Re: Ooops forgot the 2nd question

[Guest guest]

There are some very good Dr at Dartmouth but also some not very good ones.

> > >

> > > The other question was about adrenalectomies. The endocrinologist at

Dartmouth as well as the one here in Maine that I see think I should have an

adrenalectomy. One suggests a general sugeon at Dartmouth by the name of

Laycock and the other is suggesting a Maine Oncology surgeon (I'veheard a lot of

good about the oncology surgeon) by the name of MacGilvary. My question is what

type of surgeon should I be seeing ? I would rather not go back to Dartmouth for

several reasons but someof you told me before that my local endo was foolish for

sending me to the oncology surgeon. The endo is only sending me to him because

she believes he is a good surgeon.Any input would be helpful at thgis point. I

apreciate it.

> > > Lettie PA in ton Maine

> > >

> >

>

[Guest guest]

I can relate to not wanting to travel when you don't feel well.

Also have to think about traveling after having surgery. Seems some have a lot

of pain for a few days after surgery.

> > >

> > > The other question was about adrenalectomies. The endocrinologist at

Dartmouth as well as the one here in Maine that I see think I should have an

adrenalectomy. One suggests a general sugeon at Dartmouth by the name of

Laycock and the other is suggesting a Maine Oncology surgeon (I'veheard a lot of

good about the oncology surgeon) by the name of MacGilvary. My question is what

type of surgeon should I be seeing ? I would rather not go back to Dartmouth for

several reasons but someof you told me before that my local endo was foolish for

sending me to the oncology surgeon. The endo is only sending me to him because

she believes he is a good surgeon.Any input would be helpful at thgis point. I

apreciate it.

> > > Lettie PA in ton Maine

> > >

> >

>

[Guest guest]

I can relate to not wanting to travel when you don't feel well.

Also have to think about traveling after having surgery. Seems some have a lot

of pain for a few days after surgery.

> > >

> > > The other question was about adrenalectomies. The endocrinologist at

Dartmouth as well as the one here in Maine that I see think I should have an

adrenalectomy. One suggests a general sugeon at Dartmouth by the name of

Laycock and the other is suggesting a Maine Oncology surgeon (I'veheard a lot of

good about the oncology surgeon) by the name of MacGilvary. My question is what

type of surgeon should I be seeing ? I would rather not go back to Dartmouth for

several reasons but someof you told me before that my local endo was foolish for

sending me to the oncology surgeon. The endo is only sending me to him because

she believes he is a good surgeon.Any input would be helpful at thgis point. I

apreciate it.

> > > Lettie PA in ton Maine

> > >

> >

>

[Guest guest]

Thanks Val, I will. When I looked for a Dr. Bravo, the first I found was a

" Cesar A Bravo, MD Geriatrician, Internist, Nephrologist " who appears to be a

well respected doctor in the Houston area with over 40 years experience. The

last listed speciality seemed to fit but I keyed on the first! Since we had

been discussing a 40 year old check I wasn't ready to put my bet on a doctor

whose speciality was/is Sr. Citizens. I may have been a little too forceful

with my question and I appologize but I have been Harping on know your source!

As for he being " smarter than all of us combined " , speak for yourself, I'm

pretty damn smart depending on the subject! See how he is at talking to a

computer at machine level, making snow, driving a 45' tour bus all over e. U.S.

& Canada, running a state level youth hockey program, milking a cow, surviving

on the food you grow and raise (in fact all the eggs we use come from the two

hens in my back yard!) I will concede the Dxing and Rxing to him as long as I

reserve the right to question him - a Dr. C. E. Grim taught me that was right

and prudent!

>

> Dr. Bravo is at Cleveland Clinic, well experienced, and much smarter than

> all of us combined. Look him up.

>

> Val

>

> From: hyperaldosteronism

> [mailto:hyperaldosteronism ] On Behalf Of

>

> By the way, Who in he_ _ is Dr. Bravo and why should I trust him any more

> than " Dr. Bill " or Dr. Spock for that matter! (Maybe I'm originally from Mo.

