Re: PA Survey Questions

[Guest guest]

Thanks for the information.

What did going off the spiro for 6 weeks

do to you.

The AVS is free in Canada so the insurance will only cover the time off from work. I did the AVS before and it was not succesfull so I am terrified of doing the procedure again.

Is the practice in the states to do the spiro challenge before the AVS?

I have had none of the tests mentioned in the diagnostice protocol. I only had the 24 hour urine test

Suzzette

Is it better to go on the spiro challenge before doing the AVS?

Make your browsing faster, safer, and easier with the new Internet Explorer® 8. Optimized for Get it Now for Free!

[Guest guest]

Thanks Dr Grim,

Which article are you referring to. I had read the two you had mentioned before and I did not see that so maybe I picked up a different one?

What does ACTH mean?

I will get the renin and aldo levels from my family doc and post them

Suzzette

>> From: em5704 <em5704 (DOT) com>> Subject: [hyperaldosteronism ] Re: PA Survey Questions> hyperaldosteronism> Date: Friday, March 27, 2009, 8:00 PM>> These are all excellent questions, but they're based on the > assumption that the doctor would know about PA and be open to the > possibility that the patient could have it. And then, if the patient > has never heard about PA, and the doctor who is asking the questions > doesn't know diddly about PA, then the answers would mean nothing. You > see, it's like the blind leading the blind.>> For example, I had never heard of PA, didn't even know where my > adrenal gland was or what it did. For six years, I was treated by the > same doctor for HBP. I told her about the low K, but she ignored it. > She kept wanting me to go on a diuretic and I kept telling her that I > peed enough as it is. She never asked the followup question, "How many > times a day or night do you pee?" And I put down the excessive > urination as a perimenopausal symptom. I didn't realize it, but I was > sending her huge signals about what was wrong with me, which she > didn't know what to do with. So, I guess my question

is, how do you > envision this survey being put to use? Will it be circulated to > primary care doctors? Sorry if I missed the explanation on the purpose > of this survey. I think it's a great idea to gather all of this > information together, but not sure what the plan is? What are we going > to do with it? >> > >> >> > Again, I'd like to ask the group to contribute questions to the PA > survey that's being developed. Nobody here has questions they're > curious about regarding PA? Nobody has questions that they wish their > physician had asked them when they were searching for a diagnosis?> >> > a> >>>

[Guest guest]

All of my tests were done before finding this group, so they

didn’t really follow any protocol until I was lucky enough to have my

uninformed nephrologist leave his practice and I found a very good

endocrinologist.  If your first AVS was unsuccessful because they were unable

to get a sampling on your right side, that is a very common problem and it is

unlikely that a second AVS will be more successful.

Going off Spiro for 6 weeks is manageable if you very rigidly

follow the DASH diet.  I had not been introduced to DASH yet during my

diagnosis and I was very concerned about my blood pressure after having been

off meds for 3 months while my insurance company gave my Dr.’s office the run

around.  I’m fortunate, though, in that I don’t have the extreme symptoms and

side effects that others in the group have had so long as I kept my potassium

in line, being off spiro raised my blood pressure but didn’t have any “outwardâ€

effects.  I think I was taking around 80 meq’s of Potassium daily back then.

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Sue james

Sent: Tuesday, April 28, 2009 12:57 PM

hyperaldosteronism

Subject: RE: Re: PA Survey Questions

Thanks for the information.

What did going off the spiro for 6 weeks

do to you.

The AVS is free in Canada so the insurance will only cover

the time off from work. I did the AVS before and it was not succesfull so I

am terrified of doing the procedure again.

Is the practice in the states to do the spiro

challenge before the AVS?

I have had none of the tests mentioned in the diagnostice

protocol. I only had the 24 hour urine test

Suzzette

Is it better to go on the spiro challenge before doing the AVS?

Make your browsing faster, safer, and easier with the new

Internet Explorer® 8. Optimized for Get it Now for Free!

[Guest guest]

Sue, I don't know if all my symptoms are of PA although many

in this group have similar symptoms. 

When I'm off spiro, I get horrible tremor, sweats, brittleness, shakes,

anxiety.  I have it on spiro also, but it

is not constant and is not as bad.  Right

now, I'm recovering from having gotten some bad spiro.  I would give my right arm for AVS by a

competent doc.

Val

From:

hyperaldosteronism [mailto:hyperaldosteronism ] On

Behalf Of Sue james

Thanks

for the information.

What

did going off the spiro for 6 weeks

do

to you.

[Guest guest]

Ditto Val. I too get all the symptoms you mention. Although I am on Inspra. The

anxiety, sweats & tremors are the worst for me. I will actually soak my clothing

while those around me are wearing coats. The anxiety will be bad enough that if

someone calls me, I nearly jump out of my skin! Then things settle down and I go

through a period (like now) where these symptoms mostly go away. I have yet to

identify a trigger except that my blood sugars and my BP seem to be in a similar

cycle. I need to try and track all 3 to see if they are inter-related.

~Dave K.

>

> Sue, I don't know if all my symptoms are of PA although many in this group

have similar symptoms. When I'm off spiro, I get horrible tremor, sweats,

brittleness, shakes, anxiety. I have it on spiro also, but it is not constant

and is not as bad. Right now, I'm recovering from having gotten some bad spiro.

I would give my right arm for AVS by a competent doc.

>

> Val

>

> From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Sue james

>

>

>

> Thanks for the information.

>

> What did going off the spiro for 6 weeks

> do to you.

>

>

http://geo./serv?s=97359714/grpId=7299303/grpspId=1705132763/msgId=1461\

7/stime=1240941487/nc1=1/nc2=2/nc3=3

>

[Guest guest]

Did the Inspra (eplerenone)doses taken by participants every get extracted from

the raw data and reported as I've been following this and

I am hoping to learn what sort of higher doses might be safely used.

I too would like to read Dr. Grim's comments on which BP drugs are unhelpful in

HA but am unsure as to where to look for this information.

Can anyone direct me?

Thank you.

> >> > >

> >> > >

> >> > > Again, I'd like to ask the group to contribute questions to

> >> the PA

> >> > survey that's being developed. Nobody here has questions they're

> >> > curious about regarding PA? Nobody has questions that they wish

> >> their

> >> > physician had asked them when they were searching for a diagnosis?

