Guest guest Posted May 15, 2011 Report Share Posted May 15, 2011 Good plan. Let me know if I can help. My guess is that there are 100rds if not thousands of PAs in VA system and most missed. Would love to do a project on this VA system wide. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Francis, thanks for your wish of good luck but I seldom rely on luck because it often doesn't produce the desired results! ;>) My suggestion regarding portable oxygen concentrators is currently somewhere in Bernie ', one of Vermont's Senators, office because Dr. thought he was the ultimate decission maker and they weren't allowed! I have found the doctor, Dr. Jahangir A. Momin, is a temporary doctor who is here because they have so far been able to hire a f/t dr., that was the same status for Dr. Fasal Yousefi, the dr. that dx'ed me. (Dr. Grim, want to come to Vermont for a month or two? Looks like opportunity as if you needed it!) I have talked with Dr. Robey who identified himself as head of the Neperology Dept. I have all my records going back to 4/29/2011, the date of the incident. In the Progress Notes of Dr. Robey's summary of our phone conversation he has it awaiting signatures from A. Geiling and A. Parrino. I don't know who these 2 are but assume they are in positions of authority and he is doing a little CYA. I have created a three page letter telling them basically my background and I included Dr. Grim's comments and a copy of his Evolution document. I plan to deliver them on Monday and ask Dr. Robey to distribute to Geiling and Parrino. I will also ask him what they represent. My next step is to offer my comments on the Progress Notes and answer open questions, many that shouldn't be open but they didn't bother to look back and verify. (Like sleep studies and cpap compliance, it's actually a bipap so they can get the inhale pressure up high enough (19). There are many more, I just need to go through their comments. I also will offer to help Dr. Momin with running an effective meeting when there are two conflicting agendas. (I am qualified, I was a very successful project leader in a previous life!) Anyway, the kids are home this weekend so that will be sometime next week. I have moved this to a new thread hopefully since I was treading on another thread. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: Valarie <val@> > > > > > > > > > > > > > > > Your creatinine is too high and your GFR is too low. What does your doctor say? I hope you are getting immediate medical attention. > > > > > From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia > > > > >  > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Component > > > > > > > > > > Your Value > > > > > > > > > > Standard Range > > > > > > > > > > Units > > > > > > > > > > Flag > > > > > > > > > > > > > > > > > > > > BUN > > > > > > > > > > 24 > > > > > > > > > > 6 - 20 > > > > > > > > > > mg/dL > > > > > > > > > > H > > > > > > > > > > > > > > > CREATININE > > > > > > > > > > 1.8 > > > > > > > > > > 0.7 - 1.5 > > > > > > > > > > mg/dL > > > > > > > > > > H > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > GFR ESTIMATED > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2011 Report Share Posted May 15, 2011 Yes this would be a good place for Dr Grim to do a 6 month locum. This way could also learn something Dartmouth. Unless he likes to ski best to try for summer. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: Valarie <val@> > > > > > > > > > > > > > > > > > > > > > Your creatinine is too high and your GFR is too low. What does your doctor say? I hope you are getting immediate medical attention. > > > > > > > From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia > > > > > > >  > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Component > > > > > > > > > > > > > > Your Value > > > > > > > > > > > > > > Standard Range > > > > > > > > > > > > > > Units > > > > > > > > > > > > > > Flag > > > > > > > > > > > > > > > > > > > > > > > > > > > > BUN > > > > > > > > > > > > > > 24 > > > > > > > > > > > > > > 6 - 20 > > > > > > > > > > > > > > mg/dL > > > > > > > > > > > > > > H > > > > > > > > > > > > > > > > > > > > > CREATININE > > > > > > > > > > > > > > 1.8 > > > > > > > > > > > > > > 0.7 - 1.5 > > > > > > > > > > > > > > mg/dL > > > > > > > > > > > > > > H > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > GFR ESTIMATED > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2011 Report Share Posted May 15, 2011 Next locum is in Hawaii for 3 months starting in July. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Yes this would be a good place for Dr Grim to do a 6 month locum. This way could also learn something Dartmouth. Unless he likes to ski best to try for summer. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: Valarie <val@> > > > > > > > > > > > > > > > > > > > > > Your creatinine is too high and your GFR is too low. What does your doctor say? I hope you are getting immediate medical attention. > > > > > > > From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia > > > > > > >  > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2011 Report Share Posted May 15, 2011 Here is one of the Dr that is going to sign you paper. Parrino, MD, Chief of Staff Dr. Parrino holds a B.S. from Carroll (1967), MD from town (1971), MBA from University of St. , MN (2003), and an honorary MA from Brown University (1992). He completed his medicine internship and residency at Boston City Hospital on the V & VI Medical Service (1971-1973), and Medicine Chief Residency and Infectious Diseases Fellowship at University Hospital, Boston (1973-1976). For the past six years Dr. Parrino has served as the Chief of Staff at West Palm Beach VA Medical Center. Prior to that, he was Chief Medical Officer for the VA New England Health Care System from 1996-1999. He was also the Assistant & then Acting Chief of Staff at the Providence VA Medical Center from 1991-1996. Dr. Parrino developed a nationally-recognized primary care program, and earned the rank of Professor of Medicine at Brown University. He received the Student Citation for teaching excellence in 1996, & gave the invited faculty commencement address in 1997. Dr. Parrino is a Fellow of the American College of Physicians and the American College of Physician Executives, and is a member of the Infectious Diseases Society of America. He has served on a number of national VA councils and committees, and was recently invited to serve on the Board of Directors of the Palm Beach County Medical Society. He has senior academic appointments at the University of Miami, University of Florida, and Nova Southeastern College of Osteopathic Medicine. > > > > > > > > > > > > > > > > Race has nothing to do with it I am certain given the variety of people on here going throught the same thing. As for half ass and incompetent - THAT may be it! Most of us on here have been through the same thing and I assure you we sense your frustration with not getting the diagnosis. A few on here are from other countries outside the US (not me), some have national health care, some private insurance and many don't have any insurance at all. Some are doctors, PA-C's, nurses, and many a smart professional person  who still couldn't get their colleagues or the " best "  to listen to them and the diagnosis was slow coming and for some the damage was well on it's way. I think it's the disease and the unfamiliarity with it (but SHOULD be known by every medical provider) and not the person with it causing the issue in the delay of diagnosing PA. > > > > > > > >  > > > > > > > > THIS is what we all have to help change so the next one doesn't go through what we have gone through. > > > > > > > >  > > > > > > > > Your story is very similar to nearly everyone else on here so we again certainly can feel your frustration with going so long - but you can vent on us - they long timers (not me) have been taking it for a while . I think Dr G or someone wrote once on here the average seemed to be 5 or so years before someone put the symptoms with the actual diagnosis. Sad but too true. > > > > > > > >  > > > > > > > > 43 yo 5'10 " 170lbs male PA-C and EMT-P w/ PA responded ONLY to spiro > > > > > > > > and DASH after many years with HTN (have gone from 25mg q day to 12.5 q day on spiro). Average BP 160/120 (170/130 AVERAGE when TSH was also low!) for many years on 5 BP meds and now 130/80 on only 25mg/day spiro and DASH alone! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2011 Report Share Posted May 15, 2011 Just a little ahead of you, Jun '68 - May '69. Was a newlywed so we waited till Mar. so we wouldn't have to wait so long after. She flew out of VT in a blizzard, first time flying, first time out of N.E and her luggage got lost! All she had the first day I was there was the wool clothes she flew in! (Wasn't a problem and her suitcase arrived early the next day!! But thanks for your concern :>) MEMORIES! - 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: Valarie <val@> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Your creatinine is too high and your GFR is too low.ÃÆ'‚ What does your doctor say?ÃÆ'‚ I hope you are getting immediate medical attention. > > > > > > > > > > > From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2011 Report Share Posted May 15, 2011 Thanks Francis, you are a wealth of knowledge or have a damn good search engine! Together we'll straighten out WRJ! - 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. > > > > > > > > > > > > > > > > > > Race has nothing to do with it I am certain given the variety of people on here going throught the same thing. As for half ass and incompetent - THAT may be it! Most of us on here have been through the same thing and I assure you we sense your frustration with not getting the diagnosis. A few on here are from other countries outside the US (not me), some have national health care, some private insurance and many don't have any insurance at all. Some are doctors, PA-C's, nurses, and many a smart professional person  who still couldn't get their colleagues or the " best "  to listen to them and the diagnosis was slow coming and for some the damage was well on it's way. I think it's the disease and the unfamiliarity with it (but SHOULD be known by every medical provider) and not the person with it causing the issue in the delay of diagnosing PA. > > > > > > > > >  > > > > > > > > > THIS is what we all have to help change so the next one doesn't go through what we have gone through. > > > > > > > > >  > > > > > > > > > Your story is very similar to nearly everyone else on here so we again certainly can feel your frustration with going so long - but you can vent on us - they long timers (not me) have been taking it for a while . I think Dr G or someone wrote once on here the average seemed to be 5 or so years before someone put the symptoms with the actual diagnosis. Sad but too true. > > > > > > > > >  > > > > > > > > > 43 