> also!)

>

[Guest guest]

Thanks Val, I will. When I looked for a Dr. Bravo, the first I found was a

" Cesar A Bravo, MD Geriatrician, Internist, Nephrologist " who appears to be a

well respected doctor in the Houston area with over 40 years experience. The

last listed speciality seemed to fit but I keyed on the first! Since we had

been discussing a 40 year old check I wasn't ready to put my bet on a doctor

whose speciality was/is Sr. Citizens. I may have been a little too forceful

with my question and I appologize but I have been Harping on know your source!

As for he being " smarter than all of us combined " , speak for yourself, I'm

pretty damn smart depending on the subject! See how he is at talking to a

computer at machine level, making snow, driving a 45' tour bus all over e. U.S.

& Canada, running a state level youth hockey program, milking a cow, surviving

on the food you grow and raise (in fact all the eggs we use come from the two

hens in my back yard!) I will concede the Dxing and Rxing to him as long as I

reserve the right to question him - a Dr. C. E. Grim taught me that was right

and prudent!

>

> Dr. Bravo is at Cleveland Clinic, well experienced, and much smarter than

> all of us combined. Look him up.

>

> Val

>

> From: hyperaldosteronism

> [mailto:hyperaldosteronism ] On Behalf Of

>

> By the way, Who in he_ _ is Dr. Bravo and why should I trust him any more

> than " Dr. Bill " or Dr. Spock for that matter! (Maybe I'm originally from Mo.

> also!)

>

[Guest guest]

You are ceartianly welcome. As the sign in the restroom reads; " We aim to

please, you aim too, please! " Actually, I wanted to put one in restroom of the

tour Bus; " SIT, IT'LL BE BEST FOR ALL OF US IF I HIT A BUMP OR THE BRAKES! "

I sometimes cringe at my comute to the VA and it is only 50 interstate miles!

> > >

> > > The other question was about adrenalectomies. The endocrinologist at

Dartmouth as well as the one here in Maine that I see think I should have an

adrenalectomy. One suggests a general sugeon at Dartmouth by the name of

Laycock and the other is suggesting a Maine Oncology surgeon (I'veheard a lot of

good about the oncology surgeon) by the name of MacGilvary. My question is what

type of surgeon should I be seeing ? I would rather not go back to Dartmouth for

several reasons but someof you told me before that my local endo was foolish for

sending me to the oncology surgeon. The endo is only sending me to him because

she believes he is a good surgeon.Any input would be helpful at thgis point. I

apreciate it.

> > > Lettie PA in ton Maine

> > >

> >

>

[Guest guest]

You are ceartianly welcome. As the sign in the restroom reads; " We aim to

please, you aim too, please! " Actually, I wanted to put one in restroom of the

tour Bus; " SIT, IT'LL BE BEST FOR ALL OF US IF I HIT A BUMP OR THE BRAKES! "

I sometimes cringe at my comute to the VA and it is only 50 interstate miles!

> > >

> > > The other question was about adrenalectomies. The endocrinologist at

Dartmouth as well as the one here in Maine that I see think I should have an

adrenalectomy. One suggests a general sugeon at Dartmouth by the name of

Laycock and the other is suggesting a Maine Oncology surgeon (I'veheard a lot of

good about the oncology surgeon) by the name of MacGilvary. My question is what

type of surgeon should I be seeing ? I would rather not go back to Dartmouth for

several reasons but someof you told me before that my local endo was foolish for

sending me to the oncology surgeon. The endo is only sending me to him because

she believes he is a good surgeon.Any input would be helpful at thgis point. I

apreciate it.

> > > Lettie PA in ton Maine

> > >

> >

>

[Guest guest]

> >

> > Dr. Bravo is at Cleveland Clinic, well experienced, and much smarter than

> > all of us combined. Look him up.

