything with any words

> other than " plasma? "

>

> Val

>

> From: hyperaldosteronism

> [mailto:hyperaldosteronism ] On Behalf Of

> sgalley1@...

>

> He did not use ACTH. His reasoning was that the numbers all go high

> when you do. This was done at Intermountain Medical Center in

> Murray, Utah. Do the two high numbers mean that it is both right

> and left that are giving me problems?

>

> ----- Original Message -----

> From: " Valarie " <val@... <mailto:val%40wyosip.com> >

>

> Did they use ACTH? Where was this done?

>

> Val

>

> From: sgalley1

>

> Here are my test result from my AVS last week. My doctor has not

> called

> me back yet. Can anyone decipher them?

>

> Aldosterone, Serum

> 02/04/2009 PLASMA 12.8

> 02/04/2009 PLASMA 13.3

> 02/04/2009 PLASMA 3460.0

> 02/04/2009 PLASMA 10.8

> 02/04/2009 PLASMA 11.4

> 02/04/2009 PLASMA 1051.0

>

> It looked like my cortisol was normal. Thanks!

>

>

Link to comment
Share on other sites

Guessing that the 3rd and 6th numbers are aldosterone. Really no telling what

was measured.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

You are better than I am if you can read the side these came from.

Am I missing something. Must have cortisols to interpret.

On Feb 9, 2009, at 1:50 PM, Valarie wrote:

> It looks to me that one side is higher than the other.

> From: > sgalley1@... <mailto:sgalley1%40comcast.net>

>

> He did not use ACTH. His reasoning was that the numbers all go high

> when you do. This was done at Intermountain Medical Center in

> Murray, Utah. Do the two high numbers mean that it is both right

> and left that are giving me problems?

>

> ----- Original Message -----

> From: " Valarie " <val@... <mailto:val%40wyosip.com>

<mailto:val%40wyosip.com> >

>

> Did they use ACTH? Where was this done?

>

> Val

>

> From: sgalley1

>

> Here are my test result from my AVS last week. My doctor has not

> called

> me back yet. Can anyone decipher them?

>

> Aldosterone, Serum

> 02/04/2009 PLASMA 12.8

> 02/04/2009 PLASMA 13.3

> 02/04/2009 PLASMA 3460.0

> 02/04/2009 PLASMA 10.8

> 02/04/2009 PLASMA 11.4

> 02/04/2009 PLASMA 1051.0

>

> It looked like my cortisol was normal. Thanks!

>

>

Link to comment
Share on other sites

Don't like to guess for AVS decisions to operate.

But likely high ones are good

Adrenal vein samples. If so likely has bilateral disease bit need corts

Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Feb 9, 2009, at 2:35 PM, Valarie <val@...> wrote:

> Guessing that the 3rd and 6th numbers are aldosterone. Really no

> telling what was measured.

>

> Val

>

> From: hyperaldosteronism

[mailto:hyperaldosteronism

> ] On Behalf Of Clarence Grim

>

> You are better than I am if you can read the side these came from.

> Am I missing something. Must have cortisols to interpret.

>

> On Feb 9, 2009, at 1:50 PM, Valarie wrote:

>

> > It looks to me that one side is higher than the other.

> > From: > sgalley1@... <mailto:sgalley1%40comcast.net>

> >

> > He did not use ACTH. His reasoning was that the numbers all go high

> > when you do. This was done at Intermountain Medical Center in

> > Murray, Utah. Do the two high numbers mean that it is both right

> > and left that are giving me problems?

> >

> > ----- Original Message -----

> > From: " Valarie " <val@... <mailto:val%40wyosip.com> <mailto:val

> %40wyosip.com> >

> >

> > Did they use ACTH? Where was this done?

> >

> > Val

> >

> > From: sgalley1

> >

> > Here are my test result from my AVS last week. My doctor has not

> > called

> > me back yet. Can anyone decipher them?

