Re: Question about PA diagnosis if ratio not high

[Guest guest]

They would have to do the salt loading test. Do you have her aldo and renin test

numbers with lab ranges? Dr grim can give his input based on this.

>

> If that is the case, then how would I be able to tell if PA is the potential

> diagnosis?

>

> Thanks,

>

> Cindi

>

>

>

> From: hyperaldosteronism

> [mailto:hyperaldosteronism ] On Behalf Of Francis Bill

> SUSPECTED PA

> Sent: Wednesday, April 13, 2011 9:36 PM

> To: hyperaldosteronism

> Subject: Re: Any thoughts on mercury and PA etc?

>

>

>

>

>

> A cut off point of 20 for the ratio excludes at least 5% of those that have

> PA. Your daughter could be one of the 5%.

>

>

>

>

> _

>

[Guest guest]

What was urine NA AND K excretion on the day the Aldo and renin was done and what meds were u on. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

They would have to do the salt loading test. Do you have her aldo and renin test numbers with lab ranges? Dr grim can give his input based on this.

>

> If that is the case, then how would I be able to tell if PA is the potential

> diagnosis?

>

> Thanks,

>

> Cindi

>

>

>

> From: hyperaldosteronism

> [mailto:hyperaldosteronism ] On Behalf Of Francis Bill

> SUSPECTED PA

> Sent: Wednesday, April 13, 2011 9:36 PM

> To: hyperaldosteronism

> Subject: Re: Any thoughts on mercury and PA etc?

>

>

>

>

>

> A cut off point of 20 for the ratio excludes at least 5% of those that have

> PA. Your daughter could be one of the 5%.

>

>

>

>

> _

>

[Guest guest]

I have the same case- my aldo is low, renin is low and ratio is normal. I just followed the recommendations of Dr. Grim and started on 50 mg of eplerenon and BINGO!!!

Nobody diagnosed me with PA.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

To: hyperaldosteronism Sent: Wed, April 13, 2011 11:09:39 PMSubject: Question about PA diagnosis if ratio not high

If that is the case, then how would I be able to tell if PA is the potential diagnosis?

Thanks,

Cindi

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Francis Bill SUSPECTED PASent: Wednesday, April 13, 2011 9:36 PMTo: hyperaldosteronism Subject: Re: Any thoughts on mercury and PA etc?

A cut off point of 20 for the ratio excludes at least 5% of those that have PA. Your daughter could be one of the 5%.

_

[Guest guest]

Hi Natalia,

How did you manage to get Epler? did your doc just agree with you on PA, or s/he really diagnosed you with PA?

Max.

I have the same case- my aldo is low, renin is low and ratio is normal. I just followed the recommendations of Dr. Grim and started on 50 mg of eplerenon and BINGO!!!

Nobody diagnosed me with PA.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

[Guest guest]

I have chosen the young doctor with Muslim name as my new PCP, who could not let himself lose patients. When I came to visit him the first time my BP was 180/110 and he immediately said: "I have a new very good medication for you."

I went through that many times already and this time I was prepared. I said:

"No way. You will prescribe me this medication and I gave him a post-it with Eplerenon written on it".

He looked on it, looked on me. It seemed to me that he never heard about this medication. Then he looked at his computer and, I think, figured out that it's a BP medication. Then he asked: "What dosage?" I told: "100 mg."

I got the prescription. During my next visit to him in three weeks, my BP was 150/80, in three more weeks it was 130/70. I never had such BP for as long as I test it, it's more than 30 years.

It still there after 4 months!!!!! And I don't have any intentions to do all these complicated tests to confirm my diagnose. I even not sure that I have PA. But recently I have done 24 urine, cup urine and blood test and all of them seems normal.

Any good advises?

Best regards,

Natasha

To: hyperaldosteronism Sent: Mon, April 18, 2011 6:56:41 PMSubject: RE: Question about PA diagnosis if ratio not high

Hi Natalia,

How did you manage to get Epler? did your doc just agree with you on PA, or s/he really diagnosed you with PA?

Max.

I have the same case- my aldo is low, renin is low and ratio is normal. I just followed the recommendations of Dr. Grim and started on 50 mg of eplerenon and BINGO!!!

