Re: Re: Orthostatic after adrenalectomy

March 5, 2009

What meds are you on?

What is your K running?

What is your BP doing when you stand? What is your BP sitting? How

high was it just before surgery?

How much weight have you lost?

The pulse should be slowing down by now. What was

On Mar 5, 2009, at 8:04 AM, sgalley1 wrote:

> It has been two weeks and I still have a pulse of 120 when I am up

> and around. Could this be caused by something else? I feel worse

> than I did before the surgery.

>

> >

> > > Dr. Grimm and others,

> > > My adrenalectomy was 8 days ago. On Tues my surgeon told me I am

> > > orthostatic. He did blood tests that are all normal and told me to

> > > drinks lots of fluid and salt. I still feel that same. Should

> it last

> > > this long and is there anything else I can do?

> > >

> >

> > May your pressure be low!

> >

> > Ã¯Â¿Â¼

> >

> > 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.

> >

March 5, 2009

I am on no meds (only birthcontrol). My K was 4.1 on 2/24. My blood pressure is

about the

same sitting or standing. Between 114/60 and 109/67 before surgery it was

150/100. I have only lost 2 pounds, but that could be from being so sick after

surgery.

Re: Re: Orthostatic after adrenalectomy

What meds are you on?

What is your K running?

What is your BP doing when you stand? What is your BP sitting? How

high was it just before surgery?

How much weight have you lost?

The pulse should be slowing down by now. What was

On Mar 5, 2009, at 8:04 AM, sgalley1 wrote:

> It has been two weeks and I still have a pulse of 120 when I am up

> and around. Could this be caused by something else? I feel worse

> than I did before the surgery.

>

> >

> > > Dr. Grimm and others,

> > > My adrenalectomy was 8 days ago. On Tues my surgeon told me I am

> > > orthostatic. He did blood tests that are all normal and told me to

> > > drinks lots of fluid and salt. I still feel that same. Should

> it last

> > > this long and is there anything else I can do?

> > >

> >

> > May your pressure be low!

> >

> > Ã¯Â¿Â¼

> >

> > 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.

> >

March 5, 2009

How are you " sick " ? exactly.

On Mar 5, 2009, at 8:53 AM, sgalley1@... wrote:

>

> I am on no meds (only birthcontrol). My K was 4.1 on 2/24. My blood

> pressure is about the

> same sitting or standing. Between 114/60 and 109/67 before surgery

> it was 150/100. I have only lost 2 pounds, but that could be from

> being so sick after surgery.

>

> Re: Re: Orthostatic after adrenalectomy

>

> What meds are you on?

>

> What is your K running?

>

> What is your BP doing when you stand? What is your BP sitting? How

> high was it just before surgery?

>

> How much weight have you lost?

>

> The pulse should be slowing down by now. What was

> On Mar 5, 2009, at 8:04 AM, sgalley1 wrote:

>

> > It has been two weeks and I still have a pulse of 120 when I am up

> > and around. Could this be caused by something else? I feel worse

> > than I did before the surgery.

> >

> > >

> > > > Dr. Grimm and others,

> > > > My adrenalectomy was 8 days ago. On Tues my surgeon told me I am

> > > > orthostatic. He did blood tests that are all normal and told

> me to

> > > > drinks lots of fluid and salt. I still feel that same. Should

> > it last

> > > > this long and is there anything else I can do?

> > > >

> > >

> > > May your pressure be low!

> > >

> > > Ã¯Â¿Â¼

> > >

> > > 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.

> > >

March 5, 2009

I am not sick any more. I was talking about thowing up because of the

anesthesia. Now my symptoms are:shortness of breath,Â tired all the time and not

being able to return to my normalÂ activities because of my heart rate.Â I have

an appointment with my Endo in the morning and I was hoping that you could shed

some light on why this is going on so long and what to do about it becasue I

don't think she will.

Re: Re: Orthostatic after adrenalectomy

>

> What meds are you on?

>

> What is your K running?

>

> What is your BP doing when you stand? What is your BP sitting? How

> high was it just before surgery?

>

> How much weight have you lost?

>

> The pulse should be slowing down by now. What was

> On Mar 5, 2009, at 8:04 AM, sgalley1 wrote:

>

> > It has been two weeks and I still have a pulse of 120 when I am up

> > and around. Could this be caused by something else? I feel worse

> > than I did before the surgery.

> >

> > >

> > > > Dr. Grimm and others,

> > > > My adrenalectomy was 8 days ago. On Tues my surgeon told me I am

> > > > orthostatic. He did blood tests that are all normal and told

> me to

> > > > drinks lots of fluid and salt. I still feel that same. Should

> > it last

> > > > this long and is there anything else I can do?

> > > >

> > >

> > > May your pressure be low!

> > >

> > > Ã¯Â¿Â¼

> > >

> > > 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.

> > >

March 5, 2009

You are likely having a spell of hypoaldosteronism as your other

adrenal begins to kick in. This is a good sign that the one size was

doing most of the secretion.

Your BP has fallen a lot and your baroreceptor control systems are

trying to keep your pressure where it was by increasing the heart

rate. This should reset after 1-3 weeks. I would eat lots of salt

till you see your Endo. This also assumes there are no other reasons

for rapid heart rate such as blood loss from the surgery. But was

done thru a scope I assume and not likely.

Trying checking your BP after your do a bit of exercise to see if it

falls. I have pts step up and down on a stair 10 times and then

check it while still standing. Support your arm you are measureing

on on a firm surface with the cuff at heart level-about the level of

the center of your chest while standing.

Give us some feed back.

On Mar 5, 2009, at 3:49 PM, sgalley1@... wrote:

> I am not sick any more. I was talking about thowing up because of

> the anesthesia. Now my symptoms are:shortness of breath, tired all

> the time and not being able to return to my normal activities

> because of my heart rate. I have an appointment with my Endo in the

> morning and I was hoping that you could shed some light on why this

> is going on so long and what to do about it becasue I don't think

> she will.

> Re: Re: Orthostatic after

> adrenalectomy

> >

> > What meds are you on?

> >

> > What is your K running?

> >

> > What is your BP doing when you stand? What is your BP sitting? How

> > high was it just before surgery?

> >

> > How much weight have you lost?

> >

> > The pulse should be slowing down by now. What was

> > On Mar 5, 2009, at 8:04 AM, sgalley1 wrote:

> >

> > > It has been two weeks and I still have a pulse of 120 when I am up

> > > and around. Could this be caused by something else? I feel worse

> > > than I did before the surgery.

> > >

> > > >

> > > > > Dr. Grimm and others,

> > > > > My adrenalectomy was 8 days ago. On Tues my surgeon told me

> I am

> > > > > orthostatic. He did blood tests that are all normal and told

> > me to

> > > > > drinks lots of fluid and salt. I still feel that same. Should

> > > it last

> > > > > this long and is there anything else I can do?

> > > > >

> > > >

> > > > May your pressure be low!

> > > >

> > > > Ã¯Â¿Â¼

> > > >

> > > > 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.

> > > >

March 5, 2009

You are likely having a spell of hypoaldosteronism as your other

adrenal begins to kick in. This is a good sign that the one size was

doing most of the secretion.

Your BP has fallen a lot and your baroreceptor control systems are

trying to keep your pressure where it was by increasing the heart

rate. This should reset after 1-3 weeks. I would eat lots of salt

till you see your Endo. This also assumes there are no other reasons

for rapid heart rate such as blood loss from the surgery. But was

done thru a scope I assume and not likely.

Trying checking your BP after your do a bit of exercise to see if it

falls. I have pts step up and down on a stair 10 times and then

check it while still standing. Support your arm you are measureing

on on a firm surface with the cuff at heart level-about the level of

the center of your chest while standing.

Give us some feed back.

On Mar 5, 2009, at 3:49 PM, sgalley1@... wrote:

> I am not sick any more. I was talking about thowing up because of

> the anesthesia. Now my symptoms are:shortness of breath, tired all

> the time and not being able to return to my normal activities

> because of my heart rate. I have an appointment with my Endo in the

> morning and I was hoping that you could shed some light on why this

> is going on so long and what to do about it becasue I don't think

> she will.

