Re: Hyperaldo Review for Dr. Grim - Urgent

October 19, 2009

Cheaper than OTC k would be to use a salt sub that is mostly potassiumM be sure to let team know. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Oct 19, 2009, at 10:44 AM, Bindner <mikeybdc@...> wrote:

I eat potatoes, 2 bananas and get enough protein and take OTC K. My symptoms aren't as bad. Make sure you eat high K foods! Not all foods on DASH are the same, so you must make a conscious effort.

Bindner

Web Directory (links to my sites and blogs):

http://www.geocities.com/mikeybdc/index.html

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From: Chantal <chantalrobichaud29 (DOT) ca>Subject: Re: Hyperaldo Review for Dr. Grim - Urgenthyperaldosteronism Date: Monday, October 19, 2009, 10:58 AM

Same here, I hear you.Standing sometimes is an effort, my muscles start to shake.Now when we go for even a small walk, I sit down when we stop for a break.I find it hard to maintain any activity for extended periods. It is a work-out to vacuum the house. I get exhausted so easily and it comes on quickly. Just like potassium helping me one minute and poof, here it comes, weakness!I take my k-dur and it lasts me 2 to 3 hours if I'm lucky. Then it's like I get faint, lightheaded and need to take another....I don't seem to be storing my potassium at all, it gets flushed out rather quickly.... I may change my dosing to every 2 hours (1/2) instead of 1 4-5 /day (7,11,3,7,11) to see if I can control the breakthrough symptoms. In other words, maintain a steady-state of potassium to get me through the day.keep you posted> > > > > > >> > > > > > > That's sorta the thing in the PSA test. When I talked to the Dr, I said: I believe if you do enough biopsies you will find a carcinoma cell. > > > > > > > Then that requires a chain of things I don't want to think about. > > > > > > > The alternative is to wait and recheck PSA - a simple test.> > > > > > > I could wait another 30 yrs before removing the prostate.> > > > > > > > > > > > > > I think we're over testing and over surgering.> > > > > > > > > > > > > > When we get to the point where tests are reasonable cost, different story, BUT the outcomes may be the same - wait a

while.> > > > > > > > > > > > > > The

October 19, 2009

Hi, I was just having a look at your meds. Obviously the doctors are targeting

your edema/blood pressure at the moment. Your atenolol dose isn't very high so

I'm assuming it is controlling your heart rate.. Your other two blood pressure

meds are diuretics so they are targeting the blood pressure via. blood

volume-diuresis...

1. The lightheadness/dizziness when sitting/standing- You could be experiencing

a side effect referred to as orthostatic hypertension.

Essentially when you are laying flat, the blood is pooling equally in all parts

of your body because gravity is exerting it's force equally all over and all is

well but when you stand up and when you are seated, well, the force of

gravity pulls all that extra fluid downward. Down it goes... If you get up

suddenly, you'll get symptoms.. (Get up from sitting, laying slowly and shake

your legs about...) So when this fluid goes downward, well you get lots of

blood in the lower part of your body, ie. legs and the blood rushes from the

upper part of your body (noggin).. So you are left with feeling lightheaded/

dizzy until the body can compensate...It does so by uping the heart rate to get

the blood flowing, so you get to experience a racing heart on top of all this...

(atenolol would block the racing heart reaction to some extent)

2. If you seem to be retaining fluid, this fluid-edema will pool readily. If

you are seated for long periods of time, the blood will go downwards (gravity

thing) and the veins of the legs are not terribly efficient ( weak in comparison

to the arteries ) so the blood flow back to the heart is not happening, at least

not very fast. The blood is pooling, your ankles get swollen. You sleep, it

improves, you get up again, cycle starts all over again.

Try elevating legs during day from time to time, getting up and walking about

and discuss support stocking with dr. If you can keep the edema out of the leg

region, perhaps you'll not have as much of a tendency to retain. Once the fluid

is in the leg, it is much harder to pump around and pee out.

