Re: Dr Grim Lab Results Finally

[Guest guest]

Sojourn, you are asking for lots of expert

opinion and advice, but the way you report your results makes it nearly

impossible to see a trend.  Again, list

date, creatinine, GRF, each with normal bands. 

Perhaps Dr. Grim would like you to list other as well.  Also, we need to know what drugs you're on,

what they've done for your BP, and whatever details you may have. Are you

DASHING?  You said you've been

hypertensive since age 27.  Was that 50

years ago or a year ago?  Dr. Grim likes

each of us seeking advice to do a thumbnail at the bottom of your message.  In it, you put a simple description of you

and your condition.  I'm sure you've seen

thumbnails from other participants.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Licia

Sent: Thursday, May 12, 2011 3:41 PM

To: hyperaldosteronism

Subject: Re: Dr Grim Lab Results Finally

Ok

Dr. It normal ten years ago and ovr the past 5yrs nose dived. Why?

2009:

Component Results

Component

Your Value

Standard Range

Units

Flag

BUN

26

6

- 20

mg/dL

H

CREATININE

2.1

0.7

- 1.5

mg/dL

H

SODIUM

137

135

- 146

mmol/L

POTASSIUM

5.1

3.5

- 5.1

mmol/L

CHLORIDE

99

98

- 111

mmol/L

CO2

27

22

- 32

mmol/L

GLUCOSE

102

70

- 120

mg/dL

ALBUMIN

4.4

3.8

- 5.0

g/dL

AST

24

10

- 35

U/L

ALKALINE

PHOSPHATASE

68

25

- 125

U/L

BILIRUBIN,

TOTAL

0.4

0.3

- 1.3

mg/dL

CALCIUM

9.8

8.3

- 10.5

mg/dL

PROTEIN

7.8

6.0

- 8.3

g/dL

ALT

19

10

- 35

U/L

ANION

GAP

11

7

- 15

mEq/L

GFR

ESTIMATED

27.0

>60

-

mL/min

L

View

& Graph Results

General

Information

Collected:

10/13/2009

2:31 PM

Resulted:

10/13/2009

10:15 PM

Ordered By:

Aliasgar

Z Chittalia, MD

Result Status:

Final

result

**************************************************************************

out This Test

Component Results

Component

Your Value

Standard Range

Units

Flag

BUN

14

6

- 20

mg/dL

CREATININE

1.4

0.7

- 1.5

mg/dL

SODIUM

141

135

- 146

mmol/L

POTASSIUM

3.3

3.5

- 5.1

mmol/L

L

CHLORIDE

95

98

- 111

mmol/L

L

CO2

32

22

- 32

mmol/L

GLUCOSE

95

70

- 120

mg/dL

ALBUMIN

4.2

3.8

- 5.0

g/dL

AST

37

8

- 46

U/L

ALKALINE

PHOSPHATASE

90

25

- 125

U/L

BILIRUBIN,

TOTAL

0.2

0.3

- 1.3

mg/dL

L

CALCIUM

9.5

8.3

- 10.5

mg/dL

PROTEIN

8.0

6.0

- 8.3

g/dL

ALT

26

8

- 50

U/L

ANION

GAP

14

7

- 15

mEq/L

GFR

ESTIMATED

43.2

>60

-

mL/min

L

View

& Graph Results

General

Information

Collected:

12/8/2008

9:23 AM

Resulted:

12/8/2008

6:31 PM

Ordered By:

Aliasgar

Z Chittalia, MD

Result Status:

Final

result

*************************************************************************

Component

Your Value

Standard Range

Units

Flag

ALDOSTERONE,SERUM

74

***

-

ng/dL

ALDOSTERONE,SERUM

(NOTE)

*** Unable to flag abnormal result(s), please refer

to reference range(s) below:

Adult Reference Ranges for Aldosterone, LC/MS/MS:

Upright 8:00 - 10:00 am < or = 28 ng/dL

Upright 4:00 - 6:00 pm < or = 21 ng/dL

Supine 8:00 - 10:00 am 3 - 16 ng/dL

PLASMA

RENIN ACT

0.1

***

-

ng/mL/h

PLASMA

RENIN ACT

(NOTE)

*** Unable to flag abnormal result(s), please refer

to reference range(s) below:

Reference Ranges for Plasma Renin Activity:

Nonhypertensive adults

(upright/sitting): 0.65-5.0 ng/mL/h

Nonhypertensive children:

Supine Upright/Sitting

(ng/mL/h) (ng/mL/h)

3-12 Months 15.0 or Less

1-3 Years 10.0 or Less

4-6 Years 7.5 or Less 15.0 or Less

7-9 Years 5.9 or Less 17.0 or Less

10-12 Years 5.3 or Less 16.0 or Less

13-15 Years 4.4 or Less 16.0 or Less

**Pediatric data from J Pediatrics (1976) 89:256;

Pediat Res (1979) 13:817; and Eur J Pediatr (1994)

153:284.

Clinical Cutoffs for Hypertensive Individuals(ng/mL/h)

Low-renin sodium/volume-mediated

hypertension likely: <0.65

Primary aldosteronism possible: <0.65

Renin-mediated hypertension likely: >=0.65

Renovascular hypertension possible: >1.5

Renovascular hypertension more likely: >10.0

Approximately 1/3 of subjects with essential hyper-

tension have low-renin (PRA <0.65 ng/mL/h) hyper-

tension, while the remainder have PRA values above

0.65 ng/mL/h. Treatment with medications such as

diuretics or ACE inhibitors increase PRA levels.

This test was developed and its performance

characteristics have been determined by Quest

Diagnostics Nichols Institute, Chantilly, VA.

It has not been cleared or approved by the U.S.

Food and Drug Administration. The FDA has determined

that such clearance or approval is not necessary.

Performance characteristics refer to the analytical

performance of the test.

