Re: having hyperaldosterone

[Guest guest]

We would like to see results of all your tests, including normal bands. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of aian_hanai am in diagnosis phase of primary hypetaldosterone. Underwent fludrocortisone suppression test recently and the aldosterone was not suppressed. Doctor not confirm the diagnosis yet. I have hypertention for7 years. Having other various symptoms including weakness, tired, palpitation, generalize pain, cramping, deppression and sweating. Do i really have PHA and what should i do to get proper treatment. Thank you.

[Guest guest]

send numbers. CE Grim MDOn Jul 8, 2012, at 6:15 AM, aian_hana wrote: i am in diagnosis phase of primary hypetaldosterone. Underwent fludrocortisone suppression test recently and the aldosterone was not suppressed. Doctor not confirm the diagnosis yet. I have hypertention for7 years. Having other various symptoms including weakness, tired, palpitation, generalize pain, cramping, deppression and sweating. Do i really have PHA and what should i do to get proper treatment. Thank you.

[Guest guest]

Please read my Evolution article and tne new one I just sent on normokalemic PA.CE Grim MDOn Jul 8, 2012, at 6:16 AM, aian_hana wrote: i am in diagnosis phase of primary hypetaldosterone. Underwent fludrocortisone suppression test recently and the aldosterone was not suppressed. Doctor not confirm the diagnosis yet. I have hypertention for7 years. Having other various symptoms including weakness, tired, palpitation, generalize pain, cramping, deppression and sweating. Do i really have PHA and what should i do to get proper treatment. Thank you.

[Guest guest]

Wonder if he did not get our intro?I think we need to design a data form that needs to be completed before we stop monitored posting? Or a story form that includes area to fill in for labs and normal ranges etc.Thoughts?Would say a lot of postings.CE Grim MDOn Jul 8, 2012, at 12:14 PM, Valarie wrote: We would like to see results of all your tests, including normal bands. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of aian_hanai am in diagnosis phase of primary hypetaldosterone. Underwent fludrocortisone suppression test recently and the aldosterone was not suppressed. Doctor not confirm the diagnosis yet. I have hypertention for7 years. Having other various symptoms including weakness, tired, palpitation, generalize pain, cramping, deppression and sweating. Do i really have PHA and what should i do to get proper treatment. Thank you.

[Guest guest]

Brilliant idea! When people post their results in one email, then the normal bands in the next, and then maybe the story in another, I have long ago deleted the first and second. It is too difficult to figure things out without all the information in one place. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim Wonder if he did not get our intro? I think we need to design a data form that needs to be completed before we stop monitored posting? Or a story form that includes area to fill in for labs and normal ranges etc. Thoughts? Would say a lot of postings. CE Grim MDOn Jul 8, 2012, at 12:14 PM, Valarie wrote: We would like to see results of all your tests, including normal bands. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of aian_hanai am in diagnosis phase of primary hypetaldosterone. Underwent fludrocortisone suppression test recently and the aldosterone was not suppressed. Doctor not confirm the diagnosis yet. I have hypertention for7 years. Having other various symptoms including weakness, tired, palpitation, generalize pain, cramping, deppression and sweating. Do i really have PHA and what should i do to get proper treatment. Thank you.

[Guest guest]

I would be happy to do it and to work on a form - something like an excel document, as I am not a computer program type of guy so I couldn't make a specific program or what not, but if you'all wouldn't mind sending me what we want on it, I would get to working on it, and certainly organize it. I bet we could make one fairly inclusive so nearly all that we talk about on here and discuss with each other could be put in and saved in/on it (I say "nearly all" we talk about 'cause there's this weird guy named who get's everyone all riled up all the time with useless banter..okay....that's a joke for those who may not read that deep or not know I am joking around - well I'm sort of joking, 'cause I do do that ) . And one that anyone or Dr G could access for data if needed.

We need a general demographic form too that could be in the welcome as an attachment - of course, it would be one that they/ we fill out only if the person approves of it and not a requirement to join - but one that we could access info about our PA journey (for research purposes) and keep in one place. Like age, race, gender, etc...and maybe some things like the first time they recall or have documented HTN, time to DX, hypokalemia, co-existing dx's, and on and on, but now it would be in an organized and accessible place.

We would like to see results of all your tests, including normal bands.

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of aian_hanai am in diagnosis phase of primary hypetaldosterone. Underwent fludrocortisone suppression test recently and the aldosterone was not suppressed. Doctor not confirm the diagnosis yet. I have hypertention for7 years. Having other various symptoms including weakness, tired, palpitation, generalize pain, cramping, deppression and sweating. Do i really have PHA and

what should i do to get proper treatment. Thank you.