yo 5'10 " 170lbs male PA-C and EMT-P w/ PA responded ONLY to spiro > > > > > > > > > and DASH after many years with HTN (have gone from 25mg q day to 12.5 q day on spiro). Average BP 160/120 (170/130 AVERAGE when TSH was also low!) for many years on 5 BP meds and now 130/80 on only 25mg/day spiro and DASH alone! > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2011 Report Share Posted May 15, 2011 I know my way around on the VA web site. They do keep changing it so can't always find things right off. > > > > > > > > > > > > > > > > > > > > Race has nothing to do with it I am certain given the variety of people on here going throught the same thing. As for half ass and incompetent - THAT may be it! Most of us on here have been through the same thing and I assure you we sense your frustration with not getting the diagnosis. A few on here are from other countries outside the US (not me), some have national health care, some private insurance and many don't have any insurance at all. Some are doctors, PA-C's, nurses, and many a smart professional person  who still couldn't get their colleagues or the " best "  to listen to them and the diagnosis was slow coming and for some the damage was well on it's way. I think it's the disease and the unfamiliarity with it (but SHOULD be known by every medical provider) and not the person with it causing the issue in the delay of diagnosing PA. > > > > > > > > > >  > > > > > > > > > > THIS is what we all have to help change so the next one doesn't go through what we have gone through. > > > > > > > > > >  > > > > > > > > > > Your story is very similar to nearly everyone else on here so we again certainly can feel your frustration with going so long - but you can vent on us - they long timers (not me) have been taking it for a while . I think Dr G or someone wrote once on here the average seemed to be 5 or so years before someone put the symptoms with the actual diagnosis. Sad but too true. > > > > > > > > > >  > > > > > > > > > > 43 yo 5'10 " 170lbs male PA-C and EMT-P w/ PA responded ONLY to spiro > > > > > > > > > > and DASH after many years with HTN (have gone from 25mg q day to 12.5 q day on spiro). Average BP 160/120 (170/130 AVERAGE when TSH was also low!) for many years on 5 BP meds and now 130/80 on only 25mg/day spiro and DASH alone! > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2011 Report Share Posted May 15, 2011 This wasn't real good timing for someone first time flying as it was only a few months after the yellowBird crash. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: Valarie <val@> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Your creatinine is too high and your GFR is too low.ÃÆ'‚ What does your doctor say?ÃÆ'‚ I hope you are getting immediate medical attention. > > > > > > > > > > > > From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia > > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2011 Report Share Posted May 15, 2011 Yeah and they tell me I will have to live in Waikiki.Will be working with KaiserClarence E. Grim, BS, MS, MD Specializing in Primary Aldosteronism, Difficult High Blood Pressure and recent evolutionary forces on high blood pressure in populations today. Bet you are not unhappy about this. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: Valarie <val@> > > > > > > > > > > > > > > > > > > > > > > > > > > > Your creatinine is too high and your GFR is too low.ÃÆ'‚ What does your doctor say?ÃÆ'‚ I hope you are getting immediate medical attention. > > > > > > > > > From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2011 Report Share Posted May 15, 2011 Dont do dialysis anymore. not fun doctoring 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 belive this is the job they are trying to fill has been open a while I think close to a year. This is at least the second time it has been posted. skip over navigation Search jobs - Main Page Browse Jobs Advanced/International Search Jobs in Demand Most Popular Jobs My Account - Main Page Profile Resumes Saved Searches Saved Jobs Saved Documents Application Status Info Center - Main Page Supplemental Forms Individuals with Disabilities Veterans Students and Recent Graduates Senior Executives Features Searchable FAQs SIGN IN OR CREATE AN ACCOUNT Search Jobs Keyword Tips Browse Jobs > Advanced Search > International Search > Job Title: Nephrologist Department: Department Of Veterans Affairs Agency: Veterans Health Administration Job Announcement Number: 2010-MED-013 OPEN PERIOD: Monday, August 02, 2010 to Thursday, June 30, 2011 SERIES & GRADE: VM-0602-^/^ POSITION INFORMATION: Full-Time Permanent PROMOTION POTENTIAL: ^ DUTY LOCATIONS: 1 vacancy - White River Junction, VT WHO MAY BE CONSIDERED: Applications will be accepted from United States citizens and nationals. JOB SUMMARY: Participation in the shared teaching mission of the VA and Dartmouth Medical School is expected. The ideal candidate will qualify for an academic appointment at Dartmouth Medical School and a corresponding staff appointment at Dartmouth-Hitchcock Medical Center and will be both competent and eligible to supervise affiliated trainees. Back to top Duties Additional Duty Location Info: 1 vacancy - White River Junction, VT The successful applicant will be a fully competent Internist and Nephrologist capable of evaluating and managing the full spectrum of acute and chronic kidney disease, including fluid and electrolyte disorders, urolithiasis, resistant hypertension, and