Nobody diagnosed me with PA.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

[Guest guest]

Natalia,

You must be recognized internationally as the cutest PA patient! Amazing medically entertaining experience for all new graduate doctors.

Max.

I have chosen the young doctor with Muslim name as my new PCP, who could not let himself lose patients. When I came to visit him the first time my BP was 180/110 and he immediately said: "I have a new very good medication for you."

I went through that many times already and this time I was prepared. I said:

"No way. You will prescribe me this medication and I gave him a post-it with Eplerenon written on it".

He looked on it, looked on me. It seemed to me that he never heard about this medication. Then he looked at his computer and, I think, figured out that it's a BP medication. Then he asked: "What dosage?" I told: "100 mg."

I got the prescription. During my next visit to him in three weeks, my BP was 150/80, in three more weeks it was 130/70. I never had such BP for as long as I test it, it's more than 30 years.

It still there after 4 months!!!!! And I don't have any intentions to do all these complicated tests to confirm my diagnose. I even not sure that I have PA. But recently I have done 24 urine, cup urine and blood test and all of them seems normal.

Any good advises?

Best regards,

Natasha

To: hyperaldosteronism Sent: Mon, April 18, 2011 6:56:41 PMSubject: RE: Question about PA diagnosis if ratio not high

Hi Natalia,

How did you manage to get Epler? did your doc just agree with you on PA, or s/he really diagnosed you with PA?

Max.

I have the same case- my aldo is low, renin is low and ratio is normal. I just followed the recommendations of Dr. Grim and started on 50 mg of eplerenon and BINGO!!!

Nobody diagnosed me with PA.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

[Guest guest]

Thank you !!!

Not even only new graduate ones:-) Recently I finally visited my very experienced (this time Jewish) endo and he was really very suprised with my 125/75, since he remembered how he battled two times in a hospital with my 245/135 and he said he never saw such a progress in his life!!! Finally he agreed to take a look at my medical records from 2 times 3 weeks in a hospital and I hope now that I will make him to read Dr. Grim articles and diagnose me. Maybe :-)

Best regards,

Natasha

To: hyperaldosteronism Sent: Mon, April 18, 2011 7:36:26 PMSubject: RE: Question about PA diagnosis if ratio not high

Natalia,

You must be recognized internationally as the cutest PA patient! Amazing medically entertaining experience for all new graduate doctors.

Max.

I have chosen the young doctor with Muslim name as my new PCP, who could not let himself lose patients. When I came to visit him the first time my BP was 180/110 and he immediately said: "I have a new very good medication for you."

I went through that many times already and this time I was prepared. I said:

"No way. You will prescribe me this medication and I gave him a post-it with Eplerenon written on it".

He looked on it, looked on me. It seemed to me that he never heard about this medication. Then he looked at his computer and, I think, figured out that it's a BP medication. Then he asked: "What dosage?" I told: "100 mg."

I got the prescription. During my next visit to him in three weeks, my BP was 150/80, in three more weeks it was 130/70. I never had such BP for as long as I test it, it's more than 30 years.

It still there after 4 months!!!!! And I don't have any intentions to do all these complicated tests to confirm my diagnose. I even not sure that I have PA. But recently I have done 24 urine, cup urine and blood test and all of them seems normal.

Any good advises?

Best regards,

Natasha

To: hyperaldosteronism Sent: Mon, April 18, 2011 6:56:41 PMSubject: RE: Question about PA diagnosis if ratio not high

Hi Natalia,

How did you manage to get Epler? did your doc just agree with you on PA, or s/he really diagnosed you with PA?

Max.

I have the same case- my aldo is low, renin is low and ratio is normal. I just followed the recommendations of Dr. Grim and started on 50 mg of eplerenon and BINGO!!!

Nobody diagnosed me with PA.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

[Guest guest]

Where you live, it appears you can get a senior academic teaching position at medical school!

Max.

Thank you !!!

