Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component Results Component Your Value Standard Range Units Flag BUN 29 6 - 20 mg/dL H CREATININE 1.7 0.7 - 1.5 mg/dL H SODIUM 137 135 - 146 mmol/L POTASSIUM 4.9 3.5 - 5.1 mmol/L CHLORIDE 105 98 - 111 mmol/L CO2 21 22 - 32 mmol/L L GLUCOSE 113 70 - 120 mg/dL ANION GAP 11 7 - 15 mmol/L CALCIUM 10.0 8.3 - 10.5 mg/dL GFR ESTIMATED 32.2 >60 - mL/min L Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 Hi Val. I was on labetalol, since Feb, because I was admitted to hosptial. That is what they gave me to get my pressure down. I will go down to nurse at work and get bk to you about pressure. Why in my labs, my GFR, range was up/dwn considerably from one day to the next. No I am not on calcium. Licia Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 6:57 PM How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component Results Component Your Value Standard Range Units Flag BUN 29 6 - 20 mg/dL H CREATININE 1.7 0.7 - 1.5 mg/dL H SODIUM 137 135 - 146 mmol/L POTASSIUM 4.9 3.5 - 5.1 mmol/L CHLORIDE 105 98 - 111 mmol/L CO2 21 22 - 32 mmol/L L GLUCOSE 113 70 - 120 mg/dL ANION GAP 11 7 - 15 mmol/L CALCIUM 10.0 8.3 - 10.5 mg/dL GFR ESTIMATED 32.2 >60 - mL/min L Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 Just got bk from nurse, pressure: 110/70!! Woot Woot!! L. Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 6:57 PM How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component Results Component Your Value Standard Range Units Flag BUN 29 6 - 20 mg/dL H CREATININE 1.7 0.7 - 1.5 mg/dL H SODIUM 137 135 - 146 mmol/L POTASSIUM 4.9 3.5 - 5.1 mmol/L CHLORIDE 105 98 - 111 mmol/L CO2 21 22 - 32 mmol/L L GLUCOSE 113 70 - 120 mg/dL ANION GAP 11 7 - 15 mmol/L CALCIUM 10.0 8.3 - 10.5 mg/dL GFR ESTIMATED 32.2 >60 - mL/min L Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 GFR=32.2=Outrageous Either medications you take are poison or your kidney requires immediate medical attention!! (my Ltd understanding) Max. Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component Results Component Your Value Standard Range Units Flag BUN 29 6 - 20 mg/dL H CREATININE 1.7 0.7 - 1.5 mg/dL H SODIUM 137 135 - 146 mmol/L POTASSIUM 4.9 3.5 - 5.1 mmol/L CHLORIDE 105 98 - 111 mmol/L CO2 21 22 - 32 mmol/L L GLUCOSE 113 70 - 120 mg/dL ANION GAP 11 7 - 15 mmol/L CALCIUM 10.0 8.3 - 10.5 mg/dL GFR ESTIMATED 32.2 >60 - mL/min L Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 I'm straight. spoke with Grim and my dr. I do think it is the meds tho. No one will give a a straight answer. L. Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 8:16 PM GFR=32.2=Outrageous Either medications you take are poison or your kidney requires immediate medical attention!! (my Ltd understanding) Max. Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component Results Component Your Value Standard Range Units Flag BUN 29 6 - 20 mg/dL H CREATININE 1.7 0.7 - 1.5 mg/dL H SODIUM 137 135 - 146 mmol/L POTASSIUM 4.9 3.5 - 5.1 mmol/L CHLORIDE 105 98 - 111 mmol/L CO2 21 22 - 32 mmol/L L GLUCOSE 113 70 - 120 mg/dL ANION GAP 11 7 - 15 mmol/L CALCIUM 10.0 8.3 - 10.5 mg/dL GFR ESTIMATED 32.2 >60 - mL/min L Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 GFR ESTIMATED 48.2 >60 - mL/min L This is my GFR Feb 23rd, If not the meds which were different, I was not taking Spiro I was on hydralyzine, labetalol and another water pill, iron, sebastin. How could it drop if its not the meds. Which I am back on the spiro? L. Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 8:16 PM GFR=32.2=Outrageous Either medications you take are poison or your kidney requires immediate medical attention!! (my Ltd understanding) Max. Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component Results Component Your Value Standard Range Units Flag BUN 29 6 - 20 mg/dL H CREATININE 1.7 0.7 - 1.5 mg/dL H SODIUM 137 135 - 146 mmol/L POTASSIUM 4.9 3.5 - 5.1 mmol/L CHLORIDE 105 98 - 111 mmol/L CO2 21 22 - 32 mmol/L L GLUCOSE 113 70 - 120 mg/dL ANION GAP 11 7 - 15 mmol/L CALCIUM 10.0 8.3 - 10.5 mg/dL GFR ESTIMATED 32.2 >60 - mL/min L Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 My doc although is stupid but he placed me on Ramipril long time ago when my GFR was getting to critical low due to Fosinopril+Indapamide....As you can see (graph) my CREA started to drop (GFR rise) after Ramipril. (based on my Ltd understanding). Max. GFR ESTIMATED 48.2 >60 - mL/min L This is my GFR Feb 23rd, If not the meds which were different, I was not taking Spiro I was on hydralyzine, labetalol and another water pill, iron, sebastin. How could it drop if its not the meds. Which I am back on the spiro? L. Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 8:16 PM GFR=32.2=Outrageous Either medications you take are poison or your kidney requires immediate medical attention!! (my Ltd understanding) Max. Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component Results Component Your Value Standard Range Units Flag BUN 29 6 - 20 mg/dL H CREATININE 1.7 0.7 - 1.5 mg/dL H SODIUM 137 135 - 146 mmol/L POTASSIUM 4.9 3.5 - 5.1 mmol/L CHLORIDE 105 98 - 111 mmol/L CO2 21 22 - 32 mmol/L L GLUCOSE 113 70 - 120 mg/dL ANION GAP 11 7 - 15 mmol/L CALCIUM 10.0 8.3 - 10.5 mg/dL GFR ESTIMATED 32.2 >60 - mL/min L Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 Med Lab Tests reference manual indicates that drugs that increase plasma CREA (= drop GFR) are : ACE Diuretics Eplerenone Micardis Ramipril Spironolactone .... ibuprofen amiloride ..... ....oh my God too many drugs! Max. My doc although is stupid but he placed me on Ramipril long time ago when my GFR was getting to critical low due to Fosinopril+Indapamide....As you can see (graph) my CREA started to drop (GFR rise) after Ramipril. (based on my Ltd understanding). Max. GFR ESTIMATED 48.2 >60 - mL/min L This is my GFR Feb 23rd, If not the meds which were different, I was not taking Spiro I was on hydralyzine, labetalol and another water pill, iron, sebastin. How could it drop if its not the meds. Which I am back on the spiro? L. Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 8:16 PM GFR=32.2=Outrageous Either medications you take are poison or your kidney requires immediate medical attention!! (my Ltd understanding) Max. Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component Results Component Your Value Standard Range Units Flag BUN 29 6 - 20 mg/dL H CREATININE 1.7 0.7 - 1.5 mg/dL H SODIUM 137 135 - 146 mmol/L POTASSIUM 4.9 3.5 - 5.1 mmol/L CHLORIDE 105 98 - 111 mmol/L CO2 21 22 - 32 mmol/L L GLUCOSE 113 70 - 120 mg/dL ANION GAP 11 7 - 15 mmol/L CALCIUM 10.0 8.3 - 10.5 mg/dL GFR ESTIMATED 32.2 >60 - mL/min L Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 It is important to get all of your old creatinines as far back as you can to see if we can identify when this started and what events might have worsened it. I'm straight. spoke with Grim and my dr. I do think it is the meds tho. No one willgive a a straight answer. L. Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 8:16 PM GFR=32.2=Outrageous Either medications you take are poison or your kidney requires immediate medical attention!! (my Ltd understanding) Max.Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component ResultsComponentYour ValueStandard RangeUnitsFlagBUN296 - 20mg/dLHCREATININE1.70.7 - 1.5mg/dLHSODIUM137135 - 146mmol/LPOTASSIUM4.93.5 - 5.1mmol/LCHLORIDE10598 - 111mmol/LCO22122 - 32mmol/LLGLUCOSE11370 - 120mg/dLANION GAP117 - 15mmol/LCALCIUM10.08.3 - 10.5mg/dLGFR ESTIMATED32.2>60 - mL/minL Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 Has your BP gone down a lot on spiro?CE Grim MDHere are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component ResultsComponentYour ValueStandard RangeUnitsFlagBUN296 - 20mg/dLHCREATININE1.70.7 - 1.5mg/dLHSODIUM137135 - 146mmol/LPOTASSIUM4.93.5 - 5.1mmol/LCHLORIDE10598 - 111mmol/LCO22122 - 32mmol/LLGLUCOSE11370 - 120mg/dLANION GAP117 - 15mmol/LCALCIUM10.08.3 - 10.5mg/dLGFR ESTIMATED32.2>60 - mL/minL Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 If BP has improved a lot then this may be one reason for the bump up in the creatinine. If due to the BP then should get better. Have you had any CTs or MRIs since then?CE Grim MDGFR ESTIMATED48.2>60 - mL/minLThis is my GFR Feb 23rd, If not the meds which were different, I was nottaking Spiro I was on hydralyzine, labetalol and another water pill, iron,sebastin. How could it drop if its not the meds. Which I am back on the spiro?L.Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 8:16 PM GFR=32.2=Outrageous Either medications you take are poison or your kidney requires immediate medical attention!! (my Ltd understanding) Max.Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component ResultsComponentYour ValueStandard RangeUnitsFlagBUN296 - 20mg/dLHCREATININE1.70.7 - 1.5mg/dLHSODIUM137135 - 146mmol/LPOTASSIUM4.93.5 - 5.1mmol/LCHLORIDE10598 - 111mmol/LCO22122 - 32mmol/LLGLUCOSE11370 - 120mg/dLANION GAP117 - 15mmol/LCALCIUM10.08.3 - 10.5mg/dLGFR ESTIMATED32.2>60 - mL/minL Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 Hmm. Ramipril and fosinopril are in the same class of drugs. Was indapamide also stopped?My doc although is stupid but he placed me on Ramipril long time ago when my GFR was getting to critical low due to Fosinopril+Indapamide....As you can see (graph) my CREA started to drop (GFR rise) after Ramipril. (based on my Ltd understanding). Max.GFR ESTIMATED48.2>60 - mL/minLThis is my GFR Feb 23rd, If not the meds which were different, I was nottaking Spiro I was on hydralyzine, labetalol and another water pill, iron,sebastin. How could it drop if its not the meds. Which I am back on the spiro?L.Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 8:16 PM GFR=32.2=Outrageous Either medications you take are poison or your kidney requires immediate medical attention!! (my Ltd understanding) Max.Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component ResultsComponentYour ValueStandard RangeUnitsFlagBUN296 - 20mg/dLHCREATININE1.70.7 - 1.5mg/dLHSODIUM137135 - 146mmol/LPOTASSIUM4.93.5 - 5.1mmol/LCHLORIDE10598 - 111mmol/LCO22122 - 32mmol/LLGLUCOSE11370 - 120mg/dLANION GAP117 - 15mmol/LCALCIUM10.08.3 - 10.5mg/dLGFR ESTIMATED32.2>60 - mL/minL Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 You should be checking your BP at home, every day, and keeping a record. I don't know why your GFR is up and down but your creatinine seems to be getting a bit better. Keep a watch on your calcium. I ran near the top of the range for years until my hyperparathyroidism reached a critical state and I got surgery to remove the parathyroid with an adenoma. By then, I'd developed a heart murmur from the HTN. The HTN totally resolved after the surgery. I had been on three drugs. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Hi Val. I was on labetalol, since Feb, because I was admitted to hosptial. That is what they gave me to get my pressure down. I will go down to nurse at work and get bk to you about pressure. Why in my labs, my GFR, range was up/dwn considerably from one day to the next. No I am not on calcium. Licia How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component Results Component Your Value Standard Range Units Flag BUN 29 6 - 20 mg/dL H CREATININE 1.7 0.7 - 1.5 mg/dL H SODIUM 137 135 - 146 mmol/L POTASSIUM 4.9 3.5 - 5.1 mmol/L CHLORIDE 105 98 - 111 mmol/L CO2 21 22 - 32 mmol/L L GLUCOSE 113 70 - 120 mg/dL ANION GAP 11 7 - 15 mmol/L CALCIUM 10.0 8.3 - 10.5 mg/dL GFR ESTIMATED 32.2 >60 - mL/min L Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 *smiles*Â Get a device and keep your own record. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Just got bk from nurse, pressure: 110/70!! Woot Woot!! L. Â How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 Indapamide originally 1.25mg/d was increased to 2.5mg/d...Indap was increased when Norvasc caused my feet swell...long before Spiro rx...but doc never stopped it. Max. 61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.Cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing but low-salt diet} Hmm. Ramipril and fosinopril are in the same class of drugs. Was indapamide also stopped? My doc although is stupid but he placed me on Ramipril long time ago when my GFR was getting to critical low due to Fosinopril+Indapamide....As you can see (graph) my CREA started to drop (GFR rise) after Ramipril. (based on my Ltd understanding). Max. GFR ESTIMATED 48.2 >60 - mL/min L This is my GFR Feb 23rd, If not the meds which were different, I was not taking Spiro I was on hydralyzine, labetalol and another water pill, iron, sebastin. How could it drop if its not the meds. Which I am back on the spiro? L. Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 8:16 PM GFR=32.2=Outrageous Either medications you take are poison or your kidney requires immediate medical attention!! (my Ltd understanding) Max. Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component Results Component Your Value Standard Range Units Flag BUN 29 6 - 20 mg/dL H CREATININE 1.7 0.7 - 1.5 mg/dL H SODIUM 137 135 - 146 mmol/L POTASSIUM 4.9 3.5 - 5.1 mmol/L CHLORIDE 105 98 - 111 mmol/L CO2 21 22 - 32 mmol/L L GLUCOSE 113 70 - 120 mg/dL ANION GAP 11 7 - 15 mmol/L CALCIUM 10.0 8.3 - 10.5 mg/dL GFR ESTIMATED 32.2 >60 - mL/min L Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 Wow, yes, I do have a kit at home. I do check it.I mean 48.2 is a good out of the woods read, so I'm wondering what its all about as well. Yes, I was told about the surgery, but at this point my kidneys prob wouldn't be strong enough. So do you take any pills? U mean u blood pressure is gone? That is great!! L. How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component Results Component Your Value Standard Range Units Flag BUN 29 6 - 20 mg/dL H CREATININE 1.7 0.7 - 1.5 mg/dL H SODIUM 137 135 - 146 mmol/L POTASSIUM 4.9 3.5 - 5.1 mmol/L CHLORIDE 105 98 - 111 mmol/L CO2 21 22 - 32 mmol/L L GLUCOSE 113 70 - 120 mg/dL ANION GAP 11 7 - 15 mmol/L CALCIUM 10.0 8.3 - 10.5 mg/dL GFR ESTIMATED 32.2 >60 - mL/min L Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2011 Report Share Posted May 16, 2011 Licia, my parathyroid-induced HTN resolved with surgery. However, a few years later, gradually, the HTN crept up as my Lyme disease became more severe. When my urine sodium was too low to measure, I used to still run a BP of 155/90. Now, on Lyme treatment and less than 1/4 the spiro, my BP is averaging 127/68. I don't eat much sodium but am not strict like I used to be. I stopped one antibiotic that (I think) addresses the Lyme co-infection, Bartonella. Within a week, my BP was running in the 140's. Back on it, my BP is going back down. I check it every day and do a 7-day moving average on a spreadsheet. You still need to put your creatinine and GFR in a spreadsheet form. I think we're all getting confused about whether your creatinine or GFR are up or down. What surgery were you told about? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Wow, yes, I do have a kit at home. I do check it.I mean 48.2 is a good out of the woods read, so I'm wondering what its all about as well. Yes, I was told about the surgery, but at this point my kidneys prob wouldn't be strong enough. So do you take any pills? U mean u blood pressure is gone? That is great!! L. How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component Results Component Your Value Standard Range Units Flag BUN 29 6 - 20 mg/dL H CREATININE 1.7 0.7 - 1.5 mg/dL H SODIUM 137 135 - 146 mmol/L POTASSIUM 4.9 3.5 - 5.1 mmol/L CHLORIDE 105 98 - 111 mmol/L CO2 21 22 - 32 mmol/L L GLUCOSE 113 70 - 120 mg/dL ANION GAP 11 7 - 15 mmol/L CALCIUM 10.0 8.3 - 10.5 mg/dL GFR ESTIMATED 32.2 >60 - mL/min L Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2011 Report Share Posted May 17, 2011 Thanks. It looks like my sodium is down. How did u do the spread sheet, from a excel app? Or just chart it as far as u can go back to present with dates? well my gen dr, told me that my GFR is stable not really thinking I will need dialysis anytime soon. I have an appt 2moro afternoon. I will ask what that fluctuation is all about with the GFR. Seem the when I was on diovan and bistolic the GFR was getting stronger. Just so frustrating. How are your numbers? Licia How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component Results Component Your Value Standard Range Units Flag BUN 29 6 - 20 mg/dL H CREATININE 1.7 0.7 - 1.5 mg/dL H SODIUM 137 135 - 146 mmol/L POTASSIUM 4.9 3.5 - 5.1 mmol/L CHLORIDE 105 98 - 111 mmol/L CO2 21 22 - 32 mmol/L L GLUCOSE 113 70 - 120 mg/dL ANION GAP 11 7 - 15 mmol/L CALCIUM 10.0 8.3 - 10.5 mg/dL GFR ESTIMATED 32.2 >60 - mL/min L Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2011 Report Share Posted May 17, 2011 Yes, it has Dr. It was 110/78 today. Licia Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component Results Component Your Value Standard Range Units Flag BUN 29 6 - 20 mg/dL H CREATININE 1.7 0.7 - 1.5 mg/dL H SODIUM 137 135 - 146 mmol/L POTASSIUM 4.9 3.5 - 5.1 mmol/L CHLORIDE 105 98 - 111 mmol/L CO2 21 22 - 32 mmol/L L GLUCOSE 113 70 - 120 mg/dL ANION GAP 11 7 - 15 mmol/L CALCIUM 10.0 8.3 - 10.5 mg/dL GFR ESTIMATED 32.2 >60 - mL/min L Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2011 Report Share Posted May 17, 2011 Since when dr. The last MRI was in 2009, to check cyst on Kidney and most recent a sonogram. Need to speak with Neph, at end of month about those results. L. Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 8:16 PM GFR=32.2=Outrageous Either medications you take are poison or your kidney requires immediate medical attention!! (my Ltd understanding) Max. Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component Results Component Your Value Standard Range Units Flag BUN 29 6 - 20 mg/dL H CREATININE 1.7 0.7 - 1.5 mg/dL H SODIUM 137 135 - 146 mmol/L POTASSIUM 4.9 3.5 - 5.1 mmol/L CHLORIDE 105 98 - 111 mmol/L CO2 21 22 - 32 mmol/L L GLUCOSE 113 70 - 120 mg/dL ANION GAP 11 7 - 15 mmol/L CALCIUM 10.0 8.3 - 10.5 mg/dL GFR ESTIMATED 32.2 >60 - mL/min L Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2011 Report Share Posted May 17, 2011 GOOD MORNING DR. GRIM VAL ET AL: OK HERE IS A CHART: Chart Name CREATININE GFR ESTIMATED 6/25/2001 0.5 L 12/23/2002 0.9 7/24/2003 1.0 8/22/2007 1.1 57.4 L 12/8/2008 1.4 43.2 L 12/23/2008 1.3 47.1 L 3/13/2009 2.1 H 27.1 L 3/24/2009 1.6 H 37.0 L 6/2/2009 1.7 H 34.5 L 10/13/2009 2.1 H 27.0 L 11/2/2010 2.2 H 23.9 L 11/23/2010 2.3 H 22.7 L 11/29/2010 2.2 H 23.9 L 2/2/2011 1.5 37.2 L 2/23/2011 1.2 48.2 L 2/24/2011 1.8 H 30.2 L 4/22/2011 1.5 37.2 L 5/13/2011 1.7 H 32.2 L HERE ARE THE MEDS I WAS ON IN 2007 WHE MY CREATIN WAS 57. THE THE H, IS GOING ON?? I WAS TAKING LISINOPRIL, WHY WAS I TAKEN OFF OF IT? IF IT WAS GIVING KEEPING MY LEVELS AT A HEALTHY LEVEL? Name Start Date Discontinued Date TOPROL XL 100 MG PO TB24 8/22/2007 12/3/2008 SYNTHROID 75 MCG OR TABS 8/22/2007 8/31/2007 MY SYNTHROID WAS INCREASE TO 88MCG Routine Orders Name Type GYN REFERRAL OP Referral TSH Lab LIPID PANEL Lab COMPR METAB PANEL Lab CBC Lab Future Orders Name Expected Date Expiration Date Type TSH 8/22/2007 8/21/2008 Lab LIPID PANEL 8/22/2007 8/21/2008 Lab COMPR METAB PANEL 8/22/2007 8/21/2008 Lab CBC 8/22/2007 8/21/2008 Lab Discontinued Medications Name Start Date Discontinued Date LISINOPRIL 40 MG OR TABS 8/27/2003 8/22/2007 LISINOPRIL 20 MG OR TABS 7/15/2003 8/22/2007 BLEPH-10 10 % OP SOLN 3/24/2003 8/22/2007 Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 6:57 PM How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component Results Component Your Value Standard Range Units Flag BUN 29 6 - 20 mg/dL H CREATININE 1.7 0.7 - 1.5 mg/dL H SODIUM 137 135 - 146 mmol/L POTASSIUM 4.9 3.5 - 5.1 mmol/L CHLORIDE 105 98 - 111 mmol/L CO2 21 22 - 32 mmol/L L GLUCOSE 113 70 - 120 mg/dL ANION GAP 11 7 - 15 mmol/L CALCIUM 10.0 8.3 - 10.5 mg/dL GFR ESTIMATED 32.2 >60 - mL/min L Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2011 Report Share Posted May 17, 2011 oK dR. TELL ME THE STORY: IS IT THE MEDS? Name SODIUM CREATININE CALCIUM GFR ESTIMATED 6/25/2001 138 0.5 L 9.5 12/23/2002 143 0.9 8.8 7/24/2003 140 1.0 9.5 8/22/2007 141 1.1 9.4 57.4 L 12/8/2008 141 1.4 9.5 43.2 L 12/23/2008 141 1.3 9.2 47.1 L 3/13/2009 137 2.1 H 10.2 27.1 L 3/24/2009 136 1.6 H 9.8 37.0 L 6/2/2009 137 1.7 H 9.9 34.5 L 10/13/2009 137 2.1 H 9.8 27.0 L 3/29/2010 10.5 8/12/2010 9.5 11/2/2010 135 2.2 H 9.5 23.9 L 11/23/2010 136 2.3 H 10.3 22.7 L 11/29/2010 134 L 2.2 H 8.6 23.9 L 2/2/2011 141 1.5 9.7 37.2 L 2/23/2011 139 1.2 10.1 48.2 L 2/24/2011 140 1.8 H 9.3 30.2 L 4/22/2011 140 1.5 9.9 37.2 L 5/13/2011 137 1.7 H 10.0 32.2 L Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component Results Component Your Value Standard Range Units Flag BUN 29 6 - 20 mg/dL H CREATININE 1.7 0.7 - 1.5 mg/dL H SODIUM 137 135 - 146 mmol/L POTASSIUM 4.9 3.5 - 5.1 mmol/L CHLORIDE 105 98 - 111 mmol/L CO2 21 22 - 32 mmol/L L GLUCOSE 113 70 - 120 mg/dL ANION GAP 11 7 - 15 mmol/L CALCIUM 10.0 8.3 - 10.5 mg/dL GFR ESTIMATED 32.2 >60 - mL/min L Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2011 Report Share Posted May 17, 2011 Val, With high calcium & parathyroid problems, what symptoms did you have? I ask because I have been running high calcium for years. Glenda > > > How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium? > > Val > > From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia > > > Here are my labs from 5/13/11. > > Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ > > So maybe the Spiro IS Working?? > > > Component Results > > > Component > Your Value > Standard Range > Units > Flag > > BUN > 29 > 6 - 20 > mg/dL > H > > CREATININE > 1.7 > 0.7 - 1.5 > mg/dL > H > > SODIUM > 137 > 135 - 146 > mmol/L > > > POTASSIUM > 4.9 > 3.5 - 5.1 > mmol/L > > > CHLORIDE > 105 > 98 - 111 > mmol/L > > > CO2 > 21 > 22 - 32 > mmol/L > L > > GLUCOSE > 113 > 70 - 120 > mg/dL > > > ANION GAP > 11 > 7 - 15 > mmol/L > > > CALCIUM > 10.0 > 8.3 - 10.5 > mg/dL > > > GFR ESTIMATED > 32.2 > >60 - > mL/min > L > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2011 Report Share Posted May 17, 2011 Still don't know what meds you're on and when you went on each. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Sent: Tuesday, May 17, 2011 12:53 AM To: hyperaldosteronism Subject: RE: Labs 5/16/11 GOOD MORNING DR. GRIM VAL ET AL: OK HERE IS A CHART: Chart Name CREATININE GFR ESTIMATED 6/25/2001 0.5 L 12/23/2002 0.9 7/24/2003 1.0 8/22/2007 1.1 57.4 L 12/8/2008 1.4 43.2 L 12/23/2008 1.3 47.1 L 3/13/2009 2.1 H 27.1 L 3/24/2009 1.6 H 37.0 L 6/2/2009 1.7 H 34.5 L 10/13/2009 2.1 H 27.0 L 11/2/2010 2.2 H 23.9 L 11/23/2010 2.3 H 22.7 L 11/29/2010 2.2 H 23.9 L 2/2/2011 1.5 37.2 L 2/23/2011 1.2 48.2 L 2/24/2011 1.8 H 30.2 L 4/22/2011 1.5 37.2 L 5/13/2011 1.7 H 32.2 L HERE ARE THE MEDS I WAS ON IN 2007 WHE MY CREATIN WAS 57. THE THE H, IS GOING ON?? I WAS TAKING LISINOPRIL, WHY WAS I TAKEN OFF OF IT? IF IT WAS GIVING KEEPING MY LEVELS AT A HEALTHY LEVEL? Name Start Date Discontinued Date TOPROL XL 100 MG PO TB24 8/22/2007 12/3/2008 SYNTHROID 75 MCG OR TABS 8/22/2007 8/31/2007 MY SYNTHROID WAS INCREASE TO 88MCG Routine Orders Name Type GYN REFERRAL OP Referral TSH Lab LIPID PANEL Lab COMPR METAB PANEL Lab CBC Lab Future Orders Name Expected Date Expiration Date Type TSH 8/22/2007 8/21/2008 Lab LIPID PANEL 8/22/2007 8/21/2008 Lab COMPR METAB PANEL 8/22/2007 8/21/2008 Lab CBC 8/22/2007 8/21/2008 Lab Discontinued Medications Name Start Date Discontinued Date LISINOPRIL 40 MG OR TABS 8/27/2003 8/22/2007 LISINOPRIL 20 MG OR TABS 7/15/2003 8/22/2007 BLEPH-10 10 % OP SOLN 3/24/2003 8/22/2007 Subject: RE: Labs 5/16/11 To: hyperaldosteronism Date: Monday, May 16, 2011, 6:57 PM How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component Results Component Your Value Standard Range Units Flag BUN 29 6 - 20 mg/dL H CREATININE 1.7 0.7 - 1.5 mg/dL H SODIUM 137 135 - 146 mmol/L POTASSIUM 4.9 3.5 - 5.1 mmol/L CHLORIDE 105 98 - 111 mmol/L CO2 21 22 - 32 mmol/L L GLUCOSE 113 70 - 120 mg/dL ANION GAP 11 7 - 15 mmol/L CALCIUM 10.0 8.3 - 10.5 mg/dL GFR ESTIMATED 32.2 >60 - mL/min L Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2011 Report Share Posted May 17, 2011 High blood pressure and horrific bone pain. Weakness. Testing for hyperparathyroidism is like testing for PA. You need parathyroid hormone + calcium. Endos have a chart where they graph the two values. If the convergence falls into a certain area, hyperparathyroidism is suspected. I also had a sestimibi scan which showed the adenoma. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Glenda Val, With high calcium & parathyroid problems, what symptoms did you have? I ask because I have been running high calcium for years. Glenda > > You should be checking your BP at home, every day, and keeping a record. I don't know why your GFR is up and down but your creatinine seems to be getting a bit better. Keep a watch on your calcium. I ran near the top of the range for years until my hyperparathyroidism reached a critical state and I got surgery to remove the parathyroid with an adenoma. By then, I'd developed a heart murmur from the HTN. The HTN totally resolved after the surgery. I had been on three drugs. Quote Link to comment Share on other sites More sharing options...
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