> >> > >

> >> > > a

> >> > >

> >> >

> >> >

[Guest guest]

Read my paper in our files on the Evolution of PA.CE Grim MDOn Apr 29, 2009, at 4:44 AM, alexanderspencer@... wrote:Did the Inspra (eplerenone)doses taken by participants every get extracted from the raw data and reported as I've been following this and I am hoping to learn what sort of higher doses might be safely used.I too would like to read Dr. Grim's comments on which BP drugs are unhelpful in HA but am unsure as to where to look for this information.Can anyone direct me?Thank you.> >> > >> >> > >> >> > > Again, I'd like to ask the group to contribute questions to > >> the PA> >> > survey that's being developed. Nobody here has questions they're> >> > curious about regarding PA? Nobody has questions that they wish > >> their> >> > physician had asked them when they were searching for a diagnosis?> >> > >> >> > > a> >> > >> >> >> >> >

[Guest guest]

Your name triggered the name of Dr. Spence London Ontario as one Canadian Dr who sees lots of PA.CE GrimOn Apr 29, 2009, at 4:44 AM, alexanderspencer@... wrote:Did the Inspra (eplerenone)doses taken by participants every get extracted from the raw data and reported as I've been following this and I am hoping to learn what sort of higher doses might be safely used.I too would like to read Dr. Grim's comments on which BP drugs are unhelpful in HA but am unsure as to where to look for this information.Can anyone direct me?Thank you.> >> > >> >> > >> >> > > Again, I'd like to ask the group to contribute questions to > >> the PA> >> > survey that's being developed. Nobody here has questions they're> >> > curious about regarding PA? Nobody has questions that they wish > >> their> >> > physician had asked them when they were searching for a diagnosis?> >> > >> >> > > a> >> > >> >> >> >> >

[Guest guest]

Without a reply, am I right to assume the eplerenone (Inspra) doses in the

survey were not extractable in a useful form. Sorry to be a pest to the group on

this but I think this could be helpful to me.

I would also be intersted in reading Dr Grims paper referenced in the Evolution

of PA article namely

30. Henry JP, Grim CE: Psychosocial mechanisms of primary

hypertension. J Hypertens 1990, 8:783–793.

Is it possible to view this on-line and if so where is the best place to look

and are there any tips or tricks to know when trying to read such articles

on-line.

Thank you.

Read my paper in our files on the Evolution of PA.

CE Grim MD

On Apr 29, 2009, at 4:44 AM, alexanderspencer@... wrote:

> > >> > >

> > >> > >

> > >> > > Again, I'd like to ask the group to contribute questions to

> > >> the PA

> > >> > survey that's being developed. Nobody here has questions they're

> > >> > curious about regarding PA? Nobody has questions that they wish

> > >> their

> > >> > physician had asked them when they were searching for a diagnosis?

> > >> > >

> > >> > > a

> > >> > >

> > >> >

> > >> >

[Guest guest]

That article is available for $35 at the Journal of Hypertension

website. There is no abstract

available, unfortunately.

About the Inspra people are using, maybe we'll get that data from

the questionnaire when Dr. Grim has more time.

Val

From: hyperaldosteronism

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

Without a reply, am I right to assume the eplerenone

(Inspra) doses in the survey were not extractable in a useful form. Sorry to be

a pest to the group on this but I think this could be helpful to me.

I would also be intersted in reading Dr Grims paper referenced in the Evolution

of PA article namely

30. Henry JP, Grim CE: Psychosocial mechanisms of primary

hypertension. J Hypertens 1990, 8:783–793.

Is it possible to view this on-line and if so where is the best place to look

and are there any tips or tricks to know when trying to read such articles

on-line.

[Guest guest]

Here you go:

Question 20

Current dose of Spironolactone or Inspira

Spiro dose / times per day

Inspra dose / times per day

50 mg/once a day

100 mg twice per day

75 mg three times daily

50mgs, BID

25mg per day

50mg / 2times

100mg AM 50mg PM

100mg

50mg/1

50 / 2 times a day

100 mg 2 times a day

25 mg / once

50/2

25mg/day

37.5mg once per day

was on 300 mg, temp off due to vomiting

50 - 2x/d

25mg once per day

50mg twice a day

50mg BID

50 mg twice a day

50mg 2x a day

18.75mg once a day

50mg/daily> > >> > >> > >> > >> > >> > > Again, I'd like to ask the group to contribute questions to > > >> the PA> > >> > survey that's being developed. Nobody here has questions they're> > >> > curious about regarding PA? Nobody has questions that they wish > > >> their> > >> > physician had asked them when they were searching for a diagnosis?> > >> > >> > >> > > a> > >> > >> > >> >> > >> >

[Guest guest]

Thanks JW for replying

Excellent a, thank you.

Thank you to Valarie - you've saved me trawling around hopelessly. I'm in a

Univeristy town with a med school. I bet I could chat someone up in the library

to view the paper.

> > > >> > >

> > > >> > >

> > > >> > > Again, I'd like to ask the group to contribute questions to 

> > > >> the PA

> > > >> > survey that's being developed. Nobody here has questions they're

> > > >> > curious about regarding PA? Nobody has questions that they wish 

> > > >> their

> > > >> > physician had asked them when they were searching for a diagnosis?

> > > >> > >

> > > >> > > a

> > > >> > >

> > > >> >

> > > >> >

[Guest guest]

see if this works:

http://f1.grp.fs.com/v1/0GL7SQes3q9sUueboax1LP2A8WKTpiF8pYly_MJxxZAGhzISzj84uVs8Blz1e35DKzmVxHpN0yG20ohuwQX5Db1F0NGzUlQ/Evolution_of_PA-Grim.pdf

Re: PA Survey Questions

Without a reply, am I right to assume the eplerenone (Inspra) doses in the survey were not extractable in a useful form. Sorry to be a pest to the group on this but I think this could be helpful to me.I would also be intersted in reading Dr Grims paper referenced in the Evolution of PA article namely 30. Henry JP, Grim CE: Psychosocial mechanisms of primaryhypertension. J Hypertens 1990, 8:783–793.Is it possible to view this on-line and if so where is the best place to look and are there any tips or tricks to know when trying to read such articles on-line.Thank you.Read my paper in our files on the Evolution of PA.CE Grim MDOn Apr 29, 2009, at 4:44 AM, alexanderspencerrocketmail wrote:> > >> > >> > >> > >> > >> > > Again, I'd like to ask the group to contribute questions to > > >> the PA> > >> > survey that's being developed. Nobody here has questions they're> > >> > curious about regarding PA? Nobody has questions that they wish > > >> their> > >> > physician had asked them when they were searching for a diagnosis?> > >> > >> > >> > > a> > >> > >> > >> >> > >> >

[Guest guest]

i have been on inspra very successfully since aug. 2008, after my md

decided that spiro threatened too many side-effects. Mediare Part D

covers it. i have raised your question in various forms on this site

since before the survey. my impression is that most people here are in

HMOs with preferred drug formularies that obstruct access to inspra on

grounds of alleged cost.or are being treated by MDs who haven't learned

anything since medical school. but most of the people here dont seem

too interested in how the system is screwing them and prefer to weep,

moan and jump up and down instead, as children will do when they dont

get what they want and dont know why. it is still not clear to me

whether people here usually dont get inspra or whether the data got

lost in the shuffle because the people doing that didn't understand the

issue. now watch the screamers come out.