If they are adding back on the diltiazam- it is going to relax those muscles

in the vessels (arteries) and in some patients, can have a tendency to

exacerbate edema. It also has some effect on reducing the heart rate. Even

worse would be the CCB nifedipine (would allow blood to pool even worse and

cause side effect #1 even more) but the CCB verapamil would cause it the least

but not a good ideal in combo with atenolol because both will reduce the heart

rate too much

Are they looking at adding it back on to further control blood pressure? Are

they considering this for edema??? What is your edema like in regard to your

salt intake?

Also, you are on a pretty good dose of furosemide... For some reason I thought

you were on 20mg, 60 mg is up there, so they are really trying to get the edema

down and by reducing the extra volume you're carrying around, you reduce the

extra blood the heart has to pump..

I've seen some of my CHF (congestive heart failure) patients on spiro...Maybe

it is time they add it on. I'm sure they've used it for their CHF pt.etc.

I'd love to see how you'd respond. If you have PA, it should work wonders. It

will also work otherwise but your meds would have to be adjusted.

Rather than adding on diltiazem, perhaps you could ask them to give spiro a try

(as a trial) and adjust your other meds accordingly.

Good luck

chantal

>

> I do have swelling in my feet but having two ECGs and some kind of blood test

they have ruled out CHF.

>

October 19, 2009

Had edema before taking DILT but not before taking Atenolol. Only took DILT for 2 weeks before going to ED. I realy didn't want to take it again but my dr is insistent I take it with the Atenolol. For time I was on both can't see it lowered my B/P.

If I should not take both together and my doctor wants me to what do I do?

Don't quite know what you mean by Furos shops be taken bid if for BP. CHECK WITH UR TEAM.

I do have swelling in my feet but having two ECGs and some kind of blood test they have ruled out CHF..

October 19, 2009

and DASH. No salt no swelling or HTN. May your pressure be low!Clarence E. Grim, BS, MS, MDSpecializing in Primary Aldosteronism the most common cause of "Difficult/Drug Resistant High Blood Pressure". Other research interests focus on the interactions of recent evolutionary forces on the body's ability to handle salt and the effect of dietary salt on blood pressure in populations today.Listed in Best Doctors of America 2009. On Oct 19, 2009, at 8:13 PM, Chantal wrote: Hi, I was just having a look at your meds. Obviously the doctors are targeting your edema/blood pressure at the moment. Your atenolol dose isn't very high so I'm assuming it is controlling your heart rate.. Your other two blood pressure meds are diuretics so they are targeting the blood pressure via. blood volume-diuresis... 1. The lightheadness/dizziness when sitting/standing- You could be experiencing a side effect referred to as orthostatic hypertension. Essentially when you are laying flat, the blood is pooling equally in all parts of your body because gravity is exerting it's force equally all over and all is well but when you stand up and when you are seated, well, the force of gravity pulls all that extra fluid downward. Down it goes... If you get up suddenly, you'll get symptoms.. (Get up from sitting, laying slowly and shake your legs about...) So when this fluid goes downward, well you get lots of blood in the lower part of your body, ie. legs and the blood rushes from the upper part of your body (noggin).. So you are left with feeling lightheaded/ dizzy until the body can compensate...It does so by uping the heart rate to get the blood flowing, so you get to experience a racing heart on top of all this... (atenolol would block the racing heart reaction to some extent) 2. If you seem to be retaining fluid, this fluid-edema will pool readily. If you are seated for long periods of time, the blood will go downwards (gravity thing) and the veins of the legs are not terribly efficient ( weak in comparison to the arteries ) so the blood flow back to the heart is not happening, at least not very fast. The blood is pooling, your ankles get swollen. You sleep, it improves, you get up again, cycle starts all over again. Try elevating legs during day from time to time, getting up and walking about and discuss support stocking with dr. If you can keep the edema out of the leg region, perhaps you'll not have as much of a tendency to retain. Once the fluid is in the leg, it is much harder to pump around and pee out. If they are adding back on the diltiazam- it is going to relax those muscles in the vessels (arteries) and in some patients, can have a tendency to exacerbate edema. It also has some effect on reducing the heart rate. Even worse would be the CCB nifedipine (would allow blood to pool even worse and cause side effect #1 even more) but the CCB verapamil would cause it the least but not a good ideal in combo with atenolol because both will reduce the heart rate too much Are they looking at adding it back on to further control blood pressure? Are they considering this for edema??? What is your edema like in regard to your salt intake? Also, you are on a pretty good dose of furosemide... For some reason I thought you were on 20mg, 60 mg is up there, so they are really trying to get the edema down and by reducing the extra volume you're carrying around, you reduce the extra blood the heart has to pump.. I've seen some of my CHF (congestive heart failure) patients on spiro...Maybe it is time they add it on. I'm sure they've used it for their CHF pt.etc. I'd love to see how you'd respond. If you have PA, it should work wonders. It will also work otherwise but your meds would have to be adjusted. Rather than adding on diltiazem, perhaps you could ask them to give spiro a try (as a trial) and adjust your other meds accordingly. Good luck chantal > > I do have swelling in my feet but having two ECGs and some kind of blood test they have ruled out CHF. >