ALDOSTERONE/PRA

RAT

740.0

1.5

- 18.2

Ratio

H

View

& Graph Results

General

Information

Collected:

12/23/2008

3:40 PM

Resulted:

12/31/2008

3:25 AM

Ordered By:

Aliasgar

Z Chittalia, MD

Result Status:

Final

result

**********************************************

Component Results

Component

Your Value

Standard Range

Units

Flag

FOBT

(EIA)

NEGATIVE

NEG

-

View

& Graph Results

General

Information

Collected:

12/16/2008

3:00 PM

Resulted:

12/17/2008

12:01 PM

Ordered By:

Aliasgar

Z Chittalia, MD

Result Status:

Final

result

*************************************************************************

Component

Your Value

Standard Range

Units

Flag

BUN

8

6

- 20

mg/dL

CREATININE

1.1

0.7

- 1.5

mg/dL

SODIUM

141

135

- 146

mmol/L

POTASSIUM

3.9

3.5

- 5.1

mmol/L

CHLORIDE

100

98

- 111

mmol/L

CO2

30

22

- 32

mmol/L

GLUCOSE

91

70

- 120

mg/dL

ALBUMIN

4.2

3.8

- 5.0

g/dL

AST

26

8

- 46

U/L

ALKALINE

PHOSPHATASE

56

25

- 125

U/L

BILIRUBIN,

TOTAL

0.3

0.3

- 1.3

mg/dL

CALCIUM

9.4

8.3

- 10.5

mg/dL

PROTEIN

7.7

6.0

- 8.3

g/dL

ALT

14

8

- 50

U/L

ANION

GAP

11

7

- 15

mEq/L

GFR

ESTIMATED

57.4

>60.0

-

mL/min

L

View

& Graph Results

General

Information

Collected:

8/22/2007

11:42 AM

Resulted:

8/22/2007

9:54 PM

Ordered By:

, DO

Result Status:

Final

result

**************************************************************

Component Results

Component

Your Value

Standard Range

Units

Flag

BUN

10

6

- 20

mg/dL

CREATININE

1.0

0.7

- 1.5

mg/dL

SODIUM

140

135

- 146

mmol/L

POTASSIUM

3.5

3.5

- 5.1

mmol/L

CHLORIDE

102

98

- 111

mmol/L

CO2

31

22

- 32

mmol/L

GLUCOSE

88

70

- 120

mg/dL

CALCIUM

9.5

8.3

- 10.5

mg/dL

View

& Graph Results

General

Information

Collected:

7/24/2003

7:59 AM

Resulted:

7/24/2003

12:56 PM

Ordered By:

W Hanna, DO

Result Status:

Final

result

************************************************************************

Component Results

Component

Your Value

Standard Range

Units

Flag

BUN

10

6

- 20

mg/dL

CREATININE

0.9

0.7

- 1.5

mg/dL

SODIUM

143

135

- 146

mmol/L

POTASSIUM

3.8

3.5

- 5.1

mmol/L

CHLORIDE

102

98

- 111

mmol/L

CO2

28

22

- 32

mmol/L

GLUCOSE

88

70

- 120

mg/dL

CALCIUM

8.8

8.3

- 10.5

mg/dL

View

& Graph Results

General

Information

Collected:

12/23/2002

11:33 AM

Resulted:

12/23/2002

6:45 PM

Ordered By:

W Hanna, DO

Result Status:

Final

result

*************************************************

Component Results

Component

Your Value

Standard Range

Units

Flag

WBC

6.9

4.0

- 10.8

K/uL

RBC

4.12

3.9

- 5.1

M/uL

HGB

12.5

11.9

- 14.7

g/dL

HCT

36.3

36

- 45

%

MCV

88.1

82

- 97

fL

MCH

30.3

27

- 33

pg

MCHC

34.4

33

- 36

g/dL

RDW

13.2

11.7

- 14.6

%

PLATELET

COUNT

278

150

- 400

K/uL

MPV

10.1

8.8

- 12.0

fL

DIFF

TYPE

AUTO

SEGS

64

40

- 75

%

LYMPHS

28

18

- 42

%

MONOS

6

1

- 11

%

EOS

2

0

- 6

%

BASOS

0

0

- 2

%

ABS.

SEGS

4.45

1.8

- 7.7

K/uL

ABS.

LYMPHS

1.94

1.0

- 4.8

K/uL

ABS.

MONOS

0.44

0.0

- 1.1

K/uL

ABS.

EOS

0.11

0.0

- 0.7

K/uL

ABS.

BASOS

0.00

0.0

- 0.2

K/uL

RBC

MORPH

NORMAL

View

& Graph Results

General

Information

Collected:

1/9/2002

1:13 PM

Resulted:

1/9/2002

Ordered By:

Amy

Marie Hostelley, CRNA

Result Status:

Final

result

******************************************************

Component Results

Component

Your Value

Standard Range

Units

Flag

HCG,

BETA

0.4

<3

-

mIU/ML

View

& Graph Results

General

Information

Collected:

7/31/2002

7:30 AM

Resulted:

7/31/2002

8:41 AM

Ordered By:

Ralph

H Starkey, MD

Result Status:

Final

result

***********************************************************************************

Name:

Licia A | DOB: 8/15/1963 | MRN: 9039533 | PCP: Aliasgar Z Chittalia,

MD

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Licia A

Thursday,

May 12, 2011

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Test Details

About This

Test

Component Results

Component

Your Value

Standard Range

Units

Flag

BUN

10

10

- 20

mg/dL

SODIUM

138

135

- 146

mmol/L

POTASSIUM

4.4

3.5

- 5.0

mmol/L

CHLORIDE

104

100

- 111

mmol/L

CO2

21

24

- 32

mmol/L

L

GLUCOSE

91

70

- 120

mg/dL

CREATININE

0.5

0.7

- 1.5

mg/dL

L

ALBUMIN

3.6

3.9

- 4.8

g/dL

L

AST

46

8

- 46

U/L

ALKALINE

PHOSPHATASE

129

39

- 117

U/L

H

BILIRUBIN,

TOTAL

0.5

0.2

- 1.0

mg/dL

CALCIUM

9.5

8.3

- 10.5

mg/dL

PROTEIN

7.1

6

- 8

g/dL

ALT

55

8

- 50

U/L

H

View

& Graph Results

General

Information

Collected:

