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Excellent. Will have some good data

I would think. If there is anyone out there who has not done it yet

ease complete and we will do some data

Analysis and get back to everyone.

Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Apr 5, 2009, at 8:18 AM, shahall <shahall@...> wrote:

> 23 members have taken the PA survey so far. If you've been diagnosed

> with PA by a physician and haven't filled out the survey yet, please

> take a few minutes to do it.

>

> http://www.kwiksurveys.com/online-survey.php?surveyID=HIJIO_f2685379

>

>

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The only suggestion I would make is to allow a " don't know " choice about

hyperplasia vs. adenoma. I checked hyperplasia but don't know that for a

fact.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

Excellent. Will have some good data

I would think. If there is anyone out there who has not done it yet

ease complete and we will do some data

Analysis and get back to everyone.

Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Apr 5, 2009, at 8:18 AM, shahall <shahall@...

<mailto:shahall%40> > wrote:

> 23 members have taken the PA survey so far. If you've been diagnosed

> with PA by a physician and haven't filled out the survey yet, please

> take a few minutes to do it.

>

> http://www.kwiksurveys.com/online-survey.php?surveyID=HIJIO_f2685379

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no i am not interested in authorizing use of personal ID information in

any public manner. no competent research does this. quite the opposite.

as99

-----------------

On Apr 5, 2009, at 4:41 PM, Valarie wrote:

> The only suggestion I would make is to allow a " don't know " choice

> about

> hyperplasia vs. adenoma. I checked hyperplasia but don't know that

> for a

> fact.

>

> Val

>

> From: hyperaldosteronism

> [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

>

> Excellent. Will have some good data

> I would think. If there is anyone out there who has not done it yet

> ease complete and we will do some data

> Analysis and get back to everyone.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> On Apr 5, 2009, at 8:18 AM, shahall <shahall@...

> <mailto:shahall%40> > wrote:

>

> > 23 members have taken the PA survey so far. If you've been diagnosed

> > with PA by a physician and haven't filled out the survey yet, please

> > take a few minutes to do it.

> >

> > http://www.kwiksurveys.com/online-survey.php?surveyID=HIJIO_f2685379

>

>

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or not sure or not certain?

On Apr 5, 2009, at 3:41 PM, Valarie wrote:

> The only suggestion I would make is to allow a " don't know " choice

> about

> hyperplasia vs. adenoma. I checked hyperplasia but don't know that

> for a

> fact.

>

> Val

>

> From: hyperaldosteronism

> [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

>

> Excellent. Will have some good data

> I would think. If there is anyone out there who has not done it yet

> ease complete and we will do some data

> Analysis and get back to everyone.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> On Apr 5, 2009, at 8:18 AM, shahall <shahall@...

> <mailto:shahall%40> > wrote:

>

> > 23 members have taken the PA survey so far. If you've been diagnosed

> > with PA by a physician and haven't filled out the survey yet, please

> > take a few minutes to do it.

> >

> > http://www.kwiksurveys.com/online-survey.php?surveyID=HIJIO_f2685379

>

>

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The thing is, unless someone has had AVS, he/she doesn't know if it is

hyperplasia or adenoma.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

or not sure or not certain?

On Apr 5, 2009, at 3:41 PM, Valarie wrote:

> The only suggestion I would make is to allow a " don't know " choice

> about

> hyperplasia vs. adenoma. I checked hyperplasia but don't know that

> for a

> fact.

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Guest guest

The docs should be " communicating " better and whether or not they do I

always get copies of the final written reports on any diagnostic test

or surgery,

just as if it were an itemized bill for a car repair or a phone bill.

I also scanned a whole bunch of stuff about AVS recently. There is a

substantial professional grouping that argues that AVS is now

superfluous because:

• progress in CT/MRI technology permits better pictures of adenomas and

better judgments about them;

• AVS is justified only if the pictures are ambiguous.

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

On Apr 6, 2009, at 1:03 PM, Valarie wrote:

> The thing is, unless someone has had AVS, he/she doesn't know if it is

> hyperplasia or adenoma.

>

> Val

>

> From: hyperaldosteronism

> [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

>

> or not sure or not certain?

>

> On Apr 5, 2009, at 3:41 PM, Valarie wrote:

>

> > The only suggestion I would make is to allow a " don't know " choice

> > about

> > hyperplasia vs. adenoma. I checked hyperplasia but don't know that

> > for a

> > fact.

>

>

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Guest guest

Arthur, can you cite some articles that say that AVS is now superfluous?