> >

> > Aldosterone, Serum

> > 02/04/2009 PLASMA 12.8

> > 02/04/2009 PLASMA 13.3

> > 02/04/2009 PLASMA 3460.0

> > 02/04/2009 PLASMA 10.8

> > 02/04/2009 PLASMA 11.4

> > 02/04/2009 PLASMA 1051.0

> >

> > It looked like my cortisol was normal. Thanks!

> >

> >

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Share on other sites

My Endo's nurse called back and said all the lab results are not in yet. So

maybe when I get those it will show which is right and left. Here are the

cortisol results. If I do have bilateral disease, what would be the normal

course of events?

    Cortisol Options

(ug/dL)

Normal Range

2-23 02/04/2009 9.7

02/04/2009 9.8

02/04/2009 21.8

Re: AVS test results

Don't like to guess for AVS decisions to operate.

But likely high ones are good

Adrenal vein samples. If so likely has bilateral disease bit need corts

Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Feb 9, 2009, at 2:35 PM, Valarie < val@... > wrote:

> Guessing that the 3rd and 6th numbers are aldosterone. Really no

> telling what was measured.

>

> Val

>

> From: hyperaldosteronism [mailto:

hyperaldosteronism

> ] On Behalf Of Clarence Grim

>

> You are better than I am if you can read the side these came from.

> Am I missing something. Must have cortisols to interpret.

>

> On Feb 9, 2009, at 1:50 PM, Valarie wrote:

>

> > It looks to me that one side is higher than the other.

> > From: > sgalley1@... <mailto:sgalley1%40comcast.net>

> >

> > He did not use ACTH. His reasoning was that the numbers all go high

> > when you do. This was done at Intermountain Medical Center in

> > Murray, Utah. Do the two high numbers mean that it is both right

> > and left that are giving me problems?

> >

> > ----- Original Message -----

> > From: " Valarie " < val@... <mailto:val%40wyosip.com>

<mailto:val

> %40wyosip.com> >

> >

> > Did they use ACTH? Where was this done?

> >

> > Val

> >

> > From: sgalley1

> >

> > Here are my test result from my AVS last week. My doctor has not

> > called

> > me back yet. Can anyone decipher them?

> >

> > Aldosterone, Serum

> > 02/04/2009 PLASMA 12.8

> > 02/04/2009 PLASMA 13.3

> > 02/04/2009 PLASMA 3460.0

> > 02/04/2009 PLASMA 10.8

> > 02/04/2009 PLASMA 11.4

> > 02/04/2009 PLASMA 1051.0

> >

> > It looked like my cortisol was normal. Thanks!

> >

> >

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We recommend DASHing low sodium and using MC blockers spiro or eplerenone if you

cant tolerate spiro.

It that is not enough try my combination of combinations in the difficult HTN

file.

What drugs have failed u so far?

Did they fail becasue of no BP control or side effects.

Clarence E. Grim, BS, MS, MD

On Monday, February 09, 2009, at 05:35PM, <sgalley1@...> wrote:

>

>

>My Endo's nurse called back and said all the lab results are not in yet. So

maybe when I get those it will show which is right and left. Here are the

cortisol results. If I do have bilateral disease, what would be the normal

course of events?

>

>    Cortisol Options

>(ug/dL)

>Normal Range

>2-23 02/04/2009 9.7

>02/04/2009 9.8

>02/04/2009 21.8

> Re: AVS test results

>

>

>

>

>

>

>Don't like to guess for AVS decisions to operate.

>

>But likely high ones are good

>Adrenal vein samples. If so likely has bilateral disease bit need corts

>

>Tiped sad Send form mi

>iPhone ;-)

>

>May your pressure be low!

>

>CE Grim MD

>Specializing in Difficult

>Hypertension

>

>On Feb 9, 2009, at 2:35 PM, Valarie < val@... > wrote:

>

>> Guessing that the 3rd and 6th numbers are aldosterone. Really no

>> telling what was measured.

