Guest guest Posted June 25, 2011 Report Share Posted June 25, 2011 May want to file complants of all Dr that miss DX you. > > > > > > > > > > > > > > > > > After sleeping on it and having an hour on my way to WRJ VA > > > > > > (actually 40 minutes, I got the Mark VIII out of storage) I decided > > > > > > I was a little short with my answer last night. I ordered my labs > > > > > > back to 2005 (only 29 pages!) I'll report what you asked for here > > > > > > and even update my story if you can point me to where I find what > > > > > > needs to be reported. Hopefully this what you are looking for: > > > > > > > > > > > > 02/22/2007 RENIN 0.1L (ng/mL/hr 0.65 - 5.0 (Low-renin sodium/volume- > > > > > > medicated hypertension likely: <0.65; Primary aldosteronsim > > > > > > possible: <0.65) > > > > > > > > > > > > 07/08/2010RENIN 0.51L(same comments as above) > > > > > > > > > > > > 02/22/2007 15:53 ALDOS 5 (Upright 4:00 - 6:00 pm < or = 21??? not > > > > > > too sure if this is correct ref.) > > > > > > > > > > > > 07/08/2010 14:42 ALDOS 15(same as above) > > > > > > > > > > > > Meds are listed in my story which is on file. > > > > > > > > > > > > An interesting note, I just found my " Chemistry (Plasma) " section > > > > > > and noted NA and K. 21 entries dated back to 8/3/2005. NA > > > > > > ref=135-145. 8 were low 140's withthe rest 135-139. Last one > > > > > > listed, 6/7/2011 (4days after oral surgery) was 140 and Spiro was > > > > > > starting to be less effective! We actually increased it to 75MG! > > > > > > Think the Good Dr. is right and I was starting to out salt it? GO > > > > > > FIGURE! > > > > > > > > > > > > K ref=3.5 - 5 again 21 entries dating back to 2005 Every test (12) > > > > > > prior to 10/15/2009was less than 4.0 with 4 less than minimum. > > > > > > Since then all are above 4.0 with 1 at 5.0. Maybe someone can > > > > > > make heads or tails out of that or give me some idea if I can make > > > > > > anything out of it by looking at something else! > > > > > > > > > > > > Hope this is what you were looking for and let me know if there is > > > > > > anything else. > > > > > > > > > > > > - 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 being > > > > > > watched after Oral Surgery and associated dietary changes. > > > > > > > > > > > > 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, Methadone 10 > > > > > > MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate 200 MG, > > > > > > Metformin 2000MG, Lisinopril 2.5MG and Spironolactone 75 MG. > > > > > > (temporally adding Lorazepam .25MG for sleep depravation caused by > > > > > > PTSD) > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 25, 2011 Report Share Posted June 25, 2011 Want to do this with the state they are licensed in. > > > > > > > > > > > > > > > > > > > > After sleeping on it and having an hour on my way to WRJ VA > > > > > > > (actually 40 minutes, I got the Mark VIII out of storage) I decided > > > > > > > I was a little short with my answer last night. I ordered my labs > > > > > > > back to 2005 (only 29 pages!) I'll report what you asked for here > > > > > > > and even update my story if you can point me to where I find what > > > > > > > needs to be reported. Hopefully this what you are looking for: > > > > > > > > > > > > > > 02/22/2007 RENIN 0.1L (ng/mL/hr 0.65 - 5.0 (Low-renin sodium/volume- > > > > > > > medicated hypertension likely: <0.65; Primary aldosteronsim > > > > > > > possible: <0.65) > > > > > > > > > > > > > > 07/08/2010RENIN 0.51L(same comments as above) > > > > > > > > > > > > > > 02/22/2007 15:53 ALDOS 5 (Upright 4:00 - 6:00 pm < or = 21??? not > > > > > > > too sure if this is correct ref.) > > > > > > > > > > > > > > 07/08/2010 14:42 ALDOS 15(same as above) > > > > > > > > > > > > > > Meds are listed in my story which is on file. > > > > > > > > > > > > > > An interesting note, I just found my " Chemistry (Plasma) " section > > > > > > > and noted NA and K. 21 entries dated back to 8/3/2005. NA > > > > > > > ref=135-145. 8 were low 140's withthe rest 135-139. Last one > > > > > > > listed, 6/7/2011 (4days after oral surgery) was 140 and Spiro was > > > > > > > starting to be less effective! We actually increased it to 75MG! > > > > > > > Think the Good Dr. is right and I was starting to out salt it? GO > > > > > > > FIGURE! > > > > > > > > > > > > > > K ref=3.5 - 5 again 21 entries dating back to 2005 Every test (12) > > > > > > > prior to 10/15/2009was less than 4.0 with 4 less than minimum. > > > > > > > Since then all are above 4.0 with 1 at 5.0. Maybe someone can > > > > > > > make heads or tails out of that or give me some idea if I can make > > > > > > > anything out of it by looking at something else! > > > > > > > > > > > > > > Hope this is what you were looking for and let me know if there is > > > > > > > anything else. > > > > > > > > > > > > > > - 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 being > > > > > > > watched after Oral Surgery and associated dietary changes. > > > > > > > > > > > > > > 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, Methadone 10 > > > > > > > MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate 200 MG, > > > > > > > Metformin 2000MG, Lisinopril 2.5MG and Spironolactone 75 MG. > > > > > > > (temporally adding Lorazepam .25MG for sleep depravation caused by > > > > > > > PTSD) > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 25, 2011 Report Share Posted June 25, 2011 My rating is currently zero. PTSD was denied when I couldn't remember exact stressors. That part was very hard for me because that year+ is just a blank for the most part. (I found out a few years ago I was my niece's Godfather when I was asked to participate. That happened a couple of weeks prior to shipping over.) I also remember very little of a wedding that happened on 6/8/68 but she has it on paper and I haven't been able to prove her wrong in almost 43 years! Think we need to renew our vows before I can claim dementure? With my experience with PTSD I have procrastenated on Agent Orange and DB2. Dr. Webster recently picked up on my copays and encouraged me to refile for PTSD (since there have been changes in requirements) and certainly the Agent Orange claim. I followed her direction and did the paperwork a week ago last Friday with the DAV Rep. Expect the initial letter is in the mailbox tonight. Stay tuned! > > > > > > > > > > > > > > After sleeping on it and having an hour on my way to WRJ VA > > > > > (actually 40 minutes, I got the Mark VIII out of storage) I decided > > > > > I was a little short with my answer last night. I ordered my labs > > > > > back to 2005 (only 29 pages!) I'll report what you asked for here > > > > > and even update my story if you can point me to where I find what > > > > > needs to be reported. Hopefully this what you are looking for: > > > > > > > > > > 02/22/2007 RENIN 0.1L (ng/mL/hr 0.65 - 5.0 (Low-renin sodium/volume- > > > > > medicated hypertension likely: <0.65; Primary aldosteronsim > > > > > possible: <0.65) > > > > > > > > > > 07/08/2010RENIN 0.51L(same comments as above) > > > > > > > > > > 02/22/2007 15:53 ALDOS 5 (Upright 4:00 - 6:00 pm < or = 21??? not > > > > > too sure if this is correct ref.) > > > > > > > > > > 07/08/2010 14:42 ALDOS 15(same as above) > > > > > > > > > > Meds are listed in my story which is on file. > > > > > > > > > > An interesting note, I just found my " Chemistry (Plasma) " section > > > > > and noted NA and K. 21 entries dated back to 8/3/2005. NA > > > > > ref=135-145. 