========================================================================

====================

On May 1, 2009, at 4:55 PM, alexanderspencer@... wrote:

>

>

> Without a reply, am I right to assume the eplerenone (Inspra) doses in

> the survey were not extractable in a useful form. Sorry to be a pest

> to the group on this but I think this could be helpful to me.

>

> I would also be intersted in reading Dr Grims paper referenced in the

> Evolution of PA article namely

>

> 30. Henry JP, Grim CE: Psychosocial mechanisms of primary

> hypertension. J Hypertens 1990, 8:783–793.

>

> Is it possible to view this on-line and if so where is the best place

> to look and are there any tips or tricks to know when trying to read

> such articles on-line.

>

> Thank you.

>

> Read my paper in our files on the Evolution of PA.

>

> CE Grim MD

>

> On Apr 29, 2009, at 4:44 AM, alexanderspencer@... wrote:

>

>

> > > >> > >

> > > >> > >

> > > >> > > Again, I'd like to ask the group to contribute questions to

> > > >> the PA

> > > >> > survey that's being developed. Nobody here has questions

> they're

> > > >> > curious about regarding PA? Nobody has questions that they

> wish

> > > >> their

> > > >> > physician had asked them when they were searching for a

> diagnosis?

> > > >> > >

> > > >> > > a

> > > >> > >

> > > >> >

> > > >> >

[Guest guest]

Inspra is spelled wrong.

========================================================================

===========

On May 1, 2009, at 6:10 PM, a Hall wrote:

>

>

> Here you go:

>  

>

> Question 20

>

> Current dose of Spironolactone or Inspira

>

> Spiro dose / times per day

> Inspra dose / times per day

> 50 mg/once a day

>  

> 100 mg twice per day

>  

>  

> 75 mg three times daily

>  

> 50mgs, BID

> 25mg per day

>  

>  

> 50mg / 2times

>  

> 100mg AM 50mg PM

> 100mg

>  

> 50mg/1

>  

>  

> 50 / 2 times a day

> 100 mg 2 times a day

>  

> 25 mg / once

>  

> 50/2

>  

> 25mg/day

>  

> 37.5mg once per day

>  

> was on 300 mg, temp off due to vomiting

>  

> 50 - 2x/d

>  

> 25mg once per day

>  

> 50mg twice a day

>  

> 50mg BID

>  

>  

> 50 mg twice a day

> 50mg 2x a day

>  

> 18.75mg once a day

>  

>  

> 50mg/daily

>

>

>

>>

>>

>>

>> > > >> > >

>> > > >> > >

>> > > >> > > Again, I'd like to ask the group to contribute questions

>> to 

>> > > >> the PA

>> > > >> > survey that's being developed. Nobody here has questions

>> they're

>> > > >> > curious about regarding PA? Nobody has questions that they

>> wish 

>> > > >> their

>> > > >> > physician had asked them when they were searching for a

>> diagnosis?

>> > > >> > >

>> > > >> > > a

>> > > >> > >

>> > > >> >

>> > > >> >

[Guest guest]

Inspra is not without side-effects, no drug is. Many of us here have tried it and were unable to tolerate it for various reasons. My insurance paid for it after my $10 co-pay but it gave me a continuous, raging headache that was not relieved by ordinary OTC analgesics and was severe enough to interfere with my everyday life. I have no problems with spiro and one member here has been on it 30+ years. I think most of us go with whatever works best for us. Exactly what moaning are you referring to?

a

> > > > > >> > >> > > >> > >> > > >> > > Again, I'd like to ask the group to

contribute questions to> > > >> the PA> > > >> > survey that's being developed. Nobody here has questions they're> > > >> > curious about regarding PA? Nobody has questions that they wish> > > >> their> > > >> > physician had asked them when they were searching for a diagnosis?> > > >> > >> > > >> > > a> > > >> > >> > > >> >> > > >> >

[Guest guest]

something is wrong at ... the right hand side of messages is

being cut off

On May 1, 2009, at 9:03 PM, a Hall wrote:

>

>

> Inspra is not without side-effects, no drug is.  Many of us here have

> tried it and were unable to tolerate it for various reasons.  My

> insurance paid for it after my $10 co-pay but it gave me a continuous,

> raging headache that was not relieved by ordinary OTC analgesics and

> was severe enough to interfere with my everyday life.  I have no

> problems with spiro and one member here has been on it 30+ years.  I

> think most of us go with whatever works best for us.  Exactly what

> moaning are you referring to?

>  

> a

>  

>  

>

>> >

>> > 

>> >  > > >> > >

>> >  > > >> > >

>> >  > > >> > > Again, I'd like to ask the group to contribute

>> questions to

>> >  > > >> the PA

>> >  > > >> > survey that's being developed. Nobody here has questions

>> they're

>> >  > > >> > curious about regarding PA? Nobody has questions that

>> they wish

>> >  > > >> their

>> >  > > >> > physician had asked them when they were searching for a

>> diagnosis?

>> >  > > >> > >

>> >  > > >> > > a

>> >  > > >> > >

>> >  > > >> >

>> >  > > >> >

[Guest guest]

My summary of the data should be some where in our files. The dose of eplere seems to be 2x that ofTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn May 1, 2009, at 6:14 PM, "alexanderspencer@..." <amsc05@...> wrote:

Thanks JW for replying

Excellent a, thank you.

Thank you to Valarie - you've saved me trawling around hopelessly. I'm in a Univeristy town with a med school. I bet I could chat someone up in the library to view the paper.

> > > >> > >

> > > >> > >

> > > >> > > Again, I'd like to ask the group to contribute questions toÂ

> > > >> the PA

> > > >> > survey that's being developed. Nobody here has questions they're

> > > >> > curious about regarding PA? Nobody has questions that they wishÂ

> > > >> their

> > > >> > physician had asked them when they were searching for a diagnosis?

> > > >> > >

> > > >> > > a

> > > >> > >

> > > >> >

> > > >> >

[Guest guest]

Arthur-

I really do not understand why you seem to take such pleasure in taking jabs at

people in this community. And it is not just once, it is over and over.

The only childish postings I've read have been coming from you. Is it attention

you seek? Or are you just a truly unhappy person? Whatever it is, I hope for

your sake, you work it out. It can't be healthy.