Not even only new graduate ones:-) Recently I finally visited my very experienced (this time Jewish) endo and he was really very suprised with my 125/75, since he remembered how he battled two times in a hospital with my 245/135 and he said he never saw such a progress in his life!!! Finally he agreed to take a look at my medical records from 2 times 3 weeks in a hospital and I hope now that I will make him to read Dr. Grim articles and diagnose me. Maybe :-)

Best regards,

Natasha

To: hyperaldosteronism Sent: Mon, April 18, 2011 7:36:26 PMSubject: RE: Question about PA diagnosis if ratio not high

Natalia,

You must be recognized internationally as the cutest PA patient! Amazing medically entertaining experience for all new graduate doctors.

Max.

I have chosen the young doctor with Muslim name as my new PCP, who could not let himself lose patients. When I came to visit him the first time my BP was 180/110 and he immediately said: "I have a new very good medication for you."

I went through that many times already and this time I was prepared. I said:

"No way. You will prescribe me this medication and I gave him a post-it with Eplerenon written on it".

He looked on it, looked on me. It seemed to me that he never heard about this medication. Then he looked at his computer and, I think, figured out that it's a BP medication. Then he asked: "What dosage?" I told: "100 mg."

I got the prescription. During my next visit to him in three weeks, my BP was 150/80, in three more weeks it was 130/70. I never had such BP for as long as I test it, it's more than 30 years.

It still there after 4 months!!!!! And I don't have any intentions to do all these complicated tests to confirm my diagnose. I even not sure that I have PA. But recently I have done 24 urine, cup urine and blood test and all of them seems normal.

Any good advises?

Best regards,

Natasha

To: hyperaldosteronism Sent: Mon, April 18, 2011 6:56:41 PMSubject: RE: Question about PA diagnosis if ratio not high

Hi Natalia,

How did you manage to get Epler? did your doc just agree with you on PA, or s/he really diagnosed you with PA?

Max.

I have the same case- my aldo is low, renin is low and ratio is normal. I just followed the recommendations of Dr. Grim and started on 50 mg of eplerenon and BINGO!!!

Nobody diagnosed me with PA.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

__

[Guest guest]

We are here to trail all docrtors. spceially surprized Ednos.Clarence E. Grim, BS, MS, MD

Specializing in Primary Aldosteronism, Difficult High Blood Pressure and recent evolutionary forces on high blood pressure in populations today.

Thank you !!!

Not even only new graduate ones:-) Recently I finally visited my very experienced (this time Jewish) endo and he was really very suprised with my 125/75, since he remembered how he battled two times in a hospital with my 245/135 and he said he never saw such a progress in his life!!! Finally he agreed to take a look at my medical records from 2 times 3 weeks in a hospital and I hope now that I will make him to read Dr. Grim articles and diagnose me. Maybe :-)

Best regards,

Natasha

To: hyperaldosteronism@yahoogroupscomSent: Mon, April 18, 2011 7:36:26 PMSubject: RE: Question about PA diagnosis if ratio not high

Natalia,

You must be recognized internationally as the cutest PA patient! Amazing medically entertaining experience for all new graduate doctors.

Max.

I have chosen the young doctor with Muslim name as my new PCP, who could not let himself lose patients. When I came to visit him the first time my BP was 180/110 and he immediately said: "I have a new very good medication for you."

I went through that many times already and this time I was prepared. I said:

"No way. You will prescribe me this medication and I gave him a post-it with Eplerenon written on it".

He looked on it, looked on me. It seemed to me that he never heard about this medication. Then he looked at his computer and, I think, figured out that it's a BP medication. Then he asked: "What dosage?" I told: "100 mg."

I got the prescription. During my next visit to him in three weeks, my BP was 150/80, in three more weeks it was 130/70. I never had such BP for as long as I test it, it's more than 30 years.

It still there after 4 months!!!!! And I don't have any intentions to do all these complicated tests to confirm my diagnose. I even not sure that I have PA. But recently I have done 24 urine, cup urine and blood test and all of them seems normal.

Any good advises?

Best regards,

Natasha

To: hyperaldosteronism Sent: Mon, April 18, 2011 6:56:41 PMSubject: RE: Question about PA diagnosis if ratio not high

Hi Natalia,

How did you manage to get Epler? did your doc just agree with you on PA, or s/he really diagnosed you with PA?

Max.

I have the same case- my aldo is low, renin is low and ratio is normal. I just followed the recommendations of Dr. Grim and started on 50 mg of eplerenon and BINGO!!!

