Re: Re: Saline Sup. medical code

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I know him as well as about any other Dr. I know. Contritubted a chapter to his first book. Have traveled the world with him and ISHIB and have b een a board member of ISHB.CE Grim MDOn Jun 28, 2012, at 1:43 PM, Phyllis wrote: Dr Grim, You are the bomb! The requisition to do the heart biopsy did say granulomas vs. fibrosis Does fibrosis get better? You know Dr Saunders- he said " lets get your blood pressure under control before we start to claim other diesaeses" !!!! Phyllis 45yo AAF 20yr of BP 170/100-220/120. Previous 7 BP pills, hx. htn, chf previous EF 20% now 50%, cardiomyapathy, lvh, cva, sarcoidosis ?- no residual except I can't recall words at times, current meds Spiro 25mg daily, Benicar 20mg bid, dashing not officially diagnosed with PA but only mcb and dash work. Dr.Elijah Saunders On 6/28/2012 2:32 PM, Clarence Grim wrote: Hmm Sarcoidosis of he heart. Must be very rare. Most likely low K I am betting and fibrosis related to PA and high salt diet. Did you discuss with Dr. Saunders? Recommend you do. CE Grim MD On Jun 28, 2012, at 4:53 AM, Phyllis wrote: The MRI showed very thick muscle and that it looked like sarcoid granulomas. With the symptoms this and the MRI this is how I got the dx of sarcoidosis. Phyllis 45yo AAF 20yr of BP 170/100-220/120. Previous 7 BP pills, hx. htn, chf previous EF 20% now 50%, cardiomyapathy, lvh, cva, sarcoidosis- no residual except I can't recall words at times, current meds Spiro 25mg, Benicar 20mg bid, dashing On 6/28/2012 12:31 AM, Clarence Grim wrote: Your cArdiomyopathy was most likely due to the hypokalemia of PA. WE HAVE HAD several here who were recommended for transplant but were quickly off the list once P was DXED and rxed with MCB AND DASH. Why did they want to do a heart BX? May your pressure be low! CE Grim MS, MD Specializing in Difficult Hypertension On Jun 27, 2012, at 5:15, Phyllis <phylisrn@...> wrote: This reminds me of when I had a MRI of the heart. The insurance company wanted a particular doctor to do my heart biopsy at my hospital. I swear every time that doctor goes into the cath lab or the interventional radiology cath lab, then end up calling a code blue. =-O No thanks, Phyllis 45yo AAF 20yr of BP 170/100-220/120. Previous 7 BP pills, hx. htn, chf previous EF 20% now 50%, cardiomyapathy, lvh, cva, sarcoidosis- no residual except I can't recall words at times, current meds Spiro 25mg, Benicar 20mg bid, dashing On 6/26/2012 11:44 PM, wrote: , your comment made me smile, you should have seen my IR when he was getting ready for me to sign the release and his nurse was explaining the AVS. When I indicated I understood the process she asked if I had done it before. I explained I almost got there until I found out the IR had only done 6 in 15 years. Dr. Chang perked up and asked what Idid. I said, "I'm here". His answer, "Smart Man, we are going get along just fine!" I was Dr. Chang's 3d AVS that day! I met with a phsychritist the other day in the VA's walk-in clinic to discuss finding a new doctor. I explained that I needed someone who understood how excess cortisol might be effecting my PTSD & depression and my concern that my reduced testosterone (androgen) might be exacerbating the issue in the area of the CYP11B2/CYP11B1 genes pumping even more cortisol to interact with the sertonin and causing me to remain in constant state of stress! He wasn't offended, in fact he said, "You really know your $hit! I'm going to refer you to a doctor from DHMC who practices at the VA 1 day week. He has been treating mood disorders for years." (DHMC is the largest hospital in the area and associated with Dartmouth College.) So I may not have to start off at ground zero with this one! Any doctor that takes umbrage with you being an informed PTN is probably not your best choice, IMHO! (of course you better know your $hit!) Don't get me wrong, I'm happy to work with a "young" doctor who is learning but they better include me as part of the team! Most respect the amount of time I have spent researching this in the last 16 months or so and I often give them the same references I supply here. (Many of the "young" doctors really appreciate that!) > > > > quick question. since this group is VERY knowledgeable about the tests for PA.... Does anyone know the medical order code for the saline suppression? > > i called the insurance company tonight to make sure if this had to be approved, that it is indeed approved. the lady said she had never heard of anything like the saline suppression. so it might not need approval but i should call my doctor or the hospital and get the code. and check with them first. > > > > i am a little nervous now. i was really counting on this happening on Wednesday... > > > > i have a feeling the hospital that i am going to doesn't really do this type of test often,considering my doctor himself handled the paper work and phones calls. > > > > > > 38 yrs > > aldo 30 (?-28) > > renin .38 (.25-5.89) > > ratio 78.9 > (.9-28.9) > > Nifedipine 30 mg > > Bystolic 5mg > > CT scan normal > > Saline suppression june 27th! > > K- (3.2 thru 4.0) 3.2 was when i was training for half marathon.... 4.0 was with very little running for a few months... > > K-only low if I start to run or exercise vigorously. so i have shortened mileage and slowed pace a great deal to compensate. (a work in progress) > > BP avg 140-160's/80-100's on a good day > > >