>>

>> Val

>>

>> From: hyperaldosteronism [mailto:

hyperaldosteronism

>> ] On Behalf Of Clarence Grim

>>

>> You are better than I am if you can read the side these came from.

>> Am I missing something. Must have cortisols to interpret.

>>

>> On Feb 9, 2009, at 1:50 PM, Valarie wrote:

>>

>> > It looks to me that one side is higher than the other.

>> > From: > sgalley1@... <mailto:sgalley1%40comcast.net>

>> >

>> > He did not use ACTH. His reasoning was that the numbers all go high

>> > when you do. This was done at Intermountain Medical Center in

>> > Murray, Utah. Do the two high numbers mean that it is both right

>> > and left that are giving me problems?

>> >

>> > ----- Original Message -----

>> > From: " Valarie " < val@... <mailto:val%40wyosip.com>

<mailto:val

>> %40wyosip.com> >

>> >

>> > Did they use ACTH? Where was this done?

>> >

>> > Val

>> >

>> > From: sgalley1

>> >

>> > Here are my test result from my AVS last week. My doctor has not

>> > called

>> > me back yet. Can anyone decipher them?

>> >

>> > Aldosterone, Serum

>> > 02/04/2009 PLASMA 12.8

>> > 02/04/2009 PLASMA 13.3

>> > 02/04/2009 PLASMA 3460.0

>> > 02/04/2009 PLASMA 10.8

>> > 02/04/2009 PLASMA 11.4

>> > 02/04/2009 PLASMA 1051.0

>> >

>> > It looked like my cortisol was normal. Thanks!

>> >

>> >

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Share on other sites

I have not been prescribed any medication yet. I am only on potassium. I detail

everything in the file " Galley's Story. " What do you mean by not tolerating it?

Re: AVS test results

>

>

>

>

>

>

>Don't like to guess for AVS decisions to operate.

>

>But likely high ones are good

>Adrenal vein samples. If so likely has bilateral disease bit need corts

>

>Tiped sad Send form mi

>iPhone ;-)

>

>May your pressure be low!

>

>CE Grim MD

>Specializing in Difficult

>Hypertension

>

>On Feb 9, 2009, at 2:35 PM, Valarie < val@... > wrote:

>

>> Guessing that the 3rd and 6th numbers are aldosterone. Really no

>> telling what was measured.

>>

>> Val

>>

>> From: hyperaldosteronism [mailto:

hyperaldosteronism

>> ] On Behalf Of Clarence Grim

>>

>> You are better than I am if you can read the side these came from.

>> Am I missing something. Must have cortisols to interpret.

>>

>> On Feb 9, 2009, at 1:50 PM, Valarie wrote:

>>

>> > It looks to me that one side is higher than the other.

>> > From: > sgalley1@... <mailto:sgalley1%40comcast.net>

>> >

>> > He did not use ACTH. His reasoning was that the numbers all go high

>> > when you do. This was done at Intermountain Medical Center in

>> > Murray, Utah. Do the two high numbers mean that it is both right

>> > and left that are giving me problems?

>> >

>> > ----- Original Message -----

>> > From: " Valarie " < val@... <mailto:val%40wyosip.com>

<mailto:val

>> %40wyosip.com> >

>> >

>> > Did they use ACTH? Where was this done?

>> >

>> > Val

>> >

>> > From: sgalley1

>> >

>> > Here are my test result from my AVS last week. My doctor has not

>> > called

>> > me back yet. Can anyone decipher them?

>> >

>> > Aldosterone, Serum

>> > 02/04/2009 PLASMA 12.8

>> > 02/04/2009 PLASMA 13.3

>> > 02/04/2009 PLASMA 3460.0

>> > 02/04/2009 PLASMA 10.8

>> > 02/04/2009 PLASMA 11.4

>> > 02/04/2009 PLASMA 1051.0

>> >

>> > It looked like my cortisol was normal. Thanks!