> Re: Re: Orthostatic after

> adrenalectomy

> >

> > What meds are you on?

> >

> > What is your K running?

> >

> > What is your BP doing when you stand? What is your BP sitting? How

> > high was it just before surgery?

> >

> > How much weight have you lost?

> >

> > The pulse should be slowing down by now. What was

> > On Mar 5, 2009, at 8:04 AM, sgalley1 wrote:

> >

> > > It has been two weeks and I still have a pulse of 120 when I am up

> > > and around. Could this be caused by something else? I feel worse

> > > than I did before the surgery.

> > >

> > > >

> > > > > Dr. Grimm and others,

> > > > > My adrenalectomy was 8 days ago. On Tues my surgeon told me

> I am

> > > > > orthostatic. He did blood tests that are all normal and told

> > me to

> > > > > drinks lots of fluid and salt. I still feel that same. Should

> > > it last

> > > > > this long and is there anything else I can do?

> > > > >

> > > >

> > > > May your pressure be low!

> > > >

> > > > Ã¯Â¿Â¼

> > > >

> > > > 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.

> > > >

March 5, 2009

1-3 weeks from now or from theÂ surgery? Yes it was done by scope. I have not

purchased a cuff- I have just been using the one at the store. Should I try it

with that?

Re: Re: Orthostatic after

> adrenalectomy

> >

> > What meds are you on?

> >

> > What is your K running?

> >

> > What is your BP doing when you stand? What is your BP sitting? How

> > high was it just before surgery?

> >

> > How much weight have you lost?

> >

> > The pulse should be slowing down by now. What was

> > On Mar 5, 2009, at 8:04 AM, sgalley1 wrote:

> >

> > > It has been two weeks and I still have a pulse of 120 when I am up

> > > and around. Could this be caused by something else? I feel worse

> > > than I did before the surgery.

> > >

> > > >

> > > > > Dr. Grimm and others,

> > > > > My adrenalectomy was 8 days ago. On Tues my surgeon told me

> I am

> > > > > orthostatic. He did blood tests that are all normal and told

> > me to

> > > > > drinks lots of fluid and salt. I still feel that same. Should

> > > it last

> > > > > this long and is there anything else I can do?

> > > > >

> > > >

> > > > May your pressure be low!

> > > >

> > > > Ã¯Â¿Â¼

> > > >

> > > > 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.

> > > >

March 5, 2009

unless you can lift the store one up I would get one at the store or

see if you have a friend who has one.

I recommend if you buy one you get the one u listen to with an

attached stethoscope and follow directions and should be able to do

it OK. These devices at CVS or Walgreen will be about $18.

Dont recall if you need a large cuff. Depends on your upper arm

circumference if greater than 13 inches around then u need a large cuff.

I would think you need one anyway.

On Mar 5, 2009, at 4:43 PM, sgalley1@... wrote:

> 1-3 weeks from now or from the surgery? Yes it was done by scope. I

> have not purchased a cuff- I have just been using the one at the

> store. Should I try it with that?

> Re: Re: Orthostatic after

> > adrenalectomy

> > >

> > > What meds are you on?

> > >

> > > What is your K running?

> > >

> > > What is your BP doing when you stand? What is your BP sitting? How

> > > high was it just before surgery?

> > >

> > > How much weight have you lost?

> > >

> > > The pulse should be slowing down by now. What was

> > > On Mar 5, 2009, at 8:04 AM, sgalley1 wrote:

> > >

> > > > It has been two weeks and I still have a pulse of 120 when I

> am up

> > > > and around. Could this be caused by something else? I feel worse

> > > > than I did before the surgery.

> > > >

> > > > >

> > > > > > Dr. Grimm and others,

> > > > > > My adrenalectomy was 8 days ago. On Tues my surgeon told me

> > I am

> > > > > > orthostatic. He did blood tests that are all normal and told

> > > me to

> > > > > > drinks lots of fluid and salt. I still feel that same.

> Should

> > > > it last

> > > > > > this long and is there anything else I can do?

> > > > > >

> > > > >

> > > > > May your pressure be low!

> > > > >

> > > > > Ã¯Â¿Â¼

> > > > >

> > > > > 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.

> > > > >

March 5, 2009

Go to see Endo or GP and they should do seated, standing and post

exercise BP to see if it is dropping a lot and if you feel dizzy with

any of this. Do you ever experience dizziness on standing?

Better from day of surgery I was talking about time line.

On Mar 5, 2009, at 4:43 PM, sgalley1@... wrote:

> 1-3 weeks from now or from the surgery? Yes it was done by scope. I

> have not purchased a cuff- I have just been using the one at the

> store. Should I try it with that?

> Re: Re: Orthostatic after

> > adrenalectomy

> > >

> > > What meds are you on?

> > >

> > > What is your K running?

> > >

> > > What is your BP doing when you stand? What is your BP sitting? How

> > > high was it just before surgery?

> > >

> > > How much weight have you lost?

> > >

> > > The pulse should be slowing down by now. What was

> > > On Mar 5, 2009, at 8:04 AM, sgalley1 wrote:

> > >

> > > > It has been two weeks and I still have a pulse of 120 when I

> am up

> > > > and around. Could this be caused by something else? I feel worse

> > > > than I did before the surgery.

> > > >

> > > > >

> > > > > > Dr. Grimm and others,

> > > > > > My adrenalectomy was 8 days ago. On Tues my surgeon told me

> > I am

> > > > > > orthostatic. He did blood tests that are all normal and told

> > > me to

> > > > > > drinks lots of fluid and salt. I still feel that same.

> Should

> > > > it last

> > > > > > this long and is there anything else I can do?

> > > > > >

> > > > >

> > > > > May your pressure be low!

> > > > >

> > > > > Ã¯Â¿Â¼

> > > > >

> > > > > 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.

> > > > >

March 5, 2009

No haven't felt dizzy at all.

I will have her do that tomorrow.

Thanks

Re: Re: Orthostatic after

> > adrenalectomy

> > >

> > > What meds are you on?

> > >

> > > What is your K running?

> > >

> > > What is your BP doing when you stand? What is your BP sitting? How

> > > high was it just before surgery?

> > >

> > > How much weight have you lost?

> > >

> > > The pulse should be slowing down by now. What was

> > > On Mar 5, 2009, at 8:04 AM, sgalley1 wrote:

> > >

> > > > It has been two weeks and I still have a pulse of 120 when I

> am up

> > > > and around. Could this be caused by something else? I feel worse

> > > > than I did before the surgery.

> > > >

> > > > >

> > > > > > Dr. Grimm and others,

> > > > > > My adrenalectomy was 8 days ago. On Tues my surgeon told me

> > I am

> > > > > > orthostatic. He did blood tests that are all normal and told

> > > me to

> > > > > > drinks lots of fluid and salt. I still feel that same.

> Should

> > > > it last

> > > > > > this long and is there anything else I can do?

> > > > > >

> > > > >

> > > > > May your pressure be low!

> > > > >

> > > > > Ã¯Â¿Â¼

> > > > >

> > > > > 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.

> > > > >

March 6, 2009

The prob not hypo aldo transient post surf

Post path in ur story if not.

Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Mar 5, 2009, at 6:12 PM, sgalley1@... wrote:

>

> No haven't felt dizzy at all.

>

> I will have her do that tomorrow.

>

> Thanks

> Re: Re: Orthostatic after

> > > adrenalectomy

> > > >

> > > > What meds are you on?

> > > >

> > > > What is your K running?

> > > >

> > > > What is your BP doing when you stand? What is your BP sitting?

> How

> > > > high was it just before surgery?

> > > >

> > > > How much weight have you lost?

> > > >

> > > > The pulse should be slowing down by now. What was

> > > > On Mar 5, 2009, at 8:04 AM, sgalley1 wrote:

> > > >

> > > > > It has been two weeks and I still have a pulse of 120 when I

> > am up

> > > > > and around. Could this be caused by something else? I feel

> worse

> > > > > than I did before the surgery.

> > > > >

> > > > > >

> > > > > > > Dr. Grimm and others,

> > > > > > > My adrenalectomy was 8 days ago. On Tues my surgeon told

> me

> > > I am

> > > > > > > orthostatic. He did blood tests that are all normal and

> told

> > > > me to

> > > > > > > drinks lots of fluid and salt. I still feel that same.

