Re: Dr.Grim- Can you please interpret this

[Guest guest]

Someone had stated that they had been on Yasmin " droperione-spell?)

What birth control were you on, again this one could affect aldosterone levels,

I know someone had posted that they were on Yasmin as their OC: stated that fact

(spironolactone derivative in Yasmin) .....Again, so by rights, those who are on

Yasmin, their ARR could be affected and their PA symptoms minimized/masked..

Again, I had researched it at the time, 1-2 weeks ago but I forget now

Chantal

> >

> > > Do you know of someone that has this chart format in Excel. Also

> > > would be nice to have k on it.

> > >

> > > I have updated my BP information with K on it. Maybe someone on here

> > > can make a chart of it.

> <A Francis.xls>

>

[Guest guest]

I would like Dr grim to gives his thoughts on the size of your tumor.

What I have read is that any size over 3 cm is a concern and need to be looked

very close.

> > >

> > > > Do you know of someone that has this chart format in Excel. Also

> > > > would be nice to have k on it.

> > > >

> > > > I have updated my BP information with K on it. Maybe someone on here

> > > > can make a chart of it.

> > <A Francis.xls>

> >

>

[Guest guest]

You have PA. Need to know what the lab's normals are on people on BCP and HCTZ 50. They probably don't have any. Has spiro been tried yet?Trust you are DASHing to the max to help low K, high BP and need for meds.CE Grim MD 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 27, 2009, at 4:22 PM, Lori wrote: These were my values from one year ago. Is this consistent w/ diagnosis of PA? Aldosterone 34.3 Renin 4.30 K+ 2.9 At the time, I was on 50 mg HCTZ and birth control pills. Was on regular salt diet and aldo/renin was drawn w/ me sitting upright. My levels are different now but I am just curious as to what you thought about these values. The hypokalemia was always present til spiro and K+ supplementation. It now ranges from 3.5 to 4.0. Thank you, Lori Open excel. Copy your list to the excel page.That's a start.You can also copy your list to notepad, save that text file.Open excel and open that text file, and it will give you the chanve toseparate the fields. Just for practice try it.Excel is a really good recording/tracking tool, since it allows mathcomputations as well as text notes.Or look at atatched if it gets thru.Regards [hyperaldosteronism ] Re: francis bill BP readingsAs I am finding out it isn't quite this easy. I do have some basicknowledge of excel but it is just that. I have used other programs likeexcel but it has been a while.>> > Do you know of someone that has this chart format in Excel. Also> > would be nice to have k on it.> >> > I have updated my BP information with K on it. Maybe someone on here> > can make a chart of it.<A Francis.xls>

[Guest guest]

Dr. Grim-How do I KNOW that it's PA? How do I calculate the ratio? Is a renin that high normal in PA? I am on Spiro and it took a few mos and increasing the dose but I feel alot better. You are correct that the lab doesn't have "normal" values for people on BCP or diuretics. My PCP didn't tell me to stop either of them ( because I am sure he didn't know to do so) but when my aldo and renin came back, he told me it was PA ,started Spiro and K+. He told me he was very infamiliar w/ PA and had never had a pt with it. I have every symptom, but was not sure w/ my renin being 4. Thank you for your help.Lori

Open excel. Copy your list to the excel page.That's a start.You can also copy your list to notepad, save that text file.Open excel and open that text file, and it will give you the chanve toseparate the fields. Just for practice try it.Excel is a really good recording/tracking tool, since it allows mathcomputations as well as text notes.Or look at atatched if it gets thru.Regards [hyperaldosteronism ] Re: francis bill BP readingsAs I am finding out it isn't quite this easy. I do have some basicknowledge of excel but it is just that. I have used other programs likeexcel but it has been a while.>> > Do you know of someone that has this chart format in Excel. Also> > would be nice to have k on it.> >> > I have updated my BP information with K on it. Maybe someone on here> > can make a chart of it.<A

Francis.xls>

[Guest guest]

How many CT have you had?

> > > >

> > > > > Do you know of someone that has this chart format in Excel. Also

> > > > > would be nice to have k on it.

> > > > >

> > > > > I have updated my BP information with K on it. Maybe someone on here

> > > > > can make a chart of it.

> > > <A Francis.xls>

> > >

> >

>

[Guest guest]