October 19, 2009

lasix is not a very good BP agent when given only once a day. Pee out Na for 4 hrs retain Na rest of day.I K has been low lasix and HCTZ can do this. sounds like a job for spiro. May your pressure be low!Clarence E. Grim, BS, MS, MDSpecializing in Primary Aldosteronism the most common cause of "Difficult/Drug Resistant High Blood Pressure". Other research interests focus on the interactions of recent evolutionary forces on the body's ability to handle salt and the effect of dietary salt on blood pressure in populations today.Listed in Best Doctors of America 2009. On Oct 19, 2009, at 8:20 PM, Bill wrote: Had edema before taking DILT but not before taking Atenolol. Only took DILT for 2 weeks before going to ED. I realy didn't want to take it again but my dr is insistent I take it with the Atenolol. For time I was on both can't see it lowered my B/P. If I should not take both together and my doctor wants me to what do I do? Don't quite know what you mean by Furos shops be taken bid if for BP. CHECK WITH UR TEAM. I do have swelling in my feet but having two ECGs and some kind of blood test they have ruled out CHF..

October 20, 2009

I feel my doctors are just trying to treat Sx without knowing the cause. At this

point they have stoped looking for the cause. At my last dr visit I was told I

just have to live with it.

I have never felt that the atenolol has done much of any thing It was given

because of fast heart and B/P they started me out on 50 MG but this seemed to

make dizziness worse so was cut back to 25 MG. I still have fast heart at times

but sometimes is 60 or a bit less heart rate changes a lot. When I am setting

doing nothing else it will change from 60 to 80 then go back to 60 in a very

short time. Doesn't take much for it to get over 100. For the most part I can't

tell if it fast or slow very seldom is it a pounding heart rate. Most of the

time I have a hard time finding my pulse.

It was shortly after starting atenolo that my legs starting swelling so was put

on diuretics. Was put on the 25 mg of hydrochlorothiazide. Before this my K

seemed to be around 4 not long after this my k was 3.2. was started on 50 mg

triamterene to help with low K didn't seem to help so was started on 20 meq

potassium chloride stopped the hydrochlorothiazide and started on 40 mg of

furosemide because they thought it would remove fluid better. My k did get back

to around 4 If blood was drawn right. Still hade to much fluid so they added 20

mg more of furosemide. For the most part this keeps the fluid under control. But

k runs 3.8 to 3.6 and B/P is still high. Have tried other B/P meds but they

either make me very tired or increase heart rate.

While I probably sometimes have a problem with orthostatic hypertension it isn't

what my maim problem is with being lightheaded.

The diltiazam is to try to lower B/P when I tried to bring up spiro I didn't get

very far. My posting of that visit

hyperaldosteronism/message/16447

> >

> > I do have swelling in my feet but having two ECGs and some kind of blood

test they have ruled out CHF.