> >

> > Val

> >

> > From: hyperaldosteronism

> > [mailto:hyperaldosteronism ] On Behalf Of

> >

> > By the way, Who in he_ _ is Dr. Bravo and why should I trust him any more

> > than " Dr. Bill " or Dr. Spock for that matter! (Maybe I'm originally from Mo.

> > also!)

> >

>

[Guest guest]

> >

> > Dr. Bravo is at Cleveland Clinic, well experienced, and much smarter than

> > all of us combined. Look him up.

> >

> > Val

> >

> > From: hyperaldosteronism

> > [mailto:hyperaldosteronism ] On Behalf Of

> >

> > By the way, Who in he_ _ is Dr. Bravo and why should I trust him any more

> > than " Dr. Bill " or Dr. Spock for that matter! (Maybe I'm originally from Mo.

> > also!)

> >

>

[Guest guest]

Really? Most of Europe has public funded health and still plenty of surgery,

including adrenalectomies.

> > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > The other question was about

> > > > > > > adrenalectomies. The

> > > > > > > > > > > > > > > > > > > > > > > endocrinologist at

> > > > > > > > > > > > > > > > > > > > > > > > > Dartmouth as well as the one

here in

> > > > > > > Maine that I see think I

> > > > > > > > > > > > > > > > > > > > > > > should

> > > > > > > > > > > > > > > > > > > > > > > > > have an adrenalectomy. One

suggests

> > > > > > > a general sugeon at

> > > > > > > > > > > > > > > > > > > > > > > Dartmouth by

> > > > > > > > > > > > > > > > > > > > > > > > > the name of Laycock and

the

> > > > > > > other is suggesting a Maine

> > > > > > > > > > > > > > > > > > > > > > > > > Oncology surgeon (I'veheard a

lot of

> > > > > > > good about the oncology

> > > > > > > > > > > > > > > > > > > > > > > > > surgeon) by the name of

MacGilvary.

> > > > > > > My question is what type of

> > > > > > > > > > > > > > > > > > > > > > > > > surgeon should I be seeing ? I

would

> > > > > > > rather not go back to

> > > > > > > > > > > > > > > > > > > > > > > Dartmouth

> > > > > > > > > > > > > > > > > > > > > > > > > for several reasons but someof

you

> > > > > > > told me before that my local

> > > > > > > > > > > > > > > > > > > > > > > endo

> > > > > > > > > > > > > > > > > > > > > > > > > was foolish for sending me to

the

> > > > > > > oncology surgeon. The endo is

> > > > > > > > > > > > > > > > > > > > > > > only

> > > > > > > > > > > > > > > > > > > > > > > > > sending me to him because she

> > > > > > > believes he is a good surgeon.Any

> > > > > > > > > > > > > > > > > > > > > > > > > input would be helpful at

thgis

> > > > > > > point. I apreciate it.

> > > > > > > > > > > > > > > > > > > > > > > > > Lettie PA in ton Maine

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > >

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> > > > > > > > > > > > > > > > > > > >

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> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > >

> >

>

[Guest guest]

Really? Most of Europe has public funded health and still plenty of surgery,

including adrenalectomies.

> > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > The other question was about

> > > > > > > adrenalectomies. The

> > > > > > > > > > > > > > > > > > > > > > > endocrinologist at

> > > > > > > > > > > > > > > > > > > > > > > > > Dartmouth as well as the one

here in

> > > > > > > Maine that I see think I

> > > > > > > > > > > > > > > > > > > > > > > should

> > > > > > > > > > > > > > > > > > > > > > > > > have an adrenalectomy. One

suggests

> > > > > > > a general sugeon at

> > > > > > > > > > > > > > > > > > > > > > > Dartmouth by

> > > > > > > > > > > > > > > > > > > > > > > > > the name of Laycock and

the

> > > > > > > other is suggesting a Maine

> > > > > > > > > > > > > > > > > > > > > > > > > Oncology surgeon (I'veheard a

lot of

> > > > > > > good about the oncology

> > > > > > > > > > > > > > > > > > > > > > > > > surgeon) by the name of

MacGilvary.