Nobody diagnosed me with PA.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

[Guest guest]

I think I suggested you most likely had Liddle's Syndrome or AME due to low PA and low renin. So keep us posted when your endo figures it out.Clarence E. Grim, BS, MS, MD

Specializing in Primary Aldosteronism, Difficult High Blood Pressure and recent evolutionary forces on high blood pressure in populations today.

Hi Natalia,

How did you manage to get Epler? did your doc just agree with you on PA, or s/he really diagnosed you with PA?

Max.

I have the same case- my aldo is low, renin is low and ratio is normal. I just followed the recommendations of Dr. Grim and started on 50 mg of eplerenon and BINGO!!!

Nobody diagnosed me with PA.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

[Guest guest]

Give us your numbers and your story and I will tell you if you have PA.Clarence E. Grim, BS, MS, MD

Specializing in Primary Aldosteronism, Difficult High Blood Pressure and recent evolutionary forces on high blood pressure in populations today.

I have the same case- my aldo is low, renin is low and ratio is normal. I just followed the recommendations of Dr. Grim and started on 50 mg of eplerenon and BINGO!!!

Nobody diagnosed me with PA.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

To: hyperaldosteronism Sent: Wed, April 13, 2011 11:09:39 PMSubject: Question about PA diagnosis if ratio not high

If that is the case, then how would I be able to tell if PA is the potential diagnosis?

Thanks,

Cindi

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Francis Bill SUSPECTED PASent: Wednesday, April 13, 2011 9:36 PMTo: hyperaldosteronism Subject: Re: Any thoughts on mercury and PA etc?

A cut off point of 20 for the ratio excludes at least 5% of those that have PA. Your daughter could be one of the 5%.

_

[Guest guest]

Too late :-) I was a professor in my previous life in Moscow. But I taught radioelectronics.

To: hyperaldosteronism Sent: Mon, April 18, 2011 7:59:39 PMSubject: RE: Question about PA diagnosis if ratio not high

Where you live, it appears you can get a senior academic teaching position at medical school!

Max.

Thank you !!!

Not even only new graduate ones:-) Recently I finally visited my very experienced (this time Jewish) endo and he was really very suprised with my 125/75, since he remembered how he battled two times in a hospital with my 245/135 and he said he never saw such a progress in his life!!! Finally he agreed to take a look at my medical records from 2 times 3 weeks in a hospital and I hope now that I will make him to read Dr. Grim articles and diagnose me. Maybe :-)

Best regards,

Natasha

To: hyperaldosteronism Sent: Mon, April 18, 2011 7:36:26 PMSubject: RE: Question about PA diagnosis if ratio not high

Natalia,

You must be recognized internationally as the cutest PA patient! Amazing medically entertaining experience for all new graduate doctors.

Max.

I have chosen the young doctor with Muslim name as my new PCP, who could not let himself lose patients. When I came to visit him the first time my BP was 180/110 and he immediately said: "I have a new very good medication for you."

I went through that many times already and this time I was prepared. I said:

"No way. You will prescribe me this medication and I gave him a post-it with Eplerenon written on it".

He looked on it, looked on me. It seemed to me that he never heard about this medication. Then he looked at his computer and, I think, figured out that it's a BP medication. Then he asked: "What dosage?" I told: "100 mg."

I got the prescription. During my next visit to him in three weeks, my BP was 150/80, in three more weeks it was 130/70. I never had such BP for as long as I test it, it's more than 30 years.

It still there after 4 months!!!!! And I don't have any intentions to do all these complicated tests to confirm my diagnose. I even not sure that I have PA. But recently I have done 24 urine, cup urine and blood test and all of them seems normal.

Any good advises?

Best regards,

Natasha

To: hyperaldosteronism Sent: Mon, April 18, 2011 6:56:41 PMSubject: RE: Question about PA diagnosis if ratio not high

Hi Natalia,

How did you manage to get Epler? did your doc just agree with you on PA, or s/he really diagnosed you with PA?

Max.

I have the same case- my aldo is low, renin is low and ratio is normal. I just followed the recommendations of Dr. Grim and started on 50 mg of eplerenon and BINGO!!!