> >

>

October 20, 2009

diuretics are a great way to uncover PA as the K can plumet to levels that may lead to extreme weakness and even paralysis. May your pressure be low!Clarence E. Grim, BS, MS, MDSpecializing in Primary Aldosteronism the most common cause of "Difficult/Drug Resistant High Blood Pressure". Other research interests focus on the interactions of recent evolutionary forces on the body's ability to handle salt and the effect of dietary salt on blood pressure in populations today.Listed in Best Doctors of America 2009. On Oct 20, 2009, at 8:19 PM, Francis Bill wrote: I feel my doctors are just trying to treat Sx without knowing the cause. At this point they have stoped looking for the cause. At my last dr visit I was told I just have to live with it. I have never felt that the atenolol has done much of any thing It was given because of fast heart and B/P they started me out on 50 MG but this seemed to make dizziness worse so was cut back to 25 MG. I still have fast heart at times but sometimes is 60 or a bit less heart rate changes a lot. When I am setting doing nothing else it will change from 60 to 80 then go back to 60 in a very short time. Doesn't take much for it to get over 100. For the most part I can't tell if it fast or slow very seldom is it a pounding heart rate. Most of the time I have a hard time finding my pulse. It was shortly after starting atenolo that my legs starting swelling so was put on diuretics. Was put on the 25 mg of hydrochlorothiazide. Before this my K seemed to be around 4 not long after this my k was 3.2. was started on 50 mg triamterene to help with low K didn't seem to help so was started on 20 meq potassium chloride stopped the hydrochlorothiazide and started on 40 mg of furosemide because they thought it would remove fluid better. My k did get back to around 4 If blood was drawn right. Still hade to much fluid so they added 20 mg more of furosemide. For the most part this keeps the fluid under control. But k runs 3.8 to 3.6 and B/P is still high. Have tried other B/P meds but they either make me very tired or increase heart rate. While I probably sometimes have a problem with orthostatic hypertension it isn't what my maim problem is with being lightheaded. The diltiazam is to try to lower B/P when I tried to bring up spiro I didn't get very far. My posting of that visit hyperaldosteronism/message/16447 > > > > I do have swelling in my feet but having two ECGs and some kind of blood test they have ruled out CHF. > > >

November 17, 2009

Drawn correctly and processed in ER. CEOn Oct 18, 2009, at 9:56 PM, Francis Bill wrote: My k was 3.7 on 02/22/2009 > > > > > > > > > > > > > > > > > > > > Just doing a review of my PAC results > > > > > > obtained from blood drawn at a Lab in > > > > > > > > > > > > > Jamaica. The test was in fact sent to a > > > > > > Lab in the US. The blood was taken > > > > > > > > > > > > > with me sitting down for 5 mins after > > > > > > driving to the Lab. The results showed > > > > > > > > > > > > > Aldostorone serum was 18.6 ng/dL. This > > > > > > result from the LAB in the US was > > > > > > > > > > > > > shown as Abnormal (high) but the wrong > > > > > > reference range was used. They used > > > > > > > > > > > > > the Adult supine(lying) reference range of > > > > > > 1 - 16 ng/dL. > > > > > > > > > > > > > > > > > > > > But my blood was taken when I was sitting > > > > > > so they should have used the Adult > > > > > > > > > > > > > upright reference range of 4 - 31 ng/dL. > > > > > > > > > > > > > > > > > > > > This would have meant that my PAC was > > > > > > normal. Does this mean that I don't > > > > > > > > > > > > > have PA. > > > > > > > > > > > > > > > > > > > > I also got a Renin Activity of 0.45 > > > > > > ng/mL/hr > > > > > > > > > > > > > > > > > > > > From my calculations My ARR = 18.6/0.45 = > > > > > > 41.33 > > > > > > > > > > > > > > > > > > > > Just a recap. My BP was about 245/145 > > > > > > before taking 3 meds that dropped it > > > > > > > > > > > > > to 145/95. I have since removed one of > > > > > > those meds in favor of Aldactone > > > > > > > > > > > > > (25mg twice daily) which lowers it to > > > > > > 130/88. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > __________ NOD32 4389 (20090902) > > > > > > Information __________ > > > > > > > > > > > > > > > > > > > > This message was checked by NOD32 > > > > > > antivirus system. > > > > > > > > > > > > > http://www.eset. com > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > __________ NOD32 4389 (20090902) > > > > > > Information __________ > > > > > > > > > > > > > > This message was checked by NOD32 > > > > > > antivirus system. > > > > > > > http://www.eset.com > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ------------------------------------ > > > > > > > > > > > >