> > Should

> > > > > it last

> > > > > > > this long and is there anything else I can do?

> > > > > > >

> > > > > >

> > > > > > May your pressure be low!

> > > > > >

> > > > > > Ã¯Â¿Â¼

> > > > > >

> > > > > > 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.

> > > > > >

March 6, 2009

Guess your Endo has not followed many Conn's post op

Was pulse high b4 surg? If not then

Not thyroid

No vessels were reconnected during this surgery. Would not worry about

that.

Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Mar 6, 2009, at 6:53 PM, sgalley1 <sgalley1@...> wrote:

> I'm not sure what you mean. But here is what happened today. My Endo

> says it is not my adrenal gland. She thought it was my thyroid, but

> the tests came back normal. She said they could have hooked my blood

> vessels back up wrong. My surgeon is gone until Monday. What should

> I do?

>

> > > > > > > >

> > > > > > > > > Dr. Grimm and others,

> > > > > > > > > My adrenalectomy was 8 days ago. On Tues my surgeon

> told

> > > me

> > > > > I am

> > > > > > > > > orthostatic. He did blood tests that are all normal

> and

> > > told

> > > > > > me to

> > > > > > > > > drinks lots of fluid and salt. I still feel that same.

> > > > Should

> > > > > > > it last

> > > > > > > > > this long and is there anything else I can do?

> > > > > > > > >

> > > > > > > >

> > > > > > > > May your pressure be low!

> > > > > > > >

> > > > > > > > ÃƒÂ¯Ã‚Â¿Ã‚Â¼

> > > > > > > >

> > > > > > > > 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.

> > > > > > > >

March 6, 2009

No myÂ pulse has always been low. Her reasoning that it was not my adrenal gland

is that my cortisol isÂ normal. AndÂ she said something about iodine andÂ my

thyroid. So I am confused what else could it be? My blood pressure is the same

sitting and standing (about 118/65) and goes up to 125/70 with exercise.Â Â

Re: Re: Orthostatic after adrenalectomy

Guess your Endo has not followed many Conn's post op

Was pulse high b4 surg? If not then

Not thyroid

No vessels were reconnected during this surgery. Would not worry about

that.

Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Mar 6, 2009, at 6:53 PM, sgalley1 < sgalley1@... > wrote:

> I'm not sure what you mean. But here is what happened today. My Endo

> says it is not my adrenal gland. She thought it was my thyroid, but

> the tests came back normal. She said they could have hooked my blood

> vessels back up wrong. My surgeon is gone until Monday. What should

> I do?

>

> > > > > > > >

> > > > > > > > > Dr. Grimm and others,

> > > > > > > > > My adrenalectomy was 8 days ago. On Tues my surgeon

> told

> > > me

> > > > > I am

> > > > > > > > > orthostatic. He did blood tests that are all normal

> and

> > > told

> > > > > > me to

> > > > > > > > > drinks lots of fluid and salt. I still feel that same.

> > > > Should

> > > > > > > it last

> > > > > > > > > this long and is there anything else I can do?

> > > > > > > > >

> > > > > > > >

> > > > > > > > May your pressure be low!

> > > > > > > >

> > > > > > > > ÃƒÂ¯Ã‚Â¿Ã‚Â¼

> > > > > > > >

> > > > > > > > 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.

> > > > > > > >

March 6, 2009

Again she does not understand the problem of isolated hypoaldo after

ADX for Conn's as cortisol Will be normal.

The endocrine physiology is

1. The tumor secretes aldo causing salt retention which suppresses the

renin And AII in blood and aldo production

By rest of gland and contralateral gland. When the tumor

Is Removed aldo drops

To very low values till remaining gland kicks

In.

Re-read my article and trust u took

It to her to update her

Cegrimmd

Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Mar 6, 2009, at 7:09 PM, sgalley1@... wrote:

> No my pulse has always been low. Her reasoning that it was not my

> adrenal gland is that my cortisol is normal. And she said something

> about iodine and my thyroid. So I am confused what else could it be?

> My blood pressure is the same sitting and standing (about 118/65)

> and goes up to 125/70 with exercise.

> Re: Re: Orthostatic after adrenalectomy

>

> Guess your Endo has not followed many Conn's post op

> Was pulse high b4 surg? If not then

> Not thyroid

>

> No vessels were reconnected during this surgery. Would not worry about

> that.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> On Mar 6, 2009, at 6:53 PM, sgalley1 < sgalley1@... > wrote:

>

> > I'm not sure what you mean. But here is what happened today. My Endo

> > says it is not my adrenal gland. She thought it was my thyroid, but

> > the tests came back normal. She said they could have hooked my blood

> > vessels back up wrong. My surgeon is gone until Monday. What should

> > I do?

> >

> > > > > > > > >

> > > > > > > > > > Dr. Grimm and others,

> > > > > > > > > > My adrenalectomy was 8 days ago. On Tues my surgeon

> > told

> > > > me

> > > > > > I am

> > > > > > > > > > orthostatic. He did blood tests that are all normal

> > and

> > > > told

> > > > > > > me to

> > > > > > > > > > drinks lots of fluid and salt. I still feel that

> same.

> > > > > Should

> > > > > > > > it last

> > > > > > > > > > this long and is there anything else I can do?

> > > > > > > > > >

> > > > > > > > >

> > > > > > > > > May your pressure be low!

> > > > > > > > >

> > > > > > > > > ÃƒÂ¯Ã‚Â¿Ã‚Â¼

> > > > > > > > >

> > > > > > > > > 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.

> > > > > > > > >

March 6, 2009

Which article? So you think its the left adrenal gland not working yet? My

surgeon has never seenÂ it last this long.

Â Â Â

Re: Re: Orthostatic after adrenalectomy

>

> Guess your Endo has not followed many Conn's post op

> Was pulse high b4 surg? If not then

> Not thyroid

>

> No vessels were reconnected during this surgery. Would not worry about

> that.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> On Mar 6, 2009, at 6:53 PM, sgalley1 < sgalley1@... > wrote:

>

> > I'm not sure what you mean. But here is what happened today. My Endo

> > says it is not my adrenal gland. She thought it was my thyroid, but

> > the tests came back normal. She said they could have hooked my blood

> > vessels back up wrong. My surgeon is gone until Monday. What should

> > I do?

> >

> > > > > > > > >

> > > > > > > > > > Dr. Grimm and others,

> > > > > > > > > > My adrenalectomy was 8 days ago. On Tues my surgeon

> > told

> > > > me

> > > > > > I am

> > > > > > > > > > orthostatic. He did blood tests that are all normal

> > and

> > > > told

> > > > > > > me to

> > > > > > > > > > drinks lots of fluid and salt. I still feel that

> same.

> > > > > Should

> > > > > > > > it last

> > > > > > > > > > this long and is there anything else I can do?

> > > > > > > > > >

> > > > > > > > >

> > > > > > > > > May your pressure be low!

> > > > > > > > >

> > > > > > > > > ÃƒÂ¯Ã‚Â¿Ã‚Â¼

> > > > > > > > >

> > > > > > > > > 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.

> > > > > > > > >

March 6, 2009

I have an article in the files " evolution of primary aldo "

that u should read and take to all your Drs

The rapid heart rate is always 120?

Or does it go up and down?

How many has your surgeon

Followed?

If it is due to hypoaldo it should be getting better. When u had AVS

DID u have any pain after?

Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Mar 6, 2009, at 7:37 PM, sgalley1@... wrote:

>

> Which article? So you think its the left adrenal gland not working

> yet? My surgeon has never seen it last this long.

>

> Re: Re: Orthostatic after

> adrenalectomy

> >

> > Guess your Endo has not followed many Conn's post op

> > Was pulse high b4 surg? If not then

> > Not thyroid

> >

> > No vessels were reconnected during this surgery. Would not worry

> about

> > that.

> >

> > Tiped sad Send form mi

> > iPhone ;-)

> >

> > May your pressure be low!