>> >

>> >

Link to comment
Share on other sites

Thanks much for posting your story. The stories really help everyone who comes

through this site.

Some people cannot tolerate spiro. In men, it can cause breasts. In women, it

can cause sore breasts and menstrual irregularities. In some, it can cause

stomach problems. The only other aldosterone blocker is Inspra. It is newer

(but not necessarily better) and more expensive.

The better you can control sodium, the less med you will need to normalize your

BP.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of sgalley1@...

I have not been prescribed any medication yet. I am only on potassium. I detail

everything in the file " Galley's Story. " What do you mean by not tolerating it?

Re: AVS test results

>

>

>

>

>

>

>Don't like to guess for AVS decisions to operate.

>

>But likely high ones are good

>Adrenal vein samples. If so likely has bilateral disease bit need corts

>

>Tiped sad Send form mi

>iPhone ;-)

>

>May your pressure be low!

>

>CE Grim MD

>Specializing in Difficult

>Hypertension

>

>On Feb 9, 2009, at 2:35 PM, Valarie < val@...

<mailto:val%40wyosip.com> > wrote:

>

>> Guessing that the 3rd and 6th numbers are aldosterone. Really no

>> telling what was measured.

>>

>> Val

>>

>> From: hyperaldosteronism

<mailto:hyperaldosteronism%40> [mailto:

hyperaldosteronism <mailto:hyperaldosteronism%40>

>> ] On Behalf Of Clarence Grim

>>

>> You are better than I am if you can read the side these came from.

>> Am I missing something. Must have cortisols to interpret.

>>

>> On Feb 9, 2009, at 1:50 PM, Valarie wrote:

>>

>> > It looks to me that one side is higher than the other.

>> > From: > sgalley1@... <mailto:sgalley1%40comcast.net>

<mailto:sgalley1%40comcast.net>

>> >

>> > He did not use ACTH. His reasoning was that the numbers all go high

>> > when you do. This was done at Intermountain Medical Center in

>> > Murray, Utah. Do the two high numbers mean that it is both right

>> > and left that are giving me problems?

>> >

>> > ----- Original Message -----

>> > From: " Valarie " < val@... <mailto:val%40wyosip.com>

<mailto:val%40wyosip.com> <mailto:val

>> %40wyosip.com> >

>> >

>> > Did they use ACTH? Where was this done?

>> >

>> > Val

>> >

>> > From: sgalley1

>> >

>> > Here are my test result from my AVS last week. My doctor has not

>> > called

>> > me back yet. Can anyone decipher them?

>> >

>> > Aldosterone, Serum

>> > 02/04/2009 PLASMA 12.8

>> > 02/04/2009 PLASMA 13.3

>> > 02/04/2009 PLASMA 3460.0

>> > 02/04/2009 PLASMA 10.8

>> > 02/04/2009 PLASMA 11.4

>> > 02/04/2009 PLASMA 1051.0

>> >

>> > It looked like my cortisol was normal. Thanks!

>> >

>> >

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Ok that's good to know. So will I need to be on meds the rest of my life? Do

they ever do surgery if there is bilateral?

Re: AVS test results

>

>

>

>

>

>

>Don't like to guess for AVS decisions to operate.

>

>But likely high ones are good

>Adrenal vein samples. If so likely has bilateral disease bit need corts

>

>Tiped sad Send form mi

>iPhone ;-)

>

>May your pressure be low!

>

>CE Grim MD

>Specializing in Difficult

>Hypertension

>

>On Feb 9, 2009, at 2:35 PM, Valarie < val@...

<mailto:val%40wyosip.com> > wrote:

>

>> Guessing that the 3rd and 6th numbers are aldosterone. Really no

>> telling what was measured.