Nobody diagnosed me with PA.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

__

[Guest guest]

Yes, you did suggest Liddle's or AME or GRA. I also had high cortisol.

Sure I will keep you posted and I hope I will make my endo read your articles and keep in touch with you.

Many, many thanks for everything.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

To: hyperaldosteronism Sent: Mon, April 18, 2011 8:02:24 PMSubject: Re: RE: Question about PA diagnosis if ratio not high

I think I suggested you most likely had Liddle's Syndrome or AME due to low PA and low renin.

So keep us posted when your endo figures it out.

Clarence E. Grim, BS, MS, MD

Specializing in Primary Aldosteronism, Difficult High Blood Pressure and recent evolutionary forces on high blood pressure in populations today.

Hi Natalia,

How did you manage to get Epler? did your doc just agree with you on PA, or s/he really diagnosed you with PA?

Max.

I have the same case- my aldo is low, renin is low and ratio is normal. I just followed the recommendations of Dr. Grim and started on 50 mg of eplerenon and BINGO!!!

Nobody diagnosed me with PA.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

[Guest guest]

It's still me. You suggested previously that I have Liddle's, GRA or AME, considering my numbers.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

To: hyperaldosteronism Sent: Mon, April 18, 2011 8:07:09 PMSubject: Re: Question about PA diagnosis if ratio not high

Give us your numbers and your story and I will tell you if you have PA.

Clarence E. Grim, BS, MS, MD

Specializing in Primary Aldosteronism, Difficult High Blood Pressure and recent evolutionary forces on high blood pressure in populations today.

I have the same case- my aldo is low, renin is low and ratio is normal. I just followed the recommendations of Dr. Grim and started on 50 mg of eplerenon and BINGO!!!

Nobody diagnosed me with PA.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

To: hyperaldosteronism Sent: Wed, April 13, 2011 11:09:39 PMSubject: Question about PA diagnosis if ratio not high

If that is the case, then how would I be able to tell if PA is the potential diagnosis?

Thanks,

Cindi

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Francis Bill SUSPECTED PASent: Wednesday, April 13, 2011 9:36 PMTo: hyperaldosteronism Subject: Re: Any thoughts on mercury and PA etc?

A cut off point of 20 for the ratio excludes at least 5% of those that have PA. Your daughter could be one of the 5%.

_

[Guest guest]

Always mention that you do. Or do not DASH. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I have chosen the young doctor with Muslim name as my new PCP, who could not let himself lose patients. When I came to visit him the first time my BP was 180/110 and he immediately said: "I have a new very good medication for you."

I went through that many times already and this time I was prepared. I said:

"No way. You will prescribe me this medication and I gave him a post-it with Eplerenon written on it".

He looked on it, looked on me. It seemed to me that he never heard about this medication. Then he looked at his computer and, I think, figured out that it's a BP medication. Then he asked: "What dosage?" I told: "100 mg."

I got the prescription. During my next visit to him in three weeks, my BP was 150/80, in three more weeks it was 130/70. I never had such BP for as long as I test it, it's more than 30 years.

It still there after 4 months!!!!! And I don't have any intentions to do all these complicated tests to confirm my diagnose. I even not sure that I have PA. But recently I have done 24 urine, cup urine and blood test and all of them seems normal.

Any good advises?

Best regards,

Natasha

To: hyperaldosteronism Sent: Mon, April 18, 2011 6:56:41 PMSubject: RE: Question about PA diagnosis if ratio not high

Hi Natalia,

How did you manage to get Epler? did your doc just agree with you on PA, or s/he really diagnosed you with PA?

Max.

I have the same case- my aldo is low, renin is low and ratio is normal. I just followed the recommendations of Dr. Grim and started on 50 mg of eplerenon and BINGO!!!

Nobody diagnosed me with PA.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

[Guest guest]

Mention these to your new endo. No GRA as would have low renin and high aldo and strong FH of HTN low K and early stroke - but more with normal K.Clarence E. Grim, BS, MS, MD

Specializing in Primary Aldosteronism, Difficult High Blood Pressure and recent evolutionary forces on high blood pressure in populations today.

Yes, you did suggest Liddle's or AME or GRA. I also had high cortisol.

Sure I will keep you posted and I hope I will make my endo read your articles and keep in touch with you.