November 17, 2009

> > > > > > > > > >

> > > > > > > > > Just doing a review of my PAC results

> > > > > > > > > obtained from blood drawn at a Lab in

> > > > > > > > > >

> > > > > > > > > Jamaica. The test was in fact sent to a

> > > > > > > > > Lab in the US. The blood was taken

> > > > > > > > > >

> > > > > > > > > with me sitting down for 5 mins after

> > > > > > > > > driving to the Lab. The results showed

> > > > > > > > > >

> > > > > > > > > Aldostorone serum was 18.6 ng/dL. This

> > > > > > > > > result from the LAB in the US was

> > > > > > > > > >

> > > > > > > > > shown as Abnormal (high) but the wrong

> > > > > > > > > reference range was used. They used

> > > > > > > > > >

> > > > > > > > > the Adult supine(lying) reference range of

> > > > > > > > > 1 - 16 ng/dL.

> > > > > > > > > >

> > > > > > > > > But my blood was taken when I was sitting

> > > > > > > > > so they should have used the Adult

> > > > > > > > > >

> > > > > > > > > upright reference range of 4 - 31 ng/dL.

> > > > > > > > > >

> > > > > > > > > This would have meant that my PAC was

> > > > > > > > > normal. Does this mean that I don't

> > > > > > > > > >

> > > > > > > > > have PA.

> > > > > > > > > >

> > > > > > > > > I also got a Renin Activity of 0.45

> > > > > > > > > ng/mL/hr

> > > > > > > > > >

> > > > > > > > > From my calculations My ARR = 18.6/0.45 =

> > > > > > > > > 41.33

> > > > > > > > > >

> > > > > > > > > Just a recap. My BP was about 245/145

> > > > > > > > > before taking 3 meds that dropped it

> > > > > > > > > >

> > > > > > > > > to 145/95. I have since removed one of

> > > > > > > > > those meds in favor of Aldactone

> > > > > > > > > >

> > > > > > > > > (25mg twice daily) which lowers it to

> > > > > > > > > 130/88.

> > > > > > > > > >

> > > > > > > > > __________ NOD32 4389 (20090902)

> > > > > > > > > Information __________

> > > > > > > > > >

> > > > > > > > > This message was checked by NOD32

> > > > > > > > > antivirus system.

> > > > > > > > > >

> > > > > > > > > http://www.eset. com

> > > > > > > > > >

> > > > > > > > > > __________ NOD32 4389 (20090902)

> > > > > > > > > Information __________

> > > > > > > > > >

> > > > > > > > > > This message was checked by NOD32

> > > > > > > > > antivirus system.