transplantation. He/she will also be competent to provide both inpatient and outpatient renal consultation services, renal replacement therapy, temporary dialysis catheter insertion, and percutaneous renal biopsy. The incumbent will oversee and develop a new Nephrology & Hypertension program. Participation in the shared teaching mission of the VA and Dartmouth Medical School is expected. The ideal candidate will qualify for an academic appointment at Dartmouth Medical School and a corresponding staff appointment at Dartmouth-Hitchcock Medical Center and will be both competent and eligible to supervise affiliated trainees. Back to top Qualifications and Evaluations QUALIFICATIONS REQUIRED: a. Citizenship. Citizen of the United States. b. Education. Degree of doctor of medicine or an equivalent degree resulting from a course of education in medicine or osteopathic medicine. The degree must have been obtained from one of the schools approved by the Secretary of Veterans Affairs for the year in which the course of study was completed. Approved schools are: (1) Schools of medicine holding regular institutional membership in the Association of American Medical Colleges for the year in which the degree was granted. (2) Schools of osteopathic medicine approved by the American Osteopathic Association for the year in which the degree was granted. (3) Schools (including foreign schools) accepted by the licensing body of a State, Territory, or Commonwealth (i.e, Puerto Rico), or in the District of Columbia as qualifying for full or unrestricted licensure. (4) For residents, graduation from an approved medical school as described above is required except as provided in M-8, part II, chapter 1. Applicants must provide an official copy of their college transcripts. c. Licensure Current, full and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. The physician must maintain current registration in the State of licensure if this is a requirement for continuing active, current licensure. d. Physical Requirements. Must pass a pre-employment physical. e. English Language Proficiency. Physicians must be proficient in spoken and written English. You must be a U.S. citizen to qualify for this position.After appointment, you will be subject to random testing for illegal drug use.You must have a certification, licensure, or registration credentials in License for this position. In some cases, these may be substituted for experience and education.You will need to successfully complete a background security investigation before you can be appointed into this position.Applicants for this position must pass a pre-employment medical examination. HOW YOU WILL BE EVALUATED: ^ Back to top Benefits and Other Info BENEFITS: You may participate in the Federal Employees Health Benefits program, with costs shared with your employer. More info: http://www.usajobs.gov/jobextrainfo.asp#FEHB.Life insurance coverage is provided. More info: http://www.usajobs.gov/jobextrainfo.asp#lifeLong-Term Care Insurance is offered and carries into your retirement. More info: http://www.usajobs.gov/jobextrainfo.asp#ltciNew employees are automatically covered by the Federal Employees Retirement System (FERS). If you are transferring from another agency and covered by CSRS, you may continue in this program. More info: http://www.usajobs.gov/jobextrainfo.asp#retrYou will earn annual vacation leave. More info: http://www.usajobs.gov/jobextrainfo.asp#VACAYou will earn sick leave. More info: http://www.usajobs.gov/jobextrainfo.asp#SKLVYou will be paid for federal holidays that fall within your regularly scheduled tour of duty. More info: http://www.usajobs.gov/jobextrainfo.asp#HOLIOpportunities are available in numerous locations and employees may transfer to new locations to further their career goals.If you use public transportation, part of your transportation costs may be subsidized. Our human resources office can provide additional information on how this program is run.Qualified federal employees may be covered by our child care subsidy program or dependent care flexible spending account. Our human resources office can provide additional information on eligibility. More info: http://www.usajobs.gov/jobextrainfo.asp#CCRSYou can use Health Care Flexible Spending Accounts for expenses that are tax-deductible, but not reimbursed by any other source, including out-of-pocket expenses and non-covered benefits under their FEHB plans. More Info: http://www.usajobs.gov/jobextrainfo.asp#FSA OTHER INFORMATION: This job is being filled by an alternative hiring process and is not in the competitive civil service.You will be required to serve a probationary period of 2 years. Back to top How To Apply HOW TO APPLY: You must submit your application so that it will be received by the closing date of the announcement.We encourage you to use the USAJOBS resume builder to speed the application process. If you are not applying on line, be sure your application includes the following: A resume or an Optional Application for Federal Employment (OF 612) or any other format. Although we do not require a specific format, certain information is required to determine if you are qualified.If education is used to qualify for this position, please include sufficient information in your resume so you can be evaluated. You may mail a list of college courses that includes hours and grades to provide detail. AGENCY CONTACT INFO: Don Rainwater Phone: , ext. 2907 Fax: Email: don.rainwater@... Agency Information:Department Of Veterans Affairs421 North Main Street, Bldg 2Leeds, MA 01053-9764 US Fax: WHAT TO EXPECT NEXT: ^ Back to top Go to section of this Job: Overview DutiesQualifications and EvaluationsBenefits and Other InfoHow to Apply Agency Information: Department Of Veterans Affairs421 North Main Street, Bldg 2Leeds, MA 01053-9764 US Fax: Questions about this job: Don Rainwater Phone: , ext. 2907 Fax: Email: don.rainwater@... Job Announcement Number:2010-MED-013 Control Number: 1986280 EEO Policy Statement | Reasonable Accommodation Policy Statement | Veterans Information | Legal and Regulatory Guidance Site Map Contact Us Help/FAQs Employers Privacy Act and Public Burden Information This is a United States Office of Personnel Management website.USAJOBS is the Federal Government's official one-stop source for Federal jobs and employment information. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: Valarie <val@>> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Your creatinine is too high and your GFR is too low.ÃÆ'‚ What does your doctor say?ÃÆ'‚ I hope you are getting immediate medical attention.> > > > > > > > > > > From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > >> > >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2011 Report Share Posted May 15, 2011 Sounds like a good training and resume.But seems to be more and ID specialist.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. Here is one of the Dr that is going to sign you paper. Parrino, MD, Chief of Staff Dr Parrino holds a B.S. from Carroll (1967), MD from town (1971), MBA from University of St. , MN (2003), and an honorary MA from Brown University (1992). He completed his medicine internship and residency at Boston City Hospital on the V & VI Medical Service (1971-1973), and Medicine Chief Residency and Infectious Diseases Fellowship at University Hospital, Boston (1973-1976). For the past six years Dr. Parrino has served as the Chief of Staff at West Palm Beach VA Medical Center. Prior to that, he was Chief Medical Officer for the VA New England Health Care System from 1996-1999. He was also the Assistant & then Acting Chief of Staff at the Providence VA Medical Center from 1991-1996. Dr. Parrino developed a nationally-recognized primary care program, and earned the rank of Professor of Medicine at Brown University. He received the Student Citation for teaching excellence in 1996, & gave the invited faculty commencement address in 1997. Dr. Parrino is a Fellow of the American College of Physicians and the American College of Physician Executives, and is a member of the Infectious Diseases Society of America. He has served on a number of national VA councils and committees, and was recently invited to serve on the Board of Directors of the Palm Beach County Medical Society. He has senior academic appointments at the University of Miami, University of Florida, and Nova Southeastern College of Osteopathic Medicine. > > > > > > > > > > > > > > > > Race has nothing to do with it I am certain given the variety of people on here going throught the same thing. As for half ass and incompetent - THAT may be it! Most of us on here have been through the same thing and I assure you we sense your frustration with not getting the diagnosis. A few on here are from other countries outside the US (not me), some have national health care, some private insurance and many don't have any insurance at all. Some are doctors, PA-C's, nurses, and many a smart professional person  who still couldn't get their colleagues or the "best" to listen to them and the diagnosis was slow coming and for some the damage was well on it's way. I think it's the disease and the unfamiliarity with it (but SHOULD be known by every medical provider) and not the person with it causing the issue in the delay of diagnosing PA. > > > > > > > >  > > > > > > > > THIS is what we all have to help change so the next one doesn't go through what we have gone through. > > > > > > > >  > > > > > > > > Your story is very similar to nearly everyone else on here so we again certainly can feel your frustration with going so long - but you can vent on us - they long timers (not me) have been taking it for a while . I think Dr G or someone wrote once on here the average seemed to be 5 or so years before someone put the symptoms with the actual diagnosis. Sad but too true. > > > > > > > >  > > > > > > > > 43 yo 5'10" 170lbs male PA-C and EMT-P w/ PA responded ONLY to spiro > > > > > > > > and DASH after many years with HTN (have gone from 25mg q day to 125 q day on spiro). Average BP 160/120 (170/130 AVERAGE when TSH was also low!) for many years on 5 BP meds and now 130/80 on only 25mg/day spiro and DASH alone! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 If he is on staff at the University of Miami, University of Florida, and Nova Southeastern College of Osteopathic Medicine. and on the Board of Directors of the Palm Beach County Medical Society. How much time can he be at the White River VA. As Fl is over 1000 mi from VT. > > > > > > > > > > > > > > > > > > > > Race has nothing to do with it I am certain given the variety of people on here going throught the same thing. As for half ass and incompetent - THAT may be it! Most of us on here have been through the same thing and I assure you we sense your frustration with not getting the diagnosis. A few on here are from other countries outside the US (not me), some have national health care, some private insurance and many don't have any insurance at all. Some are doctors, PA-C's, nurses, and many a smart professional person  who still couldn't get their colleagues or the " best "  to listen to them and the diagnosis was slow coming and for some the damage was well on it's way. I think it's the disease and the unfamiliarity with it (but SHOULD be known by every medical provider) and not the person with it causing the issue in the delay of diagnosing PA. > > > > > > > > > >  > > > > > > > > > > THIS is what we all have to help change so the next one doesn't go through what we have gone through. > > > > > > > > > >  > > > > > > > > > > Your story is very similar to nearly everyone else on here so we again certainly can feel your frustration with going so long - but you can vent on us - they long timers (not me) have been taking it for a while . I think Dr G or someone wrote once on here the average seemed to be 5 or so years before someone put the symptoms with the actual diagnosis. Sad but too true. > > > > > > > > > >  > > > > > > > > > > 43 yo 5'10 " 170lbs male PA-C and EMT-P w/ PA responded ONLY to spiro > > > > > > > > > > and DASH after many years with HTN (have gone from 25mg q day to 12.5 q day on spiro). Average BP 160/120 (170/130 AVERAGE when TSH was also low!) for many years on 5 BP meds and now 130/80 on only 25mg/day spiro and DASH alone! > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 From this posting it would indicate the white river VA doesn't have a nephrology dept. as it says the incumbent will oversee and develop a new Nephrology & Hypertension program. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: Valarie <val@> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Your creatinine is too high and your GFR is too low.ÃÆ'‚ What does your doctor say?ÃÆ'‚ I hope you are getting immediate medical attention. > > > > > > > > > > > > > From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia > > > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 If only I was younger or the VA would hire me as an online consultant for difficult HTN.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. From this posting it would indicate the white river VA doesn't have a nephrology dept. as it says the incumbent will oversee and develop a new Nephrology & Hypertension program. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: Valarie <val@> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Your creatinine is too high and your GFR is too low.ÃÆ'‚ What does your doctor say?ÃÆ'‚ I hope you are getting immediate medical attention. > > > > > > > > > > > > > From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia > > > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 Snowbird?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. If he is on staff at the University of Miami, University of Florida, and Nova Southeastern College of Osteopathic Medicine. and on the Board of Directors of the Palm Beach County Medical Society. How much time can he be at the White River VA. As Fl is over 1000 mi from VT. > > > > > > > > > > > > > > > > > > > > Race has nothing to do with it I am certain given the variety of people on here going throught the same thing. As for half ass and incompetent - THAT may be it! Most of us on here have been through the same thing and I assure you we sense your frustration with not getting the diagnosis. A few on here are from other countries outside the US (not me), some have national health care, some private insurance and many don't have any insurance at all. Some are doctors, PA-C's, nurses, and many a smart professional person  who still couldn't get their colleagues or the "best" to listen to them and the diagnosis was slow coming and for some the damage was well on it's way. I think it's the disease and the unfamiliarity with it (but SHOULD be known by every medical provider) and not the person with it causing the issue in the delay of diagnosing PA. > > > > > > > > > >  > > > > > > > > > > THIS is what we all have to help change so the next one doesn't go through what we have gone through. > > > > > > > > > >  > > > > > > > > > > Your story is very similar to nearly everyone else on here so we again certainly can feel your frustration with going so long - but you can vent on us - they long timers (not me) have been taking it for a while . I think Dr G or someone wrote once on here the average seemed to be 5 or so years before someone put the symptoms with the actual diagnosis. Sad but too true. > > > > > > > > > >  > > > > > > > > > > 43 yo 5'10" 170lbs male PA-C and EMT-P w/ PA responded ONLY to spiro > > > > > > > > > > and DASH after many years with HTN (have gone from 25mg q day to 12.5 q day on spiro). Average BP 160/120 (170/130 AVERAGE when TSH was also low!) for many years on 5 BP meds and now 130/80 on only 25mg/day spiro and DASH alone! > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 I believe they have a department, Dr. Robey identified himself as the Head of the Nephrology. I think they are trying to develop a new PROGRAM! (That is what Dr. Yousefi, the dr. that DXed me, indicated he was working on.) Hopefully they will include testing for PA in that new program! (I plan to do everything in my power to make that happen, after all being retired now I have nothing better to do!) I do have some sympathy for Dr. Robey because he is working with temps. so there may be continuity problems, BUT THE BUCK HAS TO STOP SOMEWHERE! - 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: Valarie <val@> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Your creatinine is too high and your GFR is > too low.