Many, many thanks for everything.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=34; eplerenone 25 mg twice a day works perfectly.

To: hyperaldosteronism Sent: Mon, April 18, 2011 8:02:24 PMSubject: Re: RE: Question about PA diagnosis if ratio not high

I think I suggested you most likely had Liddle's Syndrome or AME due to low PA and low renin.

So keep us posted when your endo figures it out.

Clarence E. Grim, BS, MS, MD

Specializing in Primary Aldosteronism, Difficult High Blood Pressure and recent evolutionary forces on high blood pressure in populations today.

Hi Natalia,

How did you manage to get Epler? did your doc just agree with you on PA, or s/he really diagnosed you with PA?

Max.

I have the same case- my aldo is low, renin is low and ratio is normal. I just followed the recommendations of Dr. Grim and started on 50 mg of eplerenon and BINGO!!!

Nobody diagnosed me with PA.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

[Guest guest]

Okay. Sorry. I do.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Mon, April 18, 2011 8:48:03 PMSubject: Re: Question about PA diagnosis if ratio not high

Always mention that you do. Or do not DASH. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

I have chosen the young doctor with Muslim name as my new PCP, who could not let himself lose patients. When I came to visit him the first time my BP was 180/110 and he immediately said: "I have a new very good medication for you."

I went through that many times already and this time I was prepared. I said:

"No way. You will prescribe me this medication and I gave him a post-it with Eplerenon written on it".

He looked on it, looked on me. It seemed to me that he never heard about this medication. Then he looked at his computer and, I think, figured out that it's a BP medication. Then he asked: "What dosage?" I told: "100 mg."

I got the prescription. During my next visit to him in three weeks, my BP was 150/80, in three more weeks it was 130/70. I never had such BP for as long as I test it, it's more than 30 years.

It still there after 4 months!!!!! And I don't have any intentions to do all these complicated tests to confirm my diagnose. I even not sure that I have PA. But recently I have done 24 urine, cup urine and blood test and all of them seems normal.

Any good advises?

Best regards,

Natasha

To: hyperaldosteronism Sent: Mon, April 18, 2011 6:56:41 PMSubject: RE: Question about PA diagnosis if ratio not high

Hi Natalia,

How did you manage to get Epler? did your doc just agree with you on PA, or s/he really diagnosed you with PA?

Max.

I have the same case- my aldo is low, renin is low and ratio is normal. I just followed the recommendations of Dr. Grim and started on 50 mg of eplerenon and BINGO!!!

Nobody diagnosed me with PA.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

[Guest guest]

And mention to ur Endo that u are DASHING as this also explains your good and fast to eplerenoneTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Okay. Sorry. I do.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Mon, April 18, 2011 8:48:03 PMSubject: Re: Question about PA diagnosis if ratio not high

Always mention that you do. Or do not DASH. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

I have chosen the young doctor with Muslim name as my new PCP, who could not let himself lose patients. When I came to visit him the first time my BP was 180/110 and he immediately said: "I have a new very good medication for you."

I went through that many times already and this time I was prepared. I said:

"No way. You will prescribe me this medication and I gave him a post-it with Eplerenon written on it".

He looked on it, looked on me. It seemed to me that he never heard about this medication. Then he looked at his computer and, I think, figured out that it's a BP medication. Then he asked: "What dosage?" I told: "100 mg."

I got the prescription. During my next visit to him in three weeks, my BP was 150/80, in three more weeks it was 130/70. I never had such BP for as long as I test it, it's more than 30 years.

It still there after 4 months!!!!! And I don't have any intentions to do all these complicated tests to confirm my diagnose. I even not sure that I have PA. But recently I have done 24 urine, cup urine and blood test and all of them seems normal.

Any good advises?

Best regards,

Natasha

To: hyperaldosteronism Sent: Mon, April 18, 2011 6:56:41 PMSubject: RE: Question about PA diagnosis if ratio not high

Hi Natalia,

How did you manage to get Epler? did your doc just agree with you on PA, or s/he really diagnosed you with PA?

Max.

I have the same case- my aldo is low, renin is low and ratio is normal. I just followed the recommendations of Dr. Grim and started on 50 mg of eplerenon and BINGO!!!

