Doubt Kramer helpful

[Guest guest]

Dr. Grim: (Read my notes on Predinose below)

Ok, been taking 25 mg spiro from Dr. Kramer but pressure not any better. Average

145/90 only when I take xanax. Xanax quit working for sleep. Theoretically it

should increase level of xanax in my body as diltiazem blocks pathway, but it

quit working for sleep and I was getting foggier minded. When I turn my head

from side to side I get dizzy. I stopped taking xanax and tried ambien I had in

my cabinet for sleep. Worked ok, but but pressure became irradict going up to

170/102. This morning my lying down pressure was 120/70 (50's pulse), standing

up it was 125/98 (70's pulse).

Called Dr. K's office last wednesday for help with bp and another solution to

sleep. I also faxed notes about how zantac helps with bloating and exercise

capacity and cramps in my calves, called Wed. of last week. Yesterday I

received a phone call from his office and was told by his office that I would

need to contact the doctor who prescribed diltiazem and also to go back to the

doctor who prescribed xanax for sleep.

I understand him not wanting to help with sleep, but I thought i was going to

him for " difficult to treat hypertension " and he's not helping. It appears his

agenda is specifically thyroid so I don't believe my health is going to be none

the better for my trips to Charlotte however I am going to my appointment

Tuesday of next week. I'm suspecting if he doesn't help that will be my last

trip. What I did find out from him is CT scan did not reveal tumor. I believe

he believes my aldo 12.6/renin .6 is ok, nothing remarkable, especially with no

tumor revealed.

Interesting find we I went back through some notes from an Int. Med doc in 07

and I found this:

on 9/1, first visit, was prescribed the following: my bp was recorded 122/90 at

this visit. Weight 155 lbs.

HCTZ 12.5 once daily

Aciphex 20 mg only daily

Ambien 5 mg

Augmentin XR 1000 mg 3 x daily (inflamed sinus membranes)

Prednisone 20 mg (10 day taper I believe)

On 9/8 visit bp was 124/86 - weight 151 lbs.

on 9/11 visit bp was 104/70!!!!!!! 154 lbs.

on 9/18 visit bp 114/62 - weight 155 lbs.

on 12/8 visit bp 146/104 - weight 157.4

I was still taking hctz and prilosec

Now I'm wondering it is possible that I have GRA and the prednisone decreased my

bp? Was this a fluke? Is this info worth mentioning to my doctor today or will

he think I'm crazy. If GRA suspect, where do I go for testing? Is this a Kramer

question? Please help!

Charlotte Zahnd

aldo/renin - 38/.3 (on estrogen patch)

aldo/renin - before saline suppression 2/.9

aldo/renin - 17.9/<.15 (had been on HRT)

aldo/renin - 12.6/.6

Current Meds:

Meds - 240 mg Diltiazem ER

25 mg spironolacton

1 mg xanax - sleep