> > > > > > > My question is what type of

> > > > > > > > > > > > > > > > > > > > > > > > > surgeon should I be seeing ? I

would

> > > > > > > rather not go back to

> > > > > > > > > > > > > > > > > > > > > > > Dartmouth

> > > > > > > > > > > > > > > > > > > > > > > > > for several reasons but someof

you

> > > > > > > told me before that my local

> > > > > > > > > > > > > > > > > > > > > > > endo

> > > > > > > > > > > > > > > > > > > > > > > > > was foolish for sending me to

the

> > > > > > > oncology surgeon. The endo is

> > > > > > > > > > > > > > > > > > > > > > > only

> > > > > > > > > > > > > > > > > > > > > > > > > sending me to him because she

> > > > > > > believes he is a good surgeon.Any

> > > > > > > > > > > > > > > > > > > > > > > > > input would be helpful at

thgis

> > > > > > > point. I apreciate it.

> > > > > > > > > > > > > > > > > > > > > > > > > Lettie PA in ton Maine

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > >

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> > > > > > > > > > > > > >

> > > > > > > > > > > > >

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> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > >

> >

>

[Guest guest]

thank-you, the " M " might help - there appears to be alot of Bravos out there.

I'm still very interested in my 1st question but don;t know how to get an

answer.

> > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > The other question was about

> > > > > > > adrenalectomies. The

> > > > > > > > > > > > > > > > > > > > > > > endocrinologist at

> > > > > > > > > > > > > > > > > > > > > > > > > Dartmouth as well as the one

here in

> > > > > > > Maine that I see think I

> > > > > > > > > > > > > > > > > > > > > > > should

> > > > > > > > > > > > > > > > > > > > > > > > > have an adrenalectomy. One

suggests

> > > > > > > a general sugeon at

> > > > > > > > > > > > > > > > > > > > > > > Dartmouth by

> > > > > > > > > > > > > > > > > > > > > > > > > the name of Laycock and

the

> > > > > > > other is suggesting a Maine

> > > > > > > > > > > > > > > > > > > > > > > > > Oncology surgeon (I'veheard a

lot of

> > > > > > > good about the oncology

> > > > > > > > > > > > > > > > > > > > > > > > > surgeon) by the name of

MacGilvary.

> > > > > > > My question is what type of

> > > > > > > > > > > > > > > > > > > > > > > > > surgeon should I be seeing ? I

would

> > > > > > > rather not go back to

> > > > > > > > > > > > > > > > > > > > > > > Dartmouth

> > > > > > > > > > > > > > > > > > > > > > > > > for several reasons but someof

you

> > > > > > > told me before that my local

> > > > > > > > > > > > > > > > > > > > > > > endo

> > > > > > > > > > > > > > > > > > > > > > > > > was foolish for sending me to

the

> > > > > > > oncology surgeon. The endo is

> > > > > > > > > > > > > > > > > > > > > > > only

> > > > > > > > > > > > > > > > > > > > > > > > > sending me to him because she

> > > > > > > believes he is a good surgeon.Any

> > > > > > > > > > > > > > > > > > > > > > > > > input would be helpful at

thgis

> > > > > > > point. I apreciate it.

> > > > > > > > > > > > > > > > > > > > > > > > > Lettie PA in ton Maine

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > >

> > > > > > > > > > > > >

> > > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > >

> >

> >

>

[Guest guest]

thank-you, the " M " might help - there appears to be alot of Bravos out there.

I'm still very interested in my 1st question but don;t know how to get an

answer.

> > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > The other question was about

> > > > > > > adrenalectomies. The

> > > > > > > > > > > > > > > > > > > > > > > endocrinologist at

> > > > > > > > > > > > > > > > > > > > > > > > > Dartmouth as well as the one

here in

> > > > > > > Maine that I see think I

> > > > > > > > > > > > > > > > > > > > > > > should

> > > > > > > > > > > > > > > > > > > > > > > > > have an adrenalectomy. One

suggests

> > > > > > > a general sugeon at

> > > > > > > > > > > > > > > > > > > > > > > Dartmouth by

> > > > > > > > > > > > > > > > > > > > > > > > > the name of Laycock and

the

> > > > > > > other is suggesting a Maine

> > > > > > > > > > > > > > > > > > > > > > > > > Oncology surgeon (I'veheard a

lot of

> > > > > > > good about the oncology

> > > > > > > > > > > > > > > > > > > > > > > > > surgeon) by the name of

MacGilvary.

> > > > > > > My question is what type of

> > > > > > > > > > > > > > > > > > > > > > > > > surgeon should I be seeing ? I

would

> > > > > > > rather not go back to

> > > > > > > > > > > > > > > > > > > > > > > Dartmouth

> > > > > > > > > > > > > > > > > > > > > > > > > for several reasons but someof

you

> > > > > > > told me before that my local

> > > > > > > > > > > > > > > > > > > > > > > endo

> > > > > > > > > > > > > > > > > > > > > > > > > was foolish for sending me to

the

> > > > > > > oncology surgeon. The endo is

> > > > > > > > > > > > > > > > > > > > > > > only

> > > > > > > > > > > > > > > > > > > > > > > > > sending me to him because she

> > > > > > > believes he is a good surgeon.Any

> > > > > > > > > > > > > > > > > > > > > > > > > input would be helpful at

thgis

> > > > > > > point. I apreciate it.

> > > > > > > > > > > > > > > > > > > > > > > > > Lettie PA in ton Maine

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > >

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> > > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > >

> >

> >

>

[Guest guest]

You have put Cleveland Clinic in the search as well.

I would guess that not all can take meds. Some have to have both glands removed

as that seems to be the only way to lower B/P. Not sure if that is the better

choice.

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > The other question was about

> > > > > > > > adrenalectomies. The

> > > > > > > > > > > > > > > > > > > > > > > > endocrinologist at

> > > > > > > > > > > > > > > > > > > > > > > > > > Dartmouth as well as the one

here in

> > > > > > > > Maine that I see think I

> > > > > > > > > > > > > > > > > > > > > > > > should

> > > > > > > > > > > > > > > > > > > > > > > > > > have an adrenalectomy. One

suggests

> > > > > > > > a general sugeon at

> > > > > > > > > > > > > > > > > > > > > > > > Dartmouth by

> > > > > > > > > > > > > > > > > > > > > > > > > > the name of Laycock and

the

> > > > > > > > other is suggesting a Maine

> > > > > > > > > > > > > > > > > > > > > > > > > > Oncology surgeon (I'veheard

a lot of

> > > > > > > > good about the oncology

> > > > > > > > > > > > > > > > > > > > > > > > > > surgeon) by the name of

MacGilvary.

> > > > > > > > My question is what type of

> > > > > > > > > > > > > > > > > > > > > > > > > > surgeon should I be seeing ?

I would

> > > > > > > > rather not go back to

> > > > > > > > > > > > > > > > > > > > > > > > Dartmouth

> > > > > > > > > > > > > > > > > > > > > > > > > > for several reasons but

someof you

> > > > > > > > told me before that my local

> > > > > > > > > > > > > > > > > > > > > > > > endo

> > > > > > > > > > > > > > > > > > > > > > > > > > was foolish for sending me

to the

> > > > > > > > oncology surgeon. The endo is

> > > > > > > > > > > > > > > > > > > > > > > > only

> > > > > > > > > > > > > > > > > > > > > > > > > > sending me to him because

she

> > > > > > > > believes he is a good surgeon.Any

> > > > > > > > > > > > > > > > > > > > > > > > > > input would be helpful at

thgis

> > > > > > > > point. I apreciate it.