[Guest guest]

That would be excellent! Sometimes I feel like I am repeating myself to get all my information in the answers I need and I always leave some important piece of information out.I finally go to the nepheologist on Tuesday to discuss salinegetting suppresion results and see if I get on MCB's. Yeah!38yrs femalerenin .14 then. 38 (.?-.5.89)Aldo ratio107.9 the. 78.9To: hyperaldosteronism From: jlkbbk2003@...Date: Sun, 8 Jul 2012 22:31:21 -0700Subject: RE: having hyperaldosterone

I would be happy to do it and to work on a form - something like an excel document, as I am not a computer program type of guy so I couldn't make a specific program or what not, but if you'all wouldn't mind sending me what we want on it, I would get to working on it, and certainly organize it. I bet we could make one fairly inclusive so nearly all that we talk about on here and discuss with each other could be put in and saved in/on it (I say " nearly all " we talk about 'cause there's this weird guy named who get's everyone all riled up all the time with useless banter..okay....that's a joke for those who may not read that deep or not know I am joking around - well I'm sort of joking, 'cause I do do that ) . And one that anyone or Dr G could access for data if needed.

We need a general demographic form too that could be in the welcome as an attachment - of course, it would be one that they/ we fill out only if the person approves of it and not a requirement to join - but one that we could access info about our PA journey (for research purposes) and keep in one place. Like age, race, gender, etc...and maybe some things like the first time they recall or have documented HTN, time to DX, hypokalemia, co-existing dx's, and on and on, but now it would be in an organized and accessible place.

--- On Mon, 7/9/12, Valarie <val@...> wrote:

From: Valarie <val@...>Subject: RE: having hyperaldosteroneTo: hyperaldosteronism Date: Monday, July 9, 2012, 12:16 AM

Brilliant idea! When people post their results in one email, then the normal bands in the next, and then maybe the story in another, I have long ago deleted the first and second. It is too difficult to figure things out without all the information in one place.

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

Wonder if he did not get our intro?

I think we need to design a data form that needs to be completed before we stop monitored posting? Or a story form that includes area to fill in for labs and normal ranges etc.

Thoughts?

Would say a lot of postings.

CE Grim MD

On Jul 8, 2012, at 12:14 PM, Valarie wrote:

We would like to see results of all your tests, including normal bands.

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of aian_hanai am in diagnosis phase of primary hypetaldosterone. Underwent fludrocortisone suppression test recently and the aldosterone was not suppressed. Doctor not confirm the diagnosis yet. I have hypertention for7 years. Having other various symptoms including weakness, tired, palpitation, generalize pain, cramping, deppression and sweating. Do i really have PHA and

what should i do to get proper treatment. Thank you.

[Guest guest]

Thank to review and reply. I am from malaysia. The aldosterone after

fludrocortison suppression test was 6.06. I dont have other result right now.

Two years ago my 24 hours urine dopamine was elevated in two occasion but the

third one was normal. The lowest potassum potassium level was 2.8. Now i am

taking slow k, prazosin, and verapamil from endocrine.

[Guest guest]

Perhaps some would like to work on developing a form that must be completed before they are taken on monitoring of their communications. If it can be set a choice of standard answers that will make it easier to work into our data base. Should contain age, gender, ethnicity Age of onset of HTNAge of first low K if everAge of first detection of adrenal mass if any. Medications that have failed to control BP up to this time and why did they fail: side effects or did not lower BP enough.Date of first renin and aldo test and the normal values for that lab.Results of 24 hr urine on same day renin and aldo were done (if any was done).Meds taken within 4 weeks of renin-aldo testing Meds on when renin aldo testing done.Symptoms: weakness, fatigue, cramps, nocturia, brain fogCE Grim MDOn Jul 8, 2012, at 10:16 PM, Valarie wrote: Brilliant idea! When people post their results in one email, then the normal bands in the next, and then maybe the story in another, I have long ago deleted the first and second. It is too difficult to figure things out without all the information in one place. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim Wonder if he did not get our intro? I think we need to design a data form that needs to be completed before we stop monitored posting? Or a story form that includes area to fill in for labs and normal ranges etc. Thoughts? Would say a lot of postings. CE Grim MDOn Jul 8, 2012, at 12:14 PM, Valarie wrote: We would like to see results of all your tests, including normal bands. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of aian_hanai am in diagnosis phase of primary hypetaldosterone. Underwent fludrocortisone suppression test recently and the aldosterone was not suppressed. Doctor not confirm the diagnosis yet. I have hypertention for7 years. Having other various symptoms including weakness, tired, palpitation, generalize pain, cramping, deppression and sweating. Do i really have PHA and what should i do to get proper treatment. Thank you.

