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Re: JC in NIH - protocol 00-CH-0160

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Tonight is a research night, like last night. I get 3 hours off while I take a

break when the new bp med takes full effect 2 1/2 hours after I take it. I

started it right last night according to Dr. Stowasser etal. and it appears to

have had little effect. (He recommended starting at 1-2mg and she started me at

5mg, This is the Endo that knows all about HTN and refused my request to see a

Card. She is supposed to come by tomorrow and we will talk about it. She will

probably learn the proper way to take a BP reading since nobody has done it

correctly yet. If we are going to be following the rules we are going to follow

ALL the rules! (I accused them of not following the accepted protocol today and

didn't that cause a meeting. Head researcher (who I like a lot and have a lot

of respect for) and fellow who is responsibile for my medical care (she is a

very nice lady but I have less respect for because she does not think she needs

to work on low oxygen, low T and LVH " because it is not part of the protocol " !)

I Suspect she will know the correct way that the AHA, DOD/VA and Hypertension

Primer (fourth edition)recommend to take a BP after our meeting! I'll bet she

will understand there is a difference between the correct way and the quick way,

if you can't take a correct BP reading, how can you decide how many adrenals to

remove (hint, we have canceled the AVS!) I may have even asked them if they

were " adrenal farming " !

Stay tuned! (, you might want to procced with descrition!)

.....

SNIP

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Why no AVS? Does this now mean you don't want surgery?

>

> Tonight is a research night, like last night. I get 3 hours off while I take

a break when the new bp med takes full effect 2 1/2 hours after I take it. I

started it right last night according to Dr. Stowasser etal. and it appears to

have had little effect. (He recommended starting at 1-2mg and she started me at

5mg, This is the Endo that knows all about HTN and refused my request to see a

Card. She is supposed to come by tomorrow and we will talk about it. She will

probably learn the proper way to take a BP reading since nobody has done it

correctly yet. If we are going to be following the rules we are going to follow

ALL the rules! (I accused them of not following the accepted protocol today and

didn't that cause a meeting. Head researcher (who I like a lot and have a lot

of respect for) and fellow who is responsibile for my medical care (she is a

very nice lady but I have less respect for because she does not think she needs

to work on low oxygen, low T and LVH " because it is not part of the protocol " !)

I Suspect she will know the correct way that the AHA, DOD/VA and Hypertension

Primer (fourth edition)recommend to take a BP after our meeting! I'll bet she

will understand there is a difference between the correct way and the quick way,

if you can't take a correct BP reading, how can you decide how many adrenals to

remove (hint, we have canceled the AVS!) I may have even asked them if they

were " adrenal farming " !

>

> Stay tuned! (, you might want to procced with descrition!)

>

> ....

>

>

>

>

> SNIP

>

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I would recommend that the director call Shared Care Research and Education Inc. (my wife's company) will come to train and standardize them and will do a train the trainer. AHA recommends this every 6 months BTW. They can contact her at sharedcareresearch@.... She has trained more people in BP measurement than anyone else in the world and was on the AHA committee that wrote the guidelines the time before this. She does the quality control for BP measurement for the NHANES exam sites and has trained for many NIH studies.CE Grim MD On Apr 7, 2012, at 5:48 AM, wrote: Tonight is a research night, like last night. I get 3 hours off while I take a break when the new bp med takes full effect 2 1/2 hours after I take it. I started it right last night according to Dr. Stowasser etal. and it appears to have had little effect. (He recommended starting at 1-2mg and she started me at 5mg, This is the Endo that knows all about HTN and refused my request to see a Card. She is supposed to come by tomorrow and we will talk about it. She will probably learn the proper way to take a BP reading since nobody has done it correctly yet. If we are going to be following the rules we are going to follow ALL the rules! (I accused them of not following the accepted protocol today and didn't that cause a meeting. Head researcher (who I like a lot and have a lot of respect for) and fellow who is responsibile for my medical care (she is a very nice lady but I have less respect for because she does not think she needs to work on low oxygen, low T and LVH "because it is not part of the protocol"!) I Suspect she will know the correct way that the AHA, DOD/VA and Hypertension Primer (fourth edition)recommend to take a BP after our meeting! I'll bet she will understand there is a difference between the correct way and the quick way, if you can't take a correct BP reading, how can you decide how many adrenals to remove (hint, we have canceled the AVS!) I may have even asked them if they were "adrenal farming"! Stay tuned! (, you might want to procced with descrition!) .... SNIP

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If you can provide details on their methods I would be happy to send a letter to them but not identify you if you wish.On Apr 7, 2012, at 5:48 AM, wrote: Tonight is a research night, like last night. I get 3 hours off while I take a break when the new bp med takes full effect 2 1/2 hours after I take it. I started it right last night according to Dr. Stowasser etal. and it appears to have had little effect. (He recommended starting at 1-2mg and she started me at 5mg, This is the Endo that knows all about HTN and refused my request to see a Card. She is supposed to come by tomorrow and we will talk about it. She will probably learn the proper way to take a BP reading since nobody has done it correctly yet. If we are going to be following the rules we are going to follow ALL the rules! (I accused them of not following the accepted protocol today and didn't that cause a meeting. Head researcher (who I like a lot and have a lot of respect for) and fellow who is responsibile for my medical care (she is a very nice lady but I have less respect for because she does not think she needs to work on low oxygen, low T and LVH "because it is not part of the protocol"!) I Suspect she will know the correct way that the AHA, DOD/VA and Hypertension Primer (fourth edition)recommend to take a BP after our meeting! I'll bet she will understand there is a difference between the correct way and the quick way, if you can't take a correct BP reading, how can you decide how many adrenals to remove (hint, we have canceled the AVS!) I may have even asked them if they were "adrenal farming"! Stay tuned! (, you might want to procced with descrition!) .... SNIP

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yeah, , why no AVS?