Because there is nothing else (almost) that will give you the constellation of symptoms and signs you have you have PA. I would not worry but keep on DASHing and spiroing. 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 27, 2009, at 6:57 PM, Lori wrote: Dr. Grim-How do I KNOW that it's PA? How do I calculate the ratio? Is a renin that high normal in PA? I am on Spiro and it took a few mos and increasing the dose but I feel alot better. You are correct that the lab doesn't have "normal" values for people on BCP or diuretics. My PCP didn't tell me to stop either of them ( because I am sure he didn't know to do so) but when my aldo and renin came back, he told me it was PA ,started Spiro and K+. He told me he was very infamiliar w/ PA and had never had a pt with it. I have every symptom, but was not sure w/ my renin being 4. Thank you for your help.Lori Open excel. Copy your list to the excel page.That's a start.You can also copy your list to notepad, save that text file.Open excel and open that text file, and it will give you the chanve toseparate the fields. Just for practice try it.Excel is a really good recording/tracking tool, since it allows mathcomputations as well as text notes.Or look at atatched if it gets thru.Regards [hyperaldosteronism ] Re: francis bill BP readingsAs I am finding out it isn't quite this easy. I do have some basicknowledge of excel but it is just that. I have used other programs likeexcel but it has been a while.>> > Do you know of someone that has this chart format in Excel. Also> > would be nice to have k on it.> >> > I have updated my BP information with K on it. Maybe someone on here> > can make a chart of it.<A Francis.xls>

[Guest guest]

Dr. Grim,So you can have elevated renin w/ PA? Lori

Open excel. Copy your list to the excel page.That's a start.You can also copy your list to notepad, save that text file.Open excel and open that text file, and it will give you the chanve toseparate the fields. Just for practice try it.Excel is a really good recording/tracking tool, since it allows mathcomputations as well as text notes.Or look at atatched if it gets thru.Regards [hyperaldosteronism ] Re: francis bill BP readingsAs I am finding out it isn't quite this easy. I do have some basicknowledge of excel but it is just that. I have used other programs likeexcel but it has been a while.>> > Do you know of someone that has this chart format in Excel. Also> > would be nice to have k on it.> >> > I have updated my BP information with K on it. Maybe someone on here> > can make a chart of it.<A

Francis.xls>

[Guest guest]

Aldosterone 34.3/Renin 4.30 gives ratio.

> >

> > > Do you know of someone that has this chart format in Excel. Also

> > > would be nice to have k on it.

> > >

> > > I have updated my BP information with K on it. Maybe someone on here

> > > can make a chart of it.

> <A Francis.xls>

>

[Guest guest]

How long beteen CT and US and how long since either was done?

> > > > >

> > > > > > Do you know of someone that has this chart format in Excel. Also

> > > > > > would be nice to have k on it.

> > > > > >

> > > > > > I have updated my BP information with K on it. Maybe someone on here

> > > > > > can make a chart of it.

> > > > <A Francis.xls>

> > > >

> > >

> >

>

[Guest guest]

I have a problem with just useing the ratio. 20 is what they tell you you have

to have to have PA. This is if you are not taking meds you use the normal amount

of salt and your K is normal.

> > >

> > > > Do you know of someone that has this chart format in Excel. Also

> > > > would be nice to have k on it.

> > > >

> > > > I have updated my BP information with K on it. Maybe someone on here

> > > > can make a chart of it.

> > <A Francis.xls>

> >

>

[Guest guest]

I would ask if they would do a PET scan. Because of size of tumor I would want

to have a CT or PET done at about 6 months If no change they yearly should be

OK. It might be worth calling you insurance co. Ask to talk to there tumor

person. You can also talk to the radiologist that did the report of the CT scan.

> > > > > >

> > > > > > > Do you know of someone that has this chart format in Excel. Also

> > > > > > > would be nice to have k on it.

> > > > > > >

> > > > > > > I have updated my BP information with K on it. Maybe someone on

here

> > > > > > > can make a chart of it.

> > > > > <A Francis.xls>

> > > > >

> > > >

> > >

> >

>

[Guest guest]

Do you know any one that takes a lot of Prednisone? They most likey have

Cushing's. So if you have same SX then you have it. Not hard to be tested for

it. But you need to see what meds and food to stop 2 weeks before testing.

> > > >

> > > > > Do you know of someone that has this chart format in Excel. Also

> > > > > would be nice to have k on it.

> > > > >

> > > > > I have updated my BP information with K on it. Maybe someone on here

> > > > > can make a chart of it.

> > > <A Francis.xls>

> > >

> >

>

[Guest guest]

My problem is useing to ratio of 20 when tested on meds. Even off meds This

ratio can still miss some.

Mayo says the cost to test is $200 maybe if more test were done this cost wound

come down. Even at $200 still might be cheaper then giving meds that don't

work.

> > > > >

> > > > > > Do you know of someone that has this chart format in Excel.

> > Also

> > > > > > would be nice to have k on it.

> > > > > >

> > > > > > I have updated my BP information with K on it. Maybe

> > someone on here

> > > > > > can make a chart of it.

> > > > <A Francis.xls>

> > > >

> > >

> >

> >

>

[Guest guest]

Are you saying if first time CT shows tumor of 4 cm or bigger no need to have

more CT done?

> > > > > > > >

> > > > > > > > > Do you know of someone that has this chart format in

> > Excel. Also

> > > > > > > > > would be nice to have k on it.

> > > > > > > > >

> > > > > > > > > I have updated my BP information with K on it. Maybe

> > someone on here

> > > > > > > > > can make a chart of it.

> > > > > > > <A Francis.xls>

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

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>

[Guest guest]

I think a PET scan should be able to tell if it is a cancer.

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>