There are adenomas smaller than can be seen on CT. How are these accounted

for?

Val

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

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of arthur springer

The docs should be " communicating " better and whether or not they do I

always get copies of the final written reports on any diagnostic test

or surgery,

just as if it were an itemized bill for a car repair or a phone bill.

I also scanned a whole bunch of stuff about AVS recently. There is a

substantial professional grouping that argues that AVS is now

superfluous because:

.. progress in CT/MRI technology permits better pictures of adenomas and

better judgments about them;

.. AVS is justified only if the pictures are ambiguous.

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

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Guest guest

• go to NIH, & PubMed, and Medline and Google home page.

• Try NCBI (National Center for Biotechnology Information)

• Search Google for

http://www.google.com/search?q=adrenal+venous+sampling;

• and for adrenal venous sampling; hyperaldosteronism; etc etc etc ...

make it up as you go along until you hit whatever works. I came up

with several hundred published papers and scanned many of them. Oneof

themost productive searches was

adrenal venous sampling risks;

• Image-Guided Intervention, 2-Volume Set: Expert Radiology Series‎

by A. Mauro, Kieran , Thomson, Venbrux,

Christoph L. Zollikofer - Medical - 2008 - 1928 pages; see p. 1147;;

#

Is Adrenal Venous Sampling Necessary in All Patients with ...

Patients were selected to undergo adrenal venous sampling for

lateralization of the abnormal adrenal gland if (i) the tumor was

smaller than 1.0 cm on CT, ...

www.jvir.org/cgi/content/full/19/1/66?ck=nck - Similar pages -

#

Is Adrenal Venous Sampling Necessary in All Patients with ...

Is Adrenal Venous Sampling Necessary in All Patients with

Hyperaldosteronism before Adrenalectomy? Rasa Zarnegar, MDa,c, Alan I.

Bloom, MDb, Lee, MDd, ...

www.jvir.org/cgi/content/abstract/19/1/66?ck=nck - Similar pages -

#

Relative value of computed tomography scanning and venous sampling ...

QUICK SEARCH: [advanced] ... Citing Articles via Google Scholar. Google

Scholar. Right arrow ... Bilateral venous sampling of adrenal veins was

attempted in all patients and blood collected for .... W. T. Shen, R.

C. Lim, A. E. Siperstein, O. H. , W. P. Schecter, T. K. Hunt, J.

K. Horn, and Q.-Y. Duh ...

www.eje-online.org/cgi/content/abstract/134/3/308 - Similar pages -

by R Sheaves - 1996 - Cited by 44 - Related articles

#

Minireview: Primary Aldosteronism--Changing Concepts in Diagnosis ...

Institution: Google Indexer | Sign In via User Name/Password ... Search

for Related Content. PubMed. Right arrow, PubMed Citation .... Some

centers perform adrenal venous sampling in all patients diagnosed with

primary aldosteronism (45). .... Milbank Mem Fund Q

47:170–186[CrossRef]; Kaplan NM 1967 Hypokalemia in ...

endo.endojournals.org/cgi/content/full/144/6/2208 - Similar pages -

by WF Young Jr - 2003 - Cited by 187 - Related articles - All 6 versions

••••••••••••••••••••••••••â€\

¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â\

€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢â€¢

On Apr 6, 2009, at 7:44 PM, Valarie wrote:

> Arthur, can you cite some articles that say that AVS is now

> superfluous?

> There are adenomas smaller than can be seen on CT. How are these

> accounted

> for?

>

> Val

>

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

> From: hyperaldosteronism

> [mailto:hyperaldosteronism ] On Behalf Of arthur

> springer

>

> The docs should be " communicating " better and whether or not they do I

> always get copies of the final written reports on any diagnostic test

> or surgery,

> just as if it were an itemized bill for a car repair or a phone bill.

> I also scanned a whole bunch of stuff about AVS recently. There is a

> substantial professional grouping that argues that AVS is now

> superfluous because:

> . progress in CT/MRI technology permits better pictures of adenomas

> and

> better judgments about them;

> . AVS is justified only if the pictures are ambiguous.

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

>

>

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Guest guest

What you need to tabulate from these articles is how long the average

follow was. Without that we are in the dark.

CE Grim MD

On Apr 6, 2009, at 7:48 PM, arthur springer wrote:

> • go to NIH, & PubMed, and Medline and Google home page.

> • Try NCBI (National Center for Biotechnology Information)

> • Search Google for

> http://www.google.com/search?q=adrenal+venous+sampling;

>

> • and for adrenal venous sampling; hyperaldosteronism; etc etc

> etc ...

