Guest guest Posted June 27, 2012 Report Share Posted June 27, 2012 , is this what you are talking about? Dietary Patterns, Abdominal Visceral Adipose Tissue and Cardiometabolic Risk Factors in African Americans: the Heart Study. Source: http://www.ncbi.nlm.nih.gov/pubmed/22689008 > > > Â > > I am a RN in a Coronary Care Unit. I just found out another of my > co-workers had a stroke and a cornea detachment from uncontrolled high > blood pressure. He has had high blood pressure for 30 years. He also has > the LVH, CKD, and decreased EF. He was admitted to the CCU and they were > giving him norvasc, hctz, hydralazine, imdur, and labetolol 20mg q4 prn > still with bp of 150/90 or higher. He is 100lbs soak and wet so they > couldn't put it on his weight. Last I heard they called in a Nephro, and > he ordered a 24 urine. > Potassium was also low. Now how likely is it that two people from one > unit develop a rare disease? > > I have a plan and I will present it to the Chief of residents. Everyday > the residents and interns have noon conference. > I will print out Dr Grims PA evolution and present a paper on PA. This > is absolutely ridiculous and shameful that people are dying and being > maimed for lack > of a 4 dollar a month pill from Walmart. I don't understand why > physicians are forgetting about Spiro? Why? In my 20 years of HBP not > one doctor recommended Spiro. > > I have seen tons and tons of people with low potassium and uncontrolled > blood pressure. I wonder if Spiro would have helped them. > > 5yo 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 slight expressive aphasia, > current meds Spiro 25mg, Benicar 20mg bid, dashing > > Phyllis > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 27, 2012 Report Share Posted June 27, 2012 Hey that is what I get paid for. Was an also done with first renin that you can find?May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jun 27, 2012, at 11:34, <jclark24p@...> wrote: Oh, Okay - I never thought of ruling all that out before checking for PA, the #1 cause of secondry HTN as I understand it! > > > > > > > > > > > > > > > > > > > > > > > > > > > >  > > > > > > > Amazing. > > > > > > >  > > > > > > > Reminds me of being 40 years old sitting in a hospital bed > > in > > > > Lubbock Texas, supposedly one of the best heart hospitals in > > Texas, > > > > under the care of a prestigious cardiologist (And who I knew very > > > > well on a professional level) for uncontrolled HTN and hypokalemia > > > > (which is documented as not being my first time down that road), > > and > > > > I get chest CT's, echos, treadmills, you name it I get everything > > > > EXCEPT 24 hour urine, no aldo or renin check, no kidney > > > > checks, and nothing else. They even ask me a few times if I wanted > > > > something for my headache - a pain pill - that somehow never shows > > > > up x 3 seperate times where oddly the nurse was a > > > > bit more peppy though not long after they ask me if I want the > > pill > > > > (same nurse every time).....yet I go home with LVH and a > > > > "we don't know" and a new med to add on to the other > > > > 3...........ugh...... > > > > > > >  > > > > > > >  > > > > > > > Fast foward to 09/2010 in Prescott Valley AZ in the hospital > > > > for uncontrolled HTN and hypokalemia, maybe my somewhere over 10th > > > > visit to this hospital or it's ER in 2 years ALWAYS with > > > > hypokalemia and uncontrolled HTN and this time I do get a 24 hour > > > > urine - twice, and CT's, ultrasounds of my kidneys, but NO aldo or > > > > renin checked with it, just catecholamines each time, and no > > > > discussion whatsoever about my low K, though the doc talks to me a > > > > bunch about "looking" like I was in decent shape to have that > > kindÃâ > > > > €šÃ‚ of BP, and I go home with a new med to add to the > > > > other 4, but they sort of r/o pheo, and I get a "we don't > > > > know" and a present of the hydrazaline, which didn't work in the > > > > hospital or out of it and which I stop, or never take as I > > > > knew by then it didn't work and if 4 meds didn't do it I > > > > knew 5 would not. > > > > > > >  > > > > > > > Then a new cardiologist a month or two later decides that > > > > spiro is the only one I haven't tried, but with my 180/140 didn't > > > > want to wait to try it. And the rest is history. 