8 were low 140's withthe rest 135-139. Last one > > > > > listed, 6/7/2011 (4days after oral surgery) was 140 and Spiro was > > > > > starting to be less effective! We actually increased it to 75MG! > > > > > Think the Good Dr. is right and I was starting to out salt it? GO > > > > > FIGURE! > > > > > > > > > > K ref=3.5 - 5 again 21 entries dating back to 2005 Every test (12) > > > > > prior to 10/15/2009was less than 4.0 with 4 less than minimum. > > > > > Since then all are above 4.0 with 1 at 5.0. Maybe someone can > > > > > make heads or tails out of that or give me some idea if I can make > > > > > anything out of it by looking at something else! > > > > > > > > > > Hope this is what you were looking for and let me know if there is > > > > > anything else. > > > > > > > > > > - 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 being > > > > > watched after Oral Surgery and associated dietary changes. > > > > > > > > > > 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, Methadone 10 > > > > > MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate 200 MG, > > > > > Metformin 2000MG, Lisinopril 2.5MG and Spironolactone 75 MG. > > > > > (temporally adding Lorazepam .25MG for sleep depravation caused by > > > > > PTSD) > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 25, 2011 Report Share Posted June 25, 2011 I would add the excellent BP response to Spiro and DASH. The real issue now is if u are doing so much better now I would not make a special visit. How did the CPAP HELP? mine was like a miracle and I use it every night without fail. Just got new device (medicAre I hope as new device price is $6000. Hard to believe for such a small device. Someone must be making a killing on these devices. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension What is your rating of service connected disability? If it isn't 100% and you can show the possibly your unDX PA caused more disability then you may want to file a claim. You should have already done so for Agent Orange Type 2 Diab. and PTSD > > > > > > > > > > > After sleeping on it and having an hour on my way to WRJ VA > > > > (actually 40 minutes, I got the Mark VIII out of storage) I decided > > > > I was a little short with my answer last night. I ordered my labs > > > > back to 2005 (only 29 pages!) I'll report what you asked for here > > > > and even update my story if you can point me to where I find what > > > > needs to be reported. Hopefully this what you are looking for: > > > > > > > > 02/22/2007 RENIN 0.1L (ng/mL/hr 0.65 - 5.0 (Low-renin sodium/volume- > > > > medicated hypertension likely: <0.65; Primary aldosteronsim > > > > possible: <0.65) > > > > > > > > 07/08/2010RENIN 0.51L(same comments as above) > > > > > > > > 02/22/2007 15:53 ALDOS 5 (Upright 4:00 - 6:00 pm < or = 21??? not > > > > too sure if this is correct ref.) > > > > > > > > 07/08/2010 14:42 ALDOS 15(same as above) > > > > > > > > Meds are listed in my story which is on file. > > > > > > > > An interesting note, I just found my "Chemistry (Plasma)" section > > > > and noted NA and K. 21 entries dated back to 8/3/2005. NA > > > > ref=135-145. 8 were low 140's withthe rest 135-139. Last one > > > > listed, 6/7/2011 (4days after oral surgery) was 140 and Spiro was > > > > starting to be less effective! We actually increased it to 75MG! > > > > Think the Good Dr. is right and I was starting to out salt it? GO > > > > FIGURE! > > > > > > > > K ref=3.5 - 5 again 21 entries dating back to 2005 Every test (12) > > > > prior to 10/15/2009was less than 4.0 with 4 less than minimum. > > > > Since then all are above 4.0 with 1 at 5.0. Maybe someone can > > > > make heads or tails out of that or give me some idea if I can make > > > > anything out of it by looking at something else! > > > > > > > > Hope this is what you were looking for and let me know if there is > > > > anything else. > > > > > > > > - 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 being > > > > watched after Oral Surgery and associated dietary changes. > > > > > > > > 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, Methadone 10 > > > > MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate 200 MG, > > > > Metformin 2000MG, Lisinopril 2.5MG and Spironolactone 75 MG. > > > > (temporally adding Lorazepam .25MG for sleep depravation caused by > > > > PTSD) > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2011 Report Share Posted June 26, 2011 Your Agent Orange is suppose be automatic for DB2. But rating can be 0% to 100%. If 0 they you get no money but all medical care and RX related to it are free. Also get travel pay for any related. appointments. Due you have hearing loss? If so file a claim for it. More then likely it showed up on your discharge hearing test. Even if hearing loss isn't bad enough to use hearing aids if you tell them you have tinnitus this is automatically a 10% rating Good for about $117 a month. Hearing loss its selve has to be really bad to get a rating. > > > > > > > > > > > > > > > > > After sleeping on it and having an hour on my way to WRJ VA > > > > > > (actually 40 minutes, I got the Mark VIII out of storage) I decided > > > > > > I was a little short with my answer last night. I ordered my labs > > > > > > back to 2005 (only 29 pages!) I'll report what you asked for here > > > > > > and even update my story if you can point me to where I find what > > > > > > needs to be reported. Hopefully this what you are looking for: > > > > > > > > > > > > 02/22/2007 RENIN 0.1L (ng/mL/hr 0.65 - 5.0 (Low-renin sodium/volume- > > > > > > medicated hypertension likely: <0.65; Primary aldosteronsim > > > > > > possible: <0.65) > > > > > > > > > > > > 07/08/2010RENIN 0.51L(same comments as above) > > > > > > > > > > > > 02/22/2007 15:53 ALDOS 5 (Upright 4:00 - 6:00 pm < or = 21??? not > > > > > > too sure if this is correct ref.) > > > > > > > > > > > > 07/08/2010 14:42 ALDOS 15(same as above) > > > > > > > > > > > > Meds are listed in my story which is on file. > > > > > > > > > > > > An interesting note, I just found my " Chemistry (Plasma) " section > > > > > > and noted NA and K. 21 entries dated back to 8/3/2005. NA > > > > > > ref=135-145. 