> >

> > CE Grim MD

> > Specializing in Difficult

> > Hypertension

> >

> > On Mar 6, 2009, at 6:53 PM, sgalley1 < sgalley1@... > wrote:

> >

> > > I'm not sure what you mean. But here is what happened today. My

> Endo

> > > says it is not my adrenal gland. She thought it was my thyroid,

> but

> > > the tests came back normal. She said they could have hooked my

> blood

> > > vessels back up wrong. My surgeon is gone until Monday. What

> should

> > > I do?

> > >

> > > > > > > > > >

> > > > > > > > > > > Dr. Grimm and others,

> > > > > > > > > > > My adrenalectomy was 8 days ago. On Tues my

> surgeon

> > > told

> > > > > me

> > > > > > > I am

> > > > > > > > > > > orthostatic. He did blood tests that are all

> normal

> > > and

> > > > > told

> > > > > > > > me to

> > > > > > > > > > > drinks lots of fluid and salt. I still feel that

> > same.

> > > > > > Should

> > > > > > > > > it last

> > > > > > > > > > > this long and is there anything else I can do?

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > > > May your pressure be low!

> > > > > > > > > >

> > > > > > > > > > ÃƒÂ¯Ã‚Â¿Ã‚Â¼

> > > > > > > > > >

> > > > > > > > > > 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.

> > > > > > > > > >

> > > > > > > > > > [Non-text portions of this message have been

> removed]

> > > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > > > May your pressure be low!

> > > > > > > >

> > > > > > > > Ã¯Â¿Â¼

> > > > > > > >

> > > > > > > > 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.

> > > > > > > >

March 6, 2009

Most likely still having BP control systems settling down.

How long did you have high blood pressure before Conn's was discovered?

On Mar 6, 2009, at 9:18 PM, sgalley1 wrote:

> It varies. Usually over 100 when I am up and around. For example it

> was 113 at Drs. office today. When I am just sitting it will go

> down to 80. I had no pain at all after AVS. -- In

> hyperaldosteronism , Clarence Grim <lowerbp2@...>

> wrote:

> >

> > I have an article in the files " evolution of primary aldo "

> > that u should read and take to all your Drs

> >

> > The rapid heart rate is always 120?

> >

> > Or does it go up and down?

> >

> > How many has your surgeon

> > Followed?

> >

> > If it is due to hypoaldo it should be getting better. When u had AVS

> > DID u have any pain after?

> >

> > Tiped sad Send form mi

> > iPhone ;-)

> >

> > May your pressure be low!

> >

> > CE Grim MD

> > Specializing in Difficult

> > Hypertension

> >

> > On Mar 6, 2009, at 7:37 PM, sgalley1@... wrote:

> >

> > >

> > > Which article? So you think its the left adrenal gland not working

> > > yet? My surgeon has never seen it last this long.

> > >

> > > Re: Re: Orthostatic after

> > > adrenalectomy

> > > >

> > > > Guess your Endo has not followed many Conn's post op

> > > > Was pulse high b4 surg? If not then

> > > > Not thyroid

> > > >

> > > > No vessels were reconnected during this surgery. Would not worry

> > > about

> > > > that.

> > > >

> > > > Tiped sad Send form mi

> > > > iPhone ;-)

> > > >

> > > > May your pressure be low!

> > > >

> > > > CE Grim MD

> > > > Specializing in Difficult

> > > > Hypertension

> > > >

> > > > On Mar 6, 2009, at 6:53 PM, sgalley1 < sgalley1@... > wrote:

> > > >

> > > > > I'm not sure what you mean. But here is what happened

> today. My

> > > Endo

> > > > > says it is not my adrenal gland. She thought it was my

> thyroid,

> > > but

> > > > > the tests came back normal. She said they could have hooked my

> > > blood

> > > > > vessels back up wrong. My surgeon is gone until Monday. What

> > > should

> > > > > I do?

> > > > >

> > > > > > > > > > > >

> > > > > > > > > > > > > Dr. Grimm and others,

> > > > > > > > > > > > > My adrenalectomy was 8 days ago. On Tues my

> > > surgeon

> > > > > told

> > > > > > > me

> > > > > > > > > I am

> > > > > > > > > > > > > orthostatic. He did blood tests that are all

> > > normal

> > > > > and

> > > > > > > told

> > > > > > > > > > me to

> > > > > > > > > > > > > drinks lots of fluid and salt. I still feel

> that

> > > > same.

> > > > > > > > Should

> > > > > > > > > > > it last

> > > > > > > > > > > > > this long and is there anything else I can do?

> > > > > > > > > > > > >

> > > > > > > > > > > >

> > > > > > > > > > > > May your pressure be low!

> > > > > > > > > > > >

> > > > > > > > > > > > ÃƒÂ¯Ã‚Â¿Ã‚Â¼

> > > > > > > > > > > >

> > > > > > > > > > > > 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.

> > > > > > > > > > > >

> > > > > > > > > > > > [Non-text portions of this message have been

> > > removed]

> > > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > > > May your pressure be low!

> > > > > > > > > >

> > > > > > > > > > Ã¯Â¿Â¼

> > > > > > > > > >

> > > > > > > > > > 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.

> > > > > > > > > >

> > > > > > > > > > [Non-text portions of this message have been

> removed]

> > > > > > > > > >

> > > > > > > > > > [Non-text portions of this message have been

> removed]

> > > > > > > > > >

> > > > > > > > >

March 6, 2009

If you have been seen by your surgeon and Endo and reg Dr and they

agree I would wait a couple of weeks.

It is very unusual to have a completely nomral BP for years and then

suddenly develop high blood pressure due to Conn's. As you will note

in my article BP increases perhaps years before low K develops.

Before your high blood pressure was discovered 9 months ago when was

the last time before that that your BP had been measured?

On Mar 6, 2009, at 10:27 PM, sgalley1 wrote:

> I had high BP about 9 months before they found my tumor. So I just

> need to be patient and wait it out?

> > > > > > > > > > > > > >

> > > > > > > > > > > > > > > Dr. Grimm and others,

> > > > > > > > > > > > > > > My adrenalectomy was 8 days ago. On

> Tues my

> > > > > surgeon

> > > > > > > told

> > > > > > > > > me

> > > > > > > > > > > I am

> > > > > > > > > > > > > > > orthostatic. He did blood tests that

> are all

> > > > > normal

> > > > > > > and

> > > > > > > > > told

> > > > > > > > > > > > me to

> > > > > > > > > > > > > > > drinks lots of fluid and salt. I still

> feel

> > > that

> > > > > > same.

> > > > > > > > > > Should

> > > > > > > > > > > > > it last

> > > > > > > > > > > > > > > this long and is there anything else I

> can do?

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > >

> > > > > > > > > > > > > > May your pressure be low!

> > > > > > > > > > > > > >

> > > > > > > > > > > > > > ÃƒÂ¯Ã‚Â¿Ã‚Â¼

> > > > > > > > > > > > > >

> > > > > > > > > > > > > > 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.

> > > > > > > > > > > > > >

> > > > > > > > > > > > > > [Non-text portions of this message have been

> > > > > removed]

> > > > > > > > > > > > > >

> > > > > > > > > > > > >

> > > > > > > > > > > >

> > > > > > > > > > > > May your pressure be low!

> > > > > > > > > > > >

> > > > > > > > > > > > Ã¯Â¿Â¼

> > > > > > > > > > > >

> > > > > > > > > > > > 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.

> > > > > > > > > > > >

> > > > > > > > > > > > [Non-text portions of this message have been

> > > removed]

> > > > > > > > > > > >

> > > > > > > > > > > > [Non-text portions of this message have been

> > > removed]

> > > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > > > [Non-text portions of this message have been

> removed]

> > > > > > > > > > >

> > > > > > > > > > > [Non-text portions of this message have been

> removed]

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > > > [Non-text portions of this message have been

> removed]

> > > > > > > > > >

> > > > > > > > > > [Non-text portions of this message have been

> removed]

> > > > > > > > > >

> > > > > > > > >

March 6, 2009

My surgeon doesn't know what to think- he has never seen it beforeÂ and my Endo

has no idea what is going on (she was grasping at staws thinking it was my

thyroid). Neither of them has told me to give it time. Before my high BP was

discovered, I had a normal reading 4 months before.