2 doses and he > > was > > > > the Einstein in the bunch, then he had a nervous breakdown and had > > > > to stop, of course, that's how it works, so now I am looking for a > > > > new cardio. > > > > > > >  > > > > > > > But this is what were up against > > > > > > > ....so fight for your friend and help him fight for > > > > himself as we the patient, even with our medical backgrounds, > > don't > > > > want to be "that" patient we all know so I think we hold way > > > > back......but 30 years of high BP? Time to fix his > > problem. > > > > Crazy world this is. > > > > > > >  > > > > > > >  > > > > > > > > > > > > > > > > > > > > > > > > > > > Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (37) Recent Activity: New Members 5 New Files 1 Visit Your Group Switch to: Text-Only, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 27, 2012 Report Share Posted June 27, 2012 Meant aldo May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jun 27, 2012, at 15:16, Clarence Grim <lowerbp2@...> wrote: Hey that is what I get paid for. Was an also done with first renin that you can find?May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jun 27, 2012, at 11:34, <jclark24p@...> wrote: Oh, Okay - I never thought of ruling all that out before checking for PA, the #1 cause of secondry HTN as I understand it! > > > > > > > > > > > > > > > > > > > > > > > > > > > >  > > > > > > > Amazing. > > > > > > >  > > > > > > > Reminds me of being 40 years old sitting in a hospital bed > > in > > > > Lubbock Texas, supposedly one of the best heart hospitals in > > Texas, > > > > under the care of a prestigious cardiologist (And who I knew very > > > > well on a professional level) for uncontrolled HTN and hypokalemia > > > > (which is documented as not being my first time down that road), > > and > > > > I get chest CT's, echos, treadmills, you name it I get everything > > > > EXCEPT 24 hour urine, no aldo or renin check, no kidney > > > > checks, and nothing else. They even ask me a few times if I wanted > > > > something for my headache - a pain pill - that somehow never shows > > > > up x 3 seperate times where oddly the nurse was a > > > > bit more peppy though not long after they ask me if I want the > > pill > > > > (same nurse every time).....yet I go home with LVH and a > > > > "we don't know" and a new med to add on to the other > > > > 3...........ugh...... > > > > > > >  > > > > > > >  > > > > > > > Fast foward to 09/2010 in Prescott Valley AZ in the hospital > > > > for uncontrolled HTN and hypokalemia, maybe my somewhere over 10th > > > > visit to this hospital or it's ER in 2 years ALWAYS with > > > > hypokalemia and uncontrolled HTN and this time I do get a 24 hour > > > > urine - twice, and CT's, ultrasounds of my kidneys, but NO aldo or > > > > renin checked with it, just catecholamines each time, and no > > > > discussion whatsoever about my low K, though the doc talks to me a > > > > bunch about "looking" like I was in decent shape to have that > > kindÃâ > > > > €šÃ‚ of BP, and I go home with a new med to add to the > > > > other 4, but they sort of r/o pheo, and I get a "we don't > > > > know" and a present of the hydrazaline, which didn't work in the > > > > hospital or out of it and which I stop, or never take as I > > > > knew by then it didn't work and if 4 meds didn't do it I > > > > knew 5 would not. > > > > > > >  > > > > > > > Then a new cardiologist a month or two later decides that > > > > spiro is the only one I haven't tried, but with my 180/140 didn't > > > > want to wait to try it. And the rest is history. 