Nobody diagnosed me with PA.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

[Guest guest]

Thank you. I certainly will, but I doubt he knows the term :-)

I will show him a book and give him your article.

Many thanks.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; DASHING and eplerenone 25 mg twice a day work perfectly.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, April 19, 2011 7:02:04 PMSubject: Re: Question about PA diagnosis if ratio not high

And mention to ur Endo that u are DASHING as this also explains your good and fast to eplerenoneTiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

Okay. Sorry. I do.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Mon, April 18, 2011 8:48:03 PMSubject: Re: Question about PA diagnosis if ratio not high

Always mention that you do. Or do not DASH. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

I have chosen the young doctor with Muslim name as my new PCP, who could not let himself lose patients. When I came to visit him the first time my BP was 180/110 and he immediately said: "I have a new very good medication for you."

I went through that many times already and this time I was prepared. I said:

"No way. You will prescribe me this medication and I gave him a post-it with Eplerenon written on it".

He looked on it, looked on me. It seemed to me that he never heard about this medication. Then he looked at his computer and, I think, figured out that it's a BP medication. Then he asked: "What dosage?" I told: "100 mg."

I got the prescription. During my next visit to him in three weeks, my BP was 150/80, in three more weeks it was 130/70. I never had such BP for as long as I test it, it's more than 30 years.

It still there after 4 months!!!!! And I don't have any intentions to do all these complicated tests to confirm my diagnose. I even not sure that I have PA. But recently I have done 24 urine, cup urine and blood test and all of them seems normal.

Any good advises?

Best regards,

Natasha

To: hyperaldosteronism Sent: Mon, April 18, 2011 6:56:41 PMSubject: RE:

Question about PA diagnosis if ratio not high

Hi Natalia,

How did you manage to get Epler? did your doc just agree with you on PA, or s/he really diagnosed you with PA?

Max.

I have the same case- my aldo is low, renin is low and ratio is normal. I just followed the recommendations of Dr. Grim and started on 50 mg of eplerenon and BINGO!!!

Nobody diagnosed me with PA.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

[Guest guest]

Good and then he can help others. That is what we are about. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Thank you. I certainly will, but I doubt he knows the term :-)

I will show him a book and give him your article.

Many thanks.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; DASHING and eplerenone 25 mg twice a day work perfectly.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, April 19, 2011 7:02:04 PMSubject: Re: Question about PA diagnosis if ratio not high

And mention to ur Endo that u are DASHING as this also explains your good and fast to eplerenoneTiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

Okay. Sorry. I do.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Mon, April 18, 2011 8:48:03 PMSubject: Re: Question about PA diagnosis if ratio not high

Always mention that you do. Or do not DASH. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

I have chosen the young doctor with Muslim name as my new PCP, who could not let himself lose patients. When I came to visit him the first time my BP was 180/110 and he immediately said: "I have a new very good medication for you."

I went through that many times already and this time I was prepared. I said:

"No way. You will prescribe me this medication and I gave him a post-it with Eplerenon written on it".

He looked on it, looked on me. It seemed to me that he never heard about this medication. Then he looked at his computer and, I think, figured out that it's a BP medication. Then he asked: "What dosage?" I told: "100 mg."

I got the prescription. During my next visit to him in three weeks, my BP was 150/80, in three more weeks it was 130/70. I never had such BP for as long as I test it, it's more than 30 years.

It still there after 4 months!!!!! And I don't have any intentions to do all these complicated tests to confirm my diagnose. I even not sure that I have PA. But recently I have done 24 urine, cup urine and blood test and all of them seems normal.

Any good advises?

Best regards,

Natasha

To: hyperaldosteronism Sent: Mon, April 18, 2011 6:56:41 PMSubject: RE:

Question about PA diagnosis if ratio not high

Hi Natalia,

How did you manage to get Epler? did your doc just agree with you on PA, or s/he really diagnosed you with PA?

Max.

I have the same case- my aldo is low, renin is low and ratio is normal. I just followed the recommendations of Dr. Grim and started on 50 mg of eplerenon and BINGO!!!

Nobody diagnosed me with PA.

Natalia Kamneva 67 Russian F with left 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; eplerenone 25 mg twice a day works perfectly.

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