Â

Re: Re: Orthostatic after adrenalectomy

If you have been seen by your surgeon and Endo and reg Dr and they Â

agree I would wait a couple of weeks.

It is very unusual to have a completely nomral BP for years and then Â

suddenly develop high blood pressure due to Conn's. Â As you will note Â

in my article BP increases perhaps years before low K develops.

Before your high blood pressure was discovered 9 months ago when was Â

the last time before that that your BP had been measured?

On Mar 6, 2009, at 10:27 PM, sgalley1 wrote:

> I had high BP about 9 months before they found my tumor. So I just Â

> need to be patient and wait it out?

> > > > > > > > > > > > > >

> > > > > > > > > > > > > > > Dr. Grimm and others,

> > > > > > > > > > > > > > > My adrenalectomy was 8 days ago. On Â

> Tues my

> > > > > surgeon

> > > > > > > told

> > > > > > > > > me

> > > > > > > > > > > I am

> > > > > > > > > > > > > > > orthostatic. He did blood tests that Â

> are all

> > > > > normal

> > > > > > > and

> > > > > > > > > told

> > > > > > > > > > > > me to

> > > > > > > > > > > > > > > drinks lots of fluid and salt. I still Â

> feel

> > > that

> > > > > > same.

> > > > > > > > > > Should

> > > > > > > > > > > > > it last

> > > > > > > > > > > > > > > this long and is there anything else I Â

> can do?

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > >

> > > > > > > > > > > > > > May your pressure be low!

> > > > > > > > > > > > > >

> > > > > > > > > > > > > > ÃƒÂ¯Ã‚Â¿Ã‚Â¼

> > > > > > > > > > > > > >

> > > > > > > > > > > > > > CE Grim BS, MS, MD

> > > > > > > > > > > > > >

> > > > > > > > > > > > > > High Blood Pressure Consulting

> > > > > > > > > > > > > >

> > > > > > > > > > > > > > Senior Consultant to Shared Care Research Â

> and

> > > > > > Education

> > > > > > > > > > > Consulting

> > > > > > > > > > > > > > Inc.(sharedcareinc.com)

> > > > > > > > > > > > > >

> > > > > > > > > > > > > > Clinical Professor of Internal Medicine

> > > Medical and

> > > > > > > > > Cardiology

> > > > > > > > > > > > > > Medical College of Wisconsin

> > > > > > > > > > > > > >

> > > > > > > > > > > > > > Board certified in Internal Med, Â

> 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 Â

> in the

> > > > > office

> > > > > > > and

> > > > > > > > > out.

> > > > > > > > > > > > > >

> > > > > > > > > > > > > > [Non-text portions of this message have been

> > > > > removed]

> > > > > > > > > > > > > >

> > > > > > > > > > > > >

> > > > > > > > > > > >

> > > > > > > > > > > > May your pressure be low!

> > > > > > > > > > > >

> > > > > > > > > > > > Ã¯Â¿Â¼

> > > > > > > > > > > >

> > > > > > > > > > > > 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 Â

> 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 Â

> on high

> > > > > blood

> > > > > > > > > pressure

> > > > > > > > > > > > in human populations.

> > > > > > > > > > > > 3. Improving blood pressure measurement in the

> > > office

> > > > > and

> > > > > > > out.

> > > > > > > > > > > >

> > > > > > > > > > > > [Non-text portions of this message have been

> > > removed]

> > > > > > > > > > > >

> > > > > > > > > > > > [Non-text portions of this message have been

> > > removed]

> > > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > > > [Non-text portions of this message have been Â

> removed]

> > > > > > > > > > >

> > > > > > > > > > > [Non-text portions of this message have been Â

> removed]

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > > > [Non-text portions of this message have been Â

> removed]

> > > > > > > > > >

> > > > > > > > > > [Non-text portions of this message have been Â

> removed]

> > > > > > > > > >

> > > > > > > > >

March 7, 2009

This assumes of course that BP was measured correctly before it was

finally found to be high.

Very interesting. How low did your K get before the Dx was made.

CE Grim MD

On Mar 6, 2009, at 11:17 PM, sgalley1@... wrote:

>

> My surgeon doesn't know what to think- he has never seen it before

> and my Endo has no idea what is going on (she was grasping at staws

> thinking it was my thyroid). Neither of them has told me to give it

> time. Before my high BP was discovered, I had a normal reading 4

> months before.

>

> Re: Re: Orthostatic after adrenalectomy

>

> If you have been seen by your surgeon and Endo and reg Dr and they

> agree I would wait a couple of weeks.

>

> It is very unusual to have a completely nomral BP for years and then

> suddenly develop high blood pressure due to Conn's. As you will note

> in my article BP increases perhaps years before low K develops.

>

> Before your high blood pressure was discovered 9 months ago when was

> the last time before that that your BP had been measured?

>

> On Mar 6, 2009, at 10:27 PM, sgalley1 wrote:

>

> > I had high BP about 9 months before they found my tumor. So I just

> > need to be patient and wait it out?

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > Dr. Grimm and others,

> > > > > > > > > > > > > > > > My adrenalectomy was 8 days ago. On

> > Tues my

> > > > > > surgeon

> > > > > > > > told

> > > > > > > > > > me

> > > > > > > > > > > > I am

> > > > > > > > > > > > > > > > orthostatic. He did blood tests that

> > are all

> > > > > > normal

> > > > > > > > and

> > > > > > > > > > told

> > > > > > > > > > > > > me to

> > > > > > > > > > > > > > > > drinks lots of fluid and salt. I still

> > feel

> > > > that

> > > > > > > same.

> > > > > > > > > > > Should

> > > > > > > > > > > > > > it last

> > > > > > > > > > > > > > > > this long and is there anything else I

> > can do?

> > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > May your pressure be low!

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > Ã¯Â¿Â¼

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > 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.

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > [Non-text portions of this message have

> been

> > > > > > removed]

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > >

> > > > > > > > > > > > >

> > > > > > > > > > > > > May your pressure be low!

> > > > > > > > > > > > >

> > > > > > > > > > > > > ï¿¼

> > > > > > > > > > > > >

> > > > > > > > > > > > > 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.

> > > > > > > > > > > > >

> > > > > > > > > > > > > [Non-text portions of this message have been

> > > > removed]

> > > > > > > > > > > > >

> > > > > > > > > > > > > [Non-text portions of this message have been

> > > > removed]

> > > > > > > > > > > > >

> > > > > > > > > > > >

> > > > > > > > > > > > [Non-text portions of this message have been

> > removed]

> > > > > > > > > > > >

> > > > > > > > > > > > [Non-text portions of this message have been

> > removed]

> > > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > > > [Non-text portions of this message have been

> > removed]

> > > > > > > > > > >

> > > > > > > > > > > [Non-text portions of this message have been

> > removed]

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > > > [Non-text portions of this message have been

> removed]

> > > > > > > > > >

> > > > > > > > > > [Non-text portions of this message have been

> removed]

> > > > > > > > > >

> > > > > > > > > > div.file-title a, div.file-title a:active, div.file-

> > title

> > > > > > > a:hover,

> > > > > > > > > > div.file-title a:visited { text-decoration: none; }

> > #ygrp-

> > > > > > msg p

> > > > > > > > > > { clear: both; padding: 15px 0 3px 0; overflow:

> > hidden; }

> > > > > > #ygrp-

> > > > > > > > msg

> > > > > > > > > > p span { color: #1E66AE; font-weight: bold; }

> > div#ygrp-

> > > > mlmsg

> > > > > > > > #ygrp-

> > > > > > > > > > msg p a span.yshortcuts { font-family: Verdana;

> > font-size:

> > > > > > 10px;

> > > > > > > > > > font-weight: normal; } #ygrp-msg p a { font-family:

> > > > Verdana;

> > > > > > > font-

> > > > > > > > > > size: 10px; } #ygrp-mlmsg a { color: #1E66AE; }

> > > > div.attach-

> > > > > > table

> > > > > > > > div

> > > > > > > > > > div a { text-decoration: none; } div.attach-table

> > { width:

> > > > > > > > 400px; }

> > > > > > > > > > -->

> > > > > > > > >

March 7, 2009

My lowestÂ K was 3.1. This morning I took my pulse before I got out of bed and

it was 85. I am still having to get up in the night to go to the bathroom. Is

that normal? Also I never lost the 4-6 pounds after surgery only 2.

