Re: Natalia Kamneva 66 Russian F with left adrenal adenoma, HTN, low renin, low aldesteron and high cortisol.

[Guest guest]

CREATININE, URINE 23.0 ug/LCREATININE, UR 24HR 138.0 L ug/L Many thanks.To: hyperaldosteronism Cc: Clarence Grim Sent: Wed, February 16, 2011 8:47:08 PMSubject: Re: Natalia Kamneva 66 Russian F with left adrenal adenoma, HTN, low renin, low aldesteron and high cortisol.

Still need the urine creatinine from that test.CE Grim MDThis test was done 3 months ago when I was in a hospital with a very high blood pressure and in a very bad condition. Now I

eventually learned what test I need to ask my PCP to repeat to confirm that I am better.Thank you very much. To: "hyperaldosteronism " <hyperaldosteronism >Cc: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, February 15, 2011 8:44:41 PMSubject: Re: Natalia Kamneva 66 Russian F with left adrenal adenoma, HTN, low renin, low aldesteron and high cortisol. Seems like a very small urine volume. Did you miss any of the ]24 hr sample? It was a 24 hr collection right? What arethe norms for ur lab. U are not DASHING or u would have more K in urine than NA. FIND OUT WHERE THE NA IS COMING FROM. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Does it look right now: Potassium Random Urine (mmol/L) 26.4 Sodium Random Urine (30-90 mmol/L) 58 Cortisol, F, UG/L,U

57 Cortisol,F, UG/24HR,U 34 Total Volume 600 Many thanks everybody. Natalia Kamneva 66 Russian F with left 1.5 sm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4. To: hyperaldosteronism Sent: Sat, February 12, 2011 10:04:24 PMSubject: RE: Natalia Kamneva 66 Russian F with left adrenal adenoma, HTN, low renin, low aldesteron and high cortisol. Natalia's last three numbers are blood, not urine. Val From: hyperaldosteronism Here it's, D r. Grim: creatinine excretion 0.76 [0.80 - 1.80] g/24hrSodium 122

135-146 MMOL/LPotassium 3.9 & n bsp; 3.5 - 5.3 MMOL/LChloride 86

98-110 MMOL/L

[Guest guest]

Val, I completely agree. I try to find a doctor who is knowledgeable in this problem in Pittsburgh. Nevertheless, eplerenon 50mg +micardis 160 mg a day work very well for me. I almost don't have these bad symptoms of PA and my BP not ideal yet, but about 140/80. And I read the article "Efficacy of low-dose spironolactone in subjects with resistant hypertension" and I think probably it's exactly about me. Thank you very much for all your help. NataliaTo: hyperaldosteronism Sent: Wed, February 16, 2011 10:15:30 PMSubject: RE: Natalia Kamneva 66 Russian F with left adrenal adenoma, HTN, low renin, low aldesteron and high cortisol.

Natalia,

with low renin and low aldo, I'm not even sure you have PA, especially since

too much Inspra causes your BP to go higher.

You need to get to a center where en expert can get to the bottoms of

what's going on with you.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Natalia Kamneva

This

test was done 3 months ago when I was in a hospital with a very high blood

pressure and in a very bad condition.

Now I eventually learned what test I need to ask my PCP to repeat to

confirm that I am better.

Thank you very much.

Seems

like a very small urine volume. Did you miss any of the ]24 hr sample? It

was a 24 hr collection right? What arethe norms for ur lab.

U

are not DASHING or u would have more K in urine than NA. FIND OUT WHERE THE NA

IS COMING FROM.

On Feb 15, 2011, at 5:53 PM, Natalia Kamneva

wrote:

Does

it look right now:

Potassium

Random

Urine (mmol/L)

26.4

Sodium

Random Urine (30-90

mmol/L) 58

Cortisol,

F, UG/L,U

57

Cortisol,F,

UG/24HR,U

34

Total

Volume

600

Many

thanks everybody.

..

[Guest guest]

Yes, that's what I just said! I do respond very well to eplerenone. And note, I didn't respond, even opposite to beta blockers and calcium channel blockers. Many thanks!To: hyperaldosteronism Cc: Clarence Grim Sent: Wed, February 16, 2011 10:43:52 PMSubject: Re: Natalia Kamneva 66 Russian F with left adrenal adenoma, HTN, low renin, low aldesteron and high cortisol.

She may have AME but should respond to spiro or inspra for BP unless she is out salting it.CE Grim MDNatalia, with low renin and low aldo, I'm not even sure you have PA, especially since too much Inspra causes your BP to go

higher. You need to get to a center where en expert can get to the bottoms of what's going on with you. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Natalia Kamneva This test was done 3 months ago when I was in a hospital with a very high blood pressure and in a very bad condition. Now I eventually learned what test I need to ask my PCP to repeat to confirm that I am better.Thank you very much. Seems like a very small urine volume. Did you miss any of the ]24 hr sample? It was a 24 hr collection right? What arethe norms for ur lab. U are not DASHING or u would have more

K in urine than NA. FIND OUT WHERE THE NA IS COMING FROM. Does it look right now: Potassium Random Urine (mmol/L) 26.4 Sodium Random Urine (30-90 mmol/L) 58 Cortisol, F, UG/L,U 57 Cortisol,F,

UG/24HR,U 34 Total Volume 600 Many thanks everybody. .