Sent via BlackBerry from T-Mobile

Re: Re: PA Survey Questions

i have been on inspra very successfully since aug. 2008, after my md

decided that spiro threatened too many side-effects. Mediare Part D

covers it. i have raised your question in various forms on this site

since before the survey. my impression is that most people here are in

HMOs with preferred drug formularies that obstruct access to inspra on

grounds of alleged cost.or are being treated by MDs who haven't learned

anything since medical school. but most of the people here dont seem

too interested in how the system is screwing them and prefer to weep,

moan and jump up and down instead, as children will do when they dont

get what they want and dont know why. it is still not clear to me

whether people here usually dont get inspra or whether the data got

lost in the shuffle because the people doing that didn't understand the

issue. now watch the screamers come out.

========================================================================

====================

On May 1, 2009, at 4:55 PM, alexanderspencer@... wrote:

>

>

> Without a reply, am I right to assume the eplerenone (Inspra) doses in

> the survey were not extractable in a useful form. Sorry to be a pest

> to the group on this but I think this could be helpful to me.

>

> I would also be intersted in reading Dr Grims paper referenced in the

> Evolution of PA article namely

>

> 30. Henry JP, Grim CE: Psychosocial mechanisms of primary

> hypertension. J Hypertens 1990, 8:783–793.

>

> Is it possible to view this on-line and if so where is the best place

> to look and are there any tips or tricks to know when trying to read

> such articles on-line.

>

> Thank you.

>

> Read my paper in our files on the Evolution of PA.

>

> CE Grim MD

>

> On Apr 29, 2009, at 4:44 AM, alexanderspencer@... wrote:

>

>

> > > >> > >

> > > >> > >

> > > >> > > Again, I'd like to ask the group to contribute questions to

> > > >> the PA

> > > >> > survey that's being developed. Nobody here has questions

> they're

> > > >> > curious about regarding PA? Nobody has questions that they

> wish

> > > >> their

> > > >> > physician had asked them when they were searching for a

> diagnosis?

> > > >> > >

> > > >> > > a

> > > >> > >

> > > >> >

> > > >> >

[Guest guest]

so what is your mature adult thoughtful and healthy theory of why the

Inspra data got lost? why a survey with a population of ... was it 28?

stirred up such passion? why the voluminous real research work on

hyperaldo seems to be of no interest to anyone here? why a remarkable

paper about Munchausen's provoked such abuse? and why the wiki has

drawn so little interest. i haven't seen you here much, if at all. why

are you here? what do you have to offer and get back? you're quite

mistaken. i take no pleasure in it ... I feel keen disappointment at

the repetitious recycling and the ego trips ....

occasionally something new, interesting and useful comes up. that's why

I'm here.

========================================================================

=================

On May 2, 2009, at 2:16 AM, Isa Hackett wrote:

> Arthur-

> I really do not understand why you seem to take such pleasure in

> taking jabs at people in this community. And it is not just once, it

> is over and over.

>

> The only childish postings I've read have been coming from you. Is it

> attention you seek? Or are you just a truly unhappy person? Whatever

> it is, I hope for your sake, you work it out. It can't be healthy.

>

>

> Sent via BlackBerry from T-Mobile

>

> Re: Re: PA Survey Questions

>

>

> i have been on inspra very successfully since aug. 2008, after my md

> decided that spiro threatened too many side-effects. Mediare Part D

> covers it. i have raised your question in various forms on this site

> since before the survey. my impression is that most people here are in

> HMOs with preferred drug formularies that obstruct access to inspra on

> grounds of alleged cost.or are being treated by MDs who haven't learned

> anything since medical school. but most of the people here dont seem

> too interested in how the system is screwing them and prefer to weep,

> moan and jump up and down instead, as children will do when they dont

> get what they want and dont know why. it is still not clear to me

> whether people here usually dont get inspra or whether the data got

> lost in the shuffle because the people doing that didn't understand the

> issue. now watch the screamers come out.

> =======================================================================

> =

> ====================

>

> On May 1, 2009, at 4:55 PM, alexanderspencer@... wrote:

>

>>

>>

>> Without a reply, am I right to assume the eplerenone (Inspra) doses in

>> the survey were not extractable in a useful form. Sorry to be a pest

>> to the group on this but I think this could be helpful to me.

>>

>> I would also be intersted in reading Dr Grims paper referenced in the

>> Evolution of PA article namely

>>

>> 30. Henry JP, Grim CE: Psychosocial mechanisms of primary

>> hypertension. J Hypertens 1990, 8:783–793.

>>

>> Is it possible to view this on-line and if so where is the best place

>> to look and are there any tips or tricks to know when trying to read

>> such articles on-line.

>>

>> Thank you.

>>

>> Read my paper in our files on the Evolution of PA.

>>

>> CE Grim MD

>>

>> On Apr 29, 2009, at 4:44 AM, alexanderspencer@... wrote:

>>

>>

>>>>>>>>

>>>>>>>>

>>>>>>>> Again, I'd like to ask the group to contribute questions to

>>>>>> the PA

>>>>>>> survey that's being developed. Nobody here has questions

>> they're

>>>>>>> curious about regarding PA? Nobody has questions that they

>> wish

>>>>>> their

>>>>>>> physician had asked them when they were searching for a

>> diagnosis?

>>>>>>>>

>>>>>>>> a

>>>>>>>>

>>>>>>>

>>>>>>>

[Guest guest]

I’ve been on Spiro for at least 8 years and had no problem

getting Inspra when I asked for it.  However, I switched back to Spiro because

it just worked better for me.  In addition, the side effects of Spiro that I

experience have only been positive – no PMS, fewer break-outs, etc.

- You can search scholarly articles at http://scholar.google.com.  If you do an

advanced search for the exact title of Dr. Grim’s article and enter Grim under

author, you will get 2 results.  You can only view the first page of the

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From:

hyperaldosteronism [mailto:hyperaldosteronism ] On

Behalf Of a Hall

Sent: Friday, May 01, 2009 8:03 PM

hyperaldosteronism

Subject: Re: Re: PA Survey Questions

Inspra is not without side-effects, no drug is. Many

of us here have tried it and were unable to tolerate it for various

reasons. My insurance paid for it after my $10 co-pay but it gave me a

continuous, raging headache that was not relieved by ordinary OTC analgesics

and was severe enough to interfere with my everyday life. I have

no problems with spiro and one member here has been on it 30+

years. I think most of us go with whatever works best for

us. Exactly what moaning are you referring to?

a

>

>

> > > >> > >

> > > >> > >

> > > >> > > Again, I'd like to ask the group to

contribute questions to

> > > >> the PA

> > > >> > survey that's being developed. Nobody here

has questions they're

> > > >> > curious about regarding PA? Nobody has

questions that they wish

> > > >> their

> > > >> > physician had asked them when they were

searching for a diagnosis?

