Re: Re: Orthostatic after adrenalectomy

March 8, 2009

Sue,

Do you take colcalciferol once a week? Do you know how low your Vit D was? Just

curious if I should take something for mine.

Â

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!

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

>> > > > > > > > > > > > > > > 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 9, 2009

How old are you?

Nocturia is due to low DASHing will hlep.

Clarence E. Grim, BS, MS, MD

On Sunday, March 08, 2009, at 12:36PM, " marysue hopper "

<marysuehopper@...> wrote:

>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]

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

>>> > > > > > > > > > > > [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 9, 2009

How old are you?

Nocturia is due to low DASHing will hlep.

Clarence E. Grim, BS, MS, MD

On Sunday, March 08, 2009, at 12:36PM, " marysue hopper "

<marysuehopper@...> wrote:

>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]

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

>>> > > > > > > > > > > > [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 9, 2009

How old are you?

Nocturia is due to low DASHing will hlep.

Clarence E. Grim, BS, MS, MD

On Sunday, March 08, 2009, at 12:36PM, " marysue hopper "

<marysuehopper@...> wrote:

>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]

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

>>> > > > > > > > > > > > [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 9, 2009

How old are you?

Nocturia is due to low DASHing will hlep.

Clarence E. Grim, BS, MS, MD

On Sunday, March 08, 2009, at 12:36PM, " marysue hopper "

<marysuehopper@...> wrote:

>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]

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

>>> > > > > > > > > > > > [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 9, 2009

Try 1/2 am and 1/2 pm.

What was last K?

Clarence E. Grim, BS, MS, MD

On Sunday, March 08, 2009, at 08:28PM, <sgalley1@...> wrote:

>

> Sue,

>

>Do you take colcalciferol once a week? Do you know how low your Vit D was? Just

curious if I should take something for mine.

>

> 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]

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

>>> > > > > > > > > > > > [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 9, 2009

How often are you in the sun?

Clarence E. Grim, BS, MS, MD

On Sunday, March 08, 2009, at 06:31PM, " bigdogdkiedrow "

<bigdogdkiedrow@...> wrote:

>I have. However, I have had gastric bypass. It is one of those things the

surgeon wants tracked in all his patients for the rest of their life ... every

six months. That said, I like to keep my level between 70 - 100. I am not sure

if it is unique to gastric bypass patients or people with a " normal " GI, but I

understand that D3 is absorbed better. I take a significant amount to keep my

levels up ... but again my system has been altered.

>

>~Dave Kiedrowski

>

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

>> > >> > > > > > > > > > > > > > > > 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 9, 2009

I would ask if they have normal values for Indians.

How often are you in sun?

We are not experts in Vit D. Ask your D.

CE Grim MD

On Mar 8, 2009, at 8:18 PM, Farah Rahbar wrote:

> 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; }

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

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

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

> removed]

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

> > >> > > > > > > >

> > >> > > > > > > > div.photo-title a:hover, div.photo-title a:visited

> > >> { text-

> > >> > > > > > > > decoration: none; } 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 9, 2009

48 years old - too young to be acting 80. I was born in the USA and lived 38 of

my 48 years there - in Chicago, the last near 11 have been in New Zealand. When

I went through menopause my doctor sent me for a routine ultrasound 4 years

ago which picked up small masses in my kidneys - subsequent cat scan found them

encapsulated and not a threat - however as I passed through the perimenapausal

stages my blood pressure climbed to the levels I reported to the group earlier

(185/90 was average lying down and slightly higher standing). I was asked to

lose weight which I did in one year - to a very healthy 73kgs for my height

5'5 " . When I reviewed with the GP after the weight loss, she was looking

forward to seeing a healthier BP - however it was 213/111 - I was placed on high

BP medication (the name I can't remember) but it didn't work. She did the

normal blood tests and 24 hour urine collections and referred me to a specialist

- they also did

bloods, urine testing and saline tests - then eventually avs sampling. The

diagnosis was bilateral adrenal hyperplasia and Conn's Syndrome - or

hyperaldosteronism. Since taking spironolactone my bp ranges from 120/65 -

140/75.

In May I review with my endo.

Sue

________________________________

From: lowerbp2 <lowerbp2@...>

hyperaldosteronism

Sent: Monday, 9 March, 2009 11:22:43 PM

Subject: Re: Re: Orthostatic after adrenalectomy

How old are you?

Nocturia is due to low DASHing will hlep.

Clarence E. Grim, BS, MS, MD

On Sunday, March 08, 2009, at 12:36PM, " marysue hopper " <marysuehopper@

.co. nz> wrote:

>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: " sgalley1comcast (DOT) net " <sgalley1comcast (DOT) net>

>hyperaldosteronism

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

>Subject: Re: [hyperaldosteronism ] 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]

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

>>> > > > > > > > > > > > [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 9, 2009

I take it once a month - and my vitamin D was very low - at the bottom of the

scale. I will find out my blood test results when I visit again in May to have

a better idea and to be able to report here.

Sue

________________________________

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

hyperaldosteronism

Sent: Monday, 9 March, 2009 2:28:53 PM

Subject: Re: Re: Orthostatic after adrenalectomy

Sue,

Do you take colcalciferol once a week? Do you know how low your Vit D was? Just

curious if I should take something for mine.

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]

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

>> > > > > > > > > > > > [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 9, 2009

I've been dashing since joining the group and headaches, nausea and muscle

cramping have increased, along with sleep deprevation - as I have to wake often

to pee. I drink anywhere from three to five litres of ice water a day - it

seems I crave it while dashing.

Sue

________________________________

From: lowerbp2 <lowerbp2@...>

hyperaldosteronism

Sent: Monday, 9 March, 2009 11:22:47 PM

Subject: Re: Re: Orthostatic after adrenalectomy

How old are you?

Nocturia is due to low DASHing will hlep.

Clarence E. Grim, BS, MS, MD

On Sunday, March 08, 2009, at 12:36PM, " marysue hopper " <marysuehopper@

.co. nz> wrote:

>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: " sgalley1comcast (DOT) net " <sgalley1comcast (DOT) net>

>hyperaldosteronism

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

>Subject: Re: [hyperaldosteronism ] 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]

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

>>> > > > > > > > > > > > [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 10, 2009

Good story. When was low K first Dxed?

If we don that your story pleaseexpand if you have time and put in our files of

Conn's storrieies

Clarence E. Grim, BS, MS, MD

On Monday, March 09, 2009, at 01:29PM, " marysue hopper "

<marysuehopper@...> wrote:

>48 years old - too young to be acting 80. I was born in the USA and lived 38

of my 48 years there - in Chicago, the last near 11 have been in New Zealand.

When I went through menopause my doctor sent me for a routine ultrasound 4 years