[Guest guest]

An excel sheet is an excellent place to start. Our own database (which may have disappeared according to a) is a good example but not so easy to use in a chose an answer format. Perhaps others can work on it as well. You can down load a 30 day free trial of Filemaker Pro which I think is the best: easy, poweful and works on PCs and Macs.CE Grim MDOn Jul 8, 2012, at 10:31 PM, Bingham wrote: I would be happy to do it and to work on a form - something like an excel document, as I am not a computer program type of guy so I couldn't make a specific program or what not, but if you'all wouldn't mind sending me what we want on it, I would get to working on it, and certainly organize it. I bet we could make one fairly inclusive so nearly all that we talk about on here and discuss with each other could be put in and saved in/on it (I say "nearly all" we talk about 'cause there's this weird guy named who get's everyone all riled up all the time with useless banter..okay....that's a joke for those who may not read that deep or not know I am joking around - well I'm sort of joking, 'cause I do do that ) . And one that anyone or Dr G could access for data if needed. We need a general demographic form too that could be in the welcome as an attachment - of course, it would be one that they/ we fill out only if the person approves of it and not a requirement to join - but one that we could access info about our PA journey (for research purposes) and keep in one place. Like age, race, gender, etc...and maybe some things like the first time they recall or have documented HTN, time to DX, hypokalemia, co-existing dx's, and on and on, but now it would be in an organized and accessible place. We would like to see results of all your tests, including normal bands. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of aian_hanai am in diagnosis phase of primary hypetaldosterone. Underwent fludrocortisone suppression test recently and the aldosterone was not suppressed. Doctor not confirm the diagnosis yet. I have hypertention for7 years. Having other various symptoms including weakness, tired, palpitation, generalize pain, cramping, deppression and sweating. Do i really have PHA and what should i do to get proper treatment. Thank you.

[Guest guest]

REcommend you ask for MCBs and DASH like your life depended on it.CE Grim MDOn Jul 9, 2012, at 12:03 AM, aian_hana wrote: Thank to review and reply. I am from malaysia. The aldosterone after fludrocortison suppression test was 6.06. I dont have other result right now. Two years ago my 24 hours urine dopamine was elevated in two occasion but the third one was normal. The lowest potassum potassium level was 2.8. Now i am taking slow k, prazosin, and verapamil from endocrine.

[Guest guest]

Try this one. Help me fill in the ?????? I can't remember what is ordinarily tested in a 24-hour-urine Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim Perhaps some would like to work on developing a form that must be completed before they are taken on monitoring of their communications. If it can be set a choice of standard answers that will make it easier to work into our data base. Should contain age, gender, ethnicity Age of onset of HTNAge of first low K if everAge of first detection of adrenal mass if any. Medications that have failed to control BP up to this time and why did they fail: side effects or did not lower BP enough.Date of first renin and aldo test and the normal values for that lab.Results of 24 hr urine on same day renin and aldo were done (if any was done).Meds taken within 4 weeks of renin-aldo testing Meds on when renin aldo testing done.Symptoms: weakness, fatigue, cramps, nocturia, brain fog CE Grim MD Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (11) Recent Activity: · New Members 6 Visit Your Group Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use.

1 of 1 File(s)

Questionnaire.pdf

[Guest guest]

Dr. Grim, should the Aldo/Renin test be done while off meds? My nephrologist did a blood test on the spot while I was still on spiro and potassium supplements. Was that incorrect? It was Dr. Bakris.

[Guest guest]

Well if it suggests PA IT IS PROB OK. I have tried to teach Dr Bakris about how to test for PA ;-) and even wrote a chap for his book which should be coming out soon. He is a real expert and saw you in person, got your prior records and Hx and examined you carefully I am sure. Thus he knows your situation better thanI do. Let us know the numbers when u get them. Need a good thumbnail to keep your story separate from the other 700 here. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 9, 2012, at 19:13, Pnb B <pnb60@...> wrote:

Dr. Grim, should the Aldo/Renin test be done while off meds? My nephrologist did a blood test on the spot while I was still on spiro and potassium supplements. Was that incorrect? It was Dr. Bakris.

[Guest guest]

Val, great of putting this together!