> >

> > Tonight is a research night, like last night. I get 3 hours off while I

take a break when the new bp med takes full effect 2 1/2 hours after I take it.

I started it right last night according to Dr. Stowasser etal. and it appears to

have had little effect. (He recommended starting at 1-2mg and she started me at

5mg, This is the Endo that knows all about HTN and refused my request to see a

Card. She is supposed to come by tomorrow and we will talk about it. She will

probably learn the proper way to take a BP reading since nobody has done it

correctly yet. If we are going to be following the rules we are going to follow

ALL the rules! (I accused them of not following the accepted protocol today and

didn't that cause a meeting. Head researcher (who I like a lot and have a lot

of respect for) and fellow who is responsibile for my medical care (she is a

very nice lady but I have less respect for because she does not think she needs

to work on low oxygen, low T and LVH " because it is not part of the protocol " !)

I Suspect she will know the correct way that the AHA, DOD/VA and Hypertension

Primer (fourth edition)recommend to take a BP after our meeting! I'll bet she

will understand there is a difference between the correct way and the quick way,

if you can't take a correct BP reading, how can you decide how many adrenals to

remove (hint, we have canceled the AVS!) I may have even asked them if they

were " adrenal farming " !

> >

> > Stay tuned! (, you might want to procced with descrition!)

> >

> > ....

> >

> >

> >

> >

> > SNIP

> >

>

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Dr Stowasser was right. The problem was with the improper titration of

hydralizine. The increase ended up from 10mg bid to 25 mg 4 times a day and my

BP went to 110/61. She will understand that is not a " good blood preasure "

(Must be my body didn't approve and she knows now I didn't. We will probably

discuss Accord and J-Curve. She now needs approval from " the rat " of any

changes! (better not kill the rat until you get what you want!

>

> > Tonight is a research night, like last night. I get 3 hours off

> > while I take a break when the new bp med takes full effect 2 1/2

> > hours after I take it. I started it right last night according to

> > Dr. Stowasser etal. and it appears to have had little effect. (He

> > recommended starting at 1-2mg and she started me at 5mg, This is the

> > Endo that knows all about HTN and refused my request to see a Card.

> > She is supposed to come by tomorrow and we will talk about it. She

> > will probably learn the proper way to take a BP reading since nobody

> > has done it correctly yet. If we are going to be following the rules

> > we are going to follow ALL the rules! (I accused them of not

> > following the accepted protocol today and didn't that cause a

> > meeting. Head researcher (who I like a lot and have a lot of respect

> > for) and fellow who is responsibile for my medical care (she is a

> > very nice lady but I have less respect for because she does not

> > think she needs to work on low oxygen, low T and LVH " because it is

> > not part of the protocol " !) I Suspect she will know the correct way

> > that the AHA, DOD/VA and Hypertension Primer (fourth

> > edition)recommend to take a BP after our meeting! I'll bet she will

> > understand there is a difference between the correct way and the

> > quick way, if you can't take a correct BP reading, how can you

> > decide how many adrenals to remove (hint, we have canceled the AVS!)

> > I may have even asked them if they were " adrenal farming " !

> >

> > Stay tuned! (, you might want to procced with descrition!)

> >

> > ....

> >

> > SNIP

> >

> >

>

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Francis, No, I have made no decision! Maggie, will discuss after meeting

tomorrow that will include NO DAMN CELL PHONES in the meeting or I will walk out

and me and my puppy will be headed north (but he caught the easter bunny I

talked about earlier.

> > >

> > > Tonight is a research night, like last night. I get 3 hours off while I

take a break when the new bp med takes full effect 2 1/2 hours after I take it.

I started it right last night according to Dr. Stowasser etal. and it appears to

have had little effect. (He recommended starting at 1-2mg and she started me at

5mg, This is the Endo that knows all about HTN and refused my request to see a

Card. She is supposed to come by tomorrow and we will talk about it. She will

probably learn the proper way to take a BP reading since nobody has done it

correctly yet. If we are going to be following the rules we are going to follow

ALL the rules! (I accused them of not following the accepted protocol today and

didn't that cause a meeting. Head researcher (who I like a lot and have a lot

of respect for) and fellow who is responsibile for my medical care (she is a

very nice lady but I have less respect for because she does not think she needs

to work on low oxygen, low T and LVH " because it is not part of the protocol " !)

I Suspect she will know the correct way that the AHA, DOD/VA and Hypertension

Primer (fourth edition)recommend to take a BP after our meeting! I'll bet she

will understand there is a difference between the correct way and the quick way,

if you can't take a correct BP reading, how can you decide how many adrenals to

remove (hint, we have canceled the AVS!) I may have even asked them if they

were " adrenal farming " !

> > >

> > > Stay tuned! (, you might want to procced with descrition!)

> > >

> > > ....

> > >

> > >

> > >

> > >

> > > SNIP

> > >

> >

>

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