[Guest guest]

Once again always say spiro AND low salt as noted in Bravo's articles and my rantings.You can outsalt spiro or eplerenone.CE Grim MDVal, I completely agree. I try to find a doctor who is knowledgeable in this problem in Pittsburgh. Nevertheless, eplerenon 50mg +micardis 160 mg a day work very well for me. I almost don't have these bad symptoms of PA and my BP not ideal yet, but about 140/80. And I read the article "Efficacy of low-dose spironolactone in subjects with resistant hypertension" and I think probably it's exactly about me. Thank you very much for all your help. NataliaTo: hyperaldosteronism Sent: Wed, February 16, 2011 10:15:30 PMSubject: RE: Natalia Kamneva 66 Russian F with left adrenal adenoma, HTN, low renin, low aldesteron and high cortisol. Natalia, with low renin and low aldo, I'm not even sure you have PA, especially since too much Inspra causes your BP to go higher. You need to get to a center where en expert can get to the bottoms of what's going on with you. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Natalia Kamneva This test was done 3 months ago when I was in a hospital with a very high blood pressure and in a very bad condition. Now I eventually learned what test I need to ask my PCP to repeat to confirm that I am better.Thank you very much. Seems like a very small urine volume. Did you miss any of the ]24 hr sample? It was a 24 hr collection right? What arethe norms for ur lab. U are not DASHING or u would have more K in urine than NA. FIND OUT WHERE THE NA IS COMING FROM. Does it look right now: Potassium Random Urine (mmol/L) 26.4 Sodium Random Urine (30-90 mmol/L) 58 Cortisol, F, UG/L,U 57 Cortisol,F, UG/24HR,U 34 Total Volume 600 Many thanks everybody. .

[Guest guest]

The echo is good in here. Might be time to re read my Evolution article. CE Grim MDYes, that's what I just said! I do respond very well to eplerenone. And note, I didn't respond, even opposite to beta blockers and calcium channel blockers. Many thanks!To: hyperaldosteronism Cc: Clarence Grim Sent: Wed, February 16, 2011 10:43:52 PMSubject: Re: Natalia Kamneva 66 Russian F with left adrenal adenoma, HTN, low renin, low aldesteron and high cortisol. She may have AME but should respond to spiro or inspra for BP unless she is out salting it.CE Grim MDNatalia, with low renin and low aldo, I'm not even sure you have PA, especially since too much Inspra causes your BP to go higher. You need to get to a center where en expert can get to the bottoms of what's going on with you. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Natalia Kamneva This test was done 3 months ago when I was in a hospital with a very high blood pressure and in a very bad condition. Now I eventually learned what test I need to ask my PCP to repeat to confirm that I am better.Thank you very much. Seems like a very small urine volume. Did you miss any of the ]24 hr sample? It was a 24 hr collection right? What arethe norms for ur lab. U are not DASHING or u would have more K in urine than NA. FIND OUT WHERE THE NA IS COMING FROM. Does it look right now: Potassium Random Urine (mmol/L) 26.4 Sodium Random Urine (30-90 mmol/L) 58 Cortisol, F, UG/L,U 57 Cortisol,F, UG/24HR,U 34 Total Volume 600 Many thanks everybody. .

[Guest guest]

After awhile it all become clear.CE Grim MDYes, yes, yes. I reread it many times as believers reread the Bible. To: hyperaldosteronism Cc: Clarence Grim Sent: Thu, February 17, 2011 8:27:13 PMSubject: Re: Natalia Kamneva 66 Russian F with left adrenal adenoma, HTN, low renin, low aldesteron and high cortisol. The echo is good in here. Might be time to re read my Evolution article. CE Grim MDYes, that's what I just said! I do respond very well to eplerenone. And note, I didn't respond, even opposite to beta blockers and calcium channel blockers. Many thanks!To: hyperaldosteronism Cc: Clarence Grim Sent: Wed, February 16, 2011 10:43:52 PMSubject: Re: Natalia Kamneva 66 Russian F with left adrenal adenoma, HTN, low renin, low aldesteron and high cortisol. She may have AME but should respond to spiro or inspra for BP unless she is out salting it.CE Grim MDNatalia, with low renin and low aldo, I'm not even sure you have PA, especially since too much Inspra causes your BP to go higher. You need to get to a center where en expert can get to the bottoms of what's going on with you. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Natalia Kamneva This test was done 3 months ago when I was in a hospital with a very high blood pressure and in a very bad condition. Now I eventually learned what test I need to ask my PCP to repeat to confirm that I am better.Thank you very much. Seems like a very small urine volume. Did you miss any of the ]24 hr sample? It was a 24 hr collection right? What arethe norms for ur lab. U are not DASHING or u would have more K in urine than NA. FIND OUT WHERE THE NA IS COMING FROM. Does it look right now: Potassium Random Urine (mmol/L) 26.4 Sodium Random Urine (30-90 mmol/L) 58 Cortisol, F, UG/L,U 57 Cortisol,F, UG/24HR,U 34 Total Volume 600 Many thanks everybody. .