8 were low 140's withthe rest 135-139. Last one > > > > > > listed, 6/7/2011 (4days after oral surgery) was 140 and Spiro was > > > > > > starting to be less effective! We actually increased it to 75MG! > > > > > > Think the Good Dr. is right and I was starting to out salt it? GO > > > > > > FIGURE! > > > > > > > > > > > > K ref=3.5 - 5 again 21 entries dating back to 2005 Every test (12) > > > > > > prior to 10/15/2009was less than 4.0 with 4 less than minimum. > > > > > > Since then all are above 4.0 with 1 at 5.0. Maybe someone can > > > > > > make heads or tails out of that or give me some idea if I can make > > > > > > anything out of it by looking at something else! > > > > > > > > > > > > Hope this is what you were looking for and let me know if there is > > > > > > anything else. > > > > > > > > > > > > - 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 being > > > > > > watched after Oral Surgery and associated dietary changes. > > > > > > > > > > > > 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, Methadone 10 > > > > > > MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate 200 MG, > > > > > > Metformin 2000MG, Lisinopril 2.5MG and Spironolactone 75 MG. > > > > > > (temporally adding Lorazepam .25MG for sleep depravation caused by > > > > > > PTSD) > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2011 Report Share Posted June 26, 2011 I will tell you If you do decide to file this claim you are going to have someone like Dr Grim help you. It almost will surely be denied with out it. I have been down that road. > > > > > > > > > > > > > > > > > > > > After sleeping on it and having an hour on my way to WRJ VA > > > > > > > (actually 40 minutes, I got the Mark VIII out of storage) I decided > > > > > > > I was a little short with my answer last night. I ordered my labs > > > > > > > back to 2005 (only 29 pages!) I'll report what you asked for here > > > > > > > and even update my story if you can point me to where I find what > > > > > > > needs to be reported. Hopefully this what you are looking for: > > > > > > > > > > > > > > 02/22/2007 RENIN 0.1L (ng/mL/hr 0.65 - 5.0 (Low-renin sodium/volume- > > > > > > > medicated hypertension likely: <0.65; Primary aldosteronsim > > > > > > > possible: <0.65) > > > > > > > > > > > > > > 07/08/2010RENIN 0.51L(same comments as above) > > > > > > > > > > > > > > 02/22/2007 15:53 ALDOS 5 (Upright 4:00 - 6:00 pm < or = 21??? not > > > > > > > too sure if this is correct ref.) > > > > > > > > > > > > > > 07/08/2010 14:42 ALDOS 15(same as above) > > > > > > > > > > > > > > Meds are listed in my story which is on file. > > > > > > > > > > > > > > An interesting note, I just found my " Chemistry (Plasma) " section > > > > > > > and noted NA and K. 21 entries dated back to 8/3/2005. NA > > > > > > > ref=135-145. 8 were low 140's withthe rest 135-139. Last one > > > > > > > listed, 6/7/2011 (4days after oral surgery) was 140 and Spiro was > > > > > > > starting to be less effective! We actually increased it to 75MG! > > > > > > > Think the Good Dr. is right and I was starting to out salt it? GO > > > > > > > FIGURE! > > > > > > > > > > > > > > K ref=3.5 - 5 again 21 entries dating back to 2005 Every test (12) > > > > > > > prior to 10/15/2009was less than 4.0 with 4 less than minimum. > > > > > > > Since then all are above 4.0 with 1 at 5.0. Maybe someone can > > > > > > > make heads or tails out of that or give me some idea if I can make > > > > > > > anything out of it by looking at something else! > > > > > > > > > > > > > > Hope this is what you were looking for and let me know if there is > > > > > > > anything else. > > > > > > > > > > > > > > - 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 being > > > > > > > watched after Oral Surgery and associated dietary changes. > > > > > > > > > > > > > > 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, Methadone 10 > > > > > > > MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate 200 MG, > > > > > > > Metformin 2000MG, Lisinopril 2.5MG and Spironolactone 75 MG. > > > > > > > (temporally adding Lorazepam .25MG for sleep depravation caused by > > > > > > > PTSD) > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2011 Report Share Posted June 26, 2011 I would like to discuss all this in group as most on here know some VETS and information here will help both you and vets understand the VA. I also understand if some don't want to have this on group. So can I have some input. > > > > > > > > > > > > > > > > > > > > > > > After sleeping on it and having an hour on my way to WRJ VA > > > > > > > > (actually 40 minutes, I got the Mark VIII out of storage) I decided > > > > > > > > I was a little short with my answer last night. I ordered my labs > > > > > > > > back to 2005 (only 29 pages!) I'll report what you asked for here > > > > > > > > and even update my story if you can point me to where I find what > > > > > > > > needs to be reported. Hopefully this what you are looking for: > > > > > > > > > > > > > > > > 02/22/2007 RENIN 0.1L (ng/mL/hr 0.65 - 5.0 (Low-renin sodium/volume- > > > > > > > > medicated hypertension likely: <0.65; Primary aldosteronsim > > > > > > > > possible: <0.65) > > > > > > > > > > > > > > > > 07/08/2010RENIN 0.51L(same comments as above) > > > > > > > > > > > > > > > > 02/22/2007 15:53 ALDOS 5 (Upright 4:00 - 6:00 pm < or = 21??? not > > > > > > > > too sure if this is correct ref.) > > > > > > > > > > > > > > > > 07/08/2010 14:42 ALDOS 15(same as above) > > > > > > > > > > > > > > > > Meds are listed in my story which is on file. > > > > > > > > > > > > > > > > An interesting note, I just found my " Chemistry (Plasma) " section > > > > > > > > and noted NA and K. 21 entries dated back to 8/3/2005. NA > > > > > > > > ref=135-145. 