> > > > > > > > > > > > > > > > > > > > > > > > > > Lettie PA in ton Maine

> > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > >

> > > > > > > > > > > > >

> > > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > > >

> > > >

> > >

> > >

> >

>

[Guest guest]

Francis, I was hoping I wouldn't have to guess when I had a well respected

doctor with over 50 years experience to draw on. He is obviously in sync with

Dr. Grim most of the time but I got the message that sometimes he recommends

surgey. I thought it might be good to tap into his vast experience before it

is lost to us forever, afterall he must be well into his 70's or more.

If we are going to start guessing let me throw my guess out as to why there is a

40 year old check. My bet is insurance is the answer after they analized their

claims! They found a vast majority (I'll pick atleast 97%, you pick your own

number but it must be over 95%) went from AVS to Surgery if PTN was under 40.

They then said why pay an extra $25,000 when we are going to operate anyway. So

what if we are wrong 3% of the time, it is only money and we don't have to live

with it! Do the math, $25,000 * 97 = $2,425,000! What does it cost to do 3

unecessary adrenalectomies! Looks like you just saved 2million and maybe even

had enough to pay your lobbyists!

Any other guesses?

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

testicle pain. I have decided against an adrenalectomy at this time since

Meds. are working so well. Current BP ave. 112/60.

Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, Type

II Diab. and PTSD

Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Liothyronine 5MCG, Methadone 15

MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate 200 MG, Metformin 2000MG,

Lisinopril 2.5MG and Spironolactone 50 MG.

> > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > > The other question was

about

> > > > > > > > > adrenalectomies. The

> > > > > > > > > > > > > > > > > > > > > > > > > endocrinologist at

> > > > > > > > > > > > > > > > > > > > > > > > > > > Dartmouth as well as the

one here in

> > > > > > > > > Maine that I see think I

> > > > > > > > > > > > > > > > > > > > > > > > > should

> > > > > > > > > > > > > > > > > > > > > > > > > > > have an adrenalectomy. One

suggests

> > > > > > > > > a general sugeon at

> > > > > > > > > > > > > > > > > > > > > > > > > Dartmouth by

> > > > > > > > > > > > > > > > > > > > > > > > > > > the name of Laycock

and the

> > > > > > > > > other is suggesting a Maine

> > > > > > > > > > > > > > > > > > > > > > > > > > > Oncology surgeon

(I'veheard a lot of

> > > > > > > > > good about the oncology

> > > > > > > > > > > > > > > > > > > > > > > > > > > surgeon) by the name of

MacGilvary.

> > > > > > > > > My question is what type of

> > > > > > > > > > > > > > > > > > > > > > > > > > > surgeon should I be seeing

? I would

> > > > > > > > > rather not go back to

> > > > > > > > > > > > > > > > > > > > > > > > > Dartmouth

> > > > > > > > > > > > > > > > > > > > > > > > > > > for several reasons but

someof you

> > > > > > > > > told me before that my local

> > > > > > > > > > > > > > > > > > > > > > > > > endo

> > > > > > > > > > > > > > > > > > > > > > > > > > > was foolish for sending me

to the

> > > > > > > > > oncology surgeon. The endo is

> > > > > > > > > > > > > > > > > > > > > > > > > only

> > > > > > > > > > > > > > > > > > > > > > > > > > > sending me to him because

she

> > > > > > > > > believes he is a good surgeon.Any

> > > > > > > > > > > > > > > > > > > > > > > > > > > input would be helpful at

thgis

> > > > > > > > > point. I apreciate it.

> > > > > > > > > > > > > > > > > > > > > > > > > > > Lettie PA in ton

Maine

> > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > >

> > > > > > > > > > > > >

> > > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > >

> >

>

[Guest guest]

A bit closer look at the Numbers from my other posting

DATA SYNTHESIS: In 37.8% of patients (359 of 950), CT/MRI results did not agree

with AVS results. If only CT/MRI results had been used to determine

lateralization of an adrenal abnormality, inappropriate adrenalectomy would have

occurred in 14.6% of patients (where AVS showed a bilateral problem),

inappropriate exclusion from adrenalectomy would have occurred in 19.1% (where

AVS showed unilateral secretion), and adrenalectomy on the wrong side would have

occurred in 3.9% (where AVS showed aldosterone secretion on the opposite side).