> > > >> > >

> > > >> > > a

> > > >> > >

> > > >> >

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

been removed]

> > > >> >

> > > >> >

> > > >>

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

removed]

> > > >>

> > > >>

> > > >

> > > >

> > > >

> > > >

> > >

> >

>

>

[Guest guest]

Arthur:  Recommend you read the details on those that have been suffering from PA for 15-30 years and have no insurance or who cannot get Inspra or who cannot tolerate it thru their current plan. Its the moccasins thing.You seem to have had an excellent interaction with your health care team.  Which is good but may not be average in the real world. May your pressure be low!CE Grim BS, MS, MDHigh Blood Pressure ConsultingSenior Consultant to Shared Care Research and Education Consulting Inc.(sharedcareinc.com)Clinical Professor of Internal Medicine Medical and CardiologyMedical College of WisconsinBoard certified in Internal Med, Geriatrics and Hypertension.Interests:  1.  Difficult to control high blood pressure.2.  The effect of recent evolutionary forces on high blood pressure in human populations.3.  Improving blood pressure measurement in the office and out.   On May 2, 2009, at 1:16 AM, Isa Hackett wrote:Arthur-I really do not understand why you seem to take such pleasure in taking jabs at people in this community.  And it is not just once, it is over and over. The only childish postings I've read have been coming from you. Is it attention you seek?  Or are you just a truly unhappy person?  Whatever it is, I hope for your sake, you work it out.  It can't be healthy.  Sent via BlackBerry from T-Mobile Re: Re: PA Survey Questionsi have been on inspra very successfully since aug. 2008, after my md  decided that spiro threatened too many side-effects. Mediare Part D  covers it.  i have raised your question in various forms on this site  since before the survey. my impression is that most people here are in  HMOs with preferred drug formularies that obstruct access to inspra on  grounds of alleged cost.or are being treated by MDs who haven't learned  anything since medical school.   but most of the people here dont seem  too interested in how the system is screwing them and prefer to weep,  moan and jump up and down instead, as children will do when they dont  get what they want and dont know why. it is still not clear to me  whether people here usually dont get inspra or whether the data got  lost in the shuffle because the people doing that didn't understand the  issue. now watch the screamers come out.======================================================================== ====================On May 1, 2009, at 4:55 PM, alexanderspencer@... wrote: Without a reply, am I right to assume the eplerenone (Inspra) doses in  the survey were not extractable in a useful form. Sorry to be a pest  to the group on this but I think this could be helpful to me. I would also be intersted in reading Dr Grims paper referenced in the  Evolution of PA article namely 30. Henry JP, Grim CE: Psychosocial mechanisms of primary hypertension. J Hypertens 1990, 8:783–793. Is it possible to view this on-line and if so where is the best place  to look and are there any tips or tricks to know when trying to read  such articles on-line. Thank you. Read my paper in our files on the Evolution of PA. CE Grim MD On Apr 29, 2009, at 4:44 AM, alexanderspencer@... wrote: Again, I'd like to ask the group to contribute questions to the PA survey that's being developed. Nobody here has questions   they're curious about regarding PA? Nobody has questions that they   wish their physician had asked them when they were searching for a   diagnosis? a

[Guest guest]

The world is not obligated to provide you and I anything.

Those who work, in general, are grateful they have a job -I know I was even

though I was top in my field.

You act like you thought someone cared how you felt.

EVERY drug has to be evaluated in some vein and when we find one that works

we work it.

In my experience most do not fit all. And PA is a very small group so as to

go unnoticed.

I admire your command of the language - use it somewhere useful - write a

book on rejection.

Regards

Re: Re: PA Survey Questions

>

>

> i have been on inspra very successfully since aug. 2008, after my md

> decided that spiro threatened too many side-effects. Mediare Part D

> covers it. i have raised your question in various forms on this site

> since before the survey. my impression is that most people here are in

> HMOs with preferred drug formularies that obstruct access to inspra on

> grounds of alleged cost.or are being treated by MDs who haven't learned

> anything since medical school. but most of the people here dont seem

> too interested in how the system is screwing them and prefer to weep,

> moan and jump up and down instead, as children will do when they dont

> get what they want and dont know why. it is still not clear to me

> whether people here usually dont get inspra or whether the data got

> lost in the shuffle because the people doing that didn't understand the

> issue. now watch the screamers come out.

> =======================================================================

> =

> ====================

>

> On May 1, 2009, at 4:55 PM, alexanderspencer@... wrote:

>

>>

>>

>> Without a reply, am I right to assume the eplerenone (Inspra) doses in

>> the survey were not extractable in a useful form. Sorry to be a pest

>> to the group on this but I think this could be helpful to me.

>>

>> I would also be intersted in reading Dr Grims paper referenced in the

>> Evolution of PA article namely

>>

>> 30. Henry JP, Grim CE: Psychosocial mechanisms of primary

>> hypertension. J Hypertens 1990, 8:783–793.

>>

>> Is it possible to view this on-line and if so where is the best place

>> to look and are there any tips or tricks to know when trying to read

>> such articles on-line.

>>

>> Thank you.

>>

>> Read my paper in our files on the Evolution of PA.

>>

>> CE Grim MD

>>

>> On Apr 29, 2009, at 4:44 AM, alexanderspencer@... wrote:

>>

>>

>>>>>>>>

>>>>>>>>

>>>>>>>> Again, I'd like to ask the group to contribute questions to

>>>>>> the PA

>>>>>>> survey that's being developed. Nobody here has questions

>> they're

>>>>>>> curious about regarding PA? Nobody has questions that they

>> wish

>>>>>> their

>>>>>>> physician had asked them when they were searching for a

>> diagnosis?

>>>>>>>>

>>>>>>>> a

>>>>>>>>

>>>>>>>

>>>>>>>

[Guest guest]

> From: arthur springer <as99@...>

> Date: May 2, 2009 12:11:15 PM EDT

> hyperaldosteronism

> Subject: Re: Re: PA Survey Questions

>

> Lost you on the moccasins thing.

> I am not going to spill my private guts in public.

> I may send you some information privately.

You're right. I have a health care team.It took me about 10 years to

put it together

and I will be damned if Obama or anyone else is going to take it

away from me.

But it sounds like some of the people with the biggest problems do

not have such a team, but are stuck with one or two docs who need to

be re-tested by the licensing agencies in their state, and then put out

to pasture. But the public issue is as follows. It's not pretty, but

it's true.:

>

> • I live in New York City and hear endless complaints about access to

> health services by people who claim they can't afford coverage, or

> have lousy coverage. Some have rejected employer coverage they could

> afford but think they don't need. All of them deny any knowledge of

> New York's fee-scaled public hospital system -- Bellevue Hospital

> Center alone has 198 outpatient specialty clinics and support units

> staffed by NYU Medical Center.