8 were low 140's withthe rest 135-139. Last one > > > > > > > > listed, 6/7/2011 (4days after oral surgery) was 140 and Spiro was > > > > > > > > starting to be less effective! We actually increased it to 75MG! > > > > > > > > Think the Good Dr. is right and I was starting to out salt it? GO > > > > > > > > FIGURE! > > > > > > > > > > > > > > > > K ref=3.5 - 5 again 21 entries dating back to 2005 Every test (12) > > > > > > > > prior to 10/15/2009was less than 4.0 with 4 less than minimum. > > > > > > > > Since then all are above 4.0 with 1 at 5.0. Maybe someone can > > > > > > > > make heads or tails out of that or give me some idea if I can make > > > > > > > > anything out of it by looking at something else! > > > > > > > > > > > > > > > > Hope this is what you were looking for and let me know if there is > > > > > > > > anything else. > > > > > > > > > > > > > > > > - 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 being > > > > > > > > watched after Oral Surgery and associated dietary changes. > > > > > > > > > > > > > > > > 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, Methadone 10 > > > > > > > > MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate 200 MG, > > > > > > > > Metformin 2000MG, Lisinopril 2.5MG and Spironolactone 75 MG. > > > > > > > > (temporally adding Lorazepam .25MG for sleep depravation caused by > > > > > > > > PTSD) > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2011 Report Share Posted June 26, 2011 I can tell you in my case VA didn't follow Endocrine Guidelines. Nor did Dartmouth. > > > > > > > > > > > > > > > > > > > > > > > > > > After sleeping on it and having an hour on my way to > > WRJ VA > > > > > > > > > (actually 40 minutes, I got the Mark VIII out of > > storage) I decided > > > > > > > > > I was a little short with my answer last night. I > > ordered my labs > > > > > > > > > back to 2005 (only 29 pages!) I'll report what you > > asked for here > > > > > > > > > and even update my story if you can point me to where > > I find what > > > > > > > > > needs to be reported. Hopefully this what you are > > looking for: > > > > > > > > > > > > > > > > > > 02/22/2007 RENIN 0.1L (ng/mL/hr 0.65 - 5.0 (Low-renin > > sodium/volume- > > > > > > > > > medicated hypertension likely: <0.65; Primary > > aldosteronsim > > > > > > > > > possible: <0.65) > > > > > > > > > > > > > > > > > > 07/08/2010RENIN 0.51L(same comments as above) > > > > > > > > > > > > > > > > > > 02/22/2007 15:53 ALDOS 5 (Upright 4:00 - 6:00 pm < or > > = 21??? not > > > > > > > > > too sure if this is correct ref.) > > > > > > > > > > > > > > > > > > 07/08/2010 14:42 ALDOS 15(same as above) > > > > > > > > > > > > > > > > > > Meds are listed in my story which is on file. > > > > > > > > > > > > > > > > > > An interesting note, I just found my " Chemistry > > (Plasma) " section > > > > > > > > > and noted NA and K. 21 entries dated back to 8/3/2005. > > NA > > > > > > > > > ref=135-145. 8 were low 140's withthe rest 135-139. > > Last one > > > > > > > > > listed, 6/7/2011 (4days after oral surgery) was 140 > > and Spiro was > > > > > > > > > starting to be less effective! We actually increased > > it to 75MG! > > > > > > > > > Think the Good Dr. is right and I was starting to out > > salt it? GO > > > > > > > > > FIGURE! > > > > > > > > > > > > > > > > > > K ref=3.5 - 5 again 21 entries dating back to 2005 > > Every test (12) > > > > > > > > > prior to 10/15/2009was less than 4.0 with 4 less than > > minimum. > > > > > > > > > Since then all are above 4.0 with 1 at 5.0. Maybe > > someone can > > > > > > > > > make heads or tails out of that or give me some idea > > if I can make > > > > > > > > > anything out of it by looking at something else! > > > > > > > > > > > > > > > > > > Hope this is what you were looking for and let me know > > if there is > > > > > > > > > anything else. > > > > > > > > > > > > > > > > > > - 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 being > > > > > > > > > watched after Oral Surgery and associated dietary > > changes. > > > > > > > > > > > > > > > > > > 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, > > Methadone 10 > > > > > > > > > MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate > > 200 MG, > > > > > > > > > Metformin 2000MG, Lisinopril 2.5MG and Spironolactone > > 75 MG. > > > > > > > > > (temporally adding Lorazepam .25MG for sleep > > depravation caused by > > > > > > > > > PTSD) > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2011 Report Share Posted June 26, 2011 Hokay then you have a good gripe.CE Grim MDOn Jun 26, 2011, at 1:15 PM, Francis Bill SUSPECTED PA wrote:I can tell you in my case VA didn't follow Endocrine Guidelines. Nor did Dartmouth.> > > > > > > >> > > > > > > > >> > > > > > > > > After sleeping on it and having an hour on my way to > > WRJ VA> > > > > > > > > (actually 40 minutes, I got the Mark VIII out of > > storage) I decided> > > > > > > > > I was a little short with my answer last night. I > > ordered my labs> > > > > > > > > back to 2005 (only 29 pages!) I'll report what you > > asked for here> > > > > > > > > and even update my story if you can point me to where > > I find what> > > > > > > > > needs to be reported. Hopefully this what you are > > looking for:> > > > > > > > >> > > > > > > > > 02/22/2007 RENIN 0.1L (ng/mL/hr 0.65 - 5.0 (Low-renin > > sodium/volume-> > > > > > > > > medicated hypertension likely: <0.65; Primary > > aldosteronsim> > > > > > > > > possible: <0.65)> > > > > > > > >> > > > > > > > > 07/08/2010RENIN 0.51L(same comments as above)> > > > > > > > >> > > > > > > > > 02/22/2007 15:53 ALDOS 5 (Upright 4:00 - 6:00 pm < or > > = 21??? not> > > > > > > > > too sure if this is correct ref.)> > > > > > > > >> > > > > > > > > 07/08/2010 14:42 ALDOS 15(same as above)> > > > > > > > >> > > > > > > > > Meds are listed in my story which is on file.> > > > > > > > >> > > > > > > > > An interesting note, I just found my "Chemistry > > (Plasma)" section> > > > > > > > > and noted NA and K. 21 entries dated back to 8/3/2005. > > NA> > > > > > > > > ref=135-145. 8 were low 140's withthe rest 135-139. > > Last one> > > > > > > > > listed, 6/7/2011 (4days after oral surgery) was 140 > > and Spiro was> > > > > > > > > starting to be less effective! We actually increased > > it to 75MG!> > > > > > > > > Think the Good Dr. is right and I was starting to out > > salt it? GO> > > > > > > > > FIGURE!> > > > > > > > >> > > > > > > > > K ref=3.5 - 5 again 21 entries dating back to 2005 > > Every test (12)> > > > > > > > > prior to 10/15/2009was less than 4.0 with 4 less than > > minimum.> > > > > > > > > Since then all are above 4.0 with 1 at 5.0. Maybe > > someone can> > > > > > > > > make heads or tails out of that or give me some idea > > if I can make> > > > > > > > > anything out of it by looking at something else!> > > > > > > > >> > > > > > > > > Hope this is what you were looking for and let me know > > if there is> > > > > > > > > anything else.> > > > > > > > >> > > > > > > > > - 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 being> > > > > > > > > watched after Oral Surgery and associated dietary > > changes.> > > > > > > > >> > > > > > > > > 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, > > Methadone 10> > > > > > > > > MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate > > 200 MG,> > > > > > > > > Metformin 2000MG, Lisinopril 2.5MG and Spironolactone > > 75 MG.