Re: Dr Grim Lab Results Finally

[Guest guest]

He was telling u. Right. Almost sounded like what I said. I was a Kidney doctor we used to plot 1/PCr on y axis and time on x Axis. Draw a regression line. Where it crosses zero is not a bad prediction. Of when u will need dialysis. What u. Also a way to see if an Rx is slowing progression of kidney disease or worsening it. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

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]

How can u predict that? Is there a test for that? What do u mean , Axis and zero is when I will need dialysis? Is what u are saying or what my dr is saying, what? In three/four years?

Licia

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]

Some people are salt sensitive. When give salt they retain or store salt. Now let's load a ship with 100 people 1/2 who are SS.and induce salt depleting conditions such as a low salt diet and sweating and vomiting and diarrhea and limited access to water so that 1/2 die. Those who started out with the best salt stores would be less likely to die. Thus the survivors would be more likely to be SS. AS SS is inherited their descendants would allow be SS. Thus is called evolution. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

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."

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

[Guest guest]

It is killing SALT DEPLETING conditions. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

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."

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

[Guest guest]

Great

thumbnail!

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Licia

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]

Thanks Val. Have a great weekend.

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]

Thanks for the thumbnail. CE Grim MDThanks Val. Have a great weekend. Your creatinine is too high and your GFR is too low. What does your doctor say? I hope you are getting immediate medical attention.