> • Suddenly these people manage to appear in city hospital emergency

> rooms when they have an accident or get sick. So this kind of

> self-imposed ignorance and irresponsibility does not impress me. I

> have met too many liars who whine about being uninsured until they are

> desperate and then fall back on the public system they could have used

> at minimal cost long before their expensive crises.

>

> • I detest Bush and the lowlifes he gathered around him, but I

> agree completely with his blunt statement that no one who needs health

> care in the US goes without it, unless they choose to do so. And they

> do not have to go to emergency rooms.

>

> • There are adequate to excellent public hospitals, each one with

> dozens of excellent outpatient clinics, and hundreds of

> federally-subsidized clinics, throughout the US where the

> intentionally or authentic uninsured can easily get good care free or

> at minimum cost.

>

> • If people do not like the alleged stigma of using poverty-level

> services and being in waiting areas with others who are not white, or

> are Dominicans rather than Puerto Ricans, or are African-Americans

> rather than Haitians, or Mohawks, not Cherokee, that is not being

> uninsured. That is being a self-destructive snob and a racist.

• Roughly 60 million Americans are in the Medicaid system, and another

40 million or so in Medicare, many of them people with disabilities

under age 65. Medicaid and Medicare are like anything else in life:

people with self-confidence and self-respect who know what they need

get it.

> • Uncontrolled PA is a temporary disability. Chronic, uncontrolled PA

> probably is not. Those who disagree should take up their complaint

> with the patient representative at the nearest academic medical center

> and the NIH office on rare diseases, join clinical trials and get good

> referrals to MDs who know what they are doing.

>

> • I would like to see a competent research paper -- or good anecdotal

> data -- explaining why anyone in the US has any uncontrolled/unmanaged

> health problem -- acute, or chronic, and including rare diseases --

> for 15 to 30 years, with explanations of why they do not use the

> public health services that are everywhere -- most of them with

> heavily subsidized prescription drug services. Or the nearest academic

> medical center that receives federal and state subsidies and is

> probably required to provide fee-scaled indigent and charity care. The

> chances are that anyone walking in with 30 years worth of an

> undiagnosed/unmanaged rare disease may be considered an ideal guinea

> pig for teaching purposes and given fabulous free care.

• Going to a dumb doctor for years and years is like driving your car

with four flat tires and refusing to put air in them or buy new tires.

>

• Do I think this is a good system? Yes and no. It leaves much to be

desired. But I simply do not believe that anyone with PA, or any rare

or common health problem, suffers for 15 to 30 years for good reason.

The choice of suffering rather than seeking out and using the resources

at hand is not a good reason.

• Spironolactone has been around a long time and is easily available.

25 mg. bid/60 tablets generic (a one month supply) is available for

$41.00 from a chain drug store in NYC .. $1.32 a day.

• You have a problem with that? Call your nearest Walgreens and get

your own price.

• You think you got a " bad " lot? Or an ineffective generic? Or a pill

too big for you to swallow? Make sure your pharmacist didn't make a

mistake, then complain to your local poison control center, to the FDA

and the USP. Don't know where to find them? Ask your pharmacist. Or

google it. Then tell your insurer. A dollar says they will surrender

and begin doing anything at all to please you and shut you up. It is a

great compliment to be coded " SOB " by your insurer or prescription drug

plan. It means that the dumbest customer service rep at 4 am will not

dare to screw you and will connect you to a competent senior supervisor

as fast as possible.

>

> • As for Inspra, the vicious and greedy drug companies have

> significant services to provide quality prescription medications free

> or at discounts for people who will do the necessary paperwork to

> prove financial and/or medical need.

• Start with your local government and state government. They may have

drug discount cards. Then try the companies.

• Inspra is made by G. D. Searle, a subsidiary of Pfizer Inc. Here is

the information about how to get it:

• Go to

http://www.pfizer.com/products/rx/rx_product_inspra.jsp

• Patient assistance program is at

http://www.pfizerhelpfulanswers.com/pages/misc/Default.aspx

• There are half a dozen different programs for individuals, community

health centers, hospitals, community organizations etc.

• Under Connection To Care, Inspra is one of 74 branded Pfizer

medications available.

It is also available through Sharing the Care, a Pfizer program for

community health centers. Pfizer Pfriends offers discounts on 88 Pfizer

meds, including Inspra, through pharmacies for people up to 400

percent of the federal poverty level. Pfizer also has a “patient

outreach kit” doctors can put in their waiting rooms.

• There is an online screening questionnaire at

http://www.pfizerhelpfulanswers.com/pages/find/find.aspx

• And the application forms are at:

“ How do I apply?

at

http://www.pfizerhelpfulanswers.com/pages/Programs/programdetails.aspx?

p=1

“To apply to Pfizer Pfriends, please:

* Download an application or request it by calling

1-866-776-3700

* Complete the application, which covers the entire family. No

proof of income is required.”

• Can I give you a guarantee this will work? Of course not. Did I do it

when I was up the creek? Definitely. Did it work for me? Fighting back

against the health care system is the only thing that works. And that

will always be true no matter what happens or doesn't happen in the

Congress this coming week.

And so on. Would somebody volunteer to check all this out and put it on

the wiki?

===============================================================

On May 2, 2009, at 11:30 AM, Clarence Grim wrote:

>

>> Arthur:  Recommend you read the details on those that have been

>> suffering from PA for 15-30 years and have no insurance or who cannot

>> get Inspra or who cannot tolerate it thru their current plan. 

>>

>> Its the moccasins thing.

>>

>> You seem to have had an excellent interaction with your health care

>> team.  Which is good but may not be average in the real world.

>>

>>

>>

>> May your pressure be low!

>>

>>

>> <unknown.tiff>

>>

>>

>>

>>

>>

>>

>> CE Grim BS, MS, MD

>>

>> High Blood Pressure Consulting

>>

>> Senior Consultant to Shared Care Research and Education Consulting

>> Inc.(sharedcareinc.com)

>>

>> Clinical Professor of Internal Medicine Medical and Cardiology

>> Medical College of Wisconsin

>>

>> Board certified in Internal Med, Geriatrics and Hypertension.

>>

>> Interests:  

>> 1.  Difficult to control high blood pressure.

>> 2.  The effect of recent evolutionary forces on high blood pressure

>> in human populations.

>> 3.  Improving blood pressure measurement in the office and out.  

>>

>>

>>

>>

>>

>> On May 2, 2009, at 1:16 AM, Isa Hackett wrote:

>>

>>> Arthur-

>>> I really do not understand why you seem to take such pleasure in

>>> taking jabs at people in this community.  And it is not just once,

>>> it is over and over. 

>>>

>>> The only childish postings I've read have been coming from you. Is

>>> it attention you seek?  Or are you just a truly unhappy person? 