> > > > > > > > > (temporally adding Lorazepam .25MG for sleep > > depravation caused by> > > > > > > > > PTSD)> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > >> > > > > > >> > > > > >> > > > >> > > >> > >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2011 Report Share Posted June 26, 2011 I find this of interest is it shows much of what can happen in untreated PA Also shows how VA missed DX it. With regard to his medical history, service medical records document several elevated blood pressure readings. Subsequent to service, in October 1972, the veteran was hospitalized for treatment of hypertension, for which he stated he had been treated for the past nine months. He complained of chest pain. He was noted to be an air hammer operator. Examination revealed an enlarged heart and a II/VI ejection murmur. Exercise test was negative and there were no ischemic changes on electrocardiogram. By rating action of December 1972, the veteran was granted service connection for hypertensive cardiovascular disease, assigned a 30 percent evaluation. Subsequently dated VA treatment records show the veteran continued to be followed for disabilities including hypertension. From 1973 until 1977, the veteran was noted to have several periods of uncontrolled or poorly controlled hypertension. In October 1979, the veteran injured his back in an on-the-job injury. In October 1980, he underwent a VA examination, at which time a blood pressure reading of 150/95 was obtained. Chest X-ray was normal on that occasion. Blood pressure obtained in connection with an electrocardiogram was 150/104. A VA physician wrote, in June 1986, that the veteran had diastolic blood pressure readings over 120 on multiple visits between October 1973 and April 1975, that he had dyspnea on exertion, and that more than light labor was precluded. In September 1986, the veteran underwent an exercise stress test. His resting blood pressure readings were 160/113 and 150/100. He completed 12.4 minutes of the Bruce protocol, without clinical or electrocardiograph evidence of ischemia or palpitations. There was a blunted heart rate response due to beta-blockers. In February 1987, the veteran underwent a VA examination, reporting periods of occasional lightheadedness and " graying out " without loss of consciousness, but with some shivering and weakness. Several blood pressure readings were obtained throughout the examination, ranging from 210/110 to 160/92. Chest X-rays showed a tortuous aorta and mild cardiac enlargement. Pertinent diagnoses were essential hypertension and hypertensive cardiovascular disease. In September 1987, the veteran 's VA physician wrote that the veteran had severe hypertension when it was untreated. It was now controlled on high doses of several potent medications. Potassium loss had been a problem, and high doses of medication were required to keep potassium levels normal. There were two activity restrictions, one of which was no activity requiring straining, such as lifting a loaded shovel or carrying heavy objects, and the second was to avoid stooping or bending, which could cause dizziness. Dizziness, while on standing on an elevation or while operating equipment, would be dangerous. In September 1987, a letter from the VA medical center director was also obtained. It was noted that the veteran had been a compliant patient who had maintained adequate control of his blood pressure on fairly high doses of a strong antihypertensive, Minoxidil. The physician had instructed the veteran to avoid any activity which required straining, such as heavy lifting or holding objects above his head, since that type of activity could elevate blood pressure and potentially subject him to accidents or illness. Unfortunately, his former job activities were the type that he should avoid. He was under no other restrictions. The chief of medical service had reviewed the veteran's medical records, and concurred with the physician's treatment and advice to the patient. According to an October 1988 letter from the veteran's VA physician, the veteran had severe high blood pressure requiring high doses of several potent medicines. It was also reported that he should not lift over 20 pounds, should not work near machinery or above ground, and should not change positions quickly. A VA examination was conducted in August 1989. Physical examination revealed occasional irregularity, probably due to ventricular contractions, and a Grade II/IV systolic apical murmur. Blood pressures were 150/90, 150/90 and 148/90. The diagnosis was hypertensive cardiovascular disease, moderately severe, blood pressure fairly well controlled with considerable medication, no remarkable change since previous examination of July 1988. Electrocardiogram was interpreted as abnormal, and chest X-ray was normal. VA treatment records dated from December 1987 to December 1990 show diastolic blood pressure readings below 100. A Holter monitor reading obtained in May 1990 revealed was sinus rhythm, occasional ventricular and supraventricular arrhythmias, although one in November 1990 resulted in an impression of a normal Holter monitor study. An echocardiogram in February 1990 revealed left atrial enlargement and right ventricular enlargement, as well as mild left ventricular hypertrophy. In February 1991, his blood pressure reading upon arrival was 150/100. During examination, a blood pressure reading of 152/94 was obtained, and the assessment was hypertension, borderline controlled. Also in February 1991, it was noted that glaucoma had been diagnosed. Subsequently, the veteran's hypertension was noted to be under adequate control, although diastolic blood pressure readings of 100 or more were occasionally obtained. In June 1993, he was seen at a private hospital, with complaints of chest pain. Electrocardiogram showed left anterior fascicular block, but was otherwise normal, and the chest X-ray showed some cardiomegaly, but was otherwise normal. He had no further episodes of chest pain, and was discharged with diagnoses of atypical chest pain and hypertension, difficult to control. Outpatient progress notes dated in July 1993 indicated that the veteran had had a nitroglycerin patch added to his medical regimen following his hospitalization in June. He had experienced no difficulty with his chest since then. Blood pressure was 146/86. The assessment was hypertension, controlled. In addition, he had hypertensive cardiovascular disease manifested by left ventricular hypertrophy by echocardiogram. Other problems noted included paranoid personality, status post thyroid surgery, primary hyperaldosteronism with bilateral adrenal hyperplasia, glaucoma. An echocardiogram in November 1993 revealed left ventricular hypertrophy with left ventricular systolic function normal. In December 1993, the veteran underwent a VA compensation examination. There was decreased visual acuity in the left eye. Blood pressure readings were 150/98, 150/96, and 155/94. There were no murmurs heard. Chest X-ray showed the cardiac silhouette appeared enlarged, but unchanged in size and configuration since August 1991, with no other