6/25/2001

11:39 AM

Resulted:

6/25/2001

Ordered By:

W Hanna, DO

Result Status:

Final

result

***************************************************************

Component Results

Component

Your Value

Standard Range

Units

Flag

ALBUMIN

3.4

3.9

- 4.8

g/dL

L

AST

21

8

- 46

U/L

ALKALINE

PHOSPHATASE

74

39

- 117

U/L

ALT

13

8

- 50

U/L

BILIRUBIN,

TOTAL

0.2

0.2

- 1.0

mg/dL

BILIRUBIN,

DIRECT

0.1

0.0

- 0.5

mg/dL

PROTEIN

6.8

6

- 8

g/dL

View

& Graph Results

General

Information

Collected:

10/13/2001

7:40 PM

Resulted:

10/13/2001

Ordered By:

Ralph

H Starkey, MD

Result Status:

Final

result

Your creatinine is too high and

your GFR is too low.

What does your doctor say? I hope you are getting immediate

medical attention.

[Guest guest]

I've already sent him all that. Sorry. didn't know there was a design. It is taxing because I have 60pgs of labs/30pgs of apptments going back to 2001. Can u see the other labs I sent? Thanks.

Sojourn

Also at what point does a patient need dialysis?

Your creatinine is too high and your GFR is too low. What does your doctor say? I hope you are getting immediate medical attention.

[Guest guest]

The dates are under the results. I dont' understand how it can not be interpreted.

Your creatinine is too high and your GFR is too low. What does your doctor say? I hope you are getting immediate medical attention.

[Guest guest]

No I'm not dashing because I need to check in w/dr's I'm currently seeing to see if it is ok, as per Dr Grim. He said Dashing has a lot of K. What is " K"?

Sojourn

Your creatinine is too high and your GFR is too low. What does your doctor say? I hope you are getting immediate medical attention.

[Guest guest]

Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Stress adds to HTN but is not the cause of it typically. All adult Americans seem to be beyond stressed right now but not all have HTN. you are on this list so you must have PA and that would be the cause - well we can say for us salt and our condition are the cause. I spent many years "stressed and depressed" in the opinion of many a doc, though i wasnt, with a 160/120 BP daily and i had PA all along : - )

>HBP does. And stress gives u HbP. Am I even close?

>

>

>

>

>

>Subject: Re: Dr Grim Lab Results Finally

>To: "hyperaldosteronism " <hyperaldosteronism >

>Date: Thursday, May 12, 2011, 5:57 PM

>

>

>

>

>

>Being from Missouri I like to see the numbers.

>Kidney function can go down hill for a number or reasons.

>In AA this almost always due to HTN and or DM. What was your BP AND Rx during this tim

[Guest guest]

I

could see through all your labs if I was willing to take time to scroll back

and forth and put all the data into an easily readable form..  You need to present a simple table of

Date 1  Creatinine (bands)   BUN (bands)  

GRF (bands)

Date 2  Creatinine (bands)   BUN (bands)  

GRF (bands)

etc.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Licia

Sent: Thursday, May 12, 2011 10:28 PM

To: hyperaldosteronism

Subject: RE: Dr Grim Lab Results Finally

I've

already sent him all that. Sorry. didn't know there was a design. It is

taxing because I have 60pgs of labs/30pgs of apptments going back to 2001.

Can u see the other labs I sent? Thanks.

Sojourn

Also

at what point does a patient need dialysis?

Your creatinine is too high and

your GFR is too

low. What does your doctor say? I hope you are getting

immediate medical attention.

[Guest guest]

I do not have time to sort thru all of this unless you and I have a contracting arrangement. My rate is $500 for 1 year. But better bargain is to learn to do the plotting or tabulating yourself. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

The dates are under the results. I dont' understand how it can not be interpreted.

Subject: RE: Dr Grim Lab Results FinallyTo: hyperaldosteronism Date: Friday, May 13, 2011, 12:09 AM

Sojourn, you are asking for lots of expert opinion and advice, but the way you report your results makes it nearly impossible to see a trend. Again, list date, creatinine, GRF, each with normal bands. Perhaps Dr. Grim would like you to list other as well. Also, we need to know what drugs you're on, what they've done for your BP, and whatever details you may have. Are you DASHING? You said you've been hypertensive since age 27. Was that 50 years ago or a year ago? Dr. Grim likes each of us seeking advice to do a thumbnail at the bottom of your message. In it, you put a simple description of you and your condition. I'm sure you've seen thumbnails from other participants.

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Sent: Thursday, May 12, 2011 3:41 PMTo: hyperaldosteronism Subject: Re: Dr Grim Lab Results Finally

Ok Dr. It normal ten years ago and ovr the past 5yrs nose dived. Why?

2009:

Component Results

Component

Your Value

Standard Range

Units

Flag

BUN

26

6 - 20

mg/dL

H

CREATININE

2.1

0.7 - 1.5

mg/dL

H

SODIUM

137

135 - 146

mmol/L

POTASSIUM

5.1

3.5 - 5.1

mmol/L

CHLORIDE

99

98 - 111

mmol/L

CO2

27

22 - 32

mmol/L

GLUCOSE

102

70 - 120

mg/dL

ALBUMIN

4.4

3.8 - 5.0

g/dL

AST

24

10 - 35

U/L

ALKALINE PHOSPHATASE

68

25 - 125

U/L

BILIRUBIN, TOTAL

0.4

0.3 - 1.3

mg/dL

CALCIUM

9.8

8.3 - 10.5

mg/dL

PROTEIN

7.8

6.0 - 8.3

g/dL

ALT

19

10 - 35

U/L

ANION GAP

11

7 - 15

mEq/L

GFR ESTIMATED

27.0

>60 -

mL/min

L

View & Graph Results

General Information

Collected:

10/13/2009 2:31 PM

Resulted:

10/13/2009 10:15 PM

Ordered By:

Aliasgar Z Chittalia, MD

Result Status:

Final result

**************************************************************************

out This Test

Component Results

Component

Your Value

Standard Range

Units

Flag

BUN

14

6 - 20

mg/dL

CREATININE

1.4

0.7 - 1.5

mg/dL

SODIUM

141

135 - 146

mmol/L

POTASSIUM

3.3

3.5 - 5.1

mmol/L

L

CHLORIDE

95

98 - 111

mmol/L

L

CO2

32

22 - 32

mmol/L

GLUCOSE

95

70 - 120

mg/dL

ALBUMIN

4.2

3.8 - 5.0

g/dL

AST

37

8 - 46

U/L

ALKALINE PHOSPHATASE

90

25 - 125

U/L

BILIRUBIN, TOTAL

0.2

0.3 - 1.3

mg/dL

L

CALCIUM

9.5

8.3 - 10.5

mg/dL

PROTEIN

8.0

6.0 - 8.3

g/dL

ALT

26

8 - 50

U/L

ANION GAP

14

7 - 15

mEq/L

GFR ESTIMATED

43.2

>60 -

mL/min

L

View & Graph Results

General Information

Collected:

12/8/2008 9:23 AM

Resulted:

12/8/2008 6:31 PM

Ordered By:

Aliasgar Z Chittalia, MD

Result Status:

Final result

*************************************************************************

Component

[Guest guest]

Usually when eGFR gets 2 10 but need to see a plot or proper table of ur data to make sense out of it 10 years of data should make for a nice series of plots for analysis and your local team would benefit from this as well. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I've already sent him all that. Sorry. didn't know there was a design. It is taxing because I have 60pgs of labs/30pgs of apptments going back to 2001. Can u see the other labs I sent? Thanks.

Sojourn

Also at what point does a patient need dialysis?

Subject: RE: Dr Grim Lab Results FinallyTo: hyperaldosteronism Date: Friday, May 13, 2011, 12:09 AM

Sojourn, you are asking for lots of expert opinion and advice, but the way you report your results makes it nearly impossible to see a trend. Again, list date, creatinine, GRF, each with normal bands. Perhaps Dr. Grim would like you to list other as well. Also, we need to know what drugs you're on, what they've done for your BP, and whatever details you may have. Are you DASHING? You said you've been hypertensive since age 27. Was that 50 years ago or a year ago? Dr. Grim likes each of us seeking advice to do a thumbnail at the bottom of your message. In it, you put a simple description of you and your condition. I'm sure you've seen thumbnails from other participants.

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Sent: Thursday, May 12, 2011 3:41 PMTo: hyperaldosteronism Subject: Re: Dr Grim Lab Results Finally

Ok Dr. It normal ten years ago and ovr the past 5yrs nose dived. Why?

2009:

Component Results

Component

Your Value

Standard Range

Units

Flag

BUN

26

6 - 20

mg/dL

H

CREATININE

2.1

0.7 - 1.5

mg/dL

H

SODIUM

137

135 - 146

mmol/L

POTASSIUM

5.1

3.5 - 5.1

mmol/L

CHLORIDE

99

98 - 111

mmol/L

CO2

27

22 - 32

mmol/L

GLUCOSE

102

70 - 120

mg/dL

ALBUMIN

4.4

3.8 - 5.0

g/dL

AST

24

10 - 35

U/L

ALKALINE PHOSPHATASE

68

25 - 125

U/L

BILIRUBIN, TOTAL

0.4

0.3 - 1.3

mg/dL

CALCIUM

9.8

8.3 - 10.5

mg/dL

PROTEIN

7.8

6.0 - 8.3

g/dL

ALT

19

10 - 35

U/L

ANION GAP

11

7 - 15

mEq/L

GFR ESTIMATED

27.0

>60 -

mL/min

L

View & Graph Results

General Information

Collected:

10/13/2009 2:31 PM

Resulted:

10/13/2009 10:15 PM

Ordered By:

Aliasgar Z Chittalia, MD

Result Status:

Final result

**************************************************************************

out This Test

Component Results

Component

Your Value

Standard Range

Units

Flag

BUN

14

6 - 20

mg/dL

CREATININE

1.4

0.7 - 1.5

mg/dL

SODIUM

141

135 - 146

mmol/L

POTASSIUM

3.3

3.5 - 5.1

mmol/L

L

CHLORIDE

95

98 - 111

mmol/L

L

CO2

32

22 - 32

mmol/L

GLUCOSE

95

70 - 120

mg/dL

ALBUMIN

4.2

3.8 - 5.0

g/dL

AST

37

8 - 46

U/L

ALKALINE PHOSPHATASE

90

25 - 125

U/L

BILIRUBIN, TOTAL

0.2

0.3 - 1.3

mg/dL

L

CALCIUM

9.5

8.3 - 10.5

mg/dL

PROTEIN

8.0

6.0 - 8.3

g/dL

ALT

26

8 - 50

U/L

ANION GAP

14

7 - 15

mEq/L

GFR ESTIMATED

43.2

>60 -

mL/min

L

View & Graph Results

General Information

Collected:

12/8/2008 9:23 AM

Resulted:

12/8/2008 6:31 PM

Ordered By:

Aliasgar Z Chittalia, MD

Result Status:

Final result

[Guest guest]

One might also logically say we have it backwards. those who are paying for

their own healthcare do THEN have the right to expect good healthcare. paying

for a service. But far too often those who do not pay for theirs in america

are often the most demanding and boisterous about getting better care.

>

>

>

>>

>> It always dumbfounds me when i read posts that sound like folks think that

medical care is a right and that all doctors are to blame for not connecting all

the dots to solve your problem. Educate yourself so you can help them, help you.

That is what this forum is for. Most of us here have learned alot from the grace

and generosity of Dr. Grim. The human body is extremely complex. Medicine is an

art, as well a a science. You are dealing with other humans who are there trying

to assist as many people as they can. They dont always get it right...as we all

know first hand. I have had doctors from every ethic background working on my

case. Racism has nothing to do with your diagnostic process and there is no

place for it on this forum. That said, I will assume you were being funny in

your comment, so I am not offended, this time around. We all get scared when we

are facing life altering conditions. Relax, be gentle, and become a sponge for

the knowledge

and wisdom you can gleen from this forum. I have personnally learned alot here.