>>

>> Val

>>

>> From: hyperaldosteronism

<mailto:hyperaldosteronism%40> [mailto:

hyperaldosteronism <mailto:hyperaldosteronism%40>

>> ] On Behalf Of Clarence Grim

>>

>> You are better than I am if you can read the side these came from.

>> Am I missing something. Must have cortisols to interpret.

>>

>> On Feb 9, 2009, at 1:50 PM, Valarie wrote:

>>

>> > It looks to me that one side is higher than the other.

>> > From: > sgalley1@... <mailto:sgalley1%40comcast.net>

<mailto:sgalley1%40comcast.net>

>> >

>> > He did not use ACTH. His reasoning was that the numbers all go high

>> > when you do. This was done at Intermountain Medical Center in

>> > Murray, Utah. Do the two high numbers mean that it is both right

>> > and left that are giving me problems?

>> >

>> > ----- Original Message -----

>> > From: " Valarie " < val@... <mailto:val%40wyosip.com>

<mailto:val%40wyosip.com> <mailto:val

>> %40wyosip.com> >

>> >

>> > Did they use ACTH? Where was this done?

>> >

>> > Val

>> >

>> > From: sgalley1

>> >

>> > Here are my test result from my AVS last week. My doctor has not

>> > called

>> > me back yet. Can anyone decipher them?

>> >

>> > Aldosterone, Serum

>> > 02/04/2009 PLASMA 12.8

>> > 02/04/2009 PLASMA 13.3

>> > 02/04/2009 PLASMA 3460.0

>> > 02/04/2009 PLASMA 10.8

>> > 02/04/2009 PLASMA 11.4

>> > 02/04/2009 PLASMA 1051.0

>> >

>> > It looked like my cortisol was normal. Thanks!

>> >

>> >

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Yes, aldo blockers are a lifetime deal. Can't do surgery for bilateral.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of sgalley1@...

Ok that's good to know. So will I need to be on meds the rest of my life? Do

they ever do surgery if there is bilateral?

Re: AVS test results

>

>

>

>

>

>

>Don't like to guess for AVS decisions to operate.

>

>But likely high ones are good

>Adrenal vein samples. If so likely has bilateral disease bit need corts

>

>Tiped sad Send form mi

>iPhone ;-)

>

>May your pressure be low!

>

>CE Grim MD

>Specializing in Difficult

>Hypertension

>

>On Feb 9, 2009, at 2:35 PM, Valarie < val@...

<mailto:val%40wyosip.com> <mailto:val%40wyosip.com> > wrote:

>

>> Guessing that the 3rd and 6th numbers are aldosterone. Really no

>> telling what was measured.

>>

>> Val

>>

>> From: hyperaldosteronism

<mailto:hyperaldosteronism%40>

<mailto:hyperaldosteronism%40> [mailto:

hyperaldosteronism <mailto:hyperaldosteronism%40>

<mailto:hyperaldosteronism%40>

>> ] On Behalf Of Clarence Grim

>>

>> You are better than I am if you can read the side these came from.

>> Am I missing something. Must have cortisols to interpret.

>>

>> On Feb 9, 2009, at 1:50 PM, Valarie wrote:

>>

>> > It looks to me that one side is higher than the other.

>> > From: > sgalley1@... <mailto:sgalley1%40comcast.net>

<mailto:sgalley1%40comcast.net> <mailto:sgalley1%40comcast.net>

>> >

>> > He did not use ACTH. His reasoning was that the numbers all go high

>> > when you do. This was done at Intermountain Medical Center in

>> > Murray, Utah. Do the two high numbers mean that it is both right

>> > and left that are giving me problems?

>> >

>> > ----- Original Message -----

>> > From: " Valarie " < val@... <mailto:val%40wyosip.com>

<mailto:val%40wyosip.com> <mailto:val%40wyosip.com> <mailto:val

>> %40wyosip.com> >

>> >

>> > Did they use ACTH? Where was this done?