To a minimum 24h should test Na and K and probably CATS

(dopamine/epinephrine/norepi.) & METS (metanephrine/normet.) and maybe albumin.

The professionals will correct me if I'm wrong.

This should be very comprehensive to cover PA/SCS/pheo.

>

> Try this one. Help me fill in the ?????? I can't remember what is

> ordinarily tested in a 24-hour-urine

>

>

>

> Val

>

>

>

> From: hyperaldosteronism

> [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

>

>

> Perhaps some would like to work on developing a form that must be completed

> before they are taken on monitoring of their communications. If it can be

> set a choice of standard answers that will make it easier to work into our

> data base.

>

>

>

> Should contain age, gender, ethnicity

>

> Age of onset of HTN

>

> Age of first low K if ever

>

> Age of first detection of adrenal mass if any.

>

> Medications that have failed to control BP up to this time and why did they

> fail: side effects or did not lower BP enough.

>

> Date of first renin and aldo test and the normal values for that lab.

>

> Results of 24 hr urine on same day renin and aldo were done (if any was

> done).

>

> Meds taken within 4 weeks of renin-aldo testing

>

> Meds on when renin aldo testing done.

>

> Symptoms: weakness, fatigue, cramps, nocturia, brain fog

>

>

>

> CE Grim MD

[Guest guest]

I say it was incorrect. Here is a study that explains the most liberal testing

procedure that I have seen.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3315831/?tool=pubmed

>

> Dr. Grim, should the Aldo/Renin test  be done while off meds? My nephrologist

did a blood test on the spot while I was still on spiro and potassium

supplements. Was that incorrect? It was Dr. Bakris.

>

[Guest guest]

Agree that these should be added if mass found and renin aldo testing is normal. I will work on the details. One problem is that to cover all issues in an elevated BP the questionnaire would be very large. If we could design a branching questionnaire this would be a big help and allow us to design one that is very comprehensive- but that design is not my area of expertise.Perhaps someone here is an expert at this sort of questionnaire?CE Grim MDOn Jul 9, 2012, at 10:37 PM, lvasiliu@... wrote: Val, great of putting this together! To a minimum 24h should test Na and K and probably CATS (dopamine/epinephrine/norepi.) & METS (metanephrine/normet.) and maybe albumin. The professionals will correct me if I'm wrong. This should be very comprehensive to cover PA/SCS/pheo. > > Try this one. Help me fill in the ?????? I can't remember what is > ordinarily tested in a 24-hour-urine > > > > Val > > > > From: hyperaldosteronism > [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim > > > Perhaps some would like to work on developing a form that must be completed > before they are taken on monitoring of their communications. If it can be > set a choice of standard answers that will make it easier to work into our > data base. > > > > Should contain age, gender, ethnicity > > Age of onset of HTN > > Age of first low K if ever > > Age of first detection of adrenal mass if any. > > Medications that have failed to control BP up to this time and why did they > fail: side effects or did not lower BP enough. > > Date of first renin and aldo test and the normal values for that lab. > > Results of 24 hr urine on same day renin and aldo were done (if any was > done). > > Meds taken within 4 weeks of renin-aldo testing > > Meds on when renin aldo testing done. > > Symptoms: weakness, fatigue, cramps, nocturia, brain fog > > > > CE Grim MD

[Guest guest]

Interesting article thanks Note the very high prevalence of men in the study. Czech medicine? And the very low rate of lateralizing AVS studies below "On the basis of the results of the second confirmatorytest, 39 individuals underwent AVS. Aldosteronesecretion lateralization was observed in 14 patients,three of these patients exhibited aldosterone suppressionduring the confirmatory test performed under modifiedchronic antihypertensive therapy conditions."If I interpret it correctly after a brief reading: 1. Based on saline testing off meds for 2 weeks 39 had AVS2. 14 lateralized.3. 3 of the 14 showed saline suppression during meds.So if you have unilat disease in Czech based on AVS it will be missed using saline 3/14 % = about 25% of the time.See why I recommend testing off all meds? if at all possible. Ideally one would do a renin when HTN was first Dxed before Rx is started. Ask lab to also draw aldo but not do it until renin results are back. If renin is low then do aldo. If not throw aldo out.This is a protocol I have followed in the past but not easy to set up with lab to do this all the time on my own patients. Should not be hard to do say in VA system. So when a pt is first confirmed to have an elevated BP (at least 2 (or more) measurements on at least 2 visits (or more) then one draws blood for renin and aldo before starting Rx. Lab does renin and then if low aldo. Problem solved I would think.Testing renin on everyone is expensive but when one reads the stories here it may be cost effective and patient effective. CE Grim MDCE Grim MD On Jul 10, 2012, at 7:10 AM, wrote: I say it was incorrect. Here is a study that explains the most liberal testing procedure that I have seen. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3315831/?tool=pubmed > > Dr. Grim, should the Aldo/Renin test be done while off meds? My nephrologist did a blood test on the spot while I was still on spiro and potassium supplements. Was that incorrect? It was Dr. Bakris. >

[Guest guest]

I read it that this would allow skipping only if the results were positive. If

inconclusive you had to do the normal protocal.