Re: Re: Orthostatic after adrenalectomy

>

> If you have been seen by your surgeon and Endo and reg Dr and they

> agree I would wait a couple of weeks.

>

> It is very unusual to have a completely nomral BP for years and then

> suddenly develop high blood pressure due to Conn's. As you will note

> in my article BP increases perhaps years before low K develops.

>

> Before your high blood pressure was discovered 9 months ago when was

> the last time before that that your BP had been measured?

>

> On Mar 6, 2009, at 10:27 PM, sgalley1 wrote:

>

> > I had high BP about 9 months before they found my tumor. So I just

> > need to be patient and wait it out?

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > Dr. Grimm and others,

> > > > > > > > > > > > > > > > My adrenalectomy was 8 days ago. On

> > Tues my

> > > > > > surgeon

> > > > > > > > told

> > > > > > > > > > me

> > > > > > > > > > > > I am

> > > > > > > > > > > > > > > > orthostatic. He did blood tests that

> > are all

> > > > > > normal

> > > > > > > > and

> > > > > > > > > > told

> > > > > > > > > > > > > me to

> > > > > > > > > > > > > > > > drinks lots of fluid and salt. I still

> > feel

> > > > that

> > > > > > > same.

> > > > > > > > > > > Should

> > > > > > > > > > > > > > it last

> > > > > > > > > > > > > > > > this long and is there anything else I

> > can do?

> > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > May your pressure be low!

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > ÃƒÂ¯Ã‚Â¿Ã‚Â¼

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > 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.

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > [Non-text portions of this message have

> been

> > > > > > removed]

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > >

> > > > > > > > > > > > >

> > > > > > > > > > > > > May your pressure be low!

> > > > > > > > > > > > >

> > > > > > > > > > > > > Ã¯Â¿Â¼

> > > > > > > > > > > > >

> > > > > > > > > > > > > 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.

> > > > > > > > > > > > >

> > > > > > > > > > > > > [Non-text portions of this message have been

> > > > removed]

> > > > > > > > > > > > >

> > > > > > > > > > > > > [Non-text portions of this message have been

> > > > removed]

> > > > > > > > > > > > >

> > > > > > > > > > > >

> > > > > > > > > > > > [Non-text portions of this message have been

> > removed]

> > > > > > > > > > > >

> > > > > > > > > > > > [Non-text portions of this message have been

> > removed]

> > > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > > > [Non-text portions of this message have been

> > removed]

> > > > > > > > > > >

> > > > > > > > > > > [Non-text portions of this message have been

> > removed]

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > > > [Non-text portions of this message have been

> removed]

> > > > > > > > > >

> > > > > > > > > > [Non-text portions of this message have been

> removed]

> > > > > > > > > >

> > > > > > > > > > div.file-title a, div.file-title a:active, div.file-

> > title

> > > > > > > a:hover,

> > > > > > > > > > div.file-title a:visited { text-decoration: none; }

> > #ygrp-

> > > > > > msg p

> > > > > > > > > > { clear: both; padding: 15px 0 3px 0; overflow:

> > hidden; }

> > > > > > #ygrp-

> > > > > > > > msg

> > > > > > > > > > p span { color: #1E66AE; font-weight: bold; }

> > div#ygrp-

> > > > mlmsg

> > > > > > > > #ygrp-

> > > > > > > > > > msg p a span.yshortcuts { font-family: Verdana;

> > font-size:

> > > > > > 10px;

> > > > > > > > > > font-weight: normal; } #ygrp-msg p a { font-family:

> > > > Verdana;

> > > > > > > font-

> > > > > > > > > > size: 10px; } #ygrp-mlmsg a { color: #1E66AE; }

> > > > div.attach-

> > > > > > table

> > > > > > > > div

> > > > > > > > > > div a { text-decoration: none; } div.attach-table

> > { width:

> > > > > > > > 400px; }

> > > > > > > > > > -->

> > > > > > > > >

March 8, 2009

Your

Has the freq of getting up less?

How many times did you get up before surgery.

rence E. Grim, BS, MS, MD

On Saturday, March 07, 2009, at 08:52AM, <sgalley1@...> wrote:

>My lowest K was 3.1. This morning I took my pulse before I got out of bed and

it was 85. I am still having to get up in the night to go to the bathroom. Is

that normal? Also I never lost the 4-6 pounds after surgery only 2.

> Re: Re: Orthostatic after adrenalectomy

>>

>> If you have been seen by your surgeon and Endo and reg Dr and they

>> agree I would wait a couple of weeks.

>>

>> It is very unusual to have a completely nomral BP for years and then

>> suddenly develop high blood pressure due to Conn's. As you will note

>> in my article BP increases perhaps years before low K develops.

>>

>> Before your high blood pressure was discovered 9 months ago when was

>> the last time before that that your BP had been measured?

>>

>> On Mar 6, 2009, at 10:27 PM, sgalley1 wrote:

>>

>> > I had high BP about 9 months before they found my tumor. So I just

>> > need to be patient and wait it out?

>> > > > > > > > > > > > > > >

>> > > > > > > > > > > > > > > > Dr. Grimm and others,

>> > > > > > > > > > > > > > > > My adrenalectomy was 8 days ago. On

>> > Tues my

>> > > > > > surgeon

>> > > > > > > > told

>> > > > > > > > > > me

>> > > > > > > > > > > > I am

>> > > > > > > > > > > > > > > > orthostatic. He did blood tests that

>> > are all

>> > > > > > normal

>> > > > > > > > and

>> > > > > > > > > > told

>> > > > > > > > > > > > > me to

>> > > > > > > > > > > > > > > > drinks lots of fluid and salt. I still

>> > feel

>> > > > that

>> > > > > > > same.

>> > > > > > > > > > > Should

>> > > > > > > > > > > > > > it last

>> > > > > > > > > > > > > > > > this long and is there anything else I

>> > can do?

>> > > > > > > > > > > > > > > >

>> > > > > > > > > > > > > > >

>> > > > > > > > > > > > > > > May your pressure be low!

>> > > > > > > > > > > > > > >

>> > > > > > > > > > > > > > > Ã¯Â¿Â¼

>> > > > > > > > > > > > > > >

>> > > > > > > > > > > > > > > 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.

>> > > > > > > > > > > > > > >

>> > > > > > > > > > > > > > > [Non-text portions of this message have

>> been

>> > > > > > removed]

>> > > > > > > > > > > > > > >

>> > > > > > > > > > > > > >

>> > > > > > > > > > > > >

>> > > > > > > > > > > > > May your pressure be low!

>> > > > > > > > > > > > >

>> > > > > > > > > > > > > ï¿¼

>> > > > > > > > > > > > >

>> > > > > > > > > > > > > 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.

>> > > > > > > > > > > > >

>> > > > > > > > > > > > > [Non-text portions of this message have been

>> > > > removed]

>> > > > > > > > > > > > >

>> > > > > > > > > > > > > [Non-text portions of this message have been

>> > > > removed]

>> > > > > > > > > > > > >

>> > > > > > > > > > > >

>> > > > > > > > > > > > [Non-text portions of this message have been

>> > removed]

>> > > > > > > > > > > >

>> > > > > > > > > > > > [Non-text portions of this message have been

>> > removed]

>> > > > > > > > > > > >

>> > > > > > > > > > >

>> > > > > > > > > > > [Non-text portions of this message have been

>> > removed]

>> > > > > > > > > > >

>> > > > > > > > > > > [Non-text portions of this message have been

>> > removed]

>> > > > > > > > > > >

>> > > > > > > > > >

>> > > > > > > > > > [Non-text portions of this message have been

>> removed]

>> > > > > > > > > >

>> > > > > > > > > > [Non-text portions of this message have been

>> removed]

>> > > > > > > > > >

>> > > > > > > > > > div.file-title a, div.file-title a:active, div.file-

>> > title

>> > > > > > > a:hover,

>> > > > > > > > > > div.file-title a:visited { text-decoration: none; }

>> > #ygrp-

>> > > > > > msg p

>> > > > > > > > > > { clear: both; padding: 15px 0 3px 0; overflow:

>> > hidden; }

>> > > > > > #ygrp-

>> > > > > > > > msg

>> > > > > > > > > > p span { color: #1E66AE; font-weight: bold; }

>> > div#ygrp-

>> > > > mlmsg

>> > > > > > > > #ygrp-

>> > > > > > > > > > msg p a span.yshortcuts { font-family: Verdana;

>> > font-size:

>> > > > > > 10px;

>> > > > > > > > > > font-weight: normal; } #ygrp-msg p a { font-family:

>> > > > Verdana;

>> > > > > > > font-

>> > > > > > > > > > size: 10px; } #ygrp-mlmsg a { color: #1E66AE; }

>> > > > div.attach-

>> > > > > > table

>> > > > > > > > div

>> > > > > > > > > > div a { text-decoration: none; } div.attach-table

>> > { width:

>> > > > > > > > 400px; }

>> > > > > > > > > > -->

>> > > > > > > > >

March 8, 2009

Before surgery I would get up once per night and it has stayed the same.