> > > > > > > > > > http://www.eset.com

> > > > > > > > > >

> > > > > > > > >

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

> > > > > > > > >

November 17, 2009

Start you on spiro.After I had determined you had failed DASHing to the max (documented with a 24 hr urine for Na and K).CE Grim MDOn Nov 17, 2009, at 9:29 PM, Francis Bill wrote:If you had been the ED dr. what would you have done? The last three K test were 3.6 3.5 3.4L. Of course I was tested for PA on 12/24/08. If you had looked at the meds I was on when tested furosemide triamterene atenolol and potassium chloride would you have redone the test for PA? With renin 1.8 and aldo 16.> > > > > > > > >> > > > > > > > >> > > > > > > > Just doing a review of my PAC results> > > > > > > > obtained from blood drawn at a Lab in> > > > > > > > >> > > > > > > > Jamaica. The test was in fact sent to a> > > > > > > > Lab in the US. The blood was taken> > > > > > > > >> > > > > > > > with me sitting down for 5 mins after> > > > > > > > driving to the Lab. The results showed> > > > > > > > >> > > > > > > > Aldostorone serum was 18.6 ng/dL. This> > > > > > > > result from the LAB in the US was> > > > > > > > >> > > > > > > > shown as Abnormal (high) but the wrong> > > > > > > > reference range was used. They used> > > > > > > > >> > > > > > > > the Adult supine(lying) reference range of> > > > > > > > 1 - 16 ng/dL.> > > > > > > > >> > > > > > > > >> > > > > > > > But my blood was taken when I was sitting> > > > > > > > so they should have used the Adult> > > > > > > > >> > > > > > > > upright reference range of 4 - 31 ng/dL.> > > > > > > > >> > > > > > > > >> > > > > > > > This would have meant that my PAC was> > > > > > > > normal. Does this mean that I don't> > > > > > > > >> > > > > > > > have PA.> > > > > > > > >> > > > > > > > >> > > > > > > > I also got a Renin Activity of 0.45> > > > > > > > ng/mL/hr> > > > > > > > >> > > > > > > > >> > > > > > > > From my calculations My ARR = 18.6/0.45 => > > > > > > > 41.33> > > > > > > > >> > > > > > > > >> > > > > > > > Just a recap. My BP was about 245/145> > > > > > > > before taking 3 meds that dropped it> > > > > > > > >> > > > > > > > to 145/95. I have since removed one of> > > > > > > > those meds in favor of Aldactone> > > > > > > > >> > > > > > > > (25mg twice daily) which lowers it to> > > > > > > > 130/88.> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > __________ NOD32 4389 (20090902)> > > > > > > > Information __________> > > > > > > > >> > > > > > > > >> > > > > > > > This message was checked by NOD32> > > > > > > > antivirus system.> > > > > > > > >> > > > > > > > http://www.eset. com> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > > __________ NOD32 4389 (20090902)> > > > > > > > Information __________> > > > > > > > >> > > > > > > > > This message was checked by NOD32> > > > > > > > antivirus system.> > > > > > > > > http://www.eset.com> > > > > > > > >> > > > > > > >> > > > > > > >> > > > > > > >> > > > > > > >> > > > > > > > ------------------------------------> > > > > > > >> > > > > > > >