OK 14.6% of the time AVS seems to be better then CT for bilateral problem. So

in this case you don't have AVS but have adrenalectomy. Would still have PA.

19.1% of the time CT doesn't show any thing but you have AVS and have

adrenalectomy based on AVS and possible cure.

3.9% of the time CT shows tumor on wrong side you don't have AVS but have

adrenalectomy that removes good gland and you still have PA.

> > > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > The other question was

about

> > > > > > > > > > > adrenalectomies. The

> > > > > > > > > > > > > > > > > > > > > > > > > > > endocrinologist at

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > Dartmouth as well as

the one here in

> > > > > > > > > > > Maine that I see think I

> > > > > > > > > > > > > > > > > > > > > > > > > > > should

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > have an adrenalectomy.

One suggests

> > > > > > > > > > > a general sugeon at

> > > > > > > > > > > > > > > > > > > > > > > > > > > Dartmouth by

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > the name of

Laycock and the

> > > > > > > > > > > other is suggesting a Maine

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > Oncology surgeon

(I'veheard a lot of

> > > > > > > > > > > good about the oncology

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > surgeon) by the name

of MacGilvary.

> > > > > > > > > > > My question is what type of

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > surgeon should I be

seeing ? I would

> > > > > > > > > > > rather not go back to

> > > > > > > > > > > > > > > > > > > > > > > > > > > Dartmouth

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > for several reasons

but someof you

> > > > > > > > > > > told me before that my local

> > > > > > > > > > > > > > > > > > > > > > > > > > > endo

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > was foolish for

sending me to the

> > > > > > > > > > > oncology surgeon. The endo is

> > > > > > > > > > > > > > > > > > > > > > > > > > > only

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > sending me to him

because she

> > > > > > > > > > > believes he is a good surgeon.Any

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > input would be helpful

at thgis

> > > > > > > > > > > point. I apreciate it.

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > Lettie PA in ton

Maine

> > > > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > >

> > > > > > > > > > > > >

> > > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

Thanks! That does sort of explain the 95% plus figure being quoted at me

although I had thought that included bilateral problems in the 5% too. Glad

M got her AVS - she must be in that minority.

H

> > > > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > The other question

was about

> > > > > > > > > > > > adrenalectomies. The

> > > > > > > > > > > > > > > > > > > > > > > > > > > > endocrinologist at

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Dartmouth as well as

the one here in

> > > > > > > > > > > > Maine that I see think I

> > > > > > > > > > > > > > > > > > > > > > > > > > > > should

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > have an

adrenalectomy. One suggests

> > > > > > > > > > > > a general sugeon at

> > > > > > > > > > > > > > > > > > > > > > > > > > > > Dartmouth by

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > the name of

Laycock and the

> > > > > > > > > > > > other is suggesting a Maine

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Oncology surgeon

(I'veheard a lot of

> > > > > > > > > > > > good about the oncology

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > surgeon) by the name

of MacGilvary.

> > > > > > > > > > > > My question is what type of

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > surgeon should I be

seeing ? I would

> > > > > > > > > > > > rather not go back to

> > > > > > > > > > > > > > > > > > > > > > > > > > > > Dartmouth

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > for several reasons

but someof you

> > > > > > > > > > > > told me before that my local

> > > > > > > > > > > > > > > > > > > > > > > > > > > > endo

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > was foolish for

sending me to the

> > > > > > > > > > > > oncology surgeon. The endo is

> > > > > > > > > > > > > > > > > > > > > > > > > > > > only

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > sending me to him

because she

> > > > > > > > > > > > believes he is a good surgeon.Any

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > input would be

helpful at thgis

> > > > > > > > > > > > point. I apreciate it.

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Lettie PA in

ton Maine

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > >

> > > > > > > > > > > > >

> > > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>