My Endo called last night all my test came back good except for a Vitamin D

deficiency (21). She is baffled and wants me to see a cardiologist tomorrow.

Â

Re: Re: Orthostatic after adrenalectomy

>>

>> If you have been seen by your surgeon and Endo and reg Dr and they

>> agree I would wait a couple of weeks.

>>

>> It is very unusual to have a completely nomral BP for years and then

>> suddenly develop high blood pressure due to Conn's. As you will note

>> in my article BP increases perhaps years before low K develops.

>>

>> Before your high blood pressure was discovered 9 months ago when was

>> the last time before that that your BP had been measured?

>>

>> On Mar 6, 2009, at 10:27 PM, sgalley1 wrote:

>>

>> > I had high BP about 9 months before they found my tumor. So I just

>> > need to be patient and wait it out?

>> > > > > > > > > > > > > > >

>> > > > > > > > > > > > > > > > Dr. Grimm and others,

>> > > > > > > > > > > > > > > > My adrenalectomy was 8 days ago. On

>> > Tues my

>> > > > > > surgeon

>> > > > > > > > told

>> > > > > > > > > > me

>> > > > > > > > > > > > I am

>> > > > > > > > > > > > > > > > orthostatic. He did blood tests that

>> > are all

>> > > > > > normal

>> > > > > > > > and

>> > > > > > > > > > told

>> > > > > > > > > > > > > me to

>> > > > > > > > > > > > > > > > drinks lots of fluid and salt. I still

>> > feel

>> > > > that

>> > > > > > > same.

>> > > > > > > > > > > Should

>> > > > > > > > > > > > > > it last

>> > > > > > > > > > > > > > > > this long and is there anything else I

>> > can do?

>> > > > > > > > > > > > > > > >

>> > > > > > > > > > > > > > >

>> > > > > > > > > > > > > > > May your pressure be low!

>> > > > > > > > > > > > > > >

>> > > > > > > > > > > > > > > ÃƒÂ¯Ã‚Â¿Ã‚Â¼

>> > > > > > > > > > > > > > >

>> > > > > > > > > > > > > > > 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.

>> > > > > > > > > > > > > > >

>> > > > > > > > > > > > > > > [Non-text portions of this message have

>> been

>> > > > > > removed]

>> > > > > > > > > > > > > > >

>> > > > > > > > > > > > > >

>> > > > > > > > > > > > >

>> > > > > > > > > > > > > May your pressure be low!

>> > > > > > > > > > > > >

>> > > > > > > > > > > > > Ã¯Â¿Â¼

>> > > > > > > > > > > > >

>> > > > > > > > > > > > > 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.

>> > > > > > > > > > > > >

>> > > > > > > > > > > > > [Non-text portions of this message have been

>> > > > removed]

>> > > > > > > > > > > > >

>> > > > > > > > > > > > > [Non-text portions of this message have been

>> > > > removed]

>> > > > > > > > > > > > >

>> > > > > > > > > > > >

>> > > > > > > > > > > > [Non-text portions of this message have been

>> > removed]

>> > > > > > > > > > > >

>> > > > > > > > > > > > [Non-text portions of this message have been

>> > removed]

>> > > > > > > > > > > >

>> > > > > > > > > > >

>> > > > > > > > > > > [Non-text portions of this message have been

>> > removed]

>> > > > > > > > > > >

>> > > > > > > > > > > [Non-text portions of this message have been

>> > removed]

>> > > > > > > > > > >

>> > > > > > > > > >

>> > > > > > > > > > [Non-text portions of this message have been

>> removed]

>> > > > > > > > > >

>> > > > > > > > > > [Non-text portions of this message have been

>> removed]

>> > > > > > > > > >

>> > > > > > > > > > div.file-title a, div.file-title a:active, div.file-

>> > title

>> > > > > > > a:hover,

>> > > > > > > > > > div.file-title a:visited { text-decoration: none; }

>> > #ygrp-

>> > > > > > msg p

>> > > > > > > > > > { clear: both; padding: 15px 0 3px 0; overflow:

>> > hidden; }

>> > > > > > #ygrp-

>> > > > > > > > msg

>> > > > > > > > > > p span { color: #1E66AE; font-weight: bold; }

>> > div#ygrp-

>> > > > mlmsg

>> > > > > > > > #ygrp-

>> > > > > > > > > > msg p a span.yshortcuts { font-family: Verdana;

>> > font-size:

>> > > > > > 10px;

>> > > > > > > > > > font-weight: normal; } #ygrp-msg p a { font-family:

>> > > > Verdana;

>> > > > > > > font-

>> > > > > > > > > > size: 10px; } #ygrp-mlmsg a { color: #1E66AE; }

>> > > > div.attach-

>> > > > > > table

>> > > > > > > > div

>> > > > > > > > > > div a { text-decoration: none; } div.attach-table

>> > { width:

>> > > > > > > > 400px; }

>> > > > > > > > > > -->

>> > > > > > > > >

March 8, 2009

I am up four to five times a night. I also have an insatiable thirst on some

days - not always. This has improved since I've been on Spironolactone, but the

fequency of waking throughout the night has increased. I take my whole dose

100mg first thing in the morning, which has helped somewhat.

I also take colcalciferol for a vitamin D defficiency, which has helped.

Amazingly, on the day I take that tablet, I feel perfect, as though nothing's

wrong with me. No muscle pain, I sleep well, etc.

I hope your endo gets some good info soon for your sake.

Sue

________________________________

From: " sgalley1@... " <sgalley1@...>

hyperaldosteronism

Sent: Monday, 9 March, 2009 3:46:20 AM

Subject: Re: Re: Orthostatic after adrenalectomy

Before surgery I would get up once per night and it has stayed the same.

My Endo called last night all my test came back good except for a Vitamin D

deficiency (21). She is baffled and wants me to see a cardiologist tomorrow.

Re: [hyperaldosteronism ] Re: Orthostatic after adrenalectomy

>>

>> If you have been seen by your surgeon and Endo and reg Dr and they

>> agree I would wait a couple of weeks.

>>

>> It is very unusual to have a completely nomral BP for years and then

>> suddenly develop high blood pressure due to Conn's. As you will note

>> in my article BP increases perhaps years before low K develops.

>>

>> Before your high blood pressure was discovered 9 months ago when was

>> the last time before that that your BP had been measured?

>>

>> On Mar 6, 2009, at 10:27 PM, sgalley1 wrote:

>>

>> > I had high BP about 9 months before they found my tumor. So I just

>> > need to be patient and wait it out?

>> > > > > > > > > > > > > > >

>> > > > > > > > > > > > > > > > Dr. Grimm and others,

>> > > > > > > > > > > > > > > > My adrenalectomy was 8 days ago. On

>> > Tues my

>> > > > > > surgeon

>> > > > > > > > told

>> > > > > > > > > > me

>> > > > > > > > > > > > I am

>> > > > > > > > > > > > > > > > orthostatic. He did blood tests that

>> > are all

>> > > > > > normal

>> > > > > > > > and

>> > > > > > > > > > told

>> > > > > > > > > > > > > me to

>> > > > > > > > > > > > > > > > drinks lots of fluid and salt. I still

>> > feel

>> > > > that

>> > > > > > > same.