We are absolutely very lucky to have a retired specialist giving back to the

world and possibly helping many here save their own lives. So, welcome to the

forum and I hope it can provide you with some guidance to improve your life.

>>

>> ============================================================================

>> 45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No

tumors on CT - No AVS.

>> Meds: 50mg Spiro, 1200mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly),

20mg Omeprazole

>> Side effects: Gynecomastia, stomach inflammation

>> Other Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary

Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head

and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower

Pole

>> DASH: Started DASHing 5/3/2011

>>

>>

>> To: hyperaldosteronism

>> Sent: Thursday, May 12, 2011 4:43 PM

>> Subject: RE: Dr Grim Lab Results Finally

>>

>> With all due respect, Sojourn, most of us here have had shoddy care. What

exactly does race have to do with it? I am offended.

>>

>> Val

>>

>> From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Licia

>>

>> I wish I could sew these incompetent, laxadazicle(spl) half ass racist!!

Whooo, now I feel better.

>>

>> Sojourn

>>

>>

>>

>>

>

[Guest guest]

Show us the MEDS and the data. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

It's the Meds. That is all that is left. I didn't have this problem in 2007

when on NOrvasc. Why was I even taken off of it? No one in my

family has kidney disease. I don't get how u can't tell it's from

the meds.

Licia>> >> >> >> >> >> >> >> >> >> Your creatinine is too high and your GFR is too>> low. What does your doctor say? I hope you are>> getting immediate medical attention.>> >> >> Val>> >>>From: hyperaldosteronism [mailto:hyperaldosteronism ] On>> Behalf Of Licia >> >> >> >> >> >> >> >> >> >> >> >> >> >> >> Component>> >> Your Value>> >> Standard Range>> >> Units>> >> Flag>> >> >> >> BUN>> >> 24>> >> 6 - 20>> >> mg/dL>> >> H>>

[Guest guest]

No. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

HBP does. And stress gives u HbP. Am I even close?

Subject: Re: Dr Grim Lab Results FinallyTo: hyperaldosteronism Cc: "Clarence Grim" Date: Thursday, May 12, 2011, 7:12 PM

Diabetes Mellitus. Did you see our list of abbreviations at the end of the welcome?

Welcome to the exciting world of Hyperaldosteronism

You are in the right place!

I am Dr. CE Grim a retired Professor of Medicine and Endocrinology.

I have had a long standing interest is Primary Aldosteronism since medical school days when I saw my first patient with Primary Aldosteronism in 1963 as a 4th year medical student. I did a Nephrology Fellowship at Duke and an Endocrinology and Metabolism Fellowship with Dr. Conn (1969-70). I have been on the faculty of the University of MO, Indiana Univ, UCLA/ R. Drew, and the Medical College of Wisconsin in Divisions of Nephrology, Endocrinology, Hypertension, Cardiology and Epidemiology.

I have published over 240 papers and book chapters in most areas of the broad discipline of High Blood Pressure. My CV is in our files for details.

The GOAL of our group is to teach you and your health care team about the ins and outs of the causes, diagnosis and control of the many forms of hyperaldosteronism.

The steps below will introduce you into the fascinating world of high blood pressure, salt and potassium and the role of the adrenal hormone aldosterone in health and disease. Doing these in sequence will save you time and effort in getting up to speed in taking control of you health and educating your own health care team.

While we can’t make you a doctor we will make you into a pretty good BP doctor-a skill that you will have for life.

1. Overview: Read my article in our files on the evolution of PA (Evolution_of_PA-Grim.pdf ) and take to all members of health care team. Tell us what stage you believe you are in. This is a brief review of most causes of hyperaldosteronism, high blood pressure, low potassium (K).

Be certain that you and your health care team understand the key role of excess diet salt in HTN and especially in PA.

Go to: http://www.worldactiononsalt.com/evidence/treatment_trials.htm

For a state of the art and science discussion of salt and health.

2. Other patients with hyperaldosteronism (Conn’s syndrome). Read our Conn's stories in our files and then give us your own in as much detail as you can. Dr. Conn was the first to describe this disease process and the syndrome is named after him. To see others' stories, on the Hyperaldosteronism home page, go to Files/Conn’s Stories. You'll find instructions in "A - How to put your story here.doc "

Then send us your story in an email and then we will likely ask more questions and make suggestions before you upload it to our files.

3. Hyperaldosteronism and Salt: The deadly Duo.

Eating Plan to control high blood pressure due to hyperaldosteronism and most others with high blood pressure. This will reduce your need for medications and in many will get your BP and K to goal without meds.. Get the DASH diet book by T. et al, read it and use it: $8 in paperback at your local bookstore. If they don’t have it ask them to order it for you. Learning to eat the DASH way will play a major role in your road to good BP and K control and, in many of our folks here, will revolutionize your life.

Go to chapter 9 and do the 14 day challenge. Tell your Dr you are doing this as your BP may plummet if you are on other meds in only 2-3 days.

or

go to http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/new_dash.pdf

download this 64 page booklet free and do the Week on the DASH Diet for 2 weeks. If you are on BP meds be prepared for a large fall in BP and let your Dr. know you are doing this.

Or go to (but costs money)

DASH Diet for Health Program

The DASH Diet for Health Program is designed to help you improve your eating and exercise habits. Twice each week we will provide you with information on our website about food, food preparation, eating out, losing weight, getting fit and much more. In addition to providing new information each week on our website, we create a web page specially for you where you can track progress in areas such as your weight, blood pressure, and exercise.

http://www.dashforhealth.com/

I strongly recommend you get the book and read it now!

4. Measure your BP: Measure your BP daily so you can see if it is getting better. If you are taking meds be sure to tell your health care team you are doing this as your BP may plummet to normal quickly. We recommend you use a device you listen to and will help you learn how to do this. If this is not something you want to do we can teach a significant other how to do it. See sharedcareinc.com or email to sharedcare@... to order a video on how to do this. If you already have one we will teach you how to teach your health care team how to validate your device. Your life and health depends on accurate BP measurements.