> > >

> > > Dr. Grim, should the Aldo/Renin test be done while off meds? My

> > nephrologist did a blood test on the spot while I was still on spiro

> > and potassium supplements. Was that incorrect? It was Dr. Bakris.

> > >

> >

> >

>

[Guest guest]

That's not an excel form is it Val? I can't tell. It looks good on my end but comes out as a WORD document.

If we do it in excel we have the ability to set it up to track/trace/and analyze data and numbers - that way say if we want an average time to diagnosis from onset or something like it we can get it to do it for us with a few button pushes.

From: Valarie <val@...>Subject: RE: having hyperaldosteronehyperaldosteronism Date: Tuesday, July 10, 2012, 2:43 PM

Your spreadsheet comes through as four spreadsheets on one page, all in very big letters and with many columns and lines hidden. Maybe you should get a PC. *joke*

I am attaching the *.doc file. I put text boxes in so people can simply type into them, save with their name and attach in an email to the group.

Remember, our purpose with this form is to get information as a new person comes in to ask questions. I've found it impossible to get story in one email, lab results in another, and then the normal bands in the third. By the time I get the third, I've forgotten what I read in the first. There are now 776 members on the list. We could be more helpful if we knew the whole story on one page.

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

Val: Good start I will look at it over next few days and send for others to look at.

Thanks

Can you send in word doc so I can import to say Excel.

We ought to look at the data base we have and I send you the excel file from a of our last retrieval which shows come of the problems with the system we started with in the system of answers. This was restricted by the site we were using.

[Guest guest]

That's reassuring to hear. The Aldo/Renin ratio was 22.5, which he said probably

does NOT indicate PA, but we are going to do a 24 urine collection in another

week. I've been off spiro for a little over a week now. I did not get a complete

breakdown of numbers from him. What should I ask for? Doesn't the spiro

normalize the aldo/renin ratio?

He asked me to eat a very high potassum diet while off spiro, and I'm finding my

blood pressure is middling but not high even without spiro. Shouldn't that be an

indication of PA? He also said he would call in an Rx for another BP drug while

I'm off spiro and hasn't done so.

I have been reading the files, and I don't understand most of what I'm reading.

I'm confused between the 24 hour urine collection and the salt suppression urine

testing. I'm I correct in believing the 24 hour urine is measuring a day's worth

of aldosterone output? What are the two tests for, and when is one or the other

indicated?

How far into testing is it prudent to go before it is definitive that I either

do or do not have PA? From what I've read here about the evolution of PA, it's

possible to have tests be negative for PA while still having PA. I may peg

myself somewhere between early stages and middle stages based on symptoms

described. It sure would go a long way toward explaining what has happened to

me, but if I don't have PA what do I have?

a

51 yo female

Dx HTN 2006

Dx possible PA in March 2012

ON Spironolactone since March 2012

K March 2012 3.2 currently 3.9 on Thrive diet (high K Vegan)

Aldo/Renin ratio 22.5

Pending 24 hour urine.

>

> > Dr. Grim, should the Aldo/Renin test be done while off meds? My

nephrologist did a blood test on the spot while I was still on spiro and

potassium supplements. Was that incorrect? It was Dr. Bakris.

> >

>

[Guest guest]

That's reassuring to hear. The Aldo/Renin ratio was 22.5, which he said probably

does NOT indicate PA, but we are going to do a 24 urine collection in another

week. I've been off spiro for a little over a week now. I did not get a complete

breakdown of numbers from him. What should I ask for? Doesn't the spiro

normalize the aldo/renin ratio?

He asked me to eat a very high potassum diet while off spiro, and I'm finding my

blood pressure is middling but not high even without spiro. Shouldn't that be an

indication of PA? He also said he would call in an Rx for another BP drug while

I'm off spiro and hasn't done so.

I have been reading the files, and I don't understand most of what I'm reading.