evidence of cardiac decompensation. The veteran's blood pressure was noted to be only fairly well controlled with a great number of medications. Psychiatric examination revealed a chronic, paranoid personality, fairly severe, with marked impairment for employment. Examination of the back revealed excellent postoperative results from the veteran's prior surgery. An electrocardiogram was abnormal, with lateral left ischemia to be considered. Outpatient treatment records dated in 1994 show the veteran's diastolic blood pressure has remained below 100, although he has continued to experience palpitations, and a sense of rapid heartbeat. In February 1995, the veteran's VA treating physician again wrote, essentially reiterating the content of his previous correspondence. In addition, he stated that despite high levels of medication, a November 1993 echocardiogram showed a dilated left ventricle and atrium, a thick left ventricle, and mild mitral regurgitation, all due to his high blood pressure. In summary, the evidence shows that the veteran worked for many years in skilled labor involving highway construction, despite his limited education and apparent illiteracy. During the last seven or eight years of his employment, his hypertension became symptomatic, but was eventually brought under fairly good control with the use of medication. He was able to work until 1979, when he lost his job due to an unrelated back injury. Evidence in the veteran's favor includes medical records showing that since the injury, the veteran has required continuous treatment for hypertension with medication, with several periods of poor control. In addition, he has developed dizziness and " gray outs. " He has heart arrhythmias, and hypertensive cardiovascular disease has been diagnosed. He has developed a definitely enlarged heart, with an echocardiograms in 1990 and 1993 showing left atrial enlargement, right ventricular enlargement, and mild left ventricular enlargement, attributed by his treating physician to hypertension. His physician has indicated that he must take large doses of medication to control the hypertension, and we note that, nonetheless, there have been several periods of poor control. In addition, VA physicians have stated that his activities are limited to light manual labor, due to his hypertension alone. Conversely, his back disorder, which initially caused him to lose his job, improved considerably after surgery. Evidence against the veteran includes the presence of nonservice- connected disabilities which impede his employability. Chief among these is a personality disorder, which was noted, on the most recent VA examination, to cause " marked " industrial impairment. The veteran has also been diagnosed with glaucoma, which has been shown to have decreased the visual acuity in his left eye. In addition, the veteran, who is 62 years old, is of an age at which finding employment would be difficult in most circumstances. Nevertheless, based on the factors germane to entitlement to individual unemployability under 38 C.F.R. § 4.16( (1994), including the hypertension which precludes any more than light manual labor, and which, over the years, has resulted in increasing cardiovascular damage; his work history, which was exclusively in skilled labor positions; and his eighth grade education and illiteracy, which effectively preclude any non- manual labor position, we are of the opinion that the evidence pertaining to the veteran's limitations on employability due to hypertension is in equipoise. In this regard, we note that the veteran apparently had a 25 year period of fairly steady employment, ending when he injured his back. While his back has improved considerably since that time, his hypertension has worsened, so that it can no longer be said that his back disorder is principally responsible for his employment limitations. He also has a " markedly " disabling personality disorder; however, we note that this apparently did not stop him from working during the many years of his employment. Although it has been hinted that the veteran's personality disorder has played some part in his continued illiteracy, we must accept the veteran as he is; what he may have accomplished under different circumstances is of no relevance. The evidence of record does not show that the veteran's employment limitations have been ascribed to any of his other disabilities, such as glaucoma. Accordingly, with the benefit of the doubt resolve the veteran's favor, a total rating based on individual unemployability is warranted. 38 U.S.C.A. § 5107( (West 1991); Gilbert v. Derwinski, 1 Vet.App. 49, 55 (1990). > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > After sleeping on it and having an hour on my way to > > > > WRJ VA > > > > > > > > > > > (actually 40 minutes, I got the Mark VIII out of > > > > storage) I decided > > > > > > > > > > > I was a little short with my answer last night. I > > > > ordered my labs > > > > > > > > > > > back to 2005 (only 29 pages!) I'll report what you > > > > asked for here > > > > > > > > > > > and even update my story if you can point me to > > where > > > > I find what > > > > > > > > > > > needs to be reported. Hopefully this what you are > > > > looking for: > > > > > > > > > > > > > > > > > > > > > > 02/22/2007 RENIN 0.1L (ng/mL/hr 0.65 - 5.0 (Low- > > renin > > > > sodium/volume- > > > > > > > > > > > medicated hypertension likely: <0.65; Primary > > > > aldosteronsim > > > > > > > > > > > possible: <0.65) > > > > > > > > > > > > > > > > > > > > > > 07/08/2010RENIN 0.51L(same comments as above) > > > > > > > > > > > > > > > > > > > > > > 02/22/2007 15:53 ALDOS 5 (Upright 4:00 - 6:00 pm < > > or > > > > = 21??? not > > > > > > > > > > > too sure if this is correct ref.) > > > > > > > > > > > > > > > > > > > > > > 07/08/2010 14:42 ALDOS 15(same as above) > > > > > > > > > > > > > > > > > > > > > > Meds are listed in my story which is on file. > > > > > > > > > > > > > > > > > > > > > > An interesting note, I just found my " Chemistry > > > > (Plasma) " section > > > > > > > > > > > and noted NA and K. 21 entries dated back to > > 8/3/2005. > > > > NA > > > > > > > > > > > ref=135-145. 