>> >

>> > Val

>> >

>> > From: sgalley1

>> >

>> > Here are my test result from my AVS last week. My doctor has not

>> > called

>> > me back yet. Can anyone decipher them?

>> >

>> > Aldosterone, Serum

>> > 02/04/2009 PLASMA 12.8

>> > 02/04/2009 PLASMA 13.3

>> > 02/04/2009 PLASMA 3460.0

>> > 02/04/2009 PLASMA 10.8

>> > 02/04/2009 PLASMA 11.4

>> > 02/04/2009 PLASMA 1051.0

>> >

>> > It looked like my cortisol was normal. Thanks!

>> >

>> >

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Share on other sites

Rarely so bilat surgery today or need to

Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Feb 10, 2009, at 12:06 AM, sgalley1@... wrote:

> Ok that's good to know. So will I need to be on meds the rest of my

> life? Do they ever do surgery if there is bilateral?

> Re: AVS test results

> >

> >

> >

> >

> >

> >

> >Don't like to guess for AVS decisions to operate.

> >

> >But likely high ones are good

> >Adrenal vein samples. If so likely has bilateral disease bit need

> corts

> >

> >Tiped sad Send form mi

> >iPhone ;-)

> >

> >May your pressure be low!

> >

> >CE Grim MD

> >Specializing in Difficult

> >Hypertension

> >

> >On Feb 9, 2009, at 2:35 PM, Valarie < val@... <mailto:val

> %40wyosip.com> > wrote:

> >

> >> Guessing that the 3rd and 6th numbers are aldosterone. Really no

> >> telling what was measured.

> >>

> >> Val

> >>

> >> From: hyperaldosteronism

> <mailto:hyperaldosteronism%40> [mailto:

hyperaldosteronism

> <mailto:hyperaldosteronism%40>

> >> ] On Behalf Of Clarence Grim

> >>

> >> You are better than I am if you can read the side these came from.

> >> Am I missing something. Must have cortisols to interpret.

> >>

> >> On Feb 9, 2009, at 1:50 PM, Valarie wrote:

> >>

> >> > It looks to me that one side is higher than the other.

> >> > From: > sgalley1@... <mailto:sgalley1%40comcast.net>

<mailto:sgalley1

> %40comcast.net>

> >> >

> >> > He did not use ACTH. His reasoning was that the numbers all go

> high

> >> > when you do. This was done at Intermountain Medical Center in

> >> > Murray, Utah. Do the two high numbers mean that it is both right

> >> > and left that are giving me problems?

> >> >

> >> > ----- Original Message -----

> >> > From: " Valarie " < val@... <mailto:val

> %40wyosip.com> <mailto:val%40wyosip.com> <mailto:val

> >> %40wyosip.com> >

> >> >

> >> > Did they use ACTH? Where was this done?

> >> >

> >> > Val

> >> >

> >> > From: sgalley1

> >> >

> >> > Here are my test result from my AVS last week. My doctor has not

> >> > called

> >> > me back yet. Can anyone decipher them?

> >> >

> >> > Aldosterone, Serum

> >> > 02/04/2009 PLASMA 12.8

> >> > 02/04/2009 PLASMA 13.3

> >> > 02/04/2009 PLASMA 3460.0

> >> > 02/04/2009 PLASMA 10.8

> >> > 02/04/2009 PLASMA 11.4

> >> > 02/04/2009 PLASMA 1051.0

> >> >

> >> > It looked like my cortisol was normal. Thanks!

> >> >

> >> >

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Share on other sites

There should be a cortisol with each aldo sample.

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 9:32 AM, sgalley1@... wrote:

> The results online did not specify left or right. I cut and paste

> them so thats all that was there. Here are the Cortsol ones:

> Cortisol Options

> (ug/dL)

> Normal Range

> 2-23 02/04/2009 9.7

> 02/04/2009 9.8

> 02/04/2009 21.8

> hyperaldosteronism

> Sent: Monday, February 9, 2009 8:24:20 AM GMT -07:00 US/Canada

> Mountain

> Subject: Re: AVS test results

>

> Need to know where each sample was from. Esp L vs right.