November 17, 2009

Hmm in some places ED means erectile dysfunction.On Nov 17, 2009, at 9:41 PM, Francis Bill wrote:> > > > > > > > > >> > > > > > > > > >> > > > > > > > > Just doing a review of my PAC results> > > > > > > > > obtained from blood drawn at a Lab in> > > > > > > > > >> > > > > > > > > Jamaica. The test was in fact sent to a> > > > > > > > > Lab in the US. The blood was taken> > > > > > > > > >> > > > > > > > > with me sitting down for 5 mins after> > > > > > > > > driving to the Lab. The results showed> > > > > > > > > >> > > > > > > > > Aldostorone serum was 18.6 ng/dL. This> > > > > > > > > result from the LAB in the US was> > > > > > > > > >> > > > > > > > > shown as Abnormal (high) but the wrong> > > > > > > > > reference range was used. They used> > > > > > > > > >> > > > > > > > > the Adult supine(lying) reference range of> > > > > > > > > 1 - 16 ng/dL.> > > > > > > > > >> > > > > > > > > >> > > > > > > > > But my blood was taken when I was sitting> > > > > > > > > so they should have used the Adult> > > > > > > > > >> > > > > > > > > upright reference range of 4 - 31 ng/dL.> > > > > > > > > >> > > > > > > > > >> > > > > > > > > This would have meant that my PAC was> > > > > > > > > normal. Does this mean that I don't> > > > > > > > > >> > > > > > > > > have PA.> > > > > > > > > >> > > > > > > > > >> > > > > > > > > I also got a Renin Activity of 0.45> > > > > > > > > ng/mL/hr> > > > > > > > > >> > > > > > > > > >> > > > > > > > > From my calculations My ARR = 18.6/0.45 => > > > > > > > > 41.33> > > > > > > > > >> > > > > > > > > >> > > > > > > > > Just a recap. My BP was about 245/145> > > > > > > > > before taking 3 meds that dropped it> > > > > > > > > >> > > > > > > > > to 145/95. I have since removed one of> > > > > > > > > those meds in favor of Aldactone> > > > > > > > > >> > > > > > > > > (25mg twice daily) which lowers it to> > > > > > > > > 130/88.> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > __________ NOD32 4389 (20090902)> > > > > > > > > Information __________> > > > > > > > > >> > > > > > > > > >> > > > > > > > > This message was checked by NOD32> > > > > > > > > antivirus system.> > > > > > > > > >> > > > > > > > > http://www.eset. com> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > > __________ NOD32 4389 (20090902)> > > > > > > > > Information __________> > > > > > > > > >> > > > > > > > > > This message was checked by NOD32> > > > > > > > > antivirus system.> > > > > > > > > > http://www.eset.com> > > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > > ------------------------------------> > > > > > > > >> > > > > > > > >

November 18, 2009

Maybe that is the problem with the VA doctors.

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

> > > > > > > > > > > Just doing a review of my PAC results

> > > > > > > > > > > obtained from blood drawn at a Lab in

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

> > > > > > > > > > > Jamaica. The test was in fact sent to a

> > > > > > > > > > > Lab in the US. The blood was taken

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

> > > > > > > > > > > with me sitting down for 5 mins after

> > > > > > > > > > > driving to the Lab. The results showed

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

> > > > > > > > > > > Aldostorone serum was 18.6 ng/dL. This

> > > > > > > > > > > result from the LAB in the US was

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

> > > > > > > > > > > shown as Abnormal (high) but the wrong

> > > > > > > > > > > reference range was used. They used

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

> > > > > > > > > > > the Adult supine(lying) reference range of

> > > > > > > > > > > 1 - 16 ng/dL.

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

> > > > > > > > > > > But my blood was taken when I was sitting

> > > > > > > > > > > so they should have used the Adult

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

> > > > > > > > > > > upright reference range of 4 - 31 ng/dL.

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

> > > > > > > > > > > This would have meant that my PAC was

> > > > > > > > > > > normal. Does this mean that I don't

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

> > > > > > > > > > > have PA.

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

> > > > > > > > > > > I also got a Renin Activity of 0.45

> > > > > > > > > > > ng/mL/hr

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

> > > > > > > > > > > From my calculations My ARR = 18.6/0.45 =

> > > > > > > > > > > 41.33

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

> > > > > > > > > > > Just a recap. My BP was about 245/145

> > > > > > > > > > > before taking 3 meds that dropped it

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

> > > > > > > > > > > to 145/95. I have since removed one of

> > > > > > > > > > > those meds in favor of Aldactone

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

> > > > > > > > > > > (25mg twice daily) which lowers it to

> > > > > > > > > > > 130/88.

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

> > > > > > > > > > > __________ NOD32 4389 (20090902)

> > > > > > > > > > > Information __________

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

> > > > > > > > > > > This message was checked by NOD32

> > > > > > > > > > > antivirus system.

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

> > > > > > > > > > > http://www.eset. com

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

> > > > > > > > > > > > __________ NOD32 4389 (20090902)

> > > > > > > > > > > Information __________

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

> > > > > > > > > > > > This message was checked by NOD32

> > > > > > > > > > > antivirus system.

> > > > > > > > > > > > http://www.eset.com

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

> > > > > > > > > > >

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

> > > > > > > > > > >

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Re: Hyperaldo Review for Dr. Grim - Urgent

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