8 were low 140's withthe rest 135-139. > > > > Last one > > > > > > > > > > > listed, 6/7/2011 (4days after oral surgery) was 140 > > > > and Spiro was > > > > > > > > > > > starting to be less effective! We actually increased > > > > it to 75MG! > > > > > > > > > > > Think the Good Dr. is right and I was starting to > > out > > > > salt it? GO > > > > > > > > > > > FIGURE! > > > > > > > > > > > > > > > > > > > > > > K ref=3.5 - 5 again 21 entries dating back to 2005 > > > > Every test (12) > > > > > > > > > > > prior to 10/15/2009was less than 4.0 with 4 less > > than > > > > minimum. > > > > > > > > > > > Since then all are above 4.0 with 1 at 5.0. Maybe > > > > someone can > > > > > > > > > > > make heads or tails out of that or give me some idea > > > > if I can make > > > > > > > > > > > anything out of it by looking at something else! > > > > > > > > > > > > > > > > > > > > > > Hope this is what you were looking for and let me > > know > > > > if there is > > > > > > > > > > > anything else. > > > > > > > > > > > > > > > > > > > > > > - 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 being > > > > > > > > > > > watched after Oral Surgery and associated dietary > > > > changes. > > > > > > > > > > > > > > > > > > > > > > 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, > > > > Methadone 10 > > > > > > > > > > > MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate > > > > 200 MG, > > > > > > > > > > > Metformin 2000MG, Lisinopril 2.5MG and > > Spironolactone > > > > 75 MG. > > > > > > > > > > > (temporally adding Lorazepam .25MG for sleep > > > > depravation caused by > > > > > > > > > > > PTSD) > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2011 Report Share Posted June 26, 2011 Since the comes from the Board of Veterans' Appeals. I can not search for any thing more in this case. Here is a link where one can look at cases related to hyperaldosteronism. needs to read what is there. http://www.index.va.gov/search/va/bva_search.jsp?SPC=true & LC=0 & QT=hyperaldostero\ nism & RS=1 > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > After sleeping on it and having an hour on my way to > > > > > > WRJ VA > > > > > > > > > > > > > (actually 40 minutes, I got the Mark VIII out of > > > > > > storage) I decided > > > > > > > > > > > > > I was a little short with my answer last night. I > > > > > > ordered my labs > > > > > > > > > > > > > back to 2005 (only 29 pages!) I'll report what you > > > > > > asked for here > > > > > > > > > > > > > and even update my story if you can point me to > > > > where > > > > > > I find what > > > > > > > > > > > > > needs to be reported. Hopefully this what you are > > > > > > looking for: > > > > > > > > > > > > > > > > > > > > > > > > > > 02/22/2007 RENIN 0.1L (ng/mL/hr 0.65 - 5.0 (Low- > > > > renin > > > > > > sodium/volume- > > > > > > > > > > > > > medicated hypertension likely: <0.65; Primary > > > > > > aldosteronsim > > > > > > > > > > > > > possible: <0.65) > > > > > > > > > > > > > > > > > > > > > > > > > > 07/08/2010RENIN 0.51L(same comments as above) > > > > > > > > > > > > > > > > > > > > > > > > > > 02/22/2007 15:53 ALDOS 5 (Upright 4:00 - 6:00 pm < > > > > or > > > > > > = 21??? not > > > > > > > > > > > > > too sure if this is correct ref.) > > > > > > > > > > > > > > > > > > > > > > > > > > 07/08/2010 14:42 ALDOS 15(same as above) > > > > > > > > > > > > > > > > > > > > > > > > > > Meds are listed in my story which is on file. > > > > > > > > > > > > > > > > > > > > > > > > > > An interesting note, I just found my " Chemistry > > > > > > (Plasma) " section > > > > > > > > > > > > > and noted NA and K. 21 entries dated back to > > > > 8/3/2005. > > > > > > NA > > > > > > > > > > > > > ref=135-145. 8 were low 140's withthe rest 135-139. > > > > > > Last one > > > > > > > > > > > > > listed, 6/7/2011 (4days after oral surgery) was 140 > > > > > > and Spiro was > > > > > > > > > > > > > starting to be less effective! We actually increased > > > > > > it to 75MG! > > > > > > > > > > > > > Think the Good Dr. is right and I was starting to > > > > out > > > > > > salt it? GO > > > > > > > > > > > > > FIGURE! > > > > > > > > > > > > > > > > > > > > > > > > > > K ref=3.5 - 5 again 21 entries dating back to 2005 > > > > > > Every test (12) > > > > > > > > > > > > > prior to 10/15/2009was less than 4.0 with 4 less > > > > than > > > > > > minimum. > > > > > > > > > > > > > Since then all are above 4.0 with 1 at 5.0. Maybe > > > > > > someone can > > > > > > > > > > > > > make heads or tails out of that or give me some idea > > > > > > if I can make > > > > > > > > > > > > > anything out of it by looking at something else! > > > > > > > > > > > > > > > > > > > > > > > > > > Hope this is what you were looking for and let me > > > > know > > > > > > if there is > > > > > > > > > > > > > anything else. > > > > > > > > > > > > > > > > > > > > > > > > > > - 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 being > > > > > > > > > > > > > watched after Oral Surgery and associated dietary > > > > > > changes. > > > > > > > > > > > > > > > > > > > > > > > > > > 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, > > > > > > Methadone 10 > > > > > > > > > > > > > MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate > > > > > > 200 MG, > > > > > > > > > > > > > Metformin 2000MG, Lisinopril 2.5MG and > > > > Spironolactone > > > > > > 75 MG. > > > > > > > > > > > > > (temporally adding Lorazepam .25MG for sleep > > > > > > depravation caused by > > > > > > > > > > > > > PTSD) > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2011 Report Share Posted June 26, 2011 Don't be offended but I have to ask, Have you Hacked into my records? If I was still in computer (IT) management incharge of security and web intro and development (like I once was) your ID would have just rizen to the top of the " Hacker Watch List " ! (Boy there are some stories there but not germaine to this group!) Yes, I wear a double hearing aid (when I don't mind the hiss of my oxygen or really need to hear what is going on.) Actually if I have hearing aids in I often switch O2 tanks onto full and just burn up the tanks, who cares, I don't pay for them and maybe it will further my case for a portable concentrator! Actualy one of the computer rooms, I think it was RAFB, was declaired a hazardous noise area and we had to wear ear protection. When I got to Vietnam I asked about it and they responded that would be the least of my worries and then they proceeded to show me! Agent O: When I was getting ready to file my claim I did a web search and found an article that was published June 15, 2007. I'll quote the first two paragraphs: DANANG, Vietnam - More than 30 years after the Vietnam War ended, the poisoneous legacy of Agent Orange has emerged anew with a scientific study that has found extraordinarily high levels of health-threatening contamination at the former U.S. air base at Danang. " They are the highest levels I've ever seen in my life " , said Boivin, the scientist who conducted the tests this spring. " If this site were in the U.S. or Canada, it would require significant studies and immediate cleanup. " Makes me happy to know I lived, slept, and ate that shit for 10mos and 28days! Probably not the only spot but I speculate it may be the highest concentration due to the fact we were the northern most large base. We shared our barraks with POL people (Petrolium, Oil and Lubricants) They were responsible for fueling the planes and more than likely loading that stuff. Terry, the one that had top bunk over me, came in many mornings smelling of what I thought was Jet Fuel, now I wonder what Agt. O. smells like! That reminds me, How do you identify an Engineer (or Refueler) in the mens room? (He is the one that washes his hands BEFORE he goes!) - 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 being watched after Oral Surgery and associated dietary changes. 