>>> Whatever it is, I hope for your sake, you work it out.  It can't be

>>> healthy.  

>>>

>>>

>>> Sent via BlackBerry from T-Mobile

>>>

>>> Re: Re: PA Survey Questions

>>>

>>>

>>> i have been on inspra very successfully since aug. 2008, after my md

>>>  

>>> decided that spiro threatened too many side-effects. Mediare Part D  

>>> covers it.  i have raised your question in various forms on this

>>> site  

>>> since before the survey. my impression is that most people here are

>>> in  

>>> HMOs with preferred drug formularies that obstruct access to inspra

>>> on  

>>> grounds of alleged cost.or are being treated by MDs who haven't

>>> learned  

>>> anything since medical school.   but most of the people here dont

>>> seem  

>>> too interested in how the system is screwing them and prefer to

>>> weep,  

>>> moan and jump up and down instead, as children will do when they

>>> dont  

>>> get what they want and dont know why. it is still not clear to me  

>>> whether people here usually dont get inspra or whether the data got  

>>> lost in the shuffle because the people doing that didn't understand

>>> the  

>>> issue. now watch the screamers come out.

>>> =====================================================================

>>> === 

>>> ====================

>>>

>>> On May 1, 2009, at 4:55 PM, alexanderspencer@... wrote:

>>>

>>>>

>>>>

>>>> Without a reply, am I right to assume the eplerenone (Inspra) doses

>>>> in  

>>>> the survey were not extractable in a useful form. Sorry to be a

>>>> pest  

>>>> to the group on this but I think this could be helpful to me.

>>>>

>>>>  I would also be intersted in reading Dr Grims paper referenced in

>>>> the  

>>>> Evolution of PA article namely

>>>>

>>>>  30. Henry JP, Grim CE: Psychosocial mechanisms of primary

>>>>  hypertension. J Hypertens 1990, 8:783–793.

>>>>

>>>>  Is it possible to view this on-line and if so where is the best

>>>> place  

>>>> to look and are there any tips or tricks to know when trying to

>>>> read  

>>>> such articles on-line.

>>>>

>>>>  Thank you.

>>>>

>>>>  Read my paper in our files on the Evolution of PA.

>>>>

>>>>  CE Grim MD

>>>>

>>>>  On Apr 29, 2009, at 4:44 AM, alexanderspencer@... wrote:

>>>>

>>>>  

>>>>>>>>>>

>>>>>>>>>>

>>>>>>>>>> Again, I'd like to ask the group to contribute questions to

>>>>>>>> the PA

>>>>>>>>> survey that's being developed. Nobody here has questions  

>>>> they're

>>>>>>>>> curious about regarding PA? Nobody has questions that they  

>>>> wish

>>>>>>>> their

>>>>>>>>> physician had asked them when they were searching for a  

>>>> diagnosis?

>>>>>>>>>>

>>>>>>>>>> a

>>>>>>>>>>

>>>>>>>>>

>>>>>>>>>

[Guest guest]

Unlike some of the other posters, I take great delight in reading yours comments arthur.  It's almost as though someone has created a perfect nemesis for everything good, and released it through your posts.  They make me laugh out loud at times - as you are so cynical about everything.This really is a thank you - for your absolute absurdity and the laughter you deliver.  I couldn't stop laughing with this latest one ... I have a health care team.It took me about 10 years to put it together  and I will be

damned if Obama or anyone else is going to take it away from me. ....hahahaha *wiping tears from her eyes*   I mean really!Where do you get your material? SueFrom: arthur springer <as99@...>hyperaldosteronism Sent: Sunday, 3 May, 2009 5:43:53 AMSubject: Fwd: Re: PA Survey

Questions> From: arthur springer <as99@...>> Date: May 2, 2009 12:11:15 PM EDT> hyperaldosteronism > Subject: Re: Re: PA Survey Questions> > Lost you on the moccasins thing.> I am not going to spill my private guts in public.> I may send you some information privately.  You're right. I have a health care team.It took me about 10 years to put it together  and I will be damned if Obama or anyone else is going to take it away from me.  But it sounds like some of the people with the biggest problems do not have such a team, but are  stuck with one or two docs who need to be re-tested by the licensing agencies in their state, and then put out to pasture. But the

public issue is as follows. It's not pretty, but it's true.:> > • I live in New York City and hear endless complaints about access to health services by people who claim they can't afford coverage, or have lousy coverage.  Some have rejected employer coverage they could afford but think they don't need. All of them deny any knowledge of New York's fee-scaled public hospital system -- Bellevue Hospital Center alone has 198 outpatient specialty clinics  and support units staffed by NYU Medical Center.> • Suddenly these people manage to appear in city hospital emergency rooms when they have an accident or get sick.  So this kind of self-imposed ignorance and irresponsibility does not impress me. I have met too many liars who whine about being uninsured until they are desperate and then fall back on the public system they could have used at minimal cost long before their expensive crises.> > • I detest Bush and the

lowlifes he gathered around him, but I agree completely with his blunt statement that no one who needs health care in the US goes without it, unless they choose to do so. And they do not have to go to emergency rooms.> > • There are adequate to excellent public hospitals, each one with dozens of excellent outpatient clinics, and hundreds of federally-subsidized clinics, throughout the US where the intentionally or authentic uninsured can easily get good care free or at minimum cost.> > • If people do not like the alleged stigma of using poverty-level services and being in waiting areas with others who are not white, or are Dominicans rather than Puerto Ricans, or are African-Americans rather than Haitians, or Mohawks, not Cherokee,  that is not being uninsured. That is being a self-destructive snob and a  racist.• Roughly 60 million Americans are in the Medicaid system, and another 40 million or so in Medicare, many of

them people with disabilities under age 65. Medicaid and Medicare are like anything else in life: people with self-confidence and self-respect who know what they need get it.> • Uncontrolled PA is a temporary disability. Chronic, uncontrolled PA probably is not. Those who disagree should take up their complaint with the patient representative at the nearest academic medical center and the NIH office on rare diseases, join clinical trials and get good referrals to MDs who know what they are doing.> > •  I would like to see a competent research paper -- or good anecdotal data -- explaining why anyone in the US has any uncontrolled/unmanaged health problem -- acute, or chronic, and including rare diseases -- for 15 to 30 years,  with explanations of why they do not use the public health services that are everywhere -- most of them with heavily subsidized prescription drug services. Or the nearest academic medical center that receives