> make it up as you go along until you hit whatever works. I came up

> with several hundred published papers and scanned many of them. Oneof

> themost productive searches was

> adrenal venous sampling risks;

>

> • Image-Guided Intervention, 2-Volume Set: Expert Radiology

> Series‎

> by A. Mauro, Kieran , Thomson, Venbrux,

> Christoph L. Zollikofer - Medical - 2008 - 1928 pages; see p. 1147;;

>

> #

> Is Adrenal Venous Sampling Necessary in All Patients with ...

> Patients were selected to undergo adrenal venous sampling for

> lateralization of the abnormal adrenal gland if (i) the tumor was

> smaller than 1.0 cm on CT, ...

> www.jvir.org/cgi/content/full/19/1/66?ck=nck - Similar pages -

> #

> Is Adrenal Venous Sampling Necessary in All Patients with ...

> Is Adrenal Venous Sampling Necessary in All Patients with

> Hyperaldosteronism before Adrenalectomy? Rasa Zarnegar, MDa,c, Alan I.

> Bloom, MDb, Lee, MDd, ...

> www.jvir.org/cgi/content/abstract/19/1/66?ck=nck - Similar pages -

> #

> Relative value of computed tomography scanning and venous sampling ...

> QUICK SEARCH: [advanced] ... Citing Articles via Google Scholar.

> Google

> Scholar. Right arrow ... Bilateral venous sampling of adrenal veins

> was

> attempted in all patients and blood collected for .... W. T. Shen, R.

> C. Lim, A. E. Siperstein, O. H. , W. P. Schecter, T. K. Hunt, J.

> K. Horn, and Q.-Y. Duh ...

> www.eje-online.org/cgi/content/abstract/134/3/308 - Similar pages -

> by R Sheaves - 1996 - Cited by 44 - Related articles

> #

> Minireview: Primary Aldosteronism--Changing Concepts in Diagnosis ...

> Institution: Google Indexer | Sign In via User Name/Password ...

> Search

> for Related Content. PubMed. Right arrow, PubMed Citation .... Some

> centers perform adrenal venous sampling in all patients diagnosed with

> primary aldosteronism (45). .... Milbank Mem Fund Q

> 47:170–186[CrossRef]; Kaplan NM 1967 Hypokalemia in ...

> endo.endojournals.org/cgi/content/full/144/6/2208 - Similar pages -

> by WF Young Jr - 2003 - Cited by 187 - Related articles - All 6

> versions

> •••••••••••••••••••••••

> •••••••••••••••••••••••

> •••••••••••••••••••••••

> ••

> On Apr 6, 2009, at 7:44 PM, Valarie wrote:

>

> > Arthur, can you cite some articles that say that AVS is now

> > superfluous?

> > There are adenomas smaller than can be seen on CT. How are these

> > accounted

> > for?

> >

> > Val

> >

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

> > From: hyperaldosteronism

> > [mailto:hyperaldosteronism ] On Behalf Of arthur

> > springer

> >

> > The docs should be " communicating " better and whether or not they

> do I

> > always get copies of the final written reports on any diagnostic

> test

> > or surgery,

> > just as if it were an itemized bill for a car repair or a phone

> bill.

> > I also scanned a whole bunch of stuff about AVS recently. There is a

> > substantial professional grouping that argues that AVS is now

> > superfluous because:

> > . progress in CT/MRI technology permits better pictures of adenomas

> > and

> > better judgments about them;

> > . AVS is justified only if the pictures are ambiguous.

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

> >

> >

>

>

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Guest guest

Recommend you also reread the Endo Soc Guidelines.

CE Grim MD

On Apr 6, 2009, at 6:44 PM, Valarie wrote:

> Arthur, can you cite some articles that say that AVS is now

> superfluous?

> There are adenomas smaller than can be seen on CT. How are these

> accounted

> for?

>

> Val

>

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

> From: hyperaldosteronism

> [mailto:hyperaldosteronism ] On Behalf Of arthur

> springer

>

> The docs should be " communicating " better and whether or not they do I

> always get copies of the final written reports on any diagnostic test

> or surgery,

> just as if it were an itemized bill for a car repair or a phone bill.

> I also scanned a whole bunch of stuff about AVS recently. There is a

> substantial professional grouping that argues that AVS is now

> superfluous because:

> . progress in CT/MRI technology permits better pictures of adenomas

> and

> better judgments about them;

> . AVS is justified only if the pictures are ambiguous.

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

>

>

>

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