>> > > > > > > > > > > Should

>> > > > > > > > > > > > > > it last

>> > > > > > > > > > > > > > > > this long and is there anything else I

>> > can do?

>> > > > > > > > > > > > > > > >

>> > > > > > > > > > > > > > >

>> > > > > > > > > > > > > > > May your pressure be low!

>> > > > > > > > > > > > > > >

>> > > > > > > > > > > > > > > Ã¯Â¿Â¼

>> > > > > > > > > > > > > > >

>> > > > > > > > > > > > > > > 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.

>> > > > > > > > > > > > > > >

>> > > > > > > > > > > > > > > [Non-text portions of this message have

>> been

>> > > > > > removed]

>> > > > > > > > > > > > > > >

>> > > > > > > > > > > > > >

>> > > > > > > > > > > > >

>> > > > > > > > > > > > > May your pressure be low!

>> > > > > > > > > > > > >

>> > > > > > > > > > > > > ï¿¼

>> > > > > > > > > > > > >

>> > > > > > > > > > > > > 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.

>> > > > > > > > > > > > >

>> > > > > > > > > > > > > [Non-text portions of this message have been

>> > > > removed]

>> > > > > > > > > > > > >

>> > > > > > > > > > > > > [Non-text portions of this message have been

>> > > > removed]

>> > > > > > > > > > > > >

>> > > > > > > > > > > >

>> > > > > > > > > > > > [Non-text portions of this message have been

>> > removed]

>> > > > > > > > > > > >

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>> > removed]

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>> > > > > > > > > > > [Non-text portions of this message have been

>> > removed]

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>> > removed]

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>> removed]

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>> removed]

>> > > > > > > > > >

>> > > > > > > > > > div.file-title a, div.file-title a:active, div.file-

>> > title

>> > > > > > > a:hover,

>> > > > > > > > > > div.file-title a:visited { text-decoration: none; }

>> > #ygrp-

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>> > hidden; }

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>> > font-size:

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>> > > > Verdana;

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>> > > > > > > > > > size: 10px; } #ygrp-mlmsg a { color: #1E66AE; }

>> > > > div.attach-

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>> > { width:

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>> > > > > > > > >

March 8, 2009

It is interesting that you are talking about Vitamin D deficiency. My most

recent blood test, I asked my doctor to test me for vitamin D deficiency. It

turned out I had almost zero vitamin D in my body. D2 was <2 and D3 was<4.

Of course with that now I have Osteopenia as well. He told me to take 1000

mgs of over the counter Vitamin D. Is this enough?

Considering I live in Sunny California, I am wondering if this could be a

side effect of Spironolactone, since I've been taking it over 3 years now.

Has anyone else on Spiro been tested their vitamin D?

Farah

On Sun, Mar 8, 2009 at 9:46 AM, <sgalley1@...> wrote:

>

> Before surgery I would get up once per night and it has stayed the same.

>

> My Endo called last night all my test came back good except for a Vitamin D

> deficiency (21). She is baffled and wants me to see a cardiologist tomorrow.

>

> Re: Re: Orthostatic after adrenalectomy

> >>

> >> If you have been seen by your surgeon and Endo and reg Dr and they

> >> agree I would wait a couple of weeks.

> >>

> >> It is very unusual to have a completely nomral BP for years and then

> >> suddenly develop high blood pressure due to Conn's. As you will note

> >> in my article BP increases perhaps years before low K develops.

> >>

> >> Before your high blood pressure was discovered 9 months ago when was

> >> the last time before that that your BP had been measured?

> >>

> >> On Mar 6, 2009, at 10:27 PM, sgalley1 wrote:

> >>

> >> > I had high BP about 9 months before they found my tumor. So I just

> >> > need to be patient and wait it out?

> >> > > > > > > > > > > > > > >

> >> > > > > > > > > > > > > > > > Dr. Grimm and others,

> >> > > > > > > > > > > > > > > > My adrenalectomy was 8 days ago. On

> >> > Tues my

> >> > > > > > surgeon

> >> > > > > > > > told

> >> > > > > > > > > > me

> >> > > > > > > > > > > > I am

> >> > > > > > > > > > > > > > > > orthostatic. He did blood tests that

> >> > are all

> >> > > > > > normal

> >> > > > > > > > and

> >> > > > > > > > > > told

> >> > > > > > > > > > > > > me to

> >> > > > > > > > > > > > > > > > drinks lots of fluid and salt. I still

> >> > feel

> >> > > > that

> >> > > > > > > same.

> >> > > > > > > > > > > Should

> >> > > > > > > > > > > > > > it last

> >> > > > > > > > > > > > > > > > this long and is there anything else I

> >> > can do?

> >> > > > > > > > > > > > > > > >

> >> > > > > > > > > > > > > > >

> >> > > > > > > > > > > > > > > May your pressure be low!

> >> > > > > > > > > > > > > > >

> >> > > > > > > > > > > > > > > Ã¯Â¿Â¼

> >> > > > > > > > > > > > > > >

> >> > > > > > > > > > > > > > > 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.

> >> > > > > > > > > > > > > > >

> >> > > > > > > > > > > > > > > [Non-text portions of this message have

> >> been

> >> > > > > > removed]

> >> > > > > > > > > > > > > > >

> >> > > > > > > > > > > > > >

> >> > > > > > > > > > > > >

> >> > > > > > > > > > > > > May your pressure be low!

> >> > > > > > > > > > > > >

> >> > > > > > > > > > > > > ï¿¼

> >> > > > > > > > > > > > >

> >> > > > > > > > > > > > > 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.

> >> > > > > > > > > > > > >

> >> > > > > > > > > > > > > [Non-text portions of this message have been

> >> > > > removed]

> >> > > > > > > > > > > > >

> >> > > > > > > > > > > > > [Non-text portions of this message have been

> >> > > > removed]

> >> > > > > > > > > > > > >

> >> > > > > > > > > > > >

> >> > > > > > > > > > > > [Non-text portions of this message have been

> >> > removed]

> >> > > > > > > > > > > >

> >> > > > > > > > > > > > [Non-text portions of this message have been

> >> > removed]

> >> > > > > > > > > > > >

> >> > > > > > > > > > >

> >> > > > > > > > > > > [Non-text portions of this message have been

> >> > removed]

> >> > > > > > > > > > >

> >> > > > > > > > > > > [Non-text portions of this message have been

> >> > removed]

> >> > > > > > > > > > >

> >> > > > > > > > > >

> >> > > > > > > > > > [Non-text portions of this message have been

> >> removed]

> >> > > > > > > > > >

> >> > > > > > > > > > [Non-text portions of this message have been

> >> removed]

> >> > > > > > > > > >

> >> > > > > > > > > > div.file-title a, div.file-title a:active, div.file-

> >> > title

> >> > > > > > > a:hover,

> >> > > > > > > > > > div.file-title a:visited { text-decoration: none; }

> >> > #ygrp-

> >> > > > > > msg p

> >> > > > > > > > > > { clear: both; padding: 15px 0 3px 0; overflow:

> >> > hidden; }

> >> > > > > > #ygrp-

> >> > > > > > > > msg

> >> > > > > > > > > > p span { color: #1E66AE; font-weight: bold; }

> >> > div#ygrp-

> >> > > > mlmsg

> >> > > > > > > > #ygrp-

> >> > > > > > > > > > msg p a span.yshortcuts { font-family: Verdana;

> >> > font-size:

> >> > > > > > 10px;

> >> > > > > > > > > > font-weight: normal; } #ygrp-msg p a { font-family:

> >> > > > Verdana;

> >> > > > > > > font-

> >> > > > > > > > > > size: 10px; } #ygrp-mlmsg a { color: #1E66AE; }

> >> > > > div.attach-

> >> > > > > > table

> >> > > > > > > > div

> >> > > > > > > > > > div a { text-decoration: none; } div.attach-table

> >> > { width:

> >> > > > > > > > 400px; }

> >> > > > > > > > > > -->

> >> > > > > > > > >

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Re: Re: Orthostatic after adrenalectomy

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