federal and state subsidies and is probably required to provide fee-scaled indigent and charity care. The chances are that anyone walking in with 30 years worth of an undiagnosed/unmanaged rare disease may be considered an ideal guinea pig for teaching purposes and given fabulous free care.• Going to a dumb doctor for years and years is like driving your car with four flat tires and refusing to put air in them or buy new tires.> • Do I think this is a good system? Yes and no. It leaves much to be desired. But I simply do not believe that anyone with PA, or any rare or common health problem, suffers for 15 to 30 years for good reason. The choice of suffering rather than seeking out and using the resources at hand is not a good reason.• Spironolactone has been around a long time and is easily available. 25 mg. bid/60 tablets generic (a one month supply)  is available for $41.00 from a chain drug store in NYC .. $1.32 a

day.• You have a problem with that? Call your nearest Walgreens and get your own price.• You think you got a "bad" lot?  Or an ineffective generic? Or a pill too big for you to swallow? Make sure your pharmacist didn't make a mistake, then complain to your local poison control center, to the FDA and the USP. Don't know where to find them? Ask your pharmacist. Or google it. Then tell your insurer. A dollar says they will surrender and begin doing anything at all to please you and shut you up. It is a great compliment to be coded "SOB" by your insurer or prescription drug plan. It means that the dumbest customer service rep at 4 am will not dare to screw you and will connect you to a competent senior supervisor as fast as possible.> > •  As for Inspra, the vicious and greedy drug companies have significant services to provide quality prescription medications free or at discounts for people who will do the necessary

paperwork to prove financial and/or medical need.• Start with your local government and state government. They may have drug discount cards. Then try the companies.• Inspra is made by G. D. Searle, a subsidiary of Pfizer Inc. Here is the information about how to get it:• Go tohttp://www.pfizer.com/products/rx/rx_product_inspra.jsp• Patient assistance program is athttp://www.pfizerhelpfulanswers.com/pages/misc/Default.aspx    • There are half a dozen different programs for individuals, community health centers, hospitals, community organizations etc.• Under Connection To Care, Inspra is one of 74 branded Pfizer medications available.It is also available through Sharing the Care, a Pfizer program for community

health centers. Pfizer Pfriends offers discounts on 88 Pfizer meds, including Inspra,  through pharmacies for people up to 400 percent of the federal poverty level.  Pfizer also has a “patient outreach kit†doctors can put in their waiting rooms.• There is an online screening questionnaire athttp://www.pfizerhelpfulanswers.com/pages/find/find.aspx• And the application forms are at:“ How do I apply?at http://www.pfizerhelpfulanswers.com/pages/Programs/programdetails.aspx?p=1“To apply to Pfizer Pfriends, please:    * Download an application or request it by calling      1-866-776-3700    * Complete the application, which covers the entire family. No proof of income is required.â€â€¢ Can

I give you a guarantee this will work? Of course not. Did I do it when I was up the creek? Definitely. Did it work for me? Fighting back against the health care system is the only thing that works. And that will always be true no matter what happens or doesn't happen in the Congress this coming week.And so on. Would somebody volunteer to check all this out and put it on the wiki?=============================================================== On May 2, 2009, at 11:30 AM, Clarence Grim wrote:> >>  Arthur:  Recommend you read the details on those that have been suffering from PA for 15-30 years and have no insurance or who cannot get Inspra or who cannot tolerate it thru their current plan. >> >> Its the moccasins thing.>> >> You seem to have had an excellent interaction with your health care team.  Which is good but may not be average in the real world.>> >> >> >> May your pressure be

low!>> >> >> <unknown.tiff>>> >> >> >> >> >> >> CE Grim BS, MS, MD>> >> High Blood Pressure Consulting>> >> Senior Consultant to Shared Care Research and Education Consulting Inc.(sharedcareinc.com)>> >> Clinical Professor of Internal Medicine Medical and Cardiology>> Medical College of Wisconsin>> >> Board certified in Internal Med, Geriatrics and Hypertension.>> >> Interests:  >> 1.  Difficult to control high blood pressure.>> 2.  The effect of recent evolutionary forces on high blood pressure in human populations.>> 3.  Improving blood pressure measurement in the office and out.  >> >> >> >> >> >> On May 2, 2009, at 1:16 AM, Isa Hackett wrote:>> >>> Arthur->>> I really do not understand why you seem to take such pleasure in taking jabs at people in this community.  And it is not just once, it is over and

over. >>> >>> The only childish postings I've read have been coming from you. Is it attention you seek?  Or are you just a truly unhappy person?  Whatever it is, I hope for your sake, you work it out.  It can't be healthy.  >>> >>> >>> Sent via BlackBerry from T-Mobile>>> >>> Re: Re: PA Survey Questions>>> >>> >>> i have been on inspra very successfully since aug. 2008, after my md  >>> decided that spiro threatened too many side-effects. Mediare Part D  >>> covers it.  i have raised your question in

various forms on this site  >>> since before the survey. my impression is that most people here are in  >>> HMOs with preferred drug formularies that obstruct access to inspra on  >>> grounds of alleged cost.or are being treated by MDs who haven't learned  >>> anything since medical school.   but most of the people here dont seem  >>> too interested in how the system is screwing them and prefer to weep,  >>> moan and jump up and down instead, as children will do when they dont  >>> get what they want and dont know why. it is still not clear to me  >>> whether people here usually dont get inspra or whether the data got  >>> lost in the shuffle because the people doing that didn't understand the  >>> issue. now watch the screamers come out.>>> ======================================================================== >>> ====================>>> >>> On May 1, 2009, at 4:55 PM, alexanderspencer@... wrote:>>> >>>> >>>> >>>> Without a reply, am I right to assume the eplerenone (Inspra) doses in  >>>> the survey were not extractable in a useful form. Sorry to be a pest  >>>> to the group on this but I think this could be helpful to me.>>>> >>>>  I would also be intersted in reading Dr Grims paper referenced in the  >>>> Evolution of PA article namely>>>> >>>>  30. Henry JP, Grim CE: Psychosocial mechanisms of primary>>>>  hypertension. J Hypertens 1990, 8:783–793.>>>> >>>>  Is it possible to view this on-line and if so where is the best place  >>>> to look and are there any tips or tricks to know when trying to read  >>>> such articles on-line.>>>> >>>>  Thank you.>>>> >>>>  Read my paper in our files on the Evolution of

PA.>>>> >>>>  CE Grim MD>>>> >>>>  On Apr 29, 2009, at 4:44 AM, alexanderspencer@... wrote:>>>> >>>>  >>>>>>>>>> >>>>>>>>>> >>>>>>>>>> Again, I'd like to ask the group to contribute questions to>>>>>>>> the PA>>>>>>>>> survey that's being developed. Nobody here has questions  >>>> they're>>>>>>>>> curious about regarding PA? Nobody has questions that they  >>>> wish>>>>>>>> their>>>>>>>>> physician had asked them when they were searching for a

 >>>> diagnosis?>>>>>>>>>> >>>>>>>>>> a>>>>>>>>>> >>>>>>>>> >>>>>>>>>