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, Methadone 10 MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate 200 MG, Metformin 2000MG, Lisinopril 2.5MG and Spironolactone 75 MG. > > > > > > > > > > > > > > > > > > > > After sleeping on it and having an hour on my way to WRJ VA > > > > > > > (actually 40 minutes, I got the Mark VIII out of storage) I decided > > > > > > > I was a little short with my answer last night. I ordered my labs > > > > > > > back to 2005 (only 29 pages!) I'll report what you asked for here > > > > > > > and even update my story if you can point me to where I find what > > > > > > > needs to be reported. Hopefully this what you are looking for: > > > > > > > > > > > > > > 02/22/2007 RENIN 0.1L (ng/mL/hr 0.65 - 5.0 (Low-renin sodium/volume- > > > > > > > medicated hypertension likely: <0.65; Primary aldosteronsim > > > > > > > possible: <0.65) > > > > > > > > > > > > > > 07/08/2010RENIN 0.51L(same comments as above) > > > > > > > > > > > > > > 02/22/2007 15:53 ALDOS 5 (Upright 4:00 - 6:00 pm < or = 21??? not > > > > > > > too sure if this is correct ref.) > > > > > > > > > > > > > > 07/08/2010 14:42 ALDOS 15(same as above) > > > > > > > > > > > > > > Meds are listed in my story which is on file. > > > > > > > > > > > > > > An interesting note, I just found my " Chemistry (Plasma) " section > > > > > > > and noted NA and K. 21 entries dated back to 8/3/2005. NA > > > > > > > ref=135-145. 8 were low 140's withthe rest 135-139. Last one > > > > > > > listed, 6/7/2011 (4days after oral surgery) was 140 and Spiro was > > > > > > > starting to be less effective! We actually increased it to 75MG! > > > > > > > Think the Good Dr. is right and I was starting to out salt it? GO > > > > > > > FIGURE! > > > > > > > > > > > > > > K ref=3.5 - 5 again 21 entries dating back to 2005 Every test (12) > > > > > > > prior to 10/15/2009was less than 4.0 with 4 less than minimum. > > > > > > > Since then all are above 4.0 with 1 at 5.0. Maybe someone can > > > > > > > make heads or tails out of that or give me some idea if I can make > > > > > > > anything out of it by looking at something else! > > > > > > > > > > > > > > Hope this is what you were looking for and let me know if there is > > > > > > > anything else. > > > > > > > > > > > > > > - 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 being > > > > > > > watched after Oral Surgery and associated dietary changes. > > > > > > > > > > > > > > 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, Methadone 10 > > > > > > > MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate 200 MG, > > > > > > > Metformin 2000MG, Lisinopril 2.5MG and Spironolactone 75 MG. > > > > > > > (temporally adding Lorazepam .25MG for sleep depravation caused by > > > > > > > PTSD) > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2011 Report Share Posted June 26, 2011 I had already figured that out and will certainly have a direct conversation with him as/if this proceeds. I may have to hire him as a consultant just to decide whether to proceed, espcially if my records look like yours, let's see: 500Pages / $500 = $1/page! That in itself is not bad and you still have 364 days left! Don't Hyypervenalate Dr. G., I said we would have to talk! - 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 being watched after Oral Surgery and associated dietary changes. 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, Methadone 10 MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate 200 MG, Metformin 2000MG, Lisinopril 2.5MG and Spironolactone 75 MG. > > > > > > > > > > > > > > > > > > > > > > > After sleeping on it and having an hour on my way to WRJ VA > > > > > > > > (actually 40 minutes, I got the Mark VIII out of storage) I decided > > > > > > > > I was a little short with my answer last night. I ordered my labs > > > > > > > > back to 2005 (only 29 pages!) I'll report what you asked for here > > > > > > > > and even update my story if you can point me to where I find what > > > > > > > > needs to be reported. Hopefully this what you are looking for: > > > > > > > > > > > > > > > > 02/22/2007 RENIN 0.1L (ng/mL/hr 0.65 - 5.0 (Low-renin sodium/volume- > > > > > > > > medicated hypertension likely: <0.65; Primary aldosteronsim > > > > > > > > possible: <0.65) > > > > > > > > > > > > > > > > 07/08/2010RENIN 0.51L(same comments as above) > > > > > > > > > > > > > > > > 02/22/2007 15:53 ALDOS 5 (Upright 4:00 - 6:00 pm < or = 21??? not > > > > > > > > too sure if this is correct ref.) > > > > > > > > > > > > > > > > 07/08/2010 14:42 ALDOS 15(same as above) > > > > > > > > > > > > > > > > Meds are listed in my story which is on file. > > > > > > > > > > > > > > > > An interesting note, I just found my " Chemistry (Plasma) " section > > > > > > > > and noted NA and K. 21 entries dated back to 8/3/2005. NA > > > > > > > > ref=135-145. 8 were low 140's withthe rest 135-139. Last one > > > > > > > > listed, 6/7/2011 (4days after oral surgery) was 140 and Spiro was > > > > > > > > starting to be less effective! We actually increased it to 75MG! > > > > > > > > Think the Good Dr. is right and I was starting to out salt it? GO > > > > > > > > FIGURE! > > > > > > > > > > > > > > > > K ref=3.5 - 5 again 21 entries dating back to 2005 Every test (12) > > > > > > > > prior to 10/15/2009was less than 4.0 with 4 less than minimum. > > > > > > > > Since then all are above 4.0 with 1 at 5.0. Maybe someone can > > > > > > > > make heads or tails out of that or give me some idea if I can make > > > > > > > > anything out of it by looking at something else! > > > > > > > > > > > > > > > > Hope this is what you were looking for and let me know if there is > > > > > > > > anything else. > > > > > > > > > > > > > > > > - 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 being > > > > > > > > watched after Oral Surgery and associated dietary changes. > > > > > > > > > > > > > > > > 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, Methadone 10 > > > > > > > > MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate 200 MG, > > > > > > > > Metformin 2000MG, Lisinopril 2.5MG and Spironolactone 75 MG. > > > > > > > > (temporally adding Lorazepam .25MG for sleep depravation caused by > > > > > > > > PTSD) > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.