Go to the amricanheart.org and download the Guidelines for Human Blood Pressure Measurement. Insist the your health care team do BP the AHA way. Your life is in the hands of those who measure your BP. Never trust your life to an automatic BP machine unless you know it is accurate on YOU.

5. Genetics and your BP: Go to familyhistory.hhs.gov and do your detailed family medical history so we can review with you to help Dx familial causes of high blood pressure and heart disease. If BP runs in your family you may save lives in your family by checking their BP yourself. There is a brief discussion of this in my Evolution Article.

6. How to DX and

[Guest guest]

Keep up the good fight. You might tell them this Internet guru worked 3 months helping them out in a VA CBOC in RATON NM during that time I picked up 2 full blown cases of PA THAT had been missed for yrs in the VA System. If they look at eThe list of VA provodiers I was still there last month. So at least u can call mean VA guru. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Wow . They had nothing constructive to say about all the great feedback DR Grim takes the time to give us? I could see if we were getting test done, for Dr Grim, and he evaluated and matched our gen dr/s and specialists. He is proof reading our dr's and our labs. why the offense?

Licia

Subject: Re: Dr Grim Lab Results FinallyTo: hyperaldosteronism Date: Thursday, May 12, 2011, 11:29 PM

, thanks for that dose of reality, I really needed it tonight. I had a Neperology appt on Apr 29th and he wanted to put me on a "new" BP med, this 6 days after what I had presumed was Spiro finally clearing the excess aldo. In the last 10 mos I have titrated off 5 and 2 halves of the 7 BP meds I was on!Needless to say I was/am so angery I could chew nails! I finally cooled off enough to talk with the head of the Nepherology dept. at the local VA. Haven't gotten far yet but I'm not done.They as much as insinuated, no wait a minute - let me quote: "During our extended visit and, surprisingly, very intelligent, and deep questions and discussion session, it became apparent to me that Mr. is being 'helped'by Internet 'gurus,' 'specialists,' and 'doctors' claiming to have similar diagnosis, are or have lived through such a diagnosis, or are 'ultimate source of information' regarding Hyperaldosteronism." he then went on to say the

infomation may indeed be true and accurate but they are not looking at me as a whole person!I can't go on any more tonight, I'm still more upset than I thought and I fell tuesday so my typing is limited. More to come, much more - I just can't believe someone will throw out 4 months or more of BP#,s and rely on three samples taken one day and none of which were talen even clost to AHA Stds. Thank God Dr. Grim, you and all you others who have encouraged me to take control and that was okay to question a doctor. Anyway, thanks to all and I'll fill it all out next week when my hand (and mind) feel better! - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain.Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, Type II Diab. and PTSDCurrently on Spiro. 50 MG and titrating last 2 BP meds preparing for adrenalectomy, maybe. Current BP ave. 112/60.> > > > > > > > You have significant renal disease. Please get all of ur creatives you can find as far back as u can and send to us.  > >  >

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[Guest guest]

Trust u gave them a copy of my article so they can see I am indeed a Guru. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

, thanks for that dose of reality, I really needed it tonight. I had a Neperology appt on Apr 29th and he wanted to put me on a "new" BP med, this 6 days after what I had presumed was Spiro finally clearing the excess aldo. In the last 10 mos I have titrated off 5 and 2 halves of the 7 BP meds I was on!

Needless to say I was/am so angery I could chew nails! I finally cooled off enough to talk with the head of the Nepherology dept. at the local VA. Haven't gotten far yet but I'm not done.They as much as insinuated, no wait a minute - let me quote: "During our extended visit and, surprisingly, very intelligent, and deep questions and discussion session, it became apparent to me that Mr. is being 'helped'by Internet 'gurus,' 'specialists,' and 'doctors' claiming to have similar diagnosis, are or have lived through such a diagnosis, or are 'ultimate source of information' regarding Hyperaldosteronism." he then went on to say the infomation may indeed be true and accurate but they are not looking at me as a whole person!

I can't go on any more tonight, I'm still more upset than I thought and I fell tuesday so my typing is limited. More to come, much more - I just can't believe someone will throw out 4 months or more of BP#,s and rely on three samples taken one day and none of which were talen even clost to AHA Stds. Thank God Dr. Grim, you and all you others who have encouraged me to take control and that was okay to question a doctor. Anyway, thanks to all and I'll fill it all out next week when my hand (and mind) feel better!

- 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain.

Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, Type II Diab. and PTSD

Currently on Spiro. 50 MG and titrating last 2 BP meds preparing for adrenalectomy, maybe. Current BP ave. 112/60.

>

>

>

>

>

>

>

> You have significant renal disease. Please get all of ur creatives you can find as far back as u can and send to us. Â

>

> Â

>

[Guest guest]

Welcome to Life. But sounds like u r dealing with it. Keep up the good work. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I'll chime in on the stress factor. In the past four years I

Lost my Grandmother..four beloved cats..and between my husband and I we have had three job losses since 2007. I don't think all that is the primary cause but it certainly didn't help!

Kellie Sent from my Samsung Epicâ„¢ 4G

Licia wrote:

>Ok. I love this group. It is turning into my Order of The Day!!

>At Least my Dr's did not give me any contrast. They knew enough

>although it almost happened until I opened my mouth and said,

>my kidneys are fried. please. I am real intrested in the nose dive

>as I have been gathering labs and meds and sending them to Dr Grim.

>Just 2yrs ago my Creatin was perfect. I don't understand. But hbp, explains

>it all and the up and down of meds is enough to make you cry!! Thank you

>for your feed back.

>

>Licia

>

>PS same with alchol and gestation my mom never drank until we were all adults, I did love to party in the 80's and stopped completely in 1991 for ten years. then when mother died, I lost it for a bit and drank myself to oblivion but lately past 2yrs I'm finally coming into my own and getting over all the bullshit I'm not in a funk/state of mind. I wonder if stress has anything to do with this whole ball of wax. BC I was in a long term relationship engaged and then it was so messed up emotionally, having to share my children and moved back to my home town and travel for the past 6yrs back and forth to VA, not to mention rejection and a broken engagement. So the past 8yrs have been hell for me!! It is stress related I know it.