ÃÆ'‚ What does your doctor > say?ÃÆ'‚ I hope you are getting immediate > medical attention. > > > > > > > > > > > > > > From: hyperaldosteronism > [mailto:hyperaldosteronism ] On Behalf Of Licia > > > > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 If they are really serious about this they need to treat it as an official project with an Action Plan including Open Issues and a ToDo list that includes a responsible individual and a due date. You Dr. Grim certianly could keep them honest! I'm guessing it shouldn't be that difficult, somebody, somewhere must be doing it right or close to right that they could embellish on. The hard part might be getting it rolled out to the entire VA system! Hey, how much money can we save if there is a process that everyone uses and we only develop it once? Tell Obama he can he can save healthcare money, let's see, in my case: (7BP meds + Pot. Suppl. + 2 Narcs for pain + stool softners) times 10 or more years then include extra tests and doctors etc. etc. etc. -- pretty soon you are talking real money!! One last question, There really is a Santa Clause isn't there? - 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: Valarie <val@> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Your creatinine is too high and your GFR is > > too low.ÃÆ'‚ What does your doctor > > say?ÃÆ'‚ I hope you are getting immediate > > medical attention. > > > > > > > > > > > > > > > From: hyperaldosteronism > > [mailto:hyperaldosteronism ] On Behalf Of Licia > > > > > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 Let me know if I can help. Would love to work on this across all VA clinics. Difficult HTN and PA.CE Grim MDI believe they have a department, Dr. Robey identified himself as the Head of the Nephrology. I think they are trying to develop a new PROGRAM! (That is what Dr. Yousefi, the dr. that DXed me, indicated he was working on.) Hopefully they will include testing for PA in that new program! (I plan to do everything in my power to make that happen, after all being retired now I have nothing better to do!) I do have some sympathy for Dr. Robey because he is working with temps. so there may be continuity problems, BUT THE BUCK HAS TO STOP SOMEWHERE! - 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.> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > > From: Valarie <val@>> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > > Your creatinine is too high and your GFR is> too low.ÃÆ'‚ What does your doctor> say?ÃÆ'‚ I hope you are getting immediate> medical attention.> > > > > > > > > > > > > > From: hyperaldosteronism > [mailto:hyperaldosteronism ] On Behalf Of Licia > > > > > > > > > > > > > > ÃÆ'‚> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > >> > > > >> > > >> > >> > >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 Can a Dr list Nephrology as one of there specialties yet not be board certified? > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: Valarie <val@> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Your creatinine is too high and your GFR > > is > > > too low.ÃÆ'‚ What does your doctor > > > say?ÃÆ'‚ I hope you are getting immediate > > > medical attention. > > > > > > > > > > > > > > > > From: hyperaldosteronism > > > [mailto:hyperaldosteronism ] On Behalf Of Licia > > > > > > > > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 Depends on the Hospital. I think one can do it but Medicare may need one who is Board Certified.eg I was on faculty in Nephrology but do not have Neph Boards. I was doing HTN mostly.On May 16, 2011, at 11:16 AM, Francis Bill SUSPECTED PA wrote:Can a Dr list Nephrology as one of there specialties yet not be board certified? > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > From: Valarie <val@>> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > Your creatinine is too high and your GFR > > is> > > too low.ÃÆ'‚ What does your doctor> > > say?ÃÆ'‚ I hope you are getting immediate> > > medical attention.> > > > > > > > > > > > > > > > From: hyperaldosteronism > > > [mailto:hyperaldosteronism ] On Behalf Of Licia > > > > > > > > > > > > > > > > > > ÃÆ'‚> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > >> > > > > > > >> > > > > > >> > > > > >> > > > >> > > > >> > > >> > >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 This is the information on Dr Robey, MD from the VA note that they don't show he is Board certified in Nephrology. Field: Medicine Board Certifications: Internal Medicine Education: MD, UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES Licensed In: Illinois Provider Type: Physician Gender: Male Information from internet search gives this information Dr. Robey MD practices nephrology and internal medicine in White River Junction, Vermont. Specialties: •Nephrology •Internal Medicine > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: Valarie <val@> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Your creatinine is too high and your > > GFR > > > > is > > > > > too low.ÃÆ'‚ What does your doctor > > > > > say?