I'm confused between the 24 hour urine collection and the salt suppression urine

testing. I'm I correct in believing the 24 hour urine is measuring a day's worth

of aldosterone output? What are the two tests for, and when is one or the other

indicated?

How far into testing is it prudent to go before it is definitive that I either

do or do not have PA? From what I've read here about the evolution of PA, it's

possible to have tests be negative for PA while still having PA. I may peg

myself somewhere between early stages and middle stages based on symptoms

described. It sure would go a long way toward explaining what has happened to

me, but if I don't have PA what do I have?

a

51 yo female

Dx HTN 2006

Dx possible PA in March 2012

ON Spironolactone since March 2012

K March 2012 3.2 currently 3.9 on Thrive diet (high K Vegan)

Aldo/Renin ratio 22.5

Pending 24 hour urine.

>

> > Dr. Grim, should the Aldo/Renin test be done while off meds? My

nephrologist did a blood test on the spot while I was still on spiro and

potassium supplements. Was that incorrect? It was Dr. Bakris.

> >

>

[Guest guest]

The number of doctors that they have specifically seen since first onset of and for the HTN would be helpful if we can remember.

Just thinking of some maybes.....

- # of Hospitalizations related to HTN also.

- Maximum number of HTN related medications at any one time (many of us had been on 5 at once - but not an MCB)

- siblings, parents, with HTN and/or hypokalemia and /or ????

- it would be nice to attempt to track in some form past professional / occupational history or exposures, or anything to see if by chance any links some day are I'D. Thats alot more work, but something to think about.

Try this one. Help me fill in the ?????? I can't remember what is ordinarily tested in a 24-hour-urine

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

Perhaps some would like to work on developing a form that must be completed before they are taken on monitoring of their communications. If it can be set a choice of standard answers that will make it easier to work into our data base.

Should contain age, gender, ethnicity

Age of onset of HTN

Age of first low K if ever

Age of first detection of adrenal mass if any.

Medications that have failed to control BP up to this time and why did they fail: side effects or did not lower BP enough.

Date of first renin and aldo test and the normal values for that lab.

Results of 24 hr urine on same day renin and aldo were done (if any was done).

Meds taken within 4 weeks of renin-aldo testing

Meds on when renin aldo testing done.

Symptoms: weakness, fatigue, cramps, nocturia, brain fog

CE Grim MD

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[Guest guest]

Yes it is a problem with what we can download. I need to find out if our survey database can be imported into FileMaker Pro. If u need a data base for anything u should down load free trial of FileMaker pro. You will love it. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 10, 2012, at 12:43, Valarie <val@...> wrote:

Your spreadsheet comes through as four spreadsheets on one page, all in very big letters and with many columns and lines hidden. Maybe you should get a PC. *joke* I am attaching the *.doc file. I put text boxes in so people can simply type into them, save with their name and attach in an email to the group. Remember, our purpose with this form is to get information as a new person comes in to ask questions. I've found it impossible to get story in one email, lab results in another, and then the normal bands in

the third. By the time I get the third, I've forgotten what I read in the first. There are now 776 members on the list. We could be more helpful if we knew the whole story on one page. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim Val: Good start I will look at it over next few days and send for others to look at. Thanks Can you send in word doc so I can import to say Excel. We ought to look at the data base we have and I send you the excel file from a of our last retrieval which shows come of the problems with the system we started with in the system of answers. This was restricted by the site we were using.

<Questionnaire.doc>

[Guest guest]

Yes it is a problem with what we can download. I need to find out if our survey database can be imported into FileMaker Pro. If u need a data base for anything u should down load free trial of FileMaker pro. You will love it. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 10, 2012, at 12:43, Valarie <val@...> wrote:

Your spreadsheet comes through as four spreadsheets on one page, all in very big letters and with many columns and lines hidden. Maybe you should get a PC. *joke* I am attaching the *.doc file. I put text boxes in so people can simply type into them, save with their name and attach in an email to the group. Remember, our purpose with this form is to get information as a new person comes in to ask questions. I've found it impossible to get story in one email, lab results in another, and then the normal bands in

the third. By the time I get the third, I've forgotten what I read in the first. There are now 776 members on the list. We could be more helpful if we knew the whole story on one page. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim Val: Good start I will look at it over next few days and send for others to look at. Thanks Can you send in word doc so I can import to say Excel. We ought to look at the data base we have and I send you the excel file from a of our last retrieval which shows come of the problems with the system we started with in the system of answers. This was restricted by the site we were using.

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