>

>Licia

>

>

>>

>>

>>

>>

>>

>>

>>

>> You have significant renal disease. Please get all

>> of ur creatives you can find as far back as u can

>> and send to us.

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>

>

>

>

>

>

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Reply to group |

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[Guest guest]

It seems this is the norm at the White River VA. I tried to get my Dr to read Dr

grim's article. My Dr wanted no part of it. Before my nephew was deployed he was

working at the White River VA he told me Dr there don't like it when someone

brings up something from the internet. Yet when you go to the VA web site they

want you to research things on the internet.

> > >

> > >

> > >

> > > From: Clarence Grim <lowerbp2@>

> > >

> > >

> > >

> > > You have significant renal disease. Please get all of ur creatives you can

find as far back as u can and send to us. Â

> > >

> > > Â

> > >

> >

> >

>

[Guest guest]

Thanks Doc!

Kellie Sent from my Samsung Epicâ„¢ 4G

Clarence Grim wrote:

>Welcome to Life. But sounds like u r dealing with it. Keep up the good work.

>

>Tiped sad Send form mi

>iPhone ;-)

>

>May your pressure be low!

>

>CE Grim MD

>Specializing in Difficult

>Hypertension

>

>

>

>> I'll chime in on the stress factor. In the past four years I

>> Lost my Grandmother..four beloved cats..and between my husband and I we have

had three job losses since 2007. I don't think all that is the primary cause but

it certainly didn't help!

>> Kellie Sent from my Samsung Epicâ„¢ 4G

>>

>> Licia wrote:

>>

>> >Ok. I love this group. It is turning into my Order of The Day!!

>> >At Least my Dr's did not give me any contrast. They knew enough

>> >although it almost happened until I opened my mouth and said,

>> >my kidneys are fried. please. I am real intrested in the nose dive

>> >as I have been gathering labs and meds and sending them to Dr Grim.

>> >Just 2yrs ago my Creatin was perfect. I don't understand. But hbp, explains

>> >it all and the up and down of meds is enough to make you cry!! Thank you

>> >for your feed back.

>> >

>> >Licia

>> >

>> >PS same with alchol and gestation my mom never drank until we were all

adults, I did love to party in the 80's and stopped completely in 1991 for ten

years. then when mother died, I lost it for a bit and drank myself to oblivion

but lately past 2yrs I'm finally coming into my own and getting over all the

bullshit I'm not in a funk/state of mind. I wonder if stress has anything to do

with this whole ball of wax. BC I was in a long term relationship engaged and

then it was so messed up emotionally, having to share my children and moved back

to my home town and travel for the past 6yrs back and forth to VA, not to

mention rejection and a broken engagement. So the past 8yrs have been hell for

me!! It is stress related I know it.

>> >

>> >Licia

>> >

>> >

>> >>

>> >>

>> >>

>> >>

>> >>

>> >>

>> >>

>> >> You have significant renal disease. Please get all

>> >> of ur creatives you can find as far back as u can

>> >> and send to us.

>> >>

>> >>

>> >>

>> >>

>> >>

>> >>

>> >>

>> >>

>> >>

>> >>

>> >>

>> >

>> >

>> >

>> >

>> >

>> >

>>

>> Reply to sender | Reply to group | Reply via web post | Start a New Topic

>> Messages in this topic (51)

>> RECENT ACTIVITY: New Members 7 New Files 2

>> Visit Your Group

>> MARKETPLACE

>> Find useful articles and helpful tips on living with Fibromyalgia. Visit the

Fibromyalgia Zone today!

>>

>>

>> Stay on top of your group activity without leaving the page you're on - Get

the Yahoo! Toolbar now.

>>

[Guest guest]

good luck trying to find someone to complain to. I have tried but have

giving up.

> > > >

> > > >

> > > >

> > > > From: Clarence Grim <lowerbp2@>

> > > >

> > > >

> > > >

> > > > You have significant renal disease. Please get all of ur creatives you

can find as far back as u can and send to us. Â

> > > >

> > > > Â

> > > >

> > >

> > >

> >

>

[Guest guest]

My doctor was impressed becuase it was a published article. If it was just a print out from the Internet, he wouldnt have paid attention to it either...he told me so. Also, I have educated myself enough to talk intelligently about the entire topic. When you speak in their language, you earn a little respect. At least that has been my experience. If he is unwilling to look at published medical research, then he is a pompus doc who needs a little lesson in humility. I started off asking my doctor if he knew who Dr. Conn was. He did. I told him Dr Grim worked with him and has spent most of his career specializing in the topic. Then I name dropped Dr. Young from Mayo. My doc new him becuase he worked at Mayo for his residency. So, published research, third party reference, and

reputable career. If you doc wont look at it then, your doc is doing you a disservice. Bring it up again the way i did. Print the actual aricle. If he still refuses, get a new one doc...just my 20 cents worth. lol

============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 1200mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole

DASH: Started DASHing 5/3/2011

To: hyperaldosteronism Sent: Friday, May 13, 2011 7:06 AMSubject: Re: Dr Grim Lab Results Finally

It seems this is the norm at the White River VA. I tried to get my Dr to read Dr grim's article. My Dr wanted no part of it. Before my nephew was deployed he was working at the White River VA he told me Dr there don't like it when someone brings up something from the internet. Yet when you go to the VA web site they want you to research things on the internet. > > > > > > > > > > > > From:

Clarence Grim <lowerbp2@> > > > > > > > > > > > > You have significant renal disease. Please get all of ur creatives you can find as far back as u can and send to us.  > > > > > >  > > >> > > >>

[Guest guest]

Both and I go to the same VA. I am now on my third PCP I can request a

change again but can't choose who would be the next one as the just gives you

one.