ÃÆ'‚ I hope you are getting immediate > > > > > medical attention. > > > > > > > > > > > > > > > > > > From: hyperaldosteronism > > > > > [mailto:hyperaldosteronism ] On Behalf Of Licia > > > > > > > > > > > > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 In most states you can say you specialize in anything as I recall without being board certified.Scary?Am Soc of HTN is pushing for reimbursement for HTN specialists that will be more that internists. We think we do a better job and will save money in the difficult cases.CE Grim MDOn May 16, 2011, at 1:45 PM, Francis Bill SUSPECTED PA wrote:This is the information on Dr Robey, MD from the VA note that they don't show he is Board certified in Nephrology. Field: MedicineBoard Certifications: Internal MedicineEducation: MD, UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCESLicensed In: IllinoisProvider Type: PhysicianGender: Male Information from internet search gives this informationDr. Robey MD practices nephrology and internal medicine in White River Junction, Vermont. Specialties:•Nephrology •Internal Medicine > > > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > > From: Valarie <val@>> > > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > > Your creatinine is too high and your > > GFR> > > > is> > > > > too low.ÃÆ'‚ What does your doctor> > > > > say?ÃÆ'‚ I hope you are getting immediate> > > > > medical attention.> > > > > > > > > > > > > > > > > > From: hyperaldosteronism > > > > > [mailto:hyperaldosteronism ] On Behalf Of Licia> > > > > > > > > > > > > > > > > > > > > > ÃÆ'‚> > > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > >> > > > > > > > > >> > > > > > > > >> > > > > > > >> > > > > > >> > > > > > >> > > > > >> > > > >> > > >> > > >> > > >> > >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 Francis, do me a favor and see if you can find anything on a Dr. Trask, Female and Endocrinoligist and works at WRJ on Mondays. I thought she said she was from DHMC but can't find her. I think she must be a full fleged MD because she didn't have to clear her DX with anyone. Thanks. - 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: Valarie <val@> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Your creatinine is too high and > > your > > > > GFR > > > > > > is > > > > > > > too low.ÃÆ'‚ What does your doctor > > > > > > > say?ÃÆ'‚ I hope you are getting immediate > > > > > > > medical attention. > > > > > > > > > > > > > > > > > > > > From: hyperaldosteronism > > > > > > > [mailto:hyperaldosteronism ] On Behalf Of > > Licia > > > > > > > > > > > > > > > > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 What a difference a day makes,or maybe it is the doctor! I Had an appt. with my Endo., Dr. Trask, this afternoon. I started by asking if she had reviewed my clinic notes. She indicated, " No " so I gave her a short rundown. I told her I had an appt. with Nepr. and it appeared we had two different agendas and never came together after an hour and I didn't want it to happen again. She asked what my agenda was and as she opened my file exclaimed, " Wow, look at those BPs - What did you do? " I almost burst out laughing when I told her I wouldn't let Nepr. add a BP med.! About that time I pulled out Dr. Grim's paper and laid it in front of her. She actually exclaimed, " Hey I know of him, I have read some of his papers! " I told her that he asked that we provide a copy to all our treating Drs. and that I belong to a group that he moderates and that I had highlighted it in red in the paper. I invited her to join! She asked if I had had an AVS. I responded " No " and used it as a segway into my sudden and significant changes. Me " Back and Testicle pain gone since Apr. 25 " . Dr. T " WOW " . Me " 5-DAY Brain Fog " . Dr.T " Probably body reacting to sudden loss of excess Aldo " . Me " Significant increase in time between bathroom trips, etc. " Dr.T " It all fits " Me " OSA " " Quite possible " . The only thing she wasn't sure about was my increased sugar being affected my excess Aldo. I told her I thought I had seen excess aldo and glucose together. We talked a little about LVH and a few other potential issues. She was very complementary about how well versed I was on Conn's and I guess the ultimate complement was when she said it sounded like I had it well under control and she felt that Dr.Webster (my PCP) and I could take it from here! (I again let her know that this group is a great resource fo me - Thanks EVERYONE!) - 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: Valarie <val@> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Your creatinine is too high and > > your > > > > GFR > > > > > > is > > > > > > > too low.ÃÆ'‚ What does your doctor > > > > > > > say?ÃÆ'‚ I hope you are getting immediate > > > > > > > medical attention. > > > > > > > > > > > > > > > > > > > > From: hyperaldosteronism > > > > > > > [mailto:hyperaldosteronism ] On Behalf Of > > Licia > > > > > > > > > > > > > > > > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2011 Report Share Posted May 17, 2011 Can't find her in WRJ VA. I would need her first name to look more. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: Valarie <val@> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Your creatinine is too high and > > > your > > > > > GFR > > > > > > > is > > > > > > > > too low.ÃÆ'‚ What does your doctor > > > > > > > > say?ÃÆ'‚ I hope you are getting immediate > > > > > > > > medical attention. > > > > > > > > > > > > > > > > > > > > > From: hyperaldosteronism > > > > > > > > [mailto:hyperaldosteronism ] On Behalf Of > > > Licia > > > > > > > > > > > > > > > > > > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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