2 doses and he > > was > > > > the Einstein in the bunch, then he had a nervous breakdown and had > > > > to stop, of course, that's how it works, so now I am looking for a > > > > new cardio. > > > > > > >  > > > > > > > But this is what were up against > > > > > > > ....so fight for your friend and help him fight for > > > > himself as we the patient, even with our medical backgrounds, > > don't > > > > want to be "that" patient we all know so I think we hold way > > > > back......but 30 years of high BP? Time to fix his > > problem. > > > > Crazy world this is. > > > > > > >  > > > > > > >  > > > > > > > > > > > > > > > > > > > > > > > > > > > Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (37) Recent Activity: New Members 5 New Files 1 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 27, 2012 Report Share Posted June 27, 2012 And you did your job over a year ago and DXed " Low Renin HTN at the minimum " . NIH did a ton of testing and confirmed PA and I was NOT on 7 different BP meds! Again, a DX is totally off issue! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > Amazing. > > > > > > > > > ÃÆ'‚ > > > > > > > > > Reminds me of being 40 years old sitting in a hospital bed > > > > in > > > > > > Lubbock Texas, supposedly one of the best heart hospitals in > > > > Texas, > > > > > > under the care of a prestigious cardiologist (And who I knew very > > > > > > well on a professional level) for uncontrolled HTN and hypokalemia > > > > > > (which is documented as not being my first time down that road), > > > > and > > > > > > I get chest CT's, echos, treadmills, you name it I get everything > > > > > > EXCEPTÃÆ'‚ 24 hour urine, no aldo or renin check, no kidney > > > > > > checks, and nothing else. They even ask me a few times if I wanted > > > > > > something for my headache - a pain pill - that somehow never shows > > > > > > up x 3 seperate timesÃÆ'‚ where oddlyÃÆ'‚ the nurse was a > > > > > > bit more peppy though not long after they ask me if I want the > > > > pill > > > > > > (same nurse every time).....yet I go home with LVH andÃÆ'‚ a > > > > > > " we don't know " and a new med to add on to the other > > > > > > 3...........ugh...... > > > > > > > > > ÃÆ'‚ > > > > > > > > > ÃÆ'‚ > > > > > > > > > Fast foward to 09/2010 in Prescott Valley AZ in the hospital > > > > > > for uncontrolled HTN and hypokalemia, maybe my somewhere over 10th > > > > > > visit to this hospital or it's ER inÃÆ'‚ 2 years ALWAYS with > > > > > > hypokalemia and uncontrolled HTN and this time I do get a 24 hour > > > > > > urine - twice, and CT's, ultrasounds of my kidneys, but NO aldo or > > > > > > renin checked with it, just catecholamines each time, and no > > > > > > discussion whatsoever about my low K, though the doc talks to me a > > > > > > bunch about " looking " like I was in decent shape to have that > > > > kindÃÆ'â > > > > > > €šÃ‚ ofÃÆ'‚ BP, and I go home with a new med to add to the > > > > > > other 4, but they sort of r/o pheo,ÃÆ'‚ and I get a " we don't > > > > > > know " and a present of the hydrazaline, which didn't work in the > > > > > > hospital or out of it and which I stop, or never take as IÃÆ'‚ > > > > > > knew by then it didn'tÃÆ'‚ work and if 4 meds didn't do it I > > > > > > knew 5 would not. > > > > > > > > > ÃÆ'‚ > > > > > > > > > Then a new cardiologist a month or two later decides that > > > > > > spiro is the only one I haven't tried, but with my 180/140 didn't > > > > > > want to wait to try it. And the rest is history. 2 doses and he > > > > was > > > > > > the Einstein in the bunch, then he had a nervous breakdown and had > > > > > > to stop, of course, that's how it works, so now I am looking for a > > > > > > new cardio. > > > > > > > > > ÃÆ'‚ > > > > > > > > > But this is what were up against > > > > > > > > > ....soÃÆ'‚ fight for your friend and help him fight for > > > > > > himself as we the patient, even with our medical backgrounds, > > > > don't > > > > > > want to be " that " patient we all know so I think we hold way > > > > > > back......but 30 years ofÃÆ'‚ high BP? Time to fix his > > > > problem. > > > > > > Crazy world this is.ÃÆ'‚ > > > > > > > > > ÃÆ'‚ > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Reply to sender | Reply to group | Reply via web post | Start a New Topic > > Messages in this topic (37) > > RECENT ACTIVITY: New Members 5 New Files 1 > > Visit Your Group > > Switch to: Text-Only, > Quote Link to comment Share on other sites More sharing options...
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