> >> > >

> >> > >

> >> > >

> >> > > From: Clarence Grim <lowerbp2@>

> >> > >

> >> > >

> >> > >

> >> > > You have significant renal disease. Please get all of ur creatives you

can find as far back as u can and send to us. Â

> >> > >

> >> > > Â

> >> > >

> >> >

> >> >

> >>

> >

> >

> >

> >

> >

>

[Guest guest]

You

never say it is " from the Internet. "  

You say it is from " Archives of Internal Medicine " or whatever

journal.  And if your doc won't get

educated, then you have to get educated and tell him what you want.  That's finally what I had to do.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Francis Bill

SUSPECTED PA

Sent: Friday, May 13, 2011 6:07 AM

To: hyperaldosteronism

Subject: Re: Dr Grim Lab Results Finally

It seems this is the norm at the White River

VA. I tried to get my Dr to read Dr grim's article. My Dr wanted no part of it.

Before my nephew was deployed he was working at the White River VA he told me

Dr there don't like it when someone brings up something from the internet. Yet

when you go to the VA web site they want you to research things on the

internet.

> > >

> > >

> > >

> > > From: Clarence Grim <lowerbp2@>

> > >

> > >

> > >

> > > You have significant renal disease. Please get all of ur

creatives you can find as far back as u can and send to us. Â

> > >

> > > Â

> > >

> >

> >

>

[Guest guest]

Hello Dr Grim: Sent inquiry to my gen dr and his response is below. Just went in again today for a metabolism/test will have results soon.

Aliasgar Z Chittalia, MD

Received:

05/13/2011 10:14 AM

Your kidney function test is stable but you can check with the kidney doctor about it. Its hard to predict about dialysis. The key is to get good Blood pressure control and the meds are not burning your kidneys. Its will burn out much faster without them. Pl f/up with the Dr Difillipo.Take care LiciaAliasgar Z Chittalia, MD----- Message -----From: GREGORY,LICIA ASent: 5/13/11 12:59 AMTo: Aliasgar Z Chittalia, MDSubject: Existing Problem1. Please describe your problem and any symptoms you are experiencing:Hello Dr./Medical Staff:Looking at my labs am I going to need Dialysis in a few years? How long canI function at this level and can it improve and how? I think the meds areburning my kidneys. In the past 3yrs they have significantly nose dived. Help me.

Subject: Re: Re: Dr Grim Lab Results FinallyTo: "hyperaldosteronism " <hyperaldosteronism >Date: Friday, May 13, 2011, 11:12 AM

My doctor was impressed becuase it was a published article. If it was just a print out from the Internet, he wouldnt have paid attention to it either...he told me so. Also, I have educated myself enough to talk intelligently about the entire topic. When you speak in their language, you earn a little respect. At least that has been my experience. If he is unwilling to look at published medical research, then he is a pompus doc who needs a little lesson in humility. I started off asking my doctor if he knew who Dr. Conn was. He did. I told him Dr Grim worked with him and has spent most of his career specializing in the topic. Then I name dropped Dr. Young from Mayo. My doc new him becuase he worked at Mayo for his residency. So, published research, third party reference, and reputable career. If you doc wont look at it then, your doc is doing you a disservice. Bring it up again the way i did. Print the actual aricle. If he still refuses,

get a new one doc...just my 20 cents worth. lol

============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 1200mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole

DASH: Started DASHing 5/3/2011

To: hyperaldosteronism Sent: Friday, May 13, 2011 7:06 AMSubject: Re: Dr Grim Lab Results Finally

It seems this is the norm at the White River VA. I tried to get my Dr to read Dr grim's article. My Dr wanted no part of it. Before my nephew was deployed he was working at the White River VA he told me Dr there don't like it when someone brings up something from the internet. Yet when you go to the VA web site they want you to research things on the internet. > > > > > > > > > > > > From: Clarence Grim <lowerbp2@> > > > > > > > > > > > > You have significant renal disease. Please get all of ur creatives you can find as far back as u can and send to us.  > > > > > >  > > >> > > >>

[Guest guest]

Gotcha!!! I don't want anymore diseases, that is just it, plain and simple and I know that

is not reality. Happy Friday

Licia>>>>Subject: Re: Dr Grim Lab Results Finally>To: "hyperaldosteronism " <hyperaldosteronism >>Date: Thursday, May 12, 2011, 5:57 PM>>> >>>Being from Missouri I like to see the numbers. >Kidney function can go down hill for a number or reasons.>In AA this almost always due to HTN and or DM. What was your BP AND Rx during this tim

[Guest guest]

Thank you Dr. Appreciate all the feed back and concern.

Licia >> >> >> >> >> >> >> >> You have significant renal disease. Please get all>> of ur creatives you can find as far back as u can>> and send to us. >> >> >> >> >> >> >> >> >> >> >> >>>>>>

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[Guest guest]

Ok, Gotcha!! And we are just reading the Bun Creatin and GFR? Thanks Val.

Sojourner'48/African American/spiro 100mg/sprio/norvasc/labetalol/3x's a day/ simbastin 1x day/ anemia/iron 2x's a day/ b100/ vitimin & vitimin a and vitamin a and d/ /bp reading on 05/11/11/ - 127/77 -weight - 150.lbs, height/ 5'1", thyroidectomy, graves disease/vitiliago, PA.

Your creatinine is too high and your GFR is too low. What does your doctor say? I hope you are getting immediate medical attention.

[Guest guest]

Dr Grim:

What does this mean from your website? " the killing salt completing conditions" I thought salt was the reason we are in this boat? Please explain.

" In 1987, Dr. Grim, while Professor of Medicine in Residence and director of the Hypertension Research Center at UCLA and the R. Drew University of Medicine and Science at the Luther King Jr. Hospital in Watts, was the first to advance the hypothesis that the greater prevalence of high blood pressure in Western Hemisphere Blacks is related to survival of the fittest during slavery for the ability to store salt and survive the killing salt depleting conditions that led to death during slavery."

Your creatinine is too high and your GFR is too low. What does your doctor say? I hope you are getting immediate medical attention.