>

> are all aldos or are some cortisols?

>

> 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 8:59 AM, sgalley1 wrote:

>

> > Here are my test result from my AVS last week. My doctor has not

> > called

> > me back yet. Can anyone decipher them?

> >

> > Aldosterone, Serum

> > 02/04/2009 PLASMA 12.8

> > 02/04/2009 PLASMA 13.3

> > 02/04/2009 PLASMA 3460.0

> > 02/04/2009 PLASMA 10.8

> > 02/04/2009 PLASMA 11.4

> > 02/04/2009 PLASMA 1051.0

> >

> > It looked like my cortisol was normal. Thanks!

> >

> >

> >

>

>

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Share on other sites

Dr. Grim

My Endo called about my AVS test results and said right side is high, so she

wants me to consult with a surgeon. Anyone you know in Salt Lake area?

 

RE: AVS test results

>

> Did they use ACTH? Where was this done?

>

> Val

>

> From: hyperaldosteronism

> [mailto: hyperaldosteronism ] On Behalf Of sgalley1

>

> Here are my test result from my AVS last week. My doctor has not

> called

> me back yet. Can anyone decipher them?

>

> Aldosterone, Serum

> 02/04/2009 PLASMA 12.8

> 02/04/2009 PLASMA 13.3

> 02/04/2009 PLASMA 3460.0

> 02/04/2009 PLASMA 10.8

> 02/04/2009 PLASMA 11.4

> 02/04/2009 PLASMA 1051.0

>

> It looked like my cortisol was normal. Thanks!

>

>

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Share on other sites

Here is an Endocrinologist who trained at Vanderbilt when it was one

of the leading institutions in the world in aldo research and he was

in it.

Dr. Jack Whalen if you need a second opinion. His Office is 801 387

7900 , fax is 801 387 7910

He may also have a surgeon he works with but I dont know.

On Feb 11, 2009, at 7:56 AM, sgalley1@... wrote:

>

>

> Dr. Grim

>

> My Endo called about my AVS test results and said right side is

> high, so she wants me to consult with a surgeon. Anyone you know in

> Salt Lake area?

>

>

> RE: AVS test results

> >

> > Did they use ACTH? Where was this done?

> >

> > Val

> >

> > From: hyperaldosteronism

> > [mailto: hyperaldosteronism ] On Behalf Of sgalley1

> >

> > Here are my test result from my AVS last week. My doctor has not

> > called

> > me back yet. Can anyone decipher them?

> >

> > Aldosterone, Serum

> > 02/04/2009 PLASMA 12.8

> > 02/04/2009 PLASMA 13.3

> > 02/04/2009 PLASMA 3460.0

> > 02/04/2009 PLASMA 10.8

> > 02/04/2009 PLASMA 11.4

> > 02/04/2009 PLASMA 1051.0

> >

> > It looked like my cortisol was normal. Thanks!

> >

> >

Link to comment
Share on other sites

Thank you so much. I really appreciate it. 

RE: AVS test results

> >

> > Did they use ACTH? Where was this done?

> >

> > Val

> >

> > From: hyperaldosteronism

> > [mailto: hyperaldosteronism ] On Behalf Of sgalley1

> >

> > Here are my test result from my AVS last week. My doctor has not

> > called

> > me back yet. Can anyone decipher them?

> >

> > Aldosterone, Serum

> > 02/04/2009 PLASMA 12.8

> > 02/04/2009 PLASMA 13.3

> > 02/04/2009 PLASMA 3460.0

> > 02/04/2009 PLASMA 10.8

> > 02/04/2009 PLASMA 11.4

> > 02/04/2009 PLASMA 1051.0

